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HHS Sets New Title X Grant Terms That Bar Abortion-Related Spending and Shift Focus to Fertility Care

The move tightens rules on the federal family-planning program to set up a return to stricter participation limits.

Overview

  • HHS issued a new Title X funding notice that prohibits grantees from using program dollars for abortion or abortion-related services and requires compliance with the Hyde Amendment.
  • The guidance redirects projects toward treating chronic conditions that affect fertility, teaching body literacy, and offering natural family planning alongside other FDA-approved contraception.
  • The department says about $257 million will be awarded in the current grant cycle under existing appropriations even though the administration’s fiscal 2027 budget proposes eliminating Title X funding.
  • The notice signals work toward reviving the Protect Life Rule, which in 2019 led Planned Parenthood to exit the program, though no replacement rule has been finalized.
  • The terms also instruct grantees to exclude undocumented immigrants from Title X services and bar use of funds to promote diversity, equity, and inclusion efforts, setting up likely legal and political challenges.