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The measure needed 60 votes to clear a procedural hurdle but got 54, with 42 senators voting in opposition. The leading proponent of bringing the fight over funding the group to a possible government shutdown remained unbowed.

The next steps aren’t set in stone, although McConnell has promised there won’t be a government shutdown. Threatening to shut down the government if Planned Parenthood funding remains in the current budget has certainly been their most prominent – and urgent –...