Attorney General Bonta Co-Leads Multistate Coalition in Filing Motion for Preliminary Injunction to Block Trump Administration from Defunding Planned Parenthood and Other[...]

OAKLAND - Co-leading a coalition of 22 attorneys general and the state of Pennsylvania, California Attorney General Rob Bonta today filed a motion for a preliminary injunction to block the Trump Administration from enforcing the "Defund Provision" within the recently enacted federal budget bill ("Big Beautiful Bill"). The Defund Provision excludes certain health centers, including Planned Parenthood health centers, from receiving federal Medicaid reimbursements. Among other things, these centers provide essential healthcare services to low-income patients, such as cancer screenings, testing and treatment of sexually transmitted infections (STIs), and birth control. After filing suit over the Defund Provision on July 29, 2025, the coalition is now asking the U.S. District Court for the District of Massachusetts to grant its motion for a preliminary injunction because the States are likely to succeed on the merits, the Defund Provision would result in irreparable harm to the States if allowed to stay in effect, and the balance of equities and the public interest favor the States. In a related lawsuit, Planned Parenthood Federation of America, Inc. v. Kennedy, the U.S. Court of Appeals for the First Circuit issued an unpublished order on September 11, 2025 granting the Trump Administration's request to allow the Defund Provision to go into effect.

"For years and years, the attacks on Planned Parenthood have been relentless. With the Defund Provision in President Trump's so-called 'Big Beautiful Bill,' those attacks have escalated to an all-out assault. Let me be clear: Our coalition's support for Planned Parenthood and other health centers providing essential reproductive healthcare is resolute," said Attorney General Rob Bonta. "We are asking the court to grant our motion for a preliminary injunction because the stakes have never been higher. These centers provide critical healthcare services for low-income patients across the country - our states, and the health of our people, will suffer immensely if the Defund Provision is allowed to remain in effect."

"Right now, access to abortion and reproductive health care in California hangs in the balance. All 109 Planned Parenthood health centers in California are currently prohibited from being reimbursed for any of the services they provide to patients on Medi-Cal. As a trusted provider in the Medi-Cal program, Planned Parenthood health centers continue to provide care to these patients, but given over 80% of Planned Parenthood patients in California are Medi-Cal enrollees, this is unsustainable and greatly jeopardizes sexual and reproductive health care access in the state," said Planned Parenthood Affiliates of California CEO and President Jodi Hicks. "If the Defund Provision remains in effect, Planned Parenthood health centers in California will be forced to reduce services, scale back hours, or close their doors - cutting off access to live-saving health care services for our most vulnerable communities. As we continue to weather these attacks by the Trump Administration, PPAC is grateful to California Attorney General Rob Bonta and other state attorneys general for their ongoing efforts to halt this devastating federal defund and ensure people can continue to access the essential health care they need and deserve, including at Planned Parenthood health centers."

The coalition's lawsuit alleges that the Defund Provision violates the U.S. Constitution's Spending Clause due to the lack of clear notice and the inclusion of unconstitutional provisions. Specifically, it is evident that Planned Parenthood health centers are the clear target of the Defund Provision, but Congress failed to adequately define (1) the full scope of providers that qualify as "prohibited entities" and (2) the timing of the prohibition on federal reimbursements to such entities. Moreover, the Defund Provision constitutes a change that the States could not have anticipated when joining Medicaid. Throughout the sixty-year history of Medicaid, States - not the federal government - have determined whether providers "qualify" for the Medicaid program.

In its motion for a preliminary injunction, the coalition underscores that:

• The Defund Provision is already impacting the States through increased administrative burdens and compliance costs. For example, the States have had to restructure their claims-processing infrastructure to try to accommodate the Defund Provision's requirements.
• The Defund Provision's ambiguity has resulted in the States having to field questions from providers and draft guidance in an attempt to address the ambiguities.
• The Defund Provision will also result in significant increases in the States' healthcare expenses. For example, treatment for later-stage breast and cervical cancer is much more expensive than screenings and early or preventative treatment. Further, Planned Parenthood treats a high volume of patients, and other healthcare centers not targeted by the Defund Provision will not be able to absorb the influx of patients.

In filing the motion for a preliminary injunction, Attorney General Bonta - along with the attorneys general of Connecticut and New York - lead the attorneys general of Colorado, Delaware, Hawaii, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, Nevada, New Jersey, New Mexico, North Carolina, Oregon, Rhode Island, Vermont, Washington, Wisconsin, and the District of Columbia, as well as the state of Pennsylvania.

A copy of the motion for a preliminary injunction can be found here.In support of its motion for a preliminary injunction, the coalition also submitted a declaration from Megan L. Kavanaugh, Principal Research Scientist at the Guttmacher Institute. That declaration can be found here.