Only they can ensure that each agency's strategic planning and performance measurement efforts will become the basis for its day-to-day operations.
They are responsible for making sure the it is applied to day to day operations.
But once again, even these Title X clients are in no worse position than if Congress had never enacted Title X. The financial constraints that restrict an indigent woman's ability to enjoy the full range of constitutionally protected freedom of choice are the product not of governmental restrictions on access to abortion, but rather of her indigency.