About Title X Service Grants

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.  

On April 28, 2021, OPA hosted a public webinar that provides information about the 2021 Title X Notice of Public Rulemaking. Watch introductory remarks from HHS Assistant Secretary for Health, Dr. Rachel Levine, and the Title X NPRM webinar.

The following PDFs may not be fully accessible to all users. Should you require any accessibility assistance with these documents, please contact opa@hhs.gov.


For 50 years, Title X family planning clinics have played a critical role in ensuring access to a broad range of family planning and related preventive health services for millions of low-income or uninsured individuals and others. Title X is the only federal grant program dedicated solely to providing individuals with comprehensive family planning and related preventive health services. 

Family planning includes a broad range of services related to achieving pregnancy, preventing pregnancy, and assisting women, men, and couples with achieving their desired number and spacing of children. Core family planning services provided by all Title X service grantees include:

  • Discussion with clients about their reproductive life plan.
  • A broad range of acceptable and effective family planning methods and services for delaying or preventing pregnancy.
  • The broad range of family planning services does not include abortion as a method of family planning.
  • Pregnancy testing, and counseling in accordance with the Title X regulations.
  • Services centered around preconception health and achieving pregnancy, which should include:
    • Basic infertility services;
    • STD prevention education, screening, and treatment;
    • HIV testing and referral for treatment when appropriate; and
    • Screening for substance use disorders and referral when appropriate to help reduce adverse pregnancy-related outcomes and improve individuals’ reproductive health generally.

Title X projects may also include 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.