A new study confirms that politically-motivated attacks on Planned Parenthood are hurting low-income women, who are losing out on access to birth control as clinics are increasingly forced to reduce their shutter their doors.

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Texas, where the conservative legislature has led a campaign to defund the public health organization, has seen “adverse changes in the provision of contraception” in the state, according to a new study published Wednesday in the New England Journal of Medicine.

In the two years since the state cut off public funding for the organization, areas with a Planned Parenthood saw a drop by more than 30 percent in provisions of the most effective reversible methods of contraception—injections, implants, and intrauterine devices (IUDs)—while Medicaid-paid births jumped by 27 percent, researchers with the Texas Policy Evaluation Project (TxPEP) at the University of Texas at Austin found.

Between January 2011 and December 2014, claims for IUDs and implants dropped 35 percent and claims for injectable contraceptives dropped 31 percent.

“Simply put, dedicated women’s health providers matter,” said Dr. Joseph Potter, a UT-Austin sociology professor, who supervised the study. “Providers who are mission-driven and have the requisite experience and knowledge appear to be critical for the delivery of the most effective methods of contraception—IUDs, implants, and injectables.”

“From a demographic perspective, this is important because both national studies and local studies show that these methods dramatically decrease unintended pregnancy. We also have accumulating evidence that there is unmet demand for these methods in Texas,” Potter said.