A federal judge ruled that the policy violated the organization's First Amendment rights. But the Trump administration is likely to appeal the ruling, leaving affiliates unsure of their next move.

Since President Donald Trump signed "One Big, Beautiful Bill," more than 20 Democratic-led states have filed a lawsuit against the administration.

Pennsylvania Gov. Josh Shapiro signed onto a lawsuit this week that seeks to restore the use of federal funding at Planned Parenthood health centers in the state. He joins 21 states and the District of Columbia in the action initiated July 29.