Family Planning Services Overview in Iowa
Title X is a federal program established in 1970 to provide family planning and reproductive health care services. It aims to help individuals make informed decisions about their family size and spacing of children. The impact of Title X includes preventing unintended pregnancies, births, and abortions. In Iowa, the program has served a significant number of individuals, particularly those with low incomes. Family Planning Program priorities include ensuring high-quality services and promoting positive family relationships.
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Title X Quick Facts FAMILY PLANNING SERVICES IOWA DEPARTMENT OF PUBLIC HEALTH FALL 2019
What is Title X? Mission: To provide individuals with information in determining the number and spacing of their children. Created in 1970 as part of the Public Health Services Act. https://www.hhs.gov/opa/title-x- family-planning/about-title-x-grants/index.html The only federal program dedicated to family planning and reproductive health care.
US Department of Health and Human Services Office of Public Health & Sciences Office of Population Affairs Office of Family Planning DHHS Region VII Office (Washington, D.C.) IA, KS, MO, NE FPCI IDPH Community Health Care, Inc. Hillcrest Family Services Trinity Muscatine Public Health Webster County Health Department Women s Health Services Promise Community Health Center Primary Health Care, Inc. Allen Women s Health New Opportunities Crawford County Home Health North Iowa Community Action Primary Health Care, Inc. Eastern Iowa Health Center River Hills Community Health Center
Impact of Title X In 2015, Title X enabled women to avoid almost 1 million unintended pregnancies which may have resulted in an estimated 400,000 unintended births and 300,000 abortions Nationally, for every $1.00 spent to provide services in publicly funded family planning clinics, approximately $7.00 in Medicaid expenses on births are averted(2015) In Iowa, for every $1.00 spent to provide services in publicly funded family planning clinics, $3.78 in Medicaid expenses on births are averted (2009)
The National Picture 2018 Title X User Characteristics* 87% female users 42% under age 25 46 % ages 20 29 33% Hispanic or Latino (all races) 4% More than one race 65% are under 101% of Federal Poverty Level 40% uninsured *2018 National Title X FPAR Report (2018 Summary)
Title X in Iowa 2018 31,439 Total Number Served 28,944 (92%) Total number of women served 2,495 (8%) Total number of men served People served with incomes at or below 250% of FPL 26,112 (83%)
Family Planning Program Priorities Assuring high quality family planning and related health services that will improve the overall health of individuals, couples and families, with priority for services to those of low-income families. Activities that promote positive family relationships for the purpose of increasing family participation in family planning and healthy decision-making; education and counseling that prioritize optimal health and life outcomes for every individual and couple; and other related health services, contextualizing Title X services within a model that promotes health outcomes for the client. Ensuring that all clients are provided services in a voluntary, client-centered and non-coercive manner in accordance with Title X regulations
Family Planning Program Priorities Promoting provision of comprehensive primary health care services to make it easier for individuals to receive both primary health care and family planning services preferably in the same location, or through nearby referral providers, and increase incentive for those individuals in need of care choosing a Title X provider. Assuring compliance with State laws requiring notification or the reporting of child abuse, child molestation, sexual abuse, rape, incest, intimate partner violence, and human trafficking (monitoring). Encouraging participation of families, parents, and/or legal guardians in the decision of minors to seek family planning services; and providing counseling to minors on how to resist attempts to coerce minors into engaging in sexual activities. Demonstrating that Title X activities are separate and clearly distinct from non-Title X activities, ensuring that abortion is not a method of family planning for this grant. Use of OPA performance metrics to regularly perform quality assurance and quality improvement activities.
Family Planning Service Family planning services include: A broad range of family planning and related health services that are tailored to the unique needs of the individual, that include natural family planning methods (also known as fertility awareness based methods) which ensure breadth and variety among family planning methods offered, infertility services, and services for adolescents; breast and cervical cancer screening, Testing and treatment of STDs; HIV prevention education, counseling, testing, and referrals.
Core FP Services Health screenings which are preventive and/or diagnostic in nature and which help clients achieve preconception health; offering at least STD screenings and treatment and cervical and breast cancer screenings; and may also include other services including, but not limited to preventive health, mental health assessments, and risk behavior screenings. Health information, education, and counseling with an optimal health outcome as the desired goal for the client. Optimal health refers to the best possible outcomes for an individual s physical, emotional, and social health. Referral services available to clients from a network of formalized linkages among community partners, as indicated.
Legal Issues for Title X Participants Voluntary Participation Use of project services by an individual must be voluntary. Coercion must not occur with clients receiving services to use or not use particular methods. Coercion of abortion or sterilization must not take place. Confidentiality Clients must be assured of confidentiality. All providers must be HIPAA compliant. Conflict of Interest No personal gain may occur from working within a Title X program. No funds may be used to support lobbying efforts.
Title X Client Eligibility Income below 100% of poverty, free services Income 101 250% of poverty, sliding scale 250% + of poverty, full fee Income level of no-contact minors determined on their income only (not parents income)
