But a Department of Health and Human Services decision requiring “all participants in the program, known as Title X, to sign a pledge by Aug. 19, saying they would make a ‘good faith’ effort to comply with the rule” has forced Planned Parenthood’s hand.

Thus, as the Post reports:

Planned Parenthood attorney Alan E. Schoenfeld wrote [the U.S. Court of Appeals for the 9th Circuit] that as a result and with “deep regret,” the grantees “now have no option but to withdraw from the Title X program” from which Planned Parenthood has participated in for decades.

This means that starting Monday, barring a decision by the court, millions of low-income women may have to figure out what they’re doing for needed reproductive health services. Planned Parenthood says its centers serve 40 percent of the nation’s 4 million Title X patients.