Manchin identifies as "pro-life." He has mixed ratings from both abortion-rights and anti-abortion movements political action groups. In 2018, Planned Parenthood, a nonprofit organization that provides reproductive health services, including abortions, gave Manchin a lifetime grade of 57%. National Right to Life (NRLC), which opposes abortion, gave Manchin a 100% score in 2019 and NARAL Pro-Choice America gave him a 72% in 2017. On August 3, 2015, he broke with Democratic leadership by voting in favor of a Republican-sponsored bill to terminate federal funding for Planned Parenthood both in the United States and globally. He has the endorsement of Democrats for Life of America, a pro-life Democratic PAC.