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.”
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