50 Clinics, 39 States
Nearly 50 Planned Parenthood health centers closed since the beginning of 2025. Twenty of those closures came after July 4, 2025, when the One Big Beautiful Bill took effect and blocked Medicaid payments to Planned Parenthood and two other reproductive health providers in 39 states.
50 clinics closed. Medicaid payments blocked in 39 states. The law cuts off all services, not just abortion.
The provision, Section 71113 of the reconciliation law, prevents Medicaid payments to reproductive health care entities that provide abortion for one year. But Medicaid does not pay for abortions in most cases. The defunding affects contraceptive care, STI testing and treatment, cancer screenings, wellness exams, and every other service these clinics provide.
Who Loses Care
2.4 million patients rely on Planned Parenthood as their primary or only healthcare provider. For many, there is no alternative within a reasonable distance. In rural areas and states where community health centers have waitlists, losing a Planned Parenthood clinic means losing access to care entirely.
In Michigan, three clinics closed in 2025 after losing both Medicaid reimbursement and Title X funding. Patients told reporters that Planned Parenthood detected their cancers, treated their infections, and provided the only affordable birth control they could access.
Planned Parenthood said it absorbed $45 million in care costs in September 2025 alone to continue serving Medicaid patients after the defunding. The organization said that effort is unsustainable.
The Compound
Planned Parenthood closures compound the Title X freeze that cut off 842,000 patients from family planning services. They compound the Idaho OB-GYN exodus that removed 35% of the state’s obstetricians. They compound the 116 rural hospital maternity closures since 2020.
Each policy is defended individually. The cumulative effect is that 19 million women live in contraceptive deserts, and the number grows with every clinic that closes.
Read more on the Reproductive Rights hub and the Title X freeze brief.