(AP) — Nebraska lawmakers have voted to strike all references to the “R-word” from state law.

The bill that won final legislative approval on Wednesday would take the term “mental retardation” off the books. In its place, Nebraska law would use phrases like “intellectual disability” and “developmental disability.”

Nebraska would join the federal government and more than 40 states in eliminating all derivatives of “retardation,” which advocates have termed “the R-word.” Supporters of the bill say the phrase “mental retardation” started as a medical term, but has since turned into demeaning slang.

The original proposal by Sen. Colby Coash, of Lincoln, was folded into another bill. It passed with a 46-0 vote.