More doctors are considering leaving or retiring early, while fewer medical students are applying to obstetrics and gynecology residencies in Texas.

The Supreme Court on Monday let stand a decision barring emergency abortions that violate the law in Texas, which has one of the country’s strictest abortion bans. Without detailing their reasoning, the justices kept in place a lower court order that said hospitals cannot be required to provide pregnancy terminations that would violate Texas law.