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.
[1] 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 2019, the regulations were revised, making it harder for clinics that refer women to an abortion provider to receive Title X funds.
[6] 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.
[10] A third bill was passed in 1975 authorizing a network of family planning centers to be built across the U.S., resulting in almost 4,000 service sites in 2018.
[1] Planned Parenthood clinics and affiliates receive about 60 million annually through the federal programs, serving 40 percent of all Title X patients.
[15] Services provided by Title X grantees include family planning and provision of contraception, education and counseling, breast and pelvic exams, breast and cervical cancer screening, screenings and treatment for sexually transmitted infections (STIs) and Human Immunodeficiency Virus (HIV), education about preventing STIs and HIV and counseling for affected patients, referrals to other health care resources, pregnancy diagnosis, and pregnancy counseling.
Title X also looks to improve the provision of family planning services by engaging in data collection and research of the program and its grantees.
[11] The services provided at publicly funded clinics saved the federal and state governments an estimated $5.1 billion in 2008 in short term medical costs.
[7][18] According to President Obama's FY2012 proposed budget and the OMB, Title X provides grants to a network of over 4,500 clinics that annually serve over 5 million individuals.
Grantees and sub-recipients must have written policies that clearly indicate that none of the funds will be used in programs where abortion is a method of family planning.
[21] Representative, and later Vice President, Mike Pence, a Republican from Indiana, has led the charge to prevent Planned Parenthood from receiving Title X funds.
[29] Marie Sanchez, chief tribal judge on the Northern Cheyenne Reservation, arrived in Geneva in 1977 with a clear message to deliver to the United Nations Convention on Indigenous Rights.
Over a six-year period following passage of the act, "physicians sterilized perhaps 25% of Native American women of childbearing age, and there is evidence suggesting that the numbers were actually even higher.
[31] On October 4, 2021, the United States Department of Health and Human Services issued a regulation repealing the Title X gag rule effective November 8, 2021.