Supreme Court says states may bar women on Medicaid from using Planned Parenthood clinics
WASHINGTON — The Supreme Court ruled Thursday that states may exclude Planned Parenthood clinics from providing medical screenings and other health care for women on Medicaid.
The court's conservative majority reversed the longstanding rule that said Medicaid patients may obtain medical care from any qualified provider.
By a 6-3 vote, the justices ruled the Medicaid Act does not give patients an 'individual right' to the provider of their choice.
The dispute has turned on abortion. Medicaid is funded by the federal government and the states. For decades, conservative states have argued their funds should not be used in Planned Parenthood clinics because some of those clinics perform abortions.
But until now, the federal government and the courts had said that Medicaid patients have go to any qualified provider for health care.
In dissent, Justice Ketanji Brown Jackson said the decision 'will deprive Medicaid recipients in South Carolina of their only meaningful way of enforcing a right that Congress has expressly granted to them. And, more concretely, it will strip those South Carolinians — and countless other Medicaid recipients around the country — of a deeply personal freedom: the ability to decide who treats us at our most vulnerable.' Justices Sonia Sotomayor and Elena Kagan agreed.
Planned Parenthood clinics provide cancer screenings, birth control medical screenings, pregnancy testing, contraception and other healthcare services.
Congress pays most of the state's costs for Medicaid, and it says 'any individual eligible for medical assistance' may receive care from any provider who is 'qualified to perform the service.'
Lupe Rodríguez, executive director of National Latina Institute for Reproductive Justice, called the decision 'an attack on our healthcare and our freedom to make our own decisions about our bodies and lives. By allowing states to block Medicaid patients from getting care at Planned Parenthood health centers, the Court has chosen politics over people and cruelty over compassion.'
Three years ago, the Supreme Court overturned Roe vs. Wade and ruled states may prohibit nearly all abortions.
Nonetheless, South Carolina continued its legal fight to prevent Medicaid patients from receiving care at Planned Parenthood's clinics in Charleston and Columbia.
Former Gov. Henry McMaster, who issued the ban on Planned Parenthood in 2018, said he did so to protect 'his state's sovereign interests.'
Critics of the move said the state has a severe shortage of doctors and medical personnel who treat low-income patients on Medicaid.
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Yahoo
18 minutes ago
- Yahoo
Supreme Court says states may bar women on Medicaid from using Planned Parenthood clinics
The Supreme Court ruled Thursday that states may exclude Planned Parenthood clinics from providing medical screenings and other healthcare for women on Medicaid. The court's conservative majority cast aside the longstanding rule that said Medicaid patients may obtain medical care from any qualified provider. In a 6-3 vote, the justices ruled the Medicaid Act does not give patients an "individual right" to the provider of their choice. The dispute turned on abortion, even though federal funds cannot be used to perform the procedure. Medicaid is funded by the federal government and the states. For decades, conservative states have sought to "defund" Planned Parenthood and argued they did not want to subsidize a leading provider of abortions. But until recently, the federal government and most courts had held that Medicaid patients may go to any qualified provider for healthcare. The legal battle hinged on whether the Medicaid Act gave a patients a right that could be protected in court. The answer was no, said Justice Neil M. Gorsuch speaking for the majority. The court's three liberals, all women, dissented. Justice Ketanji Brown Jackson said the decision "will deprive Medicaid recipients in South Carolina of their only meaningful way of enforcing a right that Congress has expressly granted to them. And, more concretely, it will strip those South Carolinians — and countless other Medicaid recipients around the country — of a deeply personal freedom: the ability to decide who treats us at our most vulnerable." Justices Sonia Sotomayor and Elena Kagan agreed. In theory, a Medicaid patient could file a complaint with the Trump administration and tell the Department of Health and Human Services that the state is failing to comply fully with the Medicaid Act. Planned Parenthood clinics provide cancer screenings, birth control, medical screenings, pregnancy testing, contraception and other healthcare services. Congress pays most of the state's costs for Medicaid, and the law says "any individual eligible for medical assistance" may receive care from any provider who is "qualified to perform the service." Last year, the 4th Circuit Court of Appeals rejected South Carolina's contention that it could exclude Planned Parenthood from the Medicaid program. "We reaffirm that a Medicaid beneficiary may ... vindicate her right under the Medicaid Act to freely choose among qualified healthcare providers, of which Planned Parenthood is one," wrote Judge J. Harvie Wilkinson, a prominent conservative and a Reagan appointee. But the court agreed to hear the state's appeal in Medina vs. Planned Parenthood. Lupe Rodríguez, executive director of National Latina Institute for Reproductive Justice, called Thursday's decision "an attack on our healthcare and our freedom to make our own decisions about our bodies and lives. By allowing states to block Medicaid patients from getting care at Planned Parenthood health centers, the Court has chosen politics over people and cruelty over compassion." Sen. Dick Durbin (D-Ill.) said it was "yet another shameful ruling that inserts the government directly between a patient and their doctor — just like Dobbs three years ago and Skrmetti last week. Intimate, personal decisions about health care shouldn't require sign off from extremist politicians." He was referring to the 2022 decision that overturned Roe vs. Wade and last week's ruling upholding state laws that ban hormone treatment for transgender teens. Carol Tobias, president of the National Right to Life Committee, praised the decision as a landmark. "We are grateful the Supreme Court has recognized the right of states to direct taxpayer dollars toward life-affirming healthcare providers,' she said. 'No one should be forced to subsidize the abortion industry with their tax dollars.' After the Supreme Court overturned the constitutional right to abortion, South Carolina made most abortions a crime. But the state continued its legal fight to prevent Medicaid patients from receiving care at Planned Parenthood's clinics in Charleston and Columbia. Gov. Henry McMaster, who issued the ban on Planned Parenthood in 2018, said he did so to protect "his state's sovereign interests." Critics of the move said the state has a severe shortage of doctors and medical personnel who treat low-income patients on Medicaid. Get the L.A. Times Politics newsletter. Deeply reported insights into legislation, politics and policy from Sacramento, Washington and beyond, in your inbox twice per week. This story originally appeared in Los Angeles Times.

19 minutes ago
What to know about states blocking Medicaid funding for Planned Parenthood
The U.S. Supreme Court ruled Thursday that states can bar Medicaid payments to Planned Parenthood, the nation's largest abortion provider. The federal government and many states already block using Medicaid funds to cover abortion. But the state-federal health insurance program for lower-income people does pay for other services from Planned Parenthood, including birth control, cancer screenings and testing and treatment for sexually transmitted infections. The ruling comes at a moment when Congress is considering blocking Planned Parenthood from receiving any federal Medicaid funding, a move that the group says would force hundreds of clinic closings — most of them in states where abortion remains legal. Here are things to know about the situation: This legal dispute goes back to a 2018 executive order from South Carolina Gov. Henry McMaster that barred abortion providers from receiving Medicaid money in the state, even for services unrelated to abortion. In its 6-3 ruling, the Supreme Court overruled lower courts and said that patients don't necessarily have the right to sue for Medicaid to cover their health care from specific providers. Abortion opponents hail it as a victory on principle. 'No one should be forced to subsidize abortion,' CatholicVote President Kelsey Reinhardt said in a statement. Supporters of Planned Parenthood see the ruling as an obstacle to health care aside from abortion. Planned Parenthood 'provides services for highly disadvantaged populations and this will mean not only that many women in the state will lose their right to choose providers, but it will also mean that many women will lose services altogether,' said Lawrence Gostin, who specializes in public health law at Georgetown Law. For many people with Medicaid, Gostin said, Planned Parenthood is a trusted service provider, and it's often the closest one. Others emphasize that the people who could be most impacted are women who already face the greatest obstacles to getting health care. 'People enrolled in Medicaid, including young people and people of color, already face too many barriers to getting health care,' Kimberly Inez McGuire, the executive director of Unite for Reproductive & Gender Equality, said in a statement. 'This decision makes a difficult situation worse.' Planned Parenthood has two clinics in South Carolina, one in Charleston and one in Columbia. Combined, they've been receiving about $90,000 a year from Medicaid out of nearly $9 billion a year the program spends in the state. South Carolina has banned most abortions after six weeks gestational age, before many women realize they're pregnant. It's one of four states to bar abortion at that point. Another 12 are enforcing bans at all stages of pregnancy. The bans were implemented after the Supreme Court overturned Roe v. Wade in 2022. The most recent high court ruling isn't a guarantee that other states will follow South Carolina's lead, but Republican attorneys general of 18 other states filed court papers supporting the state's position in the case. 'We can imagine that there's anti-abortion legislators in states who are looking to this case and may try to replicate what South Carolina has done," said Amy Friedrich-Karnik, director of federal policy at the Guttmacher Institute, a research organization that supports abortion rights. The U.S. House last month passed a budget measure that would bar all federal payments for 10 years to nonprofit groups that provide abortion and received more than $1 million in federal funding in 2024. A Senate vote on the measure, which President Donald Trump supports, could happen in coming days. Planned Parenthood says that if the measure becomes law, it would force its affiliates to close up to 200 of their 600 facilities across the U.S. The hardest-hit places would be the states where abortion is legal. If the federal effort is successful, Friedrich-Karnik said states that support abortion rights could use their own tax revenue to keep clinics open. On a call with reporters this week, SBA Pro-Life America President Marjorie Dannenfelser said it's a priority for her group to hobble Planned Parenthood. She said starving Planned Parenthood of Medicaid reimbursements would not have a major impact on patients, because other clinics offer similar services without providing abortion. 'Medicaid money is attached to the person, so she'll retain the same amount of money,' Dannenfelser said. 'She'll just take it to a different place.' The 2022 Supreme Court ruling that ended the nationwide right to abortion jolted the abortion system across the U.S. and left clinics struggling. Women in states with bans in place now use abortion pills or travel to states where it's legal. Surveys have found that the number of monthly abortions nationally has risen since the court ruling. But over the same time period, some clinics have closed and funds that help people obtain abortion have said it's hard to stretch their money to cover the added cost of travel. ___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.


The Hill
33 minutes ago
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White House, senators eye September deadline for crypto framework
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