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. 

Reading Time: 3 minutes

Planned Parenthood of Wisconsin resumed scheduling abortions on Monday after a nearly monthlong pause due to federal Medicaid funding cuts in President Donald Trump’s tax and spending bill that took effect at the beginning of October.

Planned Parenthood of Wisconsin said it was able to resume scheduling abortions as of noon on Monday because it no longer fits the definition of a “prohibited entity” under the new federal law that took effect this month and can receive Medicaid funds.

The organization said it dropped its designation as an “essential community provider” as defined under the Affordable Care Act. Dropping the designation will not result in changes to the cost for abortions or other services or affect the organization’s funding, Planned Parenthood of Wisconsin President and CEO Tanya Atkinson said.

“At this point, in all of our research and analysis, we really shouldn’t see much of an impact on patient access,” she said. “If relinquishing this does ultimately impact our bottom line, then we will have to understand what that path forward is.”

A national fight over abortion funding

Abortion funding has been under attack across the U.S., particularly for affiliates of Planned Parenthood, the biggest provider. The abortion landscape has shifted frequently since the U.S. Supreme Court ruling in 2022 that allowed states to ban abortion. Currently, 12 states do not allow it at any stage of pregnancy, with limited exceptions, and four more ban it after about six weeks’ gestation.

Planned Parenthood has warned that about half its clinics that provide abortion could be closed nationwide due to the ban in the new federal law on Medicaid funding for Planned Parenthood for services other than abortion.

Wisconsin, where abortion is legal but the Republican-controlled Legislature has passed numerous laws limiting access, was the only state where Planned Parenthood paused all abortions because of the new federal law, Atkinson said.

Because of the complexities and varieties of state abortion laws, Planned Parenthood affiliates are responding to the new federal law in a variety of ways, Atkinson said. In Arizona, for example, Planned Parenthood stopped accepting Medicaid but continued to provide abortions.

The move in Wisconsin is “clearly aimed at sidestepping” the federal law, Wisconsin Right to Life said.

“Planned Parenthood’s abortion-first business model underscores why taxpayer funding should never support organizations that make abortion a priority,” said Heather Weininger, executive director of Wisconsin Right to Life. “Women in difficult circumstances deserve compassionate, life-affirming care — the kind of support the pro-life movement is committed to offering.”

Impact on Wisconsin abortion clinics

In Wisconsin, pausing abortions for the past 26 days meant that women who would normally go to clinics in the southeastern corner of the state instead had to look for other options, including traveling to Chicago, which is within a three-hour drive of the Planned Parenthood facilities.

Affiliated Medical Services and Care for All also provide abortions at clinics in Milwaukee.

Atkinson said it was “really, really difficult to say” how many women were affected by the pause in services. She did not have numbers on how many women who wanted to have an abortion since the pause went into effect had to seek services elsewhere.

Planned Parenthood of Wisconsin serves about 50,000 people, and about 60% of them are covered by Medicaid, the organization said.

Given those numbers, the priority was on finding a way to continue receiving Medicaid funding and dropping the “essential community provider” status, Atkinson said.

Wisconsin is part of a multistate federal lawsuit challenging the provision in the law. A federal appeals court in September said the government could halt the payments while a court challenge to the provision moves ahead.

Ramifications for Medicaid

Planned Parenthood of Wisconsin cited a Sept. 29 court filing on behalf of U.S. Health and Human Services that said family planning organizations could continue billing Medicaid if they gave up either their tax-exempt status or the “essential community provider” designation.

By giving up that designation, it no longer fits the definition of “prohibited entity” under the federal law and can continue to receive federal Medicaid funds, the organization said. Planned Parenthood of Wisconsin is not giving up its tax-exempt status.

The “essential community provider” designation was originally given to organizations to help make it easier for them to be considered in-network for billing with private health insurers, Planned Parenthood said.

Atkinson called it a “nuanced provision” of the law and she does not anticipate that giving it up will affect Planned Parenthood’s ability to continue providing abortions and other services.

Planned Parenthood provides a wide range of services including cancer screenings and sexually transmitted infection testing and treatment. Federal Medicaid money was already not paying for abortion, but affiliates relied on Medicaid to stay afloat. Services other than abortion are expected to expand in light of the new law.

Planned Parenthood performed 3,727 abortions in Wisconsin between Oct. 1, 2023, and Sept. 30, 2024, the group said.

Wisconsin Watch is a nonprofit and nonpartisan newsroom. Subscribe to our newsletters to get our investigative stories and Friday news roundup. This story is published in partnership with The Associated Press.

Planned Parenthood of Wisconsin resumes offering abortions after a nearly monthlong pause is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

Reading Time: 3 minutes

Planned Parenthood of Wisconsin will stop scheduling patients for abortions starting next week as it works to find a way to provide the service in the face of Medicaid funding cuts in President Donald Trump’s tax and spending bill, the nonprofit said Thursday.

Abortion funding across the U.S. has been under siege, particularly Planned Parenthood affiliates, which are the biggest provider. Wisconsin appears to be the first state where Planned Parenthood is pausing abortions because of the new law.

The organization warned earlier this year that about half its clinics that provide abortion could be closed as a result of a ban on Medicaid funding for Planned Parenthood for services other than abortion.

The measure was part of the tax and spending law President Donald Trump signed in July. Initially, a judge said reimbursements must continue, but a federal appeals court this month said the government could halt the payments while a court challenge to the provision moves ahead.

Planned Parenthood services include cancer screenings and sexually transmitted infection testing and treatment. Federal Medicaid money was already not paying for abortion, but affiliates relied on Medicaid to stay afloat.

The remaining Planned Parenthood clinics in Louisiana – where abortion is banned – are scheduled to shut down at the end of this month.

Planned Parenthood of Wisconsin said in a statement that it is trying to see as many patients as possible between now and Tuesday. The federal law takes effect Wednesday. It is not scheduling patients beyond that date, and the organization believes the move will allow it to continue seeing other Medicaid patients. The organization said it was working with providers across the state to make sure patients are referred quickly and receive timely care.

It is also considering taking legal action, the group said.

“Planned Parenthood of Wisconsin will continue to provide the full spectrum of reproductive health care, including abortion, as soon and as we are able to,” Planned Parenthood of Wisconsin President and CEO Tanya Atkinson said in the statement. “In the meantime, we are pursuing every available option through the courts, through operations, and civic engagement.”

The abortion landscape has been shifting frequently since the U.S. Supreme Court ruling in 2022 that allowed states to ban abortion. Currently, 12 states do not allow it at any stage of pregnancy, with limited exceptions, and four more ban it after about six weeks’ gestation.

The bans have resulted in more women traveling for abortion and an increased reliance on abortion pills. Prescribers in states where they’re allowed have been shipping the pills to places where abortion is banned, a practice that is facing some legal challenges and is expected to attract more.

The Wisconsin Supreme Court in July struck down the state’s 1849 near-total ban on abortion, saying it was superseded by newer state laws regulating the procedure. The same day it ruled in that case, the court dismissed a lawsuit filed by Planned Parenthood of Wisconsin asking it to find the law unconstitutional.

Wisconsin’s abortion ban was in effect until 1973, when the U.S. Supreme Court’s landmark Roe v. Wade decision legalizing abortion nationwide nullified it. Legislators never officially repealed it, however, and conservatives argued that the U.S. Supreme Court’s ruling that overturned Roe reactivated it.

Planned Parenthood of Wisconsin stopped providing abortions after that ruling for 15 months before resuming them as the lawsuit over the state law played out. It has been providing abortions at three clinics in Wisconsin for the past two years.

Planned Parenthood of Wisconsin serves about 50,000 people across the state. About 60% of them are covered by Medicaid, the organization said.

The federal Hyde Amendment already restricts government funding for most abortions, and less than 5% of the services Planned Parenthood provides are abortions, according to the organization’s 2023 annual report.

Planned Parenthood provides a wide range of services besides abortion. Its most recent annual report shows that contraceptive services and testing and treatment for sexually transmitted infections make up the vast majority of its medical care. It performs more cancer screening and prevention procedures than abortions, according to the report.

Mulvihill reported from Cherry Hill, New Jersey. Associated Press reporter Christine Fernando in Chicago contributed.

Wisconsin Watch is a nonprofit and nonpartisan newsroom. Subscribe to our newsletters to get our investigative stories and Friday news roundup. This story is published in partnership with The Associated Press.

Planned Parenthood of Wisconsin to pause abortions amid federal Medicaid funding cut is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.