Second Regular Session Seventy-fourth General Assembly STATE OF COLORADO ENGROSSED LLS NO. R24-0846.01 Jessica Wigent x3701 SJR24-008 Senate Committees House Committees SENATE JOINT RESOLUTION 24-008 C ONCERNING FUNDING TITLE X PROGRAMS IN COLORADO.101 WHEREAS, Enacted in 1970 with strong bipartisan support, Title1 X of the federal "Public Health Service Act" created the National Family2 Planning Program, the first and only program to provide to millions of3 Americans nationwide comprehensive reproductive health-care services,4 from blood pressure evaluations and important examinations to free and5 low-cost contraception and counseling; and6 WHEREAS, Like the bipartisan support that created this essential7 program, bipartisan support for family planning has made Colorado a8 leader in reproductive health; and9 WHEREAS, Title X funding helps ensure access to reliable and10 effective family planning services, including contraception, and helps11 families and communities throughout the state by allowing Coloradans to12 SENATE Final Reading February 16, 2024 SENATE SPONSORSHIP Marchman and Buckner, Coleman, Cutter, Exum, Fields, Gonzales, Hansen, Hinrichsen, Kolker, Michaelson Jenet, Mullica, Roberts, Rodriguez, Sullivan, Winter F., Zenzinger HOUSE SPONSORSHIP Lukens and Willford, Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. Capital letters or bold & italic numbers indicate new material to be added to existing law. Dashes through the words or numbers indicate deletions from existing law. choose if, when, and how they start their families; and1 WHEREAS, Family planning services reduce rates of unintended2 pregnancies and maternal and infant mortality and morbidity; providing3 access to these vital services helps people attain a higher level of4 education and employment, reducing their economic insecurity, and this5 access has been linked to better mental and physical health outcomes for6 children and families; and7 WHEREAS, In Colorado, Black birthing people are two times8 more likely, and American Indian and Alaska Native birthing people are9 three times more likely, to die during childbirth or within one year10 postpartum compared to their white counterparts; equitable access to11 family planning services is essential for these communities in light of the12 health risks associated with giving birth due to systemic racism and13 discrimination; and14 WHEREAS, Colorado's Family Planning Program, which is15 funded by Title X and run by the Colorado Department of Public Health16 and Environment, also known as CDPHE, provides comprehensive17 reproductive health care to Coloradans at 80 clinics across the state and18 prioritizes individuals who are uninsured and have lower incomes; and19 WHEREAS, According to the federal Office on Women's Health,20 "teen mothers and their infants are at increased risk for lifelong health21 problems and social and economic challenges"; between 2009 and 2020,22 the birthrate for females in Colorado between the ages of 15 to 19 fell by23 64%: This is important progress that Colorado must continue to build on;24 and25 WHEREAS, Since the United States Supreme Court overturned26 Roe v. Wade in 2022, in a landmark case now known as the Dobbs27 Decision, communities across the country are experiencing a significant28 decrease in access to reproductive health care, including family planning29 services, and Colorado has stepped up to provide timely care for all who30 need it; and31 WHEREAS, However, even before the Dobbs Decision, Title X32 program funding was not where Colorado needed it to be; available33 funding only allowed health-care providers across the state to serve fewer34 than half of the more than 93,000 women in Colorado who CDPHE has35 estimated need access to its services, and this means that 50,00036 008 -2- Coloradans go without these vital reproductive health services, an1 estimated $20 million in unmet needs; and2 WHEREAS, The increased need for services in Colorado3 following the Dobbs Decision has placed more strain on our reproductive4 health-care safety net; providers, clinics, and communities statewide are5 struggling to meet this need, and, without additional funding, access to6 family planning services will continue to be out of reach for many,7 especially for people of color and those who live in rural areas; and8 WHEREAS, CDPHE estimates that it needs $404 to serve each9 family planning client; research has shown that this investment in each10 client saves millions of dollars in federal programs like Medicaid; the11 Supplemental Nutrition Assistance Program, or SNAP; the Special12 Supplemental Nutrition Program for Women, Infants, and Children, or13 WIC; and others; and14 WHEREAS, By investing additional funding into this proven15 program, Colorado can continue to improve maternal and infant health,16 avoid significant costs to Medicaid, maintain the Title X program's17 success in decreasing unintended pregnancies, and ensure that Coloradans18 across the state have access to the care they need; now, therefore,19 Be It Resolved by the Senate of the Seventy-fourth General20 Assembly of the State of Colorado, the House of Representatives21 concurring herein:22 23 That Colorado declares the state's commitment to adequately24 funding the Title X program in order to provide comprehensive25 reproductive care to Coloradans across the state and to decrease the26 number of unintended pregnancies statewide, leading to better health and27 economic outcomes for our children, families, communities, and state.28 Be It Further Resolved, That copies of this Joint Resolution be sent29 to the Colorado Children's Campaign; the Colorado Department of Public30 Health and Environment; COLOR Latina, the Colorado Organization for31 Latina Opportunity and Reproductive Rights; Denver Health; and Planned32 Parenthood of the Rocky Mountains.33 008 -3-