BOSTON – Planned Parenthood just won its first major battle in what could become a nationwide war over reproductive care.

On Monday, U.S. District Judge Indira Talwani slammed the brakes on a controversial Trump-backed effort to cut off Medicaid funding from Planned Parenthood. The 14-day emergency order forces federal agencies to “take all steps necessary to ensure that Medicaid funding continues to be disbursed” to the organization—an early victory in a lawsuit filed in Boston last week, according to PoliticusUSA (PoliticusUSA).

The case targets a provision buried deep in the One Big Beautiful Bill Act, Trump’s signature domestic policy package, which bans federal Medicaid funds from going to any group “primarily engaged in family planning services” that also provides abortions. The law doesn’t mention Planned Parenthood by name—but the organization calls it a direct hit.

“A naked attempt to leverage the government’s spending power to attack and penalize Planned Parenthood,” the complaint reads.

The restraining order applies only to Planned Parenthood—for now—but if the ban were enforced, the fallout would be enormous. According to the lawsuit, more than half of the group’s patients rely on Medicaid. “Many Planned Parenthood Members will be required to lay off staff and curtail services,” the filing warns, adding that some centers may “be forced to shutter” entirely—especially in rural and underserved areas with no alternatives.

Planned Parenthood’s Massachusetts and Utah affiliates joined the federal lawsuit and released a statement after the ruling: “We are grateful that the court acted swiftly to block this unconstitutional law attacking Planned Parenthood providers and patients.”

Meanwhile, Axios reports the provision goes far beyond existing federal law—which already bans Medicaid from funding abortions in most cases—by cutting off all funding to any provider associated with abortion, even for unrelated services like cancer screenings or STI tests (Axios).

The Trump White House defended the law in a statement, saying it would end “the forced use of Federal taxpayer dollars to fund or promote elective abortion.” Anti-abortion activists praised the measure as a blow to “the abortion industry,” while Planned Parenthood called it a politically motivated attack on healthcare access.

The Trump administration has until July 14 to respond in court. If Planned Parenthood wins a preliminary injunction, the ruling could ripple nationwide.