medicaid recipient

WASHINGTON — The Supreme Court ruled Thursday that states may exclude Planned Parenthood clinics from providing medical screenings and other healthcare for women on Medicaid.

The court’s conservative majority reversed the longstanding rule that said Medicaid patients may obtain medical care from any qualified provider.

In a 6-3 vote, the justices ruled the Medicaid Act does not give patients an “individual right” to the provider of their choice.

The dispute has turned on abortion. Medicaid is funded by the federal government and the states. For decades, conservative states have argued their funds should not be used in Planned Parenthood clinics because some of those clinics perform abortions.

But until now, the federal government and the courts had said that Medicaid patients can go to any qualified provider for healthcare.

In dissent, Justice Ketanji Brown Jackson said the decision “will deprive Medicaid recipients in South Carolina of their only meaningful way of enforcing a right that Congress has expressly granted to them. And, more concretely, it will strip those South Carolinians — and countless other Medicaid recipients around the country — of a deeply personal freedom: the ability to decide who treats us at our most vulnerable.” Justices Sonia Sotomayor and Elena Kagan agreed.

Planned Parenthood clinics provide cancer screenings, birth control medical screenings, pregnancy testing, contraception and other healthcare services.

Congress pays most of the state’s costs for Medicaid, and it says “any individual eligible for medical assistance” may receive care from any provider who is “qualified to perform the service.”

Lupe Rodríguez, executive director of National Latina Institute for Reproductive Justice, called the decision “an attack on our healthcare and our freedom to make our own decisions about our bodies and lives. By allowing states to block Medicaid patients from getting care at Planned Parenthood health centers, the Court has chosen politics over people and cruelty over compassion.”

Three years ago, the Supreme Court overturned Roe vs. Wade and ruled states may prohibit nearly all abortions.

Nonetheless, South Carolina continued its legal fight to prevent Medicaid patients from receiving care at Planned Parenthood’s clinics in Charleston and Columbia.

Former Gov. Henry McMaster, who issued the ban on Planned Parenthood in 2018, said he did so to protect “his state’s sovereign interests.”

Critics of the move said the state has a severe shortage of doctors and medical personnel who treat low-income patients on Medicaid.

WASHINGTON — Republicans advanced their massive tax cut and border security package out of a key House committee during a rare Sunday night vote as conservatives who blocked the measure two days earlier reversed course after gaining commitments on the package’s spending cuts.

Speaker Mike Johnson (R-La.) met with Republican lawmakers shortly before the meeting, telling reporters that the changes agreed to were “just some minor modifications. Not a huge thing.”

Democrats on the panel pressed for more details about the changes that Republicans had agreed to in the private negotiations. But Rep. Jodey Arrington (R-Texas), the chairman of the House Budget Committee, said he could not do so.

“Deliberations continue at this very moment,” Arrington said. “They will continue on into the week, and I suspect right up until the time we put this big, beautiful bill on the floor of the House.”

The first time Republicans tried advancing the bill out of the Budget Committee, hard-right Republicans joined with Democrats in voting against sending the measure to the full House. Five Republicans voted no, one on procedural grounds, the other four voicing concerns about the bill’s effect on federal budget deficits.

On Sunday evening, the four voicing concerns about the deficit voted present, and the measure passed by a vote of 17 to 16.

Johnson is looking to put the bill on the House floor before the end of the week.

“This is the vehicle through which we will deliver on the mandate that the American people gave us in the last election,” he said on “Fox News Sunday” in advance of the vote.

The Republicans who criticized the measure noted that the bill’s new spending and tax cuts are front-loaded in the bill, while the measures to offset the cost are back-loaded. For example, they are looking to speed up the new work requirements that Republicans want to enact for Medicaid recipients. Those requirements would not kick in until 2029 under the current bill.

“We are writing checks we cannot cash, and our children are going to pay the price,” said Rep. Chip Roy (R-Texas), a member of the committee. “Something needs to change, or you’re not going to get my support.”

Johnson said the start date for the work requirements was designed to give states time to “retool their systems” and to “make sure that all the new laws and all the new safeguards that we’re placing can actually be enforced.”

Roy was joined in voting no by Reps. Ralph Norman of South Carolina, Josh Brecheen of Oklahoma and Rep. Andrew Clyde of Georgia. Rep. Lloyd Smucker of Pennsylvania switched his vote to no in a procedural step so it could be reconsidered later.

The vote against advancing the bill had come after President Trump urged Republicans in a social media post to unite behind it.

At its core, the sprawling package permanently extends the existing income tax cuts that were approved during Trump’s first term, in 2017, and adds temporary new ones that the president campaigned on in 2024, including no taxes on tips, overtime pay and auto loan interest payments. The measure also proposes big spending increases for border security and defense.

The Committee for a Responsible Federal Budget, a nonpartisan fiscal watchdog group, estimates that the House bill is shaping up to add roughly $3.3 trillion to the debt over the next decade.

Democrats are overwhelmingly opposed to the measure, which Republicans have labeled “The One, Big, Beautiful Bill Act.” Rep. Pramila Jayapal (D-Wash.) called it “one big, beautiful betrayal” in Friday’s hearing.

“This spending bill is terrible, and I think the American people know that,” Rep. Jim Clyburn (D-S.C.) said on CNN’s “State of the Union’’ on Sunday. “There is nothing wrong with us bringing the government in balance. But there is a problem when that balance comes on the back of working men and women. And that’s what is happening here.”

Johnson is not just having to address the concerns of those in his conference who raised concerns about the deficit. He’s also facing pressure from centrists who will be warily eyeing the proposed changes to Medicaid, food assistance programs and the rolling back of clean energy tax credits. Republican lawmakers from New York and elsewhere are also demanding a much large state and local tax deduction.

As it stands, the bill proposes tripling what’s currently a $10,000 cap on the state and local tax deduction, increasing it to $30,000 for joint filers with incomes up to $400,000 a year.

Rep. Nick LaLota, one of the New York GOP lawmakers leading the effort to lift the cap, said they have proposed a deduction of $62,000 for single filers and $124,000 for joint filers.

If the bill passes the House this week, it would move to the Senate, where Republicans are seeking additional changes that could make final passage in the House more difficult.

Johnson said: “The package that we send over there will be one that was very carefully negotiated and delicately balanced, and we hope that they don’t make many modifications to it because that will ensure its passage quickly.”

Freking and Mascaro write for the Associated Press.