Press Release

Programs + Services

Statement from Essential Access Health Regarding Implementation of Title X Regulations

July 15, 2019
Contact: Amy Moy, 415.518.4465

Statement by Essential Access Health regarding today’s announcement that the U.S. Department of Health and Human Services will implement the final Title X regulations. 

“These regulations put politics over quality patient care. They go against clinical best practices and medical ethics. We are very disappointed that the Department of Health and Human Services decided to begin implementation of the regulations and jeopardize access to care while we are still in the early stages of the judicial process,” said Julie Rabinovitz, President and CEO of Essential Access Health. “We will continue to pursue relief through the courts to protect access to essential health services for the millions of low-income patients served by Title X nationwide.”

The Trump regulations threaten to drastically reduce access to quality sexual and reproductive health care and disproportionately affect low-income women, rural regions, and communities of color. The changes will prevent health providers in the Title X network from offering their patients full information about all of their pregnancy options.


Essential Access Health leads the largest and most comprehensive Title X system in the nation and has been a Title X grantee for the state of California since the program was established in 1970. Title X funding in California supports the delivery of essential health services including birth control, STD and pregnancy tests, and cancer screenings at over 360 health centers in 38 of California’s 58 counties.

Case Timeline:

  • 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
  • July 30, 2018 – Essential Access Health submitted public comments outlining the harms the proposed regulations would cause in California and across the country
  • February 22, 2019 – Final Title X regulations released on the Office of Population Affairs website
  • March 4, 2019 – Final regulations officially published in the Federal Register; Essential Access Health v. Azar, et al filed in federal court
  • March 21, 2019 – Essential Access Health filed preliminary injunction motion
  • April 18, 2019 – Oral arguments presented in preliminary injunction hearing
  • April 26, 2019 – Preliminary injunction granted
  • May 3, 2019 – Date regulations were scheduled to take effect
  • June 20, 2019 – 9th Circuit Court of Appeals motions panel lifts preliminary injunction
  • July 4, 2019 -- 9th Circuit Court of Appeals grants Motion for En Banc Reconsideration and reinstates preliminary injunctions
  • July 11, 2019 – 9th Circuit En Banc panel releases order clarifying preliminary injunctions are not in place as the reconsideration process moves forward
  • July 15, 2019 – U.S. Department of Health and Human Services announced that compliance with the final regulations is required as of July 15, 2019


Essential Access Health (Essential Access) champions and promotes quality sexual and reproductive health care for all. Essential Access achieves its mission through an umbrella of programs and services, including health center support initiatives, provider training, advanced clinical research, public policy and outreach, and awareness campaigns. As the administrator of the nation’s largest and most diverse Title X system in the country, Essential Access partners with a robust provider network that collectively serves 1,000,000 low-income Californians each year at more than 360 health centers across the state.

text of the organization's tagline