The last remaining abortion provider in Missouri — which is already in danger of losing its license — will reportedly defy a state mandate to perform two pelvic exams on abortion patients.

Planned Parenthood of St. Louis will only provide the examination the day of abortion procedures, declining to also conduct the exam during the patient’s initial consultation, according to CBS News.

“Over the last few weeks, I have new evidence to say that 100% of the patients who I’ve taken care of who’ve undergone this inappropriate, medically unnecessary, unethical pelvic exam have been harmed by that,” the clinic’s medical director, Dr. David Eisenberg, told the site. “Because to do so, in my opinion, is just assault.”

The clinic in May filed a lawsuit against the Missouri Department of Health and Senior Services – which mandated the exams – for refusing to make a decision on its license renewal. The pelvic exam requirement has been a key issue in the clinic’s legal battle with the state, the report said.

Planned Parenthood until Wednesday’s announcement had initially been complying with duel pelvic exam requirement.

A district judge gave the state until Friday to decide if it will renew the clinic’s license.

If it is denied, Missouri could become the first state without a legal abortion clinic since the 1973 US Supreme Court Roe v. Wade decision, which affirmed a woman’s constitutional right to terminate a pregnancy.

Missouri in May passed legislation banning abortion beginning at the eighth week of pregnancy, the eighth state this year to pass laws restricting abortion.