Oppose H.J. Res. 43 to Overturn the HHS Rule on the Title X Family Planning Program

Categories: Advocacy Letter

Recipient: Representative Paul Ryan and Representative Nancy Pelosi

View a PDF of this letter (including footnotes) here.

Dear Speaker Ryan and Leader Pelosi:

On behalf of The Leadership Conference on Civil and Human Rights, a coalition charged by its diverse membership of more than 210 national organizations to promote and protect the civil and human rights of all persons in the United States, we write to strongly oppose H.J. Res. 43, which would overturn the U.S. Department of Health and Human Services (HHS) final rule updating the regulations governing the Title X family planning program. This critical rule clarifies and reinforces the longstanding requirement that health care providers may not be excluded from the program for reasons unrelated to their qualifications to perform Title X-funded services.

The Title X family planning program is a vital source of family planning and related preventive care for low-income, uninsured, and young people across the country. Every year, more than 4 million individuals access life-saving care such as birth control, cancer screenings, and testing for sexually transmitted infections (STIs) including HIV at Title X-funded health centers. Title X cannot succeed unless states and other Title X grantees include providers that are optimally qualified to furnish the range of Title X-funded services according to national standards of care. This task becomes all but impossible if experienced, reputable reproductive health care providers are arbitrarily barred from fair consideration.

An increasing number of states have nevertheless tried to block trusted reproductive health care providers from participating in Title X. To date, at least 14 states have taken official action to target and exclude otherwise eligible providers from the program. Other states have threatened to follow suit. Mounting evidence shows that the exclusion of reproductive health care providers from publicly funded health programs harms health outcomes, widens disparities, and erects new barriers to care. When the very providers that are best suited to deliver Title X-funded services are targeted for exclusion based on factors wholly unrelated to the program’s objectives, federal health care resources are poorly and inefficiently distributed and care is less likely to reach individuals in need.

Title X patients deserve the opportunity to obtain high-quality reproductive health care from the providers that are best equipped to provide it. As such, we strongly support HHS’s rule reinforcing that grantees must design their provider networks based only on the ability to provide care to Title X patients in an effective manner.

We strongly urge you to oppose H.J.Res.43, which would overturn this important rule and embolden states to attempt to block women from getting family planning and other preventive care at highly qualified providers. If you have any questions, please contact June Zeitlin, Director of Human Rights Policy, at 202-263-2852 or zeitlin@civilrights.org.


Wade Henderson
President & CEO

Nancy Zirkin
Executive Vice President