Title X Family Planning Program

The nation's only dedicated federal funding source for family planning — serving millions of people with low or no incomes for more than 50 years.

What is Title X?

For more than 50 years, the Title X (ten) family planning program, run by the Office of Population Affairs (OPA) in the US Department of Health and Human Services (HHS), has been the only dedicated source of federal funding for family planning in the US. The program supports high-quality, culturally responsive family planning and sexual health care for people who have no or low incomes, or who may otherwise lack access to health care. A diverse network of Title X-funded health centers provides a range of essential preventive services — including cancer screenings, STI prevention, HIV services, and contraceptive care and counseling — in communities across the country.

Key Facts about Title X

• Title X supports a wide range of services, from contraceptive services and supplies to breast and cervical cancer screenings to STI testing, education, and treatment.
• In fiscal year (FY) 2023, Congress appropriated $286.5 million for Title X — the ninth consecutive year of flat funding. This allocation remains inadequate to meet the need for publicly funded family planning services.
• The Biden administration's program rule, finalized in October 2021, lifted the harmful restrictions put in place by the Trump administration and reinstated program rules that governed the program prior to July 2019.
• Title X providers served 1.7 million people in 2021, down from 3.1 million in 2019. OPA attributed the sharp decrease to the Trump administration's Title X rule and the COVID-19 pandemic.
• In 2021, 36% of patients were uninsured and 65% identified with at least one non-white racial category and/or as Hispanic or Latino.