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Senate Parliamentarian Elizabeth MacDonough reportedly has advised that a provision prohibiting Medicaid funds from supporting Planned Parenthood and other clinics that provide abortions can stay in President Donald Trump’s “big, beautiful bill.”
Senate Republicans revised the provision on Friday from blocking Medicaid funding to abortion providers for a full 10 years to just one year. The parliamentarian’s assessment that the provision could remain without jeopardizing the budget package from passing the upper chamber of Congress along party lines was championed by pro-life advocates.
“The One Big Beautiful Bill Act that stops forced taxpayer funding of the abortion industry has been retained in the Senate bill, as we were confident it would, though for one year. This is a huge win,” Susan B. Anthony Pro-life America’s President, Marjorie Dannenfelser, said in a statement to Fox News Digital. “Taxpayers should never be forced to funnel their hard-earned dollars to Big Abortion. This funding currently hits almost $800 million annually.”
The provision’s inclusion, meanwhile, was condemned by Democrats as essentially clearing the defunding of Planned Parenthood.
“Republicans will stop at nothing in their crusade to take control of women’s bodies and deny them the right to make their own health care decisions,” Senate Finance Committee Ranking Member Ron Wyden, D-Ore., and Senate Budget Committee Ranking Member Jeff Merkley, D-Ore., said in a statement. “Republicans are trampling the law to force their extremist ideology onto the American people.”
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Planned Parenthood on Newtown Road in Virginia Beach on Thursday, April 24, 2025. (Kendall Warner/The Virginian-Pilot/Tribune News Service via Getty Images)
The Hyde Amendment, introduced in the 1970s, has long prohibited federal dollars from paying for most abortions, with some exceptions. Planned Parenthood, which also provides other women’s health services, such as gynecological exams, contraception and STI testing, reported receiving approximately $792.2 million in taxpayer-funded grants, contracts and Medicaid reimbursements during the 2023-2024 fiscal year.
Republicans say the loophole essentially results in taxpayers subsidizing abortions. Planned Parenthood reported performing 402,000 abortions during that fiscal year.
Sen. Cindy Hyde-Smith, R-Miss., defended the provision during Monday’s vote-a-rama session as “establishing a commonsense protection of taxpayer dollars by prohibiting abortion providers from receiving Medicaid funds for one year.”
“There was a time when protecting Americans’ tax dollars from supporting the abortion industry was an uncontroversial, nonpartisan effort that we could all get behind,” Hyde-Smith said on the Senate floor. “Even if we had opposing views on protecting the dignity of human life, this provision does not target any one entity. If a medical provider wishes to stay within the Medicaid program, it should simply cut elective abortion procedures from its services.”
Hyde-Smith, chair of the Senate Pro-Life Caucus, spoke out against an amendment introduced earlier Monday by Sen. Patty Murray, D-Wash., to strike the provision from the GOP’s $3.3 trillion budget package.

Sen. Jeff Merkley, D-Ore., alongside Sen. Ron Wyden, D-Ore., and Senate Minority Leader Chuck Schumer, D-N.Y., speaks to reporters following the weekly Democrat Senate policy luncheon at the U.S. Capitol on May 6, 2025. (Kayla Bartkowski/Getty Images)
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Murray’s amendment ultimately failed by a 49-52 vote, according to the Washington Examiner.
Murray claimed the one-year ban on Medicaid funds for abortion providers would “cut millions of women off from birth control, cancer screenings, essential preventive health care – care that they will not be able to afford anywhere else, and it will shutter some 200 healthcare clinics in our country.”

U.S. Senate parliamentarian Elizabeth MacDonough advised that a provision prohibiting Medicaid funds from supporting clinics that provide abortions can stay in President Donald Trump’s “big, beautiful bill.” (U.S. Senate/Handout via REUTERS)
“This is a long-sought goal of anti-choice extremists—no surprise, it is overwhelmingly unpopular with the American people,” Murray said. “But Republicans are bent on ripping away any access to abortion care, and happy to cut off this lifesaving care. No matter that women may not have another place to get the care that they can afford, or another place they can get any care at all!”
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She pointed to a Congressional Budget Office assessment to argue that “defunding” Planned Parenthood would cost taxpayers $52 million over the next ten years. That was based on the 10-year Medicaid block in an earlier version of the bill passed by the House.
This budget provision comes after the U.S. Supreme Court ruled last week that states have the power to block Medicaid funding for Planned Parenthood clinics in a major pro-life victory.