TO

Lisa Ramirez-Branum, Analyst, Congressional Budget Office

FROM

Jennifer J. Frost, Dr.P.H., Principal Research Scientist, Guttmacher Institute

DATE

August 14, 2015

SUBJECT

Response to Inquiry Concerning Geographic Service Availability From

Planned Parenthood Health Centers

We are writing in response to your inquiry concerning the publicly funded contraceptive
services offered by health centers operated by Planned Parenthood affiliates. In order to
respond, we conducted special tabulations of existing Guttmacher data from 2010; tables
detailing these tabulations are attached, and key points are highlighted below.
Planned Parenthood health centers serve a considerable proportion of all clients obtaining
contraceptive care from safety-net family planning health centers. 1

Nationally, 36% of the 6.7 million women receiving contraceptive care from
safety-net family planning health centers in 2010 were served at Planned
Parenthood centers (table 1).

In 18 states, Planned Parenthood health centers serve more than 40% of women
obtaining contraceptive care from a safety-net family planning health center (table
1).

In 11 of those 18 states, Planned Parenthood serves more than half the women
obtaining contraceptive care from a safety-net health center (table 1).

Planned Parenthood health centers are located in 491 U.S. counties, and in about one in
five counties where there is some type of safety-net family planning center. A majority of
all women who need publicly supported contraceptive services live in these counties
(tables 14).1

Of the 3,146 U.S. counties, 2,587 (82%) have at least one safety-net family
planning center (table 1).

Special tabulations of data from Frost JJ, Zolna MR and Frohwirth L, Contraceptive Needs and Services,
2010, New York: Guttmacher Institute, 2013, <http://www.guttmacher.org/pubs/win/contraceptive-needs2010.pdf> .

In the counties in which they are located, Planned Parenthood health centers serve a
considerable proportion of all safety-net clients.
o In 332 counties with a Planned Parenthood health center (68% of counties
with a Planned Parenthood site), Planned Parenthood serves at least half the
women obtaining publicly supported contraceptive services from a safetynet health center (table 2).
o In 103 counties with a Planned Parenthood health center (21% of counties
with a Planned Parenthood site), Planned Parenthood serves all of the
women obtaining publicly supported contraceptive services from a safetynet health center (table 2).

12 million (64%) of the 19 million women in need of publicly supported

contraceptive services (see Key Definitions, below) live in the 491 counties with a
Planned Parenthood health center (table 3).

30% of all women in need of publicly supported contraceptive services live in the
332 counties where Planned Parenthood health centers serve the majority of women
who obtain publicly supported contraceptive care from a safety-net health center
(table 4).

Planned Parenthood health centers serve a greater share of safety-net contraceptive clients
than do any other types of providers. 2

Although Planned Parenthood health centers comprise 10% of publicly supported

safety-net family planning centers, they serve 36% of clients who obtain publicly
supported contraceptive services from such centers.

By contrast, centers operated by health departments serve 27% of safety-net

contraceptive clients, FQHCs serve 16%, sites operated by hospitals serve 8% and
sites operated by other agencies serve 13%.

On average, Planned Parenthood health centers serve many more contraceptive clients per
year than do other types of safety-net providers. 3

Planned Parenthood health centers serve an average of 2,950 contraceptive clients

per year.

Sonfield A, Hasstedt K and Gold RB, Moving Forward: Family Planning in the Era of Health Reform,
New York: Guttmacher Institute, 2014, <http://www.guttmacher.org/pubs/family-planning-and-healthreform.pdf>, Fig. 2.3 on page 15.
3

Frost JJ, Zolna MR and Frohwirth L, Contraceptive Needs and Services, 2010, New York: Guttmacher
Institute, 2013, <http://www.guttmacher.org/pubs/win/contraceptive-needs-2010.pdf>, Table 3 on page 15.

By contrast, each year, centers operated by hospitals serve an average of 770

contraceptive clients, health departments serve an average of 750, FQHCs serve
330 and centers operated by other types of agencies serve 680.

Planned Parenthood health centers facilitate access to services. They offer a much broader
range of contraceptive methods than do sites operated by other types of agencies, and are
more likely to provide oral contraceptive supplies and refills on site. They are also more
likely to offer same-day appointments and have shorter wait times for women to get into
care. 4

91% of Planned Parenthood health centers offer at least 10 of 13 reversible

contraceptive methods; by contrast, between 48% and 53% of sites operated by
other types of agencies offer at least 10 of 13 reversible methods.

92% of Planned Parenthood health centers and 86% of health department sites offer
oral contraceptive supplies and refills on-site; 37% and 55% of sites operated by
FQHCs and other types of agencies, respectively, offer oral contraceptives on site.

63% of Planned Parenthood health centers offer same-day appointments; between

30% and 40% of sites operated by other types of agencies offer same-day
appointments.

The average wait for an appointment at a Planned Parenthood health center is 1.8
days; the average wait at sites operated by other types of agencies is between 5.3
and 6.8 days.

Frost JJ et at., Variation in Service Delivery Practices Among Clinics Providing Publicly Funded Family
Planning Services in 2010, New York: Guttmacher Institute, 2012, <http://www.guttmacher.org/pubs/clinicsurvey-2010.pdf>.

Key Definitions:
Women in Need of Contraceptive Services and Supplies
Women are defined as in need of contraceptive services and supplies during a given year if
they are aged 1344 and meet the following criteria:

they are sexually active; that is, they have ever had vaginal intercourse;
they are fecund, meaning that neither they nor their partner have been contraceptively
sterilized, and they do not believe that they are infecund for any other reason; and
during at least part of the year, they are neither intentionally pregnant nor trying to
become pregnant.

Women in Need of Publicly Supported Services

Women are defined as in need of publicly supported contraceptive services and
supplies if they meet the above criteria and have a family income below 250% of the
federal poverty level. In addition, all women younger than 20 who are need of
contraceptive services, regardless of family income level, are assumed to need publicly
funded care because of their heightened needfor reasons of confidentialityto
obtain care without depending on their familys resources or private insurance.

Table1.NumberofU.S.countiesaccordingtothepresenceofpubliclyfundedfamilyplanningcentersandPlannedParenthoodcenters,
numberofpubliclyfundedfamilyplanningcentersandcontraceptiveclientsservedbycenters,totalandbyPlannedParenthood,allby
state,2010
Numberofpubliclyfunded
familyplanningcenters

NumberofU.S.counties

State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
DistrictofColumbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
NewHampshire
NewJersey
NewMexico
NewYork
NorthCarolina
NorthDakota
Ohio
Oklahoma
Oregon
Pennsylvania
RhodeIsland
SouthCarolina
SouthDakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
WestVirginia
Wisconsin
Wyoming
Total

With1+
publiclyfunded
familyplanning
centers

With1+
Planned
Parenthood
centers

Planned
Parenthood

Contraceptiveclientsservedatpublicly
fundedcenters

67
32
15
75
58
64
8
3
1
67
159
5
44
102
92
99
105
120
64
16
24
14
83
87
82
115
56
93
17
10
21
33
62
100
53
88
77
36
67
5
46
66
95
254
29
14
134
39
55
72
23

67
26
15
75
57
51
8
3
1
67
159
4
40
57
39
61
76
120
63
16
24
14
81
52
81
99
32
24
16
10
21
33
62
100
23
73
72
34
62
4
46
51
95
141
25
14
119
35
55
64
20

2
5
6
2
33
19
7
3
1
14
5
3
2
11
21
21
4
2
2
3
7
4
22
19
1
17
4
2
2
5
15
3
47
9
0
22
4
9
22
1
2
2
3
36
6
10
9
20
1
20
1

168
118
184
145
1,085
177
90
32
29
320
302
45
83
250
92
105
106
196
129
94
124
186
222
123
187
193
73
40
56
35
104
156
388
205
38
181
173
166
278
22
161
85
214
409
73
42
200
215
154
121
35

2
5
18
2
102
26
18
5
2
25
5
3
2
18
28
26
4
2
2
4
9
7
29
25
1
22
5
4
5
6
33
6
75
9
0
35
9
16
42
1
2
2
3
75
9
12
9
39
1
26
1

Total
115,510
23,500
97,620
83,970
1,529,820
150,060
74,170
24,190
24,220
295,240
154,150
23,910
32,830
200,210
110,400
83,920
50,330
104,380
65,130
33,020
89,160
106,130
156,460
92,420
83,210
95,870
34,390
32,600
36,490
23,900
145,730
68,770
436,120
164,510
18,590
156,930
109,860
131,660
263,420
23,070
110,070
23,070
87,800
431,820
56,420
17,160
95,140
162,130
47,980
114,280
15,690

3,146

2,587

491

8,409

817

6,707,430

Total

Total

Planned
Parenthood

%servedat
Planned
Parenthood

280
5,460
36,390
4,270
686,730
69,640
48,430
10,280
3,450
46,640
12,910
6,470
4,680
60,300
73,850
51,910
8,240
4,740
4,510
9,450
27,740
21,420
60,650
52,120
380
36,420
11,980
9,870
14,890
12,750
82,460
12,720
196,580
17,990
0
81,960
17,580
57,850
100,510
2,160
2,410
1,380
7,820
183,650
46,810
14,490
11,170
104,990
700
66,850
1,190

0
23
37
5
45
46
65
42
14
16
8
27
14
30
67
62
16
5
7
29
31
20
39
56
0
38
35
30
41
53
57
18
45
11
0
52
16
44
38
9
2
6
9
43
83
84
12
65
1
58
8

2,408,120

36

Source:SpecialtabulationsofdatafromFrostJJ,ZolnaMRandFrohwirthL,ContraceptiveNeedsandServices,2010 ,NewYork:Guttmacher
Institute,2013,<http://www.guttmacher.org/pubs/win/contraceptiveneeds2010.pdf>

Table2.NumberofU.S.countiesdistributedaccordingtothepresenceofPlannedParenthoodcentersinthecountyandthe
proportionofallpubliclyfundedcontraceptiveclientsservedbyPlannedParenthoodinthecounty,bystate,2010
NumberofU.S.countieswhere:

Nocenters
arelocated
State
Alabama
0
Alaska
6
Arizona
0
Arkansas
0
California
1
Colorado
13
Connecticut
0
Delaware
0
DistrictofColumbia
0
Florida
0
Georgia
0
Hawaii
1
Idaho
4
Illinois
45
Indiana
53
Iowa
38
Kansas
29
Kentucky
0
Louisiana
1
Maine
0
Maryland
0
Massachusetts
0
Michigan
2
Minnesota
35
Mississippi
1
Missouri
16
Montana
24
Nebraska
69
Nevada
1
NewHampshire
0
NewJersey
0
NewMexico
0
NewYork
0
NorthCarolina
0
NorthDakota
30
Ohio
15
Oklahoma
5
Oregon
2
Pennsylvania
5
RhodeIsland
1
SouthCarolina
0
SouthDakota
15
Tennessee
0
Texas
113
Utah
4
Vermont
0
Virginia
15
Washington
4
WestVirginia
0
Wisconsin
8
Wyoming
3
Total

559

NoPlanned
Parenthood
centersare
located

Planned
Parenthood
serves119%
ofallclients

Planned
Parenthood
serves2049%
ofallclients

Planned
Parenthood
serves5099%
ofallclients

Planned
Parenthood
serves100%
ofallclients

Total

65
21
9
73
24
32
1
0
0
53
154
1
38
46
18
40
72
118
61
13
17
10
59
33
80
82
28
22
14
5
6
30
15
91
23
51
68
25
40
3
44
49
92
105
19
4
110
15
54
44
19

2
0
1
0
2
0
0
0
1
5
1
1
0
0
0
0
1
1
0
0
0
0
1
0
1
0
0
0
0
0
0
0
0
3
0
1
1
0
1
1
1
1
1
1
0
0
4
1
0
0
0

0
3
3
2
13
8
0
2
0
9
4
2
2
2
1
2
2
1
1
0
3
4
5
2
0
4
0
0
1
1
2
3
8
5
0
2
1
2
5
0
1
1
2
12
0
0
2
0
1
1
1

0
2
2
0
18
8
7
1
0
0
0
0
0
5
15
8
1
0
1
3
3
0
10
8
0
7
4
2
1
3
10
0
23
1
0
12
2
7
13
0
0
0
0
14
6
7
2
15
0
8
0

0
0
0
0
0
3
0
0
0
0
0
0
0
4
5
11
0
0
0
0
1
0
6
9
0
6
0
0
0
1
3
0
16
0
0
7
0
0
3
0
0
0
0
9
0
3
1
4
0
11
0

67
32
15
75
58
64
8
3
1
67
159
5
44
102
92
99
105
120
64
16
24
14
83
87
82
115
56
93
17
10
21
33
62
100
53
88
77
36
67
5
46
66
95
254
29
14
134
39
55
72
23

2,096

33

126

229

103

3,146

Source:SpecialtabulationsofdatafromFrostJJ,ZolnaMRandFrohwirthL,ContraceptiveNeedsandServices,2010,NewYork:
GuttmacherInstitute,2013,<http://www.guttmacher.org/pubs/win/contraceptiveneeds2010.pdf>

Table3.Numberofwomeninneedofpubliclyfundedcontraceptiveservicesdistributedaccordingtowhethertheyliveinacounty
withaPlannedParenthoodcenterandbytheproportionofallpubliclyfundedcontraceptiveclientsservedbyPlannedParenthood
inthecounty,bystate,2010
Numberofwomeninneedofpubliclyfundedcontraceptiveservicesincountieswhere:

Nocenters
arelocated
State
Alabama
0
Alaska
780
Arizona
0
Arkansas
0
California
1,770
Colorado
2,220
Connecticut
0
Delaware
0
DistrictofColumbia
0
Florida
0
Georgia
0
Hawaii
0
Idaho
1,920
Illinois
49,360
Indiana
84,710
Iowa
22,390
Kansas
9,060
Kentucky
0
Louisiana
1,320
Maine
0
Maryland
0
Massachusetts
0
Michigan
790
Minnesota
31,610
Mississippi
80
Missouri
14,600
Montana
3,600
Nebraska
27,750
Nevada
20
NewHampshire
0
NewJersey
0
NewMexico
0
NewYork
0
NorthCarolina
0
NorthDakota
5,060
Ohio
34,200
Oklahoma
1,370
Oregon
160
Pennsylvania
5,630
RhodeIsland
2,400
SouthCarolina
0
SouthDakota
5,550
Tennessee
0
Texas
94,290
Utah
1,690
Vermont
0
Virginia
65,740
Washington
4,740
WestVirginia
0
Wisconsin
10,370
Wyoming
1,470
Total

484,650

NoPlanned
Parenthood
centersare
located

Planned
Parenthood
serves119%
ofallclients

Planned
Parenthood
serves2049%
ofallclients

Planned
Parenthood
serves5099%
ofallclients

246,780
11,970
59,670
153,470
172,540
36,540
8,360
0
0
364,340
461,450
3,050
79,560
239,660
59,680
44,120
96,880
203,330
242,290
48,620
107,620
142,850
204,570
69,580
206,580
150,910
28,560
28,440
15,630
21,820
94,940
78,990
205,470
354,630
37,230
182,400
134,870
60,250
178,640
17,160
268,040
27,990
262,950
403,500
42,260
4,610
249,780
32,590
105,630
94,980
26,140

73,500
0
13,460
0
127,010
0
0
0
44,560
258,490
16,550
9,990
0
0
0
0
11,980
23,610
0
0
0
0
14,090
0
6,800
0
0
0
0
0
0
0
0
73,980
0
16,920
19,210
0
16,590
46,500
28,710
6,150
28,580
3,080
0
0
62,100
5,720
0
0
0

0
19,200
99,580
44,620
1,277,420
143,310
0
19,060
0
493,450
170,120
54,840
30,890
359,220
12,160
16,910
57,270
46,090
31,120
0
99,190
208,980
244,090
106,070
0
63,260
0
0
28,240
5,600
26,050
65,930
519,950
163,880
0
93,700
49,720
15,710
263,230
0
11,120
10,910
119,140
715,100
0
0
28,420
0
5,240
3,270
4,440

0
5,450
257,120
0
893,570
122,920
167,590
31,390
0
0
0
0
0
90,110
248,560
65,800
2,210
0
35,990
28,900
62,010
0
135,260
44,880
0
147,030
28,040
54,450
128,780
31,380
280,840
0
378,060
27,080
0
330,910
36,280
175,470
243,720
0
0
0
0
316,790
154,250
25,420
14,900
344,500
0
159,450
0

6,371,920

907,580

5,726,500

5,069,110

Planned
Parenthood
serves100%
ofallclients
0
0
0
0
0
2,170
0
0
0
0
0
0
0
28,760
17,320
33,710
0
0
0
0
8,350
0
24,260
34,870
0
11,990
0
0
0
5,040
12,840
0
84,370
0
0
52,070
0
0
26,830
0
0
0
0
157,390
0
5,530
340
14,050
0
64,450
0

Total
320,280
37,400
429,830
198,090
2,472,310
307,160
175,950
50,450
44,560
1,116,280
648,120
67,880
112,370
767,110
422,430
182,930
177,400
273,030
310,720
77,520
277,170
351,830
623,060
287,010
213,460
387,790
60,200
110,640
172,670
63,840
414,670
144,920
1,187,850
619,570
42,290
710,200
241,450
251,590
734,640
66,060
307,870
50,600
410,670
1,690,150
198,200
35,560
421,280
401,600
110,870
332,520
32,050

584,340 19,144,100

Source:SpecialtabulationsofdatafromFrostJJ,ZolnaMRandFrohwirthL,ContraceptiveNeedsandServices,2010,NewYork:
GuttmacherInstitute,2013,<http://www.guttmacher.org/pubs/win/contraceptiveneeds2010.pdf>

Table4.Percentagedistributionofwomeninneedofpubliclyfundedcontraceptiveservicesaccordingtowhethertheyliveinacounty
withaPlannedParenthoodcenterandbytheproportionofallpubliclyfundedcontraceptiveclientsservedbyPlannedParenthoodinthe
county,bystate,2010
%ofallwomeninneedofpubliclyfundedcontraceptiveservicesincountieswhere:

State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
DistrictofColumbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
NewHampshire
NewJersey
NewMexico
NewYork
NorthCarolina
NorthDakota
Ohio
Oklahoma
Oregon
Pennsylvania
RhodeIsland
SouthCarolina
SouthDakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
WestVirginia
Wisconsin
Wyoming
Total

NoPlanned
Parenthood
Nocenters centersare
located
arelocated

Planned
Planned
Planned
Planned
Parenthood
Parenthood
Parenthood
Parenthood
serves119% serves2049% serves5099% serves100%
ofallclients ofallclients
ofallclients ofallclients

Total

Planned
Parenthood
serves>=50%
ofallclients

0
2
0
0
0
1
0
0
0
0
0
0
2
6
20
12
5
0
0
0
0
0
0
11
0
4
6
25
0
0
0
0
0
0
12
5
1
0
1
4
0
11
0
6
1
0
16
1
0
3
5

77
32
14
77
7
12
5
0
0
33
71
4
71
31
14
24
55
74
78
63
39
41
33
24
97
39
47
26
9
34
23
55
17
57
88
26
56
24
24
26
87
55
64
24
21
13
59
8
95
29
82

23
0
3
0
5
0
0
0
100
23
3
15
0
0
0
0
7
9
0
0
0
0
2
0
3
0
0
0
0
0
0
0
0
12
0
2
8
0
2
70
9
12
7
0
0
0
15
1
0
0
0

0
51
23
23
52
47
0
38
0
44
26
81
27
47
3
9
32
17
10
0
36
59
39
37
0
16
0
0
16
9
6
45
44
26
0
13
21
6
36
0
4
22
29
42
0
0
7
0
5
1
14

0
15
60
0
36
40
95
62
0
0
0
0
0
12
59
36
1
0
12
37
22
0
22
16
0
38
47
49
75
49
68
0
32
4
0
47
15
70
33
0
0
0
0
19
78
71
4
86
0
48
0

0
0
0
0
0
1
0
0
0
0
0
0
0
4
4
18
0
0
0
0
3
0
4
12
0
3
0
0
0
8
3
0
7
0
0
7
0
0
4
0
0
0
0
9
0
16
0
3
0
19
0

100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100

0
15
60
0
36
41
95
62
0
0
0
0
0
15
63
54
1
0
12
37
25
0
26
28
0
41
47
49
75
57
71
0
39
4
0
54
15
70
37
0
0
0
0
28
78
87
4
89
0
67
0

33

30

26

100

30

Source:SpecialtabulationsofdatafromFrostJJ,ZolnaMRandFrohwirthL,ContraceptiveNeedsandServices,2010 ,NewYork:Guttmacher
Institute,2013,<http://www.guttmacher.org/pubs/win/contraceptiveneeds2010.pdf>