Planned Parenthood and two smaller regional abortion providers are resuming billing Medicaid for services other than abortion after being cut off for most of a year.
The defunding, which was mandated in President Donald Trump's big tax and policy law last year, has been blamed in the closure of multiple clinics as well as a reduction in the number of Planned Parenthood patients being screened for breast cancer or tested for sexually transmitted infections.
The Medicaid billing was allowed to resume Sunday.
The restored funding does not mean the battle over federal abortion policy has ended, and not all services that were cut will return.
Here's what to know about the situation.
Many abortion providers, including Planned Parenthood affiliates, have struggled financially since the 2022 Supreme Court decision that overturned Roe v. Wade and allowed state abortion bans to be enforced. Clinics have closed in states with abortion bans and restrictions as well as those without.
Planned Parenthood says its affiliates have closed nearly 30 of its roughly 600 clinics over the past year, citing the funding change as a key reason.
Over that period, affiliates dispensed about 25% fewer packs of birth control pills and conducted about 20% fewer breast cancer exams than the previous year.
Many patients — especially in places where healthcare can be hard to access — may not have had care at all because of the defunding, the organization said.
Planned Parenthood Action Fund spokesperson Angela Vasquez-Giroux said the cuts have also led to limited abortion access in some places.
Planned Parenthood of Wisconsin halted abortions for about a month, then dropped its status as an “essential community provider” so it could resume seeking reimbursement. The Arizona affiliate paused offering many of its services to patients covered by Medicaid.
The defunding provision also impacted two other healthcare providers that met the criteria in the law because the were nonprofit family planning organizations that provided abortion and received more than $800,000 yearly in Medicaid reimbursements.
Their experiences were very different.
Maine Family Planning closed three primary care clinics that served about 1,000 patients in the largely rural state.
Evelyn Kieltyka, a senior vice president of program services, said Monday that even with help, their former patients had to wait an average of four to six months to be established with new providers.
Meanwhile, the number of abortions the group provided held steady, she said. Maine is one of several states where state-funded Medicaid covers abortion.
Patients at Health Imperatives in Massachusetts may not have noticed the change, as no services were dropped.
The state government funded Medicaid reimbursements that the federal government stopped — something that Planned Parenthood says happened in some form in 14 states. On top of that, the clinic system received a grant from Melinda Gates's foundation.
Planned Parenthood's Arizona affiliate has already announced expanded hours and more telehealth options linked to the ability to bill Medicaid again.
Some other services are not likely to be restored.
Kieltyka said Maine Family Planning isn't planning to bring back its primary care practices again.
“When you close something down and you lose positions,” she said, “it’s very difficult to bring that back and build it back up again.”
And Michelle Quesada, vice president of communications, brand and marketing for the Planned Parenthood affiliate in Florida, said a closed clinic in Lakeland isn't expected to reopen, partly out of concern that Congress or the Trump administration could cut Medicaid reimbursements for the organization again.
“There’s no telling with this uncertainty,” she said. “It’s like a yo-yo effect.”
The political battle isn't over.
Abortion opponents are pushing Congress to adopt another defunding policy.
“They've defunded Big Abortion before,” Kelsey Pritchard, a spokesperson for Susan B. Anthony Pro-Life America, said Monday, “and they should do everything in their power to do it again.”
Planned Parenthood contends that general election voters don't want the organization to be defunded. Pritchard said Republican primary voters do.
Associated Press reporter Ali Swenson contributed to this article.
FILE - Pro-abortion and anti-abortion protestors rally outside the Supreme Court in Washington, Wednesday, Jan. 22, 2014, during the March for Life. (AP Photo/Susan Walsh, File)
FILE - Vanessa Shields-Haas, a nurse practitioner, walks from the lobby toward the examination rooms at the Maine Family Planning healthcare facility, July 15, 2025, in Thomaston, Maine. (AP Photo/Charles Krupa, File)
FILE - Stephen Parlato of Boulder, Colo., holds a sign that reads "Hands Off Roe!!!" as abortion rights advocates and anti-abortion protesters demonstrate in front of the U.S. Supreme Court, Wednesday, Dec. 1, 2021, in Washington. (AP Photo/Andrew Harnik, File)
WASHINGTON (AP) — President Donald Trump on Monday took credit for getting FIFA to review a red card issued against the United States’ star forward Folarin Balogun at the World Cup but said he did not demand an outcome.
“All I did was ask for a review,” Trump said when asked about it during an unrelated Oval Office event. “I didn’t say, ‘You have to do this.’”
Trump confirmed that he called FIFA President Gianni Infantino and asked for a second look at the punishment against Balogun in the United States’ 2-0 win against Bosnia-Herzegovina last week in Santa Clara, California, near San Francisco. But he said FIFA made the final call to lift Balogun’s mandatory one-game ban for a foul tackle, allowing him to play in Monday’s round of 16 match with Belgium in Seattle.
FIFA’s decision to suspend the one-game ban was celebrated by many in the United States but brought condemnation in the international sports world, where some called it an outrageous intrusion. The Belgian soccer federation challenged Balogun's eligibility for Monday's match, and the UEFA soccer body in Europe called FIFA's move “incomprehensible and unjustifiable.”
In remarks on Monday, Trump called the referee's decision a “horrible” call. He said it would have been a stain on the tournament if Balogun, the U.S.' leading scorer at this year's World Cup with three goals, was held out against Belgium and the U.S. lost. He praised FIFA for suspending the punishment.
“I didn’t think it was a foul,” Trump said. “I thought it was two great athletes that crashed into each other and got entangled.”
The Republican president, who said he understands sports “really well,” acknowledged that he did not initially know what a red card is or the consequences it brings. When he learned it would lead to a one-game suspension for Balogun, he said, he decided to step in. He also took issue with the use of video review to issue the red card, arguing that slowed-down reviews can make plays look more aggressive.
“Belgium has got a great team,” Trump said. “We have to have our best players, and they have to have their best. And if we win or we lose, it’s fair.”
Soon after Trump addressed the controversy, Infantino issued a statement detailing his call with Trump and defending the independence of the FIFA Disciplinary Committee.
“During our conversation, I explained that there was an ongoing legal process involving FIFA’s independent judicial bodies and that the case would be decided in due course by the competent bodies,” Infantino said in a statement on X. “That is how FIFA’s system works, and it is a principle that I will always uphold."
Republican Sen. Ted Cruz of Texas, who joined Trump at the White House event, credited the president for taking action. "On behalf of all Americans, thank you for getting rid of that ridiculous red card,” Cruz said during his remarks. “It was spectacular.”
Separately, Secretary of State Marco Rubio said it was the right decision to lift the punishment for Balogun.
In rare comments during a photo op ahead of his meeting with Chile’s foreign minister, Rubio questioned why Belgium would want to win a match “if everyone will argue you didn’t really win it because their best, or their leading, scorer was not on the pitch.”
He joked that it was becoming an “international incident” ahead of a NATO summit in Turkey this week.
Trump took a swipe at the official who made the call, describing Brazilian referee Raphael Claus as “a little bit suspect if you check his past.” He did not elaborate.
Claus has been considered one of Brazil’s best referees in the last few years, often picked to officiate the nation’s most important matches, including the final of the 2024 Copa America.
During a match-fixing investigation by Brazil’s Senate in 2024, lawmakers scrutinized referee assignment practices but did not accuse Claus of wrongdoing.
On Monday, the Brazilian soccer federation defended Claus as one of the world’s leading active referees, praising his technical expertise and ethics. “There is nothing in his record that calls his integrity into question or supports any suspicion of wrongdoing,” the federation said in a statement.
The Sao Paulo Football Federation in a statement expressed “its unwavering support” for Claus in the face of “regrettable insinuations that attempt, without any basis, to cast doubt on his integrity and professional career.”
The foul against Balogun was called after he planted his cleated foot on the ankle of Bosnian defender Tarik Muharemovic during their round of 32 match. The referee didn’t initially signal a card, but a slow-motion review resulted in the red card.
Balogun later said he thought a yellow card, a formal warning, would have been fair.
FIFA's decision drew quick rebuke on Sunday from Belgium coach Rudi Garcia, who said it sounded like an April Fools' Day joke. Meanwhile U.S. coach Mauricio Pochettino applauded FIFA’s move, saying his team was punished enough by losing Balogun for the remainder of last week's game.
As the drama played out on the pitch last week, it was immediately clear from the perspective of Commerce Secretary Howard Lutnick, White House FIFA Task Force leader Andrew Giuliani and Trump administration officials that the process used to issue the red card to Balogun was improper.
Discussions over the red card and what to do about it dominated the flight from Santa Clara back to Washington. The consensus of the group, according to a senior U.S. official with knowledge of the talks, was simply: that the slow-motion replay was improper, so shouldn’t the red card be nullified?
The next day, Trump officials continued to dig into the rules, consult lawyers and speak with U.S. Soccer about the matter, according to the official, who insisted on anonymity to discuss private conversations.
Trump was also briefed on updates as he prepared to speak with Infantino, whom the U.S. president has talked with multiple times a week since the World Cup, which is being hosted by the United States, Canada and Mexico, began June 11.
Kim reported from Ankara, Turkey. Associated Press photographer Manny Ceneta contributed from Washington. Associated Press writer Eléonore Hughes contributed from Rio de Janeiro and writer Tales Azzoni contributed from Madrid.
FILE - President Donald Trump holds up a red card during a meeting with FIFA president Gianni Infantino in the Oval Office of the White House, Tuesday, Aug. 28, 2018, in Washington. (AP Photo/Evan Vucci, File)
President Donald Trump speaks about FIFA after ringing the opening bell for the New York Stock Exchange and the Nasdaq in the Oval Office at the White House, Monday, July 6, 2026, in Washington. (AP Photo/Mark Schiefelbein)
President Donald Trump smiles after ringing the opening bell for the New York Stock Exchange and the Nasdaq in the Oval Office at the White House, Monday, July 6, 2026, in Washington. (AP Photo/Mark Schiefelbein)
President Donald Trump smiles after ringing the opening bell for the New York Stock Exchange and the Nasdaq in the Oval Office at the White House, Monday, July 6, 2026, in Washington. (AP Photo/Mark Schiefelbein)
President Donald Trump speaks about FIFA after ringing the opening bell for the New York Stock Exchange and the Nasdaq in the Oval Office at the White House, Monday, July 6, 2026, in Washington. (AP Photo/Mark Schiefelbein)