The state of Texas and an anonymous plaintiff associated with the anti-abortion group Center for Medical Progress alleges that Planned Parenthood engaged in fraud when they filed Medicaid reimbursement claims for healthcare services they provided to thousands of people in Texas and Louisiana. The plaintiffs are seeking up to $1.8 billion in civil penalties.

If anti-abortion judge Matthew Kacsmaryk rules in favor of the plaintiffs, Planned Parenthood could face bankruptcy, potentially depriving millions of people of basic healthcare, especially women, people with low incomes, young people, immigrants and people who face healthcare barriers due to race discrimination.