Family Planning Funding Breakdown:

TANF (Temporary Assistance to Needy Families)
$21.4 million
Created by the Welfare Reform Act of 1996, up to 10% of TANF funds can be used for family planning through Title XX. However, this source of funds is time-limited and vulnerable to Congressional action.

Title XIX (Medicaid)
$25.1 million
Covers only the poorest non-pregnant women - those at 17% of the Federal Poverty Level (FPL), about $2900 per year for a family of 4 - for family planning services. When pregnant, women are eligible for Medicaid if their income is less than 185% of the FPL.

Title V (Maternal & Child Health Block Grant)
$8.8 million
This funding faces a fiscal crisis in SFY 2003. Without additional funding, cuts for Title V funded direct services, including family planning, are expected.

Title X (Family Planning Grant)
$10.2 million
Due to special regional and national projects, Texas clinics have seen decreases in funding, in spite of increases in Title X adopted by Congress. In June 2000, clinics received the first increase in years, but whether the increase will continue is not clear.

Title XX (Social Services Block Grant)
$8.8 million
Title XX was reduced each fiscal year from FY1996 to FY1999. Funds were restored in FY2000 to the FY1998 level. The delay of Compass 21 implementation resulted in unanticipated program costs for FY1999, FY2000, and FY2001. It is anticipated that there will be a continued reduction of the funds to the Social Service Block Grant at the federal level.

Other funding issues:
Costs to service providers are increasing each year. In addition, new data and computer billing systems will likely absorb funds that are needed for clinical services.

(Source: Texas Department of Health)