Overview

• A three‑judge First Circuit panel—Gustavo Gelpí, Lara Montecalvo, and Seth Aframe—stayed district‑court injunctions issued on July 21 and July 28.
• The ruling allows the Trump administration to enforce the Big Beautiful Bill’s one‑year restriction on Medicaid payments to qualifying Planned Parenthood affiliates.
• Planned Parenthood and local providers warn that more than 1.1 million Medicaid patients could face care disruptions and that roughly 200 centers are at risk.
• U.S. District Judge Indira Talwani had previously found likely constitutional problems, citing First Amendment associational concerns and public‑health harms.
• The appeals court accepted amicus briefs from Louisiana and the American Center for Law & Justice, and reactions split sharply between abortion‑rights groups and anti‑abortion advocates.