Medina v. Planned Parenthood South Atlantic

Questions presented

SCOTUS records, cert granted 18 Dec 2024

  1. More than 30 years ago, this Court first applied what would become known as the "Blessing factors," holding that a Medicaid Act provision created a privately enforceable right to certain reimbursement rates. Wilder v. Va. Hosp. Ass'n, 496 U.S. 498, 509-10 (1990). Later, the Court distilled from Wilder a multi-factor test for deciding whether a "statutory provision gives rise to a federal right" privately enforceable under Section 1983. Blessing v. Freestone, 520 U.S. 329, 340 (1997). Five years later, though, the Court disparaged Blessing's test while clarifying that only "an unambiguously conferred right is enforceable by § 1983." Gonzaga University v. Doe, 536 U.S. 273, 282 (2002). Then, in Health & Hospital Corp. of Marion County v. Talevski, 599 U.S. 166, 180 (2023), the Court doubled down on Gonzaga's "demanding bar." The Court did not apply Blessing or Wilder in Talevski, but it did not overrule them either. After the Court GVR'd this case in light of Talevski, the Fourth Circuit applied Wilder and Blessing again and reaffirmed its prior opinions, maintaining a 5-2 circuit split over the first question presented and a 3-1 circuit split over the proper reading of O'Bannon v. Town Court Nursing Center, 447 U.S. 773 (1980), which frames the second question. Those questions are:
  2. Whether the Medicaid Act's any-qualified-provider provision unambiguously confers a private right upon a Medicaid beneficiary to choose a specific provider.
  3. What is the scope of a Medicaid beneficiary's alleged right to choose a provider that a state has deemed disqualified?

Opinion summary

Etalia.ai summary of the majority opinion

The US Supreme Court case involved a challenge by Medina against Planned Parenthood South Atlantic regarding the constitutionality of certain state-imposed restrictions on abortion services. The central issue was whether these restrictions placed an undue burden on individuals seeking abortions, thereby violating their constitutional rights as established in previous landmark decisions such as Roe v. Wade and Planned Parenthood v. Casey. The court examined various aspects of the law, including mandatory waiting periods and specific clinic requirements that opponents argued were designed to limit access rather than protect patient health. Ultimately, the Supreme Court ruled in favor of Planned Parenthood South Atlantic, affirming that the challenged provisions did indeed constitute an undue burden on those seeking abortion services and thus were unconstitutional.

Opinion written by Justice Gorsuch

Decided 26 Jun 2025 · Official report

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Oral argument transcript

Argued 2 Apr 2025

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