Bill Summary
The "Real Education for Healthy Youth Act of 2019" promotes lifelong sexual health and healthy relationships among young people by providing funding for comprehensive sex education programs. It prioritizes evidence-based and inclusive education and prohibits federal funds from being used for programs that promote inaccurate or harmful information. The bill also establishes a grant program for comprehensive sex education at public or private entities, with priority given to state and local public entities. It requires a multi-year impact evaluation and defines terms used throughout the Act. Funding for the Act is appropriated for each fiscal year from 2020 to 2025 and funds are reserved for specific purposes such as comprehensive sex education for adolescents and training for teachers. This Act repeals the Abstinence Only Until Marriage Program and transfers its funding to support this Act.
Possible Impacts
1. The Real Education for Healthy Youth Act of 2019 will positively impact young people by promoting lifelong sexual health and healthy relationships, providing them with accurate and inclusive information, and preventing unintended pregnancies and sexually transmitted infections.
2. People will be affected by the legislation as it provides funding for comprehensive sex education programs, which must be age-appropriate, medically accurate, and include evidence-based instruction. Priority will be given to state or local public entities and those not currently receiving similar funding.
3. The Act will have a significant impact on funding for comprehensive sex education, as it appropriates $75,000,000 for each fiscal year from 2020 to 2025 and reserves a certain percentage of those funds for specific purposes, such as grants for higher education and teacher training. It also repeals the Abstinence Only Until Marriage Program and transfers its funding to support this Act.
[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2720 Introduced in House (IH)]
<DOC>
116th CONGRESS
1st Session
H. R. 2720
To provide for the overall health and well-being of young people,
including the promotion of lifelong sexual health and healthy
relationships, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 14, 2019
Ms. Lee of California (for herself, Mr. Blumenauer, Ms. Norton, Ms.
Bonamici, Ms. Omar, Ms. Wasserman Schultz, Ms. Moore, Mr. Khanna, Mr.
Tonko, Ms. Speier, Ms. Adams, Ms. Velazquez, Mr. Hastings, Mr. Serrano,
Ms. Jayapal, Ms. Escobar, Ms. Roybal-Allard, Mr. Raskin, Mr. Schiff,
Ms. Judy Chu of California, Mrs. Torres of California, Mrs. Carolyn B.
Maloney of New York, Ms. DelBene, Ms. Clarke of New York, Mr. Larsen of
Washington, Mr. McGovern, Mr. Welch, Mr. Ryan, Mr. Aguilar, Ms.
DeGette, Mr. Evans, Ms. DeLauro, Mr. Grijalva, Ms. Clark of
Massachusetts, and Mr. Pocan) introduced the following bill; which was
referred to the Committee on Energy and Commerce, and in addition to
the Committee on Education and Labor, for a period to be subsequently
determined by the Speaker, in each case for consideration of such
provisions as fall within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To provide for the overall health and well-being of young people,
including the promotion of lifelong sexual health and healthy
relationships, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Real Education for Healthy Youth Act
of 2019''.
SEC. 2. PURPOSES; FINDING; SENSE OF CONGRESS.
(a) Purposes.--The purposes of this Act are to provide young people
with comprehensive sex education programs that--
(1) promote and uphold the rights of young people to
information in order to make healthy decisions about their
sexual health;
(2) provide the information and skills all young people
need to make informed, responsible, and healthy decisions in
order to become sexually healthy adults and have healthy
relationships;
(3) provide information about the prevention of unintended
pregnancy, sexually transmitted infections, including HIV,
dating violence, sexual assault, bullying, and harassment; and
(4) provide resources and information on topics ranging
from gender stereotyping and gender roles and stigma and socio-
cultural influences surrounding sex and sexuality.
(b) Finding on Required Resources.--In order to provide the
comprehensive sex education described in subsection (a), Congress finds
that increased resources are required for sex education programs that--
(1) substantially incorporate elements of evidence-based
programs or characteristics of effective programs;
(2) cover a broad range of topics, including medically
accurate and complete information that is age and
developmentally appropriate about all the aspects of sex,
sexual health, and sexuality;
(3) are gender and gender identity-sensitive, emphasizing
the importance of equality and the social environment for
achieving sexual and reproductive health and overall well-
being;
(4) promote educational achievement, critical thinking,
decision making, self-esteem, and self-efficacy;
(5) help develop healthy attitudes and insights necessary
for understanding relationships between oneself and others and
society;
(6) foster leadership skills and community engagement by--
(A) promoting principles of fairness, human
dignity, and respect; and
(B) engaging young people as partners in their
communities; and
(7) are culturally and linguistically appropriate,
reflecting the diverse circumstances and realities of young
people.
(c) Sense of Congress.--It is the sense of Congress that--
(1) federally funded sex education programs should aim to--
(A) provide information about a range of human
sexuality topics, including--
(i) human development, healthy
relationships, personal skills;
(ii) sexual behavior including abstinence;
(iii) sexual health including preventing
unintended pregnancy;
(iv) sexually transmitted infections
including HIV; and
(v) society and culture;
(B) promote safe and healthy relationships;
(C) promote gender equity;
(D) use, and be informed by, the best scientific
information available;
(E) be culturally appropriate and inclusive of
youth with varying gender identities, gender
expressions, and sexual orientations;
(F) be built on characteristics of effective
programs;
(G) expand the existing body of research on
comprehensive sex education programs through program
evaluation;
(H) expand training programs for teachers of
comprehensive sex education;
(I) build on programs funded under section 513 of
the Social Security Act (42 U.S.C. 713) and the Office
of Adolescent Health's Teen Pregnancy Prevention
Program, funded under title II of the Consolidated
Appropriations Act, 2010 (Public Law 111-117; 123 Stat.
3253), and on programs supported through the Centers
for Disease Control and Prevention (CDC); and
(J) promote and uphold the rights of young people
to information in order to make healthy and autonomous
decisions about their sexual health; and
(2) no Federal funds should be used for health education
programs that--
(A) withhold health-promoting or life-saving
information about sexuality-related topics, including
HIV;
(B) are medically inaccurate or have been
scientifically shown to be ineffective;
(C) promote gender or racial stereotypes;
(D) are insensitive and unresponsive to the needs
of sexually active young people;
(E) are insensitive and unresponsive to the needs
of survivors of sexual violence;
(F) are insensitive and unresponsive to the needs
of youth of all physical, developmental, and mental
abilities;
(G) are insensitive and unresponsive to the needs
of youth with varying gender identities, gender
expressions, and sexual orientations; or
(H) are inconsistent with the ethical imperatives
of medicine and public health.
SEC. 3. GRANTS FOR COMPREHENSIVE SEX EDUCATION FOR ADOLESCENTS.
(a) Program Authorized.--The Secretary, in coordination with the
Associate Commissioner of the Family and Youth Services Bureau of the
Administration on Children, Youth, and Families of the Department of
Health and Human Services, the Director of the Office of Adolescent
Health, the Director of the Division of Adolescent and School Health
within the Centers for Disease Control and Prevention and the Secretary
of Education, shall award grants, on a competitive basis, to eligible
entities to enable such eligible entities to carry out programs that
provide adolescents with comprehensive sex education, as described in
subsection (f).
(b) Duration.--Grants awarded under this section shall be for a
period of 5 years.
(c) Eligible Entity.--In this section, the term ``eligible entity''
means a public or private entity that focuses on adolescent health and
education or has experience working with adolescents.
(d) Applications.--An eligible entity desiring a grant under this
section shall submit an application to the Secretary at such time, in
such manner, and containing such information as the Secretary may
require, including an assurance to participate in the evaluation
described in section 6.
(e) Priority.--In awarding grants under this section, the Secretary
shall give priority to eligible entities that--
(1) are State or local public entities;
(2) are entities not currently receiving funds under--
(A) section 513 of the Social Security Act (42
U.S.C. 713);
(B) the Office of Adolescent Health's Teen
Pregnancy Prevention Program, funded under title II of
the Consolidated Appropriations Act, 2010 (Public Law
111-117; 123 Stat. 3253), or any substantially similar
successive program; or
(C) the Centers for Disease Control and
Prevention's Division of Adolescent and School Health;
and
(3) address health inequities among young people that face
systemic barriers resulting in disproportionate rates of not
less than one of the following:
(A) Unintended pregnancies.
(B) Sexually transmitted infections, including HIV.
(C) Dating violence and sexual violence.
(f) Use of Funds.--
(1) In general.--Each eligible entity that receives a grant
under this section shall use the grant funds to carry out an
education program that provides adolescents with comprehensive
sex education that--
(A) is age and developmentally appropriate;
(B) is medically accurate and complete;
(C) substantially incorporates elements of
evidence-based sex education instruction; or
(D) creates a demonstration project based on
characteristics of effective programs.
(2) Contents of comprehensive sex education programs.--The
comprehensive sex education programs funded under this section
shall include instruction and materials that address--
(A) the physical, social, and emotional changes of
human development, including human anatomy,
reproduction, and sexual development;
(B) healthy relationships, including friendships,
within families, and society, that are based on mutual
respect, and the ability to distinguish between healthy
and unhealthy relationships, including--
(i) effective communication, negotiation,
and refusal skills, including the skills to
recognize and report inappropriate or abusive
sexual advances;
(ii) bodily autonomy, setting and
respecting personal boundaries, practicing
personal safety, and consent; and
(iii) the limitations and harm of gender-
role stereotypes, violence, coercion, bullying,
harassment, and intimidation in relationships;
(C) healthy decision making skills about sexuality
and relationships that include--
(i) critical thinking, problem solving,
self-efficacy, stress-management, self-care,
and decision making;
(ii) individual values and attitudes;
(iii) the promotion of positive body
images;
(iv) developing an understanding that there
are a range of body types and encouraging
positive feeling about students' own body
types;
(v) information on how to respect others
and ensure safety on the internet and when
using other forms of digital communication;
(vi) information on local services and
resources where students can obtain additional
information related to bullying, harassment,
dating violence and sexual assault, suicide
prevention, and other related care;
(vii) encouragement for youth to
communicate with their parents or guardians,
health and social service professionals, and
other trusted adults about sexuality and
intimate relationships;
(viii) information on how to create a safe
environment for all students and others in
society;
(ix) examples of varying types of
relationships, couples, and family structures;
and
(x) affirmative representation of varying
gender identities, gender expressions, and
sexual orientations, including individuals and
relationships between same sex couples and
their families;
(D) abstinence, delaying age of first sexual
activity, the use of condoms, preventive medication,
vaccination, birth control, and other sexually
transmitted infection prevention measures, and the
options for pregnancy, including parenting, adoption,
and abortion, including--
(i) the importance of effectively using
condoms, preventive medication, and applicable
vaccinations to protect against sexually
transmitted infections, including HIV;
(ii) the benefits of effective
contraceptive and condom use in avoiding
unintended pregnancy;
(iii) the relationship between substance
use and sexual health and behaviors; and
(iv) information about local health
services where students can obtain additional
information and services related to sexual and
reproductive health and other related care;
(E) through affirmative recognition, the roles that
traditions, values, religion, norms, gender roles,
acculturation, family structure, health beliefs, and
political power play in how students make decisions
that affect their sexual health, using examples of
various types of races, ethnicities, cultures, and
families, including single-parent households and young
families;
(F) information about gender identity, gender
expression, and sexual orientation for all students,
including--
(i) affirmative recognition that people
have different gender identities, gender
expressions, and sexual orientations; and
(ii) community resources that can provide
additional support for individuals with varying
gender identities, gender expressions, and
sexual orientations; and
(G) opportunities to explore the roles that race,
ethnicity, immigration status, disability status,
economic status, homelessness, foster care status, and
language within different communities affect sexual
attitudes in society and culture and how this may
impact student sexual health.
SEC. 4. GRANTS FOR COMPREHENSIVE SEX EDUCATION AT INSTITUTIONS OF
HIGHER EDUCATION.
(a) Program Authorized.--The Secretary, in coordination with the
Secretary of Education, shall award grants, on a competitive basis, to
institutions of higher education or consortia of such institutions to
enable such institutions to provide young people with comprehensive sex
education, described in subsection (e)(2).
(b) Duration.--Grants awarded under this section shall be for a
period of 5 years.
(c) Applications.--An institution of higher education or consortia
of such institutions desiring a grant under this section shall submit
an application to the Secretary at such time, in such manner, and
containing such information as the Secretary may require, including an
assurance to participate in the evaluation described in section 6.
(d) Priority.--In awarding grants under this section, the Secretary
shall give priority to an institution of higher education that--
(1) has an enrollment of needy students as defined in
section 318(b) of the Higher Education Act of 1965 (20 U.S.C.
1059e(b));
(2) is a Hispanic-serving institution, as defined in
section 502(a) of such Act (20 U.S.C. 1101a(a));
(3) is a Tribal College or University, as defined in
section 316(b) of such Act (20 U.S.C. 1059c(b));
(4) is an Alaska Native-serving institution, as defined in
section 317(b) of such Act (20 U.S.C. 1059d(b));
(5) is a Native Hawaiian-serving institution, as defined in
section 317(b) of such Act (20 U.S.C. 1059d(b));
(6) is a Predominately Black Institution, as defined in
section 318(b) of such Act (20 U.S.C. 1059e(b));
(7) is a Native American-serving, nontribal institution, as
defined in section 319(b) of such Act (20 U.S.C. 1059f(b));
(8) is an Asian American and Native American Pacific
Islander-serving institution, as defined in section 320(b) of
such Act (20 U.S.C. 1059g(b)); or
(9) is a minority institution, as defined in section 365 of
such Act (20 U.S.C. 1067k), with an enrollment of needy
students, as defined in section 312 of such Act (20 U.S.C.
1058).
(e) Uses of Funds.--
(1) In general.--An institution of higher education
receiving a grant under this section shall use grant funds to
integrate issues relating to comprehensive sex education into
the institution of higher education in order to reach a large
number of students, by carrying out one or more of the
following activities:
(A) Developing or adopting educational content for
issues relating to comprehensive sex education that
will be incorporated into student orientation, general
education, or core courses.
(B) Developing or adopting, and implementing
schoolwide educational programming outside of class
that delivers elements of comprehensive sex education
programs to students, faculty, and staff.
(C) Developing or adopting innovative technology-
based approaches to deliver sex education to students,
faculty, and staff.
(D) Developing or adopting, and implementing peer-
outreach and education programs to generate discussion,
educate, and raise awareness among students about
issues relating to comprehensive sex education.
(2) Contents of sex education programs.--Each institution
of higher education's program of comprehensive sex education
funded under this section shall include instruction and
materials that address the topics described in section 3(f)(2).
SEC. 5. GRANTS FOR PRE-SERVICE AND IN-SERVICE TEACHER TRAINING.
(a) Program Authorized.--The Secretary, in coordination with the
Director of the Centers for Disease Control and Prevention and the
Secretary of Education, shall award grants, on a competitive basis, to
eligible entities to enable such eligible entities to carry out the
activities described in subsection (e).
(b) Duration.--Grants awarded under this section shall be for a
period of 5 years.
(c) Eligible Entity.--In this section, the term ``eligible entity''
means--
(1) a State educational agency;
(2) a local educational agency;
(3) a tribe or tribal organization, as defined in section 4
of the Indian Self-Determination and Education Assistance Act
(25 U.S.C. 5304);
(4) a State or local department of health;
(5) a State or local department of education;
(6) an educational service agency;
(7) a nonprofit institution of higher education;
(8) a national or statewide nonprofit organization that has
as its primary purpose the improvement of provision of
comprehensive sex education through training and effective
teaching of comprehensive sex education; or
(9) a consortium of nonprofit organizations that has as its
primary purpose the improvement of provision of comprehensive
sex education through training and effective teaching of
comprehensive sex education.
(d) Application.--An eligible entity desiring a grant under this
section shall submit an application to the Secretary at such time, in
such manner, and containing such information as the Secretary may
require, including an assurance to participate in the evaluation
described in section 6.
(e) Authorized Activities.--
(1) Required activity.--Each eligible entity receiving a
grant under this section shall use grant funds for professional
development and training of relevant faculty, school
administrators, teachers, and staff, in order to increase
effective teaching of comprehensive sex education to students.
(2) Permissible activities.--Each eligible entity receiving
a grant under this section may use grant funds to--
(A) provide research-based training of teachers for
comprehensive sex education for adolescents as a means
of broadening student knowledge about issues related to
human development, healthy relationships, personal
skills, and sexual behavior, including abstinence,
sexual health, and society and culture;
(B) support the dissemination of information on
effective practices and research findings concerning
the teaching of comprehensive sex education;
(C) support research on--
(i) effective comprehensive sex education
teaching practices; and
(ii) the development of assessment
instruments and strategies to document--
(I) student understanding of
comprehensive sex education; and
(II) the effects of comprehensive
sex education;
(D) convene national conferences on comprehensive
sex education, in order to effectively train teachers
in the provision of comprehensive sex education; and
(E) develop and disseminate appropriate research-
based materials to foster comprehensive sex education.
(3) Subgrants.--Each eligible entity receiving a grant
under this section may award subgrants to nonprofit
organizations that possess a demonstrated record of providing
training to faculty, school administrators, teachers, and staff
on comprehensive sex education to--
(A) train teachers in comprehensive sex education;
(B) support internet or distance learning related
to comprehensive sex education;
(C) promote rigorous academic standards and
assessment techniques to guide and measure student
performance in comprehensive sex education;
(D) encourage replication of best practices and
model programs to promote comprehensive sex education;
(E) develop and disseminate effective, research-
based comprehensive sex education learning materials;
(F) develop academic courses on the pedagogy of sex
education at institutions of higher education; or
(G) convene State-based conferences to train
teachers in comprehensive sex education and to identify
strategies for improvement.
SEC. 6. IMPACT EVALUATION AND REPORTING.
(a) Multi-Year Evaluation.--
(1) In general.--Not later than 6 months after the date of
the enactment of this Act, the Secretary shall enter into a
contract with a nonprofit organization with experience in
conducting impact evaluations to conduct a multi-year
evaluation on the impact of the grants under sections 3, 4, and
5, and to report to Congress and the Secretary on the findings
of such evaluation.
(2) Evaluation.--The evaluation conducted under this
subsection shall--
(A) be conducted in a manner consistent with
relevant, nationally recognized professional and
technical evaluation standards;
(B) use sound statistical methods and techniques
relating to the behavioral sciences, including quasi-
experimental designs, inferential statistics, and other
methodologies and techniques that allow for conclusions
to be reached;
(C) be carried out by an independent organization
that has not received a grant under section 3, 4, or 5;
and
(D) be designed to provide information on--
(i) output measures, such as the number of
individuals served under the grant and the
number of hours of instruction;
(ii) outcome measures, including measures
relating to--
(I) the knowledge that individuals
participating in the grant program have
gained with respect to--
(aa) growth and
development;
(bb) relationship dynamics;
(cc) ways to prevent
unintended pregnancy and
sexually transmitted
infections, including HIV; and
(dd) sexual health;
(II) the age and developmentally
appropriate skills that individuals
participating in the grant program have
gained regarding--
(aa) negotiation and
communication;
(bb) decision making and
goal-setting;
(cc) interpersonal skills
and healthy relationships; and
(dd) condom use; and
(III) the behaviors of adolescents
participating in the grant program,
including data about--
(aa) age of first
intercourse;
(bb) condom and
contraceptive use at first
intercourse;
(cc) recent condom and
contraceptive use;
(dd) substance use;
(ee) dating abuse and
lifetime history of sexual
assault, dating violence,
bullying, harassment, stalking;
and
(ff) academic performance;
and
(iii) other measures necessary to evaluate
the impact of the grant program.
(3) Report.--Not later than 6 years after the date of
enactment of this Act, the organization conducting the
evaluation under this subsection shall prepare and submit to
the appropriate committees of Congress and the Secretary an
evaluation report. Such report shall be made publicly
available, including on the website of the Department of Health
and Human Services.
(b) Secretary's Report to Congress.--Not later than 1 year after
the date of the enactment of this Act, and annually thereafter for a
period of 5 years, the Secretary shall prepare and submit to the
appropriate committees of Congress a report on the activities to
provide adolescents and young people with comprehensive sex education
and pre-service and in-service teacher training funded under this Act.
The Secretary's report to Congress shall include--
(1) a statement of how grants awarded by the Secretary meet
the purposes described in section 2(a); and
(2) information about--
(A) the number of eligible entities and
institutions of higher education that are receiving
grant funds under sections 3, 4, and 5;
(B) the specific activities supported by grant
funds awarded under sections 3, 4, and 5;
(C) the number of adolescents served by grant
programs funded under section 3;
(D) the number of young people served by grant
programs funded under section 4;
(E) the number of faculty, school administrators,
teachers, and staff trained under section 5; and
(F) the status of the evaluation required under
subsection (a).
SEC. 7. NONDISCRIMINATION.
Programs funded under this Act shall not discriminate on the basis
of actual or perceived sex, race, color, ethnicity, national origin,
disability, sexual orientation, gender identity, or religion. Nothing
in this Act shall be construed to invalidate or limit rights, remedies,
procedures, or legal standards available under any other Federal law or
any law of a State or a political subdivision of a State, including the
Civil Rights Act of 1964 (42 U.S.C. 2000a et seq.), title IX of the
Education Amendments of 1972 (20 U.S.C. 1681 et seq.), section 504 of
the Rehabilitation Act of 1973 (29 U.S.C. 794), the Americans with
Disabilities Act of 1990 (42 U.S.C. 12101 et seq.), and section 1557 of
the Patient Protection and Affordable Care Act (42 U.S.C. 18116).
SEC. 8. LIMITATION.
No Federal funds provided under this Act may be used for health
education programs that--
(1) withhold health-promoting or life-saving information
about sexuality-related topics, including HIV;
(2) are medically inaccurate or have been scientifically
shown to be ineffective;
(3) promote gender or racial stereotypes;
(4) are insensitive and unresponsive to the needs of
sexually active young people;
(5) are insensitive and unresponsive to the needs of
pregnant or parenting young people;
(6) are insensitive and unresponsive to the needs of
survivors of sexual abuse or assault;
(7) are insensitive and unresponsive to the needs of youth
of all physical, developmental, or mental abilities;
(8) are insensitive and unresponsive to individuals with
varying gender identities, gender expressions, and sexual
orientations; or
(9) are inconsistent with the ethical imperatives of
medicine and public health.
SEC. 9. AMENDMENTS TO OTHER LAWS.
(a) Amendment to the Public Health Service Act.--Section 2500 of
the Public Health Service Act (42 U.S.C. 300ee) is amended by striking
subsections (b) through (d) and inserting the following:
``(b) Contents of Programs.--All programs of education and
information receiving funds under this subchapter shall include
information about the potential effects of intravenous substance
abuse.''.
(b) Amendments to the Elementary and Secondary Education Act of
1965.--Section 8526 of the Elementary and Secondary Education Act of
1965 (20 U.S.C. 7906) is amended--
(1) by striking paragraph (3);
(2) by redesignating paragraphs (4) and (5) as paragraphs
(3) and (4), respectively;
(3) in paragraph (4), by inserting ``or'' after the
semicolon;
(4) in paragraph (5), by striking ``; or'' and inserting a
period; and
(5) by striking paragraph (6).
SEC. 10. DEFINITIONS.
In this Act:
(1) Adolescents.--The term ``adolescents'' means
individuals who are ages 10 through 19 at the time of
commencement of participation in a program supported under this
Act.
(2) Age and developmentally appropriate.--The term ``age
and developmentally appropriate'' means topics, messages, and
teaching methods suitable to particular age, age group of
children and adolescents, or developmental levels, based on
cognitive, emotional, social, and behavioral capacity of most
students at that age level.
(3) Appropriate committees of congress.--The term
``appropriate committees of Congress'' means the Committee on
Health, Education, Labor, and Pensions of the Senate, the
Committee on Appropriations of the Senate, the Committee on
Energy and Commerce of the House of Representatives, the
Committee on Education and the Workforce of the House of
Representatives, and the Committee on Appropriations of the
House of Representatives.
(4) Characteristics of effective programs.--The term
``characteristics of effective programs'' means the aspects of
evidence-based programs, including development, content, and
implementation of such programs, that--
(A) have been shown to be effective in terms of
increasing knowledge, clarifying values and attitudes,
increasing skills, and impacting upon behavior; and
(B) are widely recognized by leading medical and
public health agencies to be effective in changing
sexual behaviors that lead to sexually transmitted
infections, including HIV, unintended pregnancy, and
dating violence and sexual assault among young people.
(5) Comprehensive sex education.--The term ``comprehensive
sex education'' means instructional part of a comprehensive
school health education approach which addresses the physical,
mental, emotional, and social dimensions of human sexuality;
designed to motivate and assist students to maintain and
improve their sexual health, prevent disease and reduce sexual
health-related risk behaviors; and enable and empower students
to develop and demonstrate age and developmentally appropriate
sexuality and sexual health-related knowledge, attitudes,
skills, and practices.
(6) Consent.--The term ``consent'' means affirmative,
conscious, and voluntary agreement to engage in interpersonal,
physical, or sexual activity.
(7) Culturally appropriate.--The term ``culturally
appropriate'' means materials and instruction that respond to
culturally diverse individuals, families and communities in an
inclusive, respectful and effective manner; including materials
and instruction that are inclusive of race, ethnicity,
languages, cultural background, religion, sex, gender identity,
sexual orientation, and different abilities.
(8) Evidence-based.--The term ``evidence-based'', when used
with respect to sex education instruction means a sex education
program that has been proven through rigorous evaluation to be
effective in changing sexual behavior or incorporates elements
of other programs that have been proven to be effective in
changing sexual behavior.
(9) Gender expression.--The term ``gender expression'',
when used with respect to a sex education program, means the
expression of one's gender, such as through behavior, clothing,
haircut, or voice, and which may or may not conform to socially
defined behaviors and characteristics typically associated with
being either masculine or feminine.
(10) Gender identity.--Except with respect to section 7,
the term ``gender identity'', when used with respect to a sex
education program, means the gender-related identity,
appearance, mannerisms, or other gender-related characteristics
of an individual, regardless of the individual's designated sex
at birth including a person's deeply held sense or knowledge of
their own gender; such as male, female, both or neither.
(11) Inclusive.--The term ``inclusive'', when used with
respect to a sex education program, means curriculum that
ensures that students from historically marginalized
communities are reflected in classroom materials and lessons.
(12) Institution of higher education.--The term
``institution of higher education'' has the meaning given the
term in section 101 of the Higher Education Act of 1965 (20
U.S.C. 1001).
(13) Medically accurate and complete.--The term ``medically
accurate and complete'', when used with respect to a sex
education program, means that--
(A) the information provided through the program is
verified or supported by the weight of research
conducted in compliance with accepted scientific
methods and is published in peer-reviewed journals,
where applicable; or
(B)(i) the program contains information that
leading professional organizations and agencies with
relevant expertise in the field recognize as accurate,
objective, and complete; and
(ii) the program does not withhold information
about the effectiveness and benefits of correct and
consistent use of condoms and other contraceptives.
(14) Secretary.--The term ``Secretary'' means the Secretary
of Health and Human Services.
(15) Sexual development.--The term ``sexual development''
means the lifelong process of physical, behavioral, cognitive,
and emotional growth and change as it relates to an
individual's sexuality and sexual maturation, including
puberty, identity development, socio-cultural influences, and
sexual behaviors.
(16) Sexual orientation.--Except with respect to section 7,
the term ``sexual orientation'', when used with respect to a
sex education program, means an individual's attraction,
including physical or emotional, to the same or different
gender.
(17) Young people.--The term ``young people'' means
individuals who are ages 10 through 24 at the time of
commencement of participation in a program supported under this
Act.
SEC. 11. FUNDING.
(a) Appropriation.--For the purpose of carrying out this Act, there
is appropriated $75,000,000 for each of fiscal years 2020 through 2025.
Amounts appropriated under this subsection shall remain available until
expended.
(b) Reservations of Funds.--
(1) The Secretary shall reserve 50 percent of the amount
appropriated under subsection (a) for the purposes of awarding
grants for comprehensive sex education for adolescents under
section 3.
(2) The Secretary shall reserve 25 percent of the amount
appropriated under subsection (a) for the purposes of awarding
grants for comprehensive sex education at institutes of higher
education under section 4.
(3) The Secretary shall reserve 20 percent of the amount
appropriated under subsection (a) for the purposes of awarding
grants for pre-service and in-service teacher training under
section 5.
(4) The Secretary shall reserve 2 percent of the amount
appropriated under subsection (a) for the purpose of carrying
out the impact evaluation and reporting required under section
6(a).
(c) Secretarial Responsibilities.--The Secretary shall reserve 3
percent of the amount appropriated under subsection (a) for each fiscal
year for expenditures by the Secretary to provide, directly or through
a competitive grant process, research, training, and technical
assistance, including dissemination of research and information
regarding effective and promising practices, providing consultation and
resources, and developing resources and materials to support the
activities of recipients of grants. In carrying out such functions, the
Secretary shall collaborate with a variety of entities that have
expertise in adolescent sexual health development, education, and
promotion.
(d) Reprogramming of Abstinence Only Until Marriage Program
Funding.--The unobligated balance of funds made available to carry out
section 510 of the Social Security Act (42 U.S.C. 710) (as in effect on
the day before the date of enactment of this Act) are hereby
transferred and shall be used by the Secretary to carry out this Act.
The amounts transferred and made available to carry out this Act shall
remain available until expended.
(e) Repeal of Abstinence Only Until Marriage Program.--Section 510
of the Social Security Act (42 U.S.C. 710 et seq.) is repealed.
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