In a May statement, Planned Parenthood North Central States (PPNCS) detailed cost-saving closures, consolidation, and layoffs impacting eight health centers in Iowa and Minnesota, and stressed that "dangerous attacks on care continue."
"My heart hurts as we announce the closure of health centers and the departure of trusted and talented colleagues, but our patients come first—always," said Ruth Richardson, president and CEO of PPNCS. "We have been fighting to hold together an unsustainable infrastructure as the landscape shifts around us and an onslaught of attacks continues."
Since the U.S. Supreme Court empowered abortion opponents by reversing Roe v. Wade with the Dobbs v. Jackson Women's Health Organization decision in 2022, those attacks have included the freezing of Title X funds and Republicans in the U.S. House of Representatives voting last month to advance a reconciliation package that would defund Planned Parenthood.
In response to the House's May vote, Jessica Barquist, Kayla Montgomery, and Lisa Margulies, vice presidents of public affairs at Planned Parenthood of Northern New England (PPNNE), said, "To be clear, 'defunding' Planned Parenthood and taking away health insurance from millions will do nothing to lower healthcare costs, address challenges in our healthcare system, or save lives."
"Taking healthcare away from people struggling to deal with rising costs and preventing people from using their health insurance at their trusted provider is cruel," they continued. "We know what happens when people lose access to care: they skip cancer screenings, delay STI testing, miss birth control appointments. These delays lead to worsened health outcomes and more costly emergency care down the line."
In addition to warning of "catastrophic" consequences for patients, the trio highlighted that "analysis from the Congressional Budget Office finds 'defunding' Planned Parenthood would cost $300 million and is the only provision in the healthcare portion of the bill that would increase the deficit."
PPNNE in April announced the closure of a Vermont health center, citing "serious financial hardship." Nicole Clegg, president and CEO of the regional group, said at the time that the decision was "very difficult" and "PPNNE attempted many different investments and organizational changes to tackle the complexities of delivering care in St. Johnsbury, but the challenges persisted."
That same month, Planned Parenthood Association of Utah (PPAU) said that it had to restructure due to the Trump administration's attacks, "including the recent withholding of $2.8 million in Title X funding."
"The painful decisions to close Logan and St. George health centers, reduce PPAU's staff, and increase service fees are forced on us by the Trump administration," declared PPAU interim CEO Sarah Stoesz. "We believe that by consolidating our healthcare delivery and expanding telehealth, we will be in a better position to continue serving those who rely on us for healthcare."
Planned Parenthood of Michigan (PPMI) also revealed in April that it "is reducing its brick-and-mortar footprint and reorganizing operations statewide," which includes closing three health centers in Jackson, Petoskey, and Marquette; consolidating two clinics in Ann Arbor; and expanding its telehealth offerings.
PPMI president and CEO Paula Thornton Greear said at the time that "the Trump administration and its anti-abortion allies have made clear their intention to defund Planned Parenthood and attack access to sexual and reproductive healthcare nationwide," and "these necessary changes strengthen PPMI's ability to adapt quickly in a challenging political landscape."
The Guardian noted that PPMI "was not among the Planned Parenthood affiliates that saw their Title X funding frozen," and "did not immediately respond to a request for comment about the clinic closures and the role of Title X in those closures."
According to the newspaper:
Planned Parenthood’s financial woes have raised eyebrows for some advocates of abortion rights and reproductive health. The organization has weathered several crises, including allegations of mismanagement, in the years since Roe collapsed—but as the face of U.S. abortion access it continued to rake in donations. (Most abortions in the US are in fact performed by small "independent" clinics, which are grappling with their own financial turmoil.) As of June 2023, the Planned Parenthood network had about $3 billion in assets, according to its 2024 report.
In March, Planned Parenthood of Greater New York (PPGNY) announced it would put its property that houses the Manhattan Health Center up for sale as part of an "ongoing strategy to ensure future, long-term patient access for underserved communities throughout New York state."
Just two days after U.S. President Donald Trump returned to office in January—following a campaign in which the Republican tried to downplay how much voters care about reproductive rights while also bragging about his role in reversing Roe—Planned Parenthood of Illinois (PPIL) said it would close four health centers, downsize administrative staff, and boost telehealth.
Illinois, a blue state surrounded by red ones, saw an influx of "abortion refugees" post-Dobbs. PPIL interim president and CEO Tonya Tucker said in January that "we made plans for the patient surge, however, rising care costs and lower reimbursement rates from insurers is jeopardizing PPIL's sustainability."
"Unfortunately, this is the reality many other Planned Parenthood affiliates are facing in the rapidly evolving healthcare environment," Tucker added. "We are making the difficult decisions today so we can continue providing care tomorrow and well into the future."
Other recent reporting has also highlighted how reproductive healthcare providers, particularly those that offer abortion, are struggling to stay open, even in places where politicians haven't passed laws that make it harder to end pregnancies.
"At least 17 clinics closed last year in states where abortion remains legal," NPR reported last month, citing the Guttmacher Institute. "Experts say the closures indicate that financial and operational challenges, rather than future legal bans, may be the biggest threats to abortion access in states whose laws still protect it."
