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How will the Title X family planning rule affect community health centers?
How will the Title X family planning rule affect community health centers?
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Policy issue brief (Geiger Gibson/RCHN Community Health Foundation Research Collaborative)
- Author(s):
- Sharac, Jessica, author
Rosenbaum, Sara, author
Velasquez, Maria, author - Contributor(s):
- Geiger Gibson/RCHN Community Health Foundation Research Collaborative issuing body.
Geiger Gibson Program in Community Health Policy, issuing body.
George Washington University, issuing body.
Milken Institute School of Public Health, issuing body. - Publication:
- [Washington, D.C.] : Milken Institute School of Public Health, George Washington University, April 2020
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Community Health Centers
Community Health Services
Family Planning Services
United States - Genre(s):
- Technical Report
- Abstract:
- As the coronavirus pandemic affects communities across the nation, preserving access to essential preventive health care remains critical. The Trump Administration's Title X Family Planning program regulations became effective July 2019; as of March 4th, 2020, funding recipients must comply with all of the rule's new restrictions, including restrictions on counseling pregnant women and physical and financial separation requirements. Community health centers are a major source of family planning and primary health care to low-income women of reproductive age. This survey, fielded during January and February 2020, examined community health centers' current participation In the Title X program, as well as their plans for future participation once the rule became fully effective. Among its key findings: (1) Community health centers' Title X participation plans: Among all respondents, two-thirds (65 percent) were either current non-participants and did not intend to apply for Title X funding (58 percent of total respondents) or Title X grantees that either already had left the program or intended to do so (an additional 7 percent of total respondents). The remaining one-third of total respondents were either current grantees that planned to remain in the Title X network (21 percent of the total) or current non-grantees that planned to apply (12 percent of the total). (2) Community health centers that are current Title X participants: Among health centers reporting participation during the survey period, nearly 1 in 4 (24 percent) reported that they had left the program or planned to do so by March 4th; another 6 percent had not yet decided. Among participating health centers ending participation or planning to do so, 70 percent cited concerns regarding the impact of the new requirements and restrictions on the quality of care, and two-thirds (66 percent) cited concerns regarding the impact of the new rule on patient health. More than half (51 percent) reported their intent to maintain current service levels using both other health center revenue such as Section 330 grant funds and replacement state funding. (3) Community health centers considering future participation: Community health centers considering participation tended to be located in the South, South Central, or Western regions of the country. (4) Meeting patient needs and capacity to absorb a patient surge: Fifty-three percent of respondents not planning to participate estimated that they could meet current patient need without Title X funds. To the extent that needs grow, fewer than 1 in 10 (9 percent) reported that they could expand their care capacity by 50 percent or more. Nearly one-third (32 percent) expected access to decrease in their service areas.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (14 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101773719 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101773719