Title X of the Public Health Service Act is a major federal "family planning" program, funded at about $286 million annually. In recent years, several states have adopted reforms to direct federal Title X family plannings to county health departments, community health centers, or other types of providers, instead of organizations engaged in objectionable activities, such as Planned Parenthood, which is the nation's biggest abortion provider. In 2016, the Obama Administration issued a new regulation to prevent states from denying Title X funds to organizations like Planned Parenthood. Sen. Joni Ernst (R-Iowa) introduced S.J. Res. 13 to nullify this pro-abortion regulation, with strong support from National Right to Life. An identical House companion bill, H.J. Res. 43, sponsored by Rep. Diane Black (R-Tn.), was passed by the House on February 16, 2017, passed by the Senate on March 30, 2017, and signed into law by President Trump on April 13, 2017.