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What leading Planned Parenthood is like now

April 8, 2026

Alexis McGill Johnson assumed leadership of Planned Parenthood in 2020 during a period of organizational instability and has since navigated unprecedented challenges including the overturning of Roe v. Wade, significant federal funding cuts, and clinic closures under two Trump administrations. As only the second Black woman to lead the century-old organization, she faces the dual responsibility of maintaining healthcare services for millions while mobilizing political support for abortion rights amid a shifting political landscape where the issue has lost some momentum.

Who is affected

  • Alexis McGill Johnson, President of Planned Parenthood Federation of America and Planned Parenthood Action Fund
  • Planned Parenthood patients (1 in 3 women in the United States has visited a Planned Parenthood clinic)
  • Planned Parenthood staff at 53 health centers that have closed since early 2025
  • Planned Parenthood's 20 million supporters (volunteers, donors, activists, and email subscribers)
  • Democratic voters, particularly women and Black women
  • Activists, donors, and voters in the abortion rights movement
  • Abortion funds and reproductive health clinics facing funding challenges
  • Democratic candidates in key states including Georgia, North Carolina, and Ohio

What action is being taken

  • McGill Johnson is working to galvanize supporters and keep Planned Parenthood clinics serving patients
  • She is focused on electing Democrats in key races in states including Georgia, North Carolina, and Ohio
  • McGill Johnson is emphasizing Planned Parenthood's presence in communities with limited reproductive care options
  • She is framing the abortion issue as one of affordability and democracy
  • McGill Johnson is navigating people's frustrations, anxieties, and hopes while keeping supporters focused on hope and strategy
  • The organization is working to standardize best-in-class care in sexual and reproductive healthcare, including abortion

Why it matters

  • This matters because Planned Parenthood is the nation's largest provider of reproductive care, serving millions of Americans with essential healthcare services. The organization faces existential threats from federal funding cuts that have slashed a third of its budget and led to 53 clinic closures, while new Medicaid restrictions threaten additional closures. As a key standard bearer of the abortion rights movement in the post-Roe era, Planned Parenthood's ability to survive and adapt will determine whether millions of Americans, particularly in underserved communities, maintain access to reproductive healthcare. The leadership challenges also reflect broader patterns in American institutions where Black women are called upon to lead during crises with limited room for error, making McGill Johnson's tenure significant both for reproductive rights and for understanding organizational leadership during times of unprecedented political upheaval.

What's next

  • McGill Johnson will continue work on the campaign trail supporting Democratic candidates
  • She will continue reimagining Planned Parenthood's network of clinics as part of the national healthcare infrastructure
  • The organization aims to become "the Cleveland Clinic of sexual and reproductive health care" by focusing on seeing as many patients as possible while exporting its clinical excellence standards to raise the standard of care more broadly
  • McGill Johnson and the movement must address the question: "Who are we going to be now that we're no longer defending Roe?"

Read full article from source: The 19th

What leading Planned Parenthood is like now