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

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.

This is a hit on Planned Parenthood and on our state,” said Planned Parenthood Alliance Advocates CEO Jennifer M. Allen.