At Washington Area Women’s Foundation, we believe access to quality, affordable health care is essential for women to thrive. Access to contraception is a key component of overall health care. Family planning services, including both privately and publicly funded services, are critical to ensuring women and families have the ability to plan if and when to have children.
Federal Title X funding helps ensure that women are able to access reproductive health care services, regardless of race, income level, gender identity, location, or insurance status.
The Trump-Pence administration recently issued a new rule imposing harmful standards of care on patients by limiting what doctors in Title X clinics can say to their patients about contraception. Open conversations are essential to improving health outcomes. This “gag rule” not only prohibits doctors from giving women full information about their reproductive health care options, but it also redirects funding from clinics with a range of options available onsite, toward ideologically motivated, single-method providers—or crisis pregnancy centers—thus diminishing access to affordable health care services for millions of women.
The rule will have devastating effects on populations that are already facing significant barriers to accessing health care services. Decades of systemic inequities and racism in the operation of programs and policies have imposed barriers on certain populations— young women, women of color, LGBTQ people, low-income women, and women in rural areas— limiting their access to health care. In our region, many women who rely on Title X funding to access contraception and other essential health care services are women of color who face overlapping barriers to accessing health care, education, and childcare. Without access to Title X funded clinics, they would be unable to afford these health services on their own.
There are several legal challenges to the rule pending, and it will most likely end up before the Supreme Court. Public health organizations and elected officials, including mayors, governors, and state legislators have come out in opposition to the rule and are actively urging the administration to reconsider its position.
In the meantime, Maryland has made the health of women and families a priority by being the first state in the nation to formally opt-out of Title X federal funding. The state legislature approved preemptive legislation that guarantees funding, at the same level as the prior fiscal year, for all family planning centers in the state if the rule moves forward. With this provision, Maryland is leading the way for the nation to defend the integrity of the Title X program and ensure basic reproductive health provisions for the women who need it most.
Claudia Williams manages a portfolio of research and evaluation to advance the work of The Women’s Foundation