SACRAMENTO, Calif. (AP) — More than 20 mostly Democratic-led states sued the Trump administration Tuesday over its efforts to cut Medicaid payments to the nation’s largest abortion provider — Planned Parenthood.

The move comes in response to the package of tax breaks and spending cuts Trump signed earlier this month. A portion of the new cuts are focused on services such as cancer screenings and tests, birth control and treatment for sexually transmitted infections — by ending Medicaid reimbursements for a year for major providers of family planning services.

The cuts apply to groups that received more than $800,000 from Medicaid in 2023. The goal was to target Planned Parenthood, but the legislation also affected a major medical provider in Maine.

California, New York, Connecticut, other states and Washington, D.C. argue in a complaint filed in the U.S. District Court for Massachusetts that the provision’s language is unclear about which groups it applies to. They also say it retaliates against Planned Parenthood for advocating for abortion access, violating the free speech clause of the First Amendment.