Office of Population Affairs

The Office of Population Affairs (OPA), a part of the United States Department of Health and Human Services within the Office of Public Health and Science, serves as the focal point to advise the Secretary and the Assistant Secretary for Health on a wide range of reproductive health topics, including adolescent pregnancy, family planning, and sterilization, as well as other population issues. Created by an Act of Congress in 1970 (Public Law 91-572, 84 Stat. 1504, Dec. 24. 1970), the Office of Population Affairs, under the direction of the Deputy Assistant Secretary of Population Affairs (DASPA), has three component offices responsible for the oversight of program functions: Office of Family Planning, Office of Adolescent Pregnancy Programs, and Office of Research and Evaluation.

The Title X Family Planning program "Population Research and Voluntary Family Planning Programs" (Pub.L. 91–572), was enacted in 1970 as Title X of the Public Health Service Act. Title X is the only federal grant program dedicated solely to providing individuals with comprehensive family planning and related preventive health services. The Title X program is designed to provide access to contraceptive services, supplies and information to all who want and need them. By law, priority is given to persons from low-income families.

The Title X Family Planning program is administered within the Office of Public Health and Science, Office of Population Affairs (OPA) by the Office of Family Planning (OFP). In fiscal year 2008, Congress appropriated approximately $299 million for family planning activities supported under Title X. At least 90 percent of the appropriation is used for clinical family planning services as described in the statute and regulations (45 CFR Part 59).

In fiscal year 2008, 88 Title X grantees provided family planning services to approximately five million women and men through a network of more than 4,400 community-based clinics that include State and local health departments, tribal organizations, hospitals, university health centers, independent clinics, community health centers, faith-based organizations, and other public and private nonprofit agencies. In approximately 75% of U.S. counties, there is at least one clinic that receives Title X funds and provides services as required under the Title X statute.

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