Texas Policy Evaluation Project
TEXPEP upper righthand gray scale identity logo

About TxPEP

The Texas Policy Evaluation Project, or TxPEP, is a five-year comprehensive effort to document and analyze the impact of the measures affecting reproductive health passed by the 82nd and 83rd Texas Legislatures.  The project team includes researchers at the University of Texas Population Research Center, the University of California San Francisco, Ibis Reproductive Health, and the University of Alabama-Birmingham.

TxPEP researchers are studying the legislation passed in the 2011 and 2013 sessions (the 82nd and 83rd Legislatures).  The team is examining the impacts of the cut to the state family planning budget in 2011 on family planning clinics and women eligible for subsidized family planning services, changes in the eligibility of certain organizations to participate in state programs, and the addition of funding streams for family planning services to the 2013 budget.

In addition, TxPEP researchers are evaluating the impact of legislation that requires women to undergo a mandatory sonograms at least 24 hours before an abortion, bans abortions ≥20 weeks “post-fertilization,” requires abortion providers to have hospital admitting privileges, limits medication abortion, and mandates that abortion facilities must meet the requirements of an ambulatory surgical center.

Finally, TxPEP researchers are analyzing state data on the number of births, unintended pregnancies, and abortions. We will estimate the cost to the state of changes in these numbers.

Project Components

  • Impact on Family Planning Clinics
    • Survey of family planning organizations
    • In-depth interviews with leaders of family planning organizations
  • Impact on Contraceptive Services
    • Analysis of Texas Department of State Health Services Data
  • Impact on Women's Experiences Seeking Care
    • Longitudinal survey of women getting contraception postpartum
      • 2-site study that began April 2012
      • Multi-site study that begins summer 2014
    • Focus groups with women who have public insurance or no insurance
    • Survey of community college students
    • Study of Planned Parenthood Depo-Provera users enrolled in the Women's Health Program
  • Impact on Unintended Pregnancy
    • Analysis of the 2010-2012 Texas Pregnancy Risk Assessment Monitoring System (PRAMS) data
  • Impact on Births
    • Analysis of Medicaid claims data
    • Analysis of Texas Hospital Discharge data
    • Analysis of vital statistics data
  • Impact of Restrictions on Access to Abortion Care
    • Survey of abortion providers
    • Survey of abortion clients
    • Analysis of service delivery statistics
    • Ethnographic investigation of abortion self-induction
  • Economic Impact on the State of Texas
    • Use above analyses to estimate the cost to the state of reproductive health legislation