SALT LAKE CITY (AP) Planned Parenthood clinics in several states are charging new fees, tapping financial reserves, intensifying fundraising and warning of more unintended pregnancies and sexually transmitted diseases after its decision to quit a $260 million federal family planning program in an abortion dispute with the Trump administration.
The fallout is especially intense in Utah, where Planned Parenthood has been the only provider participating in the nearly 50-year-old Title X family planning program and will now lose about $2 million yearly in federal funds that helped 39,000 mostly low-income, uninsured people. It plans 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 states 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. Its 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 Trumps base have been campaigning to defund Planned Parenthood. Among its varied services it is a major abortion provider, and the activists 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 Parenthoods 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, 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 couldnt afford the $500 monthly bill.
She is unsure what shed do if the family planning services she gets stop.
It would put me in a very dangerous position, said Dotson, who works as an executive assistant for an accounting and consulting firm. It covers so many things: STD testing, emergency contraception, birth control, lifesaving cancer screenings … you name it, they have treated me for it.
Planned Parenthood said its dedicated to maintaining its current services in Utah, but CEO Karrie Galloway acknowledged it wont be easy and could cause some pain on all sides.
She said the organization plans to lean heavily on donors to make up the funding gap while staff members assess how theyll cope. Among the possibilities are instituting copays of $10-$15 per visit, shortening hours and trimming spending. She doesnt plan to lay off staff, but said she may not be able to fill jobs when people leave or retire.
Minnesota is planning fees as well.
Well continue to offer all services, and keep clinic doors open, but well be charging patients on a sliding scale who we didnt charge before, Stoesz said. Vulnerable people who previously were able to access birth control and STD testing for free will no longer be able to do so.
Elsewhere, the impact of Planned Parenthoods withdrawal will vary from state to state.
