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Statutes and Regulations

Title X Notice of Final Rule

On March 4, 2019, HHS revised Title X regulations through a notice of rulemaking published in the Federal Register entitled Compliance with Statutory Program Integrity Requirements

Compliance with Statutory Program Integrity Requirements: Title X Program Guidance

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. (40 KB)) and in the implementing regulations which govern project grants for family planning services (42 CFR part 59, subpart A), as amended by the Final Rule (Compliance with Statutory Program Integrity Requirements) and its compliance dates. Regulations that apply to grants for training to support family planning service delivery can be found at 42 CFR part 59, Subpart C ("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.

Five Major Provisions of the Law

  • 1001 – Title X Services
    Grants under Section 1001 assist in the establishment and operation of voluntary family planning projects which provide a broad range of acceptable and effective family planning methods and related preventive health services that include natural family planning methods, infertility services, and services for adolescents; highly effective contraceptive methods; breast and cervical cancer screening and prevention services that correspond with nationally recognized standards of care; STD and HIV prevention education, counseling, testing, and referral; adolescent abstinence counseling; and other preventive health services. The broad range of services does not include abortion as a method of family planning.
  • 1003 – Title X Training
    Grants under Section 1003 provide training for personnel working in family planning services projects described under Section 1001. The purpose of this training is to promote and improve the delivery of family planning services. Read more about the National Training Centers.
  • 1004 – Title X Research
    Grants and contracts under Section 1004 provide for projects for research in the biomedical, contraceptive development, behavioral, and program implementation fields related to family planning and population. Projects under this Section conduct data analysis and related research and evaluation on issues of interest to the family planning field, as well as research into specific topic areas related to service delivery improvement. Research on male reproductive health has been a focus of applied research activities since 1997. All research activities funded under Section 1004 support ensuring and improving the quality of family planning services. Read more about Title X Service Delivery Improvement activities.
  • 1005 – Title X Information and Education
    Grants and contracts under Section 1005 provide for the development and dissemination of informational and educational materials including the OPA website and the Title X family planning clinic locator database.
  • 1008 – The Prohibition of Abortion
    None of the funds appropriated under this title shall be used in programs where abortion is a method of family planning.
Content created by Office of Population Affairs
Content last reviewed on March 4, 2019