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In a countermeasure to a proposed Trump administration rule, Maryland would become the first state to stop participating in a federal family planning program known as Title X, under a bill that received final approval Wednesday in the Maryland General Assembly.

The Maryland Senate voted 28-16 for the measure, sending the bill to Republican Gov. Larry Hogan, whose spokesman said the governor would review the bill before deciding whether to sign it.

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The rule proposed by President Donald Trump would prohibit family planning clinics funded by the program from making abortion referrals. Critics denounce that as a “gag rule.” The Maryland measure would prevent the state's health department from accepting Title X money if it's conditioned on excluding family planning providers and medically approved services.

“Maryland is very fortunate that our legislators safeguard a woman's right to access family planning services,” said Karen Nelson, CEO of Planned Parenthood of Maryland. “Our state has to step in far too often to fulfill the responsibility of the federal government.”

Baltimore health centers fear they could lose crucial federal funding over a proposed gag rule that would prohibit money from going to centers that perform or refer patients for abortions.

Sen. Bryan Simonaire, a Republican who voted against the bill, said it was bad policy, because it would prevent federal money from flowing into the state that could help faith-based organizations provide health services. He described the debate over the bill as “a turf battle protecting one group against another,” and expressed support for the administration's rule.

“It protects Title X health care providers so they are not required to choose between participating in the program and violating their own consciences by providing abortion counseling and referrals, and that's really what's at the heart of this,” Simonaire said of the administration's rule change.

The Title X program, enacted in 1970, makes family planning services available to low-income individuals for free or at low cost.

Sen. Ron Young, a Democrat who supported the bill, said no organizations are being shut out, because they can apply directly to the federal government for funding.

“It is our policy that family planning should be allowed to discuss the full range of family planning, which is what you can do at the organizations that we support through the state,” Young said. “If we were to accept these funds, it would be going against our state policy of full planning.”

The state would fund Maryland's Family Planning Program at the same level as the previous year. Maryland approved legislation in 2017 that created a state-funded family planning program in the event of changes at the federal level. Hogan did not veto the bill, but it became law without his signature.

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