Grant Details

Title X Funded Family Planning Projects

 
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    CFDA#

    None
     

    Funder Type

    Federal Government

    IT Classification

    B - Readily funds technology as part of an award

    Authority

    Department of Health and Human Services (HHS)

    Summary

    To assist individuals in determining the number and spacing of their children through the provision of affordable, voluntary family planning services, Congress enacted the Family Planning Services and Population Research Act of 1970. The law amended the Public Health Service (PHS) Act to add Title X, œPopulation Research and Voluntary Family Planning Programs. Section 1001 of the PHS Act (as amended) authorizes grants œto assist in the establishment and operation of voluntary family planning projects which shall offer a broad range of acceptable and effective family planning methods and services (including natural family planning methods, infertility services, and services for adolescents). The Title X Family Planning Program is the only Federal program dedicated solely to the provision of family planning and related preventive health services.
     
    The program is designed to provide contraceptive supplies and information to all who want and need them, with priority given to persons from low-income families. All Title X-funded projects are required to offer a broad range of acceptable and effective medically (U.S. Food and Drug Administration (FDA)) approved contraceptive methods and related services on a voluntary and confidential basis.

    Title X services include the delivery of related preventive health services, including patient education and counseling; cervical and breast cancer screening; sexually transmitted disease (STD) and human immunodeficiency virus (HIV) prevention education, testing, and referral; and pregnancy diagnosis and counseling. 

    2017 Title X program priorities are as follows:
    • Assuring the delivery of quality family planning and related preventive health services, with priority for services to individuals from low-income families. This includes ensuring that grantees have the capacity to support implementation  (e.g., through staff training and related systems changes) of the Title X program guidelines throughout their Title X services projects, and that project staff have received training on Title X program requirements;
    • Assessing clients reproductive life plan/reproductive intentions as part of determining the need for family planning services, and providing preconception services as stipulated in QFP;
    • Providing access to a broad range of acceptable and effective family planning methods and related preventive health services in accordance with the Title X program requirements and the 2014 QFP. These services include, but are not limited to, contraceptive services, pregnancy testing and counseling, services to help clients achieve pregnancy, basic infertility services, STD services, preconception health services, and breast and cervical cancer screening.  The broad range of services does not include abortion as a method of family planning;
    • Ensuring that all clients receive contraceptive and other services in a voluntary, client-centered and non-coercive manner in accordance with QFP and Title X requirements.
    • Identifying  individuals, families, and communities in need, but not currently receiving family planning services, through outreach to hard-to-reach and/or vulnerable populations, and partnering with other community-based health and social service providers that provide needed services; and
    • Demonstrating that the projects infrastructure and management practices ensure sustainability of family planning and reproductive health services delivery throughout the proposed service area including:
      • Incorporation of certified Electronic Health Record (EHR) systems that have the ability to capture family planning data within structured fields;
      • Evidence of contracts with insurance plans and systems for third party billing as well as the ability to facilitate the enrollment of clients into private insurance and Medicaid, optimally onsite; and to report on numbers of clients assisted and enrolled; and
      • Addressing the comprehensive health care needs of clients through formal, robust linkages or integration with comprehensive primary care providers.
    In addition to program priorities, the following key issues have implications for Title X services projects and should be considered in developing the project plan:
    • Incorporation of the 2014 Title X Program Guidelines throughout the proposed service area as demonstrated by written clinical protocols that are in accordance with Title X Requirements and QFP.
    • Efficiency and effectiveness in program management and operations;
    • Patient access to a broad range of contraceptive options, including long acting reversible contraceptives (LARC), other pharmaceuticals, and laboratory tests, preferably on site;
    • Use of performance measures to regularly perform quality assurance and quality improvement activities, including the use of measures to monitor contraceptive use;
    • Establishment of formal linkages and documented partnerships with comprehensive primary care providers, HIV care and treatment providers, and mental health, drug and alcohol treatment providers;
    • Incorporation of the National HIV/AIDS Strategy (NHAS) and CDCs œRevised Recommendations for HIV Testing of Adults, Adolescents and Pregnant Women in Health Care Settings; and
    • Efficient and streamlined electronic data collection (such as for the Family Planning Annual Report (FPAR)), reporting and analysis for internal use in monitoring staff or program performance, program efficiency, and staff productivity in order to improve the quality and delivery of family planning services.
     

    History of Funding

    A current list of Title X grantees can be seen at https://www.hhs.gov/opa/title-x-family-planning/title-x-grantees/index.html.

    Additional Information

    In making funding decisions, HHS takes into account:
    • the number of patients, and, in particular, the number of low-income patients to be served;
    • the extent to which family planning services are needed locally;
    • the relative need of the applicant;
    • the capacity of the applicant to make rapid and effective use of the Federal assistance;
    • the adequacy of the applicants facilities and staff;
    • the relative availability of non-Federal resources within the community to be served and the degree to which those resources are committed to the project; and
    • the degree to which the project plan adequately provides for the requirements set forth in the Title X regulations.
    Title X grantees and sub-recipients must be in full compliance with Section 1008 of the Title X statute and 42 CFR 59.5(a)(5), which prohibit abortion as a method of family planning. Grantees and sub-recipients must have written policies that clearly indicate that none of the funds will be used in programs where abortion is a method of family planning.

    Contacts

     

  • Eligibility Details

    Any public or nonprofit private entity located in a state (which includes the 50 United States, the District of Columbia, Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, the U.S. Virgin Islands, American Samoa, the U.S. Outlying Islands (Mid-way, Wake, et. al), the Marshall Islands, the Federated States of Micronesia and the Republic of Palau) is eligible to apply for a Title X family planning services project grant.

    Deadline Details

    Applicant deadlines vary by region and can be found in the application guidance.

    Award Details

    Approximately $64 million is available in total funding. Award amounts vary based applicant region. Between 20 and 26 awards are expected. Awards range from $148,000 - $10,761,000. Title X grant funds cannot constitute 100% of a projects estimated costs; therefore, applicants must clearly specify all other sources of funding that will be used to support the Title X project. Project period is up to three years.


     

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