The Supreme Court issued a ruling Thursday allowing the administration to cut nearly $800 million in National Institute of Health grants related to diversity, equity and inclusion initiatives.

The 5-4 ruling was a win for the Trump administration, which took the issue to the highest court after a lower court judge in Massachusetts required the federal government to continue making the payments. The plaintiffs in the case included a coalition of 16 Democratic state attorneys general and public health advocacy groups, who argued the Trump administration was being discriminatory.

Since Trump took office the decision noted that federal institutions like the NIH — the largest public funding source for biomedical research in the world — have been making policy changes to better align with

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