http://www.motherjones.com/politics/2013/03/what-happens-when-you-def...

In the past two years, Texas legislators slashed funds for family planning and passed up $30 million a year in federal Medicaid money, largely to squeeze Planned Parenthood out of the state's women's health programs. Last week, hundreds gathered at the south steps of the Texas State Capitol in Austin to protest the resulting public health mess: Researchers say nearly 200,000 Texas women have lost or could lose access to contraception, cancer screenings, and basic preventive care, especially in low-income, rural parts of the state. I reported from the rally:
Given that anti-choice legislators in other states could draw inspiration from Texas's "winning" strategy to defund Planned Parenthood—several have tried and failed in recent years—it's worth surveying the damage.

About a year after Texas slashed its family-planning budget by two-thirds, with 50 clinics shutting down as a result, the Texas Policy Evaluation Project surveyed 300 pregnant women seeking an abortion in Texas. Nearly half said they were "unable to access the birth control that they wanted to use" in the three months before they became pregnant. Among the reasons: cost, lack of insurance, inability to find a clinic, and inability get a prescription. The state's health commission says Texas will see nearly 24,000 unplanned births between 2014 and 2015 thanks to these cuts, raising state and federal taxpayer's Medicaid costs by up to $273 million.
In a state where half of all pregnancies were unplanned in 2011, and 1 in 3 women of childbearing age lacks health insurance, this is only going to get worse.

The Planned Parenthood clinics that anti-choice legislators booted from the state's Women's Health Program serviced nearly 50 percent of the program's patients. Along with contraceptive counseling, the clinics provided basic screenings for cancer, hypertension, and other key problems. There's no shortage of need: women in Texas suffer high rates of STIs and unintended pregnancies compared to national figures, and the state ranks 50th for diabetes prevalence in women. Nonetheless, Republican lawmakers went after the clinics in 2011, thanks to their long-standing beef with the organization, and forfeited tens of millions in Medicaid reimbursements to the Women's Health Program so they could defund Planned Parenthood clinics without breaking any federal rules governing how states have to spend Medicaid money.

Despite losing its highest-volume providers, the Texas Health and Human Services Commission insists the revamped, wholly state-run and state-funded Women's Health Program can reshuffle all the displaced patients and keep providing the same levels of care as before. But last October, researchers at George Washington University examined five Texas counties and found that in order to effectively replace Planned Parenthood, other clinics would need to increase their caseloads two to five times.
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