“I pledged to stand for life, and as president, that’s exactly what I’ve done,” Mr. Trump said.

The president’s new policy states that money distributed under Title X — the 1970 statute that created the federal family planning program — must be “physically and financially separate from programs in which abortion is provided or presented as a method of family planning, including programs that refer for abortions and programs that encourage, promote or advocate abortion as a method of family planning.”

The proposal falls short of the so-called domestic gag rule that was proposed under President Ronald Reagan in 1988, which prohibited organizations that received Title X money from even mentioning abortion. But it does do away with a requirement that family planning centers counsel women about abortion and provide referrals for it.

And it strictly limits the circumstances under which a health provider could advise a woman about abortion options, requiring that a patient state that she has already decided to terminate her pregnancy before allowing doctors to furnish a list of possible providers.

“A doctor, though not required to do so, would be permitted to provide nondirective counseling on abortion,” the proposed rule says. In that case, it says, a physician could provide a list of health providers, “some (but not all) of which provide abortion in addition to comprehensive prenatal care.”

“Providing such a list would be permitted only in cases where a program client who is currently pregnant clearly states that she has already decided to have an abortion,” the rule says.