Sponsors (15)
The bill expands and stabilizes access to family‑planning and nondirective pregnancy counseling for low‑income and uninsured women and strengthens provider funding, at the cost of several hundred million dollars per year and potential administrative and conscience conflicts for some providers.
Women — especially low-income and uninsured women — will gain expanded access to family planning services and nondirective pregnancy counseling through $512M/year in Title X grants plus $50M/year for clinic infrastructure (FY2026–2035).
Clinics, including nonprofit providers and health systems, receive predictable multi-year federal funding (funds available until expended) that supports sustained service delivery and facility upgrades.
Patients who receive a positive pregnancy test are guaranteed neutral, nondirective counseling and referrals covering prenatal care, adoption, and termination options, preserving informed decision‑making.
Taxpayers will fund approximately $562M per year (FY2026–2035), increasing federal spending and creating a long‑term budget commitment.
Religious organizations and other entities that object to providing information about pregnancy termination may face legal or program‑participation conflicts due to the counseling requirements, potentially forcing them to change practices or withdraw from programs.
Nonprofit clinics and health systems could incur additional administrative and compliance costs to meet nondirective counseling rules and subaward non‑exclusion requirements.
Based on analysis of 2 sections of legislative text.
Creates a Title X Clinic Fund and provides annual appropriations (FY2026–FY2035) for Title X grants and clinic infrastructure with counseling rules for patients.
Introduced April 9, 2025 by Sharice Davids · Last progress April 9, 2025
Creates a dedicated Title X Clinic Fund at HHS and provides annual federal money for clinics that offer family planning services. From fiscal years 2026 through 2035 the legislation directs $512 million each year for Title X grants and contracts and $50 million each year for clinic infrastructure, with those funds available until spent. Grantees must provide nondirective pregnancy counseling and offer information and neutral counseling (and referrals on request) about prenatal care, infant care/foster care/adoption, and pregnancy termination to patients with positive pregnancy tests. Subaward rules prevent excluding entities from participation except if they cannot provide required Title X services.