The Victorian Legislation Assembly passed a euthanasia bill by 47 votes to 37 after a passionate debate lasting almost 26 hours.
Voluntary euthanasia will become legal in Australia's second most populous state if the bill is passed by the Parliament's upper chamber on October 31.
Australia's sparsely populated Northern Territory in 1995 became the first jurisdiction in the world to legalize doctor-assisted suicide for terminally ill patients.
But the Australian Parliament overturned that law in 1997 after four people had been helped to die. The Australian Parliament does not have the same power to repeal the laws of states such as Victoria.
"My colleagues and I are very proud that we have taken a very big step toward giving many, many Victorians the dignity and compassion they have been denied for far too long," Andrews told reporters after the vote.
New South Wales, Australia's most populous state, will debate its own euthanasia laws in its Sydney-based Parliament next month.
Laws to legalize mercy killings have been rejected by two of Australia's six states.
Under the Victorian law, only people registered on the electoral roll as living in that state would be eligible to access medical help to die. Candidates must be assessed by two doctors as having a terminal illness with less than a year to live and be in intolerable pain.
A doctor would be permitted to administer a lethal injection only in cases where patients were physically incapable of doing so themselves.
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