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Reproductive healthcare advocates vowed to keep up the fight as conservative activists pressure Congress to make the funding ban permanent.
Planned Parenthood and other reproductive health clinics regained access to Medicaid funding on Saturday after a provision in the One Big Beautiful Bill Act defunding the organizations expired.
The provision depriving Planned Parenthood was touted as a major victory for the anti-abortion movement when the bill was signed on July 4, 2025, but, due to Senate rules, the defunding only lasted for one year, and Congress failed to renew it before their summer recess.
While this means that Planned Parenthood, Health Imperatives in Massachusetts, and Maine Family Planning can once again bill Medicaid for non-abortion related healthcare, it doesn't reverse the damage caused by a year-long lack of access to funds totaling more than $800 million per year for Planned Parenthood alone.
“Tens of thousands of patients have been denied access to services like cancer screenings and birth control and STI testing and treatment. These are things that just can’t be undone,” Nora Walsh-DeVries, vice president of political and legislative affairs at Planned Parenthood Action Fund, told The Hill.
"Patients have totally borne the cost of this politically motivated attack on care."
In a report published July 1, Planned Parenthood and Planned Parenthood Action Fund said that the defunding had led to the closure of almost 30 health centers, two-thirds of which were in rural areas, or locations that had a shortage of medical services or healthcare professionals. In addition, all of the closed centers were in "contraceptive deserts." Overall, the number of Medicaid visits to the organization decreased by 25% compared with the year before.
“By deliberately targeting Planned Parenthood, President [Donald] Trump and his allies in Congress worsened a public health crisis, making it harder for people to get the essential and lifesaving care they needed at their trusted provider," Alexis McGill Johnson, president and CEO of Planned Parenthood Federation of America and Planned Parenthood Action Fund, said in a statement.
Olivia Pennington, a spokesperson for Maine Family Planning, told NPR, "It's been devastating to see this defund and to see the impacts that it's had across the nation."
As Walsh-DeVries further told The Hill, “I think it’s just really clear that patients have totally borne the cost of this politically motivated attack on care."
Despite the restoration of funding, uncertainty lingers. Walsh-DeVries said that it wasn't clear how clinics could obtain the restored funds, and states can now block Medicaid funds to Planned Parenthood on their own, thanks to a Supreme Court ruling last year. To date, 13 states have blocked or tried to block funds.
What's more, conservative and anti-abortion advocates have expressed outrage at Congress' failure to extend the funding ban, and are determined to pressure it do so via a reconciliation bill.
"This failure must be corrected immediately. President Trump and Congress must act as fast as possible to restore and extend the defunding of Planned Parenthood and every organization that commits abortion," Lila Rose, founder and president of anti-abortion group Live Action, said in a statement.
However, 65% of Americans oppose congressional efforts to defund Planned Parenthood, according to polling by the organization, and it is unclear if Republicans as a whole have the political will to renew the ban ahead of the midterm elections. Planned Parenthood Action Fund is currently mobilizing to unseat House republicans who voted for the ban last year.
“We have to really continue to do the work that we’re doing to make this as politically toxic as possible,” Walsh-DeVries told Politico.
McGill Johnson affirmed: "Anti-abortion lawmakers are trying to make ‘defund’ permanent because Planned Parenthood health centers provide abortion care where it’s legal. They are willing to sacrifice the lives and health of people across the country if it gets them closer to their goal of banning abortion everywhere and shutting down Planned Parenthood."
She continued: "We’re in a fight for survival—not just for Planned Parenthood health centers, but for everyone to get high-quality, affordable healthcare from their trusted provider. And know this: Planned Parenthood will never stop fighting to ensure everyone can get the care they need.”
“This is not going to be, ‘Billionaires killed this wealth tax’ if it appears on the November ballot,” said Newsom's chief of staff. “It’s going to be Planned Parenthood, doctors, teachers, and labor killed it.”
It comes as no shock that Silicon Valley oligarchs and other plutocrats are trying to keep a proposed billionaire tax backed by California governor and presumptive Democratic presidential aspirant Gavin Newsom off November's ballot. But the participation of progressive groups as "unlikely bedfellows" in the effort to kill the wealth tax has surprised many observers.
Introduced by the Service Employees International Union-United Healthcare Workers West (SEIU-UHW), the California Billionaire Tax would impose a one-time 5% levy on people worth $1 billion or more, to be paid in annual installments of 1% over five years. Proponents say the tax would raise roughly $100 billion in revenue.
The proposal requires the state to spend 90% of revenue from the tax on healthcare and the rest on food assistance and public education. Opponents counter it could drive wealthy residents and investment from California.
Supporters of the billionaire tax have submitted more than 1.5 million signatures, far more than the roughly 875,000 valid signatures required to qualify for November's ballot. The signatures are still being verified, and the office of California Secretary of State Shirley Weber has until June 25, 2026 to determine whether the initiative qualifies.
The measure is backed by numerous progressive groups including the Teamsters union, California Democratic Socialists of America (DSA), and Our Revolution, as well as individual progressives like Sen. Bernie Sanders (I-Vt.), Rep. Ro Khanna (D-Calif.), and Democratic congressional candidate Connie Chan, who is running to replace retiring longtime San Francisco congresswoman Nancy Pelosi.
However, opponents are trying to stop the proposal from qualifying for the ballot, while preparing for a fight in the likely event that it does.
Newsom, the California Democratic Party, and a growing list of groups—including the California Teachers Association (CTA), Planned Parenthood Affiliates of California (PPAC), and the State Building and Construction Trades Council of California—are publicly opposing the tax and are urging SEIU-UHW to pull the proposal before June 25.
Republicans, the California Chamber of Commerce, and other capitalist interests oppose the billionaire tax, as do both candidates for California governor, Democrat Xavier Becerra and Republican Steve Hilton, and Chan's opponent in the San Francisco congressional race, state Sen. Scott Wiener (D-11).
Newsom said that the proposed tax "makes no sense" and would be "really damaging to the state."
CTA argues that the tax is a one-time revenue source, while California schools and healthcare programs need permanent, recurring funding. To that end, the union is backing a separate ballot measure—the Children's Education and Health Care Protection Act—which would permanently extend Proposition 55, California's existing high-income-earner tax, set to expire in 2030.
Jodi Hicks, PPAC's president, recently said that the California Billionaire Tax's "uncertain impacts on the state budget and lack of specificity on healthcare allocations will do more harm than good in the long term."
PPAC and aligned groups including California Medical Association and California Primary Care Association also support extending Prop 55.
Meanwhile, tech billionaires and Silicon Valley executives—including Google co-founder Sergey Brin, former Google CEO Eric Schmidt, PayPal and Palantir co-founder Peter Thiel, and Ripple co-founder Chris Larsen—have raised tens of millions of dollars for Building a Better California, a political action committee dedicated to defeating the proposed tax at the ballot box.
Building a Better California is also backing separate initiatives designed to weaken or nullify the billionaire tax, including a ban on retroactive wealth taxation, restrictions on how any new tax revenue can be allocated, and the imposition of new auditing requirements.
Newsom and his allies have a useful weapon to deflect claims that he's helping billionaires who are trying to defeat the proposed tax.
“This is not going to be, ‘Billionaires killed this wealth tax’ if it appears on the November ballot,” Nathan Barankin, Newsom’s chief of staff, told The New York Times Wednesday. “It’s going to be Planned Parenthood, doctors, teachers, and labor killed it.”
SEIU-UHW accused opponents of the proposed tax of “carrying water for a few of the world’s most controversial billionaires."
“Their complicity with billionaires at the expense of patient interests is no surprise,” SEIU-UHW chief of staff Suzanne Jimenez told the Times.
"This cruel decision will disproportionately impact people of color and people living in rural communities and healthcare deserts," said one abortion rights activist.
A federal appeals court on Thursday gave the Trump administration the green light to cut off Planned Parenthood from receiving funding from Medicaid.
As reported by Reuters, the 1st US Circuit Court of Appeals placed a hold on a preliminary injunction granted by a lower court that had kept Medicaid funding to Planned Parenthood in place. Planned Parenthood was blocked from receiving Medicaid funding after US President Donald Trump signed the so-called "One Big Beautiful Bill Act" into law earlier this year.
In a statement released after the ruling, Planned Parenthood said that it would result in more than 1.1 million patients being unable to use Medicaid to access needed healthcare services at its clinics.
"Patients who rely on the essential healthcare that Planned Parenthood health centers provide, can’t plan for their futures, decide where they go for care, or control their lives, bodies, and futures," said Alexis McGill Johnson, president and CEO of Planned Parenthood Federation of America. "All because the Trump administration and its backers want to attack Planned Parenthood and shut down health centers."
Johnson added, however, that she wasn't giving up and said that Planned Parenthood "will continue to fight this unconstitutional law, even though this court has allowed it to impact patients."
Brittany Fonteno, president and CEO of the National Abortion Federation, warned that taking away funds from Planned Parenthood would only put more strain on other hospitals and clinics that are already bracing for the negative impact of the GOP's Medicaid cuts.
"When Planned Parenthood health centers are forced to close, pressure mounts on other clinics already stretched thin to provide sexual and reproductive health services," she said. "This cruel decision will disproportionately impact people of color and people living in rural communities and healthcare deserts, who will be left with even fewer options and longer wait times to get the care they need. Any additional barriers to care are both unacceptable and dangerous."
Sen. Elizabeth Warren (D-Mass.) took to social media to warn that up to 200 Planned Parenthood clinics could close thanks to the loss of Medicaid funding, which she said would have devastating consequences for women's healthcare.
"How many people will be denied cancer screenings, birth control, and STI testing?" she asked. "Millions. It's horrific."