H.R. 1 prohibits Medicaid payments for one year to nonprofit organizations that provide abortions and also received at least $800,000 in federal funding in 2023.

A provision in the budget reconciliation bill known as the One Big Beautiful Bill that passed in Congress and was signed by President Trump effectively defunds the clinics. The law doesn't specifically name Planned Parenthood, but it bars Medicaid payments to large health care nonprofits that offer abortions.