Planned Parenthood is facing a significant shift as it closes more facilities while continuing to perform a high number of abortions. A recent report from the American Life League reveals that the number of physical Planned Parenthood locations dropped from 567 in 2022 to 509 in May 2025. Despite this decline, the organization reported performing 402,230 abortions from 2022 to 2023, an increase from the previous year’s total of 392,715.
The American Life League suggests that the rise in abortions can be attributed to Planned Parenthood’s focus on expanding access to abortion pills and telehealth services. They note that in today’s changing legal landscape, many women are traveling to states with fewer restrictions to obtain abortions. States like Illinois, North Carolina, Kansas, and New Mexico have seen a notable uptick in what is being referred to as "abortion tourism."
As more women opt for medical abortions, the use of abortion pills has surged. Estimates indicate that over 60% of all abortions are now medical, with many more going unreported due to the easy availability of these pills. The report highlights that 133 of the remaining 509 Planned Parenthood facilities offer telehealth services for ordering abortion pills, and there are currently 43 virtual health centers across 34 states, with many providing access to these medications.
Planned Parenthood has also introduced an app that allows women to order abortion pills directly, with some receiving them via overnight shipping. In Minnesota, for example, women can obtain the pills for $349, with a simple process that includes a review by a Planned Parenthood worker.
Katie Brown Xavios, the National Director of the American Life League, expressed concern about the accessibility of abortion pills, calling for stricter regulations. She noted that while some facilities are closing due to budget cuts and loss of funding, the organization still maintains a strong focus on abortion services.
The report also mentions that if proposed legislation to cut Medicaid reimbursements passes, Planned Parenthood could lose an additional 200 facilities. In the last fiscal year, the organization received nearly $800 million in taxpayer funding.
Historically, the number of Planned Parenthood facilities has been on a downward trend since their peak in the mid-1990s, when there were 938 locations. Currently, Wyoming, North Dakota, and Mississippi are the only states without any Planned Parenthood presence.
While the exact number of preborn babies affected by Planned Parenthood’s services remains unclear, the report emphasizes that the organization is adapting to the changing landscape by enhancing its virtual and telehealth offerings, even as the number of physical locations continues to decline.