06/27/2025
Today’s Supreme Court decision in Medina isn’t just about Medicaid or Planned Parenthood. It’s about whether Americans can enforce the rights they’ve been promised under federal law.
As one of the few attorneys in America who has litigated this precise issue, I can say this ruling is deeply troubling. The Court has now said that Medicaid recipients have no right to sue when states deny them lawful access to qualified providers that the states themselves license and inspect, even when federal law says they have the right to choose. That’s not just bad law. It’s a dangerous precedent for the millions of Americans who rely on federal programs and expect their rights to mean something.
While some may celebrate this ruling as a blow to Planned Parenthood, the real, hidden impact is much broader. At its core, this case was never truly about defunding abortion providers. It was about whether individual Americans can push back when the state takes away their rights — and specifically in this case, when politics dictate their choice of doctor and their healthcare options. Today the Court said they can’t fight for those rights, that state power takes precedent over individual rights. This decision will impact many millions of men and women nationwide who will never even set foot in a Planned Parenthood.
For nearly twenty years, I have opposed taxpayer funding for abortion and advocated for exclusively life-affirming alternatives. But undermining the ability of individuals to enforce their rights under federal law is not a pro-life victory. It’s a setback for justice, for the rule of law, and for all who believe that rights should come with remedies—on both sides of the aisle.
Under the Court’s new Medina framework, in a shift from its previous jurisprudence, any state can change any provision under any administration, pro-life or pro-choice, and no patient will have the right to choose their provider, or to stand for Medicaid patients generally. For example, New York could say that no Medicaid patient can go to a doctor who doesn’t also perform abortions. We all lose under this regime.
This is bigger than partisanship. If today’s ruling empowers states to violate federal protections without consequence, then it weakens the very framework that holds our nation accountable. It’s about state power over individual rights and freedoms, and that’s a loss for all Americans.
Statement from First Rights Global President & CEO Catherine Glenn Foster, M.A., J.D., on Medina v. Planned Parenthood South Atlantic