Planned Parenthood closes 5 Northern California clinics, citing Trump budget bill
The GOP-led federal spending bill that Trump signed into law earlier this month eliminated federal Medicaid funding for any type of medical care to organizations that perform abortions.
Mar Monte is the largest Planned Parenthood affiliate in the country, with health care centers from Bakersfield, the Bay Area, Stockton and Sacramento. The now-shuttered facilities also include San Mateo, Santa Cruz, Gilroy and Madera.
The closures represent the first wave of how the recent federal budget cuts will have real-life consequences for health clinics across the country — particularly for low-income Americans. They are also a crushing blow to a state that set it up to be an abortion haven after the U.S. Supreme Court overturned Roe v. Wade in 2022. In the year after the decision, political leaders in California — led by Gov. Gavin Newsom and the Democratic-controlled Legislature — passed more than a dozen new laws and invested more than $200 million to increase access across the state. Thursday's announcement drives home the extent of the federal government's tremendous power to impact abortion access.
Roughly 80% of Mar Monte's patients received Medi-Cal, California's version of Medicaid. Ten million people are expected to lose their health insurance because of nearly $1 trillion in Medicaid cuts over the next decade in the One Big Beautiful Bill Act, according to the nonpartisan Congressional Budget Office. Meanwhile, the wealthiest Americans will receive a disproportionate share of the tax cuts funded by those cuts, according to the Center for Budget and Policy Priorities.
In just one week since Mar Monte stopped billing Medicaid, the Planned Parenthood affiliate with 35 locations said it saw 5,000 patients — amounting to about $1.7 million in care costs it covered without reimbursement — Mar Monte Chief of Staff Andrew Adams told the Chronicle Thursday.
'It's just not sustainable,' said Adams. 'We can't keep our doors open if we continue doing that.'
Mar Monte said the funding law also forced it to end services in family medicine, behavioral health and prenatal care. The Planned Parenthood affiliate estimates it will lose $100 million in annual revenue from care that can no longer be reimbursed under the law because they provide abortion care.
Americans tend to support abortion rights, according to public polling. A May 2025 Gallup Poll found that 51% of respondents described themselves as 'pro choice' while 43% described themselves as 'pro life.'Of those respondents who said they were 'dissatisfied' with the nation's abortion polices, 42% said they would like to see them made 'less strict' while 14% wanted them to be 'stricter.'
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