Planned Parenthood's Future: A Legal Crossroads

The Supreme Court recently tackled a case that could significantly impact Planned Parenthood's presence in South Carolina and beyond. At the heart of the debate is whether states can exclude Planned Parenthood from Medicaid programs, despite federal rules that allow patients to choose their healthcare providers. Medicaid, a joint federal-state program, covers medical costs for low-income individuals. Federal law mandates that states must let patients select their doctors from any qualified provider. This is where Planned Parenthood South Atlantic comes in. They offer essential services like cancer screenings and physical exams to low-income patients in South Carolina. In 2018, South Carolina's governor, a Republican, tried to kick Planned Parenthood out of the Medicaid program. Lower courts blocked these attempts, leading to an appeal that landed in the Supreme Court. The big question is whether individuals can sue to enforce their right to choose their doctors under Medicaid law. The state's lawyer, John Bursch, argued that the Medicaid statute doesn't explicitly mention a "right" to choose a doctor, so individuals can't sue to enforce it. However, Justice Elena Kagan pushed back, stating that the law clearly aims to ensure patients can choose their doctors. Justice Amy Coney Barrett also raised concerns about patients being denied care from their preferred providers. Planned Parenthood's lawyer, Nicole Saharsky, emphasized that Congress established an individual right to choose providers, which states can't take away. She also addressed concerns about a potential flood of lawsuits, noting that only a few provisions in the Medicaid law allow individuals to sue, and none have led to a lawsuit surge. Saharsky stressed that patients aren't seeking financial gain but simply want access to healthcare. She pointed out that Planned Parenthood has been serving low-income patients in South Carolina for decades, providing crucial medical services. If the Supreme Court rules in South Carolina's favor, Planned Parenthood could be forced to close its doors, affecting not just South Carolina but potentially other states as well. A decision is expected in June.