Republicans will lose elections (including this Tuesday) until they realize the majority of the country is pro-choice and change their policies to align with the population. Make fun of those women in DC as much as you want (as I do), abortion will always be a single issue position for a ton of people and it brings them out to the polls to vote for democrats.
Look at Denmark as a similar example. Their right wing party was gaining massive support in the 2010s as the Danes supported a much stricter immigration policy compared to the other EU countries. The left wing party realized their open-immigration policy would lose them support and elections, so they adopted a strict immigration policy and are firmly in control now.
If republicans want to win future elections, they need to be pro-choice. Leaving it up to the states is not enough, it allows democrats to attack republicans and claim they are going to ban abortion all together even if it is not 100% true.