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.

More than 20 mostly Democratic-led states sued the Trump administration Tuesday over its efforts to cut Medicaid payments to the nation's largest abortion provider — Planned Parenthood. The move comes in response to the package of tax breaks and spending cuts Trump signed earlier this month.

California's suit contends that Trump’s signature tax law is unconstitutionally vague and requires states to violate Planned Parenthood’s First Amendment rights.