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"No American Women should be denied access to family planning assistance because of her economic condition. I believe, therefore that we should establish as a national goal of the provision of family planning services… to all who want but cannot afford them."
--President Richard Nixon, 1970
One of the best ways we can ensure healthy communities here in the U.S. is to advocate for policies and programs that effectively work to reduce unintended pregnancies, by increasing access to a full range of safe, effective, affordable contraceptives and family planning services. Title X ("ten"), the National Family Planning Program established in 1970, provides high quality reproductive healthcare and contraceptive services to American women. Title X funds enable clinics to provide an assortment of preventative health services, including contraceptive services, STI (sexually transmitted infection) risk prevention counseling, screening for cervical and breast cancer, health education, and referrals for other health social services. (1)
Title X is the only federal program dedicated solely to funding family planning services for people who do not have health insurance or cannot afford reproductive healthcare and contraceptives. Title X is often their only source for family planning information and services, Additionally, Title X ensures that these services are voluntary, confidential, and affordable (2)
Title X offers services to over five million women (representing 70 percent of all subsidized family planning clients each year) in almost 4600 clinics nationwide. Of the 6.5 million women who receive subsidized family planning services each year, 69% do so at a Title X-supported clinic. (3) As many as three in ten women in their twenties- the peak years for both childbearing and the need for contraception- are uninsured. (4)
Fact: Each year, Title X supported clinics enable 1.3 million women a year to avoid unintended pregnancy, which would have resulted in 632,200 abortions. In one year alone, an additional 386,000 teenagers would become pregnant without publicly supported services. This would mean an increase in teen births by 25 %.(3)
But the rising cost of Title X projects, including increased cost of contraceptives and a growing uninsured population, has not been reflected in the annual federal budget. President Bush has not proposed any increase in this program since taking office in 2001. Had Title X funding kept up with medical inflation since FY 1980, it would now be funded at $670 million per year. Funding for Title X is therefore 57% lower in real dollars than it was in FY 1980. (5)
Because the program has remained under-funded for so many years, clinics are struggling to provide newer and more effective methods of contraception, as well as testing and treatment for sexually transmitted infections (STIs). Federal funding for Title X has remained stagnant and has not kept up with inflation, so family planning providers remain dependent on donations from corporations and individuals to stay afloat. Meanwhile, misguided abstinence-only-until-marriage programs that exclude information about contraception receive growing support.

Write a letter to your local paper emphasizing that Title X services and funding must be a national priority. Find your local newspaper's address here.
For more information on Title X and family planning issues currently going through legislation please visit:
The Alan Guttmacher Institute (AGI)
National Family Planning Reproductive Health Association (NFPRHA)
Planned Parenthood Federation of America (PPFA)
Cited References
- 42 CFR part 59, subpart A (2000); Department of Health and Human Services (DHHS), "Program Guidelines for Project Grants for Family Planning Services, "Bethesda, MD, Jan., 2001.
- The Alan Guttmacher Institute (AGI), "Conservatives Agenda Threatens Public Funding for Family Planning." http://www.guttmacher.org/pubs/tgr/08/1/gr080104.html. February, 2005.
- The Alan Guttmacher Institute (AGI), Facts in Brief: Contraceptive Services. http://www.guttmacher.org/pubs/fb_contr_serv.html. March, 2005.
- Dailard, Cynthia. Challenges Facing Family Planning Clinics and Title X. The Guttmacher Report on Public Policy. April, 2001.
- National Family Planning and Reproductive Health Association. Title X, National Family Planning Program: Critical Women's Health Program Struggles to Meet Increasing Need. August, 2003.
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