’s safety net cannot serve patients without Planned Parenthood

Report: Only 7% of health centers in the state other than Planned Parenthood offer accessible and comprehensive family planning care

In 2018 and 2019, Missouri lawmakers passed two budget bills that discriminate against Planned Parenthood patients. The bills aimed to block patients in MO HealthNet and the Women’s Health Services Program from choosing Planned Parenthood for their preventive care, including birth control, cancer screenings, and sexually transmitted infection (STI) testing and treatment. Additionally, the Trump/Pence administration announced a dangerous policy that will impose new restrictions on Planned Parenthood. The “gag rule” will hurt patients who rely on providers that participate in Title X, the nation’s program for affordable brith control and reproductive health care. Four million people — including more than 37,000 Missourians — rely on Title X for health care each year.

Preventing Missourians from choosing “There’s a common misconception Planned Parenthood could leave many without access to vital preventive that if Planned Parenthood is care, including birth control, cancer removed from the Title X network screenings, and STI testing and treatment. that other health care providers

Planned Parenthood affliates in Missouri will just pick up the slack, I can and associated entities provide critical health tell you that this simply isn’t the and education services to over 46,000* women, men, and young people every year. case – the health care safety net is already stretched too thin as it is,” Each of Missouri’s 11 Planned Parenthood health centers provide Michelle Trupiano, Executive Director, comprehensive and accessible care. Missouri Family Health Council Planned Parenthood offers Pap tests and a full range of birth control options, including long-acting reversible contraception (LARC) and offers patients same-day or next-day appointments in most cases.

Planned Parenthood is a crucial component of the safety net, collaborating with Federally Qualifed Health Centers (FQHCs) and other providers to care for Missourians with low incomes. There are nearly 400,000 Missouri women aged 13–44 who need publicly funded family planning services.** An extensive report documents that Missouri’s current safety net is not equipped to provide those family planning patients with the services they need. The State Legislature’s attempt to cut patient access to Planned Parenthood could create an enormous hole in Missouri’s already strained safety net. 1 Missouri Safety Net Report Summary

Besides Planned Parenthood, only 7% of more than 600 safety-net health centers offer a full range of birth control options and have evening or weekend hours.

Missouri’s safety net needs more resources, not fewer providers: • 86% of non-Planned Parenthood providers DO NOT offer evening or weekend hours. • 71% of non-Planned Parenthood providers DO NOT offer long-acting reversible birth control methods like IUDs. • 41% of non-Planned Parenthood providers DO NOT offer birth control and Pap tests.

Researchers used records from the Missouri Department of Social Services (DSS) to assess information provided by Congresswoman . The DSS data included every Federally Qualifed Health Center, Rural Health Clinic, Community Mental Health Center, safety-net hospital, and family planning and STD testing & treatment provider in the state. Researchers assessed 667 health centers in Missouri to determine if they provide family planning services to patients with low incomes. The research was conducted in 2017 and 2018 and included multiple calls to health centers, internet searches, and verifcation of Title X health center information by the Missouri Family Health Council.

If patients can no longer choose Planned Parenthood, many will have nowhere to turn to access vital preventive care because the remaining health centers will not be able to absorb them. “Federally qualifed health centers simply don’t have the resources to offer the kind of drop-in care that’s Planned Parenthood’s specialty.” Dr. Abbe Sudvarg, St. Louis Public Radio, March 24, 2016

Read the full report: ppmissouri.org/report

*This number includes one Planned Parenthood health center in Illinois that serves residents of both Missouri and Illinois. **Frost JJ, Frohwirth L and Zolna MR, Contraceptive Needs and Services, 2014 Update, New York: Guttmacher Institute, 2016, https://www.guttmacher.org/report/contraceptive-needs-and-services2014-update

2 MISSOURI’S SAFETY NET NEEDS MORE RESOURCES, NOT FEWER PROVIDERS

• Without Planned Parenthood, 17 of Missouri’s 34 Senate districts have zero providers that offer accessible and comprehensive care. • In fve State Senate districts, Planned Parenthood is the only provider of accessible and comprehensive care.

HEALTH CENTERS BESIDES PLANNED PARENTHOOD

STATE SENATE COMPREHENSIVE CARE BOTH ACCESSIBLE & DISTRICT ACCESSIBLE (Pap tests & full range of birth Evening or weekend hours control, including LARCs) COMPREHENSIVE

1- 0 0 0 2 - * 0 1 0 3 - Gary Romine 8 11 1 4 - 1 0 0 5 - 5 10 4 6 - Mike Bernskoetter 3 8 2 7 - 4 7 2 8 - 0 0 0 9 - 2 2 1 10 - 0 0 0 11- * 0 1 0 12 - 3 9 1 13 - Gina Walsh* 0 1 0 14 - Brian Williams 0 2 0 15 - Andrew Koenig* 0 1 0 16 - Justin Brown 3 12 2 17 - 1 2 0 18 - Cindy O’Laughlin 9 14 6 19 - 1 4 1 20 - 10 12 5

21 - 10 14 6 22 - 0 3 0 23 - Bill Eigel 0 0 0

3 HEALTH CENTERS BESIDES PLANNED PARENTHOOD

STATE SENATE COMPREHENSIVE CARE BOTH ACCESSIBLE & DISTRICT ACCESSIBLE (Pap tests & full range of birth Evening or weekend hours control, including LARCs) COMPREHENSIVE

24 - 0 0 0 25 - 9 14 1 26 - 3 7 0 27 - 0 0 0 28 - 5 13 3 29 - 5 9 0 30 - Lincoln Hough 1 3 1 31 - 5 10 4 32 - Bill White 2 5 2 33 - Mike Cunningham 5 9 0 34 - 1 2 1

* Red districts with an asterisk have zero comprehensive and accessible providers beyond Planned Parenthood. Red districts without an asterisk have zero comprehensive and accessible providers.

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