23 States File Federal Lawsuit Against Trump Administration Over Title X Grant Rules
A coalition of 23 states has sued the Trump administration in a Maryland federal court, contesting new Title X grant requirements they deem unconstitutional and harmful to family-planning services.
Twenty-three states have brought a federal suit against the Trump administration, alleging that recent Title X grant rules violate the Constitution and undermine access to family-planning services. Filed in a Maryland district court, the complaint targets a July notice that would evaluate grant applicants based on Department of Health and Human Services priorities such as opposition to certain contraceptive practices and refusal to recognize transgender medical needs.
The plaintiffs contend that non-compliance could trigger total loss of funding, threatening the viability of clinics that serve low-income populations. Led by New York Attorney General Letitia James, the coalition includes attorneys general from states such as Illinois, California, and Maryland, as well as the governors of Kentucky and Pennsylvania. They request a judicial declaration that the contested conditions be struck from the notice.
State officials warn that without the federal dollars, many will be unable to sustain essential reproductive health programs, risking service cuts or closures. The Department of Health and Human Services has not responded to inquiries about the litigation.
Why it matters
The case could reshape federal funding for reproductive health, affecting millions who rely on Title X services.
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