Legal · PA
Pennsylvania, 23 States Sue Over Trump Administration Title X Grant Conditions
Pennsylvania Governor Josh Shapiro and nearly two dozen states filed suit Thursday in U.S. District Court in Maryland challenging new federal conditions on Title X family planning grants for the 2027-2032 funding cycle. The Trump administration's Office of Population Affairs requirements include ending diversity, equity and inclusion policies and what HHS terms "support for gender ideology." Title X provides Medicaid-funded family planning services including cervical cancer screening, STI testing, and contraceptive care primarily for low-income and uninsured populations. The lawsuit seeks to vacate these new grant requirements.
Why it mattersTitle X funds flow through state Medicaid programs to cover family planning services for low-income beneficiaries, so new federal grant conditions could force states to restructure provider contracts, service delivery models, and care protocols or risk losing federal funding for Medicaid family planning services.