Students for Life Action, a prominent anti-abortion organization, is intensifying its campaign to defund Planned Parenthood, threatening lawmakers with failing grades on its annual report card if they do not extend a provision that blocks the organization from receiving Medicaid funds for a decade. This provision, part of last summer's One Big Beautiful Bill Act, previously prevented Planned Parenthood from billing Medicaid for essential services such as contraception and cancer screenings, leading to a loss of over $700 million annually. While Republicans initially aimed for a ten-year defunding measure, they were forced to accept a one-year limit due to Senate procedural rules. The urgency of this issue is heightened by upcoming midterm elections, with anti-abortion advocates warning that Republicans risk losing their legislative power if they do not act decisively. Additionally, the relationship between anti-abortion activists and Republican leadership remains strained, as evidenced by former President Donald Trump's reluctance to engage with the issue directly. The ongoing debate reflects broader tensions within the party as they navigate the complexities of abortion policy.