The Title X Gag Rule
dismantles Title X, stops health care providers from telling patients about abortion, and blocks patients from care at Planned Parenthood
Why It Matters
The Trump-Pence administration has issued a gag rule that dismantles Title X — which is the federal program that gives grants to health care providers for free and low-cost birth control, contraception education, STD tests, breast and cervical cancer screenings, and other preventive reproductive care.
The gag rule says Title X grants can’t go to clinicians who tell their patients how they can safely and legally access abortion (even if patients ask and even if a pregnancy threatens their health). The gag rule also takes grants away from health centers that separately provide abortion — like Planned Parenthood.
The gag rule keeps 4 million people with low incomes who rely on Title X from being able to get full and accurate information from their clinicians. The gag rule also blocks them from getting preventive care at Planned Parenthood health centers.
Principal Advisor at the Office of Civil Rights, Former Deputy General Counsel (HHS)Appointed to HHS: March 2017
Former Special Assistant to the President, White House Domestic Policy CouncilResigned: 6-1-2019
Chief of Staff for the Assistant Secretary of Health (HHS)Appointed to HHS: Early 2017
How We Got Here & Where We're Headed
What to expect next
The Senate could vote on a bill with language that can stop the gag rule.
The 9th Circuit Court of Appeals, which let the gag rule take effect, heard oral arguments from a lawsuit filed by 21 states, the District of Columbia, and several health care providers (including Planned Parenthood).
Trump Administration gag rule forces Planned Parenthood health centers out of Title X
House of Representatives passes major pro-reproductive health spending bill that would block the Title X gag rule if it gets passed by the Senate and signed by Trump
Planned Parenthood and the American Medical Association sue the Trump administration to block the Title X gag rule
Gag rule issued to censor providers, block patients from Planned Parenthood
Administration announces planned “gag rule” for Title X providers and patient
Title X grants go to abstinence, rhythm-method programs instead of birth control
White House memo suggests cutting Title X funding in half
Mike Pence casts deciding vote to end Title X protections in states nationwide
“At Planned Parenthood, we refuse to cower to the Trump-Pence administration. We will not be bullied into withholding abortion information from our patients.”
Dismantling the Nation’s Only Program for Affordable Birth Would Have Devastating Effects
The Trump administration's gag rule is an unprecedented restriction on reproductive health care access and gravely restricts reproductive rights. Prohibiting doctors, nurses, hospitals, and community health centers across the country from referring patients for abortion ends the guarantee that patients get information or counseling on all of their pregnancy options.
The gag rule is part of the Trump-Pence administration’s larger agenda to shut down Planned Parenthood health centers. While the gag rule affects every provider in the Title X program, the rule’s restrictions are specifically designed to block patients from coming to Planned Parenthood health centers. Prior to being forced out of the program, Planned Parenthood health centers served over 40% of the 4 million patients who get preventive, reproductive health care through Title X. That’s 1.5 million patients who won’t be able to see their provider of choice, which may cause them to delay or simply go without care.
The gag rule puts affordable health care out of reach for many underserved communities, including people of color, people in rural communities, and people already struggling to make ends meet. Without the Title X program, many patients will lose access to free and low-cost basic care. The gag rule could leave thousands of people without anywhere else to go for health care services.
Background on The Gag Rule
The gag rule flies in the face of mass outcry from doctors, medical associations, public health experts, lawmakers, and the general public. Several medical and reproductive rights groups, as well as at least 23 states, are suing the administration over the gag rule.NPR
Nearly three-fourths of Americans say they oppose a gag rule. When the administration announced that it would impose it anyway, the American people protested in the streets and online — sending more than 500,000 public comments to the Department of Health and Human Services.Chicago Tribune
Because of systemic inequities, 13% of people who rely on Title X have limited English proficiency. Language barriers, along with racial and ethnic bias, already hinder health care access — limiting Title X make them worse.Vox
Before moving forward with the gag rule, the administration staffed its ranks with officials who are fiercely dedicated to restricting access to birth control and care at Planned Parenthood health centers. That includes Diane Foley, an anti-abortion and anti-birth control activist who Trump appointed to oversee Title X.Tracking Trump: Diane Foley
In addition to "gagging" health care providers, the gag rule imposes cost-prohibitive and medically unnecessary building requirements on Planned Parenthood and other health centers that also provide abortion. These "physical separation" requirements between abortion care and preventive care could include forcing health centers to build separate entrances and exits; construct whole new health centers; or hire a whole second staff of doctors, nurses, and administrative staff.Self Magazine
A similar measure implemented by President Trump, called the "global gag rule," has led to clinic closures as well as increases in unintended pregnancies, unsafe abortion, women dying from pregnancy-related complications, and infant and child deaths in other countries.TIME Magazine
Like all federal funding, Title X grants cannot go toward abortion care. A rule called the Hyde amendment already requires women who rely on Medicaid and other government-sponsored health care coverage to pay for safe, legal abortion out-of-pocket (except in cases of rape, incest, and when the life of the woman is in danger).Planned Parenthood Action
Now that the gag rule forced Planned Parenthood out of Title X, learn how you can access high-quality, affordable reproductive health care — and how to fight for everyone who could lose access.Planned Parenthood Tumblr
The gag rule is so dangerous that over 110 public health and major medical organizations officially oppose it.Planned Parenthood
Because of historic barriers to health care, the majority of patients who get care through Title X identify as people of color, Hispanic, or Latino. The gag rule stands to worsen the already massive divide in health outcomes between women of color and white women. Imposing a gag rule also is one of many attempts by the Trump-Pence administration to take away health care and rights from families with low incomes and people of color.Ms Magazine
A gag rule has never been implemented within the United States before. It is a radical departure from the way health care has operated in the country until now.Business Insider
Many people in the Title X program will be left with nowhere to turn for health care under the gag rule. In some communities, Planned Parenthood is the only provider of affordable reproductive health care. Without it, many patients won’t have access to free or low-cost birth control, STI screenings and treatment, and other basic care.PBS
After similar policies blocked patients from care at Planned Parenthood health centers in Texas, tens of thousands fewer women received care.Texas Observer
Washington state is one of 13 states suing the Trump-Pence administration over the gag rule for its harm to patients — particularly how the rule would keep vital health care services away from women with low incomes.NBC
The gag rule is the closest Donald Trump and Mike Pence have gotten to “defunding” Planned Parenthood yet.Planned Parenthood Blog
If you're wondering why Planned Parenthood is so important, check out all the health care services and education it its flagship website, PlannedParenthood.org.Go to PlannedParenthood.org