by Cassandra Jaramillo and Jeremy Kohler

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Texas health officials are overhauling a program designed to steer people away from abortion following a ProPublica and CBS News investigation that found that the state had funneled tens of millions of taxpayer dollars into the effort while providing little oversight of the spending.

The money has been flowing to a network of nonprofit organizations that are part of Thriving Texas Families, a state program that supports parenting and adoption as alternatives to abortion and provides counseling, material assistance and other services. Most of the groups operate as crisis pregnancy centers, or pregnancy resource centers, which often resemble medical clinics but are frequently criticized for offering little or no actual health care and misleading women about their options.

In its 20 years of existence, the program’s funding has grown fortyfold — reaching $100 million a year starting Sept. 1 — making it the most heavily funded effort of its kind in the country.

Under new rules set to take effect then, the organizations in the program must now document all of their expenses, and they will be reimbursed only for costs tied to services approved by the state. And they cannot seek reimbursement when they redistribute donated items, an effort to prevent taxpayer money from going to organizations for goods they got for free.

Meanwhile, Texas is opening administration of the program to a competitive selection process instead of automatically renewing agreements with contractors, including one contractor that has overseen most of the program for nearly two decades.

The changes address failures uncovered a year ago by the ProPublica/CBS News investigation. As Thriving Texas Families currently operates, most providers are paid a flat rate for each service they claim to provide, regardless of the actual cost of that service. As a result, a single client visit can generate multiple stacked charges, significantly increasing the amount of public money being spent. In some cases,........

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