Last July, the Trump administration issued a notice to the dozens of organizations receiving Teen Pregnancy Prevention Program grants.

“Program materials are expected [to] reflect the immutable biological reality of sex, not radical gender ideology, and may not promote anti-American ideologies such as discriminatory equity ideology,” the document reads, listing five executive orders organizations needed to comply with to keep their grants. “Programs with such unauthorized content are not eligible for federal funding.”

Grantees scrambled to adapt to the new requirements. One of them, Healthy Futures of Texas, provides sexual health education in community centers, school districts, and juvenile justice and faith communities in San Antonio, Dallas, and the Rio Grande Valley in Texas.

In fact, in late June, the federal Department of Health and Human Services canceled all but a dozen Teen Pregnancy Prevention Program grants, totaling $66 million for grantees across the country. Grantees included a wide range of organizations from public health departments and universities, to Planned Parenthood and Bethany Christian Services affiliates. The five-year grants had two years left to go.