Most teen pregnancy prevention grants canceled by federal health agency

A teacher holds a student’s baby while his class completes coursework at a high school for young parents in Spokane, Wash. U.S. Health and Human Services sent termination letters to 53 of 67 grantees under the Office of Population Affairs’ Teen Pregnancy Prevention Program on Friday, June 26, 2026. (Camilla Forte/The Hechinger Report)

By Kelcie Moseley-Morris

Stateline

A spokesperson for U.S. Health and Human Services confirmed to Stateline on Friday that the agency is canceling 53 out of 67 grants, worth about $68 million, under the Teen Pregnancy Prevention Program, affecting grantees in more than two dozen states.

A list obtained by Stateline of canceled grants includes those awarded to universities, community organizations, city and state health departments and Planned Parenthood affiliates in states such as Arizona, Montana, Michigan, Texas and West Virginia. The grants were canceled two years before their expiration dates because the programs did not align with agency priorities, according to one of the grantees who received a termination notice.

The program is part of the agency’s Office of Population Affairs and is a “national, evidence-based grant program that funds diverse organizations working to prevent teen pregnancy across the United States,” according to the HHS website. The agency provides funding to programs that develop and evaluate innovative approaches to prevent teen pregnancy as well as to prevent sexually transmitted infections among adolescents, and to promote positive behaviors.

Ayana Bradshaw, president and CEO of AccessMatters in Philadelphia, told Stateline her organization received the termination notice of its $1.2 million grant on Friday, and it was effective the same day. Bradshaw said the letter cited a misalignment with agency priorities, specifically that the program “normalizes or promotes sexual activity for minors.”

AccessMatters’ Adolescent Health Initiative is entirely funded by the federal grant and provides free sexual and reproductive health programs to more than 1,100 teens between the ages of 13 and 19. The program provides information, education and referrals for healthcare as needed.

“This is devastating for the youth that we serve,” Bradshaw said. “It also impacts us as an organization, our staff, and it impacts the partners that we had who supported us in implementing this program.”

During the first administration of President Donald Trump in 2017, HHS took the same action, ending grants for more than 80 recipients two years before they were set to expire. Legal advocacy organization Democracy Forward sued the administration on behalf of several grantees and won a permanent injunction after courts ruled the action violated agency regulations.

The Trump administration identified the teen pregnancy program as one to cut in its 2025 budget request, and it was included in the final 2026 appropriations bill. The language accompanying that bill said grants for sexual risk avoidance must use medically accurate information and teach youth about risky behaviors “without normalizing teen sexual activity.”  

Teen birth rates have fallen dramatically in the past 20 years, according to federal Centers for Disease Control and Prevention data — about 72% since 2007. Experts attribute that decline to fewer teens deciding to have sex earlier, sex education and better access to contraception, especially for girls. 

The agency also released two new grant programs this week, one of which is titled “Replicating Effective Teen Pregnancy Prevention Programs,” with $63.4 million available to be awarded. The other is “Rigorous Impact Evaluation of Programs to Prevent Teen Pregnancy and Achieve Optimal Health,” with $8.3 million available.

Both opportunities tell applicants that they must pass an alignment review process to ensure they meet agency priorities. That language mimics Trump administration language in the 2027 Notice of Funding Opportunity for Title X grants, which a national family planning organization filed a lawsuit over last week, arguing that it violates Congress’ intentions and administrative procedure.

Tara Mancini, director of public policy at reproductive health advocacy organization Power to Decide, said she expects the administration’s decision to cancel the grants to be challenged again in court.

• Stateline is part of States Newsroom, the nation’s largest state-focused nonprofit news organization.