 A similar legal position to that in Montana has obtained in the nation of Colombia since the late 1990s as a result of a majority ruling by its Constitutional Court in favor of the legality of physician-assisted suicide. In 2021, Spain legalized voluntary euthanasia. In Austria and Germany courts have authorised physician-assisted suicide but no legislative backing for the practice has been introduced, while in Italy legislation for voluntary medically assisted death has been passed in one house of the bicameral parliament and in Portugal there is legislation in place for physician-assisted suicide which is currently under review for its constitutionality. 