{ "id": "R45181", "type": "CRS Report", "typeId": "REPORTS", "number": "R45181", "active": true, "source": "EveryCRSReport.com", "versions": [ { "source": "EveryCRSReport.com", "id": 586373, "date": "2018-10-15", "retrieved": "2019-12-20T20:46:05.530611", "title": "Family Planning Program Under Title X of the Public Health Service Act", "summary": "The federal government provides grants for family planning services through the Family Planning Program, Title X of the Public Health Service Act (PHSA; 42 U.S.C. \u00a7\u00a7300 to 300a-6). Title X, enacted in 1970, is the only domestic federal program devoted solely to family planning and related preventive health services. In 2017, Title X-funded clinics served 4 million clients.\nTitle X is administered through the Office of Population Affairs (OPA) in the Department of Health and Human Services (HHS). Although the authorization of appropriations for Title X ended in FY1985, funding for the program has continued through appropriations bills for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (Labor-HHS-Education). \nTitle X grantees can provide family planning services directly or subaward Title X monies to other public or nonprofit entities to provide services. In December 2016, OPA released a final rule to limit the criteria Title X grantees could use to restrict subawards by stating that \u201c[n]o recipient making subawards for the provision of services as part of its Title X project may prohibit an entity from participating for reasons other than its ability to provide Title X services.\u201d On April 13, 2017, the President signed P.L. 115-23, which nullified the rule under the Congressional Review Act.\nFederal law (42 U.S.C. \u00a7300a-6) prohibits the use of Title X funds in programs in which abortion is a method of family planning. According to OPA, family planning projects that receive Title X funds are closely monitored to ensure that federal funds are used appropriately and that funds are not used for prohibited activities. The abortion prohibition does not apply to all Title X grantees\u2019 activities, but applies only to their Title X project activities. Under current guidance, a grantee\u2019s abortion activities must be \u201cseparate and distinct\u201d from its Title X project activities. \nOn June 1, 2018, HHS published a proposed rule that would prohibit Title X projects from making abortion referrals and would require \u201cphysical and financial separation\u201d between Title X projects and abortion-related activities, among other changes to Title X regulations.\nOn September 28, 2018, the President signed the Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019, and Continuing Appropriations Act, 2019 (P.L. 115-245), which provides $286.5 million for Title X, the same as the FY2018 level. The FY2019 act continues previous years\u2019 requirements that Title X funds not be spent on abortions, that all pregnancy counseling be nondirective, and that funds not be spent on promoting or opposing any legislative proposal or candidate for public office. Grantees continue to be required to certify that they encourage family participation when minors seek family planning services and to certify that they counsel minors on how to resist attempted coercion into sexual activity. The appropriations law also clarifies that family planning providers are not exempt from state notification and reporting laws on child abuse, child molestation, sexual abuse, rape, or incest.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "https://www.crs.gov/Reports/R45181", "sha1": "b3ae3ee5f4e852256d9cccf62cfdfbb7c9c4aff5", "filename": "files/20181015_R45181_b3ae3ee5f4e852256d9cccf62cfdfbb7c9c4aff5.html", "images": { "/products/Getimages/?directory=R/html/R45181_files&id=/0.png": "files/20181015_R45181_images_bb673ef3f2e5413b71ca4124303f924370d67dc1.png", "/products/Getimages/?directory=R/html/R45181_files&id=/1.png": "files/20181015_R45181_images_a321fc99b2ea67626d2d3fff416e3115e2badd54.png" } }, { "format": "PDF", "encoding": null, "url": "https://www.crs.gov/Reports/pdf/R45181", "sha1": "b062fa48792b6e711d53dc9d8d25c3286590e8d9", "filename": "files/20181015_R45181_b062fa48792b6e711d53dc9d8d25c3286590e8d9.pdf", "images": {} } ], "topics": [ { "source": "IBCList", "id": 4788, "name": "Health Care Delivery" }, { "source": "IBCList", "id": 4848, "name": "Abortion & Family Planning Services" } ] }, { "source": "EveryCRSReport.com", "id": 584843, "date": "2018-04-27", "retrieved": "2018-10-06T00:01:51.444397", "title": "Family Planning Program Under Title X of the Public Health Service Act", "summary": "The federal government provides grants for family planning services through the Family Planning Program, Title X of the Public Health Service Act (42 U.S.C. \u00a7\u00a7300 to 300a-6). Title X, enacted in 1970, is the only domestic federal program devoted solely to family planning and related preventive health services. In 2016, Title X-funded clinics served 4 million clients.\nTitle X is administered through the Office of Population Affairs (OPA) in the Department of Health and Human Services (HHS). Although the authorization of appropriations for Title X ended in FY1985, funding for the program has continued through appropriations bills for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (Labor-HHS-Education). \nTitle X grantees can provide family planning services directly or subaward Title X monies to other public or nonprofit entities to provide services. In December 2016, OPA released a final rule to limit the criteria Title X grantees could use to restrict subawards: \u201cNo recipient making subawards for the provision of services as part of its Title X project may prohibit an entity from participating for reasons other than its ability to provide Title X services.\u201d On April 13, 2017, the President signed P.L. 115-23, which nullified the rule under the Congressional Review Act.\nOn March 23, 2018, the President signed the Consolidated Appropriations Act, 2018 (P.L. 115-141), which provides $286.5 million for Title X, the same as the FY2017 level. The FY2018 act continues previous years\u2019 requirements that Title X funds not be spent on abortions, that all pregnancy counseling be nondirective, and that funds not be spent on promoting or opposing any legislative proposal or candidate for public office. Grantees continue to be required to certify that they encourage \u201cfamily participation\u201d when minors seek family planning services and to certify that they counsel minors on how to resist attempted coercion into sexual activity. The appropriations law also clarifies that family planning providers are not exempt from state notification and reporting laws on child abuse, child molestation, sexual abuse, rape, or incest. \nThe President\u2019s FY2019 budget request, submitted February 12, 2018, proposes $286.5 million for Title X, the same as the FY2018 enacted level.\nUnder the Title X Family Planning Services FY2017 funding opportunity announcement (FOA), final award selections were made by the applicable Public Health Service Region\u2019s regional health administrator, in consultation with the Deputy Assistant Secretary for Population Affairs (DASPA) and the Assistant Secretary for Health or their designees. In contrast, under the FY2018 FOA, final award selections will be made by the DASPAa political appointee or the DASPA\u2019s designee. This is a change from program practices in place since the 1980s.\nFederal law (42 U.S.C. \u00a7300a-6) prohibits the use of Title X funds in programs in which abortion is a method of family planning. According to OPA, family planning projects that receive Title X funds are closely monitored to ensure that federal funds are used appropriately and that funds are not used for prohibited activities. The abortion prohibition does not apply to all Title X grantees\u2019 activities, but applies only to Title X projects\u2019 activities. A grantee\u2019s abortion activities must be \u201cseparate and distinct\u201d from the Title X project activities.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R45181", "sha1": "57bf22e015087e250dd2b45a742302cccd60cea0", "filename": "files/20180427_R45181_57bf22e015087e250dd2b45a742302cccd60cea0.html", "images": { "/products/Getimages/?directory=R/html/R45181_files&id=/0.png": "files/20180427_R45181_images_f85d194211f664c9a2123de6b8f8eab355cfa046.png", "/products/Getimages/?directory=R/html/R45181_files&id=/1.png": "files/20180427_R45181_images_900cd4b0cde4b292d63ceaf7c4dcf7d73e3f1d59.png" } }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R45181", "sha1": "6cf21845bb8d6f63949a99f14b26c6c833579117", "filename": "files/20180427_R45181_6cf21845bb8d6f63949a99f14b26c6c833579117.pdf", "images": {} } ], "topics": [ { "source": "IBCList", "id": 4788, "name": "Health Care Delivery" }, { "source": "IBCList", "id": 4848, "name": "Abortion & Family Planning Services" } ] } ], "topics": [ "American Law", "Appropriations", "Health Policy" ] }