Abortion-rights advocate Kristin Hady helps a car navigate past protesters toward  A Preferred Women’s Health Center of Atlanta in Forest Park, Georgia, in August 2023. Independent clinics are facing fresh challenges, and at least 23 more closed this year, bringing the total to 100 since the Dobbs decision. (Photo by Ross Williams/Georgia Recorder) 

When Wisconsin Planned Parenthood clinics temporarily paused abortion services in October because of a new law halting federal Medicaid reimbursements, patients turned to the state’s two independent clinics for care. 

Demand at Affiliated Medical Services in Milwaukee quadrupled, according to clinic director Dabbie Phonekeo. 

“It happened all of a sudden. We were all scrambling to figure out what we needed to do and how we were going to accept all patients,” Phonekeo said. 

The staff secured additional funding to meet need before Wisconsin’s Planned Parenthood clinics resumed abortions, adapting under a law that bans certain reproductive health care providers from receiving federal funding until July 2026. 

“This was a reminder of why it’s so important to have independent clinics and abortion access overall,” Phonekeo said. 

At least 23 independent clinics have closed this year, according to a report released Tuesday by Abortion Care Network, compared with 12 last year.

Most were in states with abortion-rights protections, the report found. 

Independent providers face less recognition than Planned Parenthood and ongoing barriers to funding. Donations to abortion clinics and funds have waned, leading to more out-of-pocket costs for patients, States Newsroom reported last year.  

Independent clinics provide 58% of all abortions nationwide, while Planned Parenthood provides 38%, hospitals 3%, and 1% occur at physicians’ offices, according to the latest Abortion Care Network findings. 

Medication abortion, allowed during the first 10 weeks of pregnancy, has been a focus of abortion-rights advocates and opponents this year. But independent clinics are more likely to offer legal procedural abortions after that. 

More than 60% of all U.S. clinics that offer abortion care after the first trimester are independent, 85% that provide abortion at 22 weeks or later are independent, and all clinics that perform the procedure after 26 weeks are independent, according to the report. 

“While both medication and in-clinic abortion are safe and effective, people may need or prefer one method over another,” the report states. “This is especially true for patients for whom it’s not safe or feasible to terminate outside the clinic — including those experiencing intimate partner violence, minors without support at home, people experiencing homelessness, and patients who cannot take time off from work or caretaking.” 

The latest clinic closures come more than three years after the U.S. Supreme Court’s Dobbs v. Jackson Women’s Health Organization decision forced many to cease operations: 100 independent clinics closed between 2022 and 2025. 

Affiliated Medical Services in Wisconsin is one of the few independent abortion providers that was able to reopen after closing the day the nation’s highest court overturned federal abortion rights on June 24, 2022. 

The clinic reopened in March 2024 a few months after a Wisconsin judge ruled that a 19th century abortion ban was invalid, Wisconsin Examiner reported. 

Phonekeo said people were initially hesitant to book appointments at the clinic. 

“Most of our patients that we saw had asked, ‘Is this legal? Am I going to go to jail if I have an abortion today? Can we do this in Wisconsin?’ So I think a lot of patients were still afraid to be seen,” she said. 

Independent clinics could become even more significant to reproductive health care access if lawmakers permanently bar Planned Parenthood from receiving federal resources.  

Some anti-abortion groups have urged the Trump administration to disqualify Planned Parenthood as a federal vendor, States Newsroom reported in November. 

Nearly 50 Planned Parenthood clinics closed this year due to federal health officials’ cuts to Title X and Medicaid. At least 20 closed since a federal “defunding” provision that halts Medicaid funds for reproductive health care providers that offer abortion and received more than $800,000 in fiscal year 2023 took effect, according to a tally released on Nov. 12 by the national organization. 

Some of the clinics that closed did not offer abortion. And under the law, federal funding only covers abortions in extreme circumstances, so the Medicaid reimbursement ban primarily affects patients who go to Planned Parenthood for other services, like birth control, cervical cancer screening and treatment for sexually transmitted infections. 

Some independent clinics offer non-abortion care, too, but many don’t accept Medicaid, clinic directors said at a Wednesday news briefing. 

Amber Gavin is the vice president of advocacy of operations at A Woman’s Choice, an organization that has three clinics in North Carolina and one each in Florida and Virginia. She said staff members at the Charlotte location have seen an uptick in patients seeking STI testing and related services. 

Karishma Oza, chief of staff at DuPont Clinic in Washington, D.C., also said providers there have seen an increase in patients who are uninsured or underinsured since the Medicaid ban, which mostly affects Planned Parenthood, took effect. 

Phonekeo said the Wisconsin clinic hasn’t dealt with more demand for reproductive health care services beyond abortion. Still, Affiliated Medical Services offers birth control pills, IUDs, STI testing and treatment, miscarriage care and even follow-up care for medication abortion provided through online-only clinics such as Hey Jane. 

While all three clinic leaders said they don’t accept Medicaid, they offer sliding-scale payments for people who cannot afford the full cost of care. 

“We’re more than just abortion providers,” Phonekeo said. 

The Bottles and Breastfeeding Equipment Screening Enhancement Act became law on Nov. 25, 2025. The bipartisan legislation aims to strengthen protocols for Transportation Security Administration employees handling breast milk, formula and related items. (Getty Images) 

After years of advocacy efforts, a bipartisan measure became law last week to make travel easier for parents who encounter problems going through airport security with breast milk and formula.

Congress passed a law in 2016 that deemed breast milk, formula and toddler drinks “medically necessary liquids” that can go on planes and in carry-ons in quantities larger than 3.4 ounces, along with ice and gel packs and other related accessories. But airport security officers are not always trained on the policy, and parents continue to face issues nearly a decade later, States Newsroom reported, sometimes experiencing flight delays or being forced to dump milk handled unhygienically. 

Three years ago, after a bad experience in an airport, engineer and science TV host Emily Calandrelli called on Congress to make the Transportation Security Administration enforce its own breast milk policy. She’s championed the legislation alongside lobbying groups like Chamber of Mothers, founded by working moms in 2021. 

The group’s cofounder and CEO Erin Erenberg said in a statement that the measure’s passage was “a victory for every parent who has been mistreated or dismissed while simply caring for their baby.”

The Bottles and Breastfeeding Equipment Screening Enhancement Act was approved unanimously in both chambers of Congress this year. It ensures that TSA streamlines standards and requires officers to follow protocol when screening passengers who are breastfeeding and carrying milk, formula or juice on planes for their babies. Within 90 days of the bill being signed by President Donald Trump on Nov. 25 — and then every five years after that — the agency must issue or update guidance to minimize the risk of contamination.

“I’m thrilled to say that the BABES Act is officially the law of the land,” said Democratic Rep. Eric Swalwell of California in a statement Monday. “As a husband and father, I know how challenging it can be to fly with a newborn. … This is about dignity, peace of mind, and protecting families at one of the most vulnerable moments of parenthood.”

“This bill guarantees clear rules, proper training, and full transparency so parents can travel knowing their baby food will be protected, not mishandled or thrown away,” said Republican Florida Rep. Maria Salazar in a statement. 

Under the measure, TSA agents must maintain hygiene standards when handling breast milk, formula and related items — ice packs or other cooling devices, for example — to lessen the chance of contamination. The law also directs the Department of Homeland Security Office of Inspector General to audit TSA compliance with the law and submit a report to Congress within one year of enactment.

Salazar cosponsored the bill in the House alongside GOP Florida Rep. Anna Paulina Luna and Democratic Reps. Swalwell and Brittany Pettersen of Colorado. 

“Like so many moms, I’ve experienced the frustration of having to throw out milk or pumping supplies, despite them being TSA-approved. Outdated regulations or lack of training shouldn’t add to an already stressful situation,” Pettersen said in a statement. 

The Senate passed the bill with unanimous approval in May. GOP Sens. Ted Cruz of Texas and Steve Daines of Montana carried the bill in the upper chamber along with Democratic Sens. Mazie Hirono of Hawaii and Tammy Duckworth of Illinois. 

“Our bipartisan legislation will ensure the TSA keeps its employees up to speed on their own policies and updates those policies as necessary. It’s the least we can do to help parents travel through airports with the dignity and respect they deserve,” Duckworth said in a statement. 

This year is the first time the bill advanced in both chambers despite being introduced several times in previous sessions. 

During his testimony before the bill’s passage in the House on Nov. 17, Swalwell thanked Calandrelli for speaking out about her experience of being forced to check her ice packs and being questioned for needing breastfeeding supplies while traveling without an infant. 

“It is a success story for anybody who believes that they can write to their legislator and see a change in the laws that govern us,” Swalwell said.

Calendrelli said the same thing to her followers on Facebook.

“But now, 3.5 years later — we turned a terrible experience into a Bill that will become a law. That humiliation to legislation pipeline, amirite?”