Texas Attorney General Ken Paxton has announced that a Houston-area midwife has been arrested and accused of providing illegal abortions, marking the first time authorities have filed criminal charges under the state’s near-total abortion ban.

Maria Margarita Rojas has been charged with the illegal performance of an abortion, a second-degree felony, as well as practicing medicine without a license, which is a third-degree felony.

Paxton alleges that Rojas, 48, illegally operated at least three clinics in the Houston area where illegal abortion procedures were performed in direct violation of state law.

“In Texas, life is sacred. I will always do everything in my power to protect the unborn, defend our state’s pro-life laws, and work to ensure that unlicensed individuals endangering the lives of women by performing illegal abortions are fully prosecuted,” Paxton said in a statement. “Texas law protecting life is clear, and we will hold those who violate it accountable.”