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Family-Planning Budget

Families don't come first in this funding scheme

Fri., April 22, 2011

The number of clients provided with basic health care services with federal pass-through funds dropped by almost 70,000 between 2005 and 2007 – a direct result of a new funding scheme created by state Sen. Robert Deuell's budget Rider 56. The client numbers have remained steady in the years since the swift drop, but the totals still represent only a fraction of the women in need of these services.


Number of Family-Planning Clients Served

By funding source, per state fiscal year

200520062007200820092010
Title V73,28357,95651,94743,05849,62349,190
Title X21,16925,47525,77325,86219,32719,333
Title XX231,654201,101178,655186,474190,799189,372
Total Clients326,106*284,532256,375255,394259,749257,895

*Implementation of Rider 56 ($10 million FQHC set-aside) resulted in a decrease of 41,574 clients served in its first year.


Federal Dollars Awarded, Spent, and Unused

Fiscal YearTotal AwardTotal SpentTotal Unused
2006$34,396,171$31,887,749$2,508,422
200749,404,459 44,528,562 4,875,897
200845,780,638 41,557,698 4,222,940
200945,952,641 42,155,844 3,796,797
201050,401,23547,625,977 2,775,258
TOTAL UNUSED $18,179,314

Under the funding method that took effect in 2006, federal dollars designated for family-planning health care services must first go to federally qualified health centers before going to more traditional family-planning providers. But because the FQHCs have never been able to reabsorb the clients that were initially dropped from services, much of the funding allocated to them has gone unused. Each year since Rider 56 took effect, FQHCs have had to return money to the state, which reallocates as much as it can back to family-planning providers; money unspent at the end of the biennium may be returned to Washington.

Compiled by Fran Hagerty, Women's Health and Family Planning Association of Texas


Title V: Maternal & Child Health Services/Social Security Act; Title X: Public Health Services Act; Title XX: Social Services Block Grant

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