Family Planning Centers NAICS 621410

Jul 8, 2025 - One Big Beautiful Bill Includes Significant Medicaid Cuts

• President Trump has signed into law the $3.4 trillion One Big Beautiful Bill that is estimated by Healio to include $930 billion in Medicaid cuts over 10 years. The Affordable Care Act’s Medicaid expansion plays a major role in the program’s coverage of reproductive age women, according to health policy research organization KFF. Nearly four in ten (38%) adult women of reproductive age who are enrolled in Medicaid are covered through the expansion pathway. Nearly 12 million more people may be uninsured by 2034, with many losing coverage because of the Medicaid provisions in the law, according to a US Congressional Budget Office analysis. For the first time in the Medicaid program’s nearly 60-year history, certain able-bodied adults aged 19 years to 64 years will be required to work, participate in job training, volunteer, or enroll in school at least 80 hours a month to maintain their Medicaid benefits. This will also be required for parents of children aged 14 years and older.
• President Trump signed an executive order requiring all agencies to review grants and contracts for wasteful spending, fraud, and abuse. The majority of family planning centers are nonprofit organizations that are heavily dependent on government health programs for funding. The order also directed agency leaders to build a payment and contract recording system alongside employees of the Department of Government Efficiency (DOGE). Teams of DOGE personnel have been assigned to each agency to develop the system, which will be used to review and justify all expenditures made by employees.

• The number of family planning clients served by the Federal Title X program has not yet recovered from 2019 federal regulations that resulted in a mass exodus of sites from the program, according to health policy research organization KFF. The regulations prohibited Title X clinics from referring for abortion services and required physical separation of family planning and abortion services, effectively disqualifying all family planning clinics that also provided or referred their patients for abortions. The policy resulted in the withdrawal of 1,000 clinics from the Title X program and 6 states being left without a Title X network. Title X had consistently supported around 4,000 clinics and 4 million low-income or uninsured clients, but the number of clinics decreased to 3,031 clinics serving just 1.54 million clients in 2020, losses that were compounded by the pandemic. The Biden Administration reversed the Trump era regulations in November 2021, but it has taken time to bring grantees and clinics back into the network. The number of clinics in the network in 2023 approached the 2018 level, but only 2.8 million clients were served by the program.
• Family planning center industry employment and average wages for nonsupervisory employees increased slightly during the first five months of 2025, according to the US Bureau of Labor Statistics. Family planning industry sales are forecast to decrease at a 1.46% compounded annual rate from 2025 to 2029, slower than the growth of the overall economy, according to Inforum and the Interindustry Economic Research Fund, Inc.