Texas can proceed with cutting $350 million from a Medicaid program that provides therapy for disabled children after a lawsuit stalled at the state's highest court.
The Texas Supreme Court on Friday didn't explain why it rejected the case after issuing a temporary injunction this summer. Opponents have said roughly 60,000 kids statewide stand to lose access to speech and occupational therapists.
It wasn't immediately clear how quickly Texas might implement the cuts.
Republican lawmakers made the cuts in 2015 amid frustration of growing Medicaid costs. They again defended that decision in front of families at the Capitol last week.
One prominent lobbying group fighting the cuts, the Texas Association of Home Care and Hospice, called the outcome disappointing. A state health spokesman didn't immediately return a message seeking comment.