Overview
The Title X Family Planning Program is the only federal grant program dedicated to providing individuals with comprehensive family planning and related preventive health services. It was enacted under President Richard Nixon in 1970 as part of the Public Health Service Act.
Title X is legally designed to prioritize the needs of low-income families or uninsured people (including those who are not eligible for Medicaid) who might not otherwise have access to these health care services. These services are provided to low-income and uninsured individuals at reduced or no cost. Its overall purpose is to promote positive birth outcomes and healthy families by allowing individuals to decide the number and spacing of their children. In 2018, the program served 3.9 million people, 87% of them women.
Between 2014 and 2019, Title X Family Planning program received $286 million per year. From the start, Title X funds could not be used to support abortion. In 2019, the regulations were revised, making it harder for clinics that refer women to an abortion provider to receive Title X funds. In January 2021, President Joe Biden signed a presidential memorandum that called for the repeal of former President Donald Trump's Title X rule changes.
History
The first federal subsidies to help low-income families with birth control came in 1965 as part of President Lyndon Johnson's War on Poverty program. By 1969, both Congress and President Richard Nixon supported a bill that will provide adequate Family Planning services. In 1970, the Senate passed Title X unanimously, and the House voted 298 to 32 to pass the bill on to Nixon, who signed it into law. While in 1971 the federal budget for Family Planning was only six million dollars, by 1972 it was almost 62 million.
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