Title X

Budget & Appropriations

NFPRHA advocates to sustain and increase resources for the Title X family planning program. Similar to other federal safety-net health care programs, Title X grant program funds are appropriated to the Health Resources Services Administration (HRSA) through the annual, discretionary appropriations process by Congress. Over the past five 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.

On top of those cuts, in 2011, for the first time in the history of the Title X program, the House 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, contrary to its strong public support. Additionally, 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) which went into effect on March 1, 2013. As a result, in fiscal year (FY) 2013, the Title X program took a $15.6 million cut, $14.9 million of which was due to sequestration alone. On January 17, 2014, President Obama signed into law H.R. 3547, the "Consolidated Appropriations Act, 2014," which set federal spending for the remainder of FY 2014. This legislation funded Title X at $286.5 million, a level lower than the FY 2013 enacted level of $296.8 million. Although this amount is technically an increase of $8.2 million over FY 2013’s post-sequester level, it was far less than what is needed to make the program “whole.”

On December 16, 2014, President Obama signed into law H.R. 83, the which set federal spending for the remainder of FY 2015 which began October 1, 2014. This legislation funded Title X at $286.5 million, the same level as FY 2014. On February 2, 2015 President Obama release his budget blueprint for FY 2016, requesting $300 million for the Title X program. The House Labor, Health and Human Services (L-HHS) Sub-committee marked up its FY 2016 spending bill on June 17, 2015. The bill contained a complete elimination of the Title X program in addition to several harmful policy provisions which limit women's access to contraceptives and reproductive health services. The Senate released its L-HHS funding bill the following week, proposing $257.8 million for Title X. Both bills passed their respective sub and full Appropriations Committees. When and if the bills will go to their chamber floor for a full consideration remains unclear.  

FY 2015 Title X Funding Chart (in millions)

FY2016 Final 

FY2017 Enacted 

Change from Previous Year (+/-)

FY2017 President's Budget

FY2017 House Labor-HHS Appropriations

FY2017 Senate Labor-HHS Appropriations





Complete program elimination



Funding Chart

Funding Request Letters
Every year, NFPRHA and its national partners prepare letters to Congress making the case for sustained and increased funding for Title X. NFPRHA’s congressional champions also lead and join letters to their colleagues urging their support.

FY 2017

FY 2016

 FY 2015

For additional resources & information, access NFPRHA fact sheets and federal comments by issue or read NFPRHA's publications.  



Health Insurance Marketplace: Have health insurance questions? Get Quick Answers

National Family Planning & Reproductive Health Association

1627 K St. NW, 12th Floor, Washington, DC 20006
Phone: 202-293-3114  |  info@nfprha.org

© 2011 National Family Planning & Reproductive Health Association