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Sec. 1003
PUBLIC HEALTH SERVICE ACT
478
FORMULA GRANTS TO STATES FOR FAMILY PLANNING SERVICES
SEC. 1002. [300a] (a) The Secretary is authorized to make
grants, from allotments made under subsection (b), to State health
authorities to assist in planning, establishing, maintaining, coordi-
nating, and evaluating family planning services. No grant may be
made to a State health authority under this section unless such au-
TITLE X-POPULATION RESEARCH AND VOLUNTARY
thority has submitted, and had approved by the Secretary, a State
FAMILY PLANNING PROGRAMS
plan for a coordinated and comprehensive program of family plan-
ning services.
PROJECT GRANTS AND CONTRACTS FOR FAMILY PLANNING SERVICES
(b) The sums appropriated to carry out the provisions of this sec-
SEC. 1001. [300] (a) The Secretary is authorized to make grants
tion shall be allotted to the States by the Secretary on the basis of
to and enter into contracts with public or nonprofit private entities
the population and the financial need of the respective States.
(c) For the purposes of this section, the term "State" includes the
to assist in the establishment and operation of voluntary family
Commonwealth of Puerto Rico, the Northern Mariana Islands,
planning projects which shall offer a broad range of acceptable and
Guam, American Samoa, the Virgin Islands, the District of Colum-
effective family planning methods and services (including natural
bia, and the Trust Territory of the Pacific Islands.
family planning methods. infertility services. and services for ado-
(d) For the purpose of making grants under this section, there
lescents). To the extent practicable, entities which receive grants or
are authorized to be appropriated $10,000,000 for the fiscal year
contracts under this subsection shall encourage family participa-
ending June 30, 1971; $15,000,000 for the fiscal year ending June
tion in projects assisted under this subsection.
30, 1972; and $20,000,000 for the fiscal year ending June 30, 1973.
(b) In making grants and contracts under this section the Secre-
tary shall take into account the number of patients to be served,
TRAINING GRANTS AND CONTRACTS
the extent to which family planning services are needed locally,
the relative need of the applicant, and its capacity to make rapid
SEC. 1003. [300a-1] (a) The Secretary is authorized to make
and effective use of such assistance. Local and regional entities
grants to public or nonprofit private entities and to enter into con-
shall be assured the right to apply for direct grants and contracts
tracts with public or private entities and individuals to provide the
under this section, and the Secretary shall by regulation fully pro-
training for personnel to carry out family planning service pro-
vide for and protect such right.
grams described in section 1001 or 1002.
(c) The Secretary, at the request of a recipient of a grant under
(b) For the purpose of making payments pursuant to grants and
subsection (a), may reduce the amount of such grant by the fair
contracts under this section, there are authorized to be appropri-
market value of any supplies or equipment furnished the grant re-
ated $2,000,000 for the fiscal year ending June 30, 1971; $3,000,000
cipient by the Secretary. The amount by which any such grant is
for the fiscal year ending June 30, 1972; $4,000,000 for the fiscal
so reduced shall be available for payment by the Secretary of the
year ending June 30, 1973; and $3,000,000 each for the fiscal years
costs incurred in furnishing the supplies or equipment on which
ending June 30, 1974, and June 30, 1975; $4,000,000 for fiscal year
the reduction of such grant is based. Such amount shall be deemed
1976; $5,000,000 for the fiscal year ending September 30, 1977;
as part of the grant and shall be deemed to have been paid to the
$3,000,000 for the fiscal year ending September 30, 1978; $3,100,000
grant recipient.
for the fiscal year ending September 30, 1979; $3,600,000 for the
(d) For the purpose of making grants and contracts under this
fiscal year ending September 30, 1980; $4,100,000 for the fiscal year
section, there are authorized to be appropriated $30,000,000 for the
ending September 30, 1981; $2,920,000 for the fiscal year ending
fiscal year ending June 30, 1971; $60,000,000 for the fiscal year
September 30, 1982; $3,200,000 for the fiscal year ending September
ending June 30, 1972; $111,500,000 for the fiscal year ending June
30, 1983; $3,500,000 for the fiscal year ending September 30, 1984;
30, 1973; $111,500,000 each for the fiscal years ending June 30,
and $3,500,000 for the fiscal year ending September 30, 1985.
1974,
and
June
30,
1975;
$115,000,000
for
fiscal
year
1976;
RESEARCH
$115,000,000
for
the
fiscal
year
ending
September
30,
1977;
$186,400,000
for
the
fiscal
year
ending
September
30,
1978;
SEC. 1004. [300a-2] The Secretary may-
$200,000,000
for
the
fiscal
year
ending
September
30,
1979;
(1) conduct, and
$230,000,000
for
the
fiscal
year
ending
September
30,
1980;
(2) make grants to public or nonprofit private entities and
$264,500,000
for
the
fiscal
year
ending
September
30,
1981;
enter into contracts with public or private entities and individ-
$126,510,000 for the fiscal
year
ending
September
30,
1982;
uals for projects for,
$189,200,000 for the fiscal
year
ending
September
30,
1983;
research in the biomedical, contraceptive development, behavioral.
$150,030,000 for the fiscal
ending
tember 30, 1984; and
and program implementation fields related to family planning and
$158,400,000 for the fiscal
ending September 30, 1985.
population.
479
PUBLIC HEALTH SERVICE ACT
Sec. 1006
1007
P
IC HEALTH SERVICE ACT
480
INFORMATIONAL AND EDUCATIONAL MATERIALS
party (including a government agency). which is authorized or
is under legal obligation to pay such charge.
SEC. 1005. [300a-8] (a) The Secretary is authorized to make
For purposes of this subsection, the term "low-income family" shall
grants to public or nonprofit private entities and to enter into con-
be defined by the Secretary in accordance with such criteria as he
tracts with public or private entities and individuals to assist in de-
may prescribe 80 as to insure that economic status shall not be a
veloping and making available family planning and population
deterrent to participation in the programs assisted under this title.
growth information (including educational materials) to all persons
(d)(1) A grant may be made or a contract entered into under
desiring such information (or materials).
tion 1001 or 1005 only upon assurances satisfactory to the Secre-
(b) For the purpose of making payments pursuant to grants and
tary that informational or educational materials developed or
contracts under this section, there are authorized to be appropri-
made available under the grant or contract will be suitable for the
ated $750,000 for the fiscal year ending June 30, 1971; $1,000,000
purposes of this title and for the population or community to which
for the fiscal year ending June 30, 1972; $1,250,000 for the fiscal
they are to be made available, taking into account the educational
year ending June 30, 1973; $909,000 each for the fiscal years ending
and cultural background of the individuals to whom such materials
June 30, 1974, and June 30, 1975; $2,000,000 for fiscal year 1976;
are addressed and the standards of such population or community
$2,500,000 for the fiscal year ending September 30, 1977; $600,000
with respect to such materials.
for the fiscal year ending September 30, 1978; $700,000 for the
(2) In the case of any grant or contract under section 1001, such
fiscal year ending September 30, 1979; $805,000 for the fiscal year
assurances shall provide for the review and approval of the suit-
ending September 30, 1980; $926,000 for the fiscal year ending Sep-
ability of such materials, prior to their distribution, by an advisory
tember 30, 1981; $570,000 for the fiscal year ending September 30,
committee established by the grantee or contractor in accordance
1982; $600,000 for the fiscal year ending September 30, 1983;
with the Secretary's regulations. Such a committee shall include
$670,000 for the fiscal year ending September 30, 1984; and
individuals broadly representative of the population or community
$700,000 for the fiscal year ending September 30, 1985.
to which the materials are to be made available.
REGULATIONS AND PAYMENTS
VOLUNTARY PARTICIPATION
SEC. 1006. [300a-4] (a) Grants and contracts made under this
SEC. 1007. [300a-5] The acceptance by any individual of family
title shall be made in accordance with such regulations as the Sec-
planning services or family planning or population growth informa-
retary may promulgate. The amount of any grant under any sec-
tion (including educational materials) provided through financial
tion of this title shall be determined by the Secretary; except that
assistance under this title (whether by grant or contract) shall be
no grant under any such section for any program or project for a
voluntary and shall not be a prerequisite to eligibility for or receipt
fiscal year beginning after June 30, 1975, may be made for less
of any other service or assistance from, or to participation in, any
than 90 per centum of its costs (as determined under regulations of
other program of the entity or individual that provided such serv-
the Secretary) unless the grant is to be made for a program or
ice or information.
project for which a grant was made (under the same section) for
the fiscal year ending June 30, 1975, for less than 90 per centum of
PROHIBITION OF ABORTION
its costs (as so determined), in which case a grant under such sec-
tion for that program or project for a fiscal year beginning after
SEC. 1008. [300a-6] None of the funds appropriated under this
that date may be made for a percentage which shall not be less
title shall be used in programs where abortion is a method of
than the percentage of its costs for which the fiscal year 1975 grant
family planning.
was made.
PLANS AND REPORTS
(b) Grants under this title shall be payable in such installments
and subject to such conditions as the Secretary may determine to
SEC. 1009. (a) Not later than seven months after the close of
h
be appropriate to assure that such grants will be effectively utilized
fiscal year. the Secretary shall make a report to the Congress
for the purposes for which made.
ting forth a plan to be carried out over the next five fiscal years
(c) A grant may be made or contract entered into under section
for-
1001 or 1002 for a family planning service project or program only
(1) extension of family planning services to all persons
upon assurances satisfactory to the Secretary that-
ing such services,
(1) priority will be given in such project or program to the
(2) family planning and population research programs,
furnishing of such services to persons from low-income fami-
(3) training of necessary manpower for the programs author-
lies; and
ized by this title and other Federal laws for which the Secre-
(2) no charge will be made in such project or program for
tary has responsibility and which pertain to family planning,
services provided to any person from a low-income family
and
except to the ex t that payment will be made by a third
481
PUBLIC HEALTH SERVICE ACT
Sec. 1009
(4) carrying out the other purposes set forth in this title and
section 1009 repealed
the Family Planning Services and Population Research Act of
1970.
(b) Such a plan shall, at a minimum, indicate on a phased basis-
(1) the number of individuals to be served by family planning
by P.L. 105-362,
programs under this title and other Federal laws for which the
Secretary has responsibility, the types of family planning and
population growth information and educational materials to be
Federal Reports Elemenation
developed under such laws and how they will be made avail-
able, the research goals to be reached under such laws, and the
manpower to be trained under such laws;
Act of 1998
(2) an estimate of the costs and personnel requirements
needed to meet the purposes of this title and other Federal
laws for which the Secretary has responsibility and which per-
tain to family planning programs; and
(3) the steps to be taken to maintain a systematic reporting
system capable to yielding comprehensive data on which serv-
ice figures and program evaluations for the Department of
Health, Education, and Welfare shall be based.
(c) Each report submitted under subsection (a) shall-
(1) compare results achieved during the preceding fiscal year
with the objectives established for such year under the plan
contained in the previous such report;
(2) indicate steps being taken to achieve the objectives during
the fiscal years covered by the plan contained in such report
and any revisions to plans in previous reports necessary to
meet these objectives; and
(3) make recommendations with respect to any additional
legislative or administrative action necessary or desirable in
carrying out the plan contained in such report.
Jennifer M. Forshey
11/06/98 09:03:50 AM
Record Type: Record
To:
Jennifer L. Klein/OPD/EOP, Daniel N. Mendelson/OMB/EOP, Richard J. Turman/OMB/EOP
CC:
Barbara A. Menard/OMB/EOP
Subject: Family planning
Per your request, the following table illustrates the Title X Family Planning increases since 1993.
Since 1993, Title X funding has increased by 24%. Please let me know if you have any further
questions.
Family Planning Funding 1993-2000 (in millions)
Year
Enacted
1992
149
1993
173
1994
181
1995
193
1996
193
1997
198
1998
203
1999
215
2000
under discussion
1
Jennifer L. Klein
11/05/98 01:13:25 PM
Record Type: Record
To:
Daniel N. Mendelson/OMB/EOP@EOP, Richard J. Turman/OMB/EOP@EOP
CC:
Subject: Family planning
Can one of you tell me how much of an increase in Title X family planning funds we have received:
(1) since 1993; and (2) this year? I am working on a document for the First Lady updating her on
progress in various areas, and she has asked for this. Thanks.
Public Law 91-572
91st Congress, S. 2108
December 24, 1970
An Act
84 STAT, 1504
To promote public health and welfare by expanding, improving, and better coordi-
nating the family planning services and population research activities of the
Federal Government, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
Fami ly Planni
Servi
and
SHORT TITLE
Population
Research Act
SECTION 1. This Act may be cited as the "Family Planning Services
of 1970.
and Population Research Act of 1970".
DECLARATION OF PURPOSE
SEC. 2. It is the purpose of this Act-
(1) to assist in making comprehensive voluntary family plan-
ning services readily available to all persons desiring such
services;
(2) to coordinate domestic population and family planning
research with the present and future needs of family planning
programs;
(8) to improve administrative and operational supervision of
domestic family planning services and of population research
programs related to such services;
(4) to enable public and nonprofit private entities to plan and
develop comprehensive programs of family planning services;
(5) to develop and make readily available information (includ-
ing educational materials) on family planning and population
growth to all persons desiring such information;
(6) to evaluate and improve the effectiveness of family plan-
ning service programs and of population research;
(7) to assist in providing trained manpower needed to effectively
carry out programs of population research and family planning
services; and
-(8) to establish an Office of Population Affairs in the Depart-
ment of Health, Education, and Welfare as a primary focus
within the Federal Government on matters pertaining to popula-
tion research and family planning, through which the Secretary
of Health, Education, and Welfare (hereafter in this Act referred
to as the "Secretary") shall carry out the purposes of this Act.
OFFICE OF POPULATION AFFAIRS
Establishment.
Deputy Assist-
SEC. 8. (a) There is established within the Department of Health,
ant Secretary
Education, and Welfare an Office of Population A ffairs to be directed
for Population
by a Deputy Assistant Secretary for Population Affairs under the
Affairs, ap-
direct supervision of the Assistant Secretary for Health and Scientific
pointment.
Affairs. The Deputy Assistant Secretary for Population Affairs shall
be appointed by the Secretary.
(b) The Secretary is authorized to provide the Office of Population
Staff and
Affairs with such full-time professional and clerical staff and with the
consultants
services of such consultants as may be necessary for it to carry out its
duties and functions.
Pub. Law 91-572
- 2 -
December 24, 1970
84 STAT, 1505
FUNCTIONS OF THE DEPUTY ASSISTANT SECRETARY FOR
POPULATION AFFAIRS
SEC. 4. The Secretary shall utilize the Deputy Assistant Secretary
for Population Affairs-
(1) to administer all Federal laws for which the Secretary has
administrative responsibility and which provide for or authorize
the making of grants or contracts related to population research
and family planning programs;
(2) to administer and be responsible for all population and
family planning research carried on directly by the Department
of Health, Education, and Welfare or supported by the Depart-
ment through grants to, or contracts with, entities and individuals;
(8) to act as a clearinghouse for information pertaining to
domestic and international population research and family plan-
ning programs for use by all interested persons and public and
private entities;
(4) to provide a liaison with the activities carried on by other
agencies and strumentalities of the Federal Government relating
to population research and family planning;
(5) to provide or support training for necessary manpower for
domestic programs of population research and family planning
programs of service and research; and
(6) to coordinate and be responsible for the evaluation of the
other Department of Health, Education, and Welfare programs
related to population research and family planning and to make
periodic recommendations to the Secretary.
PLANS AND REPORTS
Report to
SEC. 5. (a) Not later than six months after the date of enactment of
Congress.
this Act the Secretary shall make a report to the Congress setting forth
R plan, to be carried out over a period of five years, for extension of
family planning services to all persons desiring such services, for
family planning and population research programs, for training of
necessary manpower for the programs authorized by title X of the
Post, P. 1506.
Public Health Service Act and other Federal laws for which the Sec-
retary has responsibility, and for carrying out the other purposes set
forth in this Act and in such title X.
(b) Such a plan shall, at a minimum, indicate on a phased basis—
(1) the number of individuals to be served by family planning
programs under title X of the Public Health Service Act and
other Federal laws for which the Secretary has responsibility, the
types of family planning and population growth information and
educational materials to be developed under such laws and how
they will be made available, the research goals to be reached under
such laws, and the manpower to be trained under such laws;
(2) an estimate of the costs and personnel requirements needed
to meet these objectives; and
(8) the steps to be taken to establish a systematic reporting sys-
tem capable of yielding comprehensive data on which service
figures and program evaluations for the Department of Health,
Education, and Welfare shall be based.
Reports to
(c) On or before January 1, 1972, and on or before each January 1
Fongress.
thereafter for a period of five years, the Secretary shall submit to the
Congress a report which shall-
(1) compare results achieved during the preceding fiscal year
with the objectives established for such year under the plan;
December 24, 1970
- 3 -
Pub. Law 91-572
84 STAT, 1506
(2) indicate steps being taken to achieve the objective during
the remaining fiscal years of the plan and any revisions necessary
to meet these objectives; and
(3) make recommendations with respect to any additional legis-
lative or administrative action necessary or desirable in carrying
out the plan.
AMENDMENTS TO PUBLIC HEALTH SERVICE ACT
SEC. 6. (a) Section 1 of the Public Health Service Act is amended 79 Stat. 930,
by striking out "Titles I to IX" and inserting in lieu thereof "Titles I 42 USC 201
to X".
note.
(b) The Act of July 1, 1944 (58 Stat. 682), as amended, is further
amended by renumbering title X (as in effect prior to the enactment of
this Act) as title XI, and by renumbering sections 1001 through 1014
(as in effect prior to the enactment of this Act), and references thereto,
as sections 1101 through 1114, respectively.
(c) The Public Health Service Act (42 U.S.C., ch. 6A) is further
amended by adding after title IX the following new title:
"TITLE X-POPULATION RESEARCH AND VOLUNTARY
FAMILY PLANNING PROGRAMS
"PROJECT GRANTS AND CONTRACTS FOR FAMILY PLANNING SERVICES
"SEC. 1001. (a) The Secretary is authorized to maké grants to and
enter into contracts with public or nonprofit private entities to assist
in the establishment and operation of voluntary family planning
projects.
"(b) In making grants and contracts under this section the Secretary
shall take into account the number of patients to be served, the extent to
which family planning services are needed locally, the relative need of
the applicant, and its capacity to make rapid and effective use of such
assistance.
(c) For the purpose of making grants and contracts under this sec-
Appropriation.
tion, there are authorized to be appropriated $30,000,000 for the fiscal
year ending June 30, 1971; $60,000,000 for the fiscal year ending
June 30, 1972; and $90,000,000 for the fiscal year ending June 30, 1978.
"FORMULA GRANTS TO STATES FOR FAMILY PLANNING SERVICES
"SEC. 1002. (a) The Secretary is authorized to make grants, from
allotments made under subsection (b), to State health authorities to
assist in planning, establishing, maintaining, coordinating, and evalu-
ating family planning services. No grant may be made to a State
health authority under this section unless such authority has submitted,
and had approved by the Secretary, a State plan for a coordinated
and comprehensive program of family planning services.
"(b) The sums appropriated to carry out the provisions of this
section shall be allotted to the States by the Secretary on the basis of
the population and the financial need of the respective States.
"(c) For the purposes of this section, the term 'State' includes the "State."
Commonwealth of Puerto Rico, Guam, American Samoa, the Virgin
Islands, the District of Columbia, and the Trust Territory of the
Pacific Islands.
"(d) For the purpose of making grants under this section, there are Appropriation.
authorized to be appropriated $10,000,000 for the fiscal year ending
Pub. Law 91-572
- 4 -
December 24, 1970
84 STAT. 1507
June 30, 1971; $15,000,000 for the fiscal year ending June 30, 1972; and
$20,000,000 for the fiscal year ending June 30, 1973.
"TRAINING GRANTS AND CONTRACTS
"SEC. 1003. (a) The Secretary is authorized to make grants to public
or nonprofit private entities and to enter into contracts with public or
private entities and individuals to provide the training for personnel to
carry out family planning service programs described in section 1001
or 1002.
Appropriation.
"(b) For the purpose of making payments pursuant to grants and
contracts under this section, there are authorized to be appropriated
$2,000,000 for the fiscal year ending June 80, 1971; $3,000,000 for the
fiscal year ending June 30, 1972; and $4,000,000 for the fiscal year
ending June 30, 1973.
"RESEARCH GRANTS AND CONTRACTS
"SEC. 1004. (a) In order to promote research in the biomedical, con-
traceptive development, behavioral, and program implementation
fields related to family planning and population, the Secretary is
authorized to make grants to public or nonprofit private entities and
to enter into contracts with public or private entities and individuals
for projects for research and research training in such fields.
Appropriation.
"(b) For the purpose of making payments pursuant to grants and
contracts under this section, there are authorized to be appropriated
$30,000,000 for the fiscal year ending June 30, 1971; $50,000,000 for the
fiscal year ending June 30, 1972; and $65,000,000 for the fiscal year
ending June 30, 1978.
"INFORMATIONAL AND EDUCATIONAL MATERIALS
"SEC. 1005. (a) The Secretary is authorized to make grants to public
or nonprofit private entities and to enter into contracts with public or
private entities and individuals to assist in developing and making
available family planning and population growth information
(including educational materials) to all persons desiring such infor-
mation (or materials).
Appropriation.
"(b) For the purpose of making payments pursuant to grants and
contracts under this section, there are authorized to be appropriated
$750,000 for the fiscal year ending June 80, 1971; $1,000,000 for the
fiscal year ending June 30, 1972; and $1,250,000 for the fiscal year
ending June 30, 1978.
"REGULATIONS AND PAYMENTS
"SEC. 1006. (a) Grants and contracts made under this title shall be
made in accordance with such regulations as the Secretary may
promulgate.
"(b) Grants under this title shall be payable in such installments and
subject to such conditions as the Secretary may determine to be appro-
priate to assure that such grants will be effectively utilized for the
purposes for which made.
'(c) A grant may be made or contract entered into under section
1001 or 1002 for a family planning service project or program only
upon assurances satisfactory to the Secretary that-
"(1) priority will be given in such project or program to the
furnishing of such services to persons from low-income families;
and
December 24, 1970
- 5 -
Pub. Law 91-572
84 STAT, 1508
"(2) no charge will be made in such project or program for
services provided to any person from a low-income family except
to the extent that payment will be made by a third party (includ-
ing a government agency) which is authorized or is under legal
obligation to pay such charge.
For purposes of this subsection, the term 'low-income family' shall be "Low-income
defined by the Secretary in accordance with such criteria as he may family."
prescribe.
"VOLUNTARY PARTICIPATION
"SEO. 1007. The acceptance by any individual of family planning
services or family planning or population growth information (in-
cluding educational materials) provided through financial assistance
under this title (whether by grant or contract) shall be voluntary and
shall not be a prerequisite to eligibility for or receipt of any other
service or assistance from, or to participation in, any other program of
the entity or individual that provided such service or information.
"PROHIBITION OF ABORTION
"SEC. 1008. None of the funds appropriated under this title shall be
used in programs where abortion is a method of family planning."
Approved December 24, 1970.
LEGISLATIVE HISTORY:
HOUSE REPORTS: No. 91-1472 accompanying H.R. 19318 (Comm. on
Interstate and Foreign Commerce) and No. 91-1667
(Comm. of Conference).
SENATE REPORT No. 91-1004 (Comm. on Labor and Public Welfare).
CONGRESSIONAL RECORD, Vol. 116 (1970):
July 14, considered and passed Senate.
Nov. 16, considered and passed House, amended, in lieu of
H.R. 19318.
Dec. 8, House agreed to conference report.
Dec. 10, Senate agreed to conference report.
GPO 48-139
FAMILY PLANNING PROGRAM--Title X
HISTORY TABLE
Fiscal
Year
Appropriation
1971
$6,000,000
1972
61,815,000
1973
100,615,000
1974
100,615,000
1975
100,615,000
1976
100,615,000
1977
113,000,000
1978
135,000,000
1979
135,000,000
1980
162,000,000
1981
161,671,000
1982
124,176,000
1983
124,088,000
1984
140,000,000
1985
142,500,000
1986
136,372,000
1987
142,500,000
1988
139,663,000
1989
138,320,000
1990
139,135,000
1991
144,311,000
1992
149,585,000
1993
173,418,000
1994
180,918,000
1995
193,349,000
1996
192,592,000
1997
198,452,000
1998
203,452,000
1999
215,000,000
2000 Estimate
239,952,000
$10 M above passback
Family Planning
Funding History
250,000,000
200,000,000
Dollars
150,000,000
100,000,000
50,000,000
0
1971 1978 1985 1992 1999
Fiscal Years
Title X- Family Planning
FY 1995--FY 1998 Funding Distribution
Categories
1995
1996
1997
1998
Services
180,156,000
178,272,000
182,264,000
186,348,750
Training
4,920,680
5,752,952
5,666,000
5,164,088
Research
2,788,067
2,684,075
2,670,654
2,677,338
Male Initiative Projects
0
0
1,935,346
2,539,662
Information and Education
357,000
180,000
303,000
289,270
Evaluation and Assessments
903,000
1,560,000
1,408,000
2,172,884
Secretary's Transfer
0
0
0
(526,185)
Program Management
4,224,253
4,142,973
4,205,000
4,260,008
Total Title X
193,349,000
192,592,000
198,452,000
202,925,815
Secretary's Transfer Add Back
526,185
Total Title X Appro
193,349,000
192,592,000
198,452,000
203,452,000
Family Planning Funds Distribution
FY 1998
Program Mgmt (2.10%)
Secretary's Transfer (0.26%)
Eval/Assessment (1.00%)
Info/Education (0.14%)
Male Initiative Projects (1.24%)
Research (1.37%)
Training (2.53%)
Services (91.35%)
EXECUTIVE OFFICE OF THE PRESIDENT
LRM NO: 2250
OFFICE OF MANAGEMENT AND BUDGET
Washington, D.C. 20503-0001
FILE NO: 982
8/7/95
LEGISLATIVE REFERRAL MEMORANDUM
Total Page(s): 10
FROM: Janet FORSGREN
TO: Legislative Liaison Officer . See Distribution Bellici bolow:
(for)
Assistant Director for Legislative Reference
OMB CONTACT:
Robert PELLICCI 395-4871
Legislative Assistant's line (for simple responses): 395-7302
SUBJECT: HHS Proposed Testimony on the title X family planning program
URGENT
DEADLINE: 10:00 a.m. Wedncsday, August 09,1995
In accordance with OMB Circular A-19, OMB requests the views of your agency on the above subject before
advising on its relationship to the program of the President.
Please advise us if this item will affect direct spending or receipts for purposes of the
"Pay-As-You-Go" provisions of Title XIII of the Omnibus Budget Reconciliation Act of 1990.
COMMENTS: I learing is before the Senate Appropriations Subcommittee on Labor, Health and Human
Services. and Education on Thursday, August 10th. HHS Secretary Shalala is 1110 witness.
URGENT
AGENCIES:
EOP:
217-JUSTICE - Andrew Fois . (202) 514-2141
Nancy-Ann Min
429-National Economic Council . Sonyis Matthews - (202) 456-2174
Martha Foley
257-Officc of National Drug Control Policy . John Carnevale - (202) 395-0736
Melanne Verveer
Palsy Fleming
James Castello
Jennifer Klein
Janet Murgula
Diana Fortuna
Barbara Chow
Barry Ciendenin
Richard Turman
Bob Damus
Nani Coloretti
Beth Rossman
Martha Cagne
Allison Eydt
Mark Miller
Lydia Muniz
Jim Murr
Janet Forsgren
AUG 07'95 20:52 No 007 P.01
RESPONSE TO
LRM NO: 2250
LEGISLATIVE REFERRAL MEMORANDUM
FILE NO: 982
If your response to this request for views is simple (e.g., concur/no comment), we prefer that you respond by e-mail or
by faxing us this response shoot.
If the response is simple and you prefer to call, please call the branch-wide line shown below (NOT the analyst's line)
to leave a message with a legislative assistant.
You may also respond by:
(1) calling the analyst/attorney's direct line (you will be connected to voice mail if the analyst does not answer); or
(2) sending us a memo or letter.
Please include the LRM number shown above, and the subject shown below.
TO: Robert PELLICCI 395-4871
Office of Management and Budget
Fax Number: 395-6148
Branch-Wide Line (to reach legislative assistant): 395-7362
FROM:
(Dato)
(Name)
(Agency)
(Telephone)
SUBJECT: HHS Proposed Testimony on the title X family planning program
The following is the response of our agency to your request for views on the above-captioned subject:
Concur
No Objection
No Comment
See proposed edits on pages
Other:
FAX RETURN of
pages, attached to this response sheet
20:52 No.007 P.02
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Testimony
Donna B. shalala
Secretary of Health and Human Services
at
Title X Hearing
August 10, 1995
Good morning, Mr. Chairman and members of the Subcommittee.
Twenty-five years ago, when the Title X Family Planning
Program was created with strong bipartisan support, Senator
said, "....."
That's more important than ever today.
When we talk about the federal government's only program
dedicated to family planning, we need to separate fiction from
fact.
There are some who want Americans to believe that Title X
family planning dollars go to abortion services. Nothing could
be further from the truth.
Since the program was enacted in 1970, no Title X money has
ever been used to pay for abortions. Not one cent.
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AUG 07'95 20:53 No .007 P.03
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The $193 million that we are spending on Title X in 1995
will provide a range of family planning and preventive health
services to over 4 million women and men in more than 4,000
clinics in every Congressional district.
It provides educational materials to hundreds of community
groups and religious organizations across the country to help
young people say "no" to sex.
And, it helps train 250 Certified Family Planning Nurse
Practitioners each year.
When we talk about Title X, we must look at the human
faces -- the 4 million faces -- behind the issue.
These woman are our mothers and daughters, our neighbors and
our friends.
They are:
A recent high school graduate in Philadelphia -- who needs a
job and independence, not a child and dependence.
A 30 year-old store clerk in Des Moines -- who doesn't have
health insurance and can't qualify for Medicaid.
2
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A 40 year-old mother of two in Greenville -- who depends
upon a Title X clinic for her annual gynecologic check-ups.
These women all have something in common: They may be just
one unintended pregnancy away from poverty, unemployment, and
welfare.
Some people say that we can't afford to spend our resources
on family planning. I say we can't afford not to.
For every dollar we spend on family planning we save more
than $4 in medical care, welfare benefits, and other social
services.
That's what I call a good investment.
Unfortunately, the House Appropriations Committee disagreed.
They voted to abolich this program and fold it into the Maternal
and Child Health (MCII) block grant and the community and migrant
health centers program.
I was pleased that the majority of the House recognized that
plan for what it was: a big mistake.
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It's a big mistake to force Title X clinics -- sometimes the
only provider in a community -- to shut their doors and turn off
their lights.
It's a big mistake to dismantle our family planning eystem
and send the message that we don't care about clinics that
provide low-income women with preventative health care.
And, it's a mistake to take us down a dangerous road leading
to:
More abortions.
More women and children living in poverty and on
welfare;
More unintended pregnancies.
Migher rates of infant mortality;
And, more women living without the security of critical
preventive care, like pap smears, mammograms, and
screening for STDs.
We don't need to turn back the clocks on women's health.
4
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We need a much different approach.
Together, we must maintain our bipartisan commitment to the
women of America, while still giving states the flexibility they
need to prioritize their resources and provide services at the
local level.
And, that's just what we're accomplishing with this family
planning program.
We're operating in the pro-family tradition by working to
ensure that every pregnancy and every child is wanted.
In the days ahead, all us will need to keep reiterating what
Title X is -- and what it is not.
It is not -- nor has it ever been -- about funding
abortions.
It is not about increasing teen pregnancy or encouraging
teen sexual activity.
Family planning is about preventing unintended pregnancies,
decreasing abortions, lowering infant mortality rates, and
improving the health of women and their children.
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It's about ensuring that every pregnancy is a planned one,
and that all children are born into the loving and supportive
families they need not just to survive -- but to thrive.
That is our collective challenge.
Mr. Chairman, this is a great country because it is a good
country.
We are good to our people -- and we don't play politics with
their lives and their futures.
Almost 80 years ago, Margaret Sanger opened a birth control
clinic in an extremely poor slum in Brooklyn.
Women lined up outside the olinic to receive services, and
by the end of nine days, they had seen 464 women.
Shortly after the clinic opened, Margaret Sanger and her two
assistants were arrested -- and all their supplies and files were
confiscated.
Today, we must ask ourselves whether we want to travel back
to those days of darkness.
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Do we want to go back to the days when poor women got back
alley abortions because they couldn't afford birth control?
Do we want to go back to the days when women were not given
the tools they needed to control their lives?
Do we want to go back to the days when the health care needs
of 52 percent of the population were considered a "controversial
issue?"
And, do we want to go back to the days when we punished
innocent children by making a woman's access to birth control
dependent upon the size of her wallet?
We cannot -- and we must not.
Mr. Chairman, Title X is -- and has always been -- a
bipartisan program -- a distinctly American program.
It saves precious resources -- and precious lives.
It empowers men and women to take personal responsibility
for their health and their families.
And, it helps us stop the epidemic of unintended pregnancies
by preventing them before they happen.
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Mr. Chairman, I urge you and members of the Subcommittee to
continue support for the Title X family planning program as a
strong and separate public health service program.
The future of millions of men, women and children hang in
the balance.
Thank you for giving me this opportunity to testify. I
would be happy to answer any questions at this time.
8
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Clinton Presidential Records
Digital Records Marker
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies the place of a publication.
Publications have not been scanned in their entirety for the purpose
of digitization. To see the full publication please search online or
visit the Clinton Presidential Library's Research Room.
The
ISSUES
Alan
Guttmacher
Institute
New York and Washington
in
A Not-for-Profit Corporation
for Reproductive Health
Research, Policy Analysis
and Public Education
120 Wall Street
BRIEF
New York, NY 10005
Telephone: 212 248-1111
FAX: 212 248-1951
1120 Connecticut Avenue, NW
Suite 460
Washington, DC 20036
Telephone: 202 296-4012
FAX: 202 223-5756
U.S. Support for Family Planning
The Origins and Principles
Overseas: The Program and the Politics
Of U.S. Population Policy
Governmental emphasis on family plan-
As the 21st century approaches, U.S. for-
Over the last three decades, a world-
ning arose at a time of rising concern
eign aid is undergoing radical change.
wide consensus has gradually emerged,
about the environment, poverty allevia-
Its size is being dramatically reduced
embraced by poor and wealthy countries
tion and the rights of women -- and con-
and its purposes sharply narrowed. Al-
alike, that population stabilization is
current technological advances, most
though the large majority of Americans
critical to a key set of inter-related goals:
notably the advent of the birth control pill
supports assistance to developing coun-
promoting democracy and enhancing po-
and the IUD in the early 1960s. In 1967,
tries on humanitarian grounds, the dwin-
litical stability; alleviating poverty and
as Congress was requiring for the first time
dling U.S. budget for development as-
facilitating economic growth; and pro-
that family planning services be made
sistance increasingly will need to be jus-
tecting the global environment. Further,
available on a voluntary basis to poor
tified on strategic grounds or by the eco-
progress during this period has indeed
women in the United States, it also added
nomic benefit that aid returns to the
been made in lowering birth rates and im-
Section 104 to the Foreign Assistance Act
United States. Since international popu-
proving women's status -- and these years
of 1961 to specify that funds be allocated
lation assistance remains a large com-
of experience are pointing the way toward
to increase "opportunities and motivation
ponent of overall development assis-
future progress.
for family planning and to reduce the rate
tance, it too must prove its value, effec-
This Issues in Brief outlines the
of population growth."
tiveness and continued reason for be-
international population assistance
While demographic concerns were
ing. Perhaps more than any other aspect
program. It examines the program's
a driving force in creating the U.S. popu-
of U.S. foreign aid, however, population
policy origins and how its structure and
lation assistance program, the authoriz-
assistance has been subjected to this
priorities are evolving in relation to the
ing statute also stressed that "good
level of scrutiny from its beginnings.
consensus of world governments ratified
health conditions are a principal element
A woman's ability to control her
at the 1994 United Nations Interna-
in improved quality of life and contribute
fertility has implications not only for
tional Conference on Population and
to the individual's capacity to participate
herself and her family but globally as
Development and amplified at the 1995
in the development process, while poor
well. In recognition of this fact, the U.S.
Fourth World Conference on Women. It
health and debilitating disease can limit
government initiated its population assis-
discusses the impact the program has
productivity." Further, the statute called
tance program almost 30 years ago. At
had over the years relative to critical
for coordination of population planning
the time, the United States was one of only
U.S. economic and foreign policy goals.
efforts with other programs aimed at "re-
a handful of nations in the world to assert
Finally, it describes the unique and un-
ducing the infant mortality rate, provid-
leadership in this area. Even in those
precedented public policy challenges
ing better nutrition for pregnant women
quarters where the problems associated
the program is confronting as the scope
and infants, and raising the standard of
with rapid population growth and un-
and fundamental tenets of U.S. foreign
living for the poor."
wanted childbearing were acknowledged,
assistance are being called into ques-
The formal launching of the pro-
most were skeptical that anything could
tion, and as a target of the antiabortion
gram was quickly followed by its real
be done to ameliorate the situation.
movement and Christian right.
political send-off when President Nixon,
Issues in Brief September 1995
The Alan Guttmacher Institute
Clinton Presidential Records
Digital Records Marker
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies the place of a publication.
Publications have not been scanned in their entirety for the purpose
of digitization. To see the full publication please search online or
visit the Clinton Presidential Library's Research Room.
The
ISSUES
Alan
Guttmacher
Institute
New York and Washington
in
A Not-for-Profit Corporation
for Reproductive Health
Research, Policy Analysis
and Public Education
120 Wall Street
BRIEF
New York, NY 10005
Telephone: 212 248-1111
FAX: 212 248-1951
1120 Connecticut Avenue, NW
Suite 460
Washington, DC 20036
Telephone: 202 296-4012
FAX: 202 223-5756
The U.S. Family Planning Program
amended a number of federal laws to al-
Faces Challenges and Change
low family planning services to be pro-
vided under certain existing programs.
Although a woman's reproductive years
This Issues in Brief describes the
In 1965, as part of the so-called War on
span half of her lifetime, the typical
current structure and funding of the na-
Poverty, federal funds were made avail-
American woman today wants only two
tional family planning program, and the
able for family planning through the
children -- a goal that is unrealistic with-
reproductive health and other preventive
Office of Economic Opportunity. In
out the use of contraception. In 1990,
services it provides. It examines the im-
1967, Title IV-A of the Social Security
approximately 30.5 million women were
pact of the program on the prevention
Act was amended to require state wel-
considered to be at risk of unintended
of unintended pregnancies, births and
fare agencies to offer and provide fam-
pregnancy (that is, they were sexually
abortions as well as on the reduction of
ily planning services to women receiv-
active and fertile, but were neither preg-
low birth weight and infant mortality. It
ing public assistance.
nant nor desiring pregnancy); over 15
also discusses the central role that Title
Then, in 1970, with broad biparti-
million were low-income women and
X of the Public Health Service Act, the
san support, legislation establishing Title
teenagers in need of subsidized contra-
historic core of the federal effort, plays
X of the Public Health Service Act was
ceptive services. The nation's organized
in determining the shape and substance
enacted and signed into law by President
family planning program was estab-
of the national family planning service
Richard Nixon, creating for the first time
lished to address their needs.
delivery system.
a comprehensive federal program de-
One in three women who made a
voted entirely to the provision of family
family planning visit in 1988 -- the last
planning services on a national basis. In
year for which comprehensive data are
Overview
his Message on Population Growth and
available reported going to a publicly
History. Studies conducted during the
the American Future, delivered the pre-
funded family planning clinic. These
1960s showed that rates of unwanted
ceding year, President Nixon declared
clinics complement the private health
childbearing among low-income women
that "no American woman should be de-
care system in several ways: They serve
were at least twice as high as those
nied access to family planning assistance
Medicaid-eligible women when other
among the more affluent -- a phenom-
because of her economic condition. I
providers refuse to accept them; provide
enon that could be traced in large part to
believe, therefore, that we should estab-
subsidized services to low-income
inequalities in access to family planning
lish as a national goal the provision of
women who are not eligible for Medi-
services. By the end of the decade, a
family planning services to all who
caid; offer more extensive counseling on
sizeable, bipartisan consensus had
want but cannot afford them."
contraceptive methods; provide confi-
emerged favoring government support of
Following the enactment of Title
dential services for teenagers and other
voluntary family planning programs as
X, public expenditures for family plan-
women who may not be able to discuss
a means of expanding economic devel-
ning grew rapidly in the early 1970s, as
reproductive health issues with their
opment, alleviating poverty, avoiding
the clinics Title X helped to create be-
regular physicians; and offer contracep-
welfare dependency and improving the
came established across the country. By
tive supplies at a lower cost than is
health of women and their families.
fiscal year 1983, $340 million in public
usually available elsewhere.
In the meantime, Congress had
federal and state -- funds were being
Issues in Brief -- June 1995
The Alan Guttmacher Institute