The Status of Participation in the Title X Federal Family Planning Program - Kaiser Family Foundation

New regulations issued by the federal Office of Population Affairs (OPA) in March 2019 prohibit Title X clinics from providing abortion referrals, require physical separation of abortion services, and mandate prenatal care referrals for all pregnant women. These regulations have resulted in eight separate lawsuits against the regulations. Although a preliminary injunction initially blocked the regulations from being implemented, the 9^th Circuit Court of Appeals stayed the injunction and the rule became effective July 15, 2019. Title X grantees were required to submit a compliance plan to OPA on August 19, 2019, documenting the steps they will take to comply with the final rule.

Title X programs in several states, including Illinois, Maine, Oregon, and Washington, have decided to either withdraw from Title X or put a hold on drawing down funds as the cases move through the federal district courts. The Title X program has been providing grants to 90 organizations, which fund 4,024 clinics across the country. Planned Parenthood as an organization formally withdrew from the program on August 19^th, a decision that affects eight Planned Parenthood grantees and 429 Planned Parenthood clinics supported by Title X. An additional 447 clinics composed of city or state health departments, federally qualified health centers, and nonprofit organizations are no longer using Title X funds. These decisions affect all of the Title X clinics in Hawaii, Illinois, Maine, Oregon, Utah, Vermont, and Washington and the majority of Title X clinics in Maryland, Minnesota, Connecticut, Alaska, and New Hampshire.

The map and table below show the status of Title X sites by state as of August 22, 2019. This analysis is based on KFF analysis of the June 2019 listing of Title X sites available from the HHS Office of Population Affairs and public statements and news coverage regarding clinic and grantee participation in Title X. Additional grantees may end up withdrawing from the Title X program if OPA does not find the grantee’s submitted plan a good-faith effort to comply with the new Title X regulations. While most of the regulation is currently in effect, grantees are not required to adhere to the physical separation of separately financed abortion services requirement until March 4, 2020.

(Click here to view the interactive map in Tableau).

State	Number of Title X Clinics (as of 6/2019)	Number of Title X Clinics that are Planned Parenthood Clinics and Withdrawing	Number of Other Title X Clinics No Longer Using Title X Funds	Number of Title X Clinics with No Change
Total	4,024	429	447	3,148
Alabama	82	0	0	82
Alaska	6	4	0	2
Arizona	29	4	0	25
Arkansas	95	0	0	95
California	382	99	17	266
Colorado	74	0	1	73
Connecticut	24	11	6	7
Delaware	39	4	0	35
DC	31	1	0	30
Florida	160	3	0	157
Georgia	161	0	0	161
Hawaii	32	0	32	0
Idaho	45	1	0	44
Illinois	104	16	88	0
Indiana	35	5	0	30
Iowa	50	7	0	43
Kansas	59	1	0	58
Kentucky	136	0	0	136
Louisiana	71	0	0	71
Maine	52	4	48	0
Maryland	81	9	64	8
Massachusetts	94	4	0	90
Michigan	93	18	0	75
Minnesota	40	16	17	7
Mississippi	114	0	0	114
Missouri	71	5	0	66
Montana	34	5	0	29
Nebraska	40	0	0	40
Nevada	27	0	0	27
New Hampshire	19	5	6	8
New Jersey	49	23	0	26
New Mexico	67	0	0	67
New York	178	59	20	99
North Carolina	117	5	0	112
North Dakota	18	0	0	18
Ohio	89	23	0	66
Oklahoma	93	0	0	93
Oregon	95	8	87	0
Pennsylvania	228	24	0	204
Rhode Island	30	1	0	29
South Carolina	58	0	0	58
South Dakota	23	0	0	23
Tennessee	123	0	0	123
Texas	129	0	0	129
Utah	8	7	1	0
Vermont	12	12	0	0
Virginia	129	2	0	127
Washington	93	33	60	0
West Virginia	129	1	0	128
Wisconsin	63	9	0	54
Wyoming	13	0	0	13
NOTE: This analysis is based on KFF analysis of the June 2019 listing of Title X sites available from the HHS Office of Population Affairs and public statements and news coverage regarding clinic and grantee participation in Title X.