Title X

For nearly 50 years, the Title X (ten) family planning program has served as the nation’s only dedicated source of federal funding for family planning. The Title X program supports high-quality, culturally sensitive family planning services and other preventive health care for low-income, under-insured and uninsured individuals who may otherwise lack access to health care. These gains are at risk under the Trump administration new rules for Title X, which were finalized in March 2019. 

As the lead national advocacy organization for the Title X family planning program, NFPRHA spearheads efforts to promote resources and support for the program on Capitol Hill, with federal agencies, and in national coalitions. NFPRHA works to bolster support for expanded funding opportunities for Title X and develops strategies to reinforce the importance of the publicly funded family planning network and its integral role as a part of the public health safety net. NFPRHA further works to preserve the integrity of the program as a supporter of a diverse network of high quality family planning providers. Click here for the latest key facts and statistics about the Title X program.


2019 Title X Final Rule Resources
For details on NFPRHA's litigation to stop the Title X rule, please visit our legal action page

2018 Notice of Proposed Rulemaking (NPRM) Resources

NFPRHA Fact Sheets

Happening Now

  • On July 23, 2020, OPA opened a funding opportunity announcement for a new joint training center to assist grantees under Title X, the Teen Pregnancy Prevention Program, and the Office of Women's Health. OPA is expected to announce the grantee in September. 
  • On May 29, 2020, OPA opened two funding opportunity announcements to provide a total of $18 million to areas underserved by the current Title X network. OPA is expected to announce the awardees in September. 
  • Following the implementation of the Title X rule on July 15, 2019, six states left the program and another 28 had service sites leave program, resulting in the loss of more than 1,000 service sites. More than 1.5 million people used those sites in 2018.
  NFPRHA's Position

Title X

The National Family Planning & Reproductive Health Association (NFPRHA) believes that the Title X family planning program is a critical underpinning of the public health safety-net infrastructure that serves millions of low-income people. This federal program should be preserved and strengthened to ensure that the millions of women and men who rely on the varied network of providers participating in the Title X program can continue to access high-quality, culturally responsive family planning and sexual health services.

Primary Health Care Integration

Disclaimer: These documents are intended for general guidance and informational purposes only. NFPRHA recommends that FQHCs that provide Title X services should communicate directly with their Title X grantee or the Office of Population Affairs (OPA), as appropriate, about specific questions related to FPAR reporting.

Other Resources

For additional resources & information, access NFPRHA and federal comments by issue or read NFPRHA's publications and recent press statements.


National Family Planning & Reproductive Health Association

1025 Vermont Ave. NW, Suite 800, Washington, DC 20005
Phone: 202-293-3114  |  info@nfprha.org

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