About Title X Service Grants

The Title X family planning program is a critical part of America’s public health safety net, serving as a point-of-entry into care for nearly 195 million over the program’s more than 50-year history.

Title X services are guided by the requirements of the Title X statute, regulations, and legislative mandates and Title X program priorities. On October 4, 2021, the Office of Population Affairs (OPA) amended the Title X Family Planning regulations to restore access to equitable, affordable, client-centered, quality family planning services for more Americans. Learn more about the 2021 Title X Final Rule.

Consistent with the new regulation, Title X projects must ensure that services are provided in a manner that is client-centered, culturally and linguistically appropriate, inclusive, and trauma-informed; protects the dignity of the individual; and ensures equitable and quality service delivery consistent with nationally recognized standards of care. OPA priorities for Title X include:

1. Advancing health equity through the delivery of Title X services,
2. Improving and expanding access to Title X services, and
3. Ensuring the delivery of the highest quality of care. 

Title X recipients provide a broad range of medically approved family planning services, which includes all Food and Drug Administration (FDA)-approved contraceptive products and natural family planning methods for clients such as:

• Pregnancy prevention (e.g., birth control) and birth spacing counseling,
• Pregnancy testing and counseling,
• Assistance to achieve pregnancy,
• Basic infertility services,
• Sexually transmitted infection (STI) services, and
• Other preconception health services.

Title X services are voluntary, confidential, and provided regardless of one’s ability to pay. For many clients, Title X clinics are their only ongoing source of health care and health education.

Title X projects may also provide other reproductive health and related preventive health services that are considered beneficial to reproductive health such as HPV vaccination, provision of HIV pre-exposure prophylaxis (PrEP), breast and cervical cancer screening, and screening for obesity, smoking, drug and alcohol use, mental health, and intimate partner violence.