More than 20 Democratic-led states sue Trump administration over Planned Parenthood funding cuts

SACRAMENTO, Calif. (AP) — More than 20 mostly Democratic-led states sued the Trump administration Tuesday over its efforts to cut Medicaid payments to the nation's largest abortion provider — Planned Parenthood.

The move comes in response to the package of tax breaks and spending cuts Trump signed earlier this month. A portion of the new cuts are focused on services such as cancer screenings and tests, birth control and treatment for sexually transmitted infections — by ending Medicaid reimbursements for a year for major providers of family planning services.

The cuts apply to groups that received more than $800,000 from Medicaid in 2023. The goal was to target Planned Parenthood, but the legislation also affected a major medical provider in Maine.

California, New York, Connecticut, other states and Washington, D.C. argue in a complaint filed in the U.S. District Court for Massachusetts that the provision's language is unclear about which groups it applies to. They also say it retaliates against Planned Parenthood for advocating for abortion access, violating the free speech clause of the First Amendment.

The states are asking that the portion of the law be blocked and deemed unconstitutional.

The cuts threaten health care access for many low-income Americans, California Attorney General Rob Bonta said at a news conference.

“This attack isn't just about abortion,” the Democrat said. “It's about denying vulnerable communities access to care they rely on every day.”

But the U.S. Department of Health and Human Services, named a defendant in the suit, defended the provision.

“States should not be forced to fund organizations that have chosen political advocacy over patient care,” spokesperson Andrew G. Nixon said in an email. “It is a shame that these democrat attorney generals seek to undermine state flexibility and disregard longstanding concerns about accountability.”

Maine Family Planning, which operates 18 clinics offering a range of services across the state, and Planned Parenthood Federation of America filed separate lawsuits earlier this year challenging the cuts. Planned Parenthood said although it is not specifically named in the law, the provision was meant to affect its nearly 600 centers in 48 states. About a third of those clinics risk closure because of the legislation, which would strip care from more than 1 million patients, the group argues.

A federal judge on Monday ruled Planned Parenthood clinics nationwide must continue to receive Medicaid reimbursements.

Maine Family Planning said it had enough in its reserves to keep seeing patients covered by Medicaid without reimbursements only through October. About half of the group’s patients not seeking abortions are enrolled in Medicaid.

The states' suit filed Tuesday argues that by pushing Planned Parenthood clinics to close or cut services, it could increase the states' medical care costs in the long term. Otherwise the cuts will make states use their own funds to keep health centers open.

“Either we have to comply and violate Planned Parenthood’s constitutional rights and then push people to alternative providers that don’t exist, who don’t have the capacity to pick up the slack, or we have to spend upwards of $6 million or more to cover (those services),” said William Tong, Connecticut's Democratic attorney general.

Federal law already bars taxpayer money from covering most abortions, but some conservatives argue abortion providers use Medicaid money for other health services to subsidize abortion.

Associated Press writer Susan Haigh in Hartford, Connecticut, contributed to this report.

Austin is a corps member for The Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues. Follow Austin on X: @sophieadanna

FILE - California Attorney General Rob Bonta speaks at a news conference at the San Francisco Public Library's Bernal Heights branch in San Francisco, Dec. 4, 2024. (AP Photo/Jeff Chiu, File)

FILE - A Planned Parenthood sign is displayed on the outside of the clinic, Aug. 1, 2023, in Indianapolis. (AP Photo/Darron Cummings, File)

KERRVILLE, Texas (AP) — Frantic residents in riverfront homes trapped by catastrophic flooding in Texas last summer and staffers at Camp Mystic pleaded for help in escaping the rushing waters that killed more than 100 people, according to recordings of 911 calls released Friday.

Emergency dispatchers in rural Kerr County fielded more than 400 calls during the six hours when floods began to overwhelm the region overnight on the July Fourth holiday.

“We’re floating and my husband is missing — hello? We’re in Kerr County” said one woman before she was abruptly cut off.

The flooding killed at least 136 people statewide, including 117 in Kerr County alone. Most of them were from Texas, but others came from Alabama, California and Florida, according to a list released by Kerr County officials.

One woman called for help as the water neared her house near Camp Mystic, a century-old summer camp for girls, where 25 campers and two teenage counselors died.

“We’re OK, but we live a mile down the road from Camp Mystic and we had two little girls come down the river. And we’ve gotten to them, but I’m not sure how many others are out there,” she said in a shaky voice.

Many residents in the hard-hit Texas Hill Country have said they were caught off guard and didn’t receive any warning when the floods overtopped the Guadalupe River. And Kerr County leaders have faced scrutiny about whether they did enough right away. Two officials told Texas legislators this summer that they were asleep during the initial hours of the flooding, and a third was out of town.

Using recordings of first responder communications, weather service warnings, survivor videos and official testimony, The Associated Press assembled a chronology of the chaotic rescue effort. The AP was one of the media outlets that filed public information requests for recordings of the 911 calls to be released.

In one heartbreaking call, a woman staying in a community of riverside cabins told a dispatcher the water was inundating their building

“We are flooding, and we have people in cabins we can’t get to," she said. "We are flooding almost all the way to the top.”

The caller speaks slowly and deliberately. The faint voices of what sounds like children can be heard in the background.

Dispatchers advised many of those who were trapped to get to their rooftops or run to higher ground. In some calls, children could be heard screaming in the background.

“There is water everywhere, we cannot move. We are upstairs in a room and the water is rising,” said a woman who called from Camp Mystic.

The same woman called back later.

“How do we get to the roof if the water is so high?“ she asked. “Can you already send someone here? With the boats?”

She asked the dispatcher when help would arrive.

“I don’t know. I don’t know,” the dispatcher responded.

Associated Press reporters Claudia Lauer in Philadelphia; Heather Hollingsworth in Mission, Kansas; Ed White in Detroit; Safiyah Riddle in Montgomery, Alabama; John Seewer in Toledo, Ohio; and Mike Catalini in Trenton, New Jersey, contributed.

FILE - Camper's belongings sit outside one of Camp Mystic's cabins near the Guadalupe River after a flash flood swept through the area, July 7, 2025, in Hunt, Texas. (AP Photo/Eli Hartman, file)

FILE - Damage is seen on July 8, 2025, near Hunt, Texas, after a flash flood swept through the area. (AP Photo/Ashley Landis, file)

FILE - Rain falls as Irene Valdez visits a make-shift memorial for flood victims along the Guadalupe River, Sunday, July 13, 2025, in Kerrville, Texas. (AP Photo/Eric Gay, File)

FILE - A lone tree stands in the debris from structures that were wiped out after a massive earthquake and tsunami hit Palu, Central Sulawesi, Indonesia, Thursday, Oct. 4, 2018. (AP Photo/Aaron Favila, File)