Family-Planning Budget

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.

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Number of Family-Planning Clients Served

By funding source, per state fiscal year

	2005	2006	2007	2008	2009	2010
Title V	73,283	57,956	51,947	43,058	49,623	49,190
Title X	21,169	25,475	25,773	25,862	19,327	19,333
Title XX	231,654	201,101	178,655	186,474	190,799	189,372
Total Clients	326,106	*284,532	256,375	255,394	259,749	257,895

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

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Federal Dollars Awarded, Spent, and Unused

Fiscal Year	Total Award	Total Spent	Total Unused
2006	$34,396,171	$31,887,749	$2,508,422
2007	49,404,459	44,528,562	4,875,897
2008	45,780,638	41,557,698	4,222,940
2009	45,952,641	42,155,844	3,796,797
2010	50,401,235	47,625,977	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

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