LIKELY NEED FOR PUBLICLY SUPPORTED SERVICES

  • In that location were 68 1000000 U.S. women of reproductive age (13–44) in 2016, 21 meg of whom were probable in demand of public support for contraceptive services and supplies because they either had an income below 250% of the federal poverty level or were younger than twenty.1
  • Among the 21 1000000 women with likely need for publicly funded services, 76% (16 million) were adults with incomes beneath 250% of the federal poverty level and 22% (four.6 million) were younger than 20.1
  • Approximately 10.1 one thousand thousand of the women likely in need in 2016 were non-Hispanic white, 3.7 million were not-Hispanic black, 5.i million were Hispanic, and the remaining 1.8 1000000 women identified with other or multiple racial and ethnic groups.i

PUBLIC FUNDING AVAILABILITY

  • Public expenditures for family unit planning services totaled $two.one billion in fiscal yr 2015.2
  • The joint federal-state Medicaid plan reimburses providers for contraceptive and related services delivered to enrolled individuals. Past dissimilarity, Title 10 of the Public Wellness Service Act, the just federal programme devoted specifically to supporting family planning services, subsidizes services for women and men who practice not meet the narrow eligibility requirements for Medicaid, maintains the national network of family planning clinics and sets the standards for the provision of family unit planning services.2
  • Medicaid accounted for 75% of 2015 expenditures on family planning, state appropriations accounted for 13% and Championship X for 10%. Other sources, such as the maternal and child health block grant, the social services block grant and Temporary Assistance for Needy Families, together totaled 2% of expenditures.2

WHO RECEIVES PUBLICLY SUPPORTED SERVICES

  • In 2016, 9.3 million women—45% of all women who likely need public back up for contraceptive services—were served by clinics (6.1 million) or private providers serving Medicaid enrollees (3.2 million).i
  • In 2016, ane.2 million adolescent women were served by publicly supported clinics and 680,000 by individual providers serving Medicaid enrollees.1

WHERE PUBLICLY SUPPORTED SERVICES ARE PROVIDED

  • In 2015, 10,708 rubber-cyberspace health clinics provided subsidized family planning services—5,829 (54%) were federally qualified health centers, 2,242 (21%) were wellness departments, i,108 (ten%) were independent clinics, 853 (8%) were hospital outpatient facilities and 676 (6%) were Planned Parenthood sites.3
  • Nearly 1-third (32%) of women who obtained contraceptive care from condom-net clinics in 2015 received services from Planned Parenthood sites, 30% from federally qualified wellness centers, 20% from wellness departments, 10% from hospital outpatient facilities and 8% from other independent clinics.iii
  • In 2015, 82% of U.South. counties had at to the lowest degree one condom-net health clinic providing family planning services.4

SERVICES PUBLICLY SUPPORTED CLINICS OFFER

  • In 2015, more than three-quarters of clinics (77%) reported offering patients at least 10 of 13 reversible contraceptive methods.5
  • Oral contraceptives, injectables (eastward.g., Depo-Provera) and condoms were provided by more than nine in 10 prophylactic-cyberspace health clinics, and 85% offered emergency contraceptive pills.5
  • Four in 10 clinics (42%) reported being unable to stock certain contraceptive methods due to cost.5
  • As of 2015, clinics with a reproductive wellness focus offered a greater range of contraceptive methods on-site and were more likely to have protocols to assistance patients initiate and continue using methods, compared with clinics focusing on master care.5
  • In 2015, 52% of clinics offered aforementioned-twenty-four hours appointments for an initial contraceptive visit, and 42% of clinics offered some extended hours in the evenings or on weekends. Amongst all clinics, the average await for an appointment was simply over three days.5
  • Virtually all publicly supported family unit planning clinics provided pregnancy testing in 2015, and the vast majority offered HIV testing (94%), testing for chlamydia or gonorrhea (98%), STI handling (97%), and HPV vaccinations (90%).5

IMPACT OF FAMILY PLANNING SERVICES

  • In 2016, women who obtained contraceptive services from all types of publicly supported providers were able to postpone or avert two million pregnancies that they would have been unable to prevent without access to publicly supported care. These pregnancies could take resulted in some ane million births and nearly 700,000 abortions.1
  • Screening and vaccination services provided at family planning visits with all publicly supported providers helped patients avert more 12,000 cases of pelvic inflammatory affliction and nigh two,000 cases of cervical cancer in 2016. More than 100,000 chlamydia infections, eighteen,000 gonorrhea infections and 800 cases of HIV were prevented among the partners of women who obtained publicly funded contraceptive care that twelvemonth.one
  • Altogether, the services provided at publicly supported family planning visits in 2016 resulted in a net savings to the federal and land governments of $12 billion.ane
  • In 2016, every $one.00 invested in publicly funded family planning services saved $4.83 in Medicaid expenditures that would otherwise accept been needed to pay the medical costs of pregnancy, commitment and early on babyhood care.ane

The Title Ten National Family unit Planning Program

TITLE X –SUPPORTED CLINICS AND PATIENTS

  • In 2018, in that location were nearly 4,000 Championship Ten–funded clinics6 and they served 58% of all women who received contraceptive services at publicly funded clinics (three.five million).1
  • Among Title 10–funded family planning clinics in 2015:
    • Planned Parenthood sites represented 13% of clinics and served 41% of all contraceptive patients;
    • Public health departments administered 48% of clinics and served 28% of patients;
    • Federally qualified health centers accounted for 26% of clinics and served nineteen% of patients;
    • Infirmary outpatient sites represented four% of clinics and served five% of patients; and
    • Other contained clinics accounted for 9% of clinics and served 7% of patients.3
  • In 2015, 64% of U.S. counties had at to the lowest degree one Championship X–funded dispensary.iv
  • For near Championship 10 patients (sixty%) surveyed in 2016, the Title Ten–funded site where they sought family planning care was their merely source of broader health care over the by twelvemonth.7
  • Among the 71% of Title 10 patients surveyed in 2016 who reported having public or private health insurance, 83% planned to use information technology to pay for health care services. More than than one‐quarter of patients not planning to use their existing insurance for services indicated the reason was concern that someone might find out they had received intendance.7
  • In 2018, 65% of Championship X patients had incomes at or below the federal poverty level and forty% were uninsured.6

SERVICES Title X–FUNDED CLINICS Offer

  • In 2016, Title 10–funded clinics provided a wider range of contraceptive methods and were more than likely to accept protocols to enable easy initiation and continuation of methods, compared with clinics non receiving Championship X funding.5
  • Title Ten–funded health centers provide a range of related health services in improver to contraceptive care. In 2018, these sites delivered virtually 652,000 Pap tests, 816,000 breast exams, and 6.5 million tests for HIV and other STIs.6
  • Although Title X–funded clinics typically focus on serving women, almost offer services to men. For instance, 11% (some 450,000) of family unit planning patients served by Title X clinics in 2016 were male.eight

 IMPACT OF TITLE X–FUNDED SERVICES

  • Women who obtained contraceptives from Title X–funded clinics were able to postpone or avert some 755,000 pregnancies in 2016 that they would non take been able to prevent without access to publicly supported care.1
  • Screening and vaccination services provided past Title X–funded clinics at family unit planning visits helped patients avoid an estimated 4,600 cases of pelvic inflammatory disease and 740 cases of cervical cancer in 2016. Nearly 44,000 chlamydia infections, seven,200 gonorrhea infections and 370 cases of HIV were prevented among the partners of women obtaining Title X–supported contraceptive care.1
  • The services provided at Title X–funded clinics in 2016 resulted in a net savings to the federal and state governments of $four.four billion.i