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.