In early April, the Centers for Disease Control and Prevention released data indicating fertility rates in the U.S. had hit an all-time low, part of a broader downward trend over the last two decades. Around the same time the report was released, the Trump administration moved closer to a complete overhaul of the Title X family planning program, which provides birth control and other sexual health services to millions of low-income people in the U.S. The Department of Health and Human Services posted new guidance for clinics that are dependent on Title X family planning services grants, which could affect clinics when they reapply for funding in January 2027. In the 70-page document, there is no mention of contraception except once, where it’s mentioned within the context of “reducing overmedicalization in health care.” Notably, a major role of Title X funding is providing family planning services, including contraception. Established in 1970 under the Public Health Service Act, the Title X program has traditionally aimed to provide access to affordable services, including contraceptive methods, pregnancy testing, …