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About Title X

The Basics

The Title X Family Planning Program is a federal grant program created in 1970 to provide comprehensive and confidential family planning services and preventive health services. Services provided include contraception counseling and provision, some cancer screenings, testing and treatment for sexually transmitted infections, and wellness exams.

Title X is administered by the U.S. Department of Health and Human Services, Office of Population Affairs (OPA). The program prioritizes serving people and families with low incomes and is implemented through grants to over 3,500 clinical sites, including public health departments and non-profit health centers.

Every Body Texas and Title X

Map updated3 2021

In 2013, Every Body Texas became the statewide administrator of the federal Title X Family Planning Program. We currently support a network of over 35 agencies with more than 175 clinic sites across the state serving more than 180,000 clients annually.

As the statewide Title X administrator, our work entails much more than just granting funds to clinics to provide services. We have a deep commitment to high-quality, person-centered care. That is why we train providers and administrators in our network of clinics on how to provide the best care—care that clients need, want, and deserve. 

Who is a Title X Client?

Title X clients are diverse and include adolescents and adults, people of varying racial and ethnic identities, and LGBTQIA clients. Anyone who can cause a pregnancy or achieve a pregnancy can be a Title X client if they are receiving Title X services.

Title X is intended to make reproductive healthcare services available to low-income and uninsured individuals. That means clients without health insurance or who can’t afford to pay for services can receive care on a sliding fee scale based on income. Clients can also receive services confidentially – and that includes minors (people under the age of 18). Individuals do not need a government issued ID or to be a US citizen to access Title X services.

What services are covered under Title X?

Services that are considered family planning for the purposes of Title X include:

  • Contraceptive services, including counseling on reproductive life goals
  • Basic infertility services​
  • Counseling on achieving pregnancy
  • Preconception Health services
  • STI testing and treatment (including HIV/AIDS); and
  • Related preventive health services, such as Breast and Cervical Cancer Screening

Find a Title X Clinic

What do I need to know about the Title X Rule?

Every Body Texas and its Title X providers have been required to comply with harmful policies included in the Title X Rule issued during the previous federal administration and in effect since July 15, 2019.

Undoing the damage caused by the Title X Rule is a priority of the Biden-Harris administration. To learn more about recent federal actions and the anticipated impacts to Title X in Texas, we encourage Title X providers and other partners to review Every Body Texas’s explainer on the Title X Rule.

Title X Rule Explainer

Take Action on the Title X Rule

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On May 17, 2021, Every Body Texas submitted comments in support of the proposed new Title X Rule. Read our full comments at the yellow button below. 

Every Body Texas greatly appreciates HHS’ [Notice of Proposed Rule Making] NPRM revoking the 2019 Title X regulations. Once finalized, the proposed rule would return Title X to its proper focus on “making comprehensive voluntary family planning services readily available to all persons desiring such services.”[1]

As a result of the 2019 rule, more than 1,200 family planning providers in 34 states left the program.[2] Numerous states were left either with no Title X-funded programs or with programs unable to serve the entirety of the service areas they were funded to serve.[3] Despite assertions that the new regulations would cause new applicants to apply for Title X funding and result in “more clients being served,”[4] the Trump administration was unable to find new grantees to fill the gaps the regulations created, and large numbers of clients lost access to Title X services.

The 2019 rule forced Title X-funded providers that offered a full range of reproductive health services to choose between continuing to receive Title X funding and providing comprehensive, high-quality care consistent with professional and ethical duties. In addition, providers were forced to either forego Title X funding because they were financially or otherwise unable to comply with the 2019 rule’s “physical separation” requirements, or to waste large sums attempting to comply with a sweeping, subjective mandate. The organizations that remained are being required to provide incomplete care and counseling, and many have struggled to replace providers in areas that are underserved.

The NPRM will help repair damage the 2019 regulations caused to the Title X program, its grantees—like Every Body Texas—and the clients our network serves. Every Body Texas supports finalization of the proposed rule as quickly as possible and offers these comments to help clarify and improve the proposed rule.


[1] Public Law 91-572 (“The Family Planning Services and Population Research Act of 1970”), section 2(1).

[2] Forty Title X programs projects across 34 states had service sites withdraw or have withdrawn completely from the Title X program due to the Trump Rule. State of the Title X Network, Nat’l Family Planning & Reproductive Health Ass’n (July 2020), https://www.nationalfamilyplanning.org/file/2020-state-one-pagers-new/Impact-of-the-Title-X-Rule-in-California.pdf.

[3] Mia Zolna et al., Estimating the impact of changes in the Title X network on patient capacity, Guttmacher Inst., 2 (Feb. 5, 2020), https://www.guttmacher.org/sit...; see also Title X Family Planning Directory, supra n.5.

[4] Compliance With Statutory Program Integrity Requirements, 84 Fed. Reg. 7,714, 7,723 (Mar. 4, 2019).

Every Body Texas's Full Comments

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