Family planning clinics watch their safety nets vanish

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Family planning clinics watch their safety nets vanish
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Some health clinics that quit a $250 million federal program have literally had to box up and return unused supplies bought with a government discount

Some health clinics that quit the federal family planning program over Trump anti-abortion policies are cutting staff, charging for services that had been free and making other austerity moves to avert a major hollowing out of reproductive health care for poor women.

The clinics in August quit the Title X program, which dates back to the Richard Nixon presidency, when the Trump administration added restrictions that include forbidding clinics from referring patients for abortions. Another provision, requiring additional layers of physical and financial separation between abortion and other reproductive health services, takes effect in 2020.

The extent of the service cuts is difficult to measure, because clinics only began exiting the program over the past two weeks. Butthat have not been relying heavily on the more than 400 Planned Parenthood clinics that receive Title X funding. Meanwhile, the withdrawals by private and public grantees have left states including Maine, Oregon, Utah, Vermont and Washington with no Title X providers.

The Mahube-Otwa Community Action Partnership, which serves patients in rural Minnesota, is cutting half of its family planning staff of six and plans to curtail walk-in visits and initiatives like talking to college students about safe sex.

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