New York's abortion fund to run out of money

Politico

14-07-2025

Beat Memo
The New York Abortion Access Fund is struggling to keep up with demands as more people from out of state request financial assistance and as the cost of the procedure rises, POLITICO Pro's Maya Kaufman reports.
The organization — which pays clinics on behalf of patients who cannot afford an abortion — continues to see rising demand driven by Florida and other southern states since the Supreme Court in 2022 overturned the constitutional right to an abortion.
About 34 percent of people who reached out to the fund in 2024 were calling from outside New York, executive director Chelsea Williams-Diggs told POLITICO. That has risen to 38 percent so far this year.
At the same time, abortions are getting more expensive.
More of the fund's clients are seeking abortions later in pregnancy, which tend to be more medically complex, and therefore costlier, procedures. And only a few clinics in New York City perform abortions after 19 weeks, so even the fund's local clients may face travel costs, Williams-Diggs said.
Meanwhile, philanthropic donations have declined since a 'post-Dobbs bump' after the 2022 Supreme Court ruling that overturned the constitutional right to an abortion, Williams-Diggs said. Both the city and the state provide funding, she added, but it comes with strings that make the money difficult and slow to access — so much so that her organization recently took out a $1 million loan to bridge the gap.
'It's catching up to us,' she said.
The state Senate directed $1 million to the organization last year through the Reproductive Freedom and Equity Grant Fund, which Gov. Kathy Hochul created in 2022. The fund was not previously accessible to organizations that offer direct patient assistance for abortions.
But Williams-Diggs said the money has yet to come in the door, because her organization still has to submit required documentation.
Meanwhile, reproductive health advocates are pressing Hochul's administration to make those dollars available for practical support, such as transportation, for people seeking abortions.
IN OTHER NEWS:
— New York, the home of one of the costliest Medicaid programs in the country, is expected to see virtually every facet of spending face the brunt of deep federal aid cuts,POLITICO's Nick Reisman and Maya Kaufman report.
Democratic Gov. Kathy Hochul's budget chief warned the state will suffer a $750 million hit this fiscal year due to cuts to the state's Essential Plan that take effect Jan. 1. That amounts to a $3 billion annual cut when the state's new fiscal year starts April 1.
'Nobody is prepared to backfill $3 billion in cuts from Congress,' said Blake Washington, the director of the governor's budget office. 'There's no state in the union that can do that, particularly on a recurring basis.'
The state's Essential Plan, which covers roughly 1.6 million low-income New Yorkers who are ineligible for Medicaid, relies on billions of dollars in federal funding that will start drying up in January under the megabill.
On top of that, the state will have to spend upwards of $500 million over several years to stand up a system for administering the megabill's new Medicaid work requirements, Washington said.
'We've never seen health care cuts like these,' Democratic Assemblymember Amy Paulin said. 'We've never seen a systemic cut to health care in this country like we're seeing in this federal bill. We can't just tax people in New York and make it up. I don't see how we do that. It's too much money.'
ON THE AGENDA:
— Wednesday at 10:30 a.m. The NYC Health + Hospitals board of directors' capital committee meets, followed by a meeting of the finance committee.
GOT TIPS? Send story ideas and feedback to Maya Kaufman at [e-mail] and Katelyn Cordero at [e-mail].
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What you may have missed
— Fatal overdoses in New York City continued trending downward during the third quarter of 2024, hitting their lowest level since early 2020, according to provisional data released last week. The new data shows 498 people died from an overdose during that three-month period, down from 564 deaths in the prior quarter and 647 in the quarter before that.
It is the fewest overdose deaths in any quarter since the first three months of 2020, when the city tallied 456 fatal overdoses.
'For too long, opioid overdoses have ripped families and communities apart, but there is light on the horizon with opioid overdose deaths citywide seeing their lowest numbers in five years,' Mayor Eric Adams said in a statement. 'We are committed to maintaining this downward trend by continuing to invest in the programs and treatments that support those who are struggling.'
ODDS AND ENDS
NOW WE KNOW — Twenty New York hospitals lost obstetric services between 2010 and 2022, per a new analysis.
TODAY'S TIP — Feeling burnt out? Ashwagandha could help.
STUDY THIS — Via NBC: A large new study found a link between premenstrual disorders and cardiovascular disease.
WHAT WE'RE READING
— Why are mothers in New York having so many c-sections? (Times Union)
— State legislators across the U.S. are weighing laws around menopause care and training for doctors. (CNN)
— FDA offers to trade faster drug reviews for lower U.S. prices. (Bloomberg)
Around POLITICO
— Big Pharma and labor make for strange bedfellows in fight against California drug pricing bill, Rachel Bluth reports.
— How hospitals could still escape the megabill's Medicaid cuts, via Robert King, Amanda Chu and David Lim.
MISSED A ROUNDUP? Get caught up on the New York Health Care Newsletter.