As our senior editor Joe Cunningham reported, in a 6-3 ruling, the Supreme Court of the United States decided that South Carolina could exclude Planned Parenthood Federation of America (PPFA) clinics from its Medicaid program without fear of facing federal lawsuits from individual patients. Medina v. Planned Parenthood South Atlantic established a bulwark against private entities or individuals targeting pro-life states over how they choose to allocate their federally funded spending program. Bottom line: it establishes the precedent that taxpayers should not be responsible for funding abortions, and PPFA has been the main recipient of this unrepresented largesse for decades.

South Carolina Governor Henry McMaster celebrated the decision.

While, right on cue, pro-abortion groups who align (and are probably funded) by PPFA. are now rending their garments and gnashing their teeth. The president of the abortion justice organization "All Above All" opined:

"At a time where people across the country, especially in the South, are fighting for fundamental reproductive health care access, the Supreme Court's decision in Medina v. Planned Parenthood South Atlantic just stripped patients of their right to choose where they get care.

Every private insurance provider in America does the exact same thing, and people manage. But these groups consider government funding their personal piggy bank. As RedState reported in March, ahead of the SCOTUS arguments, PPFA and its allies knew this would mean their gravy train days are over.

Despite all its bombast and tough talk, PPFA is in serious trouble, and a ruling in favor of the State of South Carolina would definitely affect the health of the PPFA organization nationwide, such as it is. Like the unraveling of federally codified abortion access, a decision in favor of the state will set a precedent for other states to cut off the PPFA spigot, so they are legitimately worried. 

But for PPFA and All Above All, they want to continue to use the poor as an excuse to milk funding for their social and political causes, as the All Above All president gave away. He continued: 

"Health care costs are already high enough, and in a country where we call ourselves the land of the free, people should have a basic right to choose their provider and where to receive their reproductive health care – including Planned Parenthood.

"Moreover, this ruling allows a state to ignore federal protections under Medicaid and leave people without access to STI testing, cancer screenings, birth control, gender-affirming care and other essential care. Make no mistake – more states will follow in South Carolina's footsteps by passing restrictive laws that ban funding for Planned Parenthood and other clinics like it. All this at a moment where anti-abortion politicians in Congress are trying to defund Planned Parenthood at strip care away from millions. 

And there you have it: "gender-affirming care and other essential care," which is the business model pulling in the money these days for PPFA. Just like Dobbs, red, pro-life states probably have trigger laws and provisions at the ready for this SCOTUS decision, which they can now implement. So, yes, expect PPFA to have more funding stripped, state by state.

But there are also the provisions in the One Big Beautiful Bill which seek to strip funding to PPFA at the federal level, making even the blue state attempts to pad its Medicaid rolls in favor of the abortion provider null and void. Sen. Ed Markey (D-MA) is none too happy concerning this.

If the reconciliation bill gains passage in the Senate as written, it would be another blow to completely dismantle PPFA, its stranglehold on taxpayer dollars, and its stronghold over politics. This is probably part of the reason why the Senate Parliamentarian chose violence today, striking several provisions surrounding Medicaid funding to thwart the GOP's efforts, as my colleague Bonchie wrote.

Senate Parliamentarian Elizabeth MacDonough has taken a chainsaw to the Republican reconciliation package, removing key provisions that would reduce Medicaid funding for illegal immigrants and so-called "gender-affirming care." She further struck down attempts to defund sanctuary cities, among other GOP priorities in the bill. 

Those cuts were not only the ideological driving force behind reconciliation, but they were also a significant part of trying to make the budget math work regarding future deficits. MacDonough was appointed by now-deceased Democrat Harry Reid in 2012 during his time as Senate Majority Leader. That's justifiably leading to questions about her impartiality or lack thereof.

MacDonough's actions are once again raising the specter of Deep State interference from unelected bureaucrats, but Republican Majority Leader John Thune (SD) is refusing to rebuke or fire her over it. As Bonchie surmised, perhaps it's time for Republicans to play bait and switch with the language: rewriting the provisions to get around MacDonough's alleged legal technicalities. Whatever gets done, in the end, it needs to reflect what the American people voted for and not the furtherance of the left's agenda. But it is fortunate that SCOTUS brought us one step closer to shuttering PPFA and its aims. Let's hope the Senate completes the job. 

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