Medicaid billing resumes for Planned Parenthood after most of a yearlong cutoff, providers say

Planned Parenthood and two smaller regional abortion providers said Medicaid billing for covered services other than abortion has resumed after being cut off for most of a year. The change, first reported by The Guardian and other outlets, follows an expiration of a federal budget provision that had required certain Medicaid payments to be redirected away from the organizations during the sunset period.

According to those reports, the cutoff was tied to policy included in President Donald Trump’s major tax and spending legislation in July 2025. Providers said the restriction was blamed for operational disruptions, including clinic closures and reduced screening and preventive care for services that Medicaid otherwise covers.

Planned Parenthood said its network of affiliates had closed nearly 30 clinics out of roughly 600 over the past year, citing the funding change as a key reason. The organization also reported that during the cutoff period its affiliates dispensed about 25% fewer packs of birth control pills and conducted about 20% fewer breast cancer exams compared with the prior year, and that some patients may not have received care at all because of the reduction in Medicaid-reimbursed services.

The providers said the restored ability to bill Medicaid does not automatically return all services that were halted during the funding lapse. Planned Parenthood and reporting organizations characterized the policy as part of an ongoing federal abortion fight that began after the Supreme Court’s 2022 decision overturning Roe v. Wade, which left state abortion rules to be enforced in different ways across jurisdictions.

One outlet reported that the budget provision reached its sunset deadline after Congress did not pass an extension or a new budget amendment before adjourning for summer recess, making the expiration effective on a specific Saturday preceding the week of the reports. Planned Parenthood-affiliated clinics in at least one state paused and adjusted operations during the cutoff period while seeking ways to maintain limited care within the constraints of the Medicaid policy change.

Planned Parenthood spokesperson Angela Vasquez-Giroux, in the accounts cited by The Guardian, said the cuts also led to limited abortion access in some places. The reporting also described how Planned Parenthood affiliates continued to navigate state-level abortion limits and federal funding rules while preparing to resume scheduling for some Medicaid-enrolled patients.

The next steps depend on how quickly states update program administration and billing processes after the federal restriction expires. Providers said they would resume Medicaid billing for services other than abortion, but reported that access could vary based on local capacity, state compliance procedures, and remaining restrictions on abortion-related billing under the overall federal framework.