A federal judge again blocked a provision of the One Big Beautiful Bill Act that prevents Medicaid reimbursements to abortion providers, despite a federal appeals court lifting her previous halt on the law in a different lawsuit.

U.S. District Judge Indira Talwani ruled late Tuesday that the federal government likely failed to give clear notice of the new provision, which she claims is required by the spending clause of the Constitution, to states that participate in the joint federal-state Medicaid program. She sided with the group of Democrat-led states suing the Trump administration over the provision, months after she sided with Planned Parenthood, which also sued over the provision, although on different grounds.

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