Planned Parenthood performed more abortions last year than at any point in its history, according to its latest annual report, even as Republicans in Congress push to strip the organization of hundreds of millions in federal funding.
The report, released this week, documents the record-high abortion numbers during a fiscal year that overlaps with the start of the second Trump administration’s aggressive defunding push. Congressional Republicans have targeted Planned Parenthood’s roughly $700 million in annual government reimbursements, primarily from Medicaid, as part of broader budget reconciliation efforts.
Planned Parenthood has received federal funding for decades under a statutory arrangement that bars direct use of those dollars for abortion procedures. Critics have long argued the restriction is meaningless in practice, because any money that flows to the organization frees up other resources for its abortion services.
The organization’s affiliate network performed the abortions across its roughly 600 clinic locations nationwide. The report also showed a decline in other reproductive health services, including cancer screenings and contraception visits, a trend that has continued for several years even as the organization’s abortion numbers have climbed.
Republican lawmakers seized on the report Thursday.
“This confirms what we’ve known for years: Planned Parenthood isn’t a health care provider. It’s an abortion provider subsidized by the American taxpayer,” said one GOP congressman who backs the defunding effort.
Planned Parenthood President Alexis McGill Johnson has pushed back on defunding efforts, arguing that cutting federal reimbursements would harm low-income patients who rely on the clinics for contraception, STI testing, and basic health services. The organization maintains that abortion represents a small fraction of its total service count.
Pro-life groups dispute that framing. The Susan B. Anthony Pro-Life America organization and others have argued for years that Planned Parenthood inflates its service numbers by counting each patient interaction, including brief consultations, as a separate service while each abortion counts as one.
The record numbers come as Congress weighs a budget reconciliation package that could include Medicaid restrictions targeting Planned Parenthood. Similar provisions have stalled in previous legislative cycles, but Republicans now control both chambers and the White House.
Separately, pro-life advocates are pressing the Trump administration’s Food and Drug Administration to tighten restrictions on mifepristone, the abortion pill now used in the majority of abortions nationwide. The Biden FDA loosened those rules in 2021 and 2023, allowing the drug to be prescribed via telehealth and mailed to patients. Opponents want those changes reversed.
