Planned Parenthood of Greater New York v. U.S. Department of Health and Human Services

CourtDistrict Court, District of Columbia
DecidedJune 26, 2025
DocketCivil Action No. 2025-1334
StatusPublished

This text of Planned Parenthood of Greater New York v. U.S. Department of Health and Human Services (Planned Parenthood of Greater New York v. U.S. Department of Health and Human Services) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Planned Parenthood of Greater New York v. U.S. Department of Health and Human Services, (D.D.C. 2025).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

PLANNED PARENTHOOD OF GREATER NEW YORK et al.,

Plaintiffs,

v. Civil Action No. 25-1334 (TJK)

U.S. DEPARTMENT OF HEALTH AND HU- MAN SERVICES et al.,

Defendants.

MEMORANDUM OPINION

Plaintiffs are five Planned Parenthood affiliates that receive grants and operate projects as

part of the U.S. Department of Health and Human Services’ Teen Pregnancy Prevention Program.

As they prepared to file their annual continuing-funding applications, Defendants promulgated

new guidance governing those applications. Plaintiffs argue that this new guidance violates their

due-process rights and contravenes the Administrative Procedure Act, so they sued and moved for

a preliminary injunction. To succeed on such a motion, Plaintiffs must show that they will immi-

nently suffer irreparable harm absent an injunction. But none will face irreparable harm for at

least another few months. So while the Court will order the parties to meet, confer, and jointly

propose an expedited briefing schedule for future proceedings on the merits, it does not find that

there is a need for preliminary equitable relief now. Thus, the Court will deny Plaintiffs’ motion

without prejudice.

I. Background

Since 2010, Congress has appropriated funds for “making competitive contracts and grants

to public and private entities to fund medically accurate and age appropriate programs that reduce teen pregnancy.” Consolidated Appropriations Act, 2010, Pub. L. No. 111-117, 123 Stat. 3034,

3253 (2009). This appropriation, known as the Teen Pregnancy Prevention (“TPP”) Program,

requires the U.S. Department of Health and Human Services (“HHS”) to fund two types of pro-

grams. See ECF No. 8-6 ¶¶ 7, 22; Further Consolidated Appropriations Act, 2024, Pub. L. No.

118-47, 138 Stat. 460, 671 (2024). The first—Tier 1 programs—must “replicat[e] programs that

have been proven effective through rigorous evaluation to reduce teenage pregnancy, behavioral

risk factors underlying teenage pregnancy, or other associated risk factors.” 138 Stat. at 671; ECF

No. 8-6 ¶ 22. And the second—Tier 2 programs—“develop, replicate, refine, and test additional

models and innovative strategies for preventing teenage pregnancy.” 138 Stat. at 671; ECF No.

8-6 ¶ 22.

In 2023, HHS issued a Notice of Funding Opportunity (“NOFO”), entitled “Advancing

Equity in Adolescent Health through Evidence-Based Teen Pregnancy Prevention Programs and

Services,” soliciting applications for Tier 1 TPP projects. ECF No. 8-2 at 2–3. These projects

were to last for five years—from July 1, 2023, to June 30, 2028—and “serve communities and

populations with the greatest needs and facing significant disparities to advance equity in adoles-

cent health through the replication of evidence-based teen pregnancy prevention programs (EBPs)

and services.” Id.; ECF No. 8-7 ¶ 16. HHS accepted Plaintiffs—five Planned Parenthood affili-

ates—to operate several such projects.1

But HHS does not hand out all five years’ worth of funding at the beginning. Instead, for

years two through five, applicants must submit a non-competing continuation (“NCC”) award ap-

plication each year for continued funding, which HHS conditions “on availability of funds,

1 ECF No. 8-7 ¶¶ 13–16; ECF No. 8-8 ¶¶ 10–13; ECF No. 8-9 ¶¶ 20–24; ECF No. 8-10 ¶¶ 10–13; ECF No. 8-11 ¶¶ 8–11.

2 satisfactory progress of the project, grants management compliance, including timely reporting,

and continued best interests of the government.” ECF No. 8-2 at 58. These applications are no

small things. They must include “a progress report for the current budget year, and work plan,

budget and budget justification for the upcoming year.” Id. So to help program participants com-

plete their annual applications, HHS promised to provide “[s]pecific guidance” each year “well in

advance of the application due date.” Id.

Funding for the current program year is set to expire on June 30, 2025. ECF No. 8-6 ¶ 30.

So HHS issued its yearly guidance in January 2025, required participants to apply for continued

funding by April 15, 2025, ECF No. 8-5 at 2, and is set to rule on those applications by June 30,

2025, ECF No. 16 at 19. Plaintiffs claim that this guidance “resembled the information received

from prior years.” E.g., ECF No. 8-7 ¶ 40. But then, on March 31, 2025, HHS superseded that

initial guidance with new guidance (the “NCC Notice”). Id. ¶ 43; ECF No. 8-3 (the NCC Notice).

While much of the NCC Notice mirrors the earlier guidance, it also differs in some ways.

Compare ECF No. 8-3, with ECF No. 8-5. Among other things, the NCC Notice includes several

references to “Presidential Executive Orders” that were not included in the earlier guidance. E.g.,

ECF No. 8-3 at 4. For example, the NCC Notice says that HHS “will review” applications to

ensure that “NOFO expectations are being met, to the extent aligned with Presidential Executive

Orders.” Id. It also provides that “[r]ecipients are expected to review and be aware of current

Presidential Executive Orders” and “are encouraged to revise their projects, as necessary, to

demonstrate that the NCC award application is aligned with current Executive Orders.” Id. at 5.

It then identifies five Executive Orders that “may be of most relevance to the work of the TPP

program.” Id.; see also id. at 6 (listing Executive Orders).

In addition, the NCC Notice outlines potential changes applicants may need to make in

3 their TPP “project narratives” and “work plans”—two required application sections—to receive

funds. As for their project narratives, the NCC Notice notes that “[s]uccessful applications will

include” a “[d]escription of changes made to align with Executive Orders, if applicable.” ECF No.

8-3 at 6. It adds that applicants should “[p]rovide information on the changes made by the recipient

to align the TPP project with Presidential Executive Orders, if applicable, including the steps taken

to review the project and identify the modifications proposed.” Id. And it lists changes applicants

may consider: “selecting a different evidence-based program for implementation, making adapta-

tions to existing curriculum, and updating policies, staffing, and training, etc.” Id. Applicants are

also expected to “[p]rovide a brief summary of any proposed substantial changes,” “including any

proposed changes in scope to align the project with Presidential Executive Orders.” Id. at 6 (em-

phasis omitted).

Next, regarding their TPP work plans, the NCC Notice requires applicants to “address the

expectations outlined in the original NOFO, to the extent aligned with Presidential Executive Or-

ders,” and “clearly indicate in the work plan any changes made to align their project with Executive

Orders.” ECF No. 8-3 at 7. It then directs applicants to a table that “outlines the updated NOFO

expectations to demonstrate alignment with Presidential Executive Orders.” Id.; see also id. at 7–

8 tbl.1. That table also hyperlinks to “[u]pdated guidance on NOFO expectations” that “reflect

alignment with Presidential Executive Orders.” Id. at 7–8 tbl.1; see also ECF No. 1 ¶ 78. And

that guidance “provides a deep dive into each of the expectations of this grant program . . . to

provide a clear blueprint to recipients” and “support them in achieving the overall goal of the

program.” ECF No. 8-4 at 2.

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