Budget & Appropriations
Title X is a federal, discretionary public health program and a critical underpinning of the public health safety-net infrastructure that serves millions of low-income Americans. NFPRHA advocates for funding for the program.
In 2011, for the first time in the history of the Title X program, a chamber of Congress voted to completely defund the program (H.R. 1). That fight has since led to battles at the federal and state levels to restrict women's access to affordable family planning at a time when nearly all Americans have embraced family planning as an essential part of their lives.
Over the past three years, Title X, similar to most federal discretionary funding programs, has sustained significant cuts as a result of tremendous pressure to reduce the federal deficit. The Final FY 2011 spending bill (H.R. 1473) – signed into law on April 15, 2011 (Public Law 112-10) - included $299.4 million for Title X, an $18.1 million reduction from the previous year. Subsequently, on December 17, 2011, the final FY 2012 spending bill was passed (H.R. 2055) and signed into law (Public Law 112-74) with $293.9 million for Title X - an additional $2.6 million cut to the program and additional administrative reductions resulting in an actual cut of $5.5 million. In just two fiscal years, the program lost nearly $24 million in funding, a 7.4% loss.
Furthermore, the Budget Control Act (BCA) of 2011 put into place a set of spending caps on federal programs and triggered automatic across-the-board spending cuts (sequestration) when the newly created Joint Select Committee on Deficit Reduction was unable to create a plan to reduce the federal deficit over the next ten years. While President Obama signed into law legislation that provided temporary relief from sequestration, the final FY 2013 continuing resolution passed by Congress in March 2013 did not contain measures to permanently turn off the sequester despite expectations it would. As a result, the Title X program took a $14.9 million cut to Title X in FY 2013.
At present, Title X is funded at $278.3 million and consideration of its FY 2014 funding is currently underway. Thus far, the process has started off much more promising. In April, the president’s budget proposal contained NFPRHA’s request of $327.4 million for Title X. As of July, Congress was still in the process of making funding determinations for FY 2014. While the Senate Appropriations Committee passed legislation that matched the president’s request of $327.4 million for Title X, the measure has yet to reach the Senate floor nor has the House has yet to take action.
FY 2013 Title X Funding Chart (in millions)
||FY2013 Actual (including sequester)
||Change from Previous Year (+/-)
||FY2014 President's Budget
||FY2014 Senate Labor-HHS Appropriations
||FY2014 House Labor-HHS Appropriations
|$293.9 (originally $296.8 before additional administrative reductions)
Title X funds are desperately needed to support health services, education and outreach, particularly as the percentage of uninsured women and men of reproductive age continues to rise as a result of the recession.
Learn More About Title X