Pennsylvania
Trump admin rule puts reproductive health care for 160K Pa. patients at risk, lawsuit says
Family planning and health organizations that serve tens of thousands of people across Pennsylvania could see federal funding delayed or denied by a new Trump administration policy, a new lawsuit alleges.
The suit, which includes the Cumberland County-based Family Health Council of Central Pennsylvania as a plaintiff, takes aim at a step added this year by the U.S. Department of Health and Human Services to applications for Title X grants, which provide local agencies with funds to aid low-income and uninsured patients with family planning and related health services.
That new process is detailed in the Title X 2027 Notice of Funding Opportunity published in April. It states that before applicants are assessed on their merits, a group of presidential appointees will conduct an “alignment review” to determine whether each application matches the agency’s “priorities.” The plan offers no opportunity to appeal the group’s decision.
To the plaintiffs in the suit, that sounded like code for evaluating applicants based on politics.
“The Trump administration’s attempt to condition Title X funding on political allegiance is a grave threat to public health,” Sara Rose, deputy legal director at ACLU of Pennsylvania and attorney on the case, said in a statement. “Grant decisions must be guided by objective standards to ensure that taxpayer money is spent fairly and efficiently without regard to the ideology of its recipients.”
Created during the Nixon administration to help low-income people prevent unwanted pregnancies, Title X funding has long drawn opposition from anti-abortion activists.
The Trump administration has also attempted to shift the focus of the program toward promoting more pregnancies. Officials tried and failed earlier this year to block Title X funding from reaching Planned Parenthood facilities.
The suit is filed in the federal Middle District of Pennsylvania. It names HHS, Secretary Robert F. Kennedy Jr., and other agency staff as defendants.
There are four Title X grantees in the commonwealth, each serving a specific region: The Family Health Council in central Pennsylvania, AccessMatters in Philadelphia, Adagio Health in the west, and Maternal and Family Health Services in the northeast.
Combined, they receive more than $12.6 million in Title X funds annually to serve more than 160,000 patients in Pennsylvania, according to their grant details listed on HHS’ website. (AccessMatters is by far the largest, working with more than 90,000 people.)
These organizations offer everything from fertility care and access to contraception to screenings for cancers and sexually transmitted infections.
Nationwide, the most recent data from HHS shows Title X grantees served nearly 2.8 million people.
Also at issue in the lawsuit is that HHS already has a set of regulations, put in place during President Joe Biden’s administration, that govern Title X applications — and many of them directly conflict with stated Trump administration priorities.
The suit highlights, for instance, that the HHS website currently states that ending “ideologically-laden concepts like health equity” is a priority, while Title X rules simultaneously require grantees to “advance health equity.”
Another alleged conflict stems from the Trump administration’s opposition to diversity, equity, and inclusion initiatives, especially for transgender people. Current Title X regulations mandate that grantees ensure transgender people have access to their programming.
Brigitte Amiri, deputy director at the ACLU’s Reproductive Freedom Project, told Spotlight PA that the Trump administration could overturn the Biden-era regulations by undertaking a public notice and comment rulemaking process.
“But you can’t just do it by a funding announcement,” she said.
The new review step “subverts the integrity” of the Title X grant application process, the lawsuit argues, and enables HHS “to hijack” the Title X program to fund organizations furthering the agency’s “political agenda.”
The lawsuit also notes that Title X funds are prohibited from being used for abortions.
Federal Judge Jennifer Wilson, who was nominated to the bench by Trump in 2019, will hear the case.
Spotlight PA sought a comment on the lawsuit from HHS, but did not receive a response.
The Family Health Council of Central Pennsylvania was selected to join the lawsuit because it has received Title X funding since the establishment of the program in 1970, and it serves a large area, the chief executive of the National Family Planning & Reproductive Health Association told Stateline.
Patricia Fonzi, president and CEO of the Family Health Council, said in a statement that her organization serves more than 31,000 people across a 24-county region.
“We welcome a competitive grant process and believe every applicant should be evaluated on its ability to effectively serve communities, responsibly steward federal resources, and demonstrate the experience and capacity necessary to carry out the Title X statute,” Fonzi said.
“At the end of the day, the success of Title X is measured by whether people can access the care they need in their own communities — and that depends on funding decisions grounded in experience, proven performance, and the ability to deliver comprehensive care where it is needed most.”
The plaintiffs are urging the court to vacate the Trump administration’s new Title X rule and declare it “unlawful.”
Title X funds are issued to agencies on a five-year basis, with annual renewal requirements. The new rule at issue was included in the process for grants under fiscal year 2027, which will begin a new five-year cycle.
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This story was originally published by Spotlight PA and distributed through a partnership with The Associated Press.
Pennsylvania
Federal government sues Pennsylvania, others over SNAP data
(WHTM) — Pennsylvania is one of four states facing a lawsuit from the federal government over SNAP applicant data.
The U.S. Department of Justice filed suit against Pennsylvania, Kentucky, Michigan, and Minnesota. They are seeking the last five years of SNAP applicant data in the respective states.
The DOJ alleges that the four states refused to turn over data to the U.S. Department of Agriculture “so that USDA could ensure that states are properly administering and enforcing their determinations of residents’ eligibility.”
“The American people deserve a government that is transparent about how it spends their hard-earned tax dollars,” said Acting Attorney General Todd Blanche. “These four states are thwarting USDA’s efforts to ensure that the billions of dollars in SNAP benefits they distribute every year are not lost to fraud.”
“Stopping the rampant theft of taxpayer money demands a whole-of-government response, including strong participation at the state level,” said Assistant Attorney General Colin M. McDonald of the Justice Department’s National Fraud Enforcement Division. “These states are happy to take hundreds of millions of federal tax dollars—much of which is exploited by fraudsters—but want zero transparency over how those tax dollars are spent.”
The Department of Justice said 28 states promptly provided data and such indicated “there are billions of dollars per year in SNAP funds going to overpayments and fraud.”
The USDA has been seeking data for the past year or so, leading to a legal battle over concerns about how the data would be used.
Pennsylvania
House Republicans stall activity, Pennsylvania Rep. Meuser calls tactics ‘foolish’ | Fox Business Video
Maria Bartiromo reports on House Speaker Mike Johnson sending representatives home early as Republican hardliners stall floor activities, refusing votes without action on the SAVE America Act.
House Speaker Mike Johnson sent representatives home early as hardline Republicans stalled floor activities, demanding action on the SAVE America Act. President Donald Trump posted on Truth Social, urging House Republicans to unify and avoid giving power to Democrats. Rep. Dan Meuser (R-PA) labels the stalling tactics ‘foolish,’ emphasizing the need for legislative progress and appropriations.
Pennsylvania
Measles detected in two more counties in Pennsylvania as health department recommends early vaccination
Pennsylvania health officials have now detected measles cases in York and Northumberland Counties as cases in Lancaster County, the center of an ongoing outbreak, continued to rise.
And the state health department is now recommending early measles vaccinations for infants beginning at 6 months in affected areas in an effort to protect them against the spread of the highly contagious disease, which is particularly risky for young children. The same precautions should be taken by families with infants traveling to these areas.
Six Pennsylvania counties have now seen measles cases since an outbreak was first confirmed in Lebanon County in April. In all, the state has reported 81 measles cases across eight counties in 2026, more than five times the cases reported in 2025.
State health officials said it was too early to tell how the latest cases in York and Northumberland Counties are connected to others in the region, but that contact tracing investigations are continuing. All cases were among people who had not received at least two doses of the measles, mumps, and rubella (MMR) or whose vaccination status was unclear.
As of Wednesday, six cases had been confirmed in Northumberland County, to the north of Dauphin County, and one case had been detected in York County, along Lancaster’s western border.
Lebanon County has reported 20 cases and Dauphin and Berks Counties have reported two cases each.
Lancaster County has seen 38 cases of measles since late April, with health officials confirming seven cases in the last two weeks. The area was at the center of a prior measles outbreak in January, when state health officials confirmed eight cases in Lancaster County and an additional four between Chester and Montgomery Counties.
Vaccination rates among kindergarteners have decreased across Pennsylvania in recent years, and some counties affected in the current outbreak have particularly low rates, including Lancaster, where about 88.5% of kindergarten students are vaccinated. Health experts say that 95% of a community must be vaccinated to prevent the spread of the disease.
Health officials have been conducting contact tracing to detect as many cases as possible. In the current outbreak, they have twice warned Lancaster residents that they could have been exposed to measles.
Shoppers and employees at a local Kohl’s were potentially exposed to the virus over four days after a staffer tested positive in late May, LancasterOnline reported. And a person with measles visited the Lancaster County Courthouse on June 3.
But doctors in Lancaster County say they fear some measles cases are going unreported, either because patients don’t understand the importance of tracking measles cases or because they fear repercussions.
No cases have been confirmed in the Philadelphia region during this outbreak. But Delaware County health officials said last week that they had detected measles in two wastewater samples, indicating that someone with measles had used a bathroom connected to the county’s public water supply. It was unclear if that person lived in the county or was passing through.
Early vaccination recommended
On Wednesday, a statewide health alert urged physicians to accelerate vaccination schedules to protect children against measles. Officials had said they were considering the measure earlier this month as cases continued to rise.
Measles can infect nine in 10 unvaccinated people who are exposed to it, and can linger in the air for up to two hours and incubate in patients for three weeks. The disease typically presents with a fever and a rash but can cause brain inflammation and pneumonia in serious cases.
Typically, children receive the first of two MMR vaccines at 1 year old, then a second between 4 and 6 years old.
But children as young as 6 months can receive an additional “dose zero” to protect them from the disease amid an outbreak. In its alert, the state health department said parents should vaccinate infants between 6 and 11 months with the “dose zero” if they live in affected areas or if they’re planning to travel there.
Those children should then receive additional MMR doses at 12 to 15 months and 4 to 6 years.
This “dose zero” is less effective than doses given at 1 year old, officials cautioned. But it’s 58% effective against measles when given at 6 to 8 months, and 83% effective when administered at 9 to 11 months.
“Early MMR vaccination is safe and provides modest protection when measles is spreading,” officials wrote in the alert.
Children older than 12 months who haven’t been vaccinated should get an MMR dose immediately, and a second 28 days later, health officials said. Unvaccinated adults, or those without evidence of immunity, should also get two MMR doses.
And anyone who has received one dose of the MMR vaccine in the past should get a second at least 28 days after their first, officials said.
Usually, children who received a first dose at around 12 months wait to get their second dose until they’re 4 to 6 years old. But in an outbreak situation, those children should get their second doses early — at least 28 days after their first shot.
Adults born before 1957 are typically considered immune, but healthcare workers in that age group who don’t have lab evidence of immunity or prior infection should consider getting vaccinated, state officials said.
Adults who received an inactivated measles vaccine between 1963 and 1967 are considered unvaccinated during an outbreak, and should also get two doses of the current MMR vaccine.
Pregnant people, people with severely weakened immune systems, and people who have a history of experiencing severe allergic reactions, like anaphylaxis, to a vaccine ingredient or to a previous dose of MMR cannot receive the vaccine.
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