Family planning is health care for many low-income women and their children. Many young, poor and uninsured Texans rely on the preventative health services offered at little or no cost in publicly subsidized clinics. However, such programs in Texas serve only one-third to one-quarter of those in need of services. Lack of these essential services contributes to higher rates of unintended pregnancy, teen births, and sexually transmitted disease infection among primarily disadvantaged populations. Medicaid expansion and private insurance coverage of contraceptives will facilitate the expansion of services to increasing numbers of low-income Texans.