Reproductive Health and Freedom Watch calls for financial accountability as taxpayer funding to unregulated pregnancy clinics tops $820 million
WASHINGTON, DC – Reproductive Health and Freedom Watch (RHFW) today released new financial data showing the unregulated pregnancy clinic (UPC) industry took in $1.9 billion in 2023, an 11% increase from the prior year, and is on track to surpass $2.5 billion in annual revenue in 2025. Detailed UPC industry revenues, expenses, and assets have been shared on UPCFinanceWatch.com.
The findings—drawn from IRS Form 990 data for 1,687 tax IDs representing an estimated 2,125 clinic locations nationwide—show the continued growth of a sprawling, publicly subsidized network of centers marketing reproductive and maternal health services that operate outside medical oversight while increasingly relying on taxpayer funds.
“This is an industry built on public dollars but devoid of public accountability,” said Jenifer McKenna, a spokesperson for Reproductive Health and Freedom Watch. “They market themselves as health clinics while operating outside rules that protect patient safety, privacy, and professional integrity. Taxpayers deserve transparency.”
Key Findings
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The UPC industry collected $1.9 billion in 2023, up 42% from 2019.
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State legislatures have directed over $820 million in taxpayer funding to the industry since 2021, with 2025 marking the largest single-year total on record.
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UPC clients appear to receive fewer services per dollar than nonprofit free clinics in the same states.
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96% of voters support requiring organizations that receive taxpayer dollars to account for how those funds are spent.
Background
While most UPC funding continues to flow from private conservative and religious donors—including donor-advised funds like the National Christian Charitable Foundation—taxpayer funding is accelerating through direct state appropriations and tax incentives that divert money away from essential programs like education and health care.
In 2025 alone, 16 state legislatures collectively appropriated more than $300 million in taxpayer funds to UPCs—a 20% increase over 2023, the previous record. Texas continues to lead, allocating $180 million for the 2025–2027 biennium.
Accountability and Next Steps
RHFW’s analysis urges policymakers and funders to implement basic transparency and reporting requirements for any organization receiving taxpayer funds. Examples from states like Arkansas (SB 1202, passed in 2025) and Texas (HB 2581, failed to pass in 2025) offer models for stronger disclosure and financial oversight.
The findings underscore the urgent need for state legislatures and private funders to clarify, inquire, and disclose—ensuring the public knows how much money is going to unregulated clinics, who receives it, and what services are actually being provided.
“Public money should serve the public good,” McKenna added. “If taxpayer dollars are being funneled into an unregulated industry that provides fewer services at higher costs, legislators have a responsibility to step in.”
About Reproductive Health and Freedom Watch
Reproductive Health and Freedom Watch tracks the flow of public and private funding into the unregulated pregnancy clinic industry and its role in shaping state-level reproductive health policy. The organization provides nonpartisan analysis and data-driven tools to help policymakers, journalists, and advocates advance evidence-based care and accountability in reproductive and maternal health policy.
Read the full memo and dataset at: HERE