In October 2018, President Trump signed H.R. 6157, which includes $101 million for the Teen Pregnancy Prevention (TPP) Program, $6.8 million for evaluations of teen pregnancy prevention approaches, and $286.5 for the Title X Family Planning Program through September 30, 2019,The following outlines several of these federal funding streams, which are available for state leaders and organizations. Likewise, Power to Decide provides an overview of federal funding for preventing teen and unplanned pregnancy.
Teen Pregnancy Prevention Program
Administered by the Office of Adolescent Health (OAH), the Teen Pregnancy Prevention Program (TPP) provides competitive grants to a wide range of agencies and organizations across the country to support the implementation of evidence-based teen pregnancy prevention programs and the development and evaluation of new and innovative approaches. The federal program focuses on rigorous evaluation and high-quality evidence demonstrating that a program is successful—whether the program focuses on delaying sex, avoiding risky behaviors, providing contraception information, or a combination of these strategies. Regardless of the project’s focus, each must have evidence of success and be medically accurate and age appropriate.
The program includes two “tiers.”
- Tier 1 grants replicate teen pregnancy prevention programs that have been proven effective through rigorous evaluation and systematic review by OAH. Funded entities choose a program model based on community needs. Every program undergoes independent, systemic review to develop additional information on the model.
- Tier 2 grants develop, replicate and refine new and innovative models to reduce teen pregnancy.
In the first cohort, from 2010-2015, TPP supported 102 grantees in 39 states and the District of Columbia, reaching about half a million youth. In the second round, initially set from 2015-2019, TPP funded 84 grantees. In July 2017, the U.S. Department of Health and Human Services notified grantees that projects would be shortened from five to three years, which would cut approximately $200 million in funding. In September 2017, the U.S. Senate Appropriations Committee passed a fiscal year 2018 appropriations bill in a bipartisan vote that included funding for TPP, among other programs. The bill provided $101 million for TPP, the same level of funding provided during fiscal year 2017.
Pregnancy Assistance Fund
The Office of Adolescent Health also administers the Pregnancy Assistance Fund, a $25 million competitive grant program that seeks to improve “health, educational, social and economic outcomes of expecting and parenting teens, women, fathers and their families.” Funds may be used to provide support services in settings such as high schools, institutions of higher education and community service centers. Funds may also be used for prevention and intervention services for pregnant women experiencing intimate partner violence. Pregnancy Assistance Fund grantees include states, territories, and tribal entities. Grantees may also establish partnerships with a range of stakeholders to provide these services.
OAH has funded several cohorts of grantees through the Pregnancy Assistance Fund. Currently, 22 states and one tribal entity receive funding through the program. The U.S. Department of Health and Human Services also recently shortened Pregnancy Assistance Fund grants to one year.
Personal Responsibility Education Program
Administered by the Administration on Children, Youth, and Families, the Personal Responsibility Education Program (PREP) provides grants to states for evidence-based programs that emphasize both abstinence and contraception to prevent teen pregnancy and sexually transmitted infections. The program supports youth at higher risk of teen pregnancy, including teens experiencing homelessness, living in foster care, or living in rural areas or other geographic areas with high teen birth rates. PREP also supports pregnant and parenting teens. For more information, Power to Decide provides an overview resource on PREP funding, as well as a resource on PREP funding serving youth in foster care.
The Personal Responsibility Education Program is funded at $75 million annually through fiscal year 2019. In addition to evidence-based programming on abstinence and contraception, PREP projects must also address at least three of the following topics: healthy relationships, positive adolescent development, financial literacy or parent-child communication skills. States may choose from 44 evidence-based program models reviewed by the U.S. Department of Health and Human Services.
PREP funds four types of grants, including formula grants to states and territories, or State PREP. All states and territories are eligible to apply for formula PREP grants to provide evidence-based teen pregnancy prevention programs. Forty-four states, the District of Columbia, American Samoa, the Marshall Islands and the Northern Mariana Islands chose to use their formula allotments in 2017. In addition, PREP funds competitive grants to states, territories, tribes and tribal organizations through CPREP and Tribal PREP. Finally, PREP also supports Personal Responsibility Education Innovative Strategies (PREIS) grants, which fund research and demonstration projects evaluating a broad range of strategies and promising new models to prevent teen pregnancy.
Title V State Abstinence Education Grant Program
The Abstinence Education Grant Program provides funding to states and territories for abstinence education, and promotes abstinence to prevent teen pregnancy. This program provides formula grants to states and was renamed as Sexual Risk Avoidance Education Program. States may use funds for abstinence education, mentoring, counseling or adult-supervised activities to promote abstinence from sexual activity. While states are encouraged to use evidence-based programs and are required to address each point in the eight-point definition of abstinence education, individual states may determine how much emphasis to place on each point. Programs must be medically accurate and focus on youth with a higher risk of teen pregnancy, including homeless teens, teens of certain racial and ethnic backgrounds, those in foster care, or teens living in geographic areas with high teen birth rates.
In Fiscal Year 2016, funding for the Abstinence Education Grant Program was increased from $50 million to $75 million annually. Subsequently, the grant program awarded more than $60 million to 38 states and territories. The program requires that states fund at least 43 percent of abstinence education programs’ costs with non-federal resources. Current grantees include 37 states and two territories. Program funding extends through Fiscal Year 2019.
Sexual Risk Avoidance Education Program
The Sexual Risk Avoidance Education Program, administered through the Family and Youth Services Bureau, funds projects providing abstinence education as well as projects promoting healthy relationships and the prevention of poverty, dating violence, and teen drinking and illicit drug use. This is an existing discretionary funding program that provides competitive grants (distinct from the Abstinence Education Grant Program recently renamed Sexual Risk Avoidance Education Program, above). Grantees use a Positive Youth Development framework to promote risk avoidance among teens and teach how to voluntarily refrain from sexual activity before marriage. In Fiscal Year 2016, the program awarded $8.9 million in grant funds. The program awarded grants in 2017 totaling more than $13.4 million to 27 grantees in 14 states.
In March 2018, the President signed an omnibus spending bill that included funding for Sexual Risk Avoidance Education, among other programs. The bill provided $25 million to the program, a $10 million increase from previous funding levels.