Overview

• The One Big Beautiful Bill reconciliation law eliminated Medicaid reimbursements for any provider offering abortions, forcing closures in South San Francisco, San Mateo, Gilroy, Westside/Santa Cruz and Madera.
• Family medicine, behavioral health and prenatal care services were discontinued at the shuttered sites, impacting thousands of primarily low-income patients.
• In the week since Mar Monte stopped billing Medicaid, it delivered care to 5,000 patients and absorbed about $1.7 million in unreimbursed costs.
• More than 60 staff members across the five centers were laid off as the affiliate struggles to sustain operations without federal reimbursements.
• After filing suit on July 3, Mar Monte secured a limited preliminary injunction but now awaits a broader decision from U.S. District Judge Indira Talwani.