Government Spending on Family Planning Policy in the United States

Publicly Supported Family Planning Services in the United States

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LIKELY Need FOR PUBLICLY SUPPORTED SERVICES

• In that location were 68 million U.S. women of reproductive age (13–44) in 2016, 21 million of whom were likely in demand of public support for contraceptive services and supplies considering they either had an income beneath 250% of the federal poverty level or were younger than 20.¹
• Among the 21 1000000 women with likely need for publicly funded services, 76% (16 million) were adults with incomes below 250% of the federal poverty level and 22% (4.6 million) were younger than xx.¹
• Approximately 10.1 million of the women likely in need in 2016 were non-Hispanic white, 3.7 million were not-Hispanic black, 5.1 1000000 were Hispanic, and the remaining 1.viii meg women identified with other or multiple racial and ethnic groups.¹

PUBLIC FUNDING AVAILABILITY

• Public expenditures for family planning services totaled $2.1 billion in financial twelvemonth 2015.ⁱⁱ
• The articulation federal-state Medicaid program reimburses providers for contraceptive and related services delivered to enrolled individuals. By contrast, Title X of the Public Health Service Act, the merely federal plan devoted specifically to supporting family planning services, subsidizes services for women and men who do not encounter the narrow eligibility requirements for Medicaid, maintains the national network of family planning clinics and sets the standards for the provision of family planning services.²
• Medicaid accounted for 75% of 2015 expenditures on family unit planning, state appropriations deemed for xiii% and Championship X for 10%. Other sources, such as the maternal and child health block grant, the social services cake 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 support for contraceptive services—were served by clinics (6.i million) or individual providers serving Medicaid enrollees (3.ii 1000000).ⁱ
• In 2016, one.ii one thousand thousand adolescent women were served past publicly supported clinics and 680,000 by private providers serving Medicaid enrollees.¹

WHERE PUBLICLY SUPPORTED SERVICES ARE PROVIDED

• In 2015, 10,708 condom-cyberspace health clinics provided subsidized family planning services—5,829 (54%) were federally qualified health centers, two,242 (21%) were health departments, 1,108 (10%) were independent clinics, 853 (viii%) were hospital outpatient facilities and 676 (half-dozen%) were Planned Parenthood sites.³
• Nearly 1-third (32%) of women who obtained contraceptive intendance from rubber-cyberspace clinics in 2015 received services from Planned Parenthood sites, 30% from federally qualified health centers, 20% from wellness departments, 10% from infirmary outpatient facilities and viii% from other contained clinics.ⁱⁱⁱ
• In 2015, 82% of U.Due south. counties had at least ane safety-internet health dispensary providing family planning services.^iv

SERVICES PUBLICLY SUPPORTED CLINICS OFFER

• In 2015, more than three-quarters of clinics (77%) reported offer patients at least 10 of 13 reversible contraceptive methods.⁵
• Oral contraceptives, injectables (e.yard., Depo-Provera) and condoms were provided by more than nine in 10 rubber-cyberspace wellness clinics, and 85% offered emergency contraceptive pills.⁵
• Four in 10 clinics (42%) reported beingness unable to stock certain contraceptive methods due to toll.⁵
• As of 2015, clinics with a reproductive health focus offered a greater range of contraceptive methods on-site and were more probable to have protocols to help patients initiate and continue using methods, compared with clinics focusing on master care.⁵
• In 2015, 52% of clinics offered aforementioned-day appointments for an initial contraceptive visit, and 42% of clinics offered some extended hours in the evenings or on weekends. Amidst all clinics, the boilerplate wait for an appointment was simply over 3 days.^v
• Nearly all publicly supported family 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 (ninety%).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 avoid two million pregnancies that they would take been unable to prevent without access to publicly supported care. These pregnancies could have resulted in some one million births and nearly 700,000 abortions.¹
• Screening and vaccination services provided at family planning visits with all publicly supported providers helped patients avoid more than than 12,000 cases of pelvic inflammatory disease and virtually ii,000 cases of cervical cancer in 2016. More than than 100,000 chlamydia infections, xviii,000 gonorrhea infections and 800 cases of HIV were prevented among the partners of women who obtained publicly funded contraceptive care that year.¹

• Birthday, the services provided at publicly supported family planning visits in 2016 resulted in a internet savings to the federal and state governments of $12 billion.¹
• In 2016, every $one.00 invested in publicly funded family planning services saved $iv.83 in Medicaid expenditures that would otherwise have been needed to pay the medical costs of pregnancy, delivery and early babyhood intendance.^ane

The Championship X National Family Planning Program

TITLE Ten –SUPPORTED CLINICS AND PATIENTS

• In 2018, there were about 4,000 Title Ten–funded clinics^half-dozen and they served 58% of all women who received contraceptive services at publicly funded clinics (3.five million).¹
• Among Championship 10–funded family planning clinics in 2015:
  • Planned Parenthood sites represented thirteen% 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 19% of patients;
  • Hospital outpatient sites represented four% of clinics and served 5% of patients; and
  • Other independent clinics accounted for 9% of clinics and served 7% of patients.^three
• In 2015, 64% of U.S. counties had at least 1 Title X–funded clinic.⁴
• For near Title X patients (60%) surveyed in 2016, the Title X–funded site where they sought family unit planning care was their simply source of broader health care over the past year.⁷
• Among the 71% of Championship X patients surveyed in 2016 who reported having public or private wellness insurance, 83% planned to use it to pay for health care services. More than than one‐quarter of patients non planning to utilize their existing insurance for services indicated the reason was business that someone might find out they had received care.⁷
• In 2018, 65% of Championship X patients had incomes at or below the federal poverty level and 40% were uninsured.^vi

SERVICES TITLE X–FUNDED CLINICS OFFER

• In 2016, Title Ten–funded clinics provided a wider range of contraceptive methods and were more likely to have protocols to enable piece of cake initiation and continuation of methods, compared with clinics non receiving Title Ten funding.⁵
• Title X–funded health centers provide a range of related health services in addition to contraceptive care. In 2018, these sites delivered about 652,000 Pap tests, 816,000 breast exams, and 6.5 million tests for HIV and other STIs.^{half dozen}
• Although Title X–funded clinics typically focus on serving women, most offer services to men. For instance, 11% (some 450,000) of family unit planning patients served by Title X clinics in 2016 were male.⁸

 IMPACT OF TITLE X–FUNDED SERVICES

• Women who obtained contraceptives from Title 10–funded clinics were able to postpone or avoid some 755,000 pregnancies in 2016 that they would non have been able to prevent without admission to publicly supported care.¹
• Screening and vaccination services provided by Title X–funded clinics at family planning visits helped patients avoid an estimated 4,600 cases of pelvic inflammatory disease and 740 cases of cervical cancer in 2016. About 44,000 chlamydia infections, 7,200 gonorrhea infections and 370 cases of HIV were prevented among the partners of women obtaining Title Ten–supported contraceptive care.^one
• The services provided at Title X–funded clinics in 2016 resulted in a net savings to the federal and land governments of $4.four billion.¹

References

i. Frost JJ et al.,Publicly Supported Family Planning Services in the United States: Likely Need, Availability and Impact, 2016, New York: Guttmacher Plant, 2019.

2. Hasstedt K, Sonfield A and Gold RB,Public Funding for Family unit Planning, Sterilization and Abortion Services, FY 1980–2015, New York: Guttmacher Found, 2017.

iii. Frost JJ et al., Publicly Funded Contraceptive Services at U.Southward. Clinics, 2015, New York: Guttmacher Institute, 2017.

iv. Frost JJ and Zolna MR, Response to enquiry apropos the availability of publicly funded contraceptive care to U.S. women, memo to Senator Patty Murray, Senate Wellness, Education, Labor and Pensions Committee, New York: Guttmacher Institute, May 3, 2017, https://www.guttmacher.org/article/2017/05/guttmacher-murray-memo-2017.

5. Zolna MR and Frost JJ, Publicly Funded Family Planning Clinics in 2015: Patterns and Trends in Service Delivery Practices and Protocols, New York: Guttmacher Institute, 2016.

6. Fowler CI et al.,Family Planning Almanac Report: 2018 National Summary, Enquiry Triangle Park, NC: RTI International, 2019.

seven. Kavanaugh ML, Zolna MR and Burke KL, Use of health insurance amongst clients seeking contraceptive services at Championship X-funded facilities in 2016, Perspectives on Sexual and Reproductive Health, 2018, 50(3):101–109.

8. Fowler CI et al.,Family unit Planning Almanac Report: 2016 National Summary, Enquiry Triangle Park, NC: RTI International, 2017.

Effigy: Public Funding Sources
Hasstedt K, Sonfield A and Gilt RB,Public Funding for Family unit Planning, Sterilization and Abortion Services, FY 1980–2015, New York: Guttmacher Institute, 2017.

Effigy: Unintended Pregnancies Averted
Frost JJ et al.,Publicly Supported Family Planning Services in the United States: Probable Need, Availability and Affect, 2016, New York: Guttmacher Found, 2019.

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Source: https://www.guttmacher.org/fact-sheet/publicly-supported-FP-services-US