New Title X Regulations: Implications for Women and Family Planning Providers
| Appendix: Federal Rules for Title X Projects on Abortion Services and Activities | |||
| 1988 (only in effect for one month due to litigation and subsequent change of Administration) |
1993–Present | 2019 Regulations | |
| Counseling for Pregnancy Options | Prohibited. | Nondirective counseling required for pregnant people addressing: prenatal care & delivery, infant care, foster care, adoption,
pregnancy termination. |
Only a doctor or advanced practice provider, though not required to do so, is permitted to provide nondirective counseling on abortion. |
| Referral for Abortion Services | Prohibited. | Must offer referral for abortion if asked but cannot:
|
All pregnant people must be referred to prenatal services regardless of their stated wishes. A medical doctor or advanced practice provider may provide a list of comprehensive health service providers, the majority of which do not also provide abortion. |
| Requirements For How Abortion Activities Supported By Non-Title X Funds Must Be Handled | |||
| Financial | Separate accounting records. | Separate accounting records. | Separate accounting records, electronic and paper health records. |
| Facility | Separate treatment, consultation, waiting rooms. | Shared waiting room permissible as long as costs are properly pro-rated. | Separate treatment, consultation, examination, and waiting rooms, office entrances and exits, workstations, signs, phone numbers, email addresses, educational services, and websites. |
| Staff | Separate staff. | Shared staff permissible as long as all abortion related activities are financed separately from the Title X project. | Separate staff. |
| SOURCE: Kaiser Family Foundation analysis of federal regulations. | |||