Overview

• On July 21, U.S. District Judge Indira Talwani converted her temporary restraining order into a partial preliminary injunction blocking enforcement of the bill’s Medicaid defunding provision for most Planned Parenthood affiliates.
• The One Big Beautiful Bill Act bars state Medicaid payments for one year to health nonprofits that both provide abortions and received over $800,000 in federal reimbursements in 2023.
• The injunction applies only to affiliates that do not offer abortion services or that fell below the $800,000 reimbursement threshold, leaving enforcement intact for other providers.
• Talwani ruled that the funding ban likely violates First Amendment associational rights by conditioning Medicaid payments on affiliations with abortion providers.
• The Trump administration plans to appeal to the U.S. Court of Appeals for the First Circuit as other groups, including Maine Family Planning, pursue parallel legal challenges.