Title X

Family Planning

What is Title X?

Congress established the Title X program in 1970 to focus on "population research and voluntary family planning programs."

The statute authorizes the Secretary of the U.S. Dept. of Health and Human Services (HHS) to "to make grants to and enter into contracts with public or nonprofit private entities to assist in the establishment and operation of voluntary family planning projects which shall offer a broad range of acceptable and effective family planning methods and services (including natural family planning methods, infertility services, and services for adolescents)."

The law also specifies that "None of the funds appropriated under this title shall be used in programs where abortion is a method of family planning."

Administrations vary in how HHS implements Title X

In the past, the abortion industry dominated in grants received from Title X funds.

A U.S. Dept. Health and Human Services (HHS) 2019 rule reformed the Title X program and opened the door to a more life-affirming approach. The rule corrected measures that kept pro-life clinics from receiving grants and implemented measures to prevent the comingling of Title X and the abortion industry.

However, President Biden signed an Executive Order on Jan. 28, 2021 declaring that "The Secretary of Health and Human Services shall review the Title X Rule and any other regulations governing the Title X program that impose undue restrictions on the use of Federal funds or women’s access to complete medical information and shall consider, as soon as practicable, whether to suspend, revise, or rescind, or publish for notice and comment proposed rules suspending, revising, or rescinding, those regulations...."

The 2019 rule remains in effect until replaced.

HHS Title X Rule Issued Feb. 2019

Read HHS fact sheet on 2019 rule

Read HHS news release on 2019 rule

 The 2019 rule benefits:

•    Patients seeking family planning services from health professionals and organizations with life-affirming values.
•    Taxpayers who do not want their tax dollars to fund the abortion industry.
•    Health professionals and organizations who could use federal funding to help provide services for family planning. 


  • Conscience protections enforced 

  • No required abortion referral or counseling* 

  • New funding partners sought

  • Parents involved in decisions about children

  • "Family planning" more broadly defined


The rule will help stop abuses by the abortion industry and others who under the old rule may have:


  • Used fungible federal funds to expand their abortion operations and did not physically separate abortion facilities and operations from Title X funds.

  • Used federal funds to lobby for, advocate for or routinely refer patients for abortion.

  • Declined to ask patients about or report suspected cases of abuse such as human trafficking, child abuse, child molestation, sexual abuse, rape, incest or intimate partner violence.

  • Not effectively involved parents and families in the healthcare of minor children.


*To apply for any exemption related to an abortion-related concern in prior Title X policies in effect until the new rule takes effect, contact the HHS Office for Civil Rights (Toll Free Call Center: 1-800-368-1019).

House Hearing
June 2019

On June 19, the Democrat-led House Subcommittee on Oversight and Investigations, Committee on Energy and Commerce held a hearing to oppose the new Title X reform and regulation. 

Americans United for Life testimony



- clinical regulations and statutory requirements

- to assist current and prospective grantees

- services, training, research, abortion prohibition

- where to start, what to do, what to avoid

- reforms to benefit patients and enforce the law

- with Title X program leader Dr. Diane Foley

- evidence-informed guidelines for services

Foley, Diane with flag.jpg
"Ten Truths about Title X" 

Charlotte Lozier Institute


Not your mother's family planning program

Several federal grants awarded under a Title X funding opportunity illustrate the current administration's determination to ensure that faith-based and pro-life clinics, hospitals, pregnancy centers and sexual risk avoidance programs...


The March for Life applauds HHS Secretary Azar and the Trump administration for protecting taxpayers from funding abortion through Title X. For ten years strong Marist polling indicates that the majority of Americans do not want their taxpayer dollars subsidizing abortion companies.

Jeanne Mancini, President, March For Life 

Review Title X grants from your home

...while gaining experience in federal grants


Consider applying to be a grant reviewer for federal Title X family planning grant applications.


Peer reviewers are vital to this process because they assist the federal government in awarding funds to only the most qualified applicants.


You may submit your credentials for consideration as a peer reviewer...

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