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Statutes and Regulations

Title X Statutes and Regulations

Requirements regarding the provision of family planning services under Title X can be found in the statute (Title X of the Public Health Service Act, 42 U.S.C. 300, et seq.) and in the implementing regulations which govern project grants for family planning services (42 CFR part 59, subpart A [pdf, 103 kb]). Regulations that apply to grants for training to support family planning service delivery can be found at 42 CFR part 59, Subpart B ("Grants for Family Planning Service Training"). In addition, sterilization of clients as part of the Title X program must be consistent with 42 CFR part 50 subpart B, ("Sterilization of Persons in Federally Assisted Family Planning Projects"). Title X of the Public Health Service Act authorizes the Secretary of Health and Human Services (HHS) to award grants for projects to provide family planning services to any person desiring such services, with priority given to individuals from low–income families.

Section 1001 of the Act, as amended, authorizes grants "to assist in the establishment and operation of voluntary family planning projects which shall offer a broad range of acceptable and effective family planning methods and services (including natural family planning methods, infertility services, and services for adolescents)." Title X regulations further specify that "These projects shall consist of the educational, comprehensive medical, and social services necessary to aid individuals to determine freely the number and spacing of their children" (42 CFR 59.1). In addition, section 1001 of the statute requires that, to the extent practicable, Title X service providers shall encourage family participation in family planning services projects. Section 1008 of the Act, as amended, stipulates that "None of the funds appropriated under this title shall be used in programs where abortion is a method of family planning."

Five Major Provisions of the Law

  • 1001 – Title X Services – Heart of Title X
    89 Grantees, more than 4,400 clinics in the system
  • 1003 – Title X Training
    Five National Training Centers: National Clinical Training Center, National Training Center for Coordination and Strategic Initiatives, National Training Center for Management and Systems Improvement, National Training Center for Family Planning Service Delivery, National Training Center for Quality Assurance, Quality Improvement and Evaluation
  • 1004 – Title X Research
    Evaluation Activities, Service Delivery Improvement Research, Male Research Grants
  • 1005 – Title X Information and Education
    website, publications, and clinic locator
  • 1008 – The Prohibition of Abortion