Filling in Medicaid Gap: State Responses to Planned Parenthood

In a policy action long sought after ​by abortion opponents, teh federal government now has codified a ban on Medicaid funds that support care provided at Planned Parenthood clinics and other locations. Section 71113 ⁢of the 2025 Federal Budget Reconciliation Law, prevents Medicaid payments to certain reproductive health care entities that provide abortion care for one year ‌from the date of enactment. This ban includes ⁢all services including contraceptive care, preventive care, and other services, not only abortion. Based on the criteria in the law, three entities, Planned Parenthood affiliates, Maine Family Planning and⁢ Health Imperatives have been blocked from receiving federal ‍Medicaid revenue. A handful of states,​ though, have announced thay will‍ fill in current gaps ​created by losses in‍ federal funding to support ‍access to‌ care for their​ residents. These funds will enable providers to keep serving⁤ enrollees they care for in these states to differing degrees, but ​in the remaining states, the loss ​of Medicaid ⁢revenues will greatly limit their ability to continue to see medicaid patients. This brief⁢ reviews the status of state commitments to funding⁢ reproductive health care providers⁤ affected by Section 71113 to date.

While there‍ is ongoing litigation challenging Section 71113, the ​provision is currently ⁤in effect but a final decision on the merits of these cases might come after July 2026, when the one-year funding ban is no longer in effect. After the enforcement of Section ⁢71113 became effective for Planned Parenthood ⁣in September 2025, some Planned Parenthood affiliates offered services to Medicaid beneficiaries on⁤ a free or reduced-fee basis, allowing patients to‌ continue receiving care regardless of⁣ their ability to ‍pay.Though, federal Medicaid funds are not flowing into the clinics, and only a⁣ handful of‌ states have stepped in to provide funding to support care. In September 2025, Planned Parenthood said they covered the costs of care provided to most of their patients who use Medicaid – an estimated $45 ⁤million in care. However, the ​organization stated that these efforts are

Medicaid⁤ Enrollees Who Receive Care at Planned Parenthood Health ​Centers

Due to Planned ⁣Parenthood’s large role in ​providing family planning‍ services to Medicaid enrollees,⁤ some states have committed to filling in gaps created by losses in federal revenues. In response to proposed budget cuts facing ⁣Planned Parenthood, eleven states⁢ (CA, ⁤CO, CT, IL, MA,‌ ME, NJ, NM, NY, OR, WA) have ⁤allocated millions in funding to Planned Parenthoods to maintain⁤ access to care‍ for their enrollees. All eleven of these states are also plaintiffs in a lawsuit⁣ challenging ⁢Section 71113. State responses have ‌ranged from ‍agreeing to ⁤cover the full cost of medicaid services to allocating a specific amount of ‍money for the year.

california

On October 23, 2025, California Governor​ Newsom announced a plan to allocate over $140 million in state funds ⁣to assist Planned Parenthood health centers due to losses in federal funding caused ​by ​Section 71113. California has over‍ 7 ‍planned Parenthood affiliates who maintain over 100 health centers. At California Planned Parenthoods, over 80% of patients ​rely on public health insurance such as medi-Cal and the Family Planning, Access, care and Treatment Program (FPACT). KFF estimates that in 2023, 47% of⁤ California⁢ female Medicaid recipients who received their last contraceptive visit of 2023 whent to a planned Parenthood clinic for ⁣that care.

Colorado

in August 2025, Colorado Governor Polis signed legislation (Senate Bill 25B-2) which does not appropriate ​a⁤ specified dollar⁢ amount to Planned parenthood but instead asserts that Colorado will reimburse an organization designated as a “prohibited entity” under the 2025 Federal Budget Reconciliation Law⁤ using state funds. This guarantees state funding for Planned Parenthood ​clinics in Colorado providing care to Medicaid enrollees without placing a specific ⁢dollar amount on the allocation.

Connecticut

On December 18, 2025, Governor Lamont announced an allocation of $8.5 million‍ to Planned Parenthood of Southern New⁣ England to make up for lost federal ⁤reimbursement‌ for the per

In January 2025, Washington Governor Jay Inslee announced the state would⁣ provide​ funding to cover any potential loss of federal Medicaid funds for Planned Parenthood, following actions taken by the federal‌ government.

Governor Jay Inslee⁢ and Washington State’s Commitment to Reproductive Healthcare

Washington ‌state, under Governor‌ Jay Inslee, committed to ensuring continued ‍access to reproductive‍ healthcare⁤ services provided by Planned Parenthood, even in the face of potential federal funding cuts. ⁢This commitment was made in January 2025.

The state’s action was a direct response to‌ concerns that Planned Parenthood would become ineligible for federal Medicaid funding.‌ Governor⁣ Inslee’s office​ stated the state would “cover any gap”⁢ in funding to maintain services for⁢ Washington‌ residents.

For example, Governor Inslee’s January‌ 9,2025 press release explicitly stated Washington’s dedication to protecting access to care,regardless of federal actions.

Federal Actions and Potential ⁢Funding Cuts

The specific federal actions prompting‌ Governor Inslee’s announcement ​involved attempts to restrict Planned Parenthood’s eligibility for federal funding through changes to ⁢Medicaid regulations. These attempts centered on prohibiting funding for organizations that also provide abortion services.

In april 2024, the Biden governance finalized a rule protecting access to family planning services, including those provided by Planned Parenthood, under Title X. ⁢This rule aimed to reverse a previous Trump⁤ administration⁢ policy ​that​ restricted‌ funding to organizations providing⁣ abortion referrals.

Planned Parenthood⁤ in Washington⁢ state

Planned Parenthood affiliates operate numerous health centers throughout Washington State, providing a range of reproductive health services, including‌ contraception,‍ cancer screenings, and prenatal care, along with abortion services.

According to Planned ‌Parenthood’s​ Washington state website, the organization⁤ served over 90,000​ patients in the state in 2023. The organization receives a critically importent ‌portion of its funding through Medicaid,⁢ making it vulnerable to federal funding changes.

Current Status (as of January 11, 2026)

As of January 11, 2026, there have been no significant changes to Washington ‍State’s commitment to funding Planned Parenthood in the event of federal funding cuts. The Biden administration’s policies protecting Title X funding remain in effect.⁢ However, ongoing legal challenges ‍and​ potential shifts in federal administration could⁣ alter the funding landscape in the future.

The Guttmacher Institute provides ongoing tracking of state and ⁣federal policies​ related‌ to reproductive health funding.