Sponsors (13)
The bill expands and stabilizes federally funded Title X family planning services and mandates nondirective pregnancy-option counseling to increase access and informed choice for women, while raising federal spending and creating potential conflicts with provider conscience rights and recipient discretion over subaward partners.
Women and pregnant patients (particularly uninsured and low-income individuals) will gain expanded access to family planning services through increased Title X funding and dedicated clinic infrastructure grants ($512M/year + $50M/year, FY2026–FY2035).
Clinics and health systems will receive stable, multi-year funding that remains available until expended, enabling longer-term service continuity and facility improvements.
Patients with positive pregnancy tests will be offered nondirective information on all options (prenatal care, infant care/foster care/adoption, termination), supporting informed decision-making.
Taxpayers will fund an additional $562M per year from FY2026–FY2035, increasing federal spending commitments over the next decade.
Clinics and health providers required to offer nondirective counseling and referrals for pregnancy termination may face conflicts with conscience-based objections from some providers or institutions.
Recipients' inability to exclude entities from subawards except for inability to provide Title X services could limit their ability to screen subawardees for other quality, compliance, or reputational concerns.
Based on analysis of 2 sections of legislative text.
Creates a Title X Clinic Fund and appropriates $512M/year for services and $50M/year for infrastructure for FY2026–FY2035, with counseling and subaward conditions.
Official title: Provide enhanced funding for family planning services.
Introduced April 9, 2025 by Tina Smith · Last progress April 9, 2025
Creates a new Title X Clinic Fund in HHS to provide sustained annual federal funding for clinics that offer family planning services. It directs annual appropriations for FY2026–FY2035 for Title X grants and for clinic infrastructure, and sets counseling and subaward conditions for recipients and subrecipients. The bill provides $512 million per year for Title X grants and contracts and $50 million per year for construction, renovation, and equipment of Title X clinics (each year FY2026–FY2035), with those funds available until expended. Funded clinics must provide nondirective pregnancy counseling, offer information about prenatal care, infant care/foster/adoption, and pregnancy termination when a patient is pregnant, and may only exclude entities from subawards if they cannot provide Title X services.