Subsidized family planning services in Texas.

Abstract

The following major federal funding resources that have subsidized family planning services in Texas in recent years are described: Title 5 of the Social Security Act; Title 19 of the Social Security Act; Title 20 of the Social Security Act; Title 10 of the Public Health Service Act; and other family planning funding. Total funding, need, and patients served are reviewed. An estimated $34.4 million were expended for services to approximately 474,752 of the 784,000 low income women in Texas estimated to be in need. Title 5 was amended in 1967 to require that not less than 6% of total federal appropriations for Title 5 be expended for family planning services, and that each state develop a family planning demonstration project and a program of family planning projects. The Texas Department of Health initiated Title 5 family planning services in 1968, and at this time services are provided through several independent local health departments. The Texas Department of Health has historically opted to utilize substantially more than 6% of its Title 5 funds for family planning. In federal fiscal year 1980 it reported expending $5.4 million (29.2%) of its allocated $18.5 million to provide family planning services to 77,787 patients. In state fiscal year 1980 the Medicaid Program, Title 19 of the Social Security Act, expended $3.6 million for family planning services to 31,582 patients, all of whom were or had recently been recipients of cash welfare assistance. Title 20 (now the Social Services Block Grant) is the social services component of the Social Security Act and functions much as Title 19 in that reimbursements are paid to providers for services already rendered. In state fiscal year 1980 Texas expended $14.8 million (including state and local matching funds) to serve 205,000 patients. The annual state Title 20 Plan has heretofore disallowed fees to be charged to any patients receiving Title 20 aid, but this policy may be modified in the near future. Title 10 is the only federal legislation which relates solely to family planning, including medical and social services, training, and research. In Federal fiscal year 1980 Texas agencies received a total of $9.9 million in Title 10 funds. These funds required a 10% local match. Eligibility under Title 10 for totally subsidized services is limited to low income families whose income does not exceed 100% of poverty. In 1980 approximately $3.4 million in state and local public monies were allocated as matching funds to provide subsidized family planning in services to low income persons, while approximately $0.3 million in private funds were donated to match federal funds. In Texas a total of 99 agencies currently provide medical family planning services directly to low income persons in Texas.

Cite this paper

@article{Mondy1982SubsidizedFP, title={Subsidized family planning services in Texas.}, author={L W Mondy}, journal={Texas medicine}, year={1982}, volume={78 11}, pages={58-62} }