In November 2021, the Biden-Harris administration’s Title X rule went into effect, restoring the crucial reproductive health care program to its previous state. Department of Health and Human Services (HHS) to review the rule and other restrictive Title X regulations and consider whether to suspend, revise or rescind them. In early 2021, the Biden-Harris administration took the first step toward rescinding the domestic gag rule by issuing a presidential memorandum directing the U.S. As the study progressed, the RHIS team adapted ongoing study activities to document the impact of several events-notably, the 2019 changes to the federal Title X regulations (the Trump-Pence administration’s “ domestic gag rule”) and the COVID-19 pandemic. The RHIS was initially conceived in the aftermath of the 2016 election, in anticipation of federal and state efforts to change funding streams and service delivery for publicly funded family planning. For the Wisconsin study, the Guttmacher Institute is working with the University of Wisconsin-Madison Collaborative for Reproductive Equity (UW Core) and other in-state research and policy partners. Wisconsin was selected as a focus state in 2019, following confirmation of significant shifts in Title X funding among state grantees. The study, which focuses on Arizona, Iowa, New Jersey and Wisconsin, documents the impact of these policies over the period 2017−2022 on family planning service delivery and on patients who rely on this care. The Reproductive Health Impact Study (RHIS) is a multiyear comprehensive research initiative analyzing the effects of federal and state policy changes on publicly funded family planning care in the United States.
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