2023 Title X Family Planning Annual Report: Title X Providers Continue to Rebuild and Grow

Published October 2024OPA Bulletin

Today, the Office of Population Affairs (OPA) is releasing the Family Planning Annual Report (FPAR) 2023 National Summary. This FPAR presents data from grant recipients in the Title X family planning program (Title X) to monitor and report program performance. Title X grant recipients served nearly 2.8 million clients in 2023, a 7% increase from 2022.

Title X is the only domestic federal program dedicated solely to supporting the delivery of family planning and related preventive health services for all people. For many clients, Title X services are the only ongoing source of health care and health education. Title X services are client-centered, culturally and linguistically appropriate, inclusive, and trauma-informed. Title X providers ensure equitable and quality service delivery consistent with nationally recognized standards of care.

Read the Family Planning Annual Report (FPAR) 2023 National Summary


Key findings from the 2023 FPAR

In 2023, Title X continued to rebuild the network and expand access to diverse clients nationwide.

  • Title X provided services to 2.8 million unique clients in 2023, a 7% increase from 2022 and an 80% increase from 2020.
    • Title X grant recipients hosted 4.3 million family planning encounters at 3,853 service sites across 50 states in the United States, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, the Northern Mariana Islands, the Federated States of Micronesia, and Palau.

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  • Title X played a critical role in providing affordable family planning and preventive health services to clients in families with low incomes and those without private insurance.
    • There is no charge for Title X services to people with family incomes below 100% of the most recent federal poverty level (FPL) guidelines, and services are discounted on a sliding scale for people with family incomes between 101-250% (for example, $30,001 for a family of four) of the FPL.
    • 60% of clients had family incomes below 101% of the FPL and received services for no charge.
    • 23% of clients had family incomes between 101-250% of the FPL and received services at a discounted rate.
    • 27% of Title X clients were uninsured, more than three times the national uninsured rate for U.S. adults (8%).
    • 67% of the clients who paid with some form of health insurance relied on public insurance.

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  • Title X grant recipients provided care to a diverse group of clients. Of the 2.8 million unique family planning clients served in 2023:
    • 85% (2.4 million) were women.
    • 48% (1.3 million) identified as a race other than White.
    • Nearly 36% of clients identified as Hispanic or Latino.
    • 19% of clients reported a limited proficiency in English.
  • The Title X program provided clients access to a wide range of contraceptive methods to meet individual needs and allow clients to choose the method that works best for them. 72% of all clients reported using a contraceptive method for family planning:
    • Nearly 71% of the 2.4 million female clients reported using a contraceptive method.
    • 53% of the 419,128 male clients reported using a contraceptive method.

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  • Title X was an essential resource for STI and HIV testing and cancer screening.
    • Title X providers performed 1,343,403 chlamydia tests, 1,567,115 gonorrhea tests, 734,879 syphilis tests, and 984,375 confidential HIV tests.
    • Title X providers conducted 461,085 cervical cancer screenings (Pap tests) for female clients.
  • Title X providers leveraged additional public and private funding sources to deliver services.
    • Title X funding accounts for 17% of grant recipients’ total revenue, with the remainder coming from third-party payers like Medicaid and other public and private insurance (56%), and other small federal grants and state and local governments (27%).
    • Title X funding makes it possible for providers to leverage other funding sources and provide additional services, serve more clients, and improve overall infrastructure and quality of care.

Read the Family Planning Annual Report (FPAR) 2023 National Summary


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HHS Office of Population Affairs (OPA) has released the Family Planning Annual Report (FPAR) 2023 National Summary. This FPAR presents data from grant recipients in the Title X family planning program (Title X) to monitor and report program performance. In 2023, Title X continued to rebuild the network and expand access to diverse clients nationwide. Title X grant recipients served nearly 2.8 million clients, a 7% increase from 2022 and an 80% increase from 2020. Read the full annual report and learn about the key findings from the 2023 FPAR. https://opa.hhs.gov/research-evaluation/title-x-services-research/family-planning-annual-report-fpar

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@HHSPopAffairs released the Family Planning Annual Report 2023 National Summary, showing Title X served nearly 2.8 million clients—a 7% increase from 2022. Title X is a vital resource for family planning and preventive health services. https://opa.hhs.gov/research-evaluation/title-x-services-research/family-planning-annual-report-fpar