The Supreme Court moved to limit access to health care for over 1.3 million South Carolinians on Thursday by allowing the state to block Medicaid recipients from getting care at Planned Parenthood. The tight restriction on reproductive rights will likely pave the way for similar bans in other states, as ongoing attacks on abortion providers further impinge on access to maternal, gynecological, and other basic forms of health care.

In a 6-3 decision, the court determined that Planned Parenthood clinics and patients in South Carolina may not sue the state for denying Medicaid funding to the reproductive care provider. The ruling overturns repeated lower court decisions that affirmed Medicaid recipients’ rights to visit a provider of their choosing that accepts the program. It comes against the backdrop of looming federal cuts to Medicaid, which would further restrict health care access for millions of low-income Americans.

In South Carolina, abortion is already subjected to a near-total ban. State law prohibits abortion after six weeks with limited exceptions — which is often before someone would be aware that they’re pregnant. Republican South Carolina Gov. Henry McMaster has been direct about wanting to target Planned Parenthood because the network of clinics is known as an abortion provider.

“South Carolina has made it clear that we value the right to life,” McMaster said in a February statement. “Therefore, taxpayers should not be forced to subsidize abortion providers who are in direct opposition to their beliefs.”