Planned Parenthood has closed five clinics in Northern California following the implementation of President Donald Trump’s newly enacted “Big Beautiful Bill.”
The legislation led to a major loss in Medicaid funding for the organization, forcing its largest affiliate in the U.S., Planned Parenthood Mar Monte, to shut down multiple locations.
The affected clinics are situated near the Bay Area, specifically in San Francisco, San Mateo, Gilroy, Santa Cruz, and Madera.
These closures come amid what Planned Parenthood leaders are calling an existential threat to their operations due to new federal policy.
Stacy Cross, who serves as president and CEO of the Mar Monte affiliate, expressed deep concern over the impact of the bill.
She said, “We really feel like we are in the fight of our life,” indicating the dire financial straits caused by the loss of Medicaid reimbursements.
Cross has served in leadership roles at various Planned Parenthood affiliates for over two decades. She described the current situation as the most challenging period she’s ever encountered in her 24-year career with the organization.
As a result of the closures, more than 60 Planned Parenthood employees were laid off, per the Daily Wire.
The organization noted the sweeping scope of the legislation’s consequences, suggesting that the law acts as a covert method of restricting abortion access in states that otherwise support reproductive rights.
The “Big Beautiful Bill,” signed by Trump on July 4, enacts a one-year Medicaid reimbursement ban targeting abortion providers that had previously received $800,000 or more in such funds. Planned Parenthood had reportedly received approximately $390 million in Medicaid reimbursements back in 2015.
Although federal law already restricts Medicaid from being used for most abortion procedures, this new bill expanded those restrictions to encompass other healthcare services offered by Planned Parenthood. According to Cross, “It essentially defunds Planned Parenthood from Medicaid, from us being able to get reimbursed for the care we provide.”
Planned Parenthood responded by suing the Trump administration shortly after the bill was signed. Initially, the lawsuit resulted in a temporary two-week restraining order blocking the Medicaid ban.
That restraining order expired earlier this week. The presiding judge, appointed under the Obama administration, replaced it with a narrower preliminary injunction. This new ruling allows only 10 specific Planned Parenthood facilities to continue receiving Medicaid payments.
In addition to the California closures, Planned Parenthood has been reducing its footprint nationwide. Recent shutdowns include clinics in Manhattan, Minnesota, Illinois, Texas, and Utah — totaling at least 13 other closures across various states.
Despite the backlash, the White House has defended the legislation, emphasizing its role in preserving Medicaid for the most vulnerable populations. A fact sheet from the administration claimed the bill eliminates inefficiencies while bolstering support for low-income families, children, seniors, and people with disabilities.
The administration also touted the bill’s provisions that enforce work requirements and remove illegal immigrants from Medicaid eligibility. The White House argued these reforms help protect resources for lawful and needy recipients.
President Donald Trump’s administration continues to promote the bill as a pivotal reform in federal healthcare funding. Critics, however, view it as a direct assault on abortion providers and reproductive healthcare access.
The closures in California mark one of the most significant blows to Planned Parenthood since the law’s passage. Leaders like Cross warn that more facilities could face the same fate if the injunction isn’t broadened.
The political and legal battle surrounding the bill is ongoing, and both sides are preparing for extended court fights. The ultimate outcome could redefine Medicaid’s role in funding women’s health services across the nation.
Meanwhile, affected communities in California and beyond are bracing for a reduction in healthcare options. The ripple effects from these closures may be felt for months, if not years, to come.
