The restructuring also formed a three-tiered system that allocates more funding to clinics with comprehensive health services over those that provide only family planning services. Public agencies that provide family planning services, including public health departments and federally qualified health centers, were classified as Tier 1, while non-public providers that offered both preventive and primary care in addition to family planning were Tier 2.
Specialty clinics, including Planned Parenthood, were classified as Tier 3 and faced the brunt of funding cuts.
When the funding cuts first took effect on September 1, 2011, 14 family planning clinics lost funds immediately, according to another research paper on the effects of the cuts. By the end of 2012, a quarter of family planning clinics in Texas had shut down, while 18 percent had reduced service hours, and 50 percent had fired staff.Read more at ThinkProgress