The Endocrine Society objects to the administration’s decision to severely restrict access to the Title X Family Planning Program, the nation’s only program for affordable birth control and reproductive care.
The Title X program is essential in helping ensure that every person; regardless of income, identity, or whether or not they have health insurance; can access basic, preventive reproductive health care, such as birth control, cancer screenings; STI testing and treatment, and well-woman exams.
Nearly 500,000 people submitted comments to the administration opposing the dismantling of the Title X program; and it has been denounced by every major medical association. The Society advocates for continued access to preventive health care, including no-cost hormonal contraception; as outlined in its position statement.
No-cost hormonal contraceptive services allow a woman to effectively plan, if, and when; she becomes pregnant. This has a positive impact on families’ socioeconomic status and health. The resulting reduction in unplanned pregnancies also has a positive impact on healthcare costs.
So, the changes to the Title X funding program will threaten women; and adolescents’ ability to access medically-necessary preventive and reproductive health care in their communities. Federally qualified health centers will also become overwhelmed as the community-based health care centers; hence that have been providing these services are eliminated from Title X eligibility.
Health care centers
Hence, by limiting women’s access to preventative care, the changes to the Title X funding program finalized by the administration; will increase medical costs and cause many women with various disorders to forgo treatment. But we urge the administration to eliminate these new eligibility criteria; to ensure that all centers qualified to provide these services have equal opportunity to receive Title X grant funding.
Endocrinologists are at the core of solving the most pressing health problems of our time; from diabetes and obesity to infertility, bone health, and hormone-related cancers. But the Endocrine Society is the world’s oldest and largest organization of scientists; hence devoted to hormone research and physicians who care for people with hormone-related conditions.
According to an HHS statement, the final rule “ensures a holistic and health-centered approach” to family planning needs, regardless of a person’s age or sex. But its components include:
1.Necessitating clear financial and physical separation between Title X-funded projects and programs or facilities where abortion is available as a family planning method.
2. Forbidding abortion referrals as a method of family planning and removing the requirement that Title X providers offer abortion counseling and referral.
3. Enhancing program transparency by requiring more complete reporting by grantees about sub-recipients and more clearness regarding informal partnerships with referral.
Title X clinics
4. Safeguarding women and children who have experienced incest, intimate partner violence, molestation, child or sexual abuse, rape, and trafficking; but by requiring that Title X clinics provide staff with yearly training in these areas and have site-specific plans in place to protect victims/survivors of sexual assault.
5. Mandating Title X clinics be in compliance with state and local laws on notification and reporting of the aforementioned crimes.
6. Requiring counseling for minors on how to resist attempts to force them into sexual activities.
7. Necessitating clinics encourage meaningful communication between parents and children.
8. Preserving the confidential relationship between patients and medical professionals within statutory requirements.
Family planning services
9. Explaining that individuals may be considered for Title X services if they cannot acquire employer-sponsored insurance coverage for certain contraceptive services as a result of their employer’s religious beliefs or moral convictions and the limitations of their own financial resources.
10. Supplying high quality comprehensive family planning services to those currently unserved or underserved, while maintaining Title X’s integrity and keeping it consistent with statutory requirements.