Trump’s administration has made it more dangerous to be pregnant while making it harder to access abortion, contraception, fertility treatments and family planning services. His “One Big Beautiful Bill” cut Medicaid, which covers over 40 percent of births in the U.S. The Medicaid cuts are also likely to close delivery units and even entire hospitals in rural areas. His administration laid off staff tracking maternal mortality rates and pregnancy outcomes, ended federal protections for doctors performing emergency abortions, withheld funding from Planned Parenthood clinics, attacked mifepristone, laid off staff in charge of making recommendations on contraception, cut funding for medical research into conditions that primarily affect women and pregnant people, and ended travel reimbursements for military servicemembers getting abortions. In spite of Trump’s promise to be the “Father of IVF,” his administration has laid off staff in charge of tracking the safety and efficacy of IVF clinics and he’s done little to make IVF more affordable and accessible to Americans.
¶ Trump And Republicans Engaged In A War To Make It More Difficult For Families To Access Reproductive Health Care
- Defunding Planned Parenthood Clinics: A 2025 provision blocks federal Medicaid payments for one year to nonprofit family planning providers that both perform abortions and received >$800,000 in Medicaid reimbursements in 2023; on Sept 11, 2025, an appeals court allowed the administration to block Medicaid funds to Planned Parenthood while litigation proceeds. (pbs.org)
- Maine Family Planning announced it would halt primary care services due to the Medicaid reimbursement ban’s financial impact, illustrating effects beyond abortion services. (apnews.com)
- On April 1, 2025, the administration began withholding about $66 million in Title X grants from Planned Parenthood and other providers, leaving several states without Title X funding and jeopardizing low-cost family planning services. (washingtonpost.com)
¶ Republicans and the Trump administration restricted access to reproductive medicine
- On January 24, 2025, President Trump signed Executive Order 14182 “Enforcing the Hyde Amendment,” revoking prior orders that expanded reproductive health access and directing agencies to end funding for elective abortions. (federalregister.gov)
- In late May–June 2025, CMS rescinded the Biden-era EMTALA guidance clarifying that emergency abortions are required to stabilize patients, increasing legal uncertainty for hospitals; HHS said it would still enforce EMTALA, but providers warned of confusion and risk to patients. (foleyhoag.com)
- On January 25, 2025, the Justice Department narrowed enforcement of the FACE Act, dismissing pending cases and limiting new prosecutions for obstructing access to reproductive health clinics. (reuters.com)
- On April 24, 2025, HHS withheld $65.8 million in Title X grants—about a quarter of the network—leaving several states with no Title X providers and prompting litigation. (aclu.org)
- Reporting the same week documented that the freeze reached nine Planned Parenthood affiliates and multiple states, severely curtailing contraception, cancer screening, and STI services for low‑income patients. (washingtonpost.com)
- H.R. 1 (Public Law 119‑21), signed July 4, 2025, imposed a one‑year federal Medicaid payment ban on nonprofit “essential community providers” that provide abortions beyond Hyde exceptions and received ≥$800,000 in 2023—effectively targeting Planned Parenthood; courts have partially enjoined aspects, and states issued implementation bulletins. (kff.org)
- Clinics have already reduced or suspended services because of these federal funding restrictions, including primary care and reproductive services relied on by Medicaid patients. (apnews.com)
- In January 2025, DoD eliminated travel reimbursement for service members seeking abortions and fertility treatment, reducing access for military families. (apnews.com)
- The Trump administration relied on junk science to begin a review of mifepristone’s safety despite decades of evidence showing its safety and effectiveness. (gutmmacher.org)
- Trump’s “One Big Beautiful Bill” cut Medicaid, threatening to close more obstetrics and delivery units at hospitals across the country as unpaid delivery rates rise, particularly in rural areas. (19thnews.org)
- At least 29 maternity wards were closed by hospitals in 2025, with two of them specifically mentioning Medicaid cuts as a major factor. (beckershospitalreview.com)
- Medicaid covers about 42 percent of births in the United States. (medicaid.gov)
- The Trump administration laid off CDC staff who tracked the safety, cost and effectiveness of fertility clinics, as well as the Women’s Health and Fertility Branch. (axios.com)
¶ The administration undermined research on reproductive health and access to contraception
- The Trump administration laid off the entire team in charge of determining best practices for contraception. (npr.org)
- The Trump administration placed the staff at the Pregnancy Risk Assessment Monitoring System (PRAMS) – which collects data to address the high maternal mortality rate in the U.S. – on leave. (propublica.org)
- The Trump administration cut and denied grant funding to research proposals that used the word “women,” including those studying maternal mortality and uterine fibroids – a painful condition that can cause infertility. (19thnews.org)
- The Trump administration cut at least $3 billion in grants that were specific to women’s health and economic security. (americanprogress.org)