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A judge on Monday temporarily blocked the Trump administration from stripping some Medicaid funds from Planned Parenthood after Congress and President Donald Trump agreed to partially defund the nonprofit through passage of the One Big Beautiful Bill Act.
Judge Indira Talwani of the U.S. District Court for the District of Massachusetts said in her order partially granting a preliminary injunction that the bill unconstitutionally punishes Planned Parenthood member organizations that do not provide abortions.
The injunction will risk “at most minimal harm—financial or otherwise” to the Trump administration while the lawsuit proceeds, Talwani, an Obama appointee, wrote.
The judge’s order appears to apply to some but not all Planned Parenthood facilities. The nonprofit said in a statement that it viewed Talwani’s order as a partial win and remained “hopeful” that the judge would take further judicial action down the line.
“This isn’t over,” the organization said. “While we’re grateful that the court recognized the harm caused by this law, we’re disappointed that not all members were granted the necessary relief today.”
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Talwani’s order arose from a lawsuit brought by Planned Parenthood, the nation’s largest abortion provider, over the One Big Beautiful Bill Act, a massive budget bill that passed Congress this month with no Democrat support. Trump signed the bill into law on July 4.
A provision in the bill stripped Medicaid funding from Planned Parenthood, which the nonprofit said could force it to close about 200 of its 600 facilities and deprive about half of its customers, more than one million people, of services that do not include abortion.
Planned Parenthood attorneys noted in court filings that Medicaid typically does not cover abortion.
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The attorneys argued that the bill would cause cancer and sexually transmitted infections to go undetected, especially for low-income people, and that more unplanned pregnancies would occur because of a lack of contraception access. They said the consequences of losing Medicaid funding “will be grave.”
Department of Justice (DOJ) attorneys had previously argued in court filings that the purpose of the budget provision was to stop “federal subsidies for Big Abortion” by freezing federal funds for certain Medicaid recipients who provide abortions. Weakening Planned Parenthood has been one of the pro-life movement’s leading priorities since the Supreme Court overturned Roe v. Wade.
Talwani granted a temporary restraining order two weeks ago in favor of Planned Parenthood. The judge initially offered no explanation for her decision, a move that led to widespread backlash among Republicans who described it as judicial overreach. Days later, Talwani offered more context in a subsequent order.
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The preliminary injunction will partially leave in place the pause on defunding Planned Parenthood indefinitely, but the Trump administration is likely to appeal the order to the U.S. Court of Appeals for the First Circuit.
The judge noted that her injunction applied to Planned Parenthood entities that do not provide abortion services or receive less than $800,000 in annual Medicaid reimbursements.
DOJ attorneys had previously argued to the court that blocking a measure that was passed by Congress and signed by the president was an extraordinary move and unjustified.
“Beyond the futility of the claims on the merits, Planned Parenthood fails to demonstrate imminent irreparable harm to justify an injunction, asserting only classically reparable economic injury and irrelevant potential harm to patients, who are third parties not before this Court,” DOJ attorneys wrote.
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