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Creates a new Title X Clinic Fund in the HHS Office of the Secretary and directs annual appropriations for fiscal years 2026–2035 to expand and sustain clinics that provide Title X family planning services. It authorizes $512 million each year for Title X grants and $50 million each year for clinic infrastructure, with funds available until expended, and requires nondirective pregnancy counseling and certain information/referral practices at funded clinics.
The bill provides sustained funding and facility upgrades to expand Title X family-planning services and informed counseling for patients, while increasing federal spending and creating compliance and subaward constraints for grantees.
Low-income individuals and patients at Title X clinics will receive expanded access to family planning services through recurring federal grants ($512M/year for FY2026–2035).
Title X clinics (hospitals and health centers) can upgrade facilities and equipment with $50M/year for construction, renovation, and equipment, improving service capacity and quality.
Patients with a positive pregnancy test will be offered nondirective counseling and factual information about prenatal care, infant care/adoption, and termination, supporting informed decision-making.
Taxpayers face increased federal spending of about $562M/year for FY2026–2035 to fund grants, contracts, and infrastructure—adding to long-term budgetary commitments.
The rule forbidding recipients from excluding subawardees (except for inability to provide Title X services) could force grantees to fund organizations whose other activities conflict with the grantee's policies or mission.
Mandating nondirective counseling and that clinics offer information on all pregnancy options may create administrative and training burdens for clinics to ensure compliance.
Introduced April 9, 2025 by Sharice Davids · Last progress April 9, 2025