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The Republican-appointed director of Missouri’s Department of Health and Senior Services admitted during a state hearing on Tuesday that he kept a spreadsheet tracking the menstrual periods of women who visited Planned Parenthood clinics.

RawStory reported that Dr. Randall Williams, a gynecologist, said the spreadsheet was requested by an investigator looking into failed abortions. The hearing will help determine if Planned Parenthood retains its license to perform the procedures in the state.

The publication quoted The Kansas City Star as reporting that “The spreadsheet, which was based on the medical records the investigator had access to, also included identification numbers and the date of the last menstrual period of each patient.”

The investigation reportedly uncovered four women whose surgical abortions required returning to the clinic more than once, the newspaper reported, which Williams said caused “grave concerns” within his department.

The Star also noted that Williams “drew national attention earlier this year over a state policy requiring that physicians perform a pelvic exam three days before a woman receives a surgical abortion, even though physicians already do the exam immediately before the procedure.”

Williams reversed the policy after Planned Parenthood said it was “invasive,” “medically unnecessary,” and “unethical.”

Read the full report.