Abortion rights advocates in Ohio are worried about the effect of what they call a 鈥済ag rule鈥� that would ban family planning clinics from receiving federal funds if they refer women for abortions or share space with abortion providers.

The Department of Health and Human Services , resurrecting a Reagan-era rule that鈥檚 likely to trigger lawsuits on both sides of the abortion fight.

The rule concerns facilities that receive Title X funds, which pay for wellness exams, cancer screenings, HIV tests and birth control. Anti-abortion groups are celebrating the decision, saying abortion is not family planning.

Gabriel Mann with NARAL Pro-Choice Ohio notes the proposal comes on top of Ohio鈥檚 plan to strip $1.4 million in funding for Planned Parenthood, which was blocked by a federal court last month.

鈥淎nd now we鈥檙e wasting countless tax dollars fighting in court,鈥� Mann says. 鈥淏ut Trump wants to do this at the national level, and that would have a severe impact on Ohio patients.鈥�

Mann also notes that this week, Toledo鈥檚 only abortion clinic was from the state to perform surgical abortions after ProMedica agreed to sign the required transfer agreement that a public hospital could not.

Title X serves about 4 million women every year through clinics, and costs about $260 million. Although abortion is a legal medical procedure, by law, federal family planning funds cannot be used to pay for abortion procedures.

Planned Parenthood clinics qualify for Title X grants, but must keep family-planning money separate from funds used to pay for abortions. The Republican-led Congress has unsuccessfully tried to deny federal funds to Planned Parenthood in the past.

The Associated Press contributed to this report.