The Texas Women’s Health Program (WHP) provides family planning and preventive health services to low-income women under a Medicaid family planning waiver program. As of February 2012, the WHP provided care to about 127,000 low-income Texas women. 1 The total program cost was $ million in 2011, of which the federal government paid $32 million – about 90% of the total cost -- while the state paid $ million. 2 In early 2012, the Texas Health and Human Services Commission (HHSC) adopted an “affiliate” rule, 3 which excludes Planned Parenthood Federation of America (PPFA) clinics.