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.

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.

The federal program helps low and extremely low-income people access family planning care like contraception, sexually transmitted disease screenings and treatment as well as cancer screenings at little or no cost.