Overview
- Using 2023 Medicaid claims, KFF reports that office-based and outpatient clinics delivered 54% of last contraceptive visits for female enrollees, while safety-net providers accounted for 43%.
- Planned Parenthood served 18% of these visits nationally, reaching 47% in California, with no share in states lacking clinics such as Texas, Arkansas, Mississippi, North Dakota, West Virginia and Wyoming.
- Community health centers provided 18% of care nationally, ranging from 46% in the District of Columbia to 4% in Wisconsin; health departments accounted for 6% and Indian Health Service sites 1%.
- The Supreme Court’s Medina ruling enables states to disqualify Planned Parenthood from Medicaid, and a 2025 reconciliation law has blocked federal Medicaid funding for one year, with litigation ongoing and reported nationwide clinic impacts.
- KFF notes that new Medicaid work requirements could lead to about 5 million people losing coverage, creating additional financial and access pressures for the remaining safety-net network.