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2h ago

First Circuit Lets Trump Administration Enforce Medicaid Funding Curb on Abortion Providers in 22 States and D.C.

The panel stayed a district court injunction based on a finding that the government is likely to succeed on the merits.

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FILE - Vanessa Shields-Haas, a nurse practitioner, walks from the lobby toward the examination rooms at the Maine Family Planning healthcare facility, July 15, 2025, in Thomaston, Maine. (AP Photo/Charles Krupa, File)
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Overview

  • The stay allows the One Big Beautiful Bill Act’s restriction to take effect while appeals proceed, restoring enforcement across 22 states and Washington, D.C.
  • The provision withholds Medicaid reimbursements from tax‑exempt family‑planning providers that perform abortions if they received more than $800,000 in Medicaid funds in fiscal 2023, and it is scheduled to last one year.
  • Democratic-led states brought the case arguing insufficient notice and unconstitutional retroactivity under the Spending Clause, a theory that had persuaded the district court on December 2.
  • The Boston-based appeals court previously lifted a separate injunction by Judge Indira Talwani in a related Planned Parenthood case earlier in December.
  • Planned Parenthood says the law was aimed at it and reports at least 20 health center closures since July, attributing the shutdowns to the new funding cutoff.