A federal appeals court refused Thursday to block the Trump administration’s Title X family-planning rules from taking effect, keeping in place newly instated requirements preventing grant recipients from referring clients for abortions.

The 9th Circuit Court of Appeals rejected a plea from 20 states and the District of Columbia, as well as abortion providers like Planned Parenthood, to impose an emergency stay after lifting June 20 preliminary injunctions ordered by lower courts in California, Oregon and Washington.

In February, the Department of Health and Human Services overhauled rules governing Title X grants for family-planning services to low-income patients, prohibiting recipients from using the funds to “perform, promote, refer to, or support abortion as a method of family planning.”

The rule change could cost Planned Parenthood, the nation’s largest abortion provider, as much as $60 million per year, although the Title X grants represent only a small percentage of the organization’s half-billion in annual federal funding.

Full story at The Washington Times.