Texas Pro-Life Pregnancy Centers Prepare for Overturning of Roe v. Wade

The Texas government wanted to establish a funding stream for organizations promoting childbirth, and thereafter parenting or adoption, McNamara said.

A pregnant woman relaxes on her bed next to an ultrasound.
A pregnant woman relaxes on her bed next to an ultrasound. (photo: Sianstock / Shutterstock)

If the U.S. Supreme Court overturns Roe v. Wade this summer, abortions will be banned entirely statewide in Texas, with limited exceptions. Although some Texas women will likely travel to other states to obtain abortions, the legal change could mean that tens of thousands more children will be born in the state each year. 

The Texas Pregnancy Care Network (TPCN) stands ready to help those mothers and babies, said John McNamara, the network’s executive director. 

The funding network started small in the early 2000s and has grown to support more than 175 locations — crisis pregnancy centers, maternity homes, clinics, and more — all over the state. 

Each of the nearly 200 organizations that the TPCN supports is a standalone nonprofit with its own funding streams and donor bases, McNamara said. The hope for the program is that the government dollars would help each organization expand its pro-life services. 

“This is not just about saving the baby. This is about setting young parents up for long-term success in their parenting,” he told CNA. 

McNamara said that the program was launched in the early 2000s after a realization on the part of the Texas legislature about how much government funding was going to organizations providing or promoting abortion. The Texas government wanted to establish a funding stream for organizations promoting childbirth, and thereafter parenting or adoption, McNamara said. 

The network was established as the Texas Alternative to Abortion Services Program, born out of a desire to “level the playing field” between abortion providers and pro-life organizations. 

For the first 16 years, there was a federal component to the dollars in the form of TANF (Temporary Assistance for Needy Families) money, McNamara said, but the federal component to the funding was always minimal: less than 10% for the past 16 years.

Today, TPCN is funded entirely with general revenues from the state of Texas. In the fiscal year 2021, the organization was the program’s largest grantee, receiving $36.6 million (nearly 80%) of the funds awarded that year. 

As more states pass measures to ban abortion — which they would be allowed to enforce if Roe v. Wade is overturned — Texas’ pregnancy care program is already being emulated, most notably by its neighbor, Oklahoma. 

In late May, Oklahoma Governor Kevin Stitt signed a law prohibiting abortion from the moment of conception with few exceptions, and Oklahoma started a pregnancy care network almost exactly like Texas’ in 2019. Madeleine Craig, the Oklahoma network’s executive director, said in May that the network had 12 locations and intended to expand to at least 20 by the end of the year. 

The Texas program is notable in part for the length of its continuum of care. Women and men are not only eligible for their pro-life services during pregnancy, McNamara noted. In fact, their services extend from the beginning of pregnancy until three years after birth. 

Those services include counseling for women considering abortion, housing for women who have been in an unsafe or abusive environment, vocational training, and classwork on budgeting, self-sufficiency, interviewing skills. They also offer doula services, as well as programs and classes for the fathers to teach them to be good and effective. 

The Texas legislature has spoken loudly on this, McNamara said, creating what amounts to an “almost four-year continuum of care.” 

According to reporting from the Texas Tribune, pregnant women in Texas are more likely to be uninsured — 1 in 5 residents were uninsured in 2019, double the national average — and less likely to seek early prenatal care than the rest of the country. Texas also has high rates of maternal mortality and morbidity, and high rates of teen pregnancy. 

An anonymous client of the pregnancy network said that she appreciated the human connection she made when she sought help for her pregnancy. 

“You helped a broken person that never talked about her feelings, that felt she was not important and not worth it. But after meeting you, I feel I am an important person. I love that I met you,” the client wrote on her comment card upon leaving the clinic. 

Texas enacted a “heartbeat” abortion ban in September 2021 that prohibits abortions after an unborn baby’s heartbeat can be detected, but relies on private lawsuits between citizens to enforce the ban, rather than state action. 

Despite many women traveling out of state for abortions since it was enacted, the heartbeat ban has led to a reduction in the number of abortions in the state, and thus an increase in mothers seeking help. 

Since the bill took effect, the organizations that are part of the TPCN have seen requests for their services go up 35% compared to a normal, pre-pandemic year, McNamara said. He added that they expect another jump in demand when or if Roe is overturned, and an increase in funding from the Texas legislature would be a huge boon for their many clinics and homes. 

The organization has faced threats in recent weeks following a draft opinion leak from the Supreme Court, along with other pro-life and Catholic organizations

Over Mother’s Day weekend, a pro-life pregnancy center in Denton, Texas, called Loreto House was defaced with graffiti that read, “Not a clinic,” and “Forced pregnancy is murder.” Another women's resource center, Woman to Woman Resource Center, also was vandalized. 

Both centers are part of the TPCN.