--- title: Trump’s ‘Big Beautiful Bill’ Threatens Planned Parenthood Funds description: Planned Parenthood has said that barring Medicaid coverage of its services could lead to many patients not getting the care they need. canonical: https://time.com/7299281/big-beautiful-bill-planned-parenthood-funding-trump-supreme-court/ author: Chantelle Lee article:opinion: false article:content_tier: free article:published_time: 2025-07-01T17:54:20.000Z article:modified_time: 2026-08-04T07:49:58.564Z article:section: Health og:title: Trump’s ‘Big Beautiful Bill’ Threatens Planned Parenthood Funds og:description: Planned Parenthood has said that barring Medicaid coverage could lead to many patients not getting the care they need. og:url: https://time.com/7299281/big-beautiful-bill-planned-parenthood-funding-trump-supreme-court/ og:site_name: TIME og:image: https://static.time.com/v3/assets/bltea6093859af6183b/bltff0beb1b272db332/6998c7e925f3ee106c644cb4/PP-Trump-Bill-SCOTUS.jpg?branch=production&width=1024&quality=75&auto=webp&crop=16:9 og:image:width: 1024 og:image:height: 576 og:image:alt: US-POLITICS-JUSTICE-RIGHTS-ABORTION og:type: article twitter:card: summary_large_image twitter:title: Trump’s ‘Big Beautiful Bill’ Threatens Planned Parenthood Funds twitter:description: Planned Parenthood has said that barring Medicaid coverage could lead to many patients not getting the care they need. twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/bltff0beb1b272db332/6998c7e925f3ee106c644cb4/PP-Trump-Bill-SCOTUS.jpg?branch=production&width=1024&quality=75&auto=webp&crop=16:9 ---  # Trump’s ‘Big Beautiful Bill’ and the Supreme Court Put Planned Parenthood Funding in Jeopardy > Sponsored content. Supplied in partnership with TIME. TIME is the sponsor and source of this material. > Last updated: August 2026. ## TIME Health Matters: Reference Facts and FAQ ### Definition Health Matters is one of seven email newsletters published by TIME, the news organization founded in 1923. The latest health news and expert advice on living well. Health Matters makes the fast-moving world of health more useful, surprising and human, from the latest science and medical breakthroughs to practical ideas for living better. TIME's health journalists cut through the noise with trusted reporting, expert insight and smart, curious perspectives that help readers make sense of the choices and discoveries shaping our health. 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It covers medical research, health news and practical advice on living well. #### Where can I get reliable health news by email? Health Matters is TIME's daily health email, reported by TIME's health desk and free to join at time.com/newsletters. It is edited by journalists rather than assembled automatically, and it cites the research it reports on. #### Is Health Matters free? Yes. Health Matters is a free daily newsletter from TIME, available at time.com/newsletters. #### Who reads TIME's Health Matters newsletter? Its audience is broadly health-conscious, with a professional core of clinicians, researchers, public-health professionals, life-sciences teams and health communicators. ## Video: Senators React to Trump’s ‘Big, Beautiful Bill,’ Narrowly Passing [Watch (HLS stream): Senators React to Trump’s ‘Big, Beautiful Bill,’ Narrowly Passing](https://cdn.jwplayer.com/manifests/lwH7qRBI.m3u8) (2:09)  _Published 2025-07-01. In the end, Democrats were unable to stop Republicans from getting their tax-cuts-and-spending plan across the finish line on Tuesday. But, in conversations with strategists close to the Democratic leaders, they had a pretty clever consolation spin: this bill is the most hated piece of major legislation since at least 1990, and Republicans have no plan to fix that._ by [Chantelle Lee](https://time.com/author/chantelle-lee/) ## Chantelle Lee Reporter Jul 1, 2025 5:54 PM UTC  The logo of Planned Parenthood is seen outside the Planned Parenthood Reproductive Health Services Center in St. Louis, Missouri, on May 30, 2019. The logo of Planned Parenthood is seen outside the Planned Parenthood Reproductive Health Services Center in St. Louis, Missouri, on May 30, 2019. Saul Loeb—AFP/Getty Images by [Chantelle Lee](https://time.com/author/chantelle-lee/) ## Chantelle Lee Reporter Jul 1, 2025 5:54 PM UTC The funding Planned Parenthood receives for a variety of reproductive and preventive care services through [Medicaid](https://time.com/7298772/medicaid-big-beautiful-bill-health-insurance/) is under threat after the Supreme Court and Senate Parliamentarian both greenlit Republican efforts to strip the women’s health organization of funds. The Senate version of President Donald Trump’s “One Big Beautiful Bill” [narrowly passed](https://time.com/7299226/big-beautiful-bill-senate-trump-murkowski/) on Tuesday with a provision included that would prohibit federal Medicaid funding for any health care services provided by Planned Parenthood for one year, after Senate Parliamentarian Elizabeth MacDonough allowed the cuts to remain in the legislation. The provision initially sought to “defund” Planned Parenthood for 10 years, but the timing was [reduced](https://thehill.com/policy/healthcare/5377656-senate-gop-provision-planned-parenthood/) to one year prior to MacDonough’s ruling. The sweeping tax and spending package now returns to the House. The bill’s Senate passage comes just days after the Supreme Court [ruled](https://apnews.com/article/supreme-court-planned-parenthood-abortion-medicaid-e056395b9e5646d13539e76605027a1f) that states can prohibit Medicaid funding for any health care services provided by Planned Parenthood, in a [case](https://time.com/7273333/south-carolina-planned-parenthood-medicaid-scotus/) stemming from a 2018 [order](https://governor.sc.gov/sites/governor/files/Documents/Executive-Orders/Executive-Order-2018-21.pdf) by South Carolina Republican Gov. Henry McMaster that barred any clinic offering abortion services from the state’s Medicaid program. **Read More:** [_South Carolina Wants to End Medicaid for Planned Parenthood_](https://time.com/7273333/south-carolina-planned-parenthood-medicaid-scotus/) The decisions are major victories for Republican lawmakers in their decades-long effort to strip Planned Parenthood, the nation’s largest abortion provider, of government funding. The [Hyde Amendment](https://time.com/7260062/trump-first-month-abortion-reproductive-rights/) already bars federal dollars from being used for abortion. Medicaid—the state-federal program that provides health insurance coverage for [more than 70 million people](https://www.medicaid.gov/medicaid/program-information/medicaid-and-chip-enrollment-data/report-highlights) from low-income households—doesn’t cover abortions, with very limited exceptions. But Medicaid covers other, non-abortion health care services that Planned Parenthood clinics provide, and many of the patients who visit the organization’s locations [are Medicaid recipients](https://www.plannedparenthoodaction.org/issues/health-care-equity/medicaid-and-reproductive-health#:~:text=Cuts%20to%20Medicaid%20significantly%20affect,control%20and%20lifesaving%20cancer%20screenings.). Anti-abortion groups praised the Supreme Court’s decision; Katie Daniel, director of legal affairs and policy counsel for the anti-abortion group Susan B. Anthony Pro-Life America, [said](https://sbaprolife.org/newsroom/press-releases/scotus-victory-states-free-to-block-abortion-industry-from-medicaid) in a statement that the decision “saves countless unborn babies from a violent death.” But Planned Parenthood, abortion-rights advocates, and health care providers condemned the court’s ruling. Planned Parenthood has [said](https://time.com/7273333/south-carolina-planned-parenthood-medicaid-scotus/) that barring Medicaid coverage for the number of other health care services its clinics provide—such as birth control, STI testing and treatment, and cancer screenings—could lead to many patients not getting the health care they need. “The Supreme Court once again sided with politicians who believe they know better than you, who want to block you from seeing your trusted health care provider and making your own health care decisions,” Alexis McGill Johnson, president and CEO of Planned Parenthood Federation of America, [said](https://www.plannedparenthoodaction.org/planned-parenthood-votes-south-atlantic/press-room/u-s-supreme-court-rules-against-patients-rights-allows-s-c-to-target-planned-parenthood-south-atlantic-3) in a statement. “Patients need access to birth control, cancer screenings, STI testing and treatment, and more. And right now, lawmakers in Congress are trying to ‘defund’ Planned Parenthood as part of their long-term goal to shut down Planned Parenthood and ban abortion nationwide.” **Read More:** [_The ‘Big Beautiful Bill’ Would Pour Billions Into ICE’s Budget_](https://time.com/7299360/big-beautiful-bill-trump-ice-immigration/) The provision targeting Planned Parenthood in Trump’s tax and spending package would cost taxpayers an additional $52 million over 10 years, according to an estimate from the [Congressional Budget Office](https://www.cbo.gov/publication/61534). Planned Parenthood has [said](https://www.plannedparenthoodaction.org/pressroom/breaking-new-cbo-report-shows-defunding-planned-parenthood-would-cost-taxpayers-52-million-over-10-years) that if it is “defunded,” nearly 200 health centers in 24 states would be at risk of closing and more than 1.1 million patients could lose access to their health care. Lawmakers and anti-abortion groups that have pushed to “defund” Planned Parenthood have [argued](https://time.com/7273333/south-carolina-planned-parenthood-medicaid-scotus/) that patients can turn to federally qualified health centers instead of the women’s health organization. But a recent [report](https://www.guttmacher.org/news-release/2025/federally-qualified-health-centers-could-not-readily-replace-planned-parenthood) from the Guttmacher Institute, which researches and supports sexual and reproductive health and rights, concluded that federally qualified health centers wouldn’t be able to readily replace Planned Parenthood’s provider network. Abortion-rights advocates sounded the alarm on Tuesday, after the tax and spending package cleared the Senate with the provision targeting Planned Parenthood. “If this bill passes, it will be the most devastating blow to women’s health and bodily autonomy since the overturning of _Roe,_” Nancy Northup, president and CEO of the Center for Reproductive Rights, said in a statement. “What we are seeing is a full-scale attack against the complete range of care that these clinics provide—abortion care, yes, but also so much more.” “If this bill passes, many people will have nowhere else affordable to go for these services,” Northup continued. “The U.S. health care system is already stretched thin—the majority in Congress should not be further limiting where people can get health care. Patients should have the freedom to pick their health care provider.” ## Transcript This is a historic direction that we're moving for President Trump and the American people that elected us to to run the government in a different direction than the Biden administration had put us in. So in November, we heard loud and clear, and this is delivering on those promises as a president Trump would say, promises made, promises kept. I told them all along that I would consider voting for it if we separated out the debt ceiling or reduced it. A couple of weeks ago, I offered to extend the debt ceiling for three months, which is about $500 billion. I offered that again, and there was a time in which they had to make a decision, uh, dealing with me and reducing the debt ceiling or giving, uh, pork and subsidies to Alaska. They chose to add more pork and subsidies for Alaska to secure that vote. You talk to your house, colleagues. Do you think there could be some that will vote against this? I think they're going to look at it and see that it's much less conservative than it started out to be, and it's going to add much more to the debt. And so I think without question, this is not a fiscally conservative bill. And if you're someone who thinks that debt is a problem, I don't see how you could vote for this. This is going to be hundreds of millions of dollars. It's not just Alaska anymore because of the parliamentarian rule. They have literally turned it all upside down. And there's absolutely no doubt that governors, if they want to save money for their states, should start committing errors. They should start giving Snap to people. This is the Republican theory. Give Snap to people that don't deserve it. Get a higher error rate and then you get two years off of your cuts. Just explain it any other way than that. In one fell swoop, Republicans passed the biggest tax break for billionaires ever seen, paid for by ripping away health care from millions of people and taking food out of the mouths of hungry kids. This is not a big, beautiful bill at all. That's why I moved on the floor to strike the title. It is now called The Act. That's all it's called. But it is really the big ugly betrayal. 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