New federal guidance prioritizing “natural family planning” over traditional contraception sparks political, medical, and legal debate
WASHINGTON, D.C. | The administration of President Donald Trump is advancing a sweeping overhaul of federal family planning policy, marking one of the most significant challenges to contraception access in decades and signaling a broader shift in the nation’s political and cultural landscape.
New guidance issued by the U.S. Department of Health and Human Services outlines a reorientation of federal programs that would prioritize childbirth and promote “natural family planning” methods—such as fertility tracking apps—over widely used contraceptives like oral birth control pills and intrauterine devices.
The policy direction could also result in reduced federal funding for organizations such as Planned Parenthood, a longstanding provider of reproductive health services to millions of Americans, particularly low-income patients served under the federal Title X program.
The move represents a notable departure from decades of bipartisan political caution around contraception, which has historically enjoyed broad public support. Polling data from the Pew Research Center consistently shows that a large majority of Americans view birth control as morally acceptable and support continued access.

