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Grant Cover Letter For Pregnancy Prevention

Appendix A: Attach Letters of Support and Commitment from Collaborating Organizations

Father Mark O'Reilly
Our Lady of Guadeloupe Catholic Church
123 Guess Road
Durham, North Carolina 27704
Telephone (919) 477-6789
E-mail: fathermark@yahoo.com

July 4, 2000

Dear friends:

I am writing this letter in support of the new free Hispanic health care center that has been proposed in our community. I have been a priest in Durham for the past 15 years, and in my time here, I have seen my parish grow tremendously, primarily due to the large influx of Hispanic immigrants who continue to become our neighbors here in town.

As a priest, I am privy to many of their difficulties, and it strikes me time and again how many of these problems are due to a lack of adequate health care. Many do not have money to go to the doctor. Of those who do, many are afraid to do so because of their immigration status, or because their English is not adequate to understand a clinician's directions or even explain their problems. Many of these people I have accompanied to local clinics and served as their translator; but if I did this for every person who needed this in my parish, I would no longer have time for anything else.

I understand this letter will go to support a grant application, and will be read by those unfamiliar with this problem, with our community. Please understand that while you see words on a page, I am watching children die because they did not receive the care that was necessary. The need is urgent, and the time to act upon it is now.

I have the highest confidence in those who are running this new clinic. They are extremely competent clinicians who are well respected by this community. They can get things done. Most importantly, they are passionately dedicated to this cause. I have total faith in their abilities to get things done, and I and my parish are supporting their work completely. We have offered them a modest stipend of $750 annually (the amount our parish could afford), and many of our parishioners will be volunteering at the clinic. I urge you to support their efforts as well. If I can be of any further service, please do not hesitate to let me know.

Yours in Christ,

Father Mark

Julie Nielson

Human Relations Department
Big Drug Corporation
Research Triangle Park, North Carolina 27707

June 29, 2000

To Whom It May Concern:

We are writing in support of the new free clinic that is being proposed in our area. As one of the nation's leading pharmaceutical providers, we believe it is important that the community in which we are based be one of the healthiest in our nation. It is to that end that we have pledged our support to this new clinic. It is part of our mission to "give something back" to the community that graciously houses us.

Although we have not yet finalized the specifics of our donation to the new clinic, we hope to be a regular benefactor, probably through donations of our products. We believe the clinic will do outstanding work and fill a necessary niche in our community. We hope that you will join us in supporting this worthy endeavor.

If you have any questions, please feel free to contact our office at (919) 383-1234.


Julie R. Nielson

Human Relations Associate
Big Drug Corporation

Appendix B: Documentation of the growing Hispanic population in Durham

December 21, 1997
The News & Observer
Estimate alarms Hispanic advocates

RALEIGH -- The U.S. Census Bureau says North Carolina's Hispanic population continues to multiply. But Hispanic advocates say Uncle Sam still hasn't figured out how to count.

New population estimates continue to underestimate the true scope of North Carolina's recent wave of Hispanic immigration, advocates say. They worry that the apparent underestimation could mislead policy-makers about the level of state and local resources needed to address the influx.

The Census Bureau estimates that 134,384 Hispanics lived in the state in July 1996, an 11 percent increase over 1995 and 73 percent more than in the 1990 census.

However, the new figure falls far below the estimate of 205,000 made by state health officials in 1996, said Katie Pomerans, Hispanic ombudsman in the Office of Citizen Services, a wing of the state Department of Health and Human Services.

"A lot is at risk," Pomerans said. "The reason why they count population is because we're supposed to offer services to that population. You plan for growth that way - for the number of schools you need, the number of parking spaces you need. But nobody knows the actual figure, even after they count it."

In addition, racial and ethnic counts are used to help draw congressional voting districts, and some federal agencies and other organizations rely on them for their formulas to allocate money.

In the Triangle, the apparent discrepancy between official figures and reality is pronounced in Durham, where estimates by local Hispanic groups put the population about 8,000. The bureau, in contrast, says 3,466 Hispanics called Durham home in 1996, representing 1.8 percent of the county's population.

"It definitely doesn't have anything to do with reality," Pomerans said. "They're grossly undercounting there, and it makes no sense."

Although the Census Bureau says Durham's Hispanic population grew by 11 percent from 1995 to 1996, the number of Hispanic children in the Durham public schools jumped by 25 percent over the same time frame, from 562 to 705, she said.

Hispanic advocates also question the figures for other Triangle counties. The Census Bureau reported: - 11,227 Hispanics in Wake County, or 2.1 percent of the county's population. That figure is a 15 percent increase from the year before and a 103 percent rise since 1990.

2,508 Hispanics in Orange County, or 2.3 percent of the population. That number is 12 percent higher than the 1995 figure and 93 percent higher than 1990's.

Overall, Hispanics make up a tiny fraction of the state's population - 1.8 percent of the state's 7.3 million residents in 1996, according to the bureau. Still, even that percentage is on the increase: In 1990, Hispanics made up 1.2 percent of North Carolina's population.

Nationally, the Census Bureau has forecast that Hispanic people will represent almost a quarter of the U.S. population by the year 2050, up from one-tenth currently.

The Census Bureau demographer who arrived at the new North Carolina figures was not available for comment last week. Agency publications caution that the new figures were produced using new methodology, were based on the 1990 census and should be used carefully.

"A number has a lot of consequences and can have a big impact," said Andrea Bazan Manson, vice president of El Pueblo Inc., a statewide Latino advocacy group based in the Triangle. Manson said the group often uses estimates of 250,000 to 300,000 for Hispanics in the state. "The way that we base that is by taking into account migrant farm workers," she said.

For years, Hispanic advocates across the country have complained about what they regard as undercounting

Whether the census data for North Carolina are accurate or not, the trend of growth in Hispanic numbers is undeniable and can still help guide policy-makers, said Susan Brock, a migrant health coordinator with the nonprofit N.C. Primary Health Care Association.

"[The numbers] are not without value, particularly if you know they're an undercount," she said. "I don't know that any data [are] perfect."

Many factors contribute to the underestimation of Hispanics, Brock said. Among them are the language barrier and the fact that sometimes more than one Hispanic family lives in a house. Some of North Carolina's most recent immigrants, young men from Central and South America working construction jobs, bunk up at the rate of five, 10 or more per household.

In addition, undocumented immigrants are reluctant to come forward and be counted.

Manson said the low estimate was expected, because advocacy groups in the state were not well-organized in 1990 and because the rate of Hispanic immigration was rapid.

"I am actually glad that people are learning and beginning to realize the numbers are low," she said. "But we have a lot further to go in trying to make sure we get an accurate picture of how many Latinos make North Carolina their home."

Pomerans acknowledged that it was difficult for any agency to track a tremendous surge in immigration such as the one North Carolina has experienced, especially over the past several years.

"We have to just hope that with the next census, it's better done," she said. "A lot of that depends on the help of the community and educating people about the importance of responding to the census."

February 22, 1998

The News & Observer
Spanish lessons (Part A) (First of two parts)
By Ruth Sheehan and Ned Glascock; Staff Writers

Lured by the prospect of good jobs in a humming economy, Latino immigrants have flocked to the Tar Heel State in record numbers this decade, literally helping build the new North Carolina as they forge new lives.

But this historic demographic shift is placing a large burden on state and local governments - a burden for which nearly every agency and branch of government is ill-prepared and under equipped.

Although Latinos remain a small fraction of North Carolina's overall population - about 2 percent - the U.S. Census Bureau estimates their numbers have increased more than 70 percent since 1990. Hardly a town has gone unchanged.

Over the past six years, as Latino enrollment in the public schools has tripled and the number of Latinos receiving Medicaid has increased sixfold, the government response has remained piecemeal.

Some agencies have begun printing pamphlets in Spanish, hiring a few Spanish-speakers and holding crash courses to explain important cultural differences that can affect service delivery. But there is no coordinated strategy.

"It is not as if this wave of immigration is some big surprise at this point," says Katie Pomerans, a liaison for the Spanish-speaking community with the state Department of Health and Human Services. "It's a fact. It's a reality. We are behind the curve, well behind the curve on this one."

Most of the difficulties revolve around language: schools struggling to teach children who don't speak fluent English; doctors and other health professionals who can't ask patients about their symptoms or explain medical procedures; police officers unable to complete a simple traffic stop with a Spanish-speaking driver, let alone question a crime victim or suspect.

Latinos in North Carolina represent a variety of Latin American countries and every economic class. But it is the wave of working-class migration mainly from poor areas of Mexico and Central America - and even other parts of the United States - that poses the biggest challenges for government.

Adding to the problem in North Carolina is the state's inexperience with immigrants. Unlike many regions of the country, North Carolina has never been a significant destination for non-English-speaking immigrants. And the answers for how to deal with this unprecedented influx of new residents - some legal, some not - have proved elusive.

Government agencies in North Carolina are playing catch-up, says Aura Camacho Maas, a member of the state Human Relations Commission and founder of the Latin American Resource Center in Raleigh.

"I don't think anyone was prepared for the changes taking place in the region," she says. "The first reaction from many different sectors was to ignore it. But I think we've evolved quite a bit from that.

"People are beginning to address those issues now. But it will take a while. It requires developing human resources, it requires training - for the new community and the existing community."

Government's struggle to match the rapid pace of change plays out in the classroom, the courthouse and the health clinic in nearly every community in North Carolina. Here is a collection of snapshots from the front lines.

Among schoolchildren: Mary Mason's specialty is language. But these days, she's preoccupied by the numbers.

As coordinator of the English as a Second Language program at Athens Drive High School in Raleigh, Mason sees the demand arcing upward in what is perhaps the most crucial interface between new Latino immigrants and the state: the public schools.

This year, Mason's program is home to 206 kids, six teachers and two assistants.

Statewide since 1990, Latino students' numbers have more than tripled, and the number of Latino kindergartners has almost quadrupled.

The Wake County public schools have nearly doubled their ESL teaching positions in the past year, and the pace is so frantic that some new ESL teachers are sent into the classroom while they're still training for certification.

"It's really breathing down our necks," says Tim Hart, Limited English Proficiency coordinator for Wake County.

"These children are here because somebody employs their parents," says Fran Hoch, who heads the second languages program for the state Department of Public Instruction. And they're not the children of migrants, she says. They're here to stay.

"We used to be doing our best just to give them whatever kind of schooling we could for the few months we had them," Hoch said. "Now they are part of our accountability. If we don't serve them, they become part of our dropout rate."

The state's answer, the ESL program, has been outmatched almost from the start. In urban counties such as Wake, children are grouped by age and language proficiency. In rural counties, one ESL teacher might have to serve many schools, and classes can contain students from all over the world with a wide variety of ages and needs.

The younger the child, the easier it is to pick up English - and the easier to learn a new language in a normal classroom environment. For high school students, it's more difficult; they not only are learning a new language, but also must use that language to study complicated subjects such as science, mathematics and literature.

Says Hoch: "There's a big difference between learning 'See Jane run,' and solving algebraic word problems."

The state does not track dropout rates for ESL students. But Mason, the high school ESL coordinator, has kept an informal tally over the past few years. The boys, she says, have the hardest time. Of the last 26 she's taught, only two had graduated by May.

"The prospects are not good for these kids," she says.

Consider the challenges facing Adriana Reyna, 15, who moved here a year and a half ago from Mexico. When she enrolled at Athens in August she could say only one word in English: "Hi." Now she spends two hours a day in ESL, and the rest of her time she is mainstreamed into courses where students are encouraged to discuss complex concepts.

Reyna has no idea what her classmates are talking about.

"I say nothing," she says. "I only listen."

On the job: Inside the cramped, concrete-block duplex in Durham, Tom O'Connor listens intently to the Honduran woman with the long brown hair.

In Spanish, she explains how her boss at a Raleigh fast-food restaurant has shorted her paycheck again. And although she's a full-time worker, she receives no health benefits.

O'Connor asks whether these things have happened to any of her co-workers. Her face creases with an expression that's part grin and part grimace.

"Solamente a los hispanos," she says. Only to the Hispanics. "Creo que es que somos hispanos." I think it's because we're Hispanics.

O'Connor takes notes. He will look into it.

As executive director of the non-profit N.C. Occupational Safety and Health Project, O'Connor's job is to be an advocate for ill-treated workers. More and more, his cases involve workers from Mexico and other countries south of the border.

But truth be told, neither O'Connor nor the state labor department has a handle of this segment of the work force.

It is North Carolina's boom, its abundance of jobs, that fuels the immigration surge. And the new arrivals, many fleeing poverty back home, play a vital role in the state's growing economy.

Anyone driving past a construction site need only look to confirm that Hispanics make up a large and growing percentage of the workers erecting the new subdivisions, office buildings and shopping malls that mark North Carolina as a player in the New South. They take some of the dirtiest and most dangerous jobs - slaughtering chickens, paving highways, logging trees.

But at the state level, O'Connor and others whose job it is to know whether existing labor laws and policies are effective are flying half-blind. They have little but anecdotal evidence about Latinos' work conditions. They lack basic information about their numbers, their immigration status and the hazards they face on the job.

Now, N.C. State University researchers - teaming up with O'Connor's advocacy organization, the state Department of Labor, labor activists and others - are undertaking an ambitious study of the state's Hispanic work force.

The preliminary results raise as many questions as they answer, says Jeffrey Leiter, a professor of sociology and anthropology at NCSU, who is helping lead the research.

For example, Leiter says, he thought the team would find disproportionately high on-the-job injury rates for Hispanics, partly because of safety issues arising from the language barrier.

But an unexpected pattern emerged from the information on large work sites the team pieced together from federal and state databases: In certain job categories, a surprisingly low percentage of Latino employees reported workplace injuries.

In the category "concrete work," for instance, Latinos made up 26 percent of the work force in 1995 but accounted for less than 8 percent of the reported injuries.

"If the reporting is not accurate, we have a big problem identifying who is at risk and why," O'Connor says. "We can't understand what the problems are and how to reduce injuries.

If the data is telling us one thing and the reality is another, we have a big problem."

Leiter's team of students and researchers will soon conduct field interviews to determine whether Hispanic workers are less likely to report injuries. Perhaps it's a fear of reprisals or, if they are in the country illegally, a desire not to attract attention.

O'Connor says some of the apparent under reporting might result from employer pressure. Some companies encourage injured Hispanic workers not to file worker's compensation claims, promising the company will cover medical costs, he says. Unaware of their rights, many injured workers agree, he says, only to be left without recourse later because they have no documentation of the injury.

Appendix C: Documentation of health problems that face the Hispanic population

May 10, 1996

The News & Observer
Rubella outbreak hits Latinos hard Illness, fear twin foes in Chatham
By Ben Stocking; Staff Writer Page: A1

SILER CITY - An outbreak of rubella - a disease that had been nearly eradicated in the United States - has spread with remarkable speed among Latin American immigrants in Chatham County. Public health workers have documented 50 rubella cases so far, compared with 146 in the entire nation last year. To contain the outbreak, health workers have been going from home to home, business to business trying to persuade immigrants to be immunized. Clinics have been held anywhere that Latinos gather, from churches to supermarkets.

"Gaining their trust has been hard," said Maria Rangel-Sharpless, an epidemiologist with the state Division of Maternal and Child Health. "We've had to overcome a lot of obstacles."

Nearly four weeks into the outbreak, state and county health officials are confident that it is almost contained. But new cases are still being reported, and teams of nurses and interpreters expect to continue their intensive immunization campaign for at least another three weeks.

The SC Campaign is committed to providing valuable information to our partners. It is with that commitment that we have compiled the latest news regarding federal funding for teen pregnancy prevention programs. Please subscribe to our e-newsletter for the most up-to-date information.

Federal Funding Impacts Teen Pregnancy Prevention Programs

Update [8 December 2017]

Per Power to Decide:

On Thursday, Congress passed another continuing resolution (CR) to fund the federal government at current levels through December 22, 2017. This includes funding for the Teen Pregnancy Prevention (TPP) Program and the Title X Family Planning Program. Congress is still trying to resolve a deluge of other legislative issues. Therefore, there is a possibility that Congress will pass another short-term CR that goes beyond December 22, before they finalize a spending deal for the rest of FY 2018 (which ends September 30, 2018).

We will update you as we know more. In the meantime, it is vital that you continue to cultivate relationships with your members of Congress and weigh in with them on the value of the TPP Program and Title X. Keep up the drumbeat with your emails and calls. You can also take advantage of the Holiday recess and other breaks in the House (dates in blue indicate days in session in D.C.) and Senate schedules when members of Congress will be in their home districts, and try to set up meetings and site visits with them. This is a great way to educate them about the impact of your work. 

In addition, if you can advocate, please ask your Senators and Representative to:

  • “Please support the Senate Appropriations Committee’s funding level ($101 million) and language for the Teen Pregnancy Prevention Program in the final FY 2018 appropriations bill, and do everything in your power to ensure continuation of the current funding, the current evidence-based approach, and the current grantees."
  • "Please support the Senate Appropriations Committee's funding level ($286.5 million) and language for Title X in the final FY 2018 appropriations bill.""

Update [30 November 2017]

Per The National Campaign, the TPP Program, Title X, and PREP are still at risk of losing funding:

"TPP & Title X

  • Most of the government (including the TPP Program and Title X) is funded by a continuing resolution (CR) that expires on December 8. It is increasingly unlikely that Congress will reach an appropriations deal for the rest of fiscal year (FY) 2018 (which ends on September 30, 2018) by the December deadline.
  • This means it is possible that there will be one—maybe even two—additional short term CRs that continue current funding levels into January or February 2018, before a final deal is reached for FY 18. Unfortunately, a government shutdown is not out of the question.


  • PREP is funded through a larger package of so-called “health extenders” that expired at the end of FY 17 (September 30, 2017).
  • Bipartisan negotiations are continuing and there have been reports of progress. The big issue continues to be how Congress will pay for the package of health extenders.

Despite the uncertainty of how all of this will play out, there is one definite. It is critical that you keep up the drumbeat of messages, both to elected officials and in the press, about the value of high quality evidence-based teen pregnancy prevention programs and access to high quality contraceptive care for low income women. It’s the only way to ensure that these essential programs end up on Congress’ list of priorities. It’s not enough to check in once, or even twice; given their incredibly full plates, members of Congress need ongoing reminders.

Please visit the National Campaign's Federal Policy Action Centertoday for the latest in messaging on the TPP Program and PREP, as well as Title X. Then please reach out to your members of Congress and do your part!"

Update [8 September 2017]

Per The National Campaign:

On Thursday, September 7, "the U.S. Senate Appropriations Committee passed their version of the FY 2018 Labor, Health and Human Services, and Education (LHHS) Appropriations bill by a bipartisan vote of 29-2 (Sen. Lankford (OK) and Sen. Daines (MT) were the two dissenting votes).

The bill would provide level funding for the TPP Program and the Title X Family Planning Program, andalso includes language requiring that these programs be administered as they were in FY 2016.  For more details on the Senate Appropriations Committee’s bill, see The National Campaign’s statement and the Federal Policy Action Center for what you can do.

Meanwhile, the full House will be considering its LHHS appropriations bill (as part of a larger package of appropriations bills) over the next few days.  As a reminder, the House bill eliminates both the TPP program and Title X.

In the interim, Congress approved a continuing resolution (CR) yesterday to fund the government through December 8, including the TPP Program and Title X, at FY 2017 levels. This gives them time to finish their work on the FY 2018 appropriations bills for the rest of the year.

So, while yesterday's Senate Appropriations Committee vote is a positive bipartisan step in the right direction, the fight is by no means over! We need to keep up the pressure to:

  1. Protect FY 2018 funding for the TPP Program and Title X;
  2. Ensure these programs are administered in the same manner as they were in the past; and
  3. Keep making the case for continuing the current TPP Program grants.

Whether or not you can advocate, everyone can help. Please visit The National Campaign's Federal Policy Action Center for the latest messages, information, and resources."

Update [5 September 2017]

Per The National Campaign:

"The Senate Appropriations Committee will take up their version of the Labor, Health and Human Services, Education and Related Agencies (LHHS) bill this week. First, the LHHS Subcommittee will vote tomorrow, September 6. Then the full Committee will vote on Thursday, September 7. 

The Senate needs to hear from you—about the value of the TPP Program and Title X, and the work they are supporting in your state.

If you can advocate, take a minute to call and ask your Senators the following, especially if they are on the Senate Appropriations Committee:

  • On the TPP Program: “Please continue the Teen Pregnancy Prevention Program administered by the HHS Office of Adolescent Health at its current funding level ($101 million), and with its current evidence-based approach.”
  • On Title X: “Please oppose all cuts to the Title X Family Planning Program.”

This week we also expect that the House version of the LHHS bill, which passed the full House Appropriations Committee in July, to come to the floor of the House for a vote. As a reminder, the bill proposes to eliminate funding for the TPP Program and Title X. If you can advocate, take a minute to call and ask your Representative the following:

  • On the TPP Program: “Please continue the Teen Pregnancy Prevention Program administered by the HHS Office of Adolescent Health at its current funding level ($101 million), and with its current evidence-based approach.”
  • On Title X: “Please oppose all cuts to the Title X Family Planning Program.”

For more ways to take action, even if you can only educate, click here."

Update [24 July 2017]

Per The National Campaign:

Last Wednesday, “the full House Appropriations Committee voted to pass the FY 2018 Labor, Health and Human Services, and Education (LHHS) Appropriations bill. The bill, which passed on party lines, eliminates funding for the TPP Program and Title X. Rep. Lowey (D-NY) offered an amendment to restore funding for the Title X Family Planning Program and Rep. Lee (D-CA) offered an amendment to restore the Teen Pregnancy Prevention (TPP) Program. All Committee Democrats and one Republican (Rep. Dent, R-PA) voted in support of the amendments, but both failed. Please thank Congresswomen Lee and Lowey for offering these amendments, and the Representatives that voted in favor of them. For more details on the bill, see The National Campaign’s statement.”

“We are still in the early stages of the appropriations process. The next step is for the Senate to take up their version of the bill. However, they are not expected to do so before the August recess. In the meantime, we need your help to protect this funding. We encourage you to start scheduling meetings with your Senators while they are home in the district during August recess. It is a great opportunity to share the good work that the TPP Program and Title X make possible in your community.”

Update [17 July 2017]

Per The National Campaign, last Thursday, “the House bill passed along party lines. Among other things, the bill would eliminate the evidence-based Teen Pregnancy Prevention Program and the Title X Family Planning Program. For more details, see The National Campaign’s statement. This is just the beginning of the appropriations process, and there is an immediate opportunity to make your voice heard."

"This Wednesday July 19th, the full House Appropriations Committee will mark up the bill. Please contact your Representative by Wednesday morning, particularly if they are on the full House Appropriations Committee.” 

For talking points, polling, and other resources you can use in your outreach, visit the National Campaign to Prevent Teen and Unplanned Pregnancy’s Federal Policy Action Center.

Update [12 July 2017]

Last week, we were notified by the Office of Adolescent Health (OAH) that the five-year project for Teen Pregnancy Prevention Programs will end after three years on June 30, 2018.  

We've also learned that, the House Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies (LHHS), the committee with jurisdiction over the TPP Program and Title X, will meet this Thursday at 4:30 pm to mark up (consider) the FY 2018 LHHS spending bill.

South Carolina receives about 6.53 million in TPP funding and it allows us and our partners to do our work in supporting communities with resources and information around the state of South Carolina. These investments are also used to provide evidence-based programs to our young people as well as insure Youth Serving Organizations (YSOs), professionals, trusted adults and health centers receive the most relevant training and support to be in a position to succeed.

Per The National Campaign to Prevent Teen and Unplanned Pregnancy, “Now is the time to call or email your Representative, especially if s/he is on the LHHS Appropriations Subcommittee. It’s essential to communicate the ongoing value of the TPP Program and Title X!”

  • Advocate: We can advocate (activities such as asking members of Congress to take action on legislation, support a particular program funding level, or vote in a specific way) for federal funding; however, we cannot use their federal funds to do so. But, be sure you’re familiar with the rules of your organization; some prohibit advocacy.
  • Educate: If you are prohibited from advocating, you can still educate members of Congress. Simply sharing information about the great work that the TPP Program makes possible in your community is education, not advocacy.

For talking points, polling, and other resources you can use in your outreach, visit the National Campaign to Prevent Teen and Unplanned Pregnancy’s Federal Policy Action Center.

Update [18 July 2016]

Last week, Representative Lee (D-CA) offered an amendment that would, among other things, restore TPPP funding and Rep. Lowey (D-NY) offered an amendment to restore Title X funding but both amendments failed on party-line votes. Congress is now on an extended recess until after Labor Day, meaning there will be no further action until they return.

Per the National Campaign, “this is disappointing, especially given that the Senate’s version of the bill, which passed last month with a bipartisan vote, provides level funding for TPPP and Title X.  However, with the House bill eliminating both programs, the outcome is uncertain.”

Update [11 July 2016]

The House Appropriations Labor, Health and Human Services and Education (LHHS) Subcommittee recently passed its version of the LHHS appropriations bill for FY 2017, posing a threat to the continued success of teen pregnancy prevention nationwide.  Passed along party lines, the draft of this bill has eliminated both the evidence-based Teen Pregnancy Prevention Program, currently funded at $101 million for FY 2016, and the Title X Family Planning Program, currently funded at $286.5 million.

In June, the Senate passed a version of this bill with a bipartisan vote, providing level funding for TPPP and Title X.  With the House bill risking the future of both programs, it is an unexpected disappointment for those who work hard every day to effect change in the teen birth rate.  

Impact on South Carolina

  • The SC Campaign to Prevent Teen Pregnancy has been funded by Teen Pregnancy Prevention Program (TPPP) since 2010. During the next four years, over $2 million in annual funding from the program will come into the state to fund evidence based teen pregnancy prevention programs and reproductive health services in SC communities to reach thousands of youth.
  • There are approximately $5,655,000 Title X dollars coming into the state annually, which support family planning and preventive health service delivery to low-income women and men.  In much of South Carolina, especially in the rural communities, this is the only access to family planning and preventive health services these women, youth, and families have.

“Cuts in teen pregnancy prevention funding do not just affect the teen birth rate,” says SC Campaign Chief Operating Officer Gwendolyn Baker.  “The implications of teen pregnancy ripple across a host of public concerns such as poverty, health, education and the economy.  Now is the time to educate members of the House and inform them about these important programs.” 

Next Steps

The House Appropriations Subcommittee will discuss their proposed version of the LHHS bill, which eliminates TPPP and Title X this Wednesday July 13th.  Please return to this page to stay informed on any updates.

Update [21 December 2015]

Congress released a proposed omnibus appropriations bill that would fund the federal government through the remainder of Fiscal Year (FY) 2016. The House and Senate expect to vote on the bill in the next few days.  The legislation would maintain funding for programs critical to reducing teen and unplanned pregnancy.  Specifically, the bill includes:

  • $101 million for the evidence-based Teen Pregnancy Prevention Program (TPPP), consistent with the FY 2015 funding level.

  • $6.8 million for evaluation of teen pregnancy prevention approaches, consistent with the FY 2015 funding level.

  • $286.5 million for the Title X Family Planning Program, consistent with the FY 2015 level.

  • $33.1 million for the Division of Adolescent and School Health (DASH), an increase of $2 million over the FY 2015 level.

  • $638.2 million for the Maternal and Child Health Block Grant, an increase of $1.2 million over the FY 2015 level.

The bill would also provide $10 million for competitive abstinence education (now called Sexual Risk Avoidance), which is double the FY 2015 level of $5 million.

Statement from South Carolina Campaign to Prevent Teen Pregnancy CEO Forrest Alton

“We are thrilled members of Congress have recognized the importance of investing in prevention.  Restoring funding for the Teen Pregnancy Prevention Program and Title X sends a strong message to those working here in South Carolina and across the country that their efforts matter, and serves as a reminder that prevention pays. The teen birth rate in South Carolina has decreased 61% since 1991 and we have a continued investment at the local, state, and national level to thank for such progress. But, thinking we have the problem solved is short sighted.  In a state like South Carolina that still has the 12th highest teen birth rate in the nation, there is still plenty of work left to be done.”

Update [24 June 2015]

On June 23rd, the Senate Appropriations Labor, Health and Human Services and Education (LHHS) Subcommittee passed its version of the FY 2016 spending bill, which dramatically cuts critical programs proven to reduce teen and unplanned pregnancy, reduce abortion, and save tax dollars.  Specifically, the Senate bill:

  • Cuts funding for the evidence-based Teen Pregnancy Prevention Program (TPPP) from $101 million to $20 million—an 80% cut. This funding has supported programs that have been rigorously evaluated and proven to change behavior. Last year alone, in South Carolina, this federal funding supported 40 community/school partners in 14 counties who reached 12,454 youth with evidence based teen pregnancy prevention programs and reproductive health services. It also increases funding for abstinence-only programs from $5 million to $20 million—a 300% increase.
  • Cuts funding for the Title X Family Planning Program from $286 million to $258 million, a 10% cut when the program has already served over 600,000 fewer women due to cuts since 2010.  Title X  provides millions of low income women and men with contraception. This comes on the heels of the House subcommittee’s bill that eliminated TPPP and Title X entirely.  These actions put both programs in great jeopardy. There are currently over $5 million Title X dollars coming into South Carolina annually, supporting family planning and preventive health service delivery to low income women and men.

Next Steps

  • The full House Appropriations Committee will vote on their version of the LHHS bill eliminates TPPP and Title X this Wednesday June 24th. 
  • The full Senate Appropriations Committee will take their version of the LHHS spending that dramatically cuts the programs on Thursday June 25th

What Can You Do?

South Carolina Senator Lindsey Graham is on the Senate Appropriations Committee that will debate this issue this week. Call Senator Lindsey Graham and Senator Tim Scott TODAY and urge them to continue fully funding the evidence-based Teen Pregnancy Prevention Program (TPPP) and the Title X program for Fiscal Year 2016. They must hear from South Carolinians the dramatic, negative impact these cuts would have on our state. For our supporters and partners outside of South Carolina, to find out who your member of Congress is — click here.

Please use these links to learn more information about the Teen Pregnancy Prevention Program and Title X Program

South Carolina Representatives

Senator Lindsey Graham (R- SC) | 202-224-5972

Senator Tim Scott (R-SC) | 202-224-6121

What's The Issue

The United States House of Representatives Labor, Health and Human Services Appropriations Subcommittee recently proposed elimination of two critical programs proven to reduce teen and unplanned pregnancy in its draft Fiscal Year 2016 spending bill. The draft funding bill, completely eliminates funding for the Title X and the Teen Pregnancy Prevention Program, which is a massive step backwards after 20 years of progress. This proposal is also in direct contrast to a stated desire from lawmakers and the voting public to fund what works in social service programs and all areas of government.

The Impact

  • United States House of Representatives version eliminates all $101 million in funding for the evidence-based Teen Pregnancy Prevention Program (TPPP), and the Senate version cuts the program by 80% (effectively eliminating it), which supports programs that have been rigorously evaluated and proven to change behavior.  
  • Multiple organizations in South Carolina recently applied for new five year funding (2015-2020) via the TPPP program.  While funding decisions have not yet been made, South Carolina stands to be very competitive and benefit from this program for years to come. At least seven competitive applications have been submitted which will ultimately serve more than 16,000 youth annually, through partnerships with dozens of agencies across the state, and bring in over $4.25 million in grant funding annually to South Carolina. 
  • Eliminates all $286 million in funding for the Title X Family Planning Program that provides millions of low income women and men with contraception. There are currently $5,539,000 Title X dollars coming into the South Carolina annually, which support family planning and preventive health service delivery to low-income women and men.  In South Carolina – especially in the rural communities that lawmakers care so much about – this is the only access to family planning and preventive health services that these women, youth, and families have. **Through the work and efforts of Title X Programs, South Carolina benefited from nearly $130 million in net savings during the Fiscal Year 2014 
  • Includes broad language allowing insurers (including student health plans) and employers to not cover any service for which they have a religious or moral objection.  This could result in an unknown number of women losing contraceptive coverage.

**Source Guttmacher Institute

Additional Resources

Accelerating Progress

This highly-valued publication outlines a ‘technical package’ to developing a teen pregnancy prevention strategy for your community. To accelerate progress in South Carolina, the package proposed in this document includes four evidence-based strategies designed to decrease teen pregnancies by promoting abstinence and consistent use of effective birth control methods (including condoms) among sexually active youth.

Working with Schools

If you plan on working with public schools, SC Campaign has numerous helpful materials including an overview of the Comprehensive Health Education Act and tips on adopting new curricula. Go to our fact sheets page and look under Working With Schools.

Federal Application Checklist

This helpful checklist outlines 10 action steps your agency needs to take now to plan for a competitive application. Download the checklist.

Evidence Based Programs

Review the OAH Teen Pregnancy Prevention Resource Center to view summaries of evidence based programs.  You can also use the searchable database to identify programs that fit best with your youth.

Community Mobilization and Youth-Adult Partnerships

Visit Advocates for Youth’s website for more information on community mobilization best practices and how adults can work in full partnership with youth.

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