As President Donald Trump’s Big Beautiful Bill moves through Congress, Planned Parenthood officials in Michigan are expecting the worst.

“So far, 16 Planned Parenthood affiliates have received notice that they are being forced out of the (Medicaid) program, and that the funds for those programs are being frozen,” Ashlea Phenicie, spokeswoman for Planned Parenthood of Michigan, told CBS News.

While those notices involve taxpayer funded abortion clinics in Minnesota and Iowa, Planned Parenthood is shutting down health centers in Michigan in anticipation of lost funding. In an announcement last month, the abortion provider pointed to a temporary freeze in Title X payments for the decision.

That freeze, officials said, impacts about 16% of Planned Parenthood of Michigan’s budget, or about $5.4 million.

The announcement in April involved “closing three health centers – our Marquette, Petoskey and Jackson Health Centers – and we also consolidated our two health centers in Ann Arbor,” Phenicie told the news site.

Those health centers “are our smallest health centers that saw the fewest number of patients,” PPMI Chief Medical Operating Officer Sarah Wallet said last month.

“The Trump administration and its anti-abortion allies have made clear their intention to defund Planned Parenthood and attack access to sexual and reproductive health care,” President and CEO of Planned Parenthood of Michigan Paula Thornton Greear said in a statement. “Our decision to restructure reflects months of strategic planning and careful financial analysis. These necessary changes strengthen PPMI’s ability to adapt quickly in a challenging political landscape.”

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A federal spending reconciliation bill Trump and Republicans have dubbed One Big Beautiful Bill would block federal funding from flowing to Planned Parenthood or other clinics that provide abortions.

Taxpayers contributed about 40% of Planned Parenthood’s budget for last fiscal year, equating to more than $792 million in reimbursements and grants, according to its 2023-24 annual report.

PPMI and its allies contend the loss of federal funding will have a serious impact on other services provided to roughly 25% of Michiganders who rely on Medicaid for health care.

“We’re talking about cancer screenings, mammograms, checkups, birth control,” Danielle Atkinson with Mothering Justice, told CBS News. “These are things that most people need and are extremely important to just them being able to do their everyday life.”

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“If they are no longer allowed to use that health coverage at Planned Parenthood, I’m concerned for where else they can go to get that care,” Phenicie said.

While Senate Republicans work to approve the Big Beautiful Bill by July 4 following passage in the House, abortion opponents with Right to Life of Michigan are championing the “good news for women and families in our state.”

“Reckless policies Planned Parenthood has advocated, such as the elimination of health and safety regulations for clinics and the removal of informed consent for women seeking an abortion, have led to a dramatic decrease in care for women,” president Amber Roseboom said in a statement. “Today, women in Michigan are at higher risk of harm from abortion than in recent history, with a shocking 38% spike in serious complications from abortion.”

The statistic comes from the Michigan Department of Health and Human Services’ 2023 Abortion Report, the last in a decades long tradition of tracking abortions in Michigan.

Michigan Democrats eliminated that reporting requirement along with the informed consent and safety regulations in a flurry of abortion bills signed into law by Gov. Gretchen Whitmer in 2023.

Voters in November elected a Republican majority to the Michigan House, ending the state’s first Democratic government trifecta in four decades after just two years.

The last abortion report showed the number in Michigan eclipsed 31,000 in 2023 for the first time since 1995, with the 31,241 induced abortions equating to 16.5 per 1,000 Michigan women of child bearing age. The national rate, according to the Centers for Disease Control and Prevention, was 11.2 in 2022.

Michigan’s per capita figure represented the highest rate since 1989.