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Supreme Court Rules States Can Exclude Planned Parenthood From Medicaid

The ruling affirms state control over Medicaid funding, blocks patient lawsuits under Section 1983, prompting Senate Republicans to pursue nationwide defunding through budget reconciliation.

UNITED STATES - APRIL 2: A pro-choice demonstrator holds a sign in front of the U.S. Supreme Court as the Medina v. Planned Parenthood South Atlantic case is heard on Wednesday, April 2, 2025.
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A Planned Parenthood clinic in St. Louis, Missouri.
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Overview

  • In a 6-3 decision, the Court concluded that Section 1983 does not clearly grant Medicaid beneficiaries a private right to sue states over funding exclusions
  • Justice Neil Gorsuch’s majority opinion held that states may decide which providers qualify for Medicaid without fear of individual lawsuits
  • Liberal dissenters warned the decision will strip low-income patients of their only meaningful way to enforce free-choice-of-provider protections and could worsen rural health care gaps
  • Republican-led states including South Carolina can now cut off Medicaid reimbursements to Planned Parenthood for services like contraception, cancer screenings and STI testing
  • Senate Republicans have added language to their budget reconciliation package aimed at stripping Medicaid funding from Planned Parenthood nationwide