New Jersey Family Planning League Title X Family Planning Services Project - For nearly 48 years, the New Jersey Family Planning League (NJFPL) has been committed to ensuring access to high quality family planning services for all New Jerseyans in need, regardless of income, insurance status, or identity. As a Title X grantee since 1975 and a statewide grantee since 2013, NJFPL proposes to provide high quality, client-centered, and trauma-informed family planning and sexual and reproductive health services, and to improve and expand access to these services with consideration to the diverse geography, population, and need in New Jersey. In Year 1 of the proposed Title X project period, NJFPL is requesting $9,000,000, to provide services to 148,550 patients in all 21 counties of NJ. By the conclusion of the 5-year project period, NJFPL will provide family planning services to 173,800 patients. NJFPL does not provide any services directly, but contracts with a diverse network of 15 subrecipients that includes 4 hospitals, 2 Planned Parenthood affiliates, 5 federally qualified health centers (FQHCs), 3 community-based family planning agencies, and a university-based program, providing services at 61 health center sites. Over the next 5 years the network will not only grow to serve more patients but will increase the proportion of people with low incomes and teens served. All NJFPL subrecipients provide comprehensive family planning services, which include client-centered family planning counseling; a broad range of medically approved services and FDA approved contraceptives and natural family planning methods; pregnancy testing and counseling, services related to preconception health and achieving pregnancy, and STD and HIV services. Clinical services will include a personal, family and partner history, physical exam, laboratory testing and pharmaceutical services and referrals for comprehensive primary care or other services when appropriate. Services provided to adolescents, while encouraging family involvement, will be provided confidentially. NJFPL subrecipients provide services in alignment with, Providing Quality Family Planning Services, Recommendations of CDC and U.S. Office of Population Affairs (QFP), all updates and the most recent evidence-informed nationally recognized clinical guidelines. In the next five years, NJFPL intends to build on past successes by broadening from the traditional focus on volume and compliance as primary measures of success, to enhance quality, equity, patient experience, community engagement, and support opportunities to access Title X services in non-traditional environments. The program described in this proposal is based on an extensive, in-depth analysis of the demographic, health, socio-economic and social needs in New Jersey, which has informed our process to develop strategies and collaborations to enhance access in areas of high need for services. This foundational work has provided NJFPL with a roadmap to expand its Title X project and access to quality, patient-centered contraceptive and related care throughout New Jersey.