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Trump changes pregnancy-prevention program to promote childbearing

The Department of Health and Human Services issued new guidelines for Title X, shifting the program's mission to "to strengthen family formation and assist clients in achieving healthy pregnancies." The changes align with the Trump administration's efforts to increase the U.S. birth rate.
This reframing reflects recommendations from Project 2025, created by the Heritage Foundation as a guide for the Trump administration. The program, originally signed into law by Republican President Richard Nixon in 1970, previously focused on reducing unintended pregnancies.
New rules prioritize "body literacy education" and "restorative reproductive medicine" while removing requirements to counsel or refer for abortions. Clinics must promote fertility-awareness-based methods like period-tracking apps and offer counseling on male fertility issues.
Researchers warn these changes will disproportionately harm low-income and minority Women who rely on Title X services. They argue the guidelines are unlikely to achieve the administration's "pronatalist" goal of reversing declining birth rates.
Clinics must reapply for funding under these new guidelines by Jan. 9, 2027. Anti-abortion groups support the changes, though Leonard Lopoo, a fertility policy professor at Syracuse University, suggested the government could instead help families by expanding infertility treatments at all income levels.

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Trump changes pregnancy-prevention program to promote childbearing

A federal poverty-fighting program focused on reducing unintended pregnancies is about to undergo a major overhaul. Reproductive health clinics use Title X federal grant money to provide birth control, cancer screenings and testing and treatment for sexually transmitted infections to…

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