See the latest news updates and press releases from OPA.
HHS Issues Final Regulation Aimed at Ensuring Access to Equitable, Affordable, Client-Centered, Quality Family Planning Services
October 4, 2021—Today, the U.S. Department of Health and Human Services (HHS) issued a final rule to strengthen the Title X family planning program, fulfilling the Biden-Harris Administration’s commitment to restore access to equitable, affordable, client-centered, quality family planning services. The final rule, “Ensuring Access to Equitable, Affordable, Client-Centered, Quality Family Planning Services - PDF” realigns the nation’s family planning program with nationally recognized standards of care, reinforces the program’s emphasis on quality, equity, and dignity for all individuals who seek Title X services, and modernizes the more than 50-year old program to better reflect the current healthcare system. This new rule replaces the 2019 Title X Rule, reversing the Trump administration’s changes to the program. Read the full HHS press release.
2020 Family Planning Annual Report
September 20, 2021—Today, the HHS Office of Population Affairs (OPA) released its 2020 Family Planning Annual Report (FPAR). The Title X family planning program is the only federal program dedicated solely to supporting the delivery of family planning and related preventive healthcare. Annual submission of the FPAR is required of all Title X services grantees. The FPAR provides grantee-level data on the demographic and social characteristics of Title X clients, clients’ use of family planning and related preventive health services, staffing, and revenue. FPAR data have multiple uses including monitoring performance and compliance with statutory requirements, fulfilling federal accountability and performance reporting requirements, and guiding strategic and financial planning. OPA also uses FPAR data to estimate the impact of Title X on key reproductive health outcomes.
The FPAR presents the national-, regional-, and state-level findings for the calendar-year reporting period and trends for selected measures. The Title X program experienced a significant decline in the number of clients served in 2020. The findings from the 2019 FPAR showed a significant drop in the number of clients served in 2019 following implementation of the 2019 final rule. The 2020 FPAR data continue to show the same downward trend with a significant decline in the number of clients served in 2020. The total number of clients served dropped to 1.5 million in 2020 – down from 3.9 million in 2018 and 3.1 million in 2019. This graphic illustrates the downward trend in the number of clients served in the Title X Network from 2015 to 2020.
Additionally, based on analysis of FPAR data, it is estimated that the 2019 Title X Final Rule accounted for 58 percent of the decrease in Title X clients (901,583 clients) and the COVID-19 pandemic accounted for 42 percent (or 657,340 clients) of the decrease reported in 2020.
Read the full 2020 Family Planning Annual Report.
Fact Sheet: Funding to Support Increased Need for Family Planning Services as a Result of TX SB8
September 20, 2021—The HHS Office of Population Affairs (OPA) announced two funding actions to address the expected increased demand for emergency contraception and other Title X family planning services as a result of Texas Law SB8. SB8, which took effect on September 1, 2021, prohibits a physician from performing or inducing an abortion if a fetal heartbeat is detected.
In preparation for this anticipated demand for family planning services in Texas, and given Every Body Texas’ experience providing Title X family planning services across the state, OPA is granting a single-source supplemental grant award in October to Every Body Texas to enable the grantee to expand provision of emergency contraception and other family planning services to clients across the state through their existing Title X network.
The action in Texas is just one of many needs that drives an increased demand for family planning services that may exceed the current capacity of an impacted Title X provider network. OPA announced funds available specifically to support public and private nonprofit entities that are experiencing an increase in demand for family planning services to enable them to expand provision of emergency contraception and other family planning services to meet the increased demand both within and outside of the state. See the funding opportunity forecast for more information.
Fact Sheet: Notice of Proposed Rulemaking Ensuring Access to Equitable, Affordable, Client-Centered, Quality Family Planning Services
May 18, 2021—The U.S. Department of Health and Human Services (HHS) has proposed a new rule to revise the Title X family planning program regulations. The comment period for the Notice of Proposed Rulemaking (NPRM), entitled “Ensuring access to equitable, affordable, client-centered, quality family planning services” closed on May 17, 2021. All comments on the proposed rule received by the deadline are under review.
Office of Population Affairs Statement on Proposed Revision of Title X Regulations
March 18, 2021—On January 28, 2021, President Biden issued a “Memorandum on Protecting Women’s Health at Home and Abroad,” directing the Department of Health and Human Services (HHS) to review the 2019 Title X Final Rule and “consider, as soon as practicable, whether to suspend, revise, or rescind, or publish for notice and comment proposed rules suspending, revising, or rescinding, those regulations, consistent with applicable law, including the Administrative Procedure Act.”1 HHS conducted an extensive review and consideration of the 2019 Title X Final Rule (84 Fed. Reg. 7714) pursuant to this Presidential memorandum. The memorandum specifically directed HHS to ensure that undue restrictions are not put on the use of federal funds or on women’s access to medical information.
After reviewing the 2019 rule, HHS plans to propose revised regulations substantively similar to those issued in 2000 (65 Fed. Reg. 41270), under which the program operated successfully for years, with a few definitional updates that account for minor operational changes over the past 20 years. HHS is working on promulgating a new Notice of Proposed Rulemaking (NPRM), and it expects to have this NPRM published in the Federal Register no later than April 15, 2021. HHS will review and carefully consider all comments submitted in response to this NPRM and plans to have any Title X Final Rule in place by early fall and effective in time for the Fiscal Year 2022 funding announcement, which is expected to be issued in December 2021.
1 Memorandum on Protecting Women’s Health at Home and Abroad, The White House (Jan. 28, 2021), available at https://www.whitehouse.gov/briefing-room/presidential-actions/2021/01/28/memorandum-on-protecting-womens-health-at-home-and-abroad/