Press Release

Programs + Services

Statement from Essential Access Health on Title X Court Decision Lifting Preliminary Injunction

June 20, 2019
Contact: Amy Moy, 415.518.4465

SAN FRANCISCO – Today a three-judge panel for the Ninth Circuit Court of Appeals granted the U.S. Department of Justice’s request to lift the preliminary injunctions issued in California and throughout the nation to block the Trump administration’s Title X regulations from taking effect.

Statement by Essential Access Health President and CEO, Julie Rabinovitz:

“The decision released by the motions panel today is not only disappointing – it is incorrect. If allowed to stand, access to essential health services will be delayed for the millions of low-income patients who rely on Title X for care in California and across the nation,” said Julie Rabinovitz, President and CEO of Essential Access Health. “We are exploring all options available to challenge the decision and will continue to do everything possible to block these harmful and unlawful regulations from taking effect.”


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. 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.

Essential Access Health’s lawsuit includes co-plaintiff Dr. Melissa Marshall, a family medicine doctor practicing at a Title X-funded health center in Yolo County, California. Essential Access Health and Dr. Marshall are represented by a team at the law firm Keker, Van Nest & Peters, led by Michelle Ybarra.

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 – Ninth Circuit Court of Appeals motions panel lifts preliminary injunction


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 350 health centers across the state.

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