At least 20 planned parenting clinics in seven states have closed since the beginning of 2025 or have announced plans to close soon – the closure that come against the backdrop of huge financial and political turbulences for the reproductive health giant as the US continues to fight with the end of Rowe.
The planned parenting network, which operates nearly 600 clinics through a network of independent regional branches and is controlled by the Federation for Planned Parentation in America, faces a number of threats by the Trump administration. Guardian’s analysis has found that the planned parenting closure has occurred or are in the process of six branches that support clinics in Illinois, Iowa, Michigan, Minnesota, New York, Utah and Vermont.
At the end of March, the Trump administration suddenly frozen tens of millions of dollars funding for nine branches of planned parenting, including at least two that have since closed clinics or are ready to do so soon. The funding, which stems from the Federal Family Planning Program, Title X, was used to provide services such as contraception, cancer screening and STI tests.
“The ways in which this administration dismisses access to information on public health and public health are really disturbing and, frankly, forcing us to make these difficult decisions very quickly,” says Shirine Gorbani, temporarily executing the position of the association of the planned parent, in which they were $ 2.8 million in funding The Trump Administration. She has since closed two clinics, as well as fired a number of employees who have worked on initiatives such as sexual education.
Last year, said Ghorbani, 26,000 UTAHNS received care for X-Finance Title X in planned parenting. Ghorbani does not believe that the republican legislation of the state of Utah will intervene to create a replacement program.
“I will be shocked if one cent is spent to make sure that people are able to control their health and sexual and reproductive life,” she said.
The financial woes of planned parenting have raised eyebrows for some abortion rights defenders and reproductive health. The organization has withstood several crises, including allegations of mismanagement, in the years since Row has collapsed – but as the face of access to abortion in the United States, it continues to rake in donations. (Most abortions in the United States are actually performed by small “independent” clinics that are struggling with their own financial turmoil.) As of June 2023, the planned parenting network has about $ 3 billion assets, according to its 2024 report.
In April, Michigan’s planned parenting announced that he would reduce his staff by 10% and close four clinics. Viktoria Koskenoja, an emergency doctor who worked in one of the clinics closed, said the closure came as a “real shock”.
“It is currently something like a frantic struggle to find out where these patients can go,” says Koskenozha, who lives in the village upper peninsula of Michigan. “People will just get worse for the moment until we can understand something.”
She added: “I think if they had asked for money from the community to keep it open, people would have donated.”
In the press release, the planned parenting of Michigan attributes the closure and cuts of “historical threats and abbreviations of federal funding”. Reducing Title X, she said, “Make a devastating financial blow to health service providers such as PPMI.”
But Michigan’s planned parenting was not among the branches of planned parenting, who saw that their funding from Title X was frozen. In Michigan, the Federal Government allocates the funding of Title X to the State Ministry of Health and Human Services, which in turn makes money to clinics, including those governed by Michigan’s planned parenting. The Ministry of Health and Human Services in Michigan did not notice a break in funding from Title X.
Michigan’s planned parenting did not immediately respond to a request for a comment on the clinic’s closure and the role of Title X in these closure.
The squeezing that the organization navigates may be about to tighten. Republicans at national level are increasing their campaign to “discourage” planned parenting by kicking it from Medicaid, the government insurance program for low -income people. Of the 2.4 million people treated in planned parenting all year every year, almost half rely on Medicaid.
Related: The Supreme Court weighs South Carolina’s efforts to discourage planned parenting
In addition, the Supreme Court weighs a case related to South Carolina’s attempt to remove the planned parenting from its Medicaid program for the status of the organization as an abortion provider. If the Supreme Court GreenLights is moving in South Carolina, it can pave the path of other red countries to refuse to recover planned parenting for Medicaid costs.
In the Congress, a “big beautiful” tax bill of the Republicans, which has accepted the House of Representatives and is now being considered in the Senate, includes a provision that would effectively support organizations that offer abortions from receiving the recovery of Medicaid for other reproductive health services. The provision is so closely adapted – it applies only to organizations that have received more than $ 1 million in restoring Medicaid – that it will only affect the planned parenting.
“Clearly and simply, this reconciliation bill is about an attack on planned parenting,” said Alexis McGill Johnson, CEO and President of the Federation for Planned Parentation in America.
If the tax account goes through, the planned parenting of Big New York will lose about $ 20 million and be forced to close clinics, according to Wendy Stark, CEO of the branch and president.
“Here we are, a few years after Dobb and you see health suppliers [abortion] Access countries are really fighting financially, “Stark said, citing Dobs’ women’s health against Jackson, the Supreme Court’s decision, which overturned Rowe.” This is no accident, right? What is currently happening to the administration is layered on existing threats and challenges. “
Planned parenting for the great New York is currently looking to sell its only clinic in Manhattan. Medicaid recovery and private insurance recovery, Stark said, they are already too low, especially since the cost of medical supplies, insurance and hiring have increased over the years after the Covid pandemic. Last year, it cost a branch of about $ 67 million to provide health services, but received only about $ 36 million for insurance, she added.
He closed four clinics in 2024.