II 

113TH CONGRESS 

1ST SESSION S. 13 

To authorize the Secretary of Health and Human Services, acting through 

the Administrator of the Health Resources and Services Administration, 

to award grants on a competitive basis to public and private entities 

to provide qualified sexual risk avoidance education to youth and their 

parents. 

IN THE SENATE OF THE UNITED STATES 

FEBRUARY 26, 2013 

Mr. GRAHAM (for himself, Mr. THUNE, and Mr. COATS) introduced the following bill; which was read twice and referred to the Committee on 

Health, Education, Labor, and Pensions 

A BILL 

To authorize the Secretary of Health and Human Services, 

acting through the Administrator of the Health Resources and Services Administration, to award grants 

on a competitive basis to public and private entities 

to provide qualified sexual risk avoidance education to 

youth and their parents. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Abstinence Education 

5 Reallocation Act of 2013’’. 


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1 SEC. 2. SEXUAL RISK AVOIDANCE EDUCATION. 

2 (a) GRANTS.—The Secretary of Health and Human 

3 Services, acting through the Administrator of the Health 

4 Resources and Services Administration, may award grants 

5 on a competitive basis to public and private entities to pro6 vide qualified sexual risk avoidance education to youth and 

7 their parents. 

8 (b) QUALIFIED SEXUAL RISK AVOIDANCE EDU9 CATION.—To qualify for funding under subsection (a), 

10 sexual risk avoidance education shall meet each of the fol11 lowing: 

12 (1) The education shall be age appropriate. 

13 (2) The education shall be medically accurate. 

14 (3) The education shall be an evidence-based 

15 approach. 

16 (4) The context for all sexual health education 

17 shall be teaching the skills and benefits of sexual ab18 stinence as the optimal sexual health behavior for 

19 youth. 

20 (5) The education shall include, consistent with 

21 paragraphs (1) through (4), teaching of each of the 

22 following: 

23 (A) The holistic health, economic, and soci24 etal benefits that can be gained by refraining 

25 from nonmarital sexual activity, through teachVerDate Mar 15 2010 03:55 Feb 28, 2013 Jkt 029200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S13.IS S13

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1 ing practical skills that promote self-regulation, 

2 goal setting, and a focus on the future. 

3 (B) The clear advantage of reserving 

4 human sexual activity for marriage, as a key 

5 contributing factor in the prevention of poverty 

6 and the preservation of physical and emotional 

7 health, based on social science research. 

8 (C) The foundational components of a 

9 healthy relationship and related research re10 garding the individual, economic, and societal 

11 advantages of bearing children within the con12 text of a committed marital relationship in 

13 order to form healthy marriages and safe and 

14 stable families. 

15 (D) The skills needed to resist the negative 

16 influences of the pervasive sex-saturated culture 

17 that presents teenage sexual activity as an ex18 pected norm, with few risks or negative con19 sequences. 

20 (E) The understanding of how drugs, alco21 hol, and the irresponsible use of social media 

22 can influence sexual decisionmaking and can 

23 contribute to risky and often aggressive sexual 

24 behavior. 


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1 (F) A focused priority on the superior 

2 health benefits of sexual abstinence, ensuring 

3 that any information provided on contraception 

4 does not exaggerate its effectiveness in pre5 venting sexually transmitted diseases and preg6 nancies. 

7 (c) PRIORITY.—In awarding grants under subsection 

8 (a), the Secretary of Health and Human Services shall 

9 give priority to applicants proposing programs to provide 

10 qualified sexual risk avoidance education that— 

11 (1) will serve youth spanning ages 12 to 19; 

12 and 

13 (2) will promote protective benefits of parent14 child communication regarding healthy sexual deci15 sionmaking. 

16 (d) DEFINITIONS.—In this Act: 

17 (1) The term ‘‘age appropriate’’ means appro18 priate for the general developmental and social ma19 turity of the age group (as opposed to the cognitive 

20 ability to understand a topic or the atypical develop21 ment of a small segment of the targeted population). 

22 (2) The term ‘‘evidence-based approach’’ means 

23 an approach that— 


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1 (A) has a clear theoretical base that inte2 grates research findings with practical imple3 mentation expertise that is relevant to the field; 

4 (B) matches the needs and desired out5 comes for the intended audience; and 

6 (C) if implemented well, will demonstrate 

7 improved outcomes for the targeted population. 

8 (3) The term ‘‘medically accurate’’ means ref9 erenced to peer-reviewed research by medical, edu10 cational, scientific, governmental, or public health 

11 publications, organizations, or agencies. 

12 (4) The term ‘‘sexual abstinence’’ means volun13 tarily refraining from sexual activity. 

14 (5) The term ‘‘sexual activity’’ means genital 

15 contact or sexual stimulation including, but not lim16 ited to, sexual intercourse. 

17 (e) AUTHORIZATION OF APPROPRIATIONS.— 

18 (1) IN GENERAL.—There is authorized to be 

19 appropriated $110,000,000 for each of fiscal years 

20 2013 through 2017 to carry out this Act. Amounts 

21 authorized to be appropriated by the preceding sen22 tence shall be derived exclusively from amounts in 

23 the Prevention and Public Health Fund established 

24 by section 4002 of the Patient Protection and Af25 fordable Care Act (42 U.S.C. 300u–11). 


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1 (2) FEDERAL ADMINISTRATIVE COSTS.—Of the 

2 amount authorized to be appropriated by paragraph 

3 (1) for a fiscal year— 

4 (A) not more than $1,000,000 are author5 ized to be used for Federal administrative costs; 

6 and 

7 (B) of the amount used by the Secretary 

8 of Health and Human Services for administra9 tive costs, at least 40 percent shall be used for 

10 training and technical assistance by qualified 

11 organizations— 

12 (i) whose sole focus is the develop13 ment and advancement of abstinence edu14 cation; 

15 (ii) that have expertise in theory16 based abstinence education curriculum de17 velopment and implementation; 

18 (iii) that have direct experience in de19 veloping sexual risk avoidance evaluation 

20 instruments; and 

21 (iv) that can offer technical assistance 

22 and training on a wide range of topics rel23 evant to the sexual risk avoidance (or ab24 stinence education) field. 

Æ 


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