Results from the First Round of the Family Planning Clinic Survey
Mon, August 6, 2012
To assess the impact of the funding changes on organizations providing family planning services in Texas, we conducted a statewide survey of all agencies that received public funding (i.e. Titles V, X, and XX) to provide family planning and reproductive health services. The universe of organizations was drawn from the 2010 list of the 76 DSHS contractors.
The first round of our survey of family planning clinics conducted between February and May 2012 shows that the surveyed organizations have both reduced hours and closed clinics since the changes in funding took effect. The survey had a response rate of 79%, and the responding organizations served 93% of the women served in State Fiscal Year 2010. The results are shown in the following table for the 8 health service regions of the state, distinguishing between organizations that only provided family planning services (Tier 3), and other organizations providing a wider variety of health services such as hospitals and Federally Qualified Health Centers (Tiers 1 and 2).
Among all 240 clinics run by the agencies responding to the survey, 22% were closed after the cuts went into effect and hours were reduced at an additional 16% of clinics. Since the clinics providing mainly family planning services (including but not limited to Planned Parenthood clinics) were classified as Tier 3 (lowest priority) in the new funding scheme and had their funding completely eliminated, the number of clinics closed and the reduction in hours was greatest in this group. Out of the 76 clinics in this Tier, 25 (33%) closed, and 29 (38%) reduced their service hours. Among the 164 clinics in Tiers 2 and 28, 17% closed and 5% reduced their service hours. In the year prior to the cuts, the Tier 3 clinics accounted for about 40% of all women served.
Across the eight State Health Service Regions, the proportion of clinics closed and the proportion with reduced hours varied considerably. For example, in regions 1 and 2 (north and north central Texas) 82% and 70% of all clinics remained open with no change in hours, while in regions 6 and 7 in the central and eastern parts of the state, only 55% and 41% of clinics remained open with no change in hours.