More than 20 states filed a lawsuit Tuesday against the Department of Health and Human Services, challenging a provision in President Trump’s enormous tax and spending package that bars certain health care nonprofits from receiving Medicaid reimbursements.

The One Big Beautiful Bill Act (OBBA) includes a provision that bars health care nonprofits that provide abortions and received more than $800,000 in federal funding in 2023 from being able to get Medicaid reimbursements for one year.

The provision primarily impacts Planned Parenthood affiliates, but at least two other organizations that provide abortion care will also be affected: Maine Family Planning and Health Imperatives in Massachusetts.

The coalition behind the lawsuit includes Pennsylvania Gov. Josh Shapiro, along with 21 attorneys general, such as New York’s Letitia James and Maine’s Aaron Frey. Lawmakers are seeking a court order declaring the OBBA provision unconstitutional and pausing its implementation.

“The........

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