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 2021 (October 1, 2020 - September 30, 2021) - Status: In Process
On Monday, February 10, 2020, the President's FY 2021 budget was released. It proposed the following:
- Eliminating the evidence-based Teen Pregnancy Prevention (TPP) Program. Funded at $101 million for FY 2020, the TPP Program has previously supported competitive five-year grants to support quality sex education and teen pregnancy prevention programs in a wide variety of communities and settings across the country.
- Eliminating competitive Sexual Risk Avoidance (also known as abstinence-only) grants, funded at $35 million for FY 2020.
- A two-year reauthorization of the evidence-based Personal Responsibility Education Program (PREP) at $75 million annually, along with the state Sexual Risk Avoidance Program at $75 million annually.
- Ending the Pregnancy Assistance Fund that provides competitive grants to states and tribal entities to support pregnant and parenting teens and women, and combat violence against pregnant women.
You can read our full statement on the President's budget proposal here. It is important to note that the President's budget is merely a proposal. It signals the President's priorities, but Congress ultimately controls the purse strings.
FY 2020 (October 1, 2019 - September 30, 2020) - Status: Complete
On December 20, the President signed bipartisan legislation (which includes two bills: HR 1158 and HR 1865) into law to fund the government through the end of fiscal year 2020. HR 1865 includes the following:
- Level funding at $101 million for the evidence-based TPP Program (pg 101) but fails to include any language to protect the integrity of the program or provide a sixth year of funding to current five-year grantees to mitigate against the unlawful disruption of their grants as earlier House legislation did.
- Provides level funding of $6.8 million for research into teen pregnancy prevention (pg 102).
- Provides level funding of $35 million for “Sexual Risk Avoidance” programs (pg 102).
Funding Opportunity Announcements
On February 12, 2020, HHS released three new funding opportunity announcements (FOAs) for the TPP Program.
Tier 1: Optimally Changing the Map of Teen Pregnancy through Replication of Programs Proven Effective || Applications due: Monday, April 13, 2020 by 6:00 p.m. ET || Technical Assistance Webinar for Potential Applicants: Monday, February 24, 2:30 – 4:00 p.m. ET
Tier 2, Phase II: Rigorous Evaluation of Promising Interventions || Applications due: Monday, April 17, 2020 by 6:00 p.m. ET || Technical Assistance Webinar for Potential Applicants: Wednesday, February 19, 2:30 – 4:00 p.m. ET
Tier 2: Innovation and Impact Network Grants: Achieving Optimal Health and Preventing Teen Pregnancy in Key Priority Areas || Applications due: Monday, April 17, 2020 by 6:00 p.m. ET || Technical Assistance Webinar for Potential Applicants: Thursday, February 20, 2:30 – 4:00 p.m. ET
We are not in a position to answer questions about the FOAs. Instead, we encourage you to listen to the upcoming technical assistance webinars that are linked to above. For more information, visit the OPA funding announcements webpage. We also recommend you subscribe (click the subscribe button in the upper right hand corner) to the announcement(s) in Grants.gov to receive amendments, Q&A documents, and other updates to this FOAs.
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 2021 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