The federal government is restoring funding for Texas’ publicly funded women’s health programs, bringing as much as $350 million into state coffers and sending a clear message to conservative states: It’s OK to defund providers affiliated with abortion.
The Wednesday announcement from the Trump administration reverses an Obama-era decision to cut federal women’s health funding to Texas starting in 2013. That came as punishment after the Texas Legislature excluded Planned Parenthood from the Healthy Texas Women program in 2011 because of the organization’s affiliation with abortion providers, though the women’s health program does not fund abortion.
“The Lone Star State is once again in partnership with the federal government to provide meaningful family planning and health services while fostering a culture of life,” Gov. Greg Abbott said in a Wednesday statement.
The decision was long awaited; Texas first asked the federal government — perceived under Trump as more sympathetic to Texas’ anti-abortion crusade — to help pay for its women’s health programs in 2017.
Healthy Texas Women offers family planning and health services such as pregnancy and sexually transmitted disease testing to low- and middle-income women. In 2018, it served approximately 173,000 people, according to the Texas Health and Human Services Commission. State officials said the restored federal funding, approved through 2024, would allow the program to reach more than 200,000 clients per year.
The federal government will pay 90% of costs for family planning services and a little more than half of the costs for other women’s health services. State funds will cover the rest.
“With Gov. Abbott’s strong leadership, we continue making significant strides in improving access to women’s health and family planning services in Texas,” said Courtney Phillips, executive commissioner of Texas’ health and human services agency.
Women’s health advocates, who have long condemned the state’s defunding of Planned Parenthood, criticized the decision.
Healthy Texas Women offers family planning and health services such as pregnancy and sexually transmitted disease testing to low- and middle-income women. In 2018, it served approximately 173,000 people, according to the Texas Health and Human Services Commission. State officials said the restored federal funding, approved through 2024, would allow the program to reach more than 200,000 clients per year.
The federal government will pay 90% of costs for family planning services and a little more than half of the costs for other women’s health services. State funds will cover the rest.
“With Gov. Abbott’s strong leadership, we continue making significant strides in improving access to women’s health and family planning services in Texas,” said Courtney Phillips, executive commissioner of Texas’ health and human services agency.
Women’s health advocates, who have long condemned the state’s defunding of Planned Parenthood, criticized the decision.
“This waiver is a sham process meant to condone the targeting of Planned Parenthood and other women’s health care providers without actually improving services for women,” said Stacey Pogue, a women’s health expert from the left-leaning Center for Public Policy Priorities think tank.
Pogue said the federal funds will merely supplant money the state already spends and will not actually improve services for Texas women.
Roughly half of states have programs — largely paid for by the federal government — that offer family planning services to women who don’t qualify for full health insurance benefits through Medicaid. Texas has opted for years not to expand its Medicaid coverage to poor adults; most women who are eligible for the public insurance program are pregnant or disabled.
Eligibility for Healthy Texas Women is significantly broader, covering women whose family income is at or below 200% of the federal poverty level. Texas expects to spend about $100 million in state funds on the program through 2024, in addition to the $350 million from the federal government.