There is strong evidence attesting to the effectiveness and cost-effectiveness of publicly funded family planning services. Each year, publicly funded family planning services prevent 1.94 million unintended pregnancies, including 400,000 teen pregnancies. These services are cost-effective, saving nearly $4 in Medicaid expenditures for pregnancy-related care for every $1 spent. Publicly funded family planning services are a central part of the health care safety net.
Title X provides significant cost savings to taxpayers. The Title X Family Planning program was enacted in 1970 as Title X of the Public Health Service Act (Public Law 91-572 Population Research and Voluntary Family Planning Programs). Title X is the only federal grant program dedicated solely to providing individuals with comprehensive family planning and related preventive health services.
The Office of Population Affairs (OPA) sets the standards for publicly funded family planning services in the U.S. The Title X statute, regulations and guidance offer patient protections by requiring that programs are voluntary, confidential and include a broad range of contraceptive methods.
Emerging evidence indicates that increasing the use of contraceptive implants and IUDs, long acting reversible contraceptives (LARC), will help reduce the rate unintended pregnancy.
Many women of reproductive age can benefit from preconception care (care before pregnancy). Preconception care has been defined as a set of interventions designed to identify and reduce risks to a woman's health and improve pregnancy outcomes through prevention and management of health conditions. A reproductive life plan is a set of goals and action steps based on personal values and resources about whether and when to become pregnant and have (or not have) children.
Increased awareness of the importance of preconception care can be achieved through public outreach and improved collaboration between health care providers.
In 2015, 43% of women 18-44 in Vermont said a health care provider had
ever talked with them about ways to prepare for a healthy pregnancy and baby.