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

  • Following the implementation of the Title X rule, 18 grantees left the program, along with many more subrecipients; this left 30 states with reduced or no Title X networks. 
  • On June 20, an appeals court removed the injunction. HHS announced that the rule was in effect as of July 15 and established a compliance schedule.  
  • On April 25, NFPRHA, among other plaintiffs, secured a preliminary injuction that blocked the rule nationwide. 
  • On March 29, HHS announced the recipients of Title X grants for April 1, 2019 - March 31, 2022. 
  • On February 26, HHS officially released its Title X final rule on the Federal Register Public Inspection Desk with a March 4 publication date.
  • On February 22, OPA posted a draft version of the final Title X rule.
  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

© 2019 National Family Planning & Reproductive Health Association