Q&A on Understanding Title X Reform
Taylor Gage, 402-471-1970
Luke Robson, 402-471-1967
- What is the Governor’s Title X initiative?
The Governor is proposing to revise the distribution of federal Title X healthcare funding to prevent the use of taxpayer dollars for abortions and abortion-related services. Nebraska is a pro-life state, and the state’s budget should reflect those values.
- Why is this Title X reform needed?
Right now, healthcare providers that also perform abortions are receiving federal funding passed through the Nebraska Department of Health and Human Services. This funding comes from Title X, or reproductive healthcare, from the federal government and is distributed by the states.
The state already has language in its budget to ensure other funds do not get spent on abortions. This proposal takes a logical next step: If you provide abortion services or refer or provide directive counsel for abortions, you can’t receive Title X funding. Examples include language in Section 112 (Health aid) and Section 118 (Biomedical research) of the state’s budget.
- Does this cut Title X funding?
No funding is cut. The state will continue to distribute all the Title X funding received from the federal government.
- Will communities lose Title X funding?
The language recommended in the budget does not prohibit any provider from applying and receiving as long as they do not provide abortions services or refer or provide directive counseling for abortions.
- Will clinics lose Title X funding?
All clinics will continue to be eligible as long as they do not provide abortions services or refer for or provide directive counseling for abortions. If an organization has been providing abortions or related services, they can take steps to ensure that the entity providing Title X services is totally separate.
- Will clinics continue to make referrals for abortions?
If an organization has been providing abortions or related services, they will have to take steps to ensure that the entity providing Title X services is objectively independent.
Clinics can continue to explain to patients what their options are, but they cannot use taxpayer dollars to connect them to abortion services.
- Why does Title X reform belong in the budget?
The state already has language in its budget for many years to ensure other funds do not get spent on abortions. This includes language related to Program No. 514 in Agency 25 in LB944, the same budget bill the Governor’s recommendation is contained within. It would be a departure from past practice to send budget bill language to another committee.
There are many other examples of language providing restrictions and earmarking of appropriations throughout the biennial budget. For example, LB 327 from the 2017 legislative session, the enacted biennial appropriations bill approved by the members of the Appropriations Committee just last year, includes several examples:
- Section 10 (health related research and public policy development)
- Section 38 (crimes against children, human trafficking, motor vehicle fraud enforcement)
- Section 50 (various K-12 education purposes)
- Section 112 (Health aid)
- Section 118 (Biomedical research)