Planned Parenthood, the nation’s largest abortion provider, reportedly announced the closure of five of its clinics in Northern California this week, citing the effects of President Donald Trump’s recently signed “One Big Beautiful Bill,” a sweeping Medicaid reform package aimed at prioritizing the truly vulnerable while cutting off taxpayer support to controversial providers.
The closures—impacting clinics in San Francisco, San Mateo, Gilroy, Santa Cruz, and Madera—are a direct result of the Trump administration’s push to refocus Medicaid on its original mission: providing care for low-income Americans, seniors, pregnant women, and people with disabilities.
The law includes a one-year pause on Medicaid reimbursements for abortion providers receiving more than $800,000 annually in such payments—a threshold Planned Parenthood long surpassed.
“We really feel like we are in the fight of our life,” said Stacy Cross, president and CEO of Planned Parenthood Mar Monte, the organization’s largest affiliate, covering California and Nevada.
Cross, who said she’s led three Planned Parenthood affiliates over 24 years, described the situation as “the hardest it’s been in my entire life.” More than 60 staffers were laid off as a result of the closures.
Planned Parenthood Mar Monte claimed the bill amounts to “a back-door ban on abortion in reproductive freedom states,” though federal law has already prohibited Medicaid funding for nearly all abortions since the 1970s.
What the Trump administration has done is close a long-standing loophole—one that allowed Planned Parenthood to collect hundreds of millions in reimbursements for non-abortion services, freeing up resources to expand its abortion operations elsewhere.
“It essentially defunds Planned Parenthood from Medicaid, from us being able to get reimbursed for the care we provide,” Cross admitted.
The bill, signed into law on July 4, quickly drew legal fire. Planned Parenthood sued the Trump administration, and an Obama-appointed judge initially issued a two-week restraining order.
But that order expired Monday, and a narrower injunction now permits only 10 clinics nationwide to continue receiving Medicaid reimbursements.
Planned Parenthood has been scaling back nationwide in response. In addition to the California closures, the group has recently shuttered clinics in Manhattan, Minnesota, Illinois, Texas, and Utah.
While abortion advocates decry the law as a targeted attack, the Trump administration has framed it as a return to responsible governance.
A White House fact sheet championed the bill as a move to “protect and strengthen Medicaid for those who rely on it — pregnant women, children, seniors, people with disabilities, and low-income families — while eliminating waste, fraud, and abuse.”
“The One Big Beautiful Bill removes illegal aliens, enforces work requirements, and protects Medicaid for the truly vulnerable,” the statement said.
For years, Planned Parenthood has faced scrutiny for its dual role as a taxpayer-funded health provider and the nation’s largest abortion business.
With this latest legislative push, President Trump has made clear his administration’s belief: public funds should serve those in need, not subsidize a deeply divisive organization with a billion-dollar annual budget.