Federal judge dismisses lawsuit over Title X grant funding for pregnancy prevention efforts

A federal judge in Pennsylvania, a Trump appointee, dismissed a lawsuit from two family planning groups challenging how HHS now evaluates Title X grant applications, ruling the plaintiffs' ‘uncertainty’ about the process did not amount to a concrete harm. The suit had argued the agency's new ‘alignment review,’ requiring applicants to commit to ending DEI and gender-affirming care, violated the law's original intent and improperly overrode statutory factors like patient volume.

The case notably jumped from a Clinton-appointed judge to the Trump appointee the same day it was filed. The underlying funding notice shifts Title X's focus from expanding contraception access toward ‘healthy pregnancies’ and family formation, and directs clinics to promote menstrual-cycle tracking, a method the American College of Obstetricians and Gynecologists says is less effective than contraception. The plaintiffs say the new process favors first-time applicants such as crisis pregnancy centers and Catholic health systems.

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