The Federal Government Cut Off 842,000 People From Birth Control and Cancer Screenings

842,000 People Lost Their Provider

The Trump administration froze $65.8 million in Title X family planning grants in early 2026, cutting off birth control, STI testing, and cancer screenings for patients in 23 states. Seven states lost every Title X provider entirely. Not a single clinic remained in California, Hawaii, Maine, Mississippi, Missouri, Montana, or Utah that could bill the program.

This happened while Congress had already appropriated $286 million for Title X. The administration simply refused to release the money.

Then Congress Defunded Planned Parenthood Through Medicaid

The funding freeze hit on top of the One Big Beautiful Bill Act, signed July 4, 2025, which blocked all federal Medicaid payments to Planned Parenthood affiliates and two other providers across 39 states for one year. The ban covers every service, not just abortion. Contraception, cancer screenings, STI treatment, prenatal care: all cut.

More than half of Planned Parenthood’s patients rely on Medicaid for their care. When reimbursements stopped, clinics closed.

“Nearly 50 Planned Parenthood health centers have been forced to close since the beginning of 2025, with 20 of those closures after July 4, when Trump signed the law containing the provision.” OSV News

Where Clinics Have Closed

State	Closures	Notes
Louisiana	2	Both clinics shut down after 40+ years
Michigan	3	Jackson, Petoskey, Marquette closed spring 2025
Pennsylvania	3	Three of four Western PA clinics paused in-person care
Indiana	2	Three centers merged into one; eight remain statewide
New York	8+	Largest net decline in the country since 2024
Maine	18 sites affected	Maine Family Planning halted primary care at 18 locations

These are confirmed closures. The actual count is higher. Planned Parenthood reported 32 additional closures across California, Illinois, Iowa, Minnesota, Ohio, Texas, Utah, and Vermont.

Title X Has Been Flat-Funded for a Decade

The program’s $286.5 million annual budget has not increased since 2014. Adjusted for inflation, that is a cut of roughly 30%. Trump’s FY2026 budget proposed eliminating Title X entirely. Congress kept the funding on paper, but the administration withheld it anyway.

Meanwhile, 19 million women of reproductive age already live in contraceptive deserts, counties without a single health center offering the full range of birth control methods. Every clinic closure makes that number worse.

Some States Are Fighting Back

California Governor Newsom signed $90 million in emergency funding for reproductive health clinics. Massachusetts allocated $2 million to Planned Parenthood. Washington state’s attorney general won a court order blocking the defunding attempt.

But state money cannot replace a federal safety net that served 2.8 million patients in every state.

What You Can Do

Contact your senators and representative. Tell them to fully fund Title X and reverse the Medicaid exclusion. Resist Bot makes this take two minutes.
Check your state. Find out whether your state is backfilling federal cuts or leaving patients stranded.
Support affected clinics directly. Donate to your local Planned Parenthood or independent family planning provider.
Vote in 2026. Governors and state legislators decide whether your state fills the gap or widens it. Check your registration.

This is part of a broader attack on reproductive health care. Read the full picture at our Reproductive Rights hub.