Planned Parenthood didn't close nearly as many clinics as they themselves predicted. PP claimed last year that 200 clinics, about a third of their total, were going to shut down if their access to Medicaid dollars was cut off. Ultimately, a few dozen clinics did close, maybe 50 in all. The rest have turned to a variety of new ways to survive. Some started offering Botox.
As Christine Ruiz sits in an exam room for some aesthetic skin treatments, she looks nervous. She's not new to injectables like Botox, but this is the first time she's received them at a Planned Parenthood clinic...
The Sacramento clinic is part of Planned Parenthood Mar Monte, the largest Planned Parenthood affiliate in the country, covering Northern California and parts of Nevada.
It has started offering a new set of services, ranging from Botox to IV hydration for skin rejuvenation, or for after a night of drinking, all of which patients pay for with cash.
Another option which seems especially popular in blue states is to simply ask the state for money. Millions of dollars have been requested and in some cases already given out. In California for instance.
California is committed to funding reproductive health care, pledging money to Planned Parenthood after federal funds were stripped from its clinics.
On Wednesday, Gov. Gavin Newsom signed legislation to provide $90 million in one-time emergency funds for Planned Parenthood and other women's health providers.
PP clinics in Michigan are also begging the state for money.
Planned Parenthood of Michigan says it will have to close more abortion clinics in the state if it does not receive a one-time, $5 million allocation from the state. The organization is calling on Gov. Gretchen Whitmer to take action, although budgetary process constraints could make the request difficult to fulfill.
They can call on Whitmer all they want, but she's not writing the checks. That's up to the legislature, which is partly controlled by Republicans.
It's not immediately clear what funding pool Whitmer could allocate funds to Planned Parenthood from. Typically, state dollars are earmarked for spending through the budget process, when the governor and each chamber of the Michigan Legislature hash out a spending plan. Any supplemental spending would also have to go through the Legislature, where Democrats control the Senate and Republicans control the House. It's not likely the House would support state funding for Planned Parenthood.
Illinois, like California put up several million.
The Illinois Department of Healthcare and Family Services is investing $4 million in Medicaid family planning programming following the federal defunding of Planned Parenthood.
The money will go towards contraception, sexually transmitted infection testing and treatment and cancer screenings.
Money is fungible of course, so funds for STD testing and contraception help offset the expense of providing abortions. Other blue states have put up millions to keep PP going. Colorado wrote a blank check.
In August 2025, Colorado Governor Polis signed legislation (Senate Bill 25B-2) which does not appropriate a specified dollar amount to Planned Parenthood but instead asserts that Colorado will reimburse an organization designated as a “prohibited entity” under the 2025 Federal Budget Reconciliation Law using state funds. This guarantees state funding for Planned Parenthood clinics in Colorado providing care to Medicaid enrollees without placing a specific dollar amount on the allocation.
New York and Washington state did the same, promising to cover any PP expenses with state money. Connecticut pledged $8.5 million, New Jersey put up $8 million, Oregon $7.5 million. New Mexico $3 million
Meanwhile in red states things are not going nearly so well. Last month some clinics in Indiana had to close.
Two Planned Parenthood clinics in Indianapolis will close Friday after federal funding cuts, and Indiana’s attorney general has filed an appeal to block state funding to the organization should a federal ban expire.
Planned Parenthood’s Great Northwest, Hawai’i, Alaska, Indiana, and Kentucky chapter posted a statement on its site that it would merge three Indianapolis health care centers into one...
That leaves eight brick-and-mortar clinics statewide with one virtual center.
Anyway, if you were wondering why so few PP clinics closed despite losing federal funds, it's because blue state taxpayers are floating them the money to keep the doors open.
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