In the first month of President Donald Trump's second term, he's signed hundreds of executive orders.
A number of them aim to curb access to abortion and limit the rights of transgender people.
That's creating a lot of fear and uncertainty over whether people will still be able to access things like abortion care and hormone therapy, both of which Planned Parenthood provides.
"Our patients and our community here in the North Country are concerned," said Crystal Collette, the CEO of Planned Parenthood of the North Country, New York.
Last year it served about 8,000 patients in seven locations across the region, in Watertown, Plattsburgh, Canton, Ogdensburg, Malone, Saranac Lake, and Lowville. It provides services like prescribing birth control, testing for STIs (sexually transmitted diseases), cancer screenings, and abortion services.
Collette said that in the last few weeks, "our phones at our health centers are ringing with concerns from patients around understanding access to care."
She said that's because of a flurry of executive actions from President Donald Trump in the past few weeks, targeting abortion access and gender-affirming care.
Among other actions, since taking office the new President has pardoned two dozen people convicted of harassing and assaulting abortion clinic workers and patients.
Trump reinstated the so-called "Mexico City Policy", which blocks federal funds from international aid groups that provide information about abortion.
Collette says the national Planned Parenthood has been preparing for Trump administration challenges to the organization's funding and overall healthcare access. "Nothing that we have seen so far has surprised us," she said.
Her message to patients and residents of the North Country was that "...we stand firm. No matter what happens, we're going to keep our doors open and keep that care affordable for you."
New York's top officials, including Governor Kathy Hochul and the state attorney general, have also recommitted to continuing to protect women's reproductive healthcare, including abortions.
After a Louisiana grand jury recently indicted a New York doctor for prescribing abortion pills online, Governor Kathy Hochul signed a new bill into law to protect doctors' identities. "I must stand up and protect our doctors," she said in a recent press conference.
Trump's executive orders have also targeted transgender people.
One forbids transgender youth from accessing gender-affirming care. Another order from Trump's first day declares there are only two sexes, male and female, and that a person's sex cannot be changed. Trump says he's taking "historic action to defeat the toxic poison of gender ideology and reaffirm that God created two genders."
Many of Trump's orders are being challenged in court as unconstitutional or unlawful. Transgender advocates say that Trump's rhetoric is dangerous and targeting a group that already has a heightened risk of murder and suicide.
Planned Parenthood of the North Country CEO Crystal Colette says none of the orders impact what Planned Parenthood provides, which is hormone therapy for transgender adults.
But she says patients are still confused and scared. "Our patients who receive gender-affirming care with us are calling to see if that care is still available," she said. She says it is, and will continue to be. "This is life-saving care," said Collette.
Colette said the local organization's biggest concern is that people will delay or not seek healthcare out of fear or misinformation.
Colette says about half of Planned Parenthood's patients are low-income and on Medicaid, and a third of patients report that Planned Parenthood is their only source of healthcare.
"For a lot of our patients at Planned Parenthood, we are their only healthcare provider, because really their only healthcare needs are their sexual and reproductive health," said Collette.