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planned parenthood
How Innovators Are Emotionally Supporting Abortion Seekers in a Post-Roe World
With laws constantly changing and often unclear, being able to reach abortion seekers on an emotional level is a critical touchpoint in the new digital landscape of access.
Jul 10, 2025
In the three years since the Dobbs decision resulted in abortion bans in 42 states across the U.S, the ecosystem of abortion access in America has shifted and stretched to meet the ever-changing moment. The Supreme Court’s ruling in Planned Parenthood vs. Medina has paved the way for even more states to further target abortion providers by enabling states to withhold state funding to clinics that provide sexual health services from sexually transmitted infection tests to cervical cancer screenings simply because they also offer abortion care.
With laws constantly changing and often unclear in the eyes on abortion seekers, being able to reach abortion seekers on an emotional level is a critical touchpoint in the new digital landscape of access. Innovators have stepped up to meet the demand for emotional support, helping individuals feel heard and get informed throughout the abortion process as laws change and stigma abounds. They’re pairing abortion seekers with counselors, peers, and educators as the digital entry point to care, meeting and supporting the actual and immediate needs, whether they are anxious, confused about where to find care, or feeling stigmatized.
With policies currently in Congress that might lead to the closure of even more reproductive healthcare clinics, including services from cancer screenings to STI testing, the need to keep patients informed of how to get the care they want has never been more dire.
We might discuss the emotional journey of an abortion seeker around getting them from confusion and disorientation to understanding and relief, regardless of their choices.
At the same time, Crisis Pregnancy Centers, or fake clinics that pose as counseling centers for pregnant people, persist in their anti-abortion messaging and are funded nationwide at five times the rate of abortion clinics and funds. Through the language of free testing and counseling, they encourage patients to enter illegitimate medical clinics, by talking about abortion decision-making despite the fact that they do not provide it, or any other form of medical care.
Their latest move has been to go digital, expanding their already vast and well-funded footprint into a mobile chat experience that utilizes the language of values-based decision-making and regret avoidance to deter those seeking real support amid a complicated landscape.Their goal is clear: be the first to reach abortion seekers confused by the complex legal landscape when they go online looking for information. They then delay, deter, and redirect them away from real medical care.
The punchline is that their latest innovation is a rip-off. Planned Parenthood’s Chat and Text program has paired website visitors with sex educators for the past 15 years, and the M+A hotline has operated a phone line staffed by doctors and volunteers since 2019. And post-Dobbs, the internet abounds with even more determined activist-innovators. There are comprehensive resource websites for those seeking medication abortion by mail, awareness campaigns, brave providers shielded by their state’s laws, health centers with stronger telehealth capabilities, and abortion doulas and hotlines stitching pieces together with the patient’s needs in mind.
Knowing that most users’ journeys start with a Google search on their mobile devices, it’s important to ensure that emotional support tools are easily accessible in a variety channels like web chat, text, Signal, or WhatsApp, and through completely low-tech options, and ensuring immediate connection to a person who can help no matter how someone prefers to communicate. These crucial organizations engage users compassionately and non-judgmentally. Powered by counselors, volunteers, and care providers, they are digital communities formed to listen, validate, and educate, without pathologizing the user’s emotional state. Engaging emotionally also helps users talk through social and legal stigma, misinformation, and education needs no matter where they live.
Reprocare is a peer phone and textline that offers comprehensive support at every phase of the process including informed landscape navigation for people who need detailed hand-holding and practical support, and the care team sends care packages directly to users who are alone and who express a need for resources and a human touch. Reprocare’s sister company, Autonomie, also builds technology that quickly matches users with abortion funds that help them access care.
Aya Contigo calls their bilingual chat tool “an abortion doula in your pocket,” and it first launched in the U.S. in Spanish, primarily using WhatsApp to reach vulnerable Latino communities. Designed in Venezuela with feminist organizations and 1,000 co-creators, it brings lessons from the Latin American feminist movement to our country, including the tradition of “acompañantes” or accompaniment as a framework. Using bilingual educators on WhatsApp chat and the asynchronous resources on their downloadable app, Aya Contigo ensures patients are never alone, that they have check-ins and follow-ups and are treated gently and compassionately for the days and weeks following their medication abortion.
Exhale Pro Voice is a post-abortion counseling program that offers a non-judgemental support text line for after-abortion support. Exhale also promotes its services for partners, parents, and friends of those who have had an abortion, in order to meet their unique emotional needs and also learn to be a support system for the person in their lives. Exhale is also a crucial resource for counselors, providers, and reproductive health workers seeking a confidential space outside of their work to sustain their well-being, especially important after three years of confusion and challenging, uphill work.
All-Options goes a step further, with a reproductive justice framework that understands that access to abortion has always been inequitable, be it because of location, resources, family, or tradition. Through their talk line, users are given emotional support to understand their access abortion care, and can also speak with a spiritual counselor, access adoption resources, pregnancy resources and infant care support, and a diaper program in their Indianapolis community.
Meeting the emotional impact of bans means considering a reframing of what we could term “the journey map” of an abortion seeker. The Turnaway Study highlights the mental health impact on those denied abortions over a period of 10 years. It elevates an important point: The most common emotion after an abortion is a sense of relief. Framed this way, we might discuss the emotional journey of an abortion seeker around getting them from confusion and disorientation to understanding and relief, regardless of their choices.
Today, researchers are only beginning to track the mental health impact of the Dobbs decision, and recent studies highlight depression and anxiety among women of reproductive age in general. Nearly 25% of women 18-25 years old have had a major depressive episode in the past year, and women of reproductive age in states where abortion is banned report increased anxiety. Further behaviors among young adults post-Dobbs, like increased permanent contraception like tubal ligation and vasectomy in banned states, are proof of the social pressures and sense of personal insecurity, and a lack of bodily autonomy created by bans.
Emotional support is key not just to providing immediate care, but to transforming the abortion access landscape. The coalition building of organizations that prioritize emotional and cultural competency can provide innovative, scalable solutions to a complex societal problem. While funders understand emotional support as a component of the wider access landscape, they don’t always see it as a fulcrum for change and outsize impact. Investing in innovators who have built this direct accompaniment ecosystem, powered by real, caring humans, is vital to maintaining access for critical abortion and reproductive healthcare.
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'This Fight Is Just Beginning': Federal Judge Blocks Trump-GOP Law's Attack on Planned Parenthood
"There are no other providers who can fill the gap if the 'defunding' of Planned Parenthood is allowed to stand," said the Planned Parenthood Federation of America and two state chapters.
Jul 08, 2025
A federal judge on Monday temporarily blocked a provision of the new Republican budget law that bars Medicaid funding for Planned Parenthood health centers across the United States, an attack that reproductive rights advocates warn could shutter hundreds of clinics nationwide.
The decision by Judge Indira Talwani of the U.S. District Court for the District of Massachusetts, an Obama appointee, came shortly after the Planned Parenthood Federation of America and its chapters in Massachusetts and Utah sued over the provision, which establishes a one-year Medicaid funding ban for healthcare organizations that provide abortions and received more than $800,000 in federal funding in 2023.
The lawsuit argues that the "clear purpose" of the provision is to "categorically prohibit health centers associated with Planned Parenthood from receiving Medicaid reimbursements... in order to punish them for lawful activity, namely advocating for and providing legal abortion access wholly outside the Medicaid program and without using any federal funds."
The provision therefore "violates plaintiffs' Equal Protection and First Amendment rights," the lawsuit states.
Talwani ordered the Trump administration to "take all steps necessary to ensure that Medicaid funding continues to be disbursed in the customary manner and timeframes" to Planned Parenthood and its members as the case proceeds.
Planned Parenthood welcomed Talwani's decision to issue a temporary injunction but stressed that the legal battle is far from over.
"We're grateful that the court acted swiftly to block this unconstitutional law attacking Planned Parenthood providers and patients," the organization said in a statement late Monday. "Already, in states across the country, providers and health center staff have been forced to turn away patients who use Medicaid to get basic sexual and reproductive healthcare because President Trump and his backers in Congress passed a law to block them from going to Planned Parenthood."
"There are no other providers who can fill the gap if the 'defunding' of Planned Parenthood is allowed to stand," the group added. "The fight is just beginning, and we look forward to our day in court."
"The Trump administration's hell-bent ambitions to close our clinics and abandon our patients won't stop us."
Planned Parenthood warned that if the provision—which anti-abortion groups praised—is allowed to stand, nearly 200 health centers across dozens of states would be at risk of permanent closure due to the one-year Medicaid funding ban and more than a million patients could lose access to care, including STI treatment, cancer screenings, and birth control.
According to Planned Parenthood, 60% of its health centers are located in areas that are rural, medically underserved, or plagued by a shortage of healthcare professionals.
More than half of Planned Parenthood member patients rely on Medicaid to access crucial health services, the group estimates.
"The Trump administration's hell-bent ambitions to close our clinics and abandon our patients won't stop us," said Dominique Lee, president and CEO of the Planned Parenthood League of Massachusetts. "Let me be crystal clear: We are not intimidated. We were built for this moment. Here in Massachusetts, we fight back, and we will never be bullied into turning our backs on healthcare or human rights."
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Wisconsin Supreme Court Strikes Down 'Archaic' 1849 Abortion Ban
While welcoming the "monumental win," the ACLU of Wisconsin's leader also stressed it's no time to back off the fight. "The political attacks on reproductive justice will not slow down, and we must remain vigilant."
Jul 02, 2025
Rights advocates celebrated Wednesday after the Wisconsin Supreme Court's liberal majority struck down the state's abortion ban from 1849, but campaigners also emphasized that threats to specific healthcare providers and reproductive freedom in general persist.
After the U.S. Supreme Court's 2022 Dobbs v. Jackson Women's Health Organization decision nixed nationwide abortion rights, the Badger State's anti-choice movement argued that the old ban, § 940.04(1), was back in effect. However, the Wisconsin top court concluded 4-3 that it is not, pointing to the state Legislature's actions between Dobbs and Roe v. Wade in 1973.
"We conclude that comprehensive legislation enacted over the last 50 years regulating in detail the 'who, what, where, when, and, how' of abortion so thoroughly covers the entire subject of abortion that it was meant as a substitute for the 19th century near-total ban on abortion," Justice Rebecca Frank Dallet wrote for the majority. "Accordingly, we hold that the legislature impliedly repealed § 940.04(1) as to abortion, and that § 940.04(1) therefore does not ban abortion in the state of Wisconsin."
"With this new ruling from our state's highest court, it's time for Wisconsin Republicans to stop forcing their way into our exam rooms."
Planned Parenthood of Wisconsin initially stopped providing abortions due to uncertainty over the old ban but resumed care a few months after Dane County Judge Diane Schlipper ruled in July 2023 that "there is no such thing as an '1849 abortion ban' in Wisconsin." Joel Urmanski, Sheboygan County's Republican district attorney, asked Schlipper to reconsider her decision, but she reaffirmed it that December. Urmanski then turned to the state's top court, resulting in Wednesday's ruling.
"Today's ruling is another important step forward in protecting and expanding access to abortion in Wisconsin," Planned Parenthood Advocates of Wisconsin said on social media. "Since the overturning of Roe, Planned Parenthood of Wisconsin has maintained that Wis. Stat. 940.04 could not be enforced against abortion providers. This final ruling again confirms this."
"While we celebrate this ruling, there is more to be done. We will continue essential work to help protect and expand reproductive freedom in Wisconsin so that everyone who needs comprehensive reproductive healthcare in our state can get the nonjudgmental and compassionate care they deserve," the group added, thanking Democratic Gov. Tony Evers and Attorney General Josh Kaul "for their leadership and efforts to protect reproductive freedom in Wisconsin."
BREAKING: We won! In a lawsuit we brought more than three years ago now, the Wisconsin Supreme Court just ruled to protect reproductive freedom in our state and preserve Wisconsinites' access to abortion care.My statement below ⬇️
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— Governor Tony Evers (@govevers.wisconsin.gov) July 2, 2025 at 10:02 AM
Melinda Brennan, executive director of the ACLU of Wisconsin, had a similar reaction to the new decision, saying in a Wednesday statement that "we have been waiting for this moment since the United States Supreme Court overturned our constitutional right and generational expectation to abortion."
"Since then," she said, "pregnant people in Wisconsin have dealt with the catastrophic consequences of having their bodily autonomy stripped from them—including forced pregnancy, denial of critical medical care for pregnancy-related complications like miscarriage, and having to leave home just to get the treatment they need and deserve. Even though that right was restored by lower courts, the fact that the Wisconsin Supreme Court has now rendered the criminal abortion ban unenforceable means Wisconsinites no longer have to fear the archaic 1849 ban could go back into effect."
"With the ban struck down, Wisconsin is a more free and more just place to live," she added. "But that doesn't mean it's time to back down. The political attacks on reproductive justice will not slow down, and we must remain vigilant to make sure everyone who can get pregnant has access to the full range of reproductive healthcare, no matter where in the state they live. Politicians will keep trying to legislate away and restrict our reproductive rights, as well as roll back LGBTQ rights, freedom of expression, and more. While we should celebrate this monumental win, we can't let up."
Great news! The Wisconsin Supreme Court finally struck down an 1849 law that stripped women's rights through a near-total abortion ban. This move protects women's access to medical care and their right to control what happens to their own bodies.
— Rep. Mark Pocan (@pocan.house.gov) July 2, 2025 at 11:58 AM
Lucy Ripp of A Better Wisconsin Together, a progressive research and communications hub affiliated with ProgressNow, responded to the ruling by urging elected Republicans in the state to stop attacking reproductive freedom.
"The Wisconsin Supreme Court's ruling in this case is a historic step forward in protecting and expanding abortion rights in Wisconsin," said Ripp. "We applaud the progressive majority on the court for taking this case and ruling to protect Wisconsinites' right to access abortion care."
"In the face of relentless attacks from Republicans, the vast majority of Wisconsinites have said time and time again that decisions on abortion should be made between a patient and their doctor, not politicians," she declared. "With this new ruling from our state's highest court, it's time for Wisconsin Republicans to stop forcing their way into our exam rooms and finally put an end to their repeated attacks on our access to reproductive healthcare."
The swing state's highest court has attracted national attention in recent years, including with an April election to replace retiring Justice Ann Walsh Bradley, who joined Wednesday's majority opinion. This spring, Susan Crawford defeated far-right Brad Schimel, securing liberals' majority until 2028. Crawford is set to be sworn in at the beginning of August.
Because the Wisconsin Supreme Court’s decision is rooted in state law, SCOTUS cannot reverse it. Reproductive freedom has been restored in Wisconsin … but only for as long as its citizens continue to elect liberal state Supreme Court justices.
— Mark Joseph Stern (@mjsdc.bsky.social) July 2, 2025 at 9:56 AM
While the Wisconsin Supreme Court just affirmed the right to abortion in the state, access to such care remains at risk, in part due to recent action at the federal level. This week, Republicans in Congress are working to pass President Donald Trump's so-called Big Beautiful Bill, which critics call the "Big Ugly Bill" because of provisions including one to "defund" Planned Parenthood by blocking Medicaid payments to abortion providers.
After the U.S. Senate sent the megabill back to the House of Representatives on Tuesday, Planned Parenthood Action Fund president and CEO Alexis McGill Johnson blasted it as "a backdoor abortion ban," warning that "this bill threatens to close nearly 200 Planned Parenthood health centers and will create devastating gaps in our healthcare infrastructure by putting the full range of reproductive care, like birth control, cancer screenings, and STI testing and treatments out of reach for many."
In Wisconsin specifically, the Milwaukee Journal Sentinel reported Monday, "it would mean more than half of Planned Parenthood's revenue would vanish. Health centers would close and staff would be laid off, senior leaders have said. And the nearly 1 in 5 Wisconsin residents who are enrolled in Medicaid would no longer be able to receive care at Planned Parenthood."
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