Go to Content Go to Navigation Go to Navigation Go to Site Search Homepage

A new study shows the real-world consequences of losing access to care at Planned Parenthood for women in Texas, where politicians have blocked that access. 

First, a short history: About a decade ago, Planned Parenthood was part of a program in Texas that helped thousands of women a year get reproductive health care. The program had great results.

But in 2013, anti-abortion legislators in Texas cut Planned Parenthood out of its public family planning program for low-income women — ignoring the fact that its health centers offer lifesaving preventive services, like cancer screenings and birth control. Planned Parenthood had been the largest single provider in the Texas Women’s Health Program, providing about 40% of services. What happened next? According to research published Feb. 3 by the Texas Policy Evaluation Project, fewer women got their birth control, and more women got pregnant.

Newsflash: Taking Away Birth Control Means More Ladies Get Pregnant

When Texas blocked patients from services at Planned Parenthood, there was a decrease in women accessing the most effective forms of birth control, and an increase in births among women who previously had access to  the birth control shot — a situation that researchers attribute to the state’s ban on Planned Parenthood.


Researchers drew their data from before and after Planned Parenthood was barred from the Texas Women’s Health Program, which serves low income women.  Prior to the ban, Planned Parenthood had been the largest single provider in the program. Here’s the gist:

  • The ban on Planned Parenthood forced women to change providers — and one in five of these women missed a dose of their long-acting birth control.

  • Delivery of the most effective reversible methods of contraception — including IUDs, implants, and the birth control shot — decreased.

    • There was a whopping 35% decline in the number of women using long-acting, reversible contraception.

    • For women taking the birth control shot — which must be administered every three months — delays in care effectively cut off access to it, and 31% fewer women continued with it.

  • Patients who had been using the birth control shot before losing access to care at Planned Parenthood had a dramatic 27% spike in the rate of pregnancy covered by Medicaid.

Women across the board reported difficulty making appointments at reproductive health providers and paying for care — consequences that are even more devastating for low-income women and women living in rural areas. In fact, there were more pregnancies in Texas counties that blocked access to Planned Parenthood.

Anti-Planned Parenthood Politicians Have Their Taxpayer Talking Points All Wrong

Politicians working from an anti-abortion and anti-Planned Parenthood agenda have railed against the taxpayer dollars that “go” to Planned Parenthood. They make it sound like the government collects taxes, puts them in a big check, and sends it to Planned Parenthood. That couldn’t be further from the truth. The truth is that there is no line-item in the federal budget for Planned Parenthood. Rather, its health centers get government money through Medicaid reimbursements and patients who depend on public funds — just like any other health care provider.

But backward politicians don’t stop there. Have you ever heard them rail against poor women who have unintended pregnancies and use public services to help raise their children? It’s a despicable line of illogic, and it makes politicians’ hypocrisy on taxes that much more infuriating.

In more tax-dollar doublespeak, Texas lawmakers had the state give up hundreds of millions in federal Medicaid funds when they kicked Planned Parenthood out of its public family planning program. Under governor Rick Perry, the state forfeited the $9-to-$1 match in federal Medicaid dollars for women’s health with the sole purpose of excluding abortion providers from the state women’s health program. Experts predicted a rise in Medicaid costs, and Texas taxpayers are now paying those extra costs.

Who is really paying the price when it comes to “defunding” Planned Parenthood? Low-income women, who end up not getting the care they need when politicians block their access. But don’t take it from us. Take it from the researchers of the study:

"...our analyses suggest that the exclusion of Planned Parenthood affiliates from the Texas Women's Health Program had an adverse effect on low-income women in Texas by reducing the provision of highly effective methods of contraception, interrupting contraceptive continuation, and increasing the rate of childbirth covered by Medicaid."

Politicians Trying to Shut Down Planned Parenthood Tell Women to Just Go to the Dentist. Seriously.

Out-of-touch politicians are claiming that other providers can “absorb” patients who would be left in need of care if other states followed Texas’ lead and tried to block Medicaid patients from Planned Parenthood. Those providers actually don’t exist, and yet these politicians are doubling down on their ridiculous and dangerous claims.  

Texas should be a cautionary tale for politicians in states targeting care at Planned Parenthood. We’re talking about Arkansas, Alabama, New Hampshire, Louisiana, North Carolina and Utah, which have enacted policies to block Planned Parenthood patients from care through public programs — as well as Ohio, which is expected to follow.

In addition to Texas, officials in Ohio and Louisiana have claimed that other providers can meet the need for care without Planned Parenthood. Tragically, that hasn’t been the case:

  • In Ohio, politicians have claimed that Planned Parenthood patients can go to food banks for STD and HIV tests. Planned Parenthood health centers in Ohio currently provide over 47,000 STI tests and over 3,600 HIV tests.

  • In Louisiana, the state went  so far as to claim that dentists, orthopedists, and audiologists could care for the more than 5,200 patients that Planned Parenthood serves through Medicaid each year.

Here’s what we know: Planned Parenthood is a critical and irreplaceable part of the health care infrastructure in this county. There’s a clear political agenda behind these moves against Planned Parenthood: to create a country where women — especially low-income and rural women — have zero access to basic, reproductive health care.

Citing a discredited smear campaign, politicians continue to push their dangerous policies despite public opposition from the women, men and families they are charged to serve.


Stand With Planned Parenthood

Politicians across the country who want to attack women’s health may think they can bully Planned Parenthood out of providing care, but we will not back down. Planned Parenthood health centers will not shut their doors.

If you’re ready to stand with Planned Parenthood, take action today.

Tags: Texas, Ohio, John Kasich, Louisiana, birth control

Is Abortion Still Legal in My State?

Learn about abortion access changes in your state.

Get the Facts

Tell Our Courts: Save Mifepristone!

We should be able to trust our courts to respect science and follow the law. It's time for our leaders to hear us, loud and clear: The attack on mifepristone is a gross injustice that could harm millions of people.

Speak Out Now

Planned Parenthood Action Fund Will NEVER Back Down

Know this: our right to abortion is not debatable. We will rebuild and reclaim the freedom that is ours.


Sign Up for Email

Sign Up

Planned Parenthood cares about your data privacy. We and our third-party vendors use cookies and other tools to collect, store, monitor, and analyze information about your interaction with our site to improve performance, analyze your use of our sites and assist in our marketing efforts. You may opt out of the use of these cookies and other tools at any time by visiting Cookie Settings. By clicking “Allow All Cookies” you consent to our collection and use of such data, and our Terms of Use. For more information, see our Privacy Notice.

Cookie Settings

Planned Parenthood cares about your data privacy. We and our third-party vendors, use cookies, pixels, and other tracking technologies to collect, store, monitor, and process certain information about you when you access and use our services, read our emails, or otherwise engage with us. The information collected might relate to you, your preferences, or your device. We use that information to make the site work, analyze performance and traffic on our website, to provide a more personalized web experience, and assist in our marketing efforts. We also share information with our social media, advertising, and analytics partners. You can change your default settings according to your preference. You cannot opt-out of our Necessary Cookies as they are deployed to ensure the proper functioning of our website (such as prompting the cookie banner and remembering your settings, to log into your account, to redirect you when you log out, etc.). For more information, please see our Privacy Notice.



We use online advertising to promote our mission and help constituents find our services. Marketing pixels help us measure the success of our campaigns.



We use qualitative data to learn about your user experience and improve our products and services.