Title X is a family planning program, designed to provide low-income women with pre-pregnancy services. In its original design, and reflected in current law, there is a specific prohibition on abortion-related activities. However, in the years since the program’s creation in 1970, it has been interpreted to require grantees to refer for abortion, thus both overtly excluding health centers who object to such referrals from applying for Title X grants and also ensuring a direct link between family planning services and the promotion of abortion. This link is exemplified by the alarming number of Title X recipients that also provide and promote abortion.