WASHINGTON, D.C. — The Department of Health and Human Services canceled all but a dozen Teen Pregnancy Prevention Program grants in late June 2026. The canceled grants totaled $66 million.

A list of terminations stated the cancellations were due to "Misalignment with agency priority, specifically normalizing sexual activity for minors." The grants were five-year awards, with two years remaining at the time of cancellation. Grantees included public health departments, universities, Planned Parenthood, and Bethany Christian Services affiliates.

In July 2025, the Trump administration issued a notice to grant recipients requiring program materials to reflect the "immutable biological reality of sex" and prohibiting the promotion of "radical gender ideology" or "discriminatory equity ideology." The notice listed five executive orders that organizations needed to comply with to retain their grants. President Trump signed $101 million in funding for the program into law in 2026, though his recent budget request called for eliminating it.

Healthy Futures of Texas, which provides sexual health education in San Antonio, Dallas, and the Rio Grande Valley, had an annual grant of $2 million canceled effective in June 2026. The cancellation resulted in 13 employees losing their jobs. Ginger Mullaney, president and CEO of Healthy Futures of Texas, said her organization adapted 11 different programs to align with the executive orders and received approval for program adaptations in November 2025.

"We had to essentially adapt and revise all of the already approved curricula to be in alignment with the executive orders — so that for us was 11 different programs that we adapted," Mullaney said. She added, "I'm frustrated that these are lives that were being changed — there is generational impact and social and economic mobility for our communities using programs that are proven and demonstrated to be effective."

Paige Preston, an 18-year-old from Tuba City, Arizona, attended a workshop earlier in 2026 supported by federal grants and run by Hózhǫ́ Horizons from the Johns Hopkins Center for Indigenous Health. Preston is the chair of the Hózhǫ́ Horizons Youth Council. A workshop scheduled for later in summer 2026 was canceled following the funding cuts.

"It connects you with your trusted adult, so for me, I went with my sister and she is the person that I kind of go to for everything," Preston said. She added, "In all honesty, I'm very sad and disappointed." American Indian and Alaska Natives have the highest teen pregnancy rate among racial and ethnic groups nationally.

Congress established the funding stream in 2010. Nicholas Mark, a sociologist at the University of Wisconsin Madison, described the program's intent. "Congress then established the funding stream to put in place the programs that had been shown to be effective in reducing teen pregnancy, increasing healthy behaviors, decreasing unhealthy sexual behaviors among teens," Mark said. The Trump administration canceled all grants during the president's first term, but funding was later restored after grantees sued the administration. Senate and House Democrats sent letters to Health Secretary Robert F. Kennedy Jr. last week demanding that the funding be reinstated.