rePROs Fight Back

The ripple effects of SCOTUS' decision overturning Roe v. Wade extend in vast, concentric circles throughout the American health care system. Not only has it eroded access to abortion and other forms of reproductive health care—we are also seeing it have consequences for medical research, chronic illness management, hospital staffing, and more. This week, Alice Miranda Ollstein, Senior Health Care Reporter for Politico, talks with us about her new book, Side Effects: How Abortion Bans Impact Everyone's Health. 

“Alice Miranda Ollstein's explosive reporting offers an urgent, on-the-ground look at a medical system under pressure, at the patients and providers caught up in the dragnet of the new abortion restrictions, and at the impacts on both reproductive care and completely unrelated services.”

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The Teen Pregnancy Prevention Program (TPPP) is a federal public health initiative that invests in organizations empowering young people with the education and resources they need to make informed decisions about their bodies and lives. It’s evidence-based approach has proven to be extremely successful: since Congress’s bipartisan authorization of the program in 2009, teen pregnancy rates have reached historic lows. Ruth Richardson, President and CEO of Planned Parenthood North Central States, talks to us about the administration’s overhaul of TPPP, the legal fights to challenge it, and the wide-ranging benefits of comprehensive sexuality education. 

The resounding efficacy of this public health investment has made it an ongoing target for the Trump administration. In June 2026, the Department of Health and Human Services abruptly terminated 53 of the 67 nationwide TPPP grants. These funding cuts are depriving young people of science-based sexuality education that is proven to keep them safer and healthier, forcing programs to close, stripping educators of their jobs, and eroding years of communities’ trust. A coalition of organizations and local governments is fighting back in court. In August, a federal judge preliminarily blocked the administration from implementing its proposed changes to impose an unscientific and ideological abstinence-only approach onto grantees.  

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Reproductive rights aren’t only attacked on the federal level; in fact, the case that overturned Roe v. Wade was an abortion ban out of Mississippi. Individual states set the precedent for their own abortion laws, sex education, shield laws, and more. Jillian Riley, North Carolina Director of Public Affairs for Planned Parenthood Votes! South Atlantic sits down to talk with us about how reproductive health, rights, and justice can show up on the election ballot in a variety of ways.

While individual states are determining state-level access to reproductive health and rights, State Attorneys General defend state laws, choose not to defend state laws, or sue the federal government over laws. Governors, meanwhile, sign off on state legislation that attacks or protects health and rights. In addition, the judges we elect have a say in judicial bypass for young people, enforcing state constitutions, redistricting decisions, and more. School board elections inform curriculum, which informs sex education, LGBTQI+ inclusive-education, and available library books. City council and county commissioners also play a large role in funding for doulas, lactation specialists, and maternal health programs. 

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September 30th, 2026, marked the 50th anniversary of the Hyde Amendment—a provision enacted in 1976 in response to the Supreme Court’s Roe v. Wade decision that legalized nationwide abortion. It restricts federally funded abortions through federal healthcare programs like Medicaid and Medicare. Lupe Rodriguez, Executive Director of the National Latina Institute for Reproductive Justice (NLIRJ) sits down to talk with us about Hyde’s tragic, dangerous legacy, and how it is past time for repeal. 

Not only does the Hyde Amendment restrict funding under Medicare and Medicaid, but it does also so for certain disabled individuals under 65, and for certain community health centers providing primary care in underserved areas, as well. Seven states fund abortions under Medicaid and instances of life endangerment, rape and incest, and 21 states fund abortions beyond federal requirements and using their own resources. Yet, exceptions are not consistently applied.

The Hyde Amendment has prevented millions of people in the U.S. from accessing abortion. In 1977, unable to receive a needed and financially covered abortion shortly after the amendment’s passing, Rosie Jimenez sought an unsafe abortion and died from complications shortly thereafter. Today, the existing provisions of the Hyde Amendment, coupled with harm caused by the One Big Beautiful Bill Act (OBBBA) and ICE harassment, will continue to have a devastating impact on Latine communities and immigrants in the U.S. 

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Viriginia plays a critical role for abortion access in the South. In fact, Virginia is the only southern state that did not enact a post-Dobbs abortion ban, leaving it the only southern state without a full abortion ban or extremely restrictive ban on the books. April Greene, Executive Director at the Blue Ridge Abortion Fund, talks to us about Virginia’s important role in continuing to provide care for the southern region and help ensure reproductive freedom nationwide. 

In 2024, more than any other state, Virginia saw the largest increase in out-of-state abortion seekers. Patients are coming from all over, but the largest number of abortion seekers come from Georgia, North Carolina, and Florida. As patients are traveling to access care, they encounter practical barriers, including transportation, lodging, childcare, food, and time away from work. These barriers can impact if and when someone accesses an abortion. The post-Dobbs landscape makes access more complicated for patients and abortion funds who support them. Before Dobbs, Blue Ridge Abortion Fund’s funding budget ranged from $9,000 - $14,000 a week. After Dobbs, the budget increased to $20,000 a week to account for new needs.

Virginia voters have the opportunity in November to vote on a ballot initiative that would enshrine reproductive freedom in the state’s constitution, protecting abortion and other reproductive healthcare into the Virginia constitution. 

Links:
Blue Ridge Abortion Fund
Support the Blue Ridge Abortion Fund
Blue Ridge Abortion Fund on Instagram
Blue Ridge Abortion Fund on Facebook
The Right to Reproductive Freedom Amendment 

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Independent abortion clinics collectively provide 58% of abortions in the United States. After 26 weeks of gestation, abortion clinics provide 100% of abortion care in the country. Yet, independent clinics have faced unrelenting attacks to their funding, resources, and physical wellbeing, especially over the past decade. Nikki Madsen and Erin Grant, Co-Executive Directors at the Abortion Care Network (ACN), sit down to talk with us about the critical, community-based work of independent clinics and the importance of International Safe Abortion Day around the world. 

The Abortion Care Network is the national organization for independent, community-based abortion clinics, whose programming supports sustainability and professional development for clinics and their staff. Providers are navigating providing care to patients plus those that are arriving from out of state, with low pay, little time, and low support for their mental health and wellbeing. Independent providers, showing up every day to under resourced and threatened clinics, believe in provide the human right of sexual and reproductive health care.

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**Trigger Warning: Miscarriage and Pregnancy Loss

“One of the most prevalent myths about human pregnancy is that of all possible outcomes, a baby is the most likely. Pregnancy Interrupted challenges the misleadingly linear narrative that begins with two lines on a pregnancy test and ends with a newborn. Kate Clancy shares her own deeply personal stories of pregnancy loss and moving interviews with others, and reveals how the frequency of loss and miscarriage is far more common than most realize.”

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Planned Parenthood has been under attack in Texas for years. This has resulted in a lack of access to affordable healthcare, lack of access to birth control, and worsening maternal health outcomes. Shellie Hayes-McMahon, Executive Director of Planned Parenthood Advocates of Texas, which is the 501(c)(3) arm of Planned Parenthood Texas Votes, sits down to talk with us about the perfect storm of attacks to reproductive health and rights in Texas, which provides a perfect blueprint for other states who wish to follow suit. 

The current push at the national level centers on defunding Planned Parenthood via Medicaid. Patients who lose their Planned Parenthood provider in Texas cannot just find a new provider. In fact, the state is currently seeing a decrease in providers generally, as well as medical students. Cancer screenings, birth control provision, critical counseling, and more, are services that are becoming increasingly more expensive for Planned Parenthood to provide, while crisis pregnancy centers (CPCs) are receiving millions of state dollars. In Texas, public school-provided sex education is abstinence-only, while misinformation around birth control is currently skyrocketing. The nationwide attacks on mifepristone, one of the safe and effective drugs used in a medication abortion, began in Texas. 

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Crisis pregnancy centers (CPCs) are unregulated storefronts that exist as a way of pushing out anti-abortion misinformation and blocking people’s access to care through deception, shame, delay, and intimidation. Tara Romano, Executive Director of Pro-Choice North Carolina, talks to us about North Carolina’s CPC landscape.

The term "crisis pregnancy center" refers to anti-abortion facilities that mislead, confuse, delay, misinform, and purposefully re-direct pregnant people looking for education and services, including abortion care. North Carolina has 16 abortion clinics and approximately 100 CPCs, which are typically clustered around college campuses. CPCs in the state began receiving money from the sale of “Choose Life” license plates and $350,000 from general funds in 2013. By 2023, the number was closer to $20 million. Because these are not medical centers, they do not have medical restrictions or medical privacy restrictions. 

Map photo citation: Swartzendruber A and Lambert D. Crisis Pregnancy Center Map. https://www.cpcmap.com. August 17, 2026. Accessed: August 24, 2026.

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PEPFAR, or the President’s Emergency Program for AIDS Relief, started in 2003 and is the largest country-to-country bilateral investment in addressing any single disease. PEPFAR is not only funding, but expertise, and has saved millions of lives since the Bush administration. Dr. Jennifer Sherwood, Director of Research in the Foundation for AIDS Research (amfAR) public policy office, talks to us about attacks to PEPFAR, the populations that are impacted, and some recent protections to PEPFAR’s crucial work. 

Early in 2025, a pause on new funding going out into the field was announced, in combination with a stop-work order. Soon after, a PEPFAR waiver was announced, yet it included extremely specific restrictions. amfAR completed a survey across 46 different countries asking about grant status, service provision, and more. It found that nearly 80% of organizations surveyed had grant cuts or eliminations. Because of the cuts, amfAR documented 1,700 site closures, including drop-in clinics that are essential to key populations. Local organizations were also disproportionately impacted by closures and grant impacts. 

The term “key populations” refers to populations that are at high risk of acquiring HIV and experiencing additional, structural barriers to care. Often, this is sex workers, men who have sex with men, other gay and bisexual men, transgender individuals, and those that use or inject drugs. Programs particular to key populations were absolutely decimated, as strongly documented in amfAR’s survey. These impacts are also being exacerbated by the recent expansion of the Global Gag Rule.

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