While advocates focused on Planned Parenthood, the bill did not mention it by name. Instead, it cut off reimbursements for organizations that are primarily engaged in family planning services — which generally include things such as contraception, abortion and pregnancy tests — and received more than $800,000 from Medicaid in 2023.

Due to a provision of the Trump tax bill that bans abortion providers from receiving Medicaid dollars, patients across the country might not be able to use Medicaid to pay for health services that they get at Planned Parenthood.

Accessing health care in Maine — one of the Northeast’s poorest states and its most rural — is a challenge in areas far from population centers such as Portland and Bangor.