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“We tend to not think that way,” Mr. Edwards said. “We work through all of these issues in a systematic way, a methodical way, and come out with what we feel is the best for these patients.”

All 20 of the state’s clinics have applied for licensing, and 12 have been granted licenses after submitting plans to correct deficiencies ranging from corridors or doorways being too narrow or having inadequate hand-wash and service sinks, Dr. Remley said. None have indicated an intention to close.

Advocates have consistently argued that the new design regulations would be prohibitively expensive and could force the clinics to close.

But Chris Freund with the Family Foundation called that argument a “false choice.”

“They can stay open. They just can’t perform abortions,” he said, citing Planned Parenthood’s claim that only 3 percent of their patient care deals with abortion services.