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Letter to the Hon. Thomas E. Price, Secretary of Health and Human Services - Cuts to Teen Pregnancy Prevention Program


Location: Washington, DC

Dear Secretary Price:

We write today to request an explanation as to the recent decision within your agency to shorten the project period of the Office of Adolescent Health's (OAH) Teen Pregnancy Prevention Program (TPPP) from five years to three years. This decision, made before Congress has finalized fiscal year (FY) 2018 funding, would be a blow to bipartisan efforts to prevent unplanned teen pregnancies. We are deeply concerned by this revelation and request an explanation for this unprecedented decision from the Department within 45 days.

Since Congress established TPPP in 2010, this unique and innovative program has served more than a million young people, trained more than 7,000 professionals, and supported partnerships among more than 3,000 community-based organizations across the country. Grounded in evidence and committed to quality implementation, evaluation and innovation, TPPP has supported a local approach to the healthy development of young people and helped to reduce unintended teen pregnancies to historic lows.

Additionally, Congress provided full funding of $101 million for TPPP and an additional $6.8 million in evaluation transfer authority just three months ago in the final FY 2017 funding bill. Therefore, it is puzzling why this Administration has chosen to disrupt the progress of the existing five-year cooperative agreement projects. We are gravely concerned that more than 80 grantees have been notified that their TPPP-funded work will end on June 30, 2018 instead of June 30, 2020 as originally designed, awarded, and implemented.

Further egregiously, the five Capacity Building Assistance grantees were notified that their funding would end effectively immediately as of June 30, 2017. This means that the 33 state-wide TPPP projects currently in operation will have to truncate their local investments and efforts serving the most marginalized young people without the support previously provided by the Capacity Building Assistance teams.

The callousness of this overreach can also not be overstated. At a time when young people are most in need of information and education to protect their sexual and reproductive health, this Administration is denying evidence and science. Young people deserve better.

The shortening of the TPPP project period in the middle of the ongoing work not will have a ripple effect across communities. In addition to hurting the young people currently participating in TPPP-supported programs and the 600,000 young people who would have been served through the remaining years of the projects, this decision will mean fewer jobs, fewer trained professionals, and reduced partnerships in communities all across the country.

With these disastrous impacts in mind, we request an explanation of the decision and an explanation addressing the following questions within 45 days:

1. By whom and when was the decision made to shorten the TPPP cooperative agreements by two years?

2. Why was the notification to end grants made in advance of Congress determining final FY 2018 appropriations?

3. How did the decision consider and justify the burden and adverse impact for young people being served, the professionals and partnerships, and their communities?

4. How did the decision consider and justify the additional capacity, staff, and resource burden of administering new grant competitions?

5. What is the Department's intent if Congress appropriates TPPP funding for FY 2018? Namely, will current TPPP grantees be allowed to continue their projects and if not, what does HHS plan to do with FY 2018 funding?

In the absence of consistent, quality, foundational K-12 school-based sex education across the country, the programs supported by OAH's TPPP are critical in supporting vulnerable young people. It is our collective responsibility to ensure the health of our nation's most marginalized youth. Sadly, this recent action runs counter to our shared responsibility.

We look forward to your timely response.


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