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Supreme Court allows Trump to gut DEI-linked NIH grants

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August 21, 2025
in Health Care
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Supreme Court allows Trump to gut DEI-linked NIH grants

The Supreme Court, in a 5-4 ruling Thursday, enabled the Trump administration to cancel hundreds of millions of dollars in National Institutes of Health (NIH) grants linked to diversity initiatives.

The decision partially lifts a Boston-based judge’s ruling that declared the cancellations illegal and blocked the administration from moving forward.

Five of the court’s six Republican-appointed justices sided with the administration: Justices Clarence Thomas, Samuel Alito, Neil Gorsuch, Brett Kavanaugh and Amy Coney Barrett.

They said the judge wasn’t following the high court’s emergency decision this spring allowing the administration to cancel education grants. Gorsuch was the most pointed in his criticism, accusing the judge and several others of defying the high court. 

“Lower court judges may sometimes disagree with this Court’s decisions, but they are never free to defy them,” Gorsuch wrote.

Chief Justice John Roberts voted with the court’s three Democratic-appointed justices in dissent, saying the case could be distinguished.

“This relief—which has prospective and generally applicable implications beyond the reinstatement of specific grants—falls well within the scope of the District Court’s jurisdiction,” Roberts wrote.

He wrote just one paragraph. But Justice Ketanji Brown Jackson, the court’s junior most justice and one of its most prolific dissenters, penned a solo, 21-page critique. 

“This is Calvinball jurisprudence with a twist. Calvinball has only one rule: There are no fixed rules. We seem to have two: that one, and this Administration always wins,” Jackson wrote.

It marks the 18th time the Supreme Court has at least partially granted an emergency bid during Trump’s second term.

The NIH moved in February to terminate grants that do not align with President Trump’s priorities, including those related to diversity, equity and inclusion (DEI) programs.

U.S. District Judge William Young, an appointee of former President Reagan, blocked the cuts in June in response to lawsuits filed by health groups and 16 Democratic state attorneys general.

Administration lawyers say the block covered $783 million in canceled grants at odds with the president’s policies. In court papers, they singled out ones that fund “Buddhism and HIV stigma in Thailand” and “controlled puberty in transgender adolescents.”

The administration went to the Supreme Court after a 1st U.S. Circuit Court of Appeals panel declined to lift Young’s order.

It is not a final ruling, and the case could ultimately return to the high court.

The Trump administration argued Young had no authority to intervene because it is a contract dispute that federal law requires to be brought in the U.S. Court of Federal Claims.

Though the five-justice majority agreed that’s true for the grant cancellations, Barrett agreed with the dissenters that a separate part of Young’s ruling wiping NIH guidance documents could still stand. 

The Justice Department had accused the judge of defying the Supreme Court’s ruling in April that rejected a challenge to education grant cuts on those grounds.

“This case is not closed. The district court flouted vertical stare decisis by following this Court’s dissenters over the majority,” the Justice Department wrote, using the Latin term for the legal principle that lower courts follow a higher court’s precedent.

“That alone should warrant a swift rebuke.”

The Democratic states and health groups sought to distinguish the case, insisting the lower judge had authority to block the NIH grant cuts.

“The federal government’s application spins a tale of lower courts disregarding established legal guardrails to block routine agency decisions. That narrative bears little resemblance to reality; indeed, it gets things exactly backward,” the states wrote in their Supreme Court papers.

Updated at 5:24 p.m. EDT.

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