[4] Abortions in cases of endangering the life of the mother were de facto allowed out of medical necessity, however, despite this exception not being explicitly mentioned in the legislation.

[3] Turnout was 41.1%, slightly lower than the 2019 referendum which amended electoral and anti-discrimination laws.

[15] The referendum proposed legalising abortion up to the 12th week of gestation, or if the pregnancy poses a risk to the woman's life, or if there are "abnormalities and malformations of the fetus that pose a serious risk to the physical or psychological health of the woman".

[16][17][3] With the passage of the referendum, the San Marino parliament was required to pass a law to enact its result.

[18] San Marino was one of the last European states where abortion remained criminalised without explicit exception (along with Andorra, Malta and Vatican City), and thus joined other European Catholic countries like Ireland, where a 2018 referendum also approved allowing the procedure.