Planned Parenthood is spending more than $47 million to target pro-life lawmakers in the midterms.
The group's campaign is aimed at defeating Republicans who supported last year's temporary cutoff of federal Medicaid funding for the nation's largest abortion provider.
Planned Parenthood Votes, the organization's affiliated super PAC, plans to spend the money on advertising and voter outreach in 10 competitive House races across seven states, along with key Senate contests in Maine and Michigan, Politico reported.
The investment ranks as the group's second-largest midterm election effort, trailing only its 2022 spending.
The campaign targets several vulnerable House Republicans, including Reps. Bill Huizenga and Tom Barrett of Michigan, Gabe Evans of Colorado, Mariannette Miller-Meeks of Iowa, Mike Lawler of New York, David Valadao of California, Brian Fitzpatrick and Ryan Mackenzie of Pennsylvania, and Juan Ciscomani of Arizona.
The group also plans to oppose likely Michigan GOP Senate nominee Mike Rogers and has targeted Sen. Susan Collins, R-Maine.
"We're in the fight of our lives," Planned Parenthood Votes Executive Director Sarah Standiford told Politico, pledging to defeat lawmakers who voted against the organization.
Congressional Republicans last year approved a one-year provision blocking Planned Parenthood from receiving Medicaid reimbursements, arguing the move was necessary to prevent taxpayer dollars from indirectly supporting the abortion industry.
The restriction expired in early July after Republicans were unable to extend it, restoring the organization's access to federal Medicaid reimbursements worth hundreds of millions of dollars.
The funding dispute has increased financial pressure on Planned Parenthood, which has closed or consolidated 57 health centers across 20 states since January 2025, the Kaiser Family Foundation reported.
The abortion debate is expected to remain a defining issue in the 2026 elections, with both sides preparing record spending.
Susan B. Anthony Pro-Life America and its affiliated Women Speak Out PAC announced in November an $80 million effort to preserve Republican congressional majorities and elect pro-life candidates.
"Republicans simply cannot win without their pro-life base, especially in midterm elections when overall turnout drops," SBA Pro-Life America President Marjorie Dannenfelser said in announcing the campaign.
She said the effort will reach more than 10.5 million voters through door-to-door canvassing, digital advertising, direct mail, and early voting initiatives in battleground states.
Dannenfelser also argued that Democrats have embraced an "extreme all-trimester abortion agenda" and said retaining Republican control of Congress is necessary to prevent abortion-rights advocates from restoring hundreds of millions of taxpayer dollars to Planned Parenthood.
Beyond federal races, both abortion-rights and pro-life organizations are expected to pour tens of millions more into gubernatorial contests, state legislative campaigns, and ballot initiatives that could determine abortion policy in several states.