Missouri’s governor, Mike Parson, also recently signed a measure banning abortion after eight weeks of pregnancy, without exceptions for victims of rape or incest. The legislation is part of a rash of near-total abortion bans being passed around the country this year — nearly all of which are being held up in the court system and will not go into effect unless Roe v. Wade is overturned.

Despite all efforts against it, the St. Louis Planned Parenthood has managed to hold on, while four other clinics in the state stopped providing abortions over the past decade. What seems likely to finally do in the clinic’s ability to perform abortions is a dispute with the state health department over the renewal of its license, which expires on Saturday . Planned Parenthood says that to make it more onerous to provide abortions, the health department has created new rules and started enforcing others that have long been understood to be outdated. One rule would require that doctors perform two separate pelvic exams on surgical abortion patients, despite protests from doctors that such a requirement is medically unnecessary and could be traumatic for patients. Planned Parenthood says that the clinic will not agree to comply with all of the rules, and the group plans to sue the state over the matter.

If the St. Louis clinic stops performing abortions, Missouri will show America what abortion access would look like in much of the country if Roe were overturned, as some experts fear it will be in the years ahead. The coasts and parts of the Midwest would still have a decent number of clinics, while the entire Southeastern portion of the country and the region from Texas up through Missouri would likely not.

Abortion would become, even more than it is today, a procedure for the upper classes: Women with the financial means to travel, to pay for child care or to take time off from work would be able to get one in a clinic , while those who are poor would not.

For now, many Missouri women looking to have an abortion would most likely travel to clinics in Arkansas, Oklahoma, Kansas, Illinois and Iowa — in fact, many women in the state are already doing exactly that. But many of those states are facing their own attacks on abortion rights, and if anti-abortion lawmakers keep racking up political wins, the options for women will continue to dwindle.