The Family Planning Access Care and Treatment (FPACT) program was established by the California legislature in 1996. Women and men are eligible for the Family PACT program if they reside in California, are at risk of pregnancy or causing pregnancy, have a gross family income at or below 200 percent of the Federal Poverty Level, and have no other source of health coverage for family planning services. The Family PACT program was implemented in January 1997 and is administered by the California Department of Health Care Services (DHCS), Office of Family Planning. The program includes five key objectives:

  • To reduce the rate of unintended pregnancies
  • To increase access to publicly funded family planning for low-income Californians
  • To increase the use of effective contraceptive methods by clients
  • To promote improved reproductive health
  • To reduce the overall number and cost of unintended pregnancies

Initially funded solely by the state, California received a federal Health Care Financing Administration (now Center for Medicare and Medicaid Services) Medicaid Section 1115 Waiver in 1999, enabling the program to receive federal matching funds. The initial waiver was granted as a five-year demonstration project and continued through a series of interim extensions through 2011.

With the enactment of the Affordable Care Act in 2010, Section 1115 waivers are no longer required for state family planning expansions.  This gives states the option to include these expansions as State Plan Amendments to their existing Medicaid programs.  California’s State Plan Amendment implementing this expansion was approved in 2011.   

The Preliminary Family PACT Annual Program Report for 2010-2011 (FY ending June 2011) reported the following information:

  • The Family PACT Program served approximately 1.79 to1.9 million clients.
  • The program projects a 4.3 percent increase in the number of clients to be served, compared to the prior program year increase of 3.1 percent.
  • Total provider reimbursement ranged from $576 to $638 million for the reporting year which is a 6.9 percent increase from the prior program year.
  • Averages per client costs were approximately $336 which is a 2.5 percent increase from the prior program year.
  • Approximately 62 percent of the total program cost increase is attributed to an increase in the number of clients served.




Fact Sheets



No changes are expected to the Family PACT program at this time.




If you have any questions, or need more information, please contact Beth Malinowski, Assistant Director of Policy at bmalinowski@cpca.org.

2017 Annual Sponsors