Teen Pregnancy Prevention (TPP) Program
About the Teen Pregnancy Prevention (TPP) Program
This tiered, evidence-based program provides competitive grants to a broad range of organizations and agencies. Administered by the Office of Adolescent Health (OAH), the TPP Program was initially funded in FY2010 at $110 million, and has been funded at $101 million since FY 2014. Each year, funding must be secured for the program. Up to 10% of TPP Program funds can be used for training and technical assistance, evaluation, and other program support. Of the remaining funds:
- 75% go to Tier 1 grants to replicate teen pregnancy prevention programs that have shown to be effective through rigorous evaluation. At present, Tier 1 grantees can choose from a list of evidence-based programs that meet high standards of evidence.
- 25% go to Tier 2 grants to develop, replicate, refine, and rigorously evaluate additional models and innovative strategies to reduce teen pregnancy.
The TPP Program and the Personal Responsibility Education Program (PREP) are complementary federal funding streams for teen pregnancy prevention education. They are high-quality examples of tiered, evidence-based grant making that use evidence to inform awards and continuous program improvement.
What Can You Do to Protect the TPP Program?
If you can advocate, please call or email your Senators and urge them to do the following: "As the Senate works on the FY 2020 LHHS Appropriations bill, please support $110 million for the evidence-based Teen Pregnancy Prevention Program, as well as language that protects the integrity of the program, as the House-passed bill does."
We also made it super easy for you to activate others in your network. Share this link that allows folks to send emails to their members of Congress with just one click.
[For more background on the appropriations process, scroll down]
FY 2020 (October 1, 2019 - September 30, 2020) - Status: in progress
On November 21st, Congress passed and the President signed another continuing resolution (CR) to fund the government through December 20th. This gives Congress more time to work through LHHS and other appropriations bills.
It’s still essential to keep up the drumbeat with your Senators. Call or email and urge them to do the following: “As the Senate works on funding for FY 2020, please support $110 million in funding for the evidence-based Teen Pregnancy Prevention Program, along with language that protects the integrity of the program, as the House-passed bill H.R. 2740 does."
We made it easy for you to activate your network. Please share this link with others so they can send emails to their members of Congress with just one click.
What's happened so far this year on appropriations
On June 19, 2019, the House voted to pass the FY 2020 Labor, Health and Human Services, and Education (LHHS) Appropriations bill, as part of a so-called minibus package that included three other spending bills. The bill, HR 2740, passed largely along party lines (226-203). Like the bill passed by the House Appropriations Committee on May 8th, it includes increased funding for Title X and the Teen Pregnancy Prevention (TPP) Program and protects the integrity of these critical programs.
The Senate was scheduled to begin considering their version of the LHHS Appropriations bill during the week of September 9. Senator Murray planned to offer an amendment in the LHHS Appropriations subcommittee to protect Title X, but those efforts were thwarted when Subcommittee Chairman Blunt cancelled the mark-up.
On September 18, Chairman Blunt released a draft LHHS Appropriations bill that ignores the House-passed H.R 2470. Instead the Senate version would provide level-funding for the TPP Program and Title X—without any of the protections included in the House bill—as well as a funding increase for Sexual Risk Avoidance. No mark up has been scheduled for the Senate to consider their version of the LHHS bill.
Meanwhile, in order to avoid a government shutdown, Congress passed its first CR for FY 2020 on September 26 that the President signed the following day. The CR funded the government through November 21. (Power to Decide's statement on the CR is here.)
EXECUTIVE BRANCH THREATS TO THE TPP PROGRAM
Attempts to Cease Funding for FY2015-2019 Grantees
In July 2017, OAH notified TPP Program grantees that their five-year projects would end after year three (7/1/17 – 6/30/18). Year three, supported by FY 2017 funding, had already been appropriated.
The notices of shortened project periods were highly unusual, and in response, many members of Congress expressed concern about the abrupt decision to cut off TPP Program grants and highlighted a number of key questions about this decision. See letters from 37 Senators and 149 Representatives, a letter from 9 members of the Texas delegation, and our statement on these letters. Several Senators also raised questions about the decision to shorten grants period for the TPP Program (and the Pregnancy Assistance Fund grantees received one year grant awards instead of three as was indicated in the original funding announcement) during a confirmation hearing for the Assistant Secretary for Health. See updated key points on the TPP Program here and a list of national and local articles about the shortening of TPP Program grants.
In 2018, eight lawsuits (including a class action suit) were filed on behalf of TPP Program grantees. Five of the lawsuits, in courts in DC, Baltimore, Spokane, Seattle, as well as a class action lawsuit filed in DC, were decided in favor of the grantees. The June 1 decision in the class action suit covered the remaining grantees, including the three who had pending lawsuits. These rulings ordered HHS to accept and process any noncompeting continuation applications submitted by grantees included in these lawsuits, as if the agency had not shortened their awards. Note, this applies to all Tier 1A, 1B, 2A, and 2B projects. While the government filed notices of appeals in all five suits in August 2018, it subsequently dropped those appeals.
HHS Awards New Tier 1 and Tier 2 Grants
On April 20, 2018, HHS released two FOAs for the TPP Program (see Power to Decide’s statement here). The Tier 1 and Tier 2 FOAs. The Tier 1 awards under these new FOAS were announced on July 11, 2019 and the Tier 2, previously on September 28, 2018.
HHS TEEN PREGNANCY PREVENTION EVIDENCE REVIEW
The HHS Teen Pregnancy Prevention Evidence Review is an independent, systematic, and rigorous review of evaluation studies conducted by Mathematica Policy Research and managed by the HHS Assistant Secretary for Planning and Evaluation (HHS' evidence and evaluation experts). The evidence review has identified a growing number of evidence-based teen pregnancy prevention program models that represent a variety of approaches.
The majority of State Personal Responsibility Education Program grantees use models identified by the evidence review. Tier 1 TPP Program grantees (FY 2010 - FY 2014 & FY 2015 - FY 2019) also used these models.
On April 23, 2018, HHS released updated findings for the Teen Pregnancy Prevention Evidence Review. Four more models have demonstrated positive impacts on at least one teen sexual risk behavior or reproductive health outcome—bringing the list of evidence-based program models to 48. Also, two models already on this list now have evidence of longer-term impacts and/or youth outcomes. Past TPP Program FOAs have referenced the evidence review; the April 2018 FOAs do not, however this list still represents a valuable source of information on evidence-based programs. You can see a handy summary here.
- FY 2018 to FY 2020 Budget Chart
- 2019 letter from more than 200 groups urging Congress to continue funding the TPP Program and PREP
- Invest in What Works Coalition FY 2020 Requests to Congress - the letter requests Congressional support for a broad list of evidence-based programs, including the TPP Program and PREP
- Power to Decide’s FY 2020 Appropriations Request Letter
- Federal Funding Streams at a Glance
- Power to Decide's 2019 Federal Policy Agenda
TPP Program Specific Resources
The TPP Program is featured as one of 20 success stories in the Bipartisan Policy Center's Evidence Works: Cases Where Evidence Meaningfully Informed Policy
Brief: The Trump Administration Deals a Blow to Evidence-Based Policy, brief by Ron Haskins and Andrea Kane, published by the Evidence-Based Policymaking Collaborative. Read the summary blog post here.
Kane / Haskins Amici Curiae Brief: "Friend of the court" brief filed in support of Planned Parenthood of Greater Washington and North Idaho et al in their appeal to the U.S. Court of Appeals for the Ninth Circuit regarding HHS' 2018 Funding Opportunity Announcement
Report: Final one from the Bipartisan Commission on Evidence-Based Policymaking cites the TPP Program as an example of a federal program “developing increasingly rigorous portfolios of evidence” (see page 94)
Polling Data: Demonstrates widespread support for the TPP Program (and PREP)
- State data portal
- State profiles (contain information on state policies and federal grants)
- Public savings data resulting from the decline in teen pregnancy
- State policy portal
Key Messages to Use in Your Outreach
- The program has made vital contributions to the growing body of knowledge of what works for whom and under what circumstances to prevent teen pregnancy.
- The TPP Program has been a gold-standard example of evidence-based policymaking—just the type of investment that independent experts and members of Congress on both sides of the aisle have called for.
- The September 2017 unanimously-agreed-to-report from the bipartisan Commission on Evidence-Based Policymaking established by House Speaker Paul Ryan and Senator Patty Murray highlighted the TPP Program as an example of a federal program developing increasingly rigorous portfolios of evidence.
- 85% of adults (including 75% of Republicans and 89% of Democrats) favor maintaining federal funding for the TPP Program and PREP