Teen Pregnancy Prevention (TPP) Program
About the Teen Pregnancy Prevention (TPP) Program
This tiered, evidence-based program that provides competitive grants to a broad range of organizations and agencies is currently administered by the Office of Population Affairs (OPA). 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.
- 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. Read more about the TPP Program and PREP here.
FY 2022 (October 1, 2021 - September 30, 2022) - Status: In Progress
- The full House Appropriations Committee will consider the LHHS bill on Thursday, July 15, 2021 so your action is needed now! If you can advocate, please contact your members of Congress and ask them to fully fund the TPP Program at $150 million, as well as:
- $6.8 million under the Public Health Services Act for the evaluation of teenage pregnancy prevention approaches, of which $600,000 is dedicated to reactivating the Teen Pregnancy Prevention Evidence Review administered by the Assistant Secretary for Planning and Evaluation.
- Additional funding for the TPP Program will restore evidence-based implementation of grants and support adequate technical assistance and high-quality evaluation, allowing grantees to meet the needs of young people. And dedicated funding for the Teen Pregnancy Prevention Evidence Review will ensure the reactivation of a clearinghouse of evidence-based programs that informed TPP and PREP grantmaking as well as decisions for other federal, state, and community initiatives.
- On July 11, the House Appropriations Labor, Health and Human Services and Education (LHHS) subcommittee released their draft fiscal year (FY) 2022 LHHS appropriations bill. The bill passed the LHHS subcommittee on July 12. The House bill includes $130 million in funding for the evidence-based Teen Pregnancy Prevention (TPP) Program, an increase of $29 million over its current funding level (see page 104 of the bill). For more of what’s included, see our full statement on the LHHS bill.
- On May 28, 2021, President Biden released his fiscal year (FY) 2022 budget request, which proposed level funding for the Teen Pregnancy Prevention (TPP) Program at $101 million. See Power to Decide’s full statement on the President’s proposed FY 2022 budget. As a reminder, the President’s budget is just the first step in the appropriations process; Congress ultimately decides what gets funded.
FY 2021 (October 1, 2020 - September 30, 2021) - Status: Complete
On December 27, the President signed an omnibus appropriations bill, the “Consolidated Appropriations Act, 2021,” which funds the federal government through the end of FY 2021 on September 30, 2021. The bill also includes provisions that extend expiring health programs and provides some relief funding to help address the impact of the COVID-19 pandemic.
Importantly, the omnibus bill includes level funding ($101 million) for the Teen Pregnancy Prevention (TPP) Program. Please see Power to Decide’s full statement on the omnibus appropriations bill.
Funding Opportunity Announcements
There are no open funding opportunity announcements (FOAs) related to teen pregnancy prevention at this time.
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), and 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 2019 to FY 2022 Budget Chart
- Power to Decide's FY 2022 Appropriations Request Letter
- Power to Decide's 2021-22 Federal Policy Agenda
- 2021 letter from more than 200 groups urging Congress to continue funding the TPP Program and PREP
- Federal Funding Streams at a Glance
- Power to Decide’s recommendations on how the Administration can advance reproductive well-being
TPP Program Specific Resources
Take Action ***Urge Congress to Increase Funding for the TPP Program*** - Contact your members of Congress to ensure more young people have access to quality, evidence-based sexual health education and the skills they need to pursue the future they want.
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