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Creates a federal Title X Clinic Fund at the Department of Health and Human Services and provides multi‑year appropriations to expand and sustain family planning clinics. It directs $512 million per year for grants and contracts that support Title X family planning services and $50 million per year for clinic infrastructure from fiscal years 2026 through 2035, and requires nondirective pregnancy counseling and certain nondiscrimination rules for subawards.
The bill expands and stabilizes federal funding and infrastructure for family planning and guarantees nondirective counseling for pregnant patients, while increasing federal spending and imposing compliance requirements that could burden clinics and exclude some objecting providers.
Low-income and uninsured people gain sustained federal funding for family planning services through $512 million/year in grants and contracts through 2035.
Pregnant patients (women) are guaranteed nondirective counseling and access to information on prenatal care, infant care, adoption/foster care, and termination.
Title X clinics and community health centers gain dedicated capital funding—$50 million/year—for construction, renovation, and equipment through 2035, improving clinic capacity and infrastructure.
Taxpayers fund an ongoing federal commitment of about $562 million/year through 2035, increasing federal spending and long-term budgetary obligations.
Clinics and subrecipients (health systems) may face added administrative burden and compliance costs to meet nondirective counseling and nondiscrimination subaward rules.
Some providers or religious organizations that have conscientious objections could be excluded from participation if they cannot comply with nondirective counseling requirements.
Introduced April 9, 2025 by Tina Smith · Last progress April 9, 2025