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

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.

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.