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National Family Planning & Reproductive Health Association v. Kennedy

Status: Ongoing
Last Update: April 24, 2025

What's at Stake

The National Family Planning and Reproductive Health Association (NFPRHA), the lead national advocacy organization for the Title X family planning program, and the Ƶ and the Ƶ of the District of Columbia sued the Trump administration over its unlawful withholding of $65.8 million in Title X federal family planning grants. Title X is the country’s only dedicated federally funded family planning program that provides access to preventive care like birth control, cancer screening, and STI screening and treatment, with priority given to patients with low incomes.

As a result of the Trump administration’s unlawful actions, at least seven states — California, Hawaii, Maine, Mississippi, Missouri, Montana, and Utah — have been left without any Title X-funded family planning services, and approximately 842,000 people have lost access to Title X-funded care.

On March 31, 2025 — one day before Title X grants were set to be awarded — 16 grantees were informed of HHS’s decision to withhold funds pending investigation. This decision is seemingly based on the grantees’ public statements supporting diversity, equity, and inclusion (DEI) and opposing racism, which HHS claims amount to a “possible violation” of federal civil rights law, and a desire to ensure the grantees’ compliance with an anti-immigration executive order (Executive Order 14218, “Ending Taxpayer Subsidization of Open Borders”). Grantees were given only 10 days to produce extensive documentation from their service sites and subgrantees, and funding has yet to be released.

The lawsuit argues that HHS violated its own rules and a federal statute that together govern how HHS can ensure compliance with grant terms and federal civil rights laws. The lawsuit also argues that HHS acted arbitrarily and capriciously by, among other things:

  • Providing no reasonable explanation or justification for its decision to select these grantees for fund withholding and investigation;
  • Targeting the grantees based on statements that align with the requirements of the Title X program; and
  • Suddenly departing from its own prior understanding of Title X and federal civil rights law, without any acknowledgment of or explanation for that departure.
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