Title X Family Planning Services Grants — FY 2027

Title X Family Planning Services Grants — FY 2027

The Office of Population Affairs (OPA), within the U.S. Department of Health and Human Services, is accepting applications for the FY 2027 Title X Family Planning Services Grants competition. This is a provider grant opportunity, not a cash benefit or patient application. OPA will fund public and private nonprofit entities that establish or operate voluntary family planning projects and deliver related preventive services to people in their service areas.

The current notice is an open competition under opportunity number PA-FPH-27-001 and Assistance Listing 93.217. The application deadline is January 11, 2027. OPA requires electronic submission through Grants.gov, and applicants should use the latest version of the notice and its package rather than relying on an older Title X announcement.

The program has two connected audiences. Organizations apply for federal funding through this notice. People seeking care use Title X-funded service sites, which may be operated by a health department, nonprofit clinic, community health organization, hospital, university provider, or another eligible project partner. Keeping those routes separate prevents a prospective patient from searching for a grant form that does not exist and prevents an organization from treating a clinic locator search as a funding application.

At-a-Glance

What the current opportunity funds

The FY 2027 notice asks applicants to create or operate voluntary Title X projects. OPA describes projects as a broad set of clinical, counseling, education, referral, and administrative activities that help people make informed decisions about family planning and reproductive health. An applicant may provide all services directly or propose qualified subrecipients. If it relies on subrecipients, the application must explain how they will be selected, how they will meet the required service expectations, and how the project will serve people throughout the proposed area.

The opportunity is designed for service delivery rather than a narrow research project or a single personal award. Funded work can include contraceptive services and information, pregnancy testing and counseling, assistance for people seeking pregnancy, basic infertility services, STI services, HIV prevention education and referral, health literacy, reproductive goals counseling, and other preconception services. The notice also identifies health conditions that can affect fertility, including endometriosis, polycystic ovary syndrome, uterine fibroids, low sperm count or motility, low testosterone, and erectile dysfunction. A project may address these needs directly when permitted by its scope or provide appropriate referrals.

OPA also requires funded activities to comply with the Title X statute, regulations, legislative mandates, and additional program guidance. The notice identifies three program objectives that recipients must administer when authorized by the award: promoting body and health literacy, advancing reproductive goals counseling, and implementing a Quality Improvement and Quality Assurance plan aimed at optimal health outcomes.

The notice retains the statutory boundary that Title X funds may not be used in programs where abortion is a method of family planning. This page should therefore not promise abortion funding or describe the award as a general-purpose reproductive-health grant. Applicants must design the project around the services and limits in the notice and applicable law.

Funding, match, and project length

OPA anticipates making up to $257 million available for up to 90 grants. The anticipated funding range is $200,000 to $22 million per award, and the period of performance may be up to 60 months. The total amount is an estimate and will depend on enactment of the FY 2027 federal budget; applicants should not treat the upper total as a guaranteed appropriation or assume that every award will receive the maximum.

The notice does not set one fixed cost-sharing percentage or dollar amount. It does require projects to include financial support from sources other than Title X and to show that support in the SF-424A and budget narrative. The additional funding source and amount must be identified separately from the requested Title X support. Cost-sharing requirements are waived for certain listed Pacific and territorial jurisdictions, but applicants in those locations still need to read the notice carefully and describe their full project financing.

This structure matters when building a budget. A request should connect staffing, clinical delivery, counseling, referral systems, training, quality activities, and administrative support to the proposed service area. It should also explain how the project will sustain compliant delivery across the award period rather than treating Title X as a one-time equipment purchase.

What to expect from a Title X clinic

When you call or visit, you should expect care centered on family planning goals, not on one single treatment requirement. OPA describes the service set as broad and preventive. In plain terms, a clinic may help with:

1. Contraceptive counseling and method support (short- and long-acting options)
2. Pregnancy testing and counseling
3. Assistance for people trying to conceive or concerned about infertility
4. STI and HIV prevention, testing, counseling, and treatment pathways
5. Wellness-style prevention links, which may include screening support and referrals

For many people, the first step is not a direct medical procedure but a confidential intake conversation to identify what they need most right now.

If you are someone who only needs a routine check-up and not urgent care, this setup can still be worth using because many clients report that Title X clinics become their main entry point into healthcare. OPA materials have repeatedly described these clinics as a primary or regular source of care for many clients.

Who should apply

The central eligibility rule is broad: any public or private nonprofit entity located in an eligible State may apply. In the notice, “State” includes the 50 United States, the District of Columbia, Guam, Puerto Rico, the Northern Mariana Islands, the U.S. Virgin Islands, American Samoa, specified U.S. outlying islands, the Republic of the Marshall Islands, the Federated States of Micronesia, and Palau.

The notice gives examples of eligible applicant categories:

• State, county, city or township, and special district governments
• Independent school districts and public or state-controlled institutions of higher education
• Private nonprofit institutions of higher education
• Federally recognized tribal governments and other Native American tribal organizations
• Public housing authorities and Indian housing authorities
• Nonprofits with or without 501(c)(3) status, when they are not higher-education institutions
• Faith-based organizations and American Indian, Alaska Native, and Native American organizations that meet the notice requirements

The applicant must be an eligible organization, not an individual seeking personal care. There is no restriction on who may serve as the project director or principal investigator, but the notice requires the designated person to have substantial knowledge of the project and bars awards to a project director or principal investigator with an active government-wide exclusion, suspension, or debarment in SAM.gov.

Applicants proposing a consortium or partnership must still identify one eligible entity that will submit the application and carry responsibility for the award. Partners may participate as subrecipients or collaborators, but the application needs a clear accountable applicant and a workable plan for oversight.

Service model and client eligibility

Although the application is for organizations, applicants need to understand the people their project will serve. Title X clinics provide voluntary and confidential services to clients of all ages and both sexes, with priority given to people from low-income families. Services are provided regardless of ability to pay and without regard to religion, race, color, national origin, disability, age, sex, number of pregnancies, or marital status, subject to governing law and project requirements.

OPA’s fee rules are important to describe accurately. There is no charge for services for people with family incomes below 100% of the most recent federal poverty level guidelines. Services are discounted on a sliding scale for people with family incomes between 101% and 250% of the federal poverty level. Individual sites handle intake, documentation, scheduling, and the practical details of billing or fee screening, so a grant applicant should explain how its proposed network will make those rules understandable to clients.

For people looking for care, the route is local rather than federal: use the official Title X Family Planning Clinic Locator, search by address, city, or ZIP code, and contact the selected site about services, appointments, confidentiality, and fees. A patient does not submit the PA-FPH-27-001 application. That distinction should remain prominent because the listing’s funding amount belongs to provider awards, not to individual clients.

How to apply for the provider grant

The application process is document-heavy and deadline-driven. The following sequence follows the revised notice:

1. Read the full revised NOFO. Search Grants.gov by PA-FPH-27-001 or Assistance Listing 93.217 and use the current application package. Review the eligibility, project description, priorities, submission rules, evaluation criteria, and required certifications before drafting.
2. Confirm organizational eligibility and service geography. Verify that the applicant is a public or private nonprofit entity in one of the jurisdictions listed in the notice. If the project uses subrecipients, define their roles and the process for selecting and monitoring them.
3. Activate SAM.gov and Grants.gov registrations. The applicant needs an active SAM.gov registration, a UEI, an active Grants.gov registration, and an authorized official with the right role in Grants.gov. SAM registration is free, but activation and synchronization can take time, so start well before the deadline.
4. Build the project narrative. Explain the proposed service area, population, clinical and preventive services, staffing, partnerships, referral approach, health-literacy work, reproductive-goals counseling, and Quality Improvement and Quality Assurance plan. Show how the project will comply with Title X requirements and serve clients who face cost or access barriers.
5. Prepare the budget and required forms. The checklist identifies the SF-424, SF-424A, SF-LLL, project abstract, project narrative, appendices, and a complete budget package with supporting documentation. Include non-Title X financial support in the budget forms and budget narrative as required.
6. Include the family participation certification and other responsiveness items. The application must include the required written statement about encouraging family participation in minors’ decisions to seek family planning services and counseling minors about resisting coercion. Missing a responsiveness item can prevent an application from reaching merit review.
7. Submit electronically through Grants.gov. The notice requires the project narrative, appendices, and budget package as separate files in acceptable formats, alongside the standard forms. Search by the NOFO number, follow the Grants.gov workspace instructions, and check that the authorized official completes the final submission.
8. Submit early and retain proof. OPA advises applicants not to wait until the final day. Keep the Grants.gov tracking number, timestamp, submitted files, and any system notices. A technical problem must be documented through Grants.gov if it affects a timely submission.

The deadline in the metadata is the application deadline for this provider competition. It is not a clinic appointment deadline. OPA’s revised notice lists a technical assistance webinar for November 9, 2026, and directs applicants to review the complete announcement before attending and to subscribe on Grants.gov for amendments, revisions, questions and answers, and other updates.

Where to find a clinic and verify access

OPA points users to a Title X Family Planning Clinic Locator. The locator is the primary tool to find:

• Whether a site participates
• What services are listed for that site
• Whether telehealth or mobile services are available

Do this before you travel:

1. Search by ZIP code or city and list at least two nearby options.
2. Compare services each one lists.
3. Call each site to confirm insurance policy, fees, and minors’ confidentiality policy.
4. Ask if any preparatory documents are needed for sliding-scale billing.

If a locator is temporarily unavailable, use local options listed on state or local health departments as a backup and confirm with staff by phone.

Timeline and deadlines

The current provider competition is open. Applications for PA-FPH-27-001 are due January 11, 2027 through Grants.gov. The revised notice gives an anticipated award date and project start date of April 1, 2027, with a period of performance of up to 60 months. Those are planning dates in the notice, not a promise that every award will start on that date.

The technical assistance webinar is scheduled for November 9, 2026. Applicants should review the full notice before the webinar and subscribe to the Grants.gov opportunity for amendments or later instructions. The provider deadline and the local clinic’s appointment availability are separate: a person can seek services from a participating site without submitting this federal grant application.

Required application materials

The revised notice’s checklist includes the following application components:

1. Application for Federal Assistance, SF-424
2. Budget Information for Non-Construction Programs, SF-424A
3. Disclosure of Lobbying Activities, SF-LLL
4. Project Abstract Summary, including required responsiveness content
5. Project Narrative submitted as one acceptable file
6. Project Narrative Appendices submitted as one acceptable file
7. The entire Budget Package, including the budget narrative and supporting documentation
8. The required family participation certification and any other documents identified in the notice

The project narrative should connect the proposed service area, staffing, clinical activities, counseling, education, referrals, partnerships, health literacy, reproductive goals counseling, and Quality Improvement and Quality Assurance plan. The budget should show the requested Title X support separately from other financial support and explain how each major cost advances the project.

Submit only the file types and file groupings allowed by the notice. Reviewers are not permitted to follow embedded links to material outside the application, so important evidence and explanations must be included in the submitted files. Keep copies of the final package and the Grants.gov submission record.

How to decide whether it is worth your time

Use this quick fit check.

Worth it if

1. Cost is your main blocker, and you need timely access.
2. You need one or more core family planning or preventive services in the same visit.
3. You are comfortable with sliding-scale billing and clinic intake requirements.

Less likely worth it if

1. You need a service not typically offered at this network and you already have a specialist.
2. You require a service with strict same-day scheduling and no backup options.
3. You prefer a clinic ecosystem that you already know and that has your full care records already integrated.

If unsure, call two clinics. In many cases, the deciding factor is not eligibility but logistics: appointment spacing, location, and whether a clinician can handle your need in one visit.

Required materials and preparation checklist

For a smooth visit, prepare:

• A clear reason for the visit in one sentence (for example: “I need contraception options and STI testing”)
• A backup plan for transport and childcare (if relevant)
• A rough date window for your visit
• A private way to store any medical paperwork

You will often move faster if you treat this like a mini planning session rather than a walk-in guess. Ask for a pre-visit phone confirmation and note the exact staff contact.

Tips that improve your outcome

1. Call first, especially if you are not local. Not every Title X location is built for walk-ins.
2. Ask up front if you need a referral for specialized care after screening. This saves duplicate visits.
3. Keep your goals concrete: ask for one contraceptive method, one preventive test, and one follow-up before leaving.
4. Ask what part of the fee you are responsible for now and what might be covered through sliding scales or assistance.
5. If the first clinic cannot fully meet your need, use their referral list rather than ending your search.

Tip: If you are comparing clinics, compare both clinical fit and practical fit. A clinic with excellent service but 60-minute travel may be less useful than a slightly farther one with same-day telehealth follow-ups if you rely on public transport.

Common mistakes to avoid

1. Treating the opportunity as a patient benefit instead of a competitive grant for an eligible organization.
2. Keeping the old rolling deadline after the current notice publishes January 11, 2027.
3. Using an expired or missing SAM.gov registration, or assuming that a partner’s registration covers the applicant.
4. Submitting a narrative without the required standard forms, appendices, budget package, or family participation certification.
5. Describing a partner network without explaining subrecipient selection, oversight, service coverage, or compliance responsibilities.
6. Treating the estimated $257 million total as a guaranteed award or requesting the maximum without a matching project budget.
7. Assuming every Title X service site offers every service, accepts walk-ins, or has the same intake and confidentiality practices.
8. Assuming every Title X participant clinic can provide abortions or pregnancy termination services. Title X funds may not be used for abortion as a method of family planning.

Commonly asked questions

I am uninsured. Can I still use this?

Yes, this is a core use case. The program framework emphasizes that care is available regardless of ability to pay, with free or reduced costs based on income and site policy.

I have private insurance. Can I still use Title X?

Yes, many do. Ask the clinic how insurance and confidentiality interact for your situation, especially with sensitive services.

Can minors use Title X services?

Title X services are designed to be voluntary and confidential, but rules on parental involvement vary by state. Ask the clinic directly before your first visit.

Do I need to be under 250% FPL?

No national hard cutoff for entry is presented as “you must be under X.” Income mainly affects fees. That said, local practice varies, so ask directly during intake.

Can I go anywhere and walk in?

Many sites accept visits, but some are appointment based. Call first to avoid travel waste.

How do I track official updates?

Bookmark OPA’s Title X and funding pages. If you are a clinic, organization, or partner looking to bid for support, those pages are where grant status updates and notices appear.

Official links and next steps

Use these links first, because they are the official sources for the current competition and for client access:

• Current FY 2027 opportunity record and revised NOFO: https://simpler.grants.gov/opportunity/770eae58-b245-4431-a4b8-7b1aca9e917f
• Grants.gov application search: https://www.grants.gov/
• Main program page: https://opa.hhs.gov/grant-programs/title-x-service-grants
• About Title X services: https://opa.hhs.gov/grant-programs/title-x-service-grants/about-title-x-service-grants
• Title X Family Planning Clinic Locator: https://reproductivehealthservices.gov/
• OPA funding opportunities: https://opa.hhs.gov/grant-programs/funding-opportunities

What to do next this week

1. Applicant organizations should verify eligibility, registrations, and the latest PA-FPH-27-001 package.
2. Build the narrative, appendices, budget package, standard forms, and responsiveness certification.
3. Submit through Grants.gov before January 11, 2027 and preserve the timestamp and tracking number.
4. Prospective clients should use the clinic locator, call a local site, and confirm services, fees, and intake requirements.

The key current-cycle message is simple: this is an open FY 2027 provider competition with a firm January 11, 2027 deadline. Prepare the complete organizational application through Grants.gov; direct prospective patients to the Title X clinic locator instead of the grant application.