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The Wall Street Publication > Blog > Politics > The feds are reducing funding for Deliberate Parenthood, following a playbook that started in Texas
Politics

The feds are reducing funding for Deliberate Parenthood, following a playbook that started in Texas

Editorial Board Published October 20, 2025
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The feds are reducing funding for Deliberate Parenthood, following a playbook that started in Texas
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Texas’ Deliberate Parenthood has misplaced half its clinics, however they proceed to see 1000’s of sufferers a yr.

By Lindsey Byman, The Texas Tribune

On Sept. 30, Deliberate Parenthood’s Gulf Coast department in Houston, which ran the group’s largest clinic within the nation, shuttered after it was acquired by one other affiliate.

Anti-abortion teams celebrated this shutdown, saying they had been one step nearer to pushing the well being care supplier from the state and, ultimately, the nation.

Officers with Deliberate Parenthood Gulf Coast mentioned the transfer — which concerned closing down two Houston clinics and passing 4 others to Deliberate Parenthood Higher Texas — was a method to stay in Texas.

“It’s about consolidating resources to meet the moment and continue care where it’s needed most,” mentioned Melaney Linton, who ran the Gulf Coast operation, in a press release to The Texas Tribune. Final yr, Deliberate Parenthood Gulf Coast reported a $6 million web loss.

Over greater than a decade of the Texas Legislature booting Deliberate Parenthood from numerous funding packages, the group has slashed its variety of clinics by greater than half, merged associates and unveiled on-line companies. In Texas, Deliberate Parenthood now operates 29 clinics plus telehealth.

With no entry to public funding presently, the state’s associates lean on donors, their dad or mum group and personal insurance coverage.

This yr, the federal authorities took a word from Texas’ playbook and barred Deliberate Parenthood associates nationwide from accessing Medicaid reimbursements. The Deliberate Parenthood Federation of America mentioned it may need to shutter almost 200 well being facilities consequently — virtually two-thirds of its clinics.

“Planned Parenthood has already been defunded in Texas. We’ve already done it,” mentioned Amy O’Donnell of Texas Alliance for Life. “We applaud the federal government and the Trump administration for going after that at a federal level.”

Earlier than Texas minimize off Deliberate Parenthood from most of its Medicaid funding in 2013, Deliberate Parenthood’s associates supplied reproductive care, together with contraception and testing and therapy for sexually transmitted infections, to simply underneath 50,000 sufferers in one of many state’s government-subsidized ladies’s well being packages — about 40%.

Deliberate Parenthood usually lands in political crosshairs as a result of it’s related to abortion care, which anti-abortion teams say is the nonprofit’s precedence and the supplier group denies.

After reducing ties with Deliberate Parenthood, the Texas Legislature has funneled cash right into a patchwork of packages that distribute state and federal funds for girls’s well being: Wholesome Texas Ladies, the Household Planning Program and the Breast and Cervical Most cancers Companies program.

These packages served 290,000 ladies in 2023, whereas Texas’ remaining two Deliberate Parenthood associates — Higher Texas, which runs clinics from Houston to Lubbock, and South Texas with clinics in San Antonio and the Rio Grande Valley — noticed greater than 130,000 sufferers that yr.

Anti-abortion advocates say Texas’ companies render Deliberate Parenthood out of date. Whereas enrollment in these packages stays excessive, some reproductive rights researchers say Texas’ makes an attempt to rework its packages with out the distinguished supplier have lowered entry to take care of low-income Texans, significantly amongst medically underserved communities. They are saying Texas nonetheless wants the nonprofit supply of reproductive care.

“Other health care providers in the area just were not able to step in and serve the Planned Parenthood patients who lost access to Planned Parenthood as a health care provider,” mentioned Kari White, govt and scientific director of Texas-based Resound Analysis for Reproductive Well being, which examines insurance policies that have an effect on reproductive autonomy. “It may be that we see something similar happen in other communities across the country.”


Deliberate Parenthood’s Houston location June 25, 2022. On Sept. 30, 2025, Deliberate Parenthood’s Gulf Coast department in Houston, which ran the group’s largest clinic within the nation, shuttered to merge with one other affiliate.

Texas’ Deliberate Parenthood has repeatedly consolidated

The start of the tip of presidency funding for Texas’ Deliberate Parenthood might be traced again to 2011. The Texas Legislature dealt the associates a serious blow by reducing the state’s household planning finances by two thirds. Specialised household planning suppliers, together with Deliberate Parenthood, had been positioned on the backside of the remaining funding.

Of the 82 household planning clinics that closed the subsequent yr, a couple of third had been Deliberate Parenthood.

“That was the first big, significant loss of funding for Planned Parenthood health centers,” mentioned Sarah Wheat of Deliberate Parenthood Higher Texas, which operates 22 clinics within the state.

Additionally that yr got here one other crippling minimize. Texas misplaced roughly $30 million in annual federal funding as a result of officers tried to exclude Deliberate Parenthood and different well being suppliers whose companies embody abortion from federal Medicaid cash. After the Obama administration rejected the request and Texas pulled out of the federal program, Texas created its personal sponsored ladies’s well being program and minimize off Deliberate Parenthood beginning in 2013.

Over the subsequent few years, Texas continued to whittle away at Deliberate Parenthood’s funding, denying the clinics of all Medicaid reimbursements, whatever the program a affected person needed to make use of, in 2021.

And at last this yr, the Trump administration pinched off what authorities funding is left for Texas Deliberate Parenthoods, rescinding greater than $2 million that they had received from Title X federal grants for household planning and preventive well being companies.

For the reason that state first restricted its funding, Deliberate Parenthood’s eight branches and no less than 66 clinics have shrunk to 2 associates and 29 clinics, concentrated in city hubs.

Huge areas haven’t any reproductive care suppliers, and a few counties have fewer than ten after funding cuts shuttered Deliberate Parenthood and different ladies’s well being facilities. Deliberate Parenthood clinics are a part of the “safety net” for reproductive care, significantly for uninsured Texans, Wheat mentioned.

Sarah Wheat, chief external affairs officer for Planned Parenthood Greater Texas, poses for a portrait in Austin on Oct. 1, 2025.
Sarah Wheat, chief exterior affairs officer for Deliberate Parenthood Higher Texas.

Wheat’s Higher Texas fashioned in a 2012 merger of three arms and now primarily serves Austin, Dallas-Fort Price and Houston. Associates which have closed and merged with others embody Lubbock, West Texas, Hidalgo County and — as of this month — Gulf Coast.

To make up for the lack of Deliberate Parenthood clinics in these areas, Texas’ two associates launched telemedicine in 2018 and 2020 to supply companies together with contraception, clinician consultations and gender affirming hormones. In 2023, Higher Texas carried out 14% of its appointments on-line.

“In a smaller community, you’re going to be seeing fewer patients, just by nature,” Wheat mentioned. “We cannot financially operate every health center that we would like to, and so then it really requires taking a hard look at, well, where can we serve the most patients?”

Entry to care after Deliberate Parenthood defunding

When Texas eliminated Deliberate Parenthood from its ladies’s well being packages, lots of the nonprofit’s low-income sufferers needed to discover a new supplier.

Anti-abortion advocates say Texans haven’t been harmed by the lack of Deliberate Parenthood due to the state’s heavy funding in its three sponsored well being packages.

Since 2021, these packages have served round 315,000 shoppers every year — about the identical quantity as Texas’ state and federally funded reproductive care packages noticed in 2010, earlier than gutting its household planning finances and asking to take away Deliberate Parenthood from the federal funding program. Texas allotted greater than $460 million to its ladies’s well being packages for 2026-27.

“We don’t need Planned Parenthood in Texas to offer true health care for women; we’ve got that covered through what’s been appropriated in our state through the Healthy Texas Women program,” mentioned O’Donnell of Texas Alliance for Life. “That’s not to say that we can’t do more.”

Wholesome Texas Ladies and the state-funded Household Planning Program provide reimbursement for a similar companies Deliberate Parenthood supplies. Whereas sufferers can entry that care on the 3,000 suppliers in these packages, the sizable chunk who used to hunt reproductive care at Deliberate Parenthood have needed to go elsewhere, mentioned White of Resound Analysis. Mixed with the closure of many Deliberate Parenthood clinics, the end result has been much less entry to reproductive care.

Informed consent forms at Planned Parenthood in Austin, Texas on Oct. 1, 2025.
Knowledgeable consent types at Deliberate Parenthood in Austin, Texas on Oct. 1, 2025.

Greater than a decade after Texas’ first jab at Deliberate Parenthood’s funding, the proportion of these enrolled in Wholesome Texas Ladies who bought care by it dropped to 59% from 90%, in response to a report from Each Texan, a nonprofit analysis group. Contraceptive use was particularly arduous hit, with a lower in use by enrollees of greater than half.

“The funding that is available for women’s health services in Texas and family planning services has just not been enough to meet the demand,” White mentioned.

In 2020, the Trump administration reinstated Medicaid funding for Texas’ main well being program for low-income ladies, now known as Wholesome Texas Ladies, regardless of it nonetheless excluding Deliberate Parenthood.

The transfer expanded the applying from two pages to 13 and precipitated this system’s charges of approval to plummet, in response to a research that surveyed 600 sufferers who had been eligible for Wholesome Texas Ladies. The Medicaid program denied virtually half of its candidates that yr, leaving some ready as much as 90 days for a choice, in response to reporting from The Nation.

Such “repeated and dramatic” upheavals to Texas’ reproductive well being packages have lowered entry to care, particularly amongst underserved populations, White mentioned. Her analysis has proven that different suppliers can’t fill the hole left by Deliberate Parenthood, White mentioned.

This yr, the state aimed to patch up the holes in reproductive care entry by growing the ladies’s well being finances by $13 million and including a brand new provision to shorten the applying for Wholesome Texas Ladies. White mentioned the elevated funding and shorter software could assist extra Texans entry care.

Planned Parenthood in Austin, Texas on Oct. 1, 2025.
Deliberate Parenthood in Austin, Texas.

“I think that there are a lot of lessons to be learned from the Texas experience,” White mentioned. “Despite all of these efforts by the state to exclude Planned Parenthood from a diverse set of funding sources, there are still Planned Parenthood health centers that are here providing care to people in Texas.”

How Deliberate Parenthood in Texas is surviving

Texas’ Deliberate Parenthood associates have altered their companies, administrative buildings and funding sources, however they haven’t any plans to vary their title.

A few of the nonprofit’s associates rebranded in 2012 after the nationwide federation mandated that they supply abortion if they’re in a state the place it’s permitted. However Wheat and Laura Terrill of Deliberate Parenthood South Texas intention to maintain the Deliberate Parenthood model. The group’s nationwide federation gives associates title recognition, grant alternatives, pointers, technical assist and advocacy, they mentioned. 

In Texas, and now federally, laws barring Deliberate Parenthood operations from Medicaid reimbursement has cited their affiliation with abortion suppliers. Texas’ Deliberate Parenthoods stopped offering abortions earlier than the Dobbs v. Jackson Ladies’s Well being resolution allowed the state’s abortion ban to take impact.

Texas’ Deliberate Parenthood clinics now join sufferers with info for getting out-of-state abortions.

“The concept of controversy, I mean, it’s been part of Planned Parenthood since day one,” Wheat mentioned. “That is not new to have politicians dictating what choices and what resources and what health care women receive … today, it just looks different.”

Final yr, the Deliberate Parenthood Federation of America gave $2.36 million and $1.66 million in grants to its Higher Texas and South Texas associates, respectively, in response to the federation’s tax filings. Texas’ Deliberate Parenthoods have boosted advertising and marketing to insured sufferers, they usually’ve drawn on non-public funds to proceed providing sponsored and free care.

Final yr, the South Texas department supplied greater than $2 million in monetary help, and it launched a voucher program at no cost companies, like contraception and STI testing and therapy.

It’s the affiliate’s most up-to-date maneuver to maintain offering Texans sponsored care, even with out state or federal assist.

“We’re fond of saying that we’re here for good, and we mean that as a double entendre,” Terrill mentioned. “We’re here for good to provide good services and the wellness that people need, and the permanency of that is also very much intended.”

TAGGED:begancuttingFedsfundingParenthoodplannedPlaybookTexas
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