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.
Title X Statute - Five Major Provisions of the Law
1001 – Title X Services
Grants under Section 1001 assist in the establishment and operation of voluntary family planning projects which provide a broad range of acceptable and effective family planning methods and related preventive health services that include natural family planning methods, infertility services, and services for adolescents; highly effective contraceptive methods; breast and cervical cancer screening and prevention services that correspond with nationally recognized standards of care; STD and HIV prevention education, counseling, testing, and referral; adolescent abstinence counseling; and other preventive health services. The broad range of services does not include abortion as a method of family planning.
1003 – Title X Training
Grants under Section 1003 provide training for personnel working in family planning services projects described under Section 1001. The purpose of this training is to promote and improve the delivery of family planning services. Read more about the National Training Centers.
1004 – Title X Research
Grants and contracts under Section 1004 provide for projects for research in the biomedical, contraceptive development, behavioral, and program implementation fields related to family planning and population. Projects under this Section conduct data analysis and related research and evaluation on issues of interest to the family planning field, as well as research into specific topic areas related to service delivery improvement. Research on male reproductive health has been a focus of applied research activities since 1997. All research activities funded under Section 1004 support ensuring and improving the quality of family planning services. Read more about Title X Service Delivery Improvement activities.
1005 – Title X Information and Education
Grants and contracts under Section 1005 provide for the development and dissemination of informational and educational materials including the OPA website and the Title X family planning clinic locator database.
1008 – The Prohibition of Abortion
None of the funds appropriated under this title shall be used in programs where abortion is a method of family planning.
Title X Regulations
On March 4, 2019, the U.S. Department of Health and Human Services published a final rule in the Federal Register that revises the regulations governing the Title X family planning program entitled Compliance with Statutory Program Integrity Requirements.
Family Planning Program Regulations 42CFR59 Grants for Family Planning Services (03/04/2019)**
- Subpart A - Project Grants for Family Planning Services
- Subpart C - Grants for Family Planning Service Training
Sterilization of Persons in Federally Assisted Family Planning Projects 42CFR50 Policies of General Applicability
- Subpart B - Sterilization of Persons in Federally Assisted Family Planning Projects
**This document incorporates changes as published in the Federal Register on 03/04/2019. See the following Federal Register Notice regarding the specific changes to the Title X Family Planning Regulations:
Title X Legislative Mandates
The following legislative mandates have been part of the Title X appropriations language for each of the last several years. Title X family planning services projects should include administrative, clinical, counseling, and referral services necessary to ensure adherence to these requirements.
- None of the funds appropriated in this Act may be made available to any entity under Title X of the Public Health Service Act unless the applicant for the award certifies to the Secretary that it encourages family participation in the decision of minors to seek family planning services and that it provides counseling to minors on how to resist attempts to coerce minors into engaging in sexual activities.
- Notwithstanding any other provision of law, no provider of services under Title X of the Public Health Service Act shall be exempt from any State law requiring notification or the reporting of child abuse, child molestation, sexual abuse, rape, or incest.