Since running for President and into his presidency, Donald Trump and his Administration have sought to undermine women’s access to reproductive health care. Last year, the Trump Administration proposed changes to Title X—which is federal grant program that provides funding for comprehensive family planning services. Known as the “domestic gag rule,” the proposed changes “gag” or bar healthcare providers from referring their patients to abortion providers. Moreover, the rule would drastically alter access to reproductive health care, including birth control and other family planning services, for millions of women who depend on Title X funded clinics. When the Administration released the final version of the rule changes, reproductive health organizations such as Planned Parenthood and the American Civil Liberties Union on behalf of the National Family Planning and Reproductive Health Association immediately challenged the rule. Despite a preliminary injunction that prevented the rule’s implementation, on July 3, a panel of three judges lifted the injunction. Devastatingly, last week by 7-4 vote, the Ninth Circuit upheld the decision to enforce the gag rule. Advocates could appeal the decision to the Supreme Court, but as it stands, the rule will be imposed. Nearly 4 million women are expected to be affected—who are disproportionately low-income women and women of color. While the fate of Title X remains uncertain, the Trump Administration has thus far successfully undermined it.