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Two Kaine appointees, H. Anna Jeng and Bennie Marshall, both registered nurses, were absent from Thursday’s meeting.

“It’s disappointing,” Delegate Charniele L. Herring, Alexandria Democrat, said of the vote. “I am not surprised, given the appointees that are sitting on the board.”

Ms. Herring also criticized the speed of the process by which the regulations were developed.

The rules were drafted after legislation mandating them narrowly passed the General Assembly this year. The legislation, introduced by state Sen. Ryan T. McDougle, Hanover Republican, specified that they be published within 280 days of Mr. McDonnell’s signing the bill. They were to be treated as “emergency regulations” not subject to the normal public comment and review process, which can take two years or longer.

“I suspect that there will be a court challenge, and this could have been avoided if this wasn’t an emergency procedure and this was a careful, drawn-out process,” Ms. Herring said.

The next step after the vote is executive branch review, where the regulations will pass through the offices of the state attorney general, the Department of Planning and Budget, Health and Human Services, and the governor’s office.

Temporary regulations will go into effect on Jan. 1 and remain in place for 12 months while permanent rules are drafted, though Mr. McDonnell has the authority to extend them up to an additional six months.

While a court challenge is possible, similar rules have met with mixed reception during litigation elsewhere in the country.

A federal judge recently enjoined a Kansas law attempting to impose new regulations on facilities performing more than five non-emergency abortions per month and dictate specific requirements, for example, on the size and temperature of recovery and procedure rooms.

In South Carolina, a law that also requires abortion clinics to meet the same standards as hospitals has withstood legal challenges. Virginia Attorney General Kenneth T. Cuccinelli II invoked the case when he issued an official advisory opinion last year saying that Virginia had the authority to regulate facilities that provide first-trimester abortions.

Maryland also is drafting regulations that require clinics to be licensed by the state, be subject to inspection and have a clinic staff member available at all times in case an emergency occurs.