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 October 1, the President signed a short-term continuing resolution (CR) to keep the government funded at current levels through December 11, 2020. The bill, HR 8337, passed both chambers handily with bipartisan support (359-57 in the House and 84-10 in the Senate). It includes funding for the Teen Pregnancy Prevention (TPP) Program ($101 million).
Unfortunately, the CR does not include the additional language to protect the TPP Program that was contained in H.R. 7617, the appropriations package passed by the House in July.
If you can only educate: Share the important work that this funding is supporting in your community.
If you can advocate: Please contact your members of Congress now to ensure that TPP funding and language to protect the program is included in any final FY 2021 appropriations deal.
The Senate Appropriations Committee is yet to begin work on its version of the FY 2021 LHHS appropriations bill.
- On July 31, the House passed on a 217 to 197 vote, H.R. 7617, a package of appropriations bills, including funding for Labor, Health and Human Services, Education, and Related Agencies (LHHS). The bill includes $101 million in funding for the TPP Program, as well as language to protect the integrity of the program. Read Power to Decide's statement on the House-passed bill.
- On July 13, the full House Appropriations Committee passed its LHHS funding bill along a party line vote (30-22). The bill includes $101 million in funding for the TPP Program, as well as language to protect the integrity of the program.
- The bill includes, among other things, level funding and key program protections for the Teen Pregnancy Prevention (TPP) Program at $101 million (see page 96-97 of the draft bill). For more of what’s included, see our full statement on the LHHS bill.
- While not having the force of law, the accompanying Appropriations Committee report also contains strong language supporting the integrity of the TPP Program (p. 211-12), providing oversight and accountability regarding funds transferred to MITRE (p. 212), and directing funding to the Teen Pregnancy Prevention Evidence Review (p. 209).
- During the mark up, Ranking Member Cole offered an amendment to defund the TPP Program and move the $101 million to the National Institutes of Health. The amendment, which failed on a party-line vote of 30-22, would have also stripped the language providing key protections for Title X, as well as provisions to protect LGBTQ+ people from discrimination and limit the ability of health care providers to refuse to provide medical services.
- On July 7, the House Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies (LHHS), the committee with jurisdiction over the TPP Program passed its LHHS spending bill out of subcommittee on a party line vote. The bill includes $101 million in funding for the TPP Program, as well as language to protect the integrity of the program. For more information, see our statement here.
- On February 10, the President's FY 2021 budget was released. It proposed eliminating the TPP Program, among other things. You can read our full statement on the President's budget proposal here.
Funding Opportunity Announcements
In early June 2020, HHS released three new funding opportunity announcements (FOAs) related to teen pregnancy prevention.
The Office of Population Affairs announces the availability of funds for Fiscal Year 2020 initial competitive grant awards. This notice solicits applications for projects that will conduct research that would make significant contributions to the mission of the Office of Population Affairs and to the pregnancy prevention and family planning fields. Any public or private entity is eligible to apply for a grant under this announcement. A technical assistance webinar will be held on Wednesday, June 24, 2020 at 4PM Eastern. Log-in information and additional details will be posted on the OPA website at https://www.hhs.gov/opa/grants-and-funding/index.html. Applications are due August 4, 2020 by 6PM Eastern.
The Office of Population Affairs announces the availability of funds for Fiscal Year 2020 grant awards. This notice solicits applications for projects that will synthesize and translate existing research into practice for health promotion activities that will lead to adoption of healthy behaviors and ultimately help to reduce teen pregnancy. Any public or private entity is eligible to apply for a cooperative agreement under this announcement. A technical assistance webinar will be held on Tuesday, June 23, 2020 at 12PM Eastern. Log-in information and additional details will be posted on the OPA website at https://www.hhs.gov/opa/grants-and-funding/index.html. Applications are due August 4, 2020 by 6PM Eastern.
We are not in a position to answer questions about the FOAs. Instead, we encourage you to listen to the upcoming technical assistance webinars, when available, that are linked to above. 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 these 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, and thee 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 2021 Budget Chart
- Power to Decide's FY 2021 Appropriations Request Letter
- Power to Decide's 2020 Federal Policy Agenda
- 2020 letter from more than 200 groups urging Congress to continue funding the TPP Program and PREP
- Federal Funding Streams at a Glance
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