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  • Adding It Up
  • Abortion Worldwide
  • Guttmacher-Lancet Commission
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Guttmacher 2025 Impact Report

Tracking Actions Against Sexual and Reproductive Health and Rights Under the Trump Administration

January

  • The Trump administration comes into office, releasing a flurry of executive orders targeting sexual and reproductive health and rights.  
  • The “global gag rule” is quickly reinstated, cutting off US funding to international NGOs if they provide abortion services, information, counseling or referrals.
  • Anti-abortion activists who had harassed and intimidated patients and providers are pardoned.

February

  • The Trump administration starts to fully dismantle the US Agency for International Development (USAID), severely threatening foreign assistance for international family planning and reproductive health care.

March

  • The US Department of Justice dismisses a lawsuit brought by the Biden administration to ensure that pregnant people in Idaho could receive abortion care guaranteed under the federal Emergency Medical Treatment and Labor Act (EMTALA).

April

  • The administration freezes close to $35 million in Title X funding to 16 organizations. Title X is the only federal program dedicated to providing low- and no-cost birth control and other reproductive health care.

May

  • A budget reconciliation bill passes that includes provisions to “defund” Planned Parenthood, gut health coverage under Medicaid, and undermine access to abortion and gender-affirming care.

June

  • The US Supreme Court decides Medina v. Planned Parenthood South Atlantic, clearing the way for states to block Medicaid patients from accessing care at Planned Parenthood health centers.

July

  • President Trump signs the budget reconciliation bill into law.

August

  • The Trump administration proposes a new rule to ban veterans and their family members from accessing abortion care and counseling through the Veterans Health Administration.

September

  • The administration decides to destroy $9.7 million worth of contraceptives—already paid for with US taxpayer dollars—that could have prevented unsafe abortions and maternal deaths among women in low- and middle-income countries.

First published on Guttmacher 2025 Impact Report: October 1, 2025

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