On November 9, 2015, the Charlotte Lozier Institute, at CBO’s invitation, submitted a detailed letter to CBO describing six ways in which its analysis leads to misleading conclusions about the federal budget impact of the Planned Parenthood cutoff. In fact, among other points CLI argues that rechanneling funds from Planned Parenthood to primary care providers will lead to budget savings in Medicaid, that CBO underestimates Planned Parenthood’s private sector fundraising resilience, that CBO uses an incorrect (too high by 20%) figure for Planned Parenthood’s contraceptive client base, and that the 10-year budget window analysis artificially shows new costs for Medicaid enrollees but neglects the contributions human beings make to sustain government programs in the second decade of their lives and beyond.
Of all the Planned Parenthood data being looked at today as a result of release of the agency’s annual report, one of the more significant is the continued decline in its client total for reversible contraceptive methods (excluding services like sterilization and emergency contraceptive kits). This number is distinct from its contraceptive services total, where discrete services provided to a single individual are separately tallied, leading to a higher overall figure for services and a reduction in the apparent significance of a single “service” like abortion. The reversible contraceptive client total simply refers to the number of women coming to Planned Parenthood to obtain reversible contraception like oral contraceptives, barrier methods and IUDs, and this number continued to drop in 2014 – by more than 122,000 women, or more than 5.7 percent of those clients.