SEATTLE – In a victory for the Trump administration, a U.S. appeals court on Monday upheld rules that bar taxpayer-funded family-planning clinics from referring women for abortions. The 7-4 ruling by the 9th U.S. Circuit Court of Appeals overturned decisions issued by judges in Washington, Oregon and California. The court had already allowed the administration's changes to start taking effect while the government appealed those rulings. The changes ban taxpayer-funded clinics in the Title X program for low-income women from making abortion referrals, a restriction opponents characterize as a “gag rule.” Beginning March 4, the rules will also prohibit clinics that receive federal money from sharing office space with abortion providers, which critics said would force many Title X providers to find new locations, undergo expensive remodels or shut down – further reducing access to the program. Title X patients receive affordable birth control, reproductive care and other care through the program, including breast and cervical cancer screenings and HIV testing. Abortion is a legal medical procedure, but federal laws prohibit the use of Title X or other taxpayer funds to pay for abortions except in cases of rape, incest, or to save the life of the woman.