Sponsors (13)
The bill expands and stabilizes funding and access to Title X family planning and nondirective pregnancy information for women and low-income patients, while increasing federal spending and imposing participation and counseling requirements that may conflict with some providers' conscience objections and limit subaward discretion.
Women, pregnant patients, uninsured and low-income individuals gain expanded access to family planning services through $512M/year in Title X grants plus $50M/year for clinic infrastructure (FY2026–FY2035).
Hospitals, health systems, and state governments receive stable, multi-year funding for clinics (funds available until expended), supporting long-term service continuity and facility improvements.
Women and pregnant patients will be offered nondirective information on all pregnancy options (prenatal care, infant care/foster care/adoption, termination), supporting informed decision-making.
Taxpayers face increased federal spending commitments—about $562M per year from FY2026–FY2035—to fund Title X grants and clinic infrastructure.
Hospitals, health systems and individual providers may be required to provide nondirective counseling and referrals for pregnancy termination, which can conflict with conscience-based objections.
State governments and recipient organizations may have limited ability to exclude subawardees for reasons beyond inability to provide Title X services, reducing discretion over partner selection and oversight.
Based on analysis of 2 sections of legislative text.
Creates a Title X Clinic Fund and provides $512M/year for Title X grants plus $50M/year for clinic infrastructure for FY2026–FY2035, with counseling and subaward requirements.
Introduced April 9, 2025 by Tina Smith · Last progress April 9, 2025
Creates a dedicated Title X Clinic Fund in HHS and provides annual appropriations for FY2026–FY2035 to expand and sustain clinics that provide family planning services. It directs $512,000,000 per year for Title X grants and contracts and $50,000,000 per year for clinic infrastructure, and attaches programmatic conditions on subawards and pregnancy counseling at funded clinics.