Yes. Congress did defund Planned Parenthood, at least temporarily. A one-year ban on federal Medicaid reimbursements to Planned Parenthood and similarly situated reproductive health nonprofits was enacted on July 4, 2025, as Section 71113 of the One Big Beautiful Bill Act, a budget reconciliation law signed by President Donald Trump. The ban runs from July 4, 2025, through July 3, 2026, and it has stayed in force after federal courts rejected challenges to it.
What the Law Actually Cuts
Federal money doesn’t reach Planned Parenthood as a single grant. The organization is reimbursed through Medicaid for services provided to low-income patients, and it separately receives Title X family planning grants. About half of Planned Parenthood’s patients rely on Medicaid, and before the ban its affiliates provided roughly $700 million a year in Medicaid-covered care to around 2 million patients.
The Hyde Amendment already bars federal dollars from paying for abortion outside narrow exceptions, so the Medicaid dollars at stake here covered contraception, cancer screenings, STI testing and treatment, and wellness exams. Section 71113 doesn’t cut abortion funding specifically. It blocks all federal Medicaid reimbursements to organizations that meet a defined set of criteria: 501(c)(3) nonprofits classified as essential community providers under the Affordable Care Act, primarily engaged in family planning and reproductive health, providing abortions outside the Hyde exceptions (rape, incest, or life endangerment), and having received more than $800,000 in Medicaid payments in fiscal year 2023. The restriction reaches the entity, its affiliates, subsidiaries, and clinics.
In practice, the criteria target Planned Parenthood along with a small number of independent providers, including Maine Family Planning and Health Imperatives.
How It Passed Congress
The defunding provision moved through Congress inside a much larger budget reconciliation package, not as a standalone bill. Reconciliation lets spending legislation clear the Senate on a simple majority rather than the 60 votes normally needed to break a filibuster.
The House passed the reconciliation bill on May 22, 2025. In the Senate, Democrats challenged whether the Planned Parenthood provision belonged in a reconciliation bill; Senate Parliamentarian Elizabeth MacDonough ruled that it could stay. On June 30, 2025, Senator Patty Murray of Washington offered an amendment to strip the provision, and the motion to advance it failed 49–51. Only two Republicans, Senators Susan Collins of Maine and Lisa Murkowski of Alaska, voted with Democrats. The full package passed the Senate on July 1, 2025, on a 51–50 vote, with Vice President JD Vance breaking the tie. President Trump signed it on July 4, 2025.
The Court Challenges
Planned Parenthood and its allies filed challenges almost immediately in the U.S. District Court in Massachusetts before Judge Indira Talwani.
In Planned Parenthood Federation of America, Inc. v. Kennedy, the organization argued Section 71113 was an unconstitutional bill of attainder, a law that singles out a specific group for punishment without a trial. Judge Talwani issued a temporary restraining order on July 7, 2025, and later a preliminary injunction. The First Circuit Court of Appeals stayed that injunction on September 11, 2025, allowing enforcement to begin, and on December 12, 2025, it issued a full opinion vacating the district court’s orders. The panel concluded that Section 71113 “does not inflict punishment” and is a “lawful exercise of Congress’ taxing and spending power.” Planned Parenthood voluntarily dismissed the case on January 20, 2026.
A coalition of 22 state attorneys general and the District of Columbia, led by California Attorney General Rob Bonta, filed a separate challenge on vagueness and First Amendment grounds. Judge Talwani granted a preliminary injunction on December 2, 2025, but stayed it for seven days to allow an appeal. The First Circuit again sided with the government on December 30, 2025, and the states dismissed the case on March 17, 2026. A third suit brought by Maine Family Planning was dismissed on December 29, 2025.
With every challenge resolved in the government’s favor, the ban has run without judicial interruption for the balance of its one-year term.
The Supreme Court’s Medina Ruling
A separate ruling reshapes the picture beyond the one-year federal ban. On June 26, 2025, days before the reconciliation bill cleared the Senate, the Supreme Court held 6–3 in Medina v. Planned Parenthood South Atlantic that Medicaid’s “any qualified provider” provision does not give patients a private right to sue states that exclude specific providers. Writing for the majority, Justice Gorsuch reasoned that Medicaid’s provider-choice language lacks the “clear and unambiguous” rights-creating text needed to support private lawsuits under Section 1983. Justice Jackson dissented, joined by Justices Sotomayor and Kagan.
The practical consequence: even after the federal ban expires, individual states can drop Planned Parenthood from their Medicaid programs without facing patient lawsuits of the kind that had previously blocked such exclusions in states including Texas, Louisiana, Arkansas, and South Carolina.
What the Ban Has Done to Patients and Clinics
A March 2026 report by Senate Democrats led by Senators Elizabeth Warren and Ron Wyden counted 23 Planned Parenthood health center closures between July 2025 and early 2026, with nearly 75 percent in rural or medically underserved areas. A broader June 2026 tally from KFF identified 57 Planned Parenthood clinics across 20 states that had closed or consolidated since January 2025, while noting that overlapping funding losses make it hard to pin each closure to a single cause.
Services fell against the same months a year earlier:
- IUD and long-acting contraception visits down 36 to 41 percent
- Breast exams down 25 percent
- Birth control pill visits down 20 percent
- STI testing down 11 percent
In September 2025, the first full month of enforcement, Planned Parenthood provided more than 100,000 visits to Medicaid patients and absorbed roughly $45 million in costs that would previously have been reimbursed.
How States Have Responded
At least 11 states have used their own funds to partially offset the loss. California committed the most: Governor Gavin Newsom announced over $140 million in state support in October 2025 and signed an additional $90 million emergency allocation in February 2026. New York and Washington pledged to cover the full gap in their states. Colorado legislated a state reimbursement guarantee without a specific dollar cap. Smaller allocations came from New Jersey ($8 million), Connecticut ($8.5 million), Oregon ($7.5 million), Illinois ($4 million), New Mexico ($3 million), and Massachusetts ($2 million, which the state acknowledged as insufficient).
In total, 13 states allocated roughly $300 million. That’s well below the roughly $700 million in annual Medicaid care Planned Parenthood affiliates had been providing.
What Happens When the Ban Expires
The federal Medicaid ban is set to expire on July 4, 2026. Whether it gets extended depends on future legislation. On January 12, 2026, the Republican Study Committee released a framework for a 2026 reconciliation package that would make the defunding permanent. That framework has not been drafted into specific legislative text, and Republican margins are narrow: a five-seat House majority and six seats in the Senate. KFF has noted that the current 2026 House and Senate budget resolutions do not extend the ban, though a continuation through reconciliation remains possible.
Even if Congress does not extend the ban, the Medina decision leaves individual states free to exclude Planned Parenthood from their Medicaid programs on their own. And the closures and staff departures that occurred during the ban’s enforcement may be difficult to reverse regardless of what Congress does next.