In January of 2013, Texas became one of several states to ban Planned Parenthood and its affiliates from using public funds to pay for health care. A February 3 New England Journal of Medicine study, “Effects of Removal of Planned Parenthood from the Texas Women’s Health Program,” examined the consequences, and Joseph Potter, Professor of Sociology at University of Texas-Austin, one of the study’s co-authors, will discuss the results  at the CCF 2016 Annual Conference.

Why is this study so important?

The NEJM study demonstrates the consequences of excluding Planned Parenthood affiliates from Texas’s fee-for-service family planning program. To do this, the authors evaluated rates of contraceptive-method provision, method continuation through the program, and childbirth covered by Medicaid two years before the exclusion and two years after the exclusion. The data in this study was drawn from all Medicaid claims from 2011 through 2014. 

As for results?

Once the exclusion was in place, provision of the most effective reversible methods of contraception (such as IUDs, implants, and injectable contraception) decreased and Medicaid-paid births increased among injectable contraceptive users. Specifically, claims for IUDs and implants declined 31 percent, claims for injectable contraceptives declined 35 percent, and Medicaid-paid deliveries increased by 27 percent among users of injectable contraception. So, by excluding affiliates of abortion providers (chiefly Planned Parenthood) led to reducing women’s access to highly effective contraception and the subsequent increase in Medicaid-paid births.

Dedicated women’s health providers matter.

“Simply put, dedicated women’s health providers matter. Providers who are mission-driven and have the requisite experience and knowledge appear to be critical for the delivery of the most effective methods of contraception—IUDs, implants, and injectables. From a demographic perspective, this is important because both national studies and local studies show that these methods dramatically decrease unintended pregnancy. We also have accumulating evidence that there is unmet demand for these methods in Texas” noted Dr. Potter in a press release from the NEJM. He went on to say “While this paper does not tell us much about women’s experiences after the exclusion, we have evidence from another study, recently published in the journal of Contraception, that Planned Parenthood clients encountered barriers such as unnecessary exams, multiple visits, and additional costs as they tried to find a new provider after January 2013.”

Hear more about this study at the CCF Conference.

The roll-back on women’s access to affordable and accessible reproductive health care is at a record high in Texas and around the country. Dr. Potter will update participants on controversial topics surrounding family policy, as well as outline key aspects of the public debate at The Council on Contemporary Families 2016 Annual Conference: Families as They Really Are: Demographics, Disparities, and Debate. The conference, at University of Texas-Austin, March 4 and 5, will be host to a range of topics and debates that will engage scholars from multiple disciplines. To hear from Dr. Joseph Potter, and learn details about the CCF 2016 Annual Conference visit here.

The NEJM article is coauthored by Amanda J. Stevenson, Imelda M. Flores-Vasquez, Richard L. Allgeyer, Pete Schenkkan, and Joseph E. Potter.

Molly McNulty is a CCF Public Affairs Intern at Framingham State University. She is a joint Sociology and Education major.