The impact of reproductive health legislation on family planning clinic services in Texas

White, Kari; Hopkins, Kristen; Aiken, Abigail R.A.; Stevenson, A.; López, Carmina; Grossman, Daniel; Potter, JoNell

doi:10.1016/j.contraception.2013.05.059

Cited by 12 publications

(34 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2 In 2010, such clinics were supported by funding from the Title X program and from Titles V and XX federal block grants; specialized family planning providers served 41% of the 218,000 women served by this funding. 8 Additionally, Texas operated a Medicaid family planning waiver program, the Women’s Health Program (WHP), which provided fee-for-service reimbursements for contraceptive services, well-woman exams and STD testing for nonsterilized legal U.S. resident women aged 18–44 with incomes up to 185% of the federal poverty level. Nearly half of the 119,000 women served by the WHP in 2010 received services from Planned Parenthood clinics.…”

Section: Introductionmentioning

confidence: 99%

“…Nearly half of the 119,000 women served by the WHP in 2010 received services from Planned Parenthood clinics. 8 Other federal and local programs that funded or directly provided family planning services for some low-income women in Texas (and that continue to do so today) include full-benefit Medicaid, which in 2010 covered parents who had dependent children and who earned up to 12% of the federal poverty level; county indigent care programs, which provided discounted services to low-income county residents; and a very limited number of local health clinics funded through private foundations. Medicaid also paid (and continues to pay) for family planning services for 60 days postpartum for eligible women (legal U.S. residents whose income does not exceed 185% of the federal poverty level).…”

Section: Introductionmentioning

confidence: 99%

“…This study is part of the Texas Policy Evaluation Project, a five-year evaluation documenting the impact of reproductive health legislation implemented by the 2011 and 2013 Texas legislatures on family planning services, 7,8 the provision of abortion, 9,10 and women’s contraceptive use and preferences. 11 …”

mentioning

confidence: 99%

See 2 more Smart Citations

Women's Experiences Seeking Publicly Funded Family Planning Services in Texas

Hopkins

White

Linkin³

et al. 2015

Perspect Sexual Reproductive

View full text Add to dashboard Cite

CONTEXT Little is known about low-income women’s and teenagers’ experiences accessing publicly funded family planning services, particularly after policy changes are made that affect the cost of and access to such services. METHODS Eleven focus groups were conducted with 92 adult women and 15 teenagers in nine Texas metropolitan areas in July–October 2012, a year after legislation that reduced access to subsidized family planning was enacted. Participants were recruited through organizations that serve low-income populations. At least two researchers independently coded the transcripts of the discussions and identified main themes. RESULTS Although most women were not aware of the legislative changes, they reported that in the past year, they had had to pay more for previously free or low-cost services, use less effective contraceptive methods or forgo care. They also indicated that accessing affordable family planning services had long been difficult, that applying and qualifying for programs was a challenge and that obtaining family planning care was harder than obtaining pregnancy-related care. As a result of an inadequate reproductive health safety net, women experienced unplanned pregnancies and were unable to access screening services and follow-up care. Teenagers experienced an additional barrier, the need to obtain parental consent. Some women preferred to receive family planning services from specialized providers, while others preferred more comprehensive care. CONCLUSION Women in Texas have long faced challenges in obtaining subsidized family planning services. Legislation that reduced access to family planning services for low-income women and teenagers appears to have added to those challenges.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Women's Experiences Seeking Publicly Funded Family Planning Services in Texas

Hopkins

White

Linkin³

et al. 2015

Perspect Sexual Reproductive

View full text Add to dashboard Cite

show abstract

“…Of the roughly 200,000 women receiving care through these programs, 40% received services from Planned Parenthood and other clinics specializing in family planning (White et al, 2015). According to White et al (2015) during 2012, 25% of clinics shut down, and many of the ones that remained open were forced to reduce hours of operation and/or downsize staff. Of the remaining clinics, on average, they only served 54% of the patients that they served in the pre-period.…”

Section: Cuts To Dshs Fundingmentioning

confidence: 99%

“…of publicly-funded family planning clinics closed (White et al, 2015). The first two pieces of legislation concerned family planning funding and the last impacted abortion clinics.…”

Section: Introductionmentioning

confidence: 99%

The Impacts of Reduced Access to Abortion and Family Planning Services: Evidence from Texas

2017

View full text Add to dashboard Cite

Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. Any opinions expressed in this paper are those of the author(s) and not those of IZA. Research published in this series may include views on policy, but IZA takes no institutional policy positions. The IZA research network is committed to the IZA Guiding Principles of Research Integrity. The IZA Institute of Labor Economics is an independent economic research institute that conducts research in labor economics and offers evidence-based policy advice on labor market issues. Supported by the Deutsche Post Foundation, IZA runs the world's largest network of economists, whose research aims to provide answers to the global labor market challenges of our time. Our key objective is to build bridges between academic research, policymakers and society. IZA Discussion Papers often represent preliminary work and are circulated to encourage discussion. Citation of such a paper should account for its provisional character. A revised version may be available directly from the author. Together this legislation creates cross-county variation in access to abortion and family planning services, which we leverage to understand the impact of family planning and abortion clinic access on abortions, births, and contraceptive purchases. In-state abortions fell 20% and births rose 3% in counties that no longer had an abortion provider within 50 miles. Births increased 1% and contraceptive purchases rose 8% in counties without a publicly-funded family planning clinic within 25 miles. Terms of use: Documents in JEL Classification:J13, I18, J08, J18, I38

show abstract