Reverse. Restore. Rebuild. We are fighting to reverse Trump-era Title X regulations and restore access.

Our Fight to #FixTitleX

On March 4, 2019, the Trump administration’s Department of Health and Human Services published new regulations for the federal Title X family planning program in the Federal Register. The regulations prohibit health providers from offering Title X patients complete and unbiased information about all of their pregnancy options, including referrals for abortion services, even if a patient asks for the information. Learn more in the links below.

What’s the Latest News?

On April 14, the US Department of Health and Human Services released a notice of proposed rulemaking (NPRM) to undo the Trump-era Title X regulations.

The NPRM marks an exciting new chapter for our nation’s family planning program. The Biden Administration’s proposal returns Title X to the regulations that were initially promulgated in 2000, with important updates to strengthen and build on the program’s mandate to ensure access to equitable, affordable, quality family planning services for low-income patients across the country.

The NPRM has a 30-day public comment period. Comments are due on May 17. Template comments are available here. Comments can be submitted here.

While the NPRM begins to restore the integrity of the Title X program, it unfortunately fails to provide the urgent relief Title X patients need now. Essential Access Health will continue to call on the administration to move quickly to suspend the harmful Trump-era regulations without unnecessary delays. Read more in our statement.

A Supreme Court decision regarding our request to dismiss our Title X legal challenge is still pending.

The Fight to #FixTitleX – A Timeline

  • April 14, 2021 -- The US Department of Health and Human Services released a notice of proposed rulemaking (NPRM) to undo the Trump-era Title X regulations.
  • March 19, 2021 - The United States Supreme Court agreed to dismiss Title X legal challenges.
  • March 12, 2021 – The Biden administration filed a petition to the United States Supreme Court asking to dismiss the Title X legal challenge.
  • February 22, 2021 -- The United States Supreme Court granted petition to review Title X legal challenges
  • January 28, 2021 -- President Joe Biden released a Presidential Memorandum directing the U.S. Department of Health and Human Services to review and consider rescinding the Trump-era Title X regulations.
  • October 1, 2020 – Essential Access Health and a coalition of litigation partners filed a cert petition to the United States Supreme Court, urging the Court to review split decisions handed down by the lower courts
  • September 3, 2020 – The U.S. Court of Appeals for the 4th Circuit upheld a district court ruling striking down the Title X regulations in Maryland, but declined to block implementation nationwide
  • May 8, 2020 – The U.S. Court of Appeals for the 9th Circuit denied Essential Access Health’s request for the full court to reconsider the panel decision released in February that upheld the Trump administration’s Title X regulations in their entirety.
  • April 9, 2020 – Essential Access Health joined a petition to the 9th Circuit Court of Appeals to request full court reconsideration of the en banc panel decision released in February
  • February 24, 2020 – 9th Circuit Court of Appeals decision issued
  • February 20, 2020 – Hearing in Federal District Court on Essential Access Health’s motion for summary judgment
  • September, 23, 2019 – En banc panel of 9th Circuit judges heard oral arguments on the request for reconsideration of the June 20 motion’s panel’s decision lifting the preliminary injunction
  • July 26, 2019 – Planned Parenthood Federation of America, joined by litigation partners including the American Medical Association and National Family Planning & Reproductive Health Association, file a petition requesting full 9th Circuit reconsideration of the en banc panel’s July 11 order
  • July 11, 2019 – En banc panel of Ninth Circuit judges denied the request to restore the preliminary injunction that had been set aside by the motions panel’s stay while the rehearing process moved forward
  • July 3, 2019 – The US Court of Appeals for the Ninth Circuit granted emergency motion for re-hearing
  • June 20, 2019 – Ninth Circuit Court of Appeals motions panel lifts preliminary injunction
  • May 3, 2019 – Date regulations were scheduled to take effect
  • April 26, 2019 – Preliminary injunction granted
  • April 18, 2019 – Oral arguments presented in preliminary injunction hearing
  • March 21, 2019 – Essential Access Health filed preliminary injunction motion
  • March 4, 2019 – Final regulations officially published in the Federal Register; Essential Access Health v. Azar, et al filed in federal court
  • February 22, 2019 – Final Title X regulations released on the Office of Population Affairs website
  • July 30, 2018 – Essential Access Health submitted public comments outlining the harms the proposed regulations would cause in California and across the country
  • May 22, 2018 – The United States Department of Health and Human Services released proposed Title X regulations that introduced some of the most sweeping and extreme changes in the history of the program

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About Title X in California

The Title X federal family planning program was established by Congress in 1970 with bi-partisan support. In California, Title X funding supports the delivery of quality sexual and reproductive services such as birth control, breast and cervical cancer screenings, STI/STD testing and treatment and other preventive services. Title X has played a significant role in reducing unintended pregnancies to their lowest levels in 30 years.

Essential Access Health leads the largest and most comprehensive Title X system in the country and has served as the lead Title X grantee in the state of California for 50 years. Our statewide Title X network includes comprehensive family planning service providers, STD prevention partners, and faith and community based outreach and education partners that collectively serve 20 California counties. Learn more about Title X in California.

For further context, you can download a comparison map of Title X-funded family planning providers before and after the new regulations took effect.

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Resources + Information

Contact us to receive additional information and materials.

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For the Media

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