Planned Parenthood says it may be forced to pull out of the Title X program, which funds family planning services for millions of low-income people, unless a federal court blocks a Trump administration rule barring federal funding for any organization that provides abortions or refers patients for abortions. Trump ordered the sweeping changes to Title X in February, and recently the Department of Health and Human Services ordered all Title X recipients to sign a pledge by Monday, August 19, promising to comply with the rule. Planned Parenthood says it will refuse. Acting president Alexis McGill Johnson said in a statement, “Unless the Ninth Circuit intervenes, this gag rule will destroy the Title X program — putting birth control, breast and cervical cancer screenings, and STI testing and treatment at risk for millions of people struggling to make ends meet.”