Planned Parenthoodâs annual report indicates that a significant portion, nearly 40 percent, of its total revenue is derived from government funding.
This government support has recently stirred a cauldron of legal and legislative disputes, especially following the enactment of a Republican-backed initiative dubbed the One Big Beautiful Bill Act.
Since the 1970s, Planned Parenthood has benefitted from federal funding through Title X grants and Medicaid reimbursements, specifically for services that do not include abortions.
In its 2023-2024 annual report, the organization outlined that approximately 40 percent of its revenue stems from public sources. This translates to an impressive $792 million in government funding per year, averaging more than $2 million daily.
While Planned Parenthood reported performing 402,230 abortions in the fiscal year, itâs crucial to note that the use of government funds for these procedures is strictly prohibited by the Hyde Amendment.
The One Big Beautiful Bill Act
Enacted on July 4, the One Big Beautiful Bill Act, a sweeping tax and spend package under President Donald Trump, included a controversial provision that seeks to suspend all Medicaid funding for nonprofit entities involved in abortion services and earning over $800,000 in Medicaid reimbursements during the fiscal year of 2023.
After the billâs passage, Planned Parenthood took legal action, framing the defunding initiative as a targeted crackdown against an organization essential to the abortion debate.
Republican lawmakers have long lobbied to curtail financial assistance to Planned Parenthood on the grounds that no taxpayer money should support any organization facilitating abortions. Initially, the legislative proposal even suggested cutting off funds for a decade, although this was subsequently reduced to just one year during negotiations.
Judicial Response to Funding Cuts
On July 7, Planned Parenthood initiated its lawsuit against the Trump administration, positing that the funding cut violates constitutional provisions and jeopardizes nearly 600 healthcare facilities relying on Medicaid.
The organization argued that the funding cuts would lead to âcatastrophic consequencesâ for the health clinics impacting over a million patients dependent on Medicaid annually.
Planned Parenthood asserted in its complaint: âThe true design of the Defund Provision is simply to express disapproval of, attack, and punish Planned Parenthood, which plays a particularly prominent role in the public debate over abortion.â
Lucky for them, U.S. District Court Judge Indira Talwani granted a temporary restraining order the same day, blocking the funding cuts from taking effect, after determining that Planned Parenthood presented âgood causeâ for its case.
In an additional ruling on July 28, Judge Talwani issued a preliminary injunction against the provision, citing it as punitive. She highlighted that restricting healthcare access could result in increased unintended pregnancies and untreated sexually transmitted infections due to diminished access to contraceptives.
The ruling didnât prohibit the government from regulating abortion services or mandate funding; it merely sustained the flow of Medicaid reimbursements to Planned Parenthood during the lawsuit due to a reasonable chance of success for the legal challenge.
State-Level Reactions
While federal litigation is underway, several states have decided to intervene. On July 29, over 20 Democratic-led states filed a lawsuit against the Trump administration contesting the proposed funding cuts to Planned Parenthood and similar organizations.
These states deemed the funding reductions unconstitutional, cautioning that the restrictions could close clinics, effectively denying access to essential care for vulnerable populations.
California Attorney General Rob Bonta remarked, âThis attack isnât just about abortion. Itâs about denying vulnerable communities access to care they rely on every day.â
States including New York and Connecticut, alongside the District of Columbia, have echoed similar sentiments, positioning the funding cuts as retaliation against Planned Parenthoodâs advocacy for abortion access, which they argue violates the First Amendmentâs free speech clause.
The Department of Health and Human Services, in its defense of the One Big Beautiful Bill Act provisions, argued that âStates should not be forced to fund organizations that have chosen political advocacy over patient care,â implying that some attorneys general are attempting to âundermine state flexibilityâ and ignore accountability issues.
Judicial Precedents and Implications
A ruling by the Supreme Court on June 26, prior to the passage of the One Big Beautiful Bill Act, determined that states have the authority to block Planned Parenthood from receiving Medicaid funds for essential services, including contraception and cancer screenings.
This 6-3 decision, while not directly addressing the abortion issue, is anticipated to influence future legal challenges seeking to preserve Medicaid funding for Planned Parenthood.
The opinion affirms that while Medicaid law permits individuals to select their provider, this selection doesnât equate to a legally enforceable right.
Justice Neil Gorsuch noted, âDeciding whether to permit private enforcement poses delicate policy questions involving competing costs and benefitsâdecisions for elected representatives, not judges.â
In a classic case of political spin, a White House spokesperson, Harrison Fields, hailed the Supreme Courtâs decision as âa major victory for common sense.â
This report has been enriched with contributions from The Associated Press and Matthew Vadum.
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