The latest U.S. spending bill blocked Planned Parenthood from receiving Medicaid, which is the primary payer for services in Washington.

Defunding Planned Parenthood is really an attempt to take away access to abortion in states where it is legal,” said one leader of the women’s health care organization.

In Washington, Planned Parenthood’s 30 health centers serve over 100,000 patients each year. Medicaid covers nearly half of them, according to the nonprofit. Planned Parenthood has previously closed clinics in Washington due to low Medicaid reimbursement rates.