For the first time in eight years, Dannenfelser and anti-abortion advocates are on the offensive and hoping their electoral work will pay off. On Thursday, House Speaker Paul Ryan formally announced that Republicans will strip federal funding for Planned Parenthood in a budget bill that will also repeal the Affordable Care Act. Planned Parenthood and its allies are promising a fight against daunting odds. “Regardless of what Paul Ryan says and what he does, we are not going away, and we are not going anywhere,” Planned Parenthood's president Cecile Richards says. “You can't completely end a public health care system in America and not think about what the impact will be on the folks who have least access to care.”