Planned Parenthood recently released a report on the first year of the Trump-Vance administration, complaining that a series of policy changes and funding decisions by the administration have weakened access to abortion in the U.S.
“The first year of the Trump-Vance administration has devastated sexual and reproductive health in the U.S. and around the globe,” the January report stated. “This administration and its backers in Congress, have used every lever of power at their disposal to block people from care — including executive orders, agency takeovers, and sweeping legislation.”
The 18-page document, titled “First Year of the Trump-Vance Administration,” claims that the administration’s policies have contributed to the closure of more than 20 Planned Parenthood centers and threatened the financial stability of many more.
The report highlighted several pro-life actions taken by the administration:
The signing of the “Big Beautiful Bill” on July 4, 2025, which Planned Parenthood described as an “unconstitutional” effort to defund the abortion giant by barring Medicaid reimbursements for services at its centers (except in limited cases) and imposing broad Medicaid cuts. According to the report, the funding cuts have forced more than 20 centers to close and may lead to the loss of coverage for millions of people.
The withholding of Title X family planning funds from 16 grantees, including all nine Planned Parenthood affiliates, starting in March 2025.
The pardoning of pro-lifers whom the Biden administration’s Department of Justice prosecuted under the Freedom of Access to Clinic Entrances (FACE) Act. In January 2025, Trump pardoned 23 pro-life activists who had been sentenced to multiple years in prison after convictions largely tied to peaceful protests and prayers outside of abortion facilities.
The reinforcement of the Hyde Amendment through a January 2025 executive order that rescinded previous Biden-era orders that expanded access to abortion and directed federal agencies to restrict the use of taxpayer dollars for abortion. Trump later faced scrutiny after suggesting to Republican lawmakers that they should be “flexible” about using the Hyde Amendment as a bargaining chip in negotiations with Democrats.
The advancement of its “anti-family, pronatalist agenda” by encouraging Americans “to have children and increase the country’s birth rate.” Planned Parenthood argued that initiatives such as the creation of Trump accounts and policies promoting in-vitro fertilization (IVF) “are a smokescreen for racist, sexist policies” because they prioritize “only married, straight, and white people” who want to have children. Many pro-life leaders, including CatholicVote President and CEO Kelsey Reinhardt, have criticized Trump’s support for IVF, which is opposed by the Catholic Church.
The promotion of policies that have defined sex as a biological reality, removed “diversity, equity, and inclusion” programs, and restricted so-called “gender-affirming care” in certain federal health programs.
Some pro-life leaders, on the other hand, have urged the Trump administration to pursue pro-life policies more aggressively. In a Feb. 24 “State of the Unborn” speech, Susan B. Anthony Pro-Life America President Marjorie Dannenfelser called on Republicans to remain committed to pro-life priorities and warned the party against sidelining its core supporters.
She raised a number of concerns, including the administration’s failure to reinstate safeguards against abortion drugs and prevent mail distribution of the drugs The administration could do this “easily,” she said.
While the administration has vowed to conduct a safety review of abortion drugs, officials indicated in January 2026 that the process could take a year or more to complete. In September 2025, the Food and Drug Administration also approved a new generic version of a chemical abortion drug.
Pro-life leaders, including Reinhardt, have also criticized Trump’s promotion of IVF, which is opposed by the Catholic Church because it violates human dignity by separating procreation from the marital act and often destroys human life. The Church instead encourages couples struggling with infertility to pursue ethical alternatives — often called restorative reproductive medicine — that seek to treat the causes of infertility rather than bypass them.
In its conclusion, Planned Parenthood said it has been “at the forefront of the fight against the administration’s authoritarian, anti-reproductive freedom agenda. While other storied institutions and public figures have caved to the administration’s demands, Planned Parenthood refuses to back down.”