Nearly 15,000 Iowa women will lose access to low-cost medical services when four Planned Parenthood clinics close Friday — and advocates say the move foreshadows how the Republican health care bill could affect women nationwide.

Clinics in Quad Cities, Burlington, Keokuk and Sioux City will close at the end of the day Friday as a result of the Iowa state legislature voting to “defund” Planned Parenthood. President Donald Trump has said he wants to accomplish the same thing on a national level, and the health care bill now in the U.S. Senate would take federal funding away from the nonprofit health provider for one year.