Thousands of Planned Parenthood of Michigan patients who rely on Medicaid now face an immediate change in their access to care. A federal appeals court ruled Thursday that the Trump administration can block Medicaid reimbursements to Planned Parenthood while a larger legal challenge plays out. The decision overturns a lower court ruling from July that had allowed funding to continue.

Planned Parenthood of Michigan confirmed Friday that about a quarter of its patients—nearly 14,000 people—depend on Medicaid for services like birth control, breast exams, pap smears, testing for sexually transmitted infections, and HPV vaccinations. None of those services are related to abortion, which Medicaid does not cover in Michigan. For those patients, the ruling means they must begin paying out-of-poc

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