President Donald Trump appears to be delivering on his promise to defund Planned Parenthood.

On Thursday, Planned Parenthood Mar Monte announced on social media that it will close five clinics in Northern California after recent federal budget cuts eliminated Medicaid reimbursements for clinics that perform abortions.

The closures — affecting facilities in South San Francisco, San Mateo, Santa Cruz, Gilroy and Madera — come just weeks after Trump signed a federal spending bill that bars Medicaid funding from going to any provider that offers abortion services.

With 35 clinics around California, Mar Monte is the largest Planned Parenthood affiliate in the country. The five centers set to close have served over 22,000 patients in the past year, many of whom are low-income with few alternatives for affordable health care.

U.S. Rep. Kevin Mullin, D-San Mateo, said the closures illustrate the real-world impact of federal Medicaid cuts.

“I am outraged that two Planned Parenthood clinics in my district have been forced to close due to President Trump and Republicans’ cuts to Medicaid,” Mullin said in a statement. “Their ‘Big, Ugly Bill’ cuts Medicaid reimbursements to health care organizations like Planned Parenthood.”

He called the San Mateo and South San Francisco clinics “a lifeline” for thousands of low-income and uninsured patients who rely on them for cancer screenings, contraception and other basic health care.

“It’s a dark day for my district,” Mullin said, urging Republican leaders to reverse the cuts. “I stand with Planned Parenthood, today and always, and I will continue to fight to protect reproductive health care despite these despicable attacks from the far right.”

The funding cuts targeting Planned Parenthood are part of a broader package of federal cost-cutting measures that Republicans say are aimed at reducing long-term entitlement spending. Health policy analysts, however, have warned the cuts could destabilize the nation’s safety-net health system, especially in underserved areas that rely heavily on federally subsidized care.

In June, Planned Parenthood warned that under the “Big, Beautiful Bill,” the organization could be forced to close up to 200 clinics. On Wednesday, a Planned Parenthood in Tyler, Texas, announced it would close. A day before that, Planned Parenthood Southwest Ohio Region said it would close two of its clinics. And even before the “Big, Beautiful Bill” passed, Planned Parenthood affiliates said they would close four clinics each in Michigan, Iowa and Minnesota.

Staff writer Ryan Macasero contributed reporting.