Since the U.S. Supreme Court struck down the constitutional right to an abortion in its Dobbs v. Jackson Women’s Health Organization ruling in June, at least 66 clinics in 15 states have stopped offering abortions, according to the Guttmacher Institute, a reproductive rights research and policy organization. In the South, 22 clinics have closed across eight states.
As options for abortion care shrink, pregnant people may encounter so-called “crisis pregnancy centers,” or CPCs: anti-abortion organizations that have proliferated in recent years.
These organizations pose as health care centers, offering ultrasounds and pregnancy tests, but many have no medical professionals on staff. Often backed by religious groups, they aim to dissuade people from getting abortions, peddle potentially dangerous misinformation about abortion and contraception, and even hound patients after visits with anti-abortion messages, according to Dr. Anna Lowell, a family physician in Florida and a member of the Reproductive Health Access Project, which works with primary care clinicians to ensure equitable access to sexual and reproductive health care.
“What concerns me is a lot of patients that seek abortion services, the ones that are going to be impacted the most after this Dobbs decision, are folks with low income, folks who have been already marginalized due to health care in general,” Lowell said. “They might be lured into these centers because they offer a lot of free services. If they are already in a position of financial hardship, they might end up at one of these centers before getting to a clinic that can actually respect them, their decisions, their autonomy, and help them get the comprehensive care that they deserve.”
There are at least 2,555 CPCs in the United States, where they outnumber abortion clinics by 3 to 1. The Southeast is home to 902 CPCs, or 35% of the national total, according to a database created by Andrea Swartzendruber and Danielle Lambert, associate professors of epidemiology and biostatistics at the University of Georgia College of Public Health. Texas has the region’s most at 198, followed by Florida with 151, and Georgia and North Carolina, which each have 89.
The four Southern states with the most CPCs all fund them with taxpayer dollars. Arkansas and Louisiana are the other Southern states that fund CPCs; their legislatures each recently approved $1 million for them in the 2022-23 fiscal year. In all, 16 states nationwide allocate tax money to CPCs through programs that aim to provide abortion alternatives.
Exactly how much money goes to CPCs in each state is unclear, and some legislatures purposefully shroud the funding. An AP investigation published early this year found that $89 million went to CPCs in a dozen states during fiscal year 2021-22 alone. The AP also found that state governments in Florida, Georgia, Louisiana, North Carolina, and Texas have collectively given CPCs $282.3 million since 2010.
Pennsylvania was the first state to fund CPCs through its abortion alternatives program, and to date has given over $100 million to them, according to a report from the National Committee for Responsive Philantrophy. About 75% of U.S. CPCs are connected to four national anti-abortion organizations: Birthright International, an organization founded in 1968 by a Canadian housewife; Care Net, an evangelical Christian network of CPCs based in Virginia; Heartbeat International, an international anti-abortion association that supports the world’s largest network of CPCs; and the National Institute of Family and Life Advocates, a legal organization founded in 1993 that represents CPCs.
Shifting funds to CPCs
At least 10 states — including Louisiana, North Carolina, and Texas in the South — support CPCs with funds from the Temporary Assistance to Needy Families welfare program, which is intended for low-income families, according to a 2021 report published by Equity Forward, an investigative research organization focused on human rights. In 2019, for example, North Carolina redirected $650,000 to CPCs from the Maternal and Child Health Services program, as Facing South previously reported. In fiscal year 2020-21, the Texas legislature diverted $6 million of TANF funds to CPCs.
In Louisiana, the state legislature has shifted $1.3 million from the TANF program to the state’s Alternatives to Abortion program since 2016, according to a report published earlier this year by Lift Louisiana, a reproductive rights advocacy group. The report found that the state anti-abortion program distributed $7.5 million to Caring to Love Ministries between 2011 and 2020 and $3.8 million to the Family Values Resource Institute between 2013 and 2020. In turn, the two anti-abortion organizations subcontracted with 19 CPCs.
“We’re concerned they’re going to funnel even more funding into these pregnancy resource centers without actually requiring them to provide any real medical services that people may need,” said Lift Louisiana co-founder Michelle Erenberg.
TANF funds are not the only ones being diverted to CPCs. In Florida, for example, $1.5 million of the $2 million legislative budget for the Florida Pregnancy Support Services program — created in 2004 to discourage abortions in the state — came from the state’s rape crisis program trust fund from 2011 to 2019, according to a report published last year by Floridians for Reproductive Freedom.
“Until taxpayers can be assured that these centers conform to ethical standards of licensed medical facilities, offer sound medical advice, and do not lead to harm, the state of Florida should refrain from directly or indirectly funding anti-abortion pregnancy centers,” the report concluded.
State-funded CPCs are now getting some attention from federal lawmakers. Last month, U.S. Sen. Elizabeth Warren of Massachusetts along with five other Senate Democrats and independent Bernie Sanders sent a letter to Heartbeat International requesting information on how its CPCs are collecting, protecting, and using data over concerns that it could be deployed in abortion-related prosecutions.
“After luring pregnant people — many in desperate situations — to affiliate CPC facilities by using a variety of false and misleading tactics, Heartbeat International then collects a significant amount of their personal health care information, which in many cases does not appear to be protected by the Health Insurance Portability and Accountability Act (HIPAA),” the letter stated. “We fear that, in the wake of the Supreme Court’s Dobbs v. Jackson Women’s Health Organization decision that stripped women of their right to an abortion, this information may be used to put women’s health and freedom to choose in jeopardy, and to put them and their health care providers at risk of criminal penalties.”
Truthout Is Preparing to Meet Trump’s Agenda With Resistance at Every Turn
Dear Truthout Community,
If you feel rage, despondency, confusion and deep fear today, you are not alone. We’re feeling it too. We are heartsick. Facing down Trump’s fascist agenda, we are desperately worried about the most vulnerable people among us, including our loved ones and everyone in the Truthout community, and our minds are racing a million miles a minute to try to map out all that needs to be done.
We must give ourselves space to grieve and feel our fear, feel our rage, and keep in the forefront of our mind the stark truth that millions of real human lives are on the line. And simultaneously, we’ve got to get to work, take stock of our resources, and prepare to throw ourselves full force into the movement.
Journalism is a linchpin of that movement. Even as we are reeling, we’re summoning up all the energy we can to face down what’s coming, because we know that one of the sharpest weapons against fascism is publishing the truth.
There are many terrifying planks to the Trump agenda, and we plan to devote ourselves to reporting thoroughly on each one and, crucially, covering the movements resisting them. We also recognize that Trump is a dire threat to journalism itself, and that we must take this seriously from the outset.
Last week, the four of us sat down to have some hard but necessary conversations about Truthout under a Trump presidency. How would we defend our publication from an avalanche of far right lawsuits that seek to bankrupt us? How would we keep our reporters safe if they need to cover outbreaks of political violence, or if they are targeted by authorities? How will we urgently produce the practical analysis, tools and movement coverage that you need right now — breaking through our normal routines to meet a terrifying moment in ways that best serve you?
It will be a tough, scary four years to produce social justice-driven journalism. We need to deliver news, strategy, liberatory ideas, tools and movement-sparking solutions with a force that we never have had to before. And at the same time, we desperately need to protect our ability to do so.
We know this is such a painful moment and donations may understandably be the last thing on your mind. But we must ask for your support, which is needed in a new and urgent way.
We promise we will kick into an even higher gear to give you truthful news that cuts against the disinformation and vitriol and hate and violence. We promise to publish analyses that will serve the needs of the movements we all rely on to survive the next four years, and even build for the future. We promise to be responsive, to recognize you as members of our community with a vital stake and voice in this work.
Please dig deep if you can, but a donation of any amount will be a truly meaningful and tangible action in this cataclysmic historical moment.
We’re with you. Let’s do all we can to move forward together.
With love, rage, and solidarity,
Maya, Negin, Saima, and Ziggy