Family Planning Annual Report (FPAR)

Title X is the only federal grant program dedicated solely to supporting the delivery of family planning and related preventive health services for all people. Title X providers ensure quality service delivery consistent with nationally recognized standards of care.

The Family Planning Annual Report (FPAR) 2023 National Summary presents data from grant recipients in the Title X family planning program and is used to monitor and report program performance. Title X clinics play a critical role in providing affordable family planning and preventive health services to clients in families with low incomes and those without private insurance. In 2023, Title X continued to rebuild the network and provide services to diverse clients nationwide.

Key FPAR 2023 National Summary findings

Title X provided services to 2.8 million clients in 2023, a 7% increase from 2022.
Title X continued to play a fundamental role in providing affordable family planning and preventive health services nationwide to clients in families with low incomes.
Title X providers leveraged additional public and private funding sources to deliver services.
Title X grant recipients provided care to a diverse group of clients.
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.
Title X was an essential resource for STI and HIV testing and cancer screening.

Number of users, 2014-2023

A bar chart of the number of Title X family planning users (in millions) from 2014 through 2023. Data represented in this figure are presented in tabular form in Exhibit B.1a.

Percent of users by family income level, 2023

A doughnut chart that displays the percent of family planning users whose annual income is below 101 percent of the federal poverty level, between 101 and 250 percent of the federal poverty level, above 250 percent of the federal poverty level, and whose federal poverty level is unknown in 2023. Data represented in this figure are presented in tabular form in Exhibit B.4a.

Users of female contraceptives methods by effectiveness, 2023

About the Family Planning Annual Report (FPAR)

Annual submission of the FPAR is required of all Title X family planning services grant recipients for purposes of monitoring and reporting program performance. FPAR data are presented in summary form, which protects the confidentiality of individuals who receive Title X-funded services.

This annual reporting requirement is for family planning services delivery projects authorized and funded under the Population Research and Voluntary Family Planning Programs (Section 1001 of Title X of the Public Health Service Act, 42 United States Code [USC] 300; 42 CFR Part 59).

Information from the FPAR is important to OPA for several reasons:

FPAR data are used to monitor compliance with statutory requirements, regulations, and operational guidance.
OPA uses FPAR data to comply with accountability and federal performance requirements for Title X family planning funds as required by the 1993 Government Performance and Results Act (GPRA).
The program relies on FPAR data to monitor performance, guide strategic and financial planning, and to respond to inquiries from policymakers and Congress about the program. For more background and a listing of past FPARs, please see Family Planning Annual Reports.