As a result of the finalized rule and the clear line that HHS has drawn between family planning and abortion, Planned Parenthood and other abortion vendors who wish to continue to receive Title X family planning funds would have to choose between ending their abortion services from all locations that receive the Title X funding and moving those abortion services offsite to an entirely different location.
Meanwhile, Planned Parenthood has said the administration appears to be targeting them, and called the policy a "gag rule".
This new rule preserves the dignity of Title X, a program built to protect the family, said Tony Perkins, president of the Family Research Council. A department official confirmed it was the final version. Reproductive rights and health advocates say the policy could potentially devastate the program, which provides access to family planning and reproductive health care to more than 4 million people.
Planned Parenthood has claimed stripping federal funds from the organization would devastate women's access to health care, but private contributions put the organization's donations total at almost $631 million.
President Trump and Republicans generally have been agitating the air in recent weeks about the tiny number of late-term abortions being protected under new state laws that protect this option in cases where the woman's life or health is at risk.
The Planned Parenthood Action Fund, the group's political advocacy arm, said a "gag rule" in the regulation would prevent Planned Parenthood from referring women to health-care providers that perform abortions.
"In many parts of the country Planned Parenthood is the only provider who participates in the program", said Dr. Leana Wen, president of the Planned Parenthood Federation of America.
If the rule goes into effect, Planned Parenthood would be barred from receiving funding from the federal program. "Title X funding was never meant to facilitate Planned Parenthood's disgusting dismemberment, chemical poisoning, or deliberate starvation and forced expulsion of a defenseless unborn baby".
"It is disturbing and hypocritical to see this administration promote smaller government, and yet, when it comes to women's health, it is quick to force itself into the exam room and dictate what providers can tell their patients", Jamila Taylor, senior fellow of the Center for American Progress' Women's Initiative, said in a statement.
Title X was born from President Richard Nixon's belief that unchecked population growth, particularly of poor minorities, represented "a global threat to humankind".
The new rule places Planned Parenthood and any other clinic that does abortions in a bind.
"In the year 2014 to 2015, federal and state funding to Planned Parenthood amounted to $553 million or 40 percent of the organization's budget", Newsweek reported last year.
Rep. Chris Smith, R-N.J., the chairman of the Bipartisan Congressional Pro-Life Caucus, said the new rules move Title X closer to "its originally intended objective - the provision of family planning services, not abortions". Since May, lawsuits have been filed to try to block these most recent changes.
Susan B. Anthony List President Marjorie Dannenfelser said in a February 22 statement that she was thankful Trump took "decisive action to detangle taxpayers from the big abortion industry led by Planned Parenthood". Of note, an October notice from HHS called for groups to apply for Title X funding to offer family planning methods that included natural family planning and abstinence.
The policy was rescinded under President Bill Clinton, and a new rule took effect requiring "nondirective" counseling to include a full range of options for women.