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In This Issue
SA Teens make National Day a Success!
Texas Women's Health Funding
EC to be Over-the-Counter, but ID Needed

SA Teens make National Day a Success!

 

Wednesday, May 1 was the National Day to Prevent Teen Pregnancy, and San Antonio teens and leaders put prevention in the spotlight at yesterday's press conference. Mayor Julián Castro pointed to the progress our city has made -- and to the critical need for San Antonio to have one of the lowest teen pregnancy rates in the nation, rather than one of the highest.  

 

Metro Health Director Dr. Thomas Schlenker emphasized that teen pregnancy is a "winnable battle." There were over 1,000 fewer Bexar County teen births in 2012 than there were in 2008. Still, Bexar County has a teen birth rate that is 46% higher than the nation as a whole.  

 

San Antonio teens from Project WORTH, UT Teen Health, and other organizations made an impression with their posters "Mapping our Future to 2020". Also on hand were Darryl Byrd, CEO of SA2020, and Public Library Director Ramiro Salazar.  

 

Teens and parents can celebrate the National Day -- and Teen Pregnancy Prevention Month -- throughout May by going online to StayTeen.org and taking the online quiz. This year, quiz-takers can design their own avatar and consider what decision they would make about sex -- before they have to make it!

 

Texas Women's Health Funding  

 

The Texas Women's Healthcare Coalition (TWHC) is excited and hopeful about the 2013 Texas Legislature's commitment to funding women's preventive healthcare. Both the House and Senate budget bills increase funding, and the House version would fully restore access to family planning for the 147,000 women who lost it in 2011, as shown in this graphic:

  

Both House and Senate bills continue the Texas Women's Health Program, which lost its 90% federal funding in January 2012, with the exclusion of Planned Parenthood clinics from the program.  

 

Both bills also increase funding of the Texas Department of State Health Services (DSHS) Community Primary Care program to expand access to women's preventive care. It is anticipated that this $100 million "Primary Health Care Expansion" will provide family planning and screenings to 100,000 additional women around the state.  

 

The House version of the budget would also add $32.1 million to the DSHS Family Planning program, which was cut so dramatically two years ago. This increase would replace the Title X funding, which is now awarded to the non-profit Women's Health and Family Planning Association of Texas.  

 

The budget process is now in Conference Committee, and the conferees will reconcile the differences between the two chambers' bills. Once out of the Conference Committee, the budget bill then goes to both House and Senate for an up-or-down vote. If passed by both, it then goes to the Governor for signature before becoming law.  

 

For a detailed discussion comparing the House and Senate bills with regard to family planning, including the Riders that TWHC supports, read the excellent article by Stacey Pogue of the Center for Public Policy Priorities.  

 

The Texas Women's Healthcare Coalition (TWHC) was formed in response to the deep and disproportionate funding cuts made to family planning by the 2011 Texas Legislature. A project of Healthy Futures of Texas, TWHC has 39 members, including healthcare, public policy, and faith-based organizations.

 


EC to be Over-the-Counter, but ID Needed

Emergency contraceptive pills containing levonorgestrel (Plan B One-Step) have been approved to be sold over-the-counter to those aged 15 and over.  

 

On April 30, the U.S. Food and Drug Administration (FDA) announced that it had approved the manufacturer's amended application to market Plan B One-Step for use without a prescription by women 15 years of age and older. The product will be labeled as "not for sale to those under 15 years of age", and its packaging will have a product code that prompts cashiers to verify the customer's age. In addition, cartons will have a security tag to prevent theft.  

 

This development represents some progress in making emergency contraception more easily available to adult women, as well as to teens. Sales of Plan B have been behind-the-counter in pharmacies and restricted to those 17 and over. A recent federal court ruling ordered the FDA to make Plan B One-Step available over-the-counter to women of all ages, but the U.S. Department of Justice has appealed this ruling and asked for a stay of the court order.  

 

Levonorgestrel Emergency Contraception (EC) (Plan B One-Step, Next Choice), sometimes called the "morning after pill", reduces the risk of pregnancy if used up to 120 hours after unprotected sex, and it is more effective the earlier it is used. This medication is not an abortion pill. Unlike the mifepristone ("RU 486"), Plan B One-Step works only before fertilization, by keeping the ovary from releasing an egg.  Plan B also affects sperm function, but does not affect implantation (i.e., attachment) of a fertilized egg to the lining of the uterus.   

 

Levonorgestrel is exceptionally safe. There is no evidence that its availability encourages teens (or anyone) to have sex, or that it promotes abuse. The American Academy of Pediatrics recommends that Emergency Contraception be available to teens.

 

 

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Healthy Futures of Texas is committed to reducing teen and unplanned pregnancy in San Antonio

and Texas by providing and promoting science-based and culturally appropriate approaches.  

 

We are working toward a community where every young person is able to reach their potential, and

every child is wanted, loved, and cared for. 

  

 

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