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"There is no replacement for Planned Parenthood health centers or the essential, lifesaving care they provide. Women, their families, and entire communities will suffer.”
Data released Wednesday by the Guttmacher Institute and Power to Decide shows "the stark and brutal reality that awaits patients across the country" if Republican lawmakers in Congress fulfill their goal of "defunding" Planned Parenthood, which provides contraceptive counseling and services to millions of patients per year, as well as other essential healthcare services.
As part of the publicly funded contraceptive care network that's been in place for over half a century, the Guttmacher Institute said, Planned Parenthood's healthcare centers served 1.6 million—roughly a third—of the 4.7 million patients who needed access to affordable family planning centers in 2020.
But with the Trump administration and Republicans in Congress aiming to remove Planned Parenthood facilities from the network, as many as 12.4 million women who need low-cost or free birth control could have their access sharply reduced, as they live in counties that would be affected by the GOP cuts.
Millions in the US rely on @ppfa.org for affordable birth control. If Planned Parenthood was removed from the publicly funded contraceptive care system, 12.4 million women in need of low- or no-cost #BirthControl would be affected.More in our research with @powertodecide.bsky.social: gu.tt/4y5ai5M
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— Guttmacher (@guttmacher.org) September 23, 2026 at 4:17 PM
The One Big Beautiful Bill Act brought the GOP "closer than ever" to stripping Planned Parenthood of funding—which comes not from a "blank check from the federal or state government," as Republicans have often suggested, but largely from reimbursements for care clinics provide to patients who have Medicaid or who are eligible for free or reduced-fee services through Title X.
The law included an effective ban on Medicare reimbursements to Planned Parenthood clinics for one year, and just over a year since its passage, nearly 30 of the organization's health centers have closed.
If Republicans succeed in further cutting off funds to Planned Parenthood, 58% of women who need access to affordable or free birth control would be affected, said Guttmacher.
The West would be the hardest-hit region in the country, with 4.1 million women losing access to contraceptives in 94 counties.
Nearly 30 counties across the US would be left with no publicly funded contraceptive provider at all.
“When President [Donald] Trump and his backers in Congress say they want to shut down Planned Parenthood, they mean it," said Alexis McGill Johnson, president and CEO of Planned Parenthood Action Fund. "And when we say the consequences of stopping people from being able to get the healthcare they need are catastrophic, we mean it too."
"This is not a hypothetical, and we’re not playing make-believe," she added. "There is no replacement for Planned Parenthood health centers or the essential, lifesaving care they provide. Women, their families, and entire communities will suffer.”
Amy Friedrich-Karnik, director of federal policy for Guttmacher, said the data released by the group "demonstrates why policymakers and advocates must stand together in strong defense of Planned Parenthood and all providers of quality and affordable sexual and reproductive healthcare.”
“As politically motivated attacks against Planned Parenthood have resulted in shuttered clinics and real harms to patients," she said, "it is increasingly important to study the critical role that Planned Parenthood plays in the publicly funded healthcare system and why attacks on these health centers are so devastating."
The organization has "provided affordable sexual and reproductive healthcare, including birth control, STI testing and treatment, cancer screenings, and wellness exams to millions of people through Title X."
Planned Parenthood Federation of America on Wednesday sued over the Trump administration's attempt to abuse a federal program "for an overtly political and ideological agenda that is at odds with Title X's statutory purpose of funding comprehensive family planning care for those who cannot afford it."
"Title X of the Public Health Service Act is the only domestic federal program devoted solely to family planning for uninsured, underinsured, and low-income people," notes the complaint, filed in federal court in Washington, DC by lawyers at PPFA, Democracy Forward, and Wilmer Cutler Pickering Hale and Dorr.
After the US Department of Health and Human Services' Office of Population Affairs in April announced changes to how it chooses Title X grantees for the 2027-32 cycle, the National Family Planning and Reproductive Health Association and the Family Health Council of Central Pennsylvania sued last month, backed by the ACLU.
The office then updated the policy earlier this month. However, as Wednesday's complaint explains, the updated version still says that "in evaluating and awarding Title X grants," the office "will consider the extent to which applicants 'advance' and 'align with' a series of political priorities."
PPFA's attorneys argued that the administration's approach is unlawful and puts the group's members "at a competitive disadvantage," which could ultimately impact people seeking care, from contraception to testing for sexually transmitted infections (STIs).
Democracy Forward president and CEO Skye Perryman—whose organization has repeatedly sued over Trump policies—said in a statement that "people should be able to receive the healthcare that is right for them, their lives, and their values, and that requires support for providing critically needed family planning services for people who cannot afford it."
Accusing the administration of "once again putting politics over people," she said that "the unlawful, ideologically driven changes to Title X threaten devastating consequences for lower income Americans nationwide who rely on the program for essential healthcare, including birth control, cancer screenings, and STI testing."
"Title X was created so a person's income would never determine whether they could access the medically appropriate family planning care that is right for them," Perryman emphasized. "We will aggressively pursue legal action on behalf of our clients until the administration stops undermining that promise and follows the law."
Highlighting the potential impact of the administration's policy for people throughout the United States, PPFA pointed out that from October 2024 through September 2025, its health centers provided over 1.3 million Title X visits across 33 states.
"Planned Parenthood health centers have provided affordable sexual and reproductive healthcare, including birth control, STI testing and treatment, cancer screenings, and wellness exams to millions of people through Title X," said PPFA president and CEO Alexis McGill Johnson. "We are suing the Trump administration because, yet again, it is trying to make it harder for people to get the vital care they need at Planned Parenthood."
The new lawsuit comes after Planned Parenthood and other reproductive health clinics regained access to Medicaid funding earlier this month, following the expiration of a provision in the One Big Beautiful Bill Act, which President Donald Trump signed last July.
The passage of that provision was a victory for forced pregnancy advocates, who have long targeted Planned Parenthood for providing abortion care. An analysis from the organization found that the "defunding" effort led to the closure of nearly 30 health centers, all of which were located in "contraceptive deserts" and two-thirds of which were in areas defined as rural, medically underserved, or experiencing health professional shortages.
The group also called the Medicaid provision a "backdoor abortion ban," noting that 64% of Planned Parenthood health center closures were in states where such care is legal, and the shuttered facilities had previously served over 10,000 abortion patients annually.
"By deliberately targeting Planned Parenthood, President 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," McGill Johnson said in early July.
"Still, anti-abortion lawmakers are trying to make 'defund' permanent because Planned Parenthood health centers provide abortion care where it's legal," she stressed. "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."
"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," she added. "And know this: Planned Parenthood will never stop fighting to ensure everyone can get the care they need."
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."
"Texas: Land of the free! Also Texas: We want you to surveil your neighbor, see if they've missed their period, snoop through their trash and mail, and sue whoever sent them medication abortion."
Republicans in the Texas House of Representatives on Thursday night advanced another anti-abortion bounty hunter bill, this one taking aim at medications mailed from states that support reproductive freedom so Texans can choose to end pregnancies.
House Bill 7 passed 82-48 along party lines during Texas' second special legislative session of the year. The proposal from state Rep. Jeff Leach (R-67) still needs approval from the Senate—which previously passed similar legislation—before it heads to the desk of Republican Gov. Greg Abbott. He has signed various attacks on reproductive rights, including Senate Bill 8, a 2021 state law that entices vigilantes with $10,000 bounties to enforce a six-week abortion ban.
Like S.B. 8, the new bill relies on lawsuits filed by private citizens. H.B. 7 would empower them to sue out-of-state healthcare providers, medication manufacturers, and anyone who mails or otherwise provides abortion pills to someone in the state for up to $100,000 in damages per violation—even if no abortion occurs. Under pressure from some anti-choice groups, Republicans added language allowing vigilantes to keep only $10,000; the rest would go to a charity they choose.
"It's designed to trap Texans into forced pregnancy," Shellie Hayes-McMahon, executive director of Planned Parenthood Texas Votes, told the Houston Chronicle. "Instead of fixing the crisis they (Texas lawmakers) manufactured, they're doubling down to punish anyone who dares to help a Texan. This bill is not about safety, it's about control."
Republicans in the Texas House have introduced another way to try to harm patients, providers, and manufacturers in the state. HB 7 would allow anyone to sue a manufacturer, distributor, or provider of medication abortion—even without proof of care being provided.
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— Reproductive Freedom for All (@reproductivefreedomforall.org) August 29, 2025 at 10:34 AM
The bill is part of a broader effort to stop the flow of abortion medications—mifepristone and misoprostol—into states that have ramped up restrictions in the wake of the U.S. Supreme Court's right-wing supermajority reversing Roe v. Wade in 2022.
As GOP lawmakers have worked to further restrict reproductive freedom, Democrat-controlled states have enacted "shield laws" to protect doctors and patients. Laws enabling telehealth abortions are key targets for Republican officials and far-right activists—including "anti-abortion legal terrorist" Jonathan Mitchell, the chief architect of S.B. 8 who's now representing a Texas man in a wrongful death case against a California doctor accused of providing pills that his girlfriend used to end her pregnancy.
The New York Times reported that "supporters hope and opponents fear" H.B. 7 "will serve as a model for other states to limit medication abortion by promoting a rash of lawsuits against medical providers, pharmaceutical companies, and companies such as FedEx or UPS that may ship the drugs."
Supporters and opponents also anticipate court battles over the bill itself. "Texas is sort of the tip of the spear," Marc Hearron, the associate director of litigation at the Center for Reproductive Rights, told the Times. "It's setting up a clash."
H.B. 7 is "pushing up against the limits of how much a state can control," Hearron added. "Each state can have its own laws, but throughout our history, we have been able to travel across the country, send things across the country."
Texas: Land of the free! Also Texas: We want you to surveil your neighbor, see if they've missed their period, snoop through their trash and mail, and sue whoever sent them medication abortion. https://bit.ly/4lM2sXF
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— Center for Reproductive Rights (@reprorights.org) August 28, 2025 at 4:45 PM
After Thursday's vote, Blair Wallace, policy and advocacy strategist on reproductive freedom at the ACLU of Texas, warned in a statement that "H.B. 7 exports Texas' extreme abortion ban far beyond state borders."
"It will fuel fear among manufacturers and providers nationwide, while encouraging neighbors to police one another's reproductive lives, further isolating pregnant Texans, and punishing the people who care for them," she said. "We believe in a Texas where people have the freedom to make decisions about our own bodies and futures."
"Those who fight for all our freedom must have the most basic freedom to control their own bodies and futures—and this rule robs them of it," said the head of Planned Parenthood Federation of America.
Advocates for veterans, reproductive rights campaigners, and Democrats in Congress on Monday continued to lambaste the Trump administration's quiet move to end abortion care for former U.S. service members and their relatives.
"Since taking office, the Trump administration has repeatedly attacked service members, veterans, and their families' access to basic reproductive care, including gender-affirming care," said Planned Parenthood Federation of America president and CEO Alexis McGill Johnson in a Monday statement.
Planned Parenthood and its leader have frequently criticized actions by President Donald Trump, including his signature on Republicans' recently passed budget reconciliation package that targets the group's clinics—which provide a range of healthcare services—by cutting them off from Medicaid funds if they continue to offer abortions.
"Those who fight for all our freedom must have the most basic freedom to control their own bodies and futures—and this rule robs them of it. Taking away access to healthcare shows us that the Trump administration will always put politics and retribution over people's lives," McGill Johnson said of the new proposal for veterans' care. "Planned Parenthood will never stop fighting to ensure everyone has access to the full spectrum of sexual and reproductive healthcare—no matter what."
The Trump Administration just moved to BAN abortion care for VETERANS, even in instances of rape and incest.This is just another attack on our veterans and reproductive health care.We owe it to our servicemembers to provide them the care they need.
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— Rep. Ted Lieu (@reptedlieu.bsky.social) August 4, 2025 at 1:06 PM
In the wake of the U.S. Supreme Court's 2022 reversal of Roe v. Wade, the Biden administration allowed the Department of Veterans Affairs to provide abortion counseling and care for service members and beneficiaries in cases of rape, incest, or if the pregnancy threatened the health of the patient. On Friday, the VA proposed a rule that would "reinstate the full exclusion on abortions and abortion counseling from the medical benefits package," and the Civilian Health and Medical Program.
The document says the VA would continue treating ectopic pregnancies and miscarriages, and would allow abortion care "when a physician certifies that the life of the mother would be endangered if the fetus were carried to term."
The proposal quickly drew rebuke from a range of critics, including U.S. lawmakers. Blasting the proposed rule as "disgusting and dangerous," Senate Veterans' Affairs Committee Ranking Member Richard Blumenthal (D-Conn.) said on social media Friday that the government "should not be able to impose a pregnancy on anyone—least of all survivors of rape, abuse, or those whose health is at risk."
Sen. Patty Murray (D-Wash.), who had advocated for the Biden administration's policy, declared Saturday that "Republicans don't care if your health is in danger, if you're a veteran, or if you've been raped—they want abortion outlawed everywhere, for everyone."
As the 30-day public comment period for the proposed rule began Monday, U.S. House Veterans' Affairs Committee Ranking Member Mark Takano (D-Calif.) warned that "stripping away access to essential reproductive healthcare at VA, the largest integrated healthcare network in the United States, puts veterans' lives at risk and violates the promise we made to them. Veterans have earned the right to healthcare. Full stop. This ban on reproductive healthcare will harm veterans and is dangerous."
The proposal makes clear that VA Secretary Doug Collins "is substituting his judgment for that of the hundreds of thousands of women veterans who have earned the freedom to make personal medical decisions in consultation with their providers," Takano said in a statement. "It also gags medical providers and does not allow them to provide complete and honest care to veterans who get their care from VA. Rolling back this rule is a direct attack on veterans' rights. It will jeopardize the lives of pregnant veterans across our country, especially those residing in states with total abortion bans and other reproductive healthcare restrictions, which have already led to preventable deaths."
Reproductive rights advocates have similarly weighed in over the past few days and highlighted the anti-choice state laws enacted since the Dobbs v. Jackson Women's Health Organization decision reversed Roe.
Katie O'Connor, senior director of federal abortion policy at the National Women's Law Center, said that "at a time when extremist lawmakers are passing cruel abortion bans and restrictions, this move only deepens the crisis those laws have created—stripping veterans of their reproductive freedom and creating even more confusion about where they can turn for care."
"Veterans already face unique challenges to their health and well-being, including experiencing PTSD, recovering from military sexual trauma, and facing an increased risk of suicide," she noted, referring to post-traumatic stress disorder. "Banning access to the full range of reproductive services, including abortion, further jeopardizes their health and safety. No one should have to travel hundreds of miles, endure financial hardship, or risk their health just to get the medical care they need. Our veterans deserve better."
Center for Reproductive Rights president and CEO Nancy Northup declared that "this administration is sending a clear message to veterans—that their health and dignity aren't worth defending. To devalue veterans in this way and take away life-changing healthcare would be unconscionable. This shows you just how extreme this administration's anti-abortion stance is—they would rather a veteran suffer severely than receive an abortion."
Dr. Raegan McDonald-Mosley, a practicing OB-GYN and CEO of Power to Decide, also warned that the new "needlessly cruel policy change," if it goes through as expected, will harm veterans and "once again betrays our nation's commitment to them."
"Since the Supreme Court overturned Roe v. Wade, 12 states have enacted total abortion bans, one additional state has no abortion clinics, and seven states have gestational restrictions often in effect so early that people don't even know they are pregnant," she explained. "All of this exacerbates an ongoing public health crisis. For some veterans, VA was the only place they were able to obtain abortion care in these states."
"Restrictions on abortion coverage—the effects of which fall hardest on people who already face unequal access to healthcare, including Black women, people of color, and people with low incomes—hinder a person's reproductive well-bring and deepen inequities," the doctor added. "Power to Decide condemns this policy and urges Congress to pass legislation to ensure all veterans have access to the abortion care they need when and where they need it."
A provision in the Republican budget law signed earlier this month "kneecaps the entire organization" and harms patients' ability to access care, said a judge.
Patients who use Medicaid to access health services at Planned Parenthood clinics will not be forced to find care elsewhere following a ruling Monday by a federal judge in Massachusetts.
Judge Indira Talwani in the state's federal District Court extended a temporary restraining order she had placed on the Trump administration earlier this month, barring it from imposing a one-year ban on states sending Medicaid payments to nonprofits that provide abortion care.
The ban, a provision in the domestic policy and budget bill President Donald Trump signed into law this month, applied only to groups that received more than $800,000 in Medicaid funding in 2023—suggesting Planned Parenthood, a longtime foe of right-wing policymakers, is the "target of the law," said Talwani.
Federal law already prohibits public funds from being used to pay for abortion care, and Talwani found that the Republican Party and the Trump administration aimed to force clinics to "disaffiliate with Planned Parenthood Federation and stop providing abortion to continue participating in Medicaid programs."
"Imposing that choice kneecaps the entire organization," said Talwani.
Ripping Medicaid funds away from clinics would also harm patients, said the judge. About 11% of female Medicaid beneficiaries used services at Planned Parenthood clinics in 2021, according to the KFF, and the provision in the budget law made patients "likely to suffer adverse health consequences where care is disrupted or unavailable."
"In particular, restricting members' ability to provide healthcare services threatens an increase in unintended pregnancies and attendant complications because of reduced access to effective contraceptives, and an increase in undiagnosed and untreated STIs," Talwani said.
Talwani had granted relief for certain Planned Parenthood member organizations last week with her temporary restraining order, but the injunction applies to all clinics. The Trump administration filed an appeal of the restraining order last week; Talwani's injunction will remain in effect barring action from the appeals court.
Dominique Lee, president and CEO of Planned Parenthood League of Massachusetts, said she was "encouraged" by Monday's ruling.
"At a time when reproductive healthcare access is under constant attack, this decision is a powerful reminder that patients, not politics, should guide healthcare," said Lee. "In Massachusetts and beyond, we will keep fighting to ensure everyone can turn to the provider they trust, no matter their insurance or ZIP code."
U.S. Rep. Pramila Jayapal (D-Wash.) called the ruling "a big win."
"As this case continues, patients across the country can still go to their trusted Planned Parenthood provider for care using Medicaid," said Alexis McGill Johnson, president and CEO of Planned Parenthood Federation of America. "We will keep fighting this cruel law so that everyone can get birth control, STI testing and treatment, cancer screenings, and other critical healthcare, no matter their insurance."
"Working people deserve leaders who will fight for them, not grovel at the feet of their billionaire donors," said Maurice Mitchell of the Working Families Party, one of the groups involved in the new coalition.
A coalition of dozens of labor groups and other progressive activist organizations has launched a new $50 million initiative to flip the U.S. House of Representatives in 2026 with a coalition of working-class voters.
The political action committee, Battleground Alliance PAC, announced Wednesday that it will seek to flip at least 35 Republican-held districts for Democrats by mobilizing voters angry about the Trump administration's assault on the social safety net and authoritarian attacks on civil liberties.
The groups will target their efforts toward mobilizing voters who have been hit the hardest by the Republican agenda.
"These are parents who will lose healthcare for their kids, families struggling after [Supplemental Nutrition Assistance Program] cuts, seniors not being able to afford their medication, people struggling with higher utility bills, and workers who've watched billionaires get tax breaks while their wages stay flat," the group said Wednesday. "They're not just participating, they're at the center of leading this effort to take back control and make their voices heard at the ballot box next November."
The coalition is attempting to build upon the successes of Battleground New York, which mobilized progressive voters in 2024 to flip back many seats lost to Republicans during the previous cycle. Amid the daily outrages of President Donald Trump's second term, they believe that success can be replicated nationally.
"People are angry for a reason," said Stephanie Porta, campaign manager for the Battleground Alliance. "They've seen their rights stripped, their wages stagnate, their bills skyrocket, their healthcare attacked—and they're done waiting. This isn't about the usual D.C. politics. This is about the majority of Americans saying: enough is enough."
Among the groups taking part in the alliance are the Service Employees International Union (SEIU), Working Families Party, Planned Parenthood Votes, Indivisible, and MoveOn.
The announcement of Battleground Alliance came on the same day that the Congressional Progressive Caucus outlined its major priorities for 2026 in a briefing to reporters.
"Working people in America are getting screwed by corrupt politicians and big corporations that are driving costs up and keeping pay and benefits down," said the caucus's chair, Rep. Greg Casar (D-Texas).
Casar and his colleagues introduced four "task forces" that "go directly at those big problems facing Americans: fighting corruption and corporate greed in order to lower costs and win better pay and benefits."
The Battleground Alliance is taking a similar approach, focusing on the material effects of the Trump agenda on working people.
" GOP members of Congress betrayed their constituents when they voted to kick 17 million Americans off their health care," said Maurice Mitchell, national director of the Working Families Party. "Working people deserve leaders who will fight for them, not grovel at the feet of their billionaire donors. We're ready to organize in districts all across the country to kick out members of Congress who lied to their constituents and voted for this disastrous budget."
The group is planning to pour $1 million into the most competitive districts in the country, targeting Republicans who voted for Trump's massive budget legislation.
Some of the Republican targets it has already singled out include Rep. David Valadao, whose district in California's San Joaquin Valley is majority Latino and has one of the highest Medicaid enrollment rates in the country; and Rep. Ryan Mackenzie, whose Allentown, Pennsylvania district now has 25,000 people at risk of losing food stamps as a result of the law.
"Working people are done watching politicians in Washington hand out favors to the wealthy while our communities struggle to afford care, housing, and food," said April Verrett, president of SEIU. "Through 2026 and beyond, we will continue to organize in places that they've tried to ignore because that's where real change begins."
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.
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.