A federal appeals court has refused to grant another hearing to Planned Parenthood, clearing the way for Texas to assume full responsibility for health care of low-income women next week without clinics that previously provided almost half of those services and without federal funding.

In a statement issued Thursday, Gov. Rick Perry said Texas will immediately "defund" the health organization's affiliates.

"Today's ruling affirms yet again that in Texas the Women's Health Program has no obligation to fund Planned Parenthood and other organizations that perform or promote abortion. In Texas we choose life, and we will immediately begin defunding all abortion affiliates to honor and uphold that choice."
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That’s precisely what Perry is doing, passing on more than $40 million in federal assistance and directing the state to exclude Planned Parenthood, which provides health care services to more than 130,000 low-income women in Texas. Planned Parenthood has 49 health centers across Texas, many of which will be forced to close due to Perry’s decision.

As an experiment, pro-choice activist Andrea Grimes said in September that she spent six hours trying to locate a women’s health clinic in Austin that isn’t Planned Parenthood but does accept Medicaid. Despite a list of 181 clinics on the state’s website, Grimes said she found just 13 actual doctors in the whole state who perform the necessary procedures and accept Medicaid, explaining that the other listings were repeats, radiology centers, labs and doctors who didn’t take Medicaid at all.

To make matters worse for many low-income women, the Kaiser Family Foundation says that Texas has one of the most restrictive Medicaid programs in the country, requiring that a family of three earn less than $188 a month to qualify for assistance. Under the president’s Affordable Care Act, however, Medicaid was slated to expand dramatically to cover nearly all low-income Americans, but Perry also said he will turn down more than $164 billion in federal money that would have been used to provide health care to 1.2 million Texans through 2023.
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