A ruling by the U.S. Supreme Court on Tuesday will allow a law banning medical abortion in Arkansas to stand—a decision that forced Planned Parenthood to suspend its services and leaves just one abortion clinic in the entire state.

“Arkansas is now shamefully responsible for being the first state to ban medication abortion,” Dawn Laguens, Planned Parenthood’s executive vice president, said in a statement. “This dangerous law immediately ends access to safe, legal abortion at all but one health center in the state.”

The Supreme Court declined to hear a challenge to a 2015 law that requires clinics that provide medication abortions to work with doctors who have admitting privileges at a hospital in the state.

Planned Parenthood, which provides only medication abortions in Arkansas, says it has been unable to find doctors who would enter into contracts with them, due to the risk doctors face of “being ostracized from their communities and [facing] harassment and violence toward themselves, their family, and their private practices,” according to U.S. District Judge Kristine Baker, who blocked the law in 2016.

An appeals court reversed Baker’s decision, sending the case to the Supreme Court.

Two Planned Parenthood health centers that provide only medication abortions will end their abortion care services for now, while the case is litigated in the lower courts. Little Rock Family Planning Services will be able to continue its surgical abortion care.

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