Planned Parenthood of Greater Texas Brittany Yelverton Community Outreach Specialist

To provide comprehensive reproductive and complementary health care services in settings which preserve and protect the essential privacy and rights of each individual. To advocate public policies which guarantee these rights and ensure access to such services. To provide educational programs which enhance understanding of individual and societal implications of human sexuality. PLANNED PARENTHOOD MISSION

Who We Are & What We Do 1 in 5 women has depended on Planned Parenthood for their health care at some point in their lives 250,000 Texans count on Planned Parenthood’s health centers each year Among women who seek care at a family planning provider like Planned Parenthood, more than six in 10 consider it their medical home More than 90% of our services are basic, preventive health care The top 3 services provided in our health centers: Birth Control Testing and treatment for sexually transmitted infections Life-saving breast and cervical cancer screenings through well woman exams

Who We Serve Our typical patient: Female, years old Employed but receives little to no health insurance through her job She lives paycheck to paycheck Planned Parenthood is often her only source of health care

Who We Serve… One Patient Story Diane is an RN who had to leave her job to take care of her mother. She felt a lump in her breast and didn’t have insurance. “Planned Parenthood helped me when I could not get in anywhere else…I’m now cancer free. I don’t know where I’d be without Planned Parenthood.”

Planned Parenthood’s Health Care Services All FDA-approved methods of birth control, including emergency contraception and long-acting reversible contraception Breast exams and referrals for free mammograms for eligible patients Cervical cancer screening and prevention HPV vaccine for males and females Rapid HIV testing for men and women Testing and treatment for STIs for men and women Urinary tract and vaginal infection treatment Well woman exams And other health and education services

Texas Public Health Challenges Highest percent of uninsured women—30% (CDC) One of the top 10 highest rates of cervical cancer (CDC) 56% of births paid for by Medicaid program $2.7 billion in SFY2009 (DSHS)

Family Planning is a Public Health Investment Every $1 spent on family planning saves nearly $4 in prenatal, delivery and first-year infant care paid for by Medicaid (Guttmacher Institute) Centers for Disease Control and Prevention (CDC) identified family planning as one of the top ten public health achievements of the 20 th century.

Texas Family Planning Program 2011 Texas Legislature slashed family planning funds by 66%, reduced from $111 million to $38 million for the biennium. Implemented a tiered system for the remaining funds that excluded Planned Parenthood and other specialty family planning providers.

Statewide Impact of Women’s Health Funding Cuts Due to these budget cuts and the tiered funding, the Texas’ family planning program served only 75,160 women in 2012—63% fewer women than in 2011 According to the Legislative Budget Board (per biennium), these cuts will lead to an estimated: 20,500 additional births to Medicaid-eligible women $231 million additional costs to taxpayers

Statewide Impact of Women’s Health Funding Cuts The New England Journal of Medicine, “Cutting Family Planning in Texas” (September 27, 2012)

Statewide Impact of Women’s Health Funding Cuts The New England Journal of Medicine, “Cutting Family Planning in Texas” (September 27, 2012) “We are witnessing the dismantling of a safety net that took decades to build and could not easily be recreated even if funding were restored soon.”

Women’s Health Program (WHP) Medicaid pilot project (Jan 2007-Dec 2011) Serves approximately 111,000 women a year Saved $25 million in general revenue for 2010 (HHSC) Planned Parenthood health centers provided care to almost half of all women in the program yet comprise only 2% of statewide WHP providers 62% of all WHP providers served 10 or fewer women in 2010

Texas WHP On January 1, 2013, the state launched a fully state- funded program called the Texas WHP in order to exclude Planned Parenthood from the program. This program replaced the successful Medicaid WHP, which was 90% funded by the federal government. Without Planned Parenthood’s participation, preliminary data already shows a decrease in claims under the new, fully state-funded Texas WHP.

Women’s Health is at a Crossroads As of April 2013, Texas left $2.3 million in Title X funds on the table unspent while dozens of trusted women’s health centers closed statewide and 130,000 women went without health care. The federal government recently awarded Title X family planning dollars that used to go to the state to a coalition of Texas family planning providers, including two Planned Parenthood affiliates.

The 2013 Texas Legislature added $100 million in new funding to the state’s primary health care program for women’s health care. This added funding is a win for Texas, but concerns remain for the uninsured women who lost access to health care and are in need of family planning services. The new funds will not reopen all of the closed health centers and will not reach all of the remaining providers who traditionally served high numbers of family planning patients. Women’s Health is at a Crossroads

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