The Trump Administration is withholding millions of dollars allocated for family planning services from more than a dozen organizations.

Enacted in 1970, the federal family planning program known as Title X makes millions of dollars available to clinics that provide health care services like birth control, cancer screenings, and STI testing for people from low-income households. On March 31, Planned Parenthood—one of the largest Title X providers—said in a press release that nine of its affiliates received notices from the federal government that their Title X funding would be withheld starting April 1.

According to Planned Parenthood, more than three-quarters of its affiliates receive Title X funding, and in 2023, there were more than 1.5 million visits to Planned Parenthood health centers that received Title X funding.

One of the nine affiliates affected is Planned Parenthood Great Northwest, Hawai’i, Alaska, Indiana, Kentucky (PPGNHAIK), which serves those four states as well as Idaho and western Washington. Its CEO, Rebecca Gibron, estimates that, as a result of the freeze, about $3 million a year will now be withheld from five of the six states PPGNHAIK serves: Idaho, Indiana, Kentucky, Alaska, and Hawaii. Gibron says that over half of PPGNHAIK’s health centers across six states serve more than 40,000 patients a year through Title X.

“In our states, we are a safety net provider providing affordable birth control, cancer screenings, STI testing, and treatment,” Gibron says. “These patients rely on Title X for their health care, and without this program, patients may have no access to this care at all.” Planned Parenthood Action Fund President and CEO Alexis McGill Johnson said in a press release that if people aren’t able to access this care, cancers could go undetected, access to birth control could be reduced, and sexually transmitted infections could increase.