May 19, 2021 - Washington - Senator Dianne Feinstein (D-Calif.) joined Senator Patty Murray (D-Wash.) and a group of their colleagues in sending a 
letter to Secretary of Health and Human Services (HHS) Xavier Becerra supporting the reversal of the Trump administration’s harmful gag rule, which prohibits providers who receive Title X funds from informing patients of the full range of reproductive health care options available to them. The senators urge Secretary Becerra to quickly finalize the proposed rule to ensure that patients who depend on Title X providers can get the care they need—including for birth control, STD screenings, cancer screenings and more.
(Left) Senator Dianne Feinstein (D-Calif.)
“For over 50 years, the Title X program has been an invaluable tool for providing high-quality family planning and preventive health care to millions of people, many of whom earn low incomes and have extremely limited access to health care,” wrote the senators. “We urge you to swiftly finalize the proposed rule to ensure patients have widespread, affordable access to the comprehensive family planning services and cancer and sexually transmitted disease (STD) screenings they need from providers they trust.”
Despite the Title X family planning program’s 50 years of bipartisan support, the Trump administration’s gag rule slashed the Title X-funded health care network’s capacity, compromising the health care of millions patients nationwide—disproportionately women of color—who rely on Title X health centers.
“The proposed rule would be a vital step in reversing the devastating loss of Title X services caused by the 2019 Title X regulations,” continued the senators. “After the 2019 Title X regulations went into effect in July 2019, one-quarter of the clinics in the Title X network were forced to withdraw from the program, which meant at least 1.6 million people lost access to the Title X-supported services that were previously available to them.”
In addition to Feinstein and Murray, the letter was also signed by Senators Michael Bennet (D-Colo.), Ben Ray Luján (D-N.M.), Cory Booker (D-N.J.), Jeanne Shaheen (D-N.H.), Ron Wyden (D-Ore.), Chris Murphy (D-Conn.), Kirsten Gillibrand (D-N.Y.), Tammy Baldwin (D-Wis.), Richard Blumenthal (D-Conn.), Tina Smith (D-Minn.), Bob Menendez (D-N.J.), Elizabeth Warren (D-Mass.), Bob Casey (D-Pa.), Benjamin Cardin (D-Md.), Tammy Duckworth (D-Ill.), Patrick Leahy (D-Vt.), Maggie Hassan (D-N.H.), Ed Markey (D-Mass.), Sherrod Brown (D-Ohio), Dick Durbin (D-Ill.), Jon Tester (D-Mont.), Chuck Schumer (D-N.Y.), Angus King (I-Maine), Mazie Hirono (D-Hawaii), Chris Van Hollen (D-Md.), Sheldon Whitehouse (D-R.I.), Debbie Stabenow (D-Mich.), Tim Kaine (D-Va.), Alex Padilla (D-Calif.), Bernie Sanders (D-Vt.), Chris Coons (D-Del.), Jacky Rosen (D-Nev.), Tom Carper (D-Del.), Jeff Merkley (D-Ore.), Jack Reed (D-R.I.), Mark Kelly (D-Ariz.), Raphael Warnock (D-Ga.), Gary Peters (D-Mich.), Amy Klobuchar (D-Minn.), Jon Ossoff (D-Ga.) and Mark Warner (D-Va.).
The full letter can be found here and below.
May 17, 2021
The Honorable Xavier Becerra Secretary
U.S. Department of Health and Human Services 200 Independence Avenue, SW
Washington, D.C. 20201
Dear Secretary Becerra:
We write to provide formal comments on the Department of Health of Human Services’ (HHS) notice of proposed rulemaking (NPRM), “Ensuring Access to Equitable, Affordable, Client- Centered, Quality Family Planning Services,” RIN 0937-AA11. For over 50 years, the Title X program has been an invaluable tool for providing high-quality family planning and preventive health care to millions of people, many of whom earn low incomes and have extremely limited access to health care. We support HHS’s prompt efforts to revoke the 2019 Title X regulations, which failed to carry out congressional intent for the Title X program. We urge you to swiftly finalize the proposed rule to ensure patients have widespread, affordable access to the comprehensive family planning services and cancer and sexually transmitted disease (STD) screenings they need from providers they trust.
The proposed rule would be a vital step in reversing the devastating loss of Title X services caused by the 2019 Title X regulations. After the 2019 Title X regulations went into effect in July 2019, one-quarter of the clinics in the Title X network were forced to withdraw from the program, which meant at least 1.6 million people lost access to the Title X-supported services that were previously available to them.[1] Federal data shows that compared to 2018, 844,083 fewer patients received family planning and sexual health services from Title X-supported providers in 2019 than in 2018.[2] This includes 280,000 fewer cancer screenings, 1.3 million fewer STD screenings, 278,000 fewer confidential HIV tests, and hundreds of thousands of people losing access to contraceptive care due to the rule.[3] While data from 2020 is not yet finalized, the initial data shows millions of people lost access to Title X-supported services in 2020.[4] This includes the loss of care for people in six states who no longer have Title X-supported providers, leaving nearly 19 million people without access to these vital services.[5] As STD rates continue to rise and the country grapples with providing care during a pandemic, this loss of care is particularly alarming.
If finalized, the proposed rule would build on the over 50 years of bipartisan support for the Title X program, which Congress intended to make “comprehensive voluntary family planning services readily available to all persons desiring such services.”[6] We support the proposed rule’s inclusion of health equity goals related to providing client-centered, culturally sensitive, linguistically appropriate, and equitable health care. Additionally, we believe the proposed rule restores the focus of the program to providing confidential, evidence-based care from trusted health care providers, which is vital to ensuring the program meets its core statutory mission of providing care.
We urge you to swiftly finalize the proposed rule to restore the key focus of the Title X program and help move the program forward to ensure patients have access to the family planning services and cancer and STD screenings they need.
Sincerely,
Source: Senator Dianne Feinstein
