Planned Parenthood on Tuesday shuttered its two clinics in Louisiana over what the organization said were mounting financial and political challenges that made operating in the state no longer possible after more than 40 years.

The closures make Louisiana the most populous of just four states with no Planned Parenthood locations.

The exit underlines the pressures on Planned Parenthood as it warns of wider closures nationwide in the face of Medicaid funding cuts in President Donald Trump’s tax and spending bill. The organization is also halting advocacy work in Louisiana, where the state's Republican leaders have cheered on the closures.

The closures were “not the result of a lack of need” but rather the outcome of “relentless political assaults that have made it impossible for us to con

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