An unexpected quirk in the Affordable Care Act has left birth control clinics struggling to balance their budgets in California.

Clinics that have long enjoyed state support to run as nonprofits are having to rethink how to stay in business.

Take the Planned Parenthood clinic in Concord, about 30 miles east of San Francisco. Priscilla Castillo is surrounded by a rainbow of insurance forms patients fill out when they come to the clinic. They won’t have to much longer, though, because the clinic is moving to a new electronic system.

It’s the clinic’s latest attempt to cut costs in the age of Obamacare. At the start of the New Year, the vast majority of their patients became eligible for Medicaid.

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