What is Title X
Title X is the sole federal program dedicated to providing comprehensive family planning services and preventative health services. These services include contraception, pregnancy testing and counseling, preconception health care, STI/HIV screening and treatment, breast and pelvic exams, breast and cervical cancer screenings, and basic infertility services.
The Title X program supports high-quality, culturally sensitive care and prioritizes services for low-income, under-insured, and uninsured individuals who may otherwise lack access to health care. In 2020, nearly 19,775 clients were served across Nebraska’s 38 clinics throughout the state. 62% of Nebraska Title X clients were uninsured; 15% of clients relied on public health insurance to cover their primary medical care.
In 1974, all family planning programs in Nebraska were brought under the Title X administration of the Nebraska Department of Health and Human Services. In April 2019, Nebraska Family Planning won the award for Nebraska for a three-year project period; Nebraska Family Planning now administers funding and provides support to 11 Agencies across the state.
Title X Timeline of Key Events
Congress creates and authorizes Title X with $6 million in funding.
Supreme Court Rulings & More
- Congress mandates that Medicaid cover the costs of family planning services ($62 million in funding).
1975 - Congress increases reporting requirements, broadens the definition of low-income, and requires providers to offer a broad range of family planning methods.
-Title X funds five family planning nurse practitioner programs to prepare nurse practitioners to serve patients in Title X sites.
1978 - Amendment clarifies that Title X providers must address infertility and provide services to adolescents.
Funding, Teens, & Prenatal Care
1981 - Congress legislates that Title X providers encourage adolescents to talk with their parents about family planning.
1983 - Title X program moves administratively from the Health Services Administration (now Health Resources and Services Administration) to Office of Population Affairs (OPA), Office of the Assistant Secretary for Health.
1988 - The Reagan administration proposes new regulation mandating provision of prenatal care and social services to pregnant women and prohibiting Title X-funded providers from: (1) Counseling patients on pregnancy options that include abortion or referring patients to abortion providers (2) Sharing finances, staff, or a physical location with an abortion provider.
Moving Ahead
- HHS approves first Medicaid waivers.
- The Centers for Disease Control and Prevention’s (CDC) Infertility Prevention Project (IPP) mandates half of IPP funds go to Title X agencies to collaborate with community partners on implementing best practices for sexually transmitted disease (STD) testing and treatment.
Expands HIV Prevention & Limits Abortion Care
- HHS issues regulation and guidance on abortion prohibition, clarifying that Title X funds cannot be used for abortion care, to support advocacy for abortion access, or to facilitate a patient obtaining such care.
OPA establishes the Family Planning Male Reproductive Health Training Center
Centralized Training
TITLE X TURNS 50!
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