'A Big Win': Federal Judge Blocks Trump Effort to Defund Planned Parenthood

Patients who use Medicaid to access health services at Planned Parenthood clinics will not be forced to find care elsewhere following a ruling Monday by a federal judge in Massachusetts.

Judge Indira Talwani in the state's federal District Court extended a temporary restraining order she had placed on the Trump administration earlier this month, barring it from imposing a one-year ban on states sending Medicaid payments to nonprofits that provide abortion care.

The ban, a provision in the domestic policy and budget bill President Donald Trump signed into law this month, applied only to groups that received more than $800,000 in Medicaid funding in 2023—suggesting Planned Parenthood, a longtime foe of right-wing policymakers, is the "target of the law," said Talwani.

Federal law already prohibits public funds from being used to pay for abortion care, and Talwani found that the Republican Party and the Trump administration aimed to force clinics to "disaffiliate with Planned Parenthood Federation and stop providing abortion to continue participating in Medicaid programs."

"Imposing that choice kneecaps the entire organization," said Talwani.

Ripping Medicaid funds away from clinics would also harm patients, said the judge. About 11% of female Medicaid beneficiaries used services at Planned Parenthood clinics in 2021, according to the KFF, and the provision in the budget law made patients "likely to suffer adverse health consequences where care is disrupted or unavailable."

"In particular, restricting members' ability to provide healthcare services threatens an increase in unintended pregnancies and attendant complications because of reduced access to effective contraceptives, and an increase in undiagnosed and untreated STIs," Talwani said.

Talwani had granted relief for certain Planned Parenthood member organizations last week with her temporary restraining order, but the injunction applies to all clinics. The Trump administration filed an appeal of the restraining order last week; Talwani's injunction will remain in effect barring action from the appeals court.

Dominique Lee, president and CEO of Planned Parenthood League of Massachusetts, said she was "encouraged" by Monday's ruling.

"At a time when reproductive healthcare access is under constant attack, this decision is a powerful reminder that patients, not politics, should guide healthcare," said Lee. "In Massachusetts and beyond, we will keep fighting to ensure everyone can turn to the provider they trust, no matter their insurance or ZIP code."

U.S. Rep. Pramila Jayapal (D-Wash.) called the ruling "a big win."

"As this case continues, patients across the country can still go to their trusted Planned Parenthood provider for care using Medicaid," said Alexis McGill Johnson, president and CEO of Planned Parenthood Federation of America. "We will keep fighting this cruel law so that everyone can get birth control, STI testing and treatment, cancer screenings, and other critical healthcare, no matter their insurance."