Conservatives have won two important battles in their decades-long campaign against Planned Parenthood, a network of affiliated clinics that are the largest provider of reproductive health services in the U.S.

One of these victories was a U.S. Supreme Court ruling handed down on June 26, 2025. The other is a provision in the multitrilion-dollar tax-and-spending package President Donald Trump has made his top legislative priority. Both follow the same strategy: depriving Planned Parenthood – and all other providers of abortion care – from getting reimbursed by Medicaid, the government health insurance program that mainly covers low-income adults and children, as well as people with disabilities.

Because Medicaid covers nearly 80 million Americans, this bill, and the Supreme Court’s decision, will sever federal support for health care that has nothing to do with abortion, such as annual exams, birth control and prenatal care. Abortions account for 3% of all of Planned Parenthood’s services.

As a scholar of reproductive rights, I have studied how abortion politics shape the broader provision of reproductive health care.

I see in both the legislation and the court’s ruling a culmination of a strategy to defund Planned Parenthood that was in full swing by 2007, toward the end of the George W. Bush administration. This campaign hinges on a strategy of insisting that federal and state dollars are supporting abortion care when they do not.

Trump’s package of tax breaks, spending increases and........

© The Conversation