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Public Funding of Family Planning is Essential, Even Under Health Reform

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Written by Britt Wahlin and Amanda Dennis for RHRealityCheck.org - News, commentary and community for reproductive health and justice.

This week, as we celebrate the first anniversary of the Affordable Care Act, which promises to bring great benefits to women in this country, new threats to women’s health care have emerged. Last month the House of Representatives voted to eliminate federal funding of Planned Parenthood and cut entirely the Title X program, which supports family planning clinics across the country. Though the Senate has since rejected this proposal, House Republicans have vowed to continue to push for these cuts.

Many have spoken out about the harm this would have on low-income women, who rely on Planned Parenthoods and other family planning clinics for important preventive care like contraception and cancer screenings. Even in Massachusetts, where 98 percent of residents have health insurance due to groundbreaking state health reform, such cuts would be devastating.

Massachusetts has a robust network of family planning clinics, Planned Parenthood among them, which offer contraceptive services and counseling, sexually transmitted infection testing and treatment, and cervical and breast cancer screening on a sliding fee scale. In the wake of Massachusetts reform, family planning clinics continue to play a role in providing services to the Commonwealth’s most vulnerable residents.

In 2008, a year after Massachusetts’ health reform law took effect, Ibis Reproductive Health and the Massachusetts Department of Health Family Planning Program undertook research to explore the impact of reform on low-income women’s access to contraception. We conducted a survey and interviews with family planning providers and also held focus groups with English- and Spanish-speaking low-income women.

We found that health reform has provided a number of benefits to women and many women expressed relief over finally having insurance.

But our research also uncovered new barriers. ... Read more