Planned Parenthood has closed 20 of its clinics across the nation after losing access to Medicaid reimbursements for non-abortion health services, a consequence of federal policy changes that took effect over the summer according to a Nov. 12 report from the Washington Post.
The cuts have sharply reduced the abortion giant’s operating revenue and placed remaining facilities under significant financial strain.
Under a provision in President Donald Trump’s One Big Beautiful Bill, which took effect in July, any health-care provider that performs abortions and receives more than $800,000 in annual Medicaid reimbursements may no longer bill Medicaid for non-abortion services.
Planned Parenthood, which remains the nation’s largest abortion provider, has continued offering abortions despite the financial consequences. In a report released Nov. 12, the organization shared it has spent tens of millions of dollars covering Medicaid patients’ care out of its own budget in recent months. In September alone, it reported providing $45 million in unreimbursed services.
According to the report, Planned Parenthood leaders warn that without Medicaid or new funding sources, additional closures are likely. The 20 clinics closed since July are in addition to more than two dozen that shut down earlier this year after separate federal funding reductions.
“GOP senators are once again attacking abortion,” Planned Parenthood President and CEO Alexis McGill Johnson said during a Nov. 12 briefing.
The bill’s impact draws attention to the degree to which Planned Parenthood depended on taxpayer-backed reimbursements to operate its network of clinics, an issue that has been central to Catholic and pro-life advocacy for decades.
Several states — including California, Colorado, Massachusetts, New Jersey, New Mexico, New York and Washington — have directed state funds to Planned Parenthood to offset the loss of federal dollars.
Even with state support, Planned Parenthood said in the report, gaps remain, especially in states that did not provide financial supplements. Nationwide, the group treats more than a million Medicaid patients every year.
Planned Parenthood is challenging the restriction in court, arguing that the rule unfairly targets the organization. According to the Associated Press, federal appeals court allowed the restriction to remain in force while the case proceeds, and judges heard arguments Nov. 12.

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