Programs + Services

About Title X

Title X of the Public Health Service Act was established in 1970 with broad bi-partisan support. As the nation’s only dedicated source of federal funding for family planning services, Title X provided access to essential services for nearly 4,000,000 individuals nationwide in 2018. The Title X program is administered by the national Office of Population Affairs (OPA).

Search for a Title X clinic site near you through OPA’s clinic finder.

For over 50 years, Essential Access Health has administered the Title X federal family planning program in California – the largest and most diverse Title X system in the nation – and was recently awarded a grant to support the delivery of equitable, high quality, client-centered, and adolescent-friendly Title X services across the state of Hawaii.

Title X in California + Hawai'i


Essential Access is an original Title X grantee and has administered the program in the state of California for more than 50 years. OPA provides Title X funding to Essential Access to re-grant to comprehensive family planning providers, STI prevention partners, and faith and community-based outreach and education partners in 29 counties. California's Title X network is projected to collectively serve 500,000 patients in 2022.

In addition, Essential Access provides training and technical assistance to enhance the capacity of Title X-funded providers to meet the individual family planning needs of all Title X patients, advance health equity, and comply with program statute, regulations, and priorities.

Comprehensive family planning providers offer youth and people with low-incomes a full range of birth control, STI services, pregnancy testing and options counseling, and cancer screenings. California’s robust statewide network include:

  • Federally Qualified Health Centers
  • City + County Health Departments
  • Hospitals
  • Universities + School-Based Health Centers
  • Urban Indian Health Centers
  • Planned Parenthood Affiliates
  • Stand-Alone Family Planning Providers


In January of 2022, the U.S. Department of Health and Human Services (HHS) announced an award of $1.5 million to Essential Access to address the dire need for family planning services in Hawaiʻi.

Essential Access currently supports the delivery of Title X-funded services at 7 health care organizations operating 12 clinic sites to meet the family planning needs of uninsured residents and individuals with low-incomes on Oʻahu, Maui, and the Big Island. Hawaiʻi’s diverse statewide Title X provider network – including federally qualified health centers, the University of Hawaiʻi, and Planned Parenthood - is projected to initially serve more than 14,000 family planning patients annually.

Title X Information + Resources

Information and resources for members of Essential Access Health’s Title X provider network can be found on our Title X Extranet (note: login required).

Six in ten family planning patients report that their family planning provider is their sole source of health care.

New Title X Regulations

On November 8, 2021, the Biden administration’s Title X regulations took effect. The regulations rescind harmful Trump-era policies, restore Title X’s mandate to provide comprehensive family planning services, and advance health equity nationwide. Read more in our statement >>

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