Sponsors (13)
The bill expands access to and quality of Title X family-planning services through significant new annual federal funding and facility investments, but it increases federal spending and may create conscience and compliance tensions for some providers.
People seeking family planning services — especially women and low-income individuals — will gain substantially increased access through $512 million per year in Title X grants for 2026–2035.
People receiving care at Title X-funded clinics — particularly patients needing pregnancy counseling — will have stronger informational protections because funded clinics must provide nondirective pregnancy counseling and information on all options, supporting more informed decision-making.
Nonprofit and health system providers will be able to participate more broadly in Title X subawards because the bill prohibits excluding potential subawardees except when they cannot provide the required services, which can increase local service availability.
All taxpayers will bear increased federal costs because the bill directs roughly $562 million per year from the Treasury for 2026–2035 (about $512M in grants plus $50M for facilities), raising federal spending over the decade.
Some nonprofit and health system providers may face conflicts with conscience or institutional policies because the requirement to offer information on pregnancy termination could make them ineligible for subawards or prompt legal challenges, potentially reducing provider participation in certain areas.
Clinics receiving funds will face increased administrative and compliance costs because mandated nondirective counseling and specific referral obligations add paperwork, training, and oversight requirements.
Based on analysis of 2 sections of legislative text.
Creates a federal Title X Clinic Fund and appropriates $512M/year for grants and $50M/year for clinic infrastructure for FY2026–2035 to expand family planning services.
Introduced April 9, 2025 by Tina Smith · Last progress April 9, 2025
Creates a dedicated federal Title X Clinic Fund in the HHS Office of the Secretary and provides annual appropriations for fiscal years 2026–2035 to expand family planning services. The bill directs $512,000,000 per year for Title X grants and contracts and $50,000,000 per year for clinic infrastructure (construction, renovation, equipment), with funds available until expended. Funds are paid from the Treasury and come with program rules: recipients may not be excluded from subawards except if they cannot provide Title X services, and clinics must provide nondirective pregnancy counseling to patients with positive pregnancy tests, offering neutral, factual information and referrals on prenatal care/delivery, infant care/foster care/adoption, and pregnancy termination unless a patient declines information on a specific option.