The Dangerous Unraveling Of The United States’ Family Planning Safety Net

Since taking office, the Trump administration has inflicted chaos on Title X, the only federal program that supports the provision of comprehensive reproductive health care to low-income people.

Amy Friedrich-Karnik and Megan L. Kavanaugh
July 14, 2026

Every person, regardless of income or insurance status, deserves the chance to create the family they want on their own timeline. For more than 50 years, the Title X program—the only federal program that supports the provision of comprehensive reproductive health care to low-income people—has been dedicated to serving that mission. Title X was signed into law by a Republican president and has long received bipartisan support. However, today, the goal of ensuring that everyone has access to high-quality reproductive health care faces an unprecedented attack from the Trump administration.

While Title X has been underfunded in recent years—and took a massive hit under the first Trump presidency—it has shown resilience and continues to provide high-quality reproductive health care. In 2023 alone, Title X served 2.8 million people.

Continued: https://www.healthaffairs.org/content/forefront/dangerous-unraveling-united-states-family-planning-safety-net