biden family planning FILE - In this Aug. 21, 2019, file photo, pamphlets are shown in the clinic of Planned Parenthood of Utah in Salt Lake City. The Biden administration on Oct. 4, 2021, reversed a ban on abortion referrals by family planning clinics, lifting a Trump-era restriction as political and legal battles over abortion grow sharper from Texas to the U.S. Supreme Court. Groups representing the clinics say they hope the rule reversal leads to the return of hundreds of service providers that left the program to protest the Trump administration's policy. HHS has estimated that the upheaval led to as many as 180,000 unintended pregnancies. The clinics provide birth control and basic health care mainly to low-income women.
AP Photo/Rick Bowmer

Arizona’s new governor released her budget proposal earlier this month and has made her priorities clear, with millions allocated toward helping women and families in the state.

Gov. Hobbs’ budget, released Jan. 13, will allocate $6.1 million toward expanding family planning services to low-income women. The increase would more than double the program’s current funding, with an annual total of over $12 million. 

Expanding Access to Vital Services

The program, Title X Family Planning Program, is a federal grant program created in 1970 to provide varying types of family planning and health services targeted toward groups such as low-income women. Affirm, a long-standing non-profit, is the only organization to receive the funding in Arizona since 1983, said Affirm CEO Bré Thomas. 

The additional $6.1 million to Title X through Arizona’s proposed budget will increase care for at least another 30,000, Thomas said. In 2021, Affirm applied for “well over” $11 million to “actually meet the need in Arizona.” However, they only received $6.1 from the federal government, which caused them to scale back, Thomas said. 

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Services from the program include providing contraception methods, such as birth control pills and condoms, as well as education and counseling services surrounding all Food and Drug Administration-approved birth control methods. Sexually transmitted infections testing and treatments, breast and cervical cancer screenings, pelvic exams, pap smears, basic infertility screenings, and emergency contraception services are also provided. 

Funding for Abortion Services Prohibited

Through Title X, pregnancy testing, counseling, and further referral services are provided, such as prenatal care and mental health counseling. Affirm is also mandated by federal law to provide information on abortion care, Thomas said. 

However, due to another federal law, the organization is unable to pay for abortion care. Instead, Affiirm is  “mandated to give folks actual scientific, non-judgemental information on abortion and abortion care,” Thomas said. 

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Despite abortion care not being provided through Title X, people often hold that misconception. 

“People think family planning is synonymous with abortion, it is not,” Thomas said. “Abortion is a part of reproductive life, reproductive health care, but it is not something we’re able to pay for, nor do we, nor have we ever.” 

A Lifeline for Under-Insured Arizonans

While the program has historically benefitted low-income women, others can also receive services through the program. In fact, only 78% of people assigned female at birth are Affirm’s Title X clients, according to their 2021 annual report. 

Affirm can also provide services to people who can become pregnant or cause a pregnancy, low-income individuals, Indigenous communities, and people without health insurance or limited insurance. While the uninsured is a target demographic, they only made up 38% of the clients based on insurance type in 2021.

People under the age of 18 can also receive care through Affirm, such as birth control or STI testing, which they do not need parental consent for. 

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Affirm works with healthcare providers across the state to “do the work and then we oversee them,” Thomas said. “Which is monitoring and oversight.” 

There are 12 sub-recipients, which include community health centers, nonprofits, and county health departments, that Affirm contracts with. Then, there are 56 clinics through the sub-recipients, Thomas said. 

This is also the first time that Arizona has ever allocated state funds toward Title X, despite many other states doing so to meet demand. 

“There’s only a handful of states that provide zero state general funds and we are one of them,” Thomas said. “It’s not like adding state dollars to a family planning program is unique or new. A lot of states do it.”

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