A divided Supreme Court allowed states to cut off Medicaid money to Planned Parenthood in a ruling handed down Thursday amid a wider Republican-backed push to defund the country’s biggest abortion provider.

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

The court, in a 6-3 decision, ruled that patients don’t have a right to sue states that disqualify Planned Parenthood, a financial blow to the abortion provider.