The Sixth Circuit Court of Appeals has upheld the Biden administration's decision to discontinue a Title X family-planning grant to Tennessee. The decision was made after Tennessee refused to comply with federal requirements to provide abortion referrals, following the Dobbs decision. The court's ruling was a 2-1 decision, with Judge Kethledge dissenting. The case is part of a broader legal landscape where similar issues are being considered by the Supreme Court, including a case from Oklahoma.