Anyone on public health insurance would not be able to visit a Planned Parenthood, period,” a Planned Parenthood executive in Massachusetts said.

The U.S. Supreme Court cleared the way on Thursday for South Carolina to strip Planned Parenthood of funding under the Medicaid health insurance program in a ruling that bolsters efforts by Republican-led states to deprive the reproductive healthcare and abortion provider of public money.

The federal government and many states already block using Medicaid funds to cover abortion. But the state-federal health insurance program for lower-income people does pay for other services from Planned Parenthood, including birth control, cancer screenings and testing and treatment for sexually transmitted infections.