On Thursday, the Supreme Court delivered a decision that could be a death knell for Planned Parenthood health centers across the nation.

In a 6-3 decision authored by Justice Neil Gorsuch, the court’s conservative supermajority decided that the federal Medicaid Act does not give an individual the right to bring a civil rights lawsuit challenging the termination of a specific Medicaid provider from that state’s network.

The Supreme Court’s ruling in Medina v. Planned Parenthood South Atlantic is its latest assault on reproductive health care. The case also marks another victory for the Alliance Defending Freedom, the Christian conservative litigation shop behind the Dobbs decision, in which the high court reversed Roe v. Wade and ended the federal right to an abortion. (ADF lawyers represented the South Carolina Department of Health and Human Services in Medina.)