Planned Parenthood’s federal funding faces its biggest threat in years after the Senate parliamentarian allowed the Big, Beautiful Bill’s defunding provision to remain, setting the stage for Congress to strip taxpayer dollars from the nation’s largest abortion provider.

The provision, which blocks Medicaid funding from going to abortion providers like Planned Parenthood, was challenged under the Byrd Rule but cleared by parliamentarian Elizabeth MacDonough after Republicans revised the defunding timeline from ten years down to one year. The move allows the Senate to keep the measure in the budget reconciliation bill, which only needs a simple majority to pass, bypassing the usual 60-vote filibuster threshold.

Republicans narrowly defeated a Democrat-led amendment to restore Planned Parenthood funding by a 49-51 vote, signaling that the GOP’s slim Senate majority, backed by President Trump’s push, is holding for now despite intense lobbying from abortion advocacy groups.

The fight comes after Planned Parenthood’s most recent annual report showed it performed a record 402,230 abortions while taking in $792 million in taxpayer funding, nearly $100 million more than the prior year. Pro-life groups have argued for years that federal dollars should not prop up organizations that perform abortions, even if direct abortion funding is barred under the Hyde Amendment.

“Planned Parenthood has said losing Medicaid funding would put at least 200 health centers across the country at risk of closure, with more than 1 million low-income people losing access to a health care provider,” the Hill reported, highlighting the stakes as the organization scrambles to defend its funding pipeline.

The provision in the Big, Beautiful Bill follows a Supreme Court ruling last week that allowed red states to deny Medicaid funds to Planned Parenthood, clearing the way for a potential nationwide defunding if the bill passes. Pro-life groups see this as a historic chance to sever taxpayer ties with abortion providers after years of stalled efforts in Congress.

The outcome will hinge on the bill’s final passage as the Senate enters its final push on President Trump’s sweeping tax and spending package. While the bill faces Democrat resistance, Republicans are betting that their united front, coupled with Trump’s pressure, will deliver a win on one of the pro-life movement’s biggest goals.