Officials for Planned Parenthood declined to say whether they would appeal the decision to the U.S. Supreme Court.

Last December, the high court declined to hear appeals from Kansas and Louisiana after federal judges ruled against their laws which deny Medicaid payments to Planned Parenthood. Chief Justice John Roberts and Justice Brett Kavanaugh joined the court's four liberals in refusing to review the cases.

The 6th Circuit ruling was written by Judge Jeffrey Sutton, a conservative and former Ohio solicitor. Sutton concluded the Ohio law does “not violate a woman’s right to obtain an abortion. It does not condition a woman’s access to any of these public health programs on refusing to obtain an abortion.”

“It makes these programs available to every woman, whether she seeks an abortion or not,” Sutton wrote. “Nor, on this record, has there been any showing that the Ohio law will limit the number of clinics that offer abortions in the state.”

Referring to the 1992 U.S. Supreme Court decision that states cannot place an "undue burden" on a woman’s right to seek an abortion, Sutton wrote that Planned Parenthood had to demonstrate the Ohio law would impose an "undue burden" on a woman’s choice.

“Its vow to keep performing abortions sinks any pre-enforcement action, and any speculation about what would happen if it changed its mind is just that,” Sutton wrote.

But critics warned the court had expanded the state’s authority to restrict abortions in an indirect fashion. Planned Parenthood, which operates 26 facilities in Ohio, has used the state money to finance the costs of pregnancy tests, pap tests, and contraception for more than 60,000 women in the state.

Only three Planned Parenthood centers – including one in Columbus – provide abortion services. But Planned Parenthood can refer women to clinics which offer abortion services.

Writing for the minority, Judge Helene White asserted the U.S. Supreme Court “has never suggested that a party that could prevail in challenging a direct regulation is nevertheless powerless to challenge a law that attempts to achieve the same result by imposing a condition on unrelated funding.”

Sen. Sherrod Brown, D-Ohio, criticized the ruling, saying it “rewards a political stunt by state lawmakers that has real consequences for Ohio women and families.”

“By blocking funding for women to access potentially lifesaving healthcare – including breast and cervical cancer screenings and infant mortality prevention programs – Ohio lawmakers are putting politics over the health and safety of their constituents,” Brown said.

But those opposed to abortion rights were cheered. “Thanks to this very encouraging decision, Ohioans of conscience won't have to worry about whether their tax dollars are going towards abortions," said Michael Gonidakis, president of Ohio Right to Life.