For example, Planned Parenthood of Northern California reported receiving more than $26.5 million from the state's family planning office alone, in the 2020 fiscal year. It also reported more than $14.3 million in revenues from Medicare and the state's Medi-Cal program, and more than $1.3 million in government grants.
Planned Parenthood affiliates also received as much as $150 million in emergency PPP loans earlier this year during the onset of the coronavirus pandemic-despite congressional stipulations that were intended to bar Planned Parenthood from the loans.
To limit federal funding of Planned Parenthood, the government can approve waivers for states to effectively block abortion providers from Medicaid funding, Israel said.
The Trump administration has allowed states to refuse Medicaid funding of Planned Parenthood, reversing a 2016 Obama administration rule that said states could not do so simply on the basis of a recipient being an abortion provider.
But Israel said that in her view, Congress also needs to use its authority to strip federal funding from abortions in other areas through a broad ban on abortion funding-something it has not done yet.
Federal funding of elective abortions through Medicaid reimbursements is prohibited by the Hyde Amendment, a policy enacted into law regularly since 1976 as an attachment to annual appropriations bills for the Department of Health and Human Services.
The amendment is not permanent law, and Democrats have signaled their intent to reverse the policy- House Speaker Nancy Pelosi recently promised to not include Hyde protections in spending bills next year.
Some Congressmen have attempted to make Hyde protections more durable. Legislation authored by Rep. Chris Smith (R-N.J.) in 2017 and again in 2019 would make the Hyde Amendment permanent, and extend its protections to appropriations bills for all federal agencies. It would also forbid abortions at federal facilities, and block federally-subsidized health plans under the Affordable Care Act from covering abortions.
Members of Congress have also tried passing laws to fully defund Planned Parenthood. The House in 2017 barred Medicaid reimbursements at Planned Parenthood clinics in its major health care bill, but the legislation died in the Senate. The Senate in 2018 failed to pass an amendment by Sen. Rand Paul (R-Ky.) to defund the organization.
Amid the debate of how to defund Planned Parenthood, the number of abortions performed by the organization has gone up, even as the national abortion rate has declined, Israel said.
In the 2018 fiscal year, Planned Parenthood affiliates collectively reported performing 345,672 abortions-the organization's highest number of abortions on record, she said.
(Story continues below)
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Meanwhile, the organization's clients for contraception, prenatal services, and cancer screenings have all declined between 2006 and 2018, as documented in a recent Heritage report.