Suvarna Garge (Editor)

Texas Policy Evaluation Project

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The Texas Policy Evaluation Project, or TxPEP, began in the fall of 2011 with the purpose of documenting and evaluating the impact of reproductive health legislation passed by the 82nd Texas Legislature. Those measures included large cuts to state family planning funding programs in the 2012-2013 budget as well as changes in the eligibility of organizations to participate in those programs, and HB 15, a law requiring that women undergo a mandatory sonogram at least 24 hours before an abortion. Their evaluation work continued after the 83rd legislative session in 2013, when the legislature added funding streams for family planning to the 2014-15 budget and passed HB 2, an omnibus bill restricting abortion care that was introduced in a special legislative session in summer 2013. HB 2 placed limits on medication abortion, banned abortion ≥20 weeks “post-fertilization,” and required abortion providers to have hospital admitting privileges and abortion facilities to meet the standards of ambulatory surgical centers (ASCs). In June 2016, the US Supreme Court struck down the admitting privileges and ASC requirements in HB 2, citing TxPEP research findings in its ruling.

Contents

Researchers working on the project are affiliated with multiple institutions, including the University of Texas at Austin Population Research Center, the University of California San Francisco, Ibis Reproductive Health, and the University of Alabama-Birmingham.

Researchers

Researchers involved with TxPEP include:

  • Joseph Potter, a Professor of Sociology and Population Research Center Research Associate at the University of Texas at Austin.
  • Daniel Grossman, a Professor of Obstetrics, Gynecology, and Reproductive Sciences at the University of California San Francisco Bixby Center for Global Reproductive Health.
  • Kristine Hopkins, a Research Assistant Professor and Population Research Center Research Associate at the University of Texas at Austin.
  • Kari White, an Assistant Professor in the Department of Health Care Organization and Policy at the University of Alabama at Birmingham.
  • Additional researchers can be found on the "Researchers" page of the TxPEP website.

    Studies

    The TxPEP research agenda includes studying the impact of the Supreme Court decision on abortion access in Texas, the effects of HB 3994 in restricting judicial bypass for teens seeking abortion care without parental consent, as well as the impact of the new and reorganized state family planning programs and the Medicaid rule change permitting reimbursement for immediate postpartum provision of long-acting reversible contraception.

    On November 17, 2015, TxPEP released a study that found that at least 100,000 Texas women between the ages of 18 and 49, and possibly as many as 240,000, had attempted to self-induce abortions at some point in their lives. On March 17, 2016, another study conducted by TxPEP researchers was published in the American Journal of Public Health. found that after HB 2 became law and some abortion clinics closed, women whose nearest clinic closed traveled on average 85 miles each way, compared to 22 miles each way for women whose nearest clinic did not close, and that women whose clinics closed were also more likely to spend more time obtaining an abortion.

    Publication List

    Fuentes, L., Lebenkoff, S., White, K., Gerdts, C., Hopkins, K., Potter, J. E., & Grossman, D. (2016). Women’s experiences seeking abortion care shortly after the closure of clinics due to a restrictive law in Texas. Contraception, 93(4), 292–297. http://doi.org/10.1016/j.contraception.2015.12.017

    Gerdts, C., Fuentes, L., Grossman, D., White, K., Keefe-Oates, B., Baum, S., Hopkins, K., Stolp C. W., Potter, J. E. (2016). The impact of clinic closures on women obtaining abortion services after implementation of a restrictive law in Texas. American Journal of Public Health, 106(5), 857–864.

    Grossman, D., Baum, S., Fuentes, L., White, K., Hopkins, K., Stevenson, A. J., & Potter, J. E. (2014). Change in abortion services after implementation of a restrictive law in Texas. Contraception, 90(5), 496–501. http://doi.org/10.1016/j.contraception.2014.07.006

    Grossman, D., White, K., Hopkins, K., & Potter, J. E. (2014). The public health threat of anti-abortion legislation. Contraception, 89(2), 73–4. http://doi.org/10.1016/j.contraception.2013.10.012

    Hopkins, K., White, K., Linkin, F., Hubert, C., Grossman, D., & Potter, J. E. (2015). Women’s experiences seeking publicly funded family planning services in Texas. Perspectives on Sexual and Reproductive Health, 47(2), 63–70. http://doi.org/10.1363/47e2815

    Potter, J. E., Hopkins, K., Aiken, A. R. A., Hubert, C., Stevenson, A. J., White, K., & Grossman, D. (2014). Unmet demand for highly effective postpartum contraception in Texas. Contraception, 90(5), 488–95. http://doi.org/10.1016/j.contraception.2014.06.039

    Potter, J. E., Hubert, C., Stevenson, A. J., Hopkins, K., Aiken, A. R. A., White, K., & Grossman, D. (2016). Barriers to postpartum contraception in Texas and pregnancy within 2 years of delivery. Obstetrics & Gynecology, 127(2), 289–296. http://doi.org/10.1097/AOG.0000000000001201

    Stevenson, A. J. (2014). Finding the Twitter users who stood with Wendy. Contraception, 90(5), 502–507. http://doi.org/10.1016/j.contraception.2014.07.007

    Stevenson, A. J., Flores-Vazquez, I. M., Allgeyer, R. L., Schenkkan, P., & Potter, J. E. (2016). Effect of removal of Planned Parenthood from the Texas Women’s Health Program. New England Journal of Medicine, 374(9), 853–860. http://doi.org/10.1056/NEJMsa1511902

    White, K., Carroll, E., & Grossman, D. (2015). Complications from first-trimester aspiration abortion: a systematic review of the literature. Contraception, 92(5), 422–438. http://doi.org/10.1016/j.contraception.2015.07.013

    White, K., Grossman, D., Hopkins, K., & Potter, J. E. (2012). Cutting family planning in Texas. New England Journal of Medicine, 367(13), 1179–1181. http://doi.org/10.1056/Nejmp1207920

    White, K., Hopkins, K., Aiken, A. R. A., Stevenson, A. J., Hubert, C., Grossman, D., & Potter, J. E. (2015). The impact of reproductive health legislation on family planning clinic services in Texas. American Journal of Public Health, 105(5), 851–8. http://doi.org/10.2105/AJPH.2014.302515

    White, K., Potter, J. E., Stevenson, A. J., Fuentes, L., Hopkins, K., & Grossman, D. (2016). Women’s knowledge of and support for abortion restrictions in Texas: findings from a statewide representative survey. Perspectives on Sexual and Reproductive Health, 48(4). http://doi.org/10.1363/48e8716

    Woo, C. J., Alamgir, H., & Potter, J. E. (2016). Women’s experiences after Planned Parenthood’s exclusion from a family planning program in Texas. Contraception, 93(4), 298–302. http://doi.org/10.1016/j.contraception.2015.12.004

    References

    Texas Policy Evaluation Project Wikipedia