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Senate Democrats’ Report Links Medicaid Cutoff to 23 Clinic Closures and Sharp Drop in Preventive Care

The one-year Medicaid cutoff expires July 4, 2026, with Republicans pushing to make it permanent.

Overview

  • New data from Planned Parenthood affiliates show steep declines in late 2025, including a 25% drop in December breast exam visits, a 20% fall in November birth control pill visits, and IUD/LARC visits down 41% in November and 36% in December.
  • Since the July 2025 law took effect, 23 Planned Parenthood health centers have closed, with affiliates reporting reduced access to primary and reproductive care and rising costs for patients.
  • A federal appeals court in December overturned a preliminary injunction, allowing the Medicaid reimbursement cutoff to proceed; Planned Parenthood then moved in January to dismiss its lawsuit.
  • At least eleven Democratic-led states moved to backfill funding, according to KFF, yet those efforts have not fully offset service losses or prevented closures.
  • The provision withholds Medicaid reimbursement from large nonprofit providers that also offer abortions, affecting Planned Parenthood as well as Maine Family Planning and Health Imperatives, and Republicans are weighing a permanent extension in future reconciliation efforts.