Gov. Jim Pillen (R-NE) signed an executive order on Thursday, effectively preventing Planned Parenthood from being reimbursed for medical services through the state’s Medicaid system, making it the sixth state to cut off reimbursement to the nation’s leading abortion provider. 

Pillen’s executive order comes after the Supreme Court opinion earlier this year in Medina v. Planned Parenthood South Atlantic, finding that states have the authority to exclude abortion providers under their Medicaid rules.