Nestor B, Gold R B
Fam Plann Perspect. 1984 May-Jun;16(3):128-33.
The federal government and the states spent $328 million to support the provision of contraceptive services in fiscal 1982, 13 percent less than they had spent the previous year. Federal funds for family planning services came from Title X of the Public Health Service Act, Title XIX of the Social Security Act (Medicaid), and the Maternal and Child Health (MCH) and Social Services block grants, which are administered by the states. Title X continued to provide the largest, although a diminishing, share of public funds for contraceptive services--36 percent of all such funds in 1982. (In 1980, Title X had accounted for 44 percent of public funding.) Medicaid expenditures for family planning totaled $94 million; $17 million was spent under the MCH block grant, and $46 million under the Social Services block grant. State governments contributed an additional $53 million, about the same figure reported for the previous year, indicating that the states did not use their own funds to soften the impact of cuts in federal expenditures for contraceptive services in 1982. The federal government and the states spent an estimated $55 million, almost all of it through Medicaid, to provide sterilization services for poor women. The states spent $67 million and the federal government spent $1 million to provide abortions for 210,000 indigent women. These figures come from the 11th annual survey of state health and welfare agencies and state Medicaid programs by The Alan Guttmacher Institute (AGI). The AGI conducted this survey in January 1983 to determine the levels and sources of public funding for contraceptive, sterilization and abortion services in each state during FY 1982.
1982财年,联邦政府和各州花费了3.28亿美元来支持避孕服务的提供,比上一年少花了13%。用于计划生育服务的联邦资金来自《公共卫生服务法》第十章、《社会保障法》第十九章(医疗补助)以及由各州管理的母婴健康(MCH)和社会服务整笔拨款。第十章继续提供用于避孕服务的公共资金中最大(尽管在减少)的份额——1982年占所有此类资金的36%。(1980年,第十章占公共资金的44%。)计划生育的医疗补助支出总计9400万美元;母婴健康整笔拨款下支出了1700万美元,社会服务整笔拨款下支出了4600万美元。州政府额外贡献了5300万美元,与上一年报告的数字大致相同,这表明各州没有动用自己的资金来减轻1982年联邦政府避孕服务支出削减的影响。联邦政府和各州估计花费了5500万美元(几乎全部通过医疗补助)为贫困妇女提供绝育服务。各州花费6700万美元,联邦政府花费100万美元为21万名贫困妇女提供堕胎服务。这些数字来自艾伦·古特马赫研究所(AGI)对州卫生和福利机构以及州医疗补助项目进行的第11次年度调查。AGI于1983年1月进行了这项调查,以确定1982财年每个州用于避孕、绝育和堕胎服务的公共资金水平和来源。