WASHINGTON — A federal court issued a nationwide injunction on Monday that prevents the Trump administration from interfering with women’s access to free birth control guaranteed under the Affordable Care Act.

The decision, by Judge Wendy Beetlestone of the Federal District Court in Philadelphia, extends a losing streak for President Trump, who has repeatedly been set back in his efforts to allow employers to deny insurance coverage of contraceptives to which the employers object on religious or moral grounds.

The rules were scheduled to take effect on Monday. The states of Pennsylvania and New Jersey challenged the rules before Judge Beetlestone, saying they would have to shoulder much of the burden of providing contraceptives to women who lost coverage under the Trump administration’s rules.

“The states’ harm is not merely speculative; it is actual and imminent,” Judge Beetlestone wrote. “The final rules estimate that at least 70,500 women will lose coverage.”