A federal judge in Portland, Maine, has ruled that the Trump administration may withhold Medicaid reimbursements from abortion providers in the state while a legal challenge proceeds, handing the White House a significant win in its campaign to restrict public funding for such services. U.S. District Judge Lance Walker, a 2018 Trump appointee, on Monday rejected Maine Family Planning’s request for a preliminary injunction that would have kept federal dollars flowing during the lawsuit. Walker wrote that it would be “judicial hubris” to override Congress’s decision and said lawmakers are free to disassociate federal funds from activities—such as non-emergency abortions—that are not constitutionally protected. The dispute centers on President Donald Trump’s “One Big Beautiful Bill,” enacted in July, which bars Medicaid payments to tax-exempt organizations that are primarily engaged in family-planning care and received more than $800,000 in Medicaid funds in fiscal 2023. Maine Family Planning, which treats roughly 8,000 low-income patients a year through an 18-clinic network, told the court the cut could force it to shut as many as nine sites and curtail services ranging from contraception to cervical-cancer screening. Walker’s order diverges from a July ruling by a federal judge in Boston that required continued Medicaid reimbursements to Planned Parenthood nationwide; the administration is appealing that decision. The conflicting opinions raise the likelihood of further appellate review as the policy moves through multiple courts. Maine Family Planning said it is “considering all options,” including an appeal, and warned that patients in one of the nation’s poorest and most rural regions risk losing critical care. The White House had no immediate comment.