The 7th U.S. Circuit Court of Appeals in Chicago ruled in October that Indiana had broad authority to exclude unqualified providers from its Medicaid program for the poor, but could not deny funding to a class of providers for an unrelated reason, which in this instance was because Planned Parenthood clinics perform abortions.

Indiana Attorney General Gregory Zoeller, a Republican, sought Supreme Court review. The Supreme Court's refusal to hear the case leaves the appeals court ruling in place.