IDPH: Office of Women's Health

The mission of the Family Planning Program is to provide voluntary comprehensive family planning services to low-income individuals of reproductive age including information and means to enable personal choice in determining the number and spacing of their children, if and when pregnancy is desired. Through this effort, the program seeks to improve the wellbeing of communities by lowering the incidence of unintended pregnancy, improving maternal and infant health, and reducing the incidence of abortion. The program aims to reduce the health and social impact of unintended pregnancies and the transmission of sexually transmitted infections. It collaborates with other programs to integrate and expand family planning and reproductive health services. Family planning programs provide clinical, educational, social, and referral services related to family planning to individuals who want such services. All projects must offer a broad range of acceptable and effective, medically approved, family planning methods and services, basic infertility services, pregnancy diagnosis, pregnancy counseling that includes all options, STD diagnosis and treatment, HIV education and screening for breast, cervical and testicular cancer. Through this funding opportunity, the Department is seeking qualified organizations in specific areas of the state to provide comprehensive family planning services. Direct Federal funded Title X sites cannot apply. The Illinois Department of Public Health places health equity as a top priority. Health equity is the “basic principle of public health that all people have a right to health”. Health equity exists when all people can achieve comprehensive health and wellness despite their social position or any other social factors/determinants of health. Most health disparities affect groups marginalized because of socioeconomic status, race/ethnicity, sexual orientation, gender, disability status, geographic location, or some combination of these. People in such groups not only experience worse health but also tend to have less access to the social determinants or conditions (e.g., healthy food, good housing, good education, safe neighborhoods, disability access and supports, freedom from racism and other forms of discrimination) that support health…. Health disparities are referred to as health inequities when they are the result of the systematic and unjust distribution of these critical conditions. The department’s efforts are committed to addressing health through an equity lens by empowering communities who have been historically marginalized and developing intervention strategies with the end goal of furthering health equity among all Illinoisans.

HHS Issues Final Regulation Aimed at Ensuring Access to Equitable, Affordable, Client-Centered, Quality Family Planning Services; Ensuring Access to Equitable, Affordable, Client-Centered, Quality Family Planning Services (42 CFR Part 59, October 2021); Summary: 2021 Title X Final Rule - PDF; Revisions and Technical Corrections in 2021 Title X Notice of Proposed Rulemaking (NPRM) Compared to 2000 Regulations and 2021 NPRM Compared to 2021 Final Rule; Revisions and Technical Corrections in the 2021 Title X Rule Compared to the 2000 Rule; Standards of Compliance for Abortion-Related Services in Family Planning Services Projects (65 FR 41269, July 2000)

Illinois Family Planning Services Code (77 Illinois Administrative Code 635); OMB Circular Regulations CFR 200; Illinois Department of Public Health Family Planning Program Guidelines Manual (IDPH Guidelines),

Illinois Family Planning Services Code (77 Illinois Administrative Code 635)

The services provided through the Family Planning aims improve maternal and infant health through assistance in planning and timing of pregnancies; lowering the incidence of unintended pregnancy through education including abstinence, natural family planning and contraceptive services; reducing the need for abortion and lowering the rates of sexually transmitted diseases. Provide services in a manner that is client-centered, culturally and linguistically appropriate, inclusive, and trauma-informed; protects the dignity of the individual; and ensures equitable and quality service delivery consistent with nationally recognized standards of care.

Yes

2 years

Government Organizations; Nonprofit Organizations; Education Organizations;

Applicants will be healthcare providers from non-profit community-based health care organizations, hospitals-based clinics, community health centers, or a family planning specialty agency with experience providing family planning, counseling, education and outreach services. All projects must offer a broad range of acceptable and effective, medically approved, family planning methods and services, basic infertility services, pregnancy diagnosis, pregnancy counseling that includes all options, STD diagnosis and treatment, HIV education and screening for breast, cervical and testicular cancer. Exclusion apply in areas covered by Title X program and Illinois Family Planning Program with the exception of Cook County area. Direct Federal Funded Title X sites cannot apply.

n/a

Formula Grants

Healthcare

n/a

1. The Office of Women’s Health and Family Services (OWHFS) intends to allocate family planning funds to sub recipient/delegate agencies in areas that are located throughout the State to ensure fair distribution of funds and to ensure that the citizens of Illinois are able to receive family planning care in a location that is convenient for them and meets their needs. 2. The OWHFS anticipates availability of funds for Fiscal Year 2024-25 throughout areas in the state of Illinois. Approximately $22,080,800 for the non-competing grants. The actual amount available will not be determined until the full approval of this year’s budget. Projects must include financial support from sources other than the Illinois Family Planning program through the project budget and budget justification. 3. The OWHFS recognizes the need for family planning services in Illinois. Based on estimates by Illinois Department of Public Health Vital Statistic Records of the current accessibility of family planning services and population density and the Guttmacher Institute’s review of Illinois Women needing contraceptive services for individuals of reproductive age , all counties of the State of Illinois have been identified as areas eligible for family planning services. 4. The OWHFS is committed to making family planning services available throughout areas of the State. To ensure coverage of services, programs may apply to serve areas that have been identified by the OWHFS as needing Family Planning services. Exclusion apply in areas covered by Title X program and the Illinois Family Planning Program with the exception of Cook County area. Direct Federal funded Title X sites cannot apply.

1. The Office of Women’s Health and Family Services (OWHFS) intends to allocate family planning funds to sub recipient/delegate agencies in areas that are located throughout the State to ensure fair distribution of funds and to ensure that the citizens of Illinois are able to receive family planning care in a location that is convenient for them and meets their needs. 2. The OWHFS anticipates availability of funds for Fiscal Year 2024-25 throughout areas in the state of Illinois. Approximately $22,080,800 for the non-competing grants. The actual amount available will not be determined until the full approval of this year’s budget. Projects must include financial support from sources other than the Illinois Family Planning program through the project budget and budget justification. 3. The OWHFS recognizes the need for family planning services in Illinois. Based on estimates by Illinois Department of Public Health Vital Statistic Records of the current accessibility of family planning services and population density and the Guttmacher Institute’s review of Illinois Women needing contraceptive services for individuals of reproductive age , all counties of the State of Illinois have been identified as areas eligible for family planning services. 4. The OWHFS is committed to making family planning services available throughout areas of the State. To ensure coverage of services, programs may apply to serve areas that have been identified by the OWHFS as needing Family Planning services. Exclusion apply in areas covered by Title X program and the Illinois Family Planning Program with the exception of Cook County area. Direct Federal funded Title X sites cannot apply.

The Illinois Family Planning Program grant applications are reviewed by IDPH staff to determine if the application is complete and accurate. The following components must be submitted by all applicants: • Applicant Information • Applicant Grant History • Scope of Work • Work Plan • Grant Budget • Certifications • Attachments: • W-9 The below are in separate documents and must accompany the application as uploaded attachments: 1. Clinic Schedule 2. Applicant Schedule of Discount 3. Sliding Fee Scale 4. Family Planning Program Organizational Chart 5. Programmatic Risk Assessment 6. Sub-Contractor / Sub-Grantee Disclosure Health-Equity Based Review A significant portion of the application review will be based on how the application abides with the following areas: A) Addressing all components of the IDPH Health Equity Checklist B) Reference the Health Equity Definition C) Incorporation of key definitions from the IDPH Health Equity Checklist D) Reference to culturally and linguistically appropriate services E) Focus on the Social Determinants of Health Health Equity Checklist Applying this checklist to all IDPH grant applications will assist and guide applicants to review their existing practices and provide a structure for them to modify their practices in a way that promotes health equity. The Health Equity Checklist walks entities through considerations for assessing health equity by posing 7 questions and action steps to engage disparately impacted populations and to assess the short and long- term impacts of health inequities within these communities. Health Equity Definition The proposed program should aim to reduce health disparities and health inequities where they exist. Differences in the incidence and prevalence of health conditions and health status between groups are commonly referred to as health disparities. Health equity, then, as understood in public health literature and practice, is when everyone has the opportunity to ‘attain their full health potential’ and no one is ‘disadvantaged from achieving this potential because of their social position or other socially determined circumstance.”1 This definition is taken from IDPH’s Health Equity Checklist. Given that social disparities are rooted in institutional structuring, quality and controls of the underlying infrastructure and resource sectors that support the community members, it is imperative that participating entities engage in a structured inquiry that identifies unmet social determinants of health that communities of color are enmeshed within which have resulted in population-based disparities. Understanding health equity is essential for all participating agencies to engaged in intervention strategies, reflect on social determinants of health, and promote health equity in research, development, practice, and evaluation. Incorporation of Key Definitions from IDPH Health Equity Checklist The Health Equity Checklist from IDPH includes key terminology to incorporate. These terms will help guide the awardees in developing strategies that are shared across other public health organizations. These key definitions address health inequities in research and practice. Incorporating health equity terms into the lexicon will not only improve communications between communities but will also help engage diverse stakeholders. This is a step towards shifting the paradigm on how to approach and view health. Please address the Health Equity checklist as a referral to terms that are used most frequently to discuss health disparities, health equity and minority health The detailed list of the key definitions can be found in the Health Equity Checklist.

As the application is not competitive, it will not be scored, but will be reviewed for completeness and accuracy. While recommendations of the review panel will be a key factor in the funding decisions, the IDPH maintains final authority over funding decisions and considers the findings of the review panel to be nonbinding recommendations. Any internal documentation used in reviewing of grants shall not be considered public information. If we do not consider the price to be fair and reasonable, we will attempt to negotiate an acceptable price to meet our mutual needs. We will determine whether the price is fair and reasonable by considering the application, including the applicant's qualifications, the applicant's reputation, all prices submitted, other known prices, the project budget and other relevant factors. Proposals will be reviewed by comparing the application to the requirements cited in the checklist and stated in state laws, regulations and program standards must be complied to by successful applicants. Failure to demonstrate that the applicant understands and presents a reasonable, logical and practical plan and acceptable protocols for meeting any relevant regulation will be grounds for determining that an application is unresponsive.

June 30, 2023

30 days

For competitive grants, only the evaluation process is subject to appeal. Evaluation scores or funding determinations/outcomes may not be contested and will not be considered by the Department's Appeals Review Officer. To submit an appeal, the appealing party must: Submit the appeal in writing and in accordance with the grant application document through IDPH's Merit-Based Review Appeal Request Form available in the GATA section of the IDPH website (www.dph.illinois.gov/GATA).o Appeals must be received within 14 calendar days after the date that the grant award notice was published.o Appeals must include the following information:? The name and address of the appealing party? Identification of the grant? A statement of reasons for the appeal? If applicable, documents or exhibits to support statement of reasonThe IDPH Appeals Review Officer (ARO) will consider the grant-related appeals and make a recommendation to the appropriate Deputy Director as expeditiously as possible after receiving all relevant, requested information.o The ARO must review the submitted Appeal Request Form for completeness and acknowledge receipt of the appeal within 14 calendar days from the date the appeal was received.o The ARO will utilize an Appeal Review Tool to consider the integrity of the competitive grant process and the impact of the recommendation.o The appealing party must supply any additional information requested by the agency within the time period set in the request.o The ARO shall respond to the appeal within 60 days or supply a written explanation to the appealing party as to why additional time is required.Documentation of the appeal determination shall be sent to the appealing party and must include the following:o Standard description of the appeal review process and criteriao Review of the appealo Appeal determinationo Rationale for the determinationIn addition to providing the written determination, the grant-making office may do the following:o Document improvements to the evaluation process given the findings and re-review all submitted applications.o Document improvements to the evaluation process given the findings and implement improvements into the following year's grant evaluation process.o Provide written notice to the appealing party as to how the identified actions will be remedied.Appeals resolutions may be deferred pending a judicial or administrative determination when actions concerning the appeal have commenced in a court of administrative body.

renewals in FY 25 ( 1 year renewal).

n/a

Family planning programs provide clinical, educational, social, and referral services related to family planning to individuals who want such services. All projects must offer a broad range of acceptable and effective, medically approved, family planning methods and services, basic infertility services, pregnancy diagnosis, pregnancy counseling that includes all options, STD diagnosis and treatment, HIV education and screening for breast, cervical and testicular cancer.

All quarterly/monthly reports will be submitted to the Egrams system. • Illinois Family Planning Work Plan Progress Report for the periods of July – December shall be submitted on January 15 through Egrams Progress Reporting. • Illinois Family Planning Work Plan Progress Report for the periods of January – June shall be submitted on July 15 through Egrams Progress Reporting • Family Planning Annual Report (FPAR): for the period January -June shall be submitted on July 30 through Egrams Progress reporting. • Family Planning Annual Report (FPAR): for the period January -December shall submitted on January 30, through Egrams Progress reporting. • Client services data as provided through the 6-month Bills Procedure report for the period covering July 1 through December 31 shall be submitted to the Department's billing contractor, Ahlers, no later than 5p.m. CST on February . • Client services data as provided through the 6-month Bills Procedure report for the period covering for January 1 through June 30 shall be submitted to the Department's billing contractor, Ahlers, no later than 5 p.m. CST on August 5. • Illinois Family Planning Training Attendance Report for the periods of July - June shall be due July 15 through Egrams Progress Reporting. • Timeliness to Treatment for positive Chlamydia and Gonorrhea cases shall be entered into the Illinois National Electronic Disease Surveillance System (I-NEDSS) timely per occurrence. • Submit client services information to the Department's Family Planning data and billing contractor, Ahlers & Associates, utilizing the automated Clinic Visit Record System no later than 5 p.m. CST on the 5th day of each month. • Bills Procedure Report shall be submitted to Program Administration by the 15th of each month and shall be certified with the signature of the agency Authorizing Official through Egrams Progress Reporting. • Federal Financial Report for the periods of July -September , October-December , January -March and April -June will be due 15 days after the end of the quarter shall be submitted through Egrams Progress Reporting. • Equipment Inventory Report shall be submitted annually for the period of July -June by July 15 through Egrams Progress Reporting. • Information and Education Committee Meeting Minutes shall be submitted annually for the period of July -June by July 15 through Egrams Progress Reporting. • Performance Measure Report shall be submitted to annually for the period of July -June Egrams Progress Reporting.

Biennially

N/A

001-48260-4900-0000 and 001-48260-1900-0000

PY 0 CY 2,000,000 BY 2,000,000

40,000 – 3,725,300

Agency uses F.1.1. Seventy percent (70%) of the unduplicated clients seen shall have income 0-150 % of FPL (federal poverty level) as entered into the Family Planning Program information system and reported on the semi-annual progress report.F.1.2. Eight (8%) percent of the unduplicated clients seen shall be adolescents ages =17 years old as entered into the Family Planning Program information system and reported on the semi-annual progress report.F.1.3. Ten (10%) percent of the unduplicated users seen shall be young adults ages 18-19 years old.F.1.4. At least seven (7 %) percent of unduplicated client base served through the program shall be male.F.1.5. Ninety-Five (95%) percent of the adolescents seen shall receive required counseling on parental involvement as entered into the Family Planning Program information system and reported on the semi-annual progress report.F.1.6. Ninety-Five (95%) percent of the adolescents seen shall receive required counseling on relationship safety as entered into the Family Planning Program information system and reported on the semi-annual progress report.F.1.7. Ninety-Five (95%) percent of the adolescents seen shall receive required counseling on abstinence shall be entered into Family Planning Program information system and reported on the semi-annual progress report.F.1.8. Ninety-Five (95%) percent of the clients seen shall receive HIV education and counseling at the time of an extended exam as entered into the Family Planning Program information system and reported on the semi-annual progress report.F.1.9. Sixty-three (63%) percent of the clients less than 25 years old shall be screened for chlamydia and gonorrhea as entered into the Family Planning Program information system and reported on the semi-annual progress reportF.1.10. Ninety- Seven (97%) percent of the clients testing positive with chlamydia will receive treatment within 30 days.F.1.11. Ninety-Three (93%) percent of the clients testing positive with gonorrhea will receive treatment within 30 days.F.1.12. Seventy-five (75%) percent of the female clients seen shall be using most or moderately effective contraceptive method as entered into the Family Planning Program information system and reported on the semi-annual progress report.

Illinois Family Planning Services Code (77 Illinois Administrative Code 635); OMB Circular Regulations CFR 200; Illinois Department of Public Health Family Planning Program Guidelines Manual (IDPH Guidelines), March 2016; Illinois Abused and Neglected Child Reporting Act (325 ILCS 5/1 et. seq.); Illinois Trafficking of Persons and Involuntary Servitude Act (720 ILCS 5/10-9); Occupational Safety and Health Administration (OSHA); Clinical Laboratories Improvement Amendments (CLIA); Health Insurance Portability and Accountability Act (HIPAA); and Illinois Professions and Occupations Statutes: 225 ILCS 60 – Medical Practice Act of 1987; 225 ILCS 65 – Nursing and Advanced Practice Nursing Act; and 225 ILCS 95 – Physician Assistant Practice Act of 1987; HHS Issues Final Regulation Aimed at Ensuring Access to Equitable, Affordable, Client-Centered, Quality Family Planning Services; Ensuring Access to Equitable, Affordable, Client-Centered, Quality Family Planning Services (42 CFR Part 59, October 2021); Summary: 2021 Title X Final Rule - PDF; Revisions and Technical Corrections in 2021 Title X Notice of Proposed Rulemaking (NPRM) Compared to 2000 Regulations and 2021 NPRM Compared to 2021 Final Rule; Revisions and Technical Corrections in the 2021 Title X Rule Compared to the 2000 Rule; Standards of Compliance for Abortion-Related Services in Family Planning Services Projects (65 FR 41269, July 2000) Comprehensive family planning includes all clinical and counseling services described in the Centers for Disease Control and OPA’s Providing Quality Family Planning Services (MMWR Recommendations & Reports, Vol.63, No. 4; April 25, 2014) available at www.CDC.gov/mmwr/pdf/rr/rr6304.pdf; Adolescent Services Confidentiality Protection in Title X (Memo, June 2014); Program Requirements for Title X Family Planning Projects (Version 1.0, April 2014)

Not applicable

Lisa Upshaw-Smith Family Planning Administrator IL Department of Public Health Office of Women's Health and Family Services 122 S. Michigan Ave., 7th Floor Chicago, IL 60603 312-814-8704 Lisa.Upshaw-Smith@illinois.gov

https://dph.illinois.gov/topics-services/life-stages-populations/womens-health-services/family-planning

Not applicable

Federal Title X program

8/4/2022

FY 2018 : $4,770,000
FY 2019 : $5,399,057
FY 2020 : $5,196,800
FY 2021 : $8,823,400
FY 2022 : $9,023,400
FY 2023 : $11,589,000
FY 2024 : $11,205,400
FY 2025 : $11,205,400