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Federal Judge Halts Trump Administration’s Planned Parenthood Medicaid Cutoff for 22 States, Pauses Order for Appeal

The court found Congress failed to give states clear notice of who qualifies as a prohibited entity, creating an unlawful retroactive funding condition.

Overview

  • The preliminary injunction from U.S. District Judge Indira Talwani blocks enforcement of the One Big Beautiful Bill’s Defund Provision for 22 plaintiff states and Washington, D.C.
  • The judge concluded the Medicaid restriction is likely unconstitutional under the Spending Clause because its terms are impermissibly ambiguous and operate retroactively.
  • Talwani stayed her order for seven days to allow the administration to seek emergency review in the First Circuit.
  • The provision targets tax‑exempt providers that primarily offer family planning, perform abortions, and received more than $800,000 in Medicaid reimbursements in fiscal year 2023.
  • The ruling follows an earlier First Circuit order that let the restriction take effect, as clinics reported closures and service disruptions since July.