Expansion of Pregnancy Centers: A New Reality Post-Roe

Mon Oct 27 2025 21:34:06 GMT+0200 (Eastern European Standard Time)

In the wake of the Supreme Court's decision to overturn Roe v. Wade, U.S. pregnancy centers focused on discouraging abortions are expanding their services to include a wider range of medical care, as traditional health clinics face closures.

Following the Supreme Court's reversal of Roe v. Wade, pregnancy centers have significantly increased their medical services, positioning themselves as primary health care providers for many women amidst a drop in traditional clinic availability. This shift raises concerns and debates over the quality and accountability of care offered by these centers.

In the United States, pregnancy centers that actively discourage women from pursuing abortions are increasingly diversifying their medical offerings. Expanding services such as STI testing and even primary care, these centers are adapting to the changing landscape of reproductive health care following the Supreme Court's decision to overturn Roe v. Wade.

The expansion, which has been underway for several years, has accelerated since the court's ruling three years ago, allowing many states to impose strict restrictions on abortion access. The move comes amid Planned Parenthood closing some clinics and adjusting operations due to Medicaid policy changes. Not only is Planned Parenthood the largest abortion provider in the country, but it also offers crucial health services such as cancer screenings and STI testing.

Heather Lawless, the director of the Reliance Center in Idaho, mentioned, We ultimately want to replace Planned Parenthood with the services we offer. Approximately 40% of the center's patients seek services unrelated to pregnancy, using the center's medical professionals as primary care providers.

This shift has worried reproductive rights advocates who argue that many of these pregnancy centers lack accountability and transparency. Critics contend that while these centers often do not provide or refer patients for birth control, they promote limited services that may not include accurate diagnostics.

With over 2,600 pregnancy centers now operational across the U.S., an increase from previous years, this expansion is partly fueled by significant public funding from various states — particularly those aligned with conservative policies. For instance, Texas allocated $70 million to pregnancy centers in the current fiscal year. Meanwhile, the Guttmacher Institute reported a decline in abortion clinics, exacerbating concerns that many women may lack access to comprehensive reproductive healthcare.

As pregnancy centers rise, several major clinics close their doors, leading to fears of a health care desert for many women. Advocates argue for heightened regulation of these centers to ensure they provide accurate information and necessary medical services. Amidst this landscape, the future of reproductive health care in America remains uncertain.