Leticia Parra, a mother of five scraping by on income from her husband’s sporadic construction jobs, relied on the Planned Parenthood clinic in San Carlos, an impoverished town in South Texas, for breast cancer screenings, free birth control pills and pap smears for cervical cancer.

But the clinic closed in October, along with more than a dozen others in the state, after financing for women’s health was slashed by two-thirds by the Republican-controlled Legislature.

The cuts, which left many low-income women with inconvenient or costly options, grew out of the effort to eliminate state support for Planned Parenthood. Although the cuts also forced clinics that were not affiliated with the agency to close — and none of them, even the ones run by Planned Parenthood, performed abortions — supporters of the cutbacks said they were motivated by the fight against abortion.

Now, the same sentiment is likely to lead to a shutdown next week of another significant source of reproductive health care: the Medicaid Women’s Health Program, which serves 130,000 women with grants to many clinics, including those run by Planned Parenthood. Gov. Rick Perry and Republican lawmakers have said they would forgo the $35 million in federal money that finances the women’s health program in order to keep Planned Parenthood from getting any of it.