WASHINGTON, D.C. — The Department of Health and Human Services' Office of Population Affairs published an updated "notice of funding opportunity" for the Title X program on October 16, 2025. The National Family Planning and Reproductive Health Association filed a lawsuit in June to challenge the notice.

Title X is a federal program that provides low and no-cost birth control and other sexual and reproductive health services, serving roughly 2.8 million people every year. The updated notice states that grants funded through the program will help "build body literacy, address infertility, plan and space pregnancies and navigate reproductive health conditions such as endometriosis" and other conditions that affect infertility. The notice also includes a section on "overmedicalization" which states that "reports have shown a decrease in females' current use of any contraception."

Amy Friedrich-Karnik, director of federal policy at the Guttmacher Institute, said, "I would characterize it as really a shift toward this Project 2025 MAHA vision of prioritizing having babies over reproductive autonomy." She added, "And really undermining the program from top to bottom." The National Family Planning and Reproductive Health Association, which represents the majority of Title X providers, argues that the administration was willfully violating the statute and attempting to rewrite the law through a grant notice.

Taylor St. Germain, interim co-executive director of Reproductive Equity Now, said, "This is a part of the MAHA movement that is really a veneer for an anti-abortion agenda and an anti-bodily-autonomy agenda." An earlier iteration of the notice included a pre-merits alignment review that would require all grantees to undergo an ideological audit by political appointees. The review was based on grantees' commitment to the administration's priorities, including ending diversity, equity, and inclusion efforts and gender-affirming care. The statute explicitly requires Title X grantees to promote health equity and provide care to transgender recipients. The updated notice was later updated to remove the alignment review.

Vice President JD Vance said in his first address as vice president, "I want more babies in the United States of America." President Donald Trump eliminated Title X from his 2027 annual budget. The Trump administration froze a large percentage of funds going to Title X recipients before eventually restoring the funding.