Trump admin moves Title X family planning program away from contraception, towards conception

Source: Politico

04/03/2026 05:04 PM EDT


The Trump administration on Friday took the first step toward reviving and expanding the conservative overhaul of the Title X family planning program that happened the first time Trump was president — changes that previously led to an exodus of reproductive health providers and a steep drop in the number of patients served.

Hours after the White House released a budget that proposed the wholesale elimination of the program, the Department of Health and Human Services quietly posted new guidance for clinics around the country that provide birth control and other sexual health services to millions of low-income people. Several changes could take effect when the clinics reapply for funding in January 2027.

The nearly 70-page document included no mention of contraception other than an assertion that it is overprescribed, has negative side effects, and is part of a broader “overreliance on pharmaceutical and surgical treatments.”

The guidance instead promotes “natural family planning methods,” such as period tracking apps and other forms of fertility awareness that have higher failure rates than hormonal birth control. It also asserts that a key goal of the program is to “strengthen family formation and assist clients in achieving healthy pregnancies.”

Read more: https://www.politico.com/news/2026/04/03/trump-admin-moves-title-x-family-planning-program-away-from-contraception-towards-conception-00858913