SALT LAKE CITY — Planned Parenthood clinics in several states are charging new fees, tapping into financial reserves, intensifying fundraising and warning of more unintended pregnancies and sexually transmitted diseases in the wake of its decision to quit a $260 million federal family planning program in a dispute with the Trump administration over abortion.
The fallout is especially intense in Utah, where Planned Parenthood has been the only provider participating in the nearly 50-year-old Title X program, and will now lose about $2 million yearly in federal funds that helped serve 39,000 mostly low-income, uninsured people. It intends to maintain its services — which include contraception, STD testing and cancer screening — but is considering charging a small copay for patients who used to get care for free.
Planned Parenthood in Minnesota is in a similar situation, serving about 90% of the state’s Title X patients, and plans to start charging fees due to the loss of $2.6 million in annual funding.
The organization is concerned about the spread of unintended pregnancies and sexually transmitted diseases.
“We believe there will be a public health crisis created by this denial of care,” said Sarah Stoesz, the Minnesota-based president of Planned Parenthood North Central States. “It’s a very sad day for the country.”
Planned Parenthood and several other providers withdrew from the program earlier this week rather than comply with a newly implemented rule prohibiting participating clinics from referring women for abortions. Anti-abortion activists who form a key part of President Donald Trump’s base have been campaigning to “defund Planned Parenthood” because — among its varied services — it is a major abortion provider, and they viewed the grants as an indirect subsidy.
About 4 million women are served nationwide by the Title X program, which makes up a much bigger portion of Planned Parenthood’s patients than abortion. But the organization said it could not abide by the abortion-referral rules because it says they would make it impossible for doctors to do their jobs.
Mindy Dotson, a single mother in Utah, is among the women who use the family planning program. She started going to Planned Parenthood as doctors’ bills for treating recurring yeast infections mounted. The services became even more important when she gave up her employer-sponsored health insurance because she couldn’t afford the $500 monthly bill. She is unsure what she’d do if the services stopped.