6100019051 Reproductive Justice Fund Downstream Services

6100019051 Reproductive Justice Fund Downstream Services

The San Antonio City Council voted in September 2023 to put $500,000 toward a Reproductive Justice Fund, and in April 2025, Council approved an additional $100,000 for “downstream” services not addressed through the previously awarded amount. “Reproductive Justice” is a term coined by the National Black Women's Reproductive Justice Agenda and encompasses the right to have children, the right to not have children and the right to nurture children in a safe and healthy environment. In public health, the term “upstream” refers to policy approaches that have potential to affect large populations, compared to “downstream,” immediate needs.

With this RFP, the San Antonio Metropolitan Health District (Metro Health) seeks proposals to address “downstream” gaps in San Antonio’s reproductive health landscape, with particular attention to abortion transportation and support. One in eight U.S. pregnancies ended in abortion before the Dobbs decision (Centers for Disease Control & Prevention, 2019 data). Texas reported 51,860 abortions in 2021, compared to 17,514 in 2022 (CDC, 2024 data).

Metro Health seeks to award one or more community-based agencies with funding to promote Reproductive Justice through free, culturally and linguistically appropriate, reproductive and sexual healthcare services to residents in geographic scarcity areas and/or to populations most in need in San Antonio.

Only Respondents who submitted a proposal response for the Reproductive Justice Fund – Reproductive Health Care RFP 24-121, RFx 6100018116 may submit proposals for this RFP. The City will not accept or consider proposals from other Respondents.

Date Issued: April 14, 2025

Due Date & Time: May 14, 2025, at 11:00 a.m., Central Time