President Donald Trump’s “One Big Beautiful Bill Act” is impacting federal funding for health care clinics in rural Maine.

Maine

Rural health clinics in Maine are at risk of closure due to a provision in a Trump administration law that prohibits clinics from receiving Medicaid funds if they provide abortions, except in limited circumstances. Maine Family Planning, which operates a network of clinics and a mobile health unit serving underserved populations, has been affected by the new restrictions, making it ineligible for Medicaid reimbursement.

Despite the loss of Medicaid funding, Maine Family Planning continues to provide care to Medicaid-insured patients, though the sustainability of this is uncertain. The organization, along with the Center for Reproductive Rights, has filed a lawsuit seeking to block the funding ban, following a similar temporary victory by Planned Parenthood. The Centers for Medicare and Medicaid Services is contesting the injunction in court.

Rural clinics may be forced to close due to provision in Trump law

Off to Maine now we go on our health lead. It is a group of health clinics in rural Maine that could be forced to close soon unless a legal injunction is extended. An issue specifically is a provision in President Trump's One Big Beautiful Bill Act that prohibits certain clinics from accepting Medicaid funds if they provide abortions outside of cases of rape, incest, or when a woman's life is in danger. Maine Family Planning, which is a nonprofit that provides not only abortions but primary care to thousands of people on Medicaid, is hoping that a court will intervene. CNN's Meg Terrell filed this report. They call it health on wheels. This mobile clinic covers hundreds of miles across the state of Maine every week, bringing health care directly to those who may not be able to get it otherwise. Today they're taking us along for the ride. This is our kind of our typical start of our day. A soup kitchen in Waterville, a town of about 17,000 just north of the state capital Augusta. The mobile clinic is part of Maine Family Planning, a network with 18 other locations that's provided reproductive health care and other services to those in the state for more than 50 years. We are doing appointments here today if you need to be seen for anything. Peace of mind testing, wound care, a little bit of primary care, that type of stuff. Happy to get you in if you want to do that. Many of their patients, especially those served by the mobile clinic, are on Medicaid. Primarily it's folks who are underserved is kind of maybe the best word to use. Folks who may not have other options due to lack of transportation, lack of insurance. So we are able to provide care to folks who can't get care otherwise. But last month their ability to keep serving Medicaid patients was dealt a blow because of a provision in the Trump administration's so-called Big Beautiful Bill focused on abortion. Maine Family Planning provides abortions which are legal in Maine until fetal viability. The law prohibits certain clinics that receive more than $800,000 in annual Medicaid reimbursement and which provide abortions from receiving Medicaid funds for a year for any health care services. I mean I guess if you stopped offering abortion you could continue to accept Medicaid. Is that ever in the consideration? We refuse to compromise the services for our patients. We offer life-changing care, life-saving care, and we're just not going to give up on that. The practice says it already never used Medicaid funds for abortion under long-standing federal law. But the new law has put its ability to continue at the same level into question. We are now, as of July 4th, ineligible to receive Medicaid reimbursement. However, that has not stopped us from providing direct care and continuing to provide direct care to Medicaid-insured patients. We don't know how long we can continue to do that, but we're going to continue to do it as long as we can. In Waterville, like many communities in rural states, primary care facilities have been closing, making Maine Family Planning services more essential. These are HIV home test kits. The practice has been helping respond to an HIV outbreak centered about 50 miles away in Bangor, providing testing, prevention, and help with treatment. Carla Karen, who oversees the Soup Kitchen in Waterville, tells us what Maine Family Planning also offers is trust and community. The medical health unit is having an impact and it can't go away. It can't go away. Our communities need this. They need more of it, not less of it. Last month, Planned Parenthood won a temporary block on the funding ban. Maine Family Planning has filed its own lawsuit along with the Center for Reproductive Rights, and its day in court is tomorrow. The Centers for Medicare and Medicaid Services, a defendant in that lawsuit, told CNN it doesn't comment on matters in litigation, but in legal documents, it's fighting that request for an injunction.

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Jerusalem

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Ukraine Invasion

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Breakdown