Title X Policy Shifts and Michigan’s Reproductive Health Safety Net

What were the changes to Michigan’s reproductive health safety net’s service delivery program associated with Planned Parenthood’s lack of participation in the Title X program during the Final Rule from 2019 to 2022?This cohort study found that there were fewer Title X clinics in Michigan during the Final Rule (92 before, 76 during, and 92 after) and significantly fewer women served by these clinics. However, because Planned Parenthood of Michigan continued to serve similar numbers of clients even while not participating in Title X, the reproductive health safety net was relatively maintained.This study suggests that, because Planned Parenthood of Michigan was able to maintain service delivery levels over the short time they did not participate in the Title X program, the service delivery to the clients who rely on the reproductive health safety net in Michigan, as well as community health outcomes, were mitigated against the loss of federal funding.

Corresponding Author: Sarah D. Compton, PhD, MPH, Department of Obstetrics and Gynecology, University of Michigan, 1500 E Medical Center Dr, Ann Arbor, MI 48109 (sarahrom@med.umich.edu).

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