I

103D CONGRESS

1ST SESSION H. R. 1439

To create ‘‘Healthy American Schools,’’ where children will learn the lifelong

health and fitness skills vital to developing a smart body and smart

mind and to empower every school with the ability to become a healthy

school, built on a firm foundation of ‘‘healthy mind and healthy body’’

curricula.

IN THE HOUSE OF REPRESENTATIVES

MARCH 24, 1993

Mr. ANDREWS of Texas (for himself, Mr. EVANS, Mr. TOWNS, Mr. FROST,

Mrs. MINK, and Mr. DEFAZIO) introduced the following bill; which was

referred to the Committee on Education and Labor

A BILL

To create ‘‘Healthy American Schools,’’ where children will

learn the lifelong health and fitness skills vital to developing a smart body and smart mind and to empower

every school with the ability to become a healthy school,

built on a firm foundation of ‘‘healthy mind and healthy

body’’ curricula.

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 ‘‘Healthy Students5 Healthy Schools Act’’.
2

•HR 1439 IH

1 SEC. 2. FINDINGS AND PURPOSE.

2 (a) FINDINGS.—Congress finds that—

3 (1) comprehensive, high quality education for

4 the children of the United States has always been

5 important, but in recent years it has become even

6 more critical to the social and economic viability of

7 our country;

8 (2) unhealthy children do not learn well and

9 tend to grow into unhealthy adults, never realizing

10 their full potential;

11 (3) without an increased focus on the health of

12 our children, the United States will not be able to

13 successfully compete in the 21st century;

14 (4) given the international dimensions of the

15 health and education challenges facing the United

16 States, the Federal Government should play a key

17 role in the national effort to equip all American chil18 dren with the intellectual and physical skills needed

19 to compete in the new and rapidly changing global

20 marketplace;

21 (5) although States and localities bear the pri22 mary responsibility for elementary and secondary

23 education, strong national leadership, from the Con24 gress and the Executive branch, is vital to the future

25 health of our children, schools, and the United

26 States;
3

•HR 1439 IH

1 (6) studies show that high quality, comprehen2 sive educational care, as early as 3 years of age,

3 translates into well-rounded individuals, better

4 school performance, lower drop-out rates, lower teen5 age pregnancy rates, lower unemployment rates, and

6 lower crime rates;

7 (7) a better understanding of the principles of

8 good health, taught in a gender and culturally com9 petent manner, could help children succeed in school

10 and become active, productive members of society;

11 (8) statistics on federally supported efforts to

12 improve comprehensive school health curriculum

13 demonstrate the effectiveness of preventive programs

14 on the knowledge, behavior, and fitness of children

15 and adolescents, yet few school systems offer such

16 programs and most States do not have the resources

17 to enforce sequential school health education re18 quirements;

19 (9) several different agencies located in the De20 partments of Health and Human Services, Edu21 cation, Agriculture, Interior, Energy, Defense, and

22 Transportation currently administer school health

23 education programs in areas such as AIDS edu24 cation, drug abuse education, nutrition, physical fit25 ness, smoking prevention, and asthma education;
4

•HR 1439 IH

1 (10) throughout the 1980s, Federal school

2 health education efforts lacked coordination, de3 spite—

4 (A) the 1978 legislative mandate directing

5 the Commissioner of Education at what was

6 then the Department of Health, Education, and

7 Welfare to consult with the Public Health Serv8 ice and the Surgeon General to ‘‘assure coordi9 nation and prevent duplication of effort’’ in all

10 school health education programs; and

11 (B) the re-authorization and funding in

12 1988 of the Department of Education’s Office

13 of Comprehensive School Health Education;

14 (11) a coordinated Federal effort is needed to

15 help State and local educational agencies develop

16 and implement comprehensive school health edu17 cation programs;

18 (12) over the past several years, the Depart19 ment of Health and Human Services has led most

20 Federal health education efforts, and the Public

21 Health Service’s 1990 report entitled ‘‘Healthy Peo22 ple 2000: National Health Promotion and Disease

23 Prevention Objectives’’ outlines a comprehensive na24 tional strategy for improving the health of all Ameri-
5

•HR 1439 IH

1 cans during this decade and includes specific goals

2 related to school health education;

3 (13) one of the chief ‘‘Healthy People 2000’’

4 objectives is to increase to at least 75 percent the

5 proportion of the Nation’s elementary and secondary

6 schools that provide planned and sequential kinder7 garten through 12th grade quality school health edu8 cation; and

9 (14) the President and the Nation’s governors

10 have set six national education goals, as part of a

11 strategy to create a new generation of American

12 schools, which complement the Healthy People 2000

13 goals and form the basis of a healthy partnership.

14 (b) PURPOSES.—It is the purpose of this Act to—

15 (1) provide the Federal leadership needed to

16 create Healthy American Schools, the building

17 blocks of a healthy and strong education system ca18 pable of providing every child with the lifelong skills

19 needed to become an intellectually and physically fit

20 member of a productive work force;

21 (2) ensure that all federally funded school

22 health education programs, including alcohol and

23 substance abuse prevention programs, are coordi24 nated and share the goals of reducing categorical
6

•HR 1439 IH

1 barriers and comprehensively encouraging healthy

2 students and healthy schools;

3 (3) designate a central office within the Depart4 ment of Health and Human Services for the coordi5 nation and direction of Federal school health edu6 cation efforts;

7 (4) establish a Federal clearinghouse where

8 teachers can easily access health education informa9 tion through the use of innovative and interactive

10 technologies;

11 (5) establish an independent advisory council of

12 highly respected, bipartisan, diverse experts to

13 study, make recommendations, and identify core na14 tional health education goals to be known as the

15 ‘‘Healthy Students-Healthy Schools Goals’’ that are

16 consistent with the Healthy People 2000 Objectives;

17 (6) develop standards and a model framework

18 for sequential Comprehensive School Health Edu19 cation programs for use in kindergarten through

20 grade 12;

21 (7) establish a comprehensive framework

22 through which the Department of Health and

23 Human Services will coordinate a national effort to

24 assess, on a continuing basis, the health-related

25 knowledge and behaviors of the Nation’s school chil-
7

•HR 1439 IH

1 dren and recognize schools which have successfully

2 grown into Healthy American Schools; and

3 (8) establish an interagency task force on

4 school health education to reduce categorical bar5 riers and foster cooperation among Federal agencies

6 carrying out school health education programs.

7 SEC. 3. DEFINITIONS.

8 As used in the Act:

9 (1) ADVISORY COUNCIL.—The term ‘‘Advisory

10 Council’’ means the Healthy Students-Healthy

11 Schools Advisory Council established under section

12 5.

13 (2) COMPREHENSIVE HEALTH EDUCATION.—

14 The term ‘‘comprehensive health education’’ means

15 a planned, sequential, kindergarten through grade

16 12 curriculum that addresses the physical, mental,

17 emotional and social dimensions of health. Such cur18 riculum shall—

19 (A) be designed to assist students in devel20 oping the knowledge, attitudes, and behavioral

21 skills needed to make positive health choices

22 and maintain and improve their health, prevent

23 disease, and reduce health-related risk behav24 iors;
8

•HR 1439 IH

1 (B) permit students to develop and dem2 onstrate increasingly sophisticated health-relat3 ed knowledge, attitudes, skills, and practices;

4 and

5 (C) be comprehensive and include a variety

6 of topics such as personal health, family health,

7 community health, consumer health, environ8 mental health, family life, mental and emotional

9 health, injury prevention and safety, nutrition,

10 prevention and control of disease, and sub11 stance use and abuse, taught by qualified teach12 ers who have been trained to teach the subject.

13 (3) DEPARTMENT.—The term ‘‘Department’’

14 means the Department of Health and Human Serv15 ices.

16 (4) LOCAL EDUCATION AGENCY.—The term

17 ‘‘local education agency’’ means the local education

18 agencies, as defined in section 1471(12) of the Ele19 mentary and Secondary Education Act of 1965, and

20 Federally recognized Indian tribes that are respon21 sible for providing elementary and secondary edu22 cation for tribal members.

23 (5) HEALTHY PEOPLE 2000 OBJECTIVES.—The

24 term ‘‘Healthy People 2000 Objectives’’ means the

25 300 specific health objectives in 22 priority areas,
9

•HR 1439 IH

1 such as fitness, nutrition, tobacco, maternal and in2 fant health, cancer, cardiovascular disease, HIV dis3 ease, school health, immunization and environmental

4 health, identified by the Secretary of Health and

5 Human Services in the report entitled ‘‘Healthy Peo6 ple 2000: National Health Promotion and Disease

7 Prevention Objectives’’.

8 (6) SECRETARY.—The term ‘‘Secretary’’ means

9 the Secretary of Health and Human Services.

10 (7) STATE.—The term ‘‘State’’ means each of

11 the several States, the District of Columbia, the

12 Commonwealth of Puerto Rico, Guam, American

13 Samoa, the Virgin Islands, the Trust Territory of

14 the Pacific Islands, and the Commonwealth of the

15 Northern Mariana Islands.

16 SEC. 4. DESIGNATION OF HEALTHY STUDENTS-HEALTHY

17 SCHOOLS OFFICE.

18 (a) DESIGNATION.—The Secretary shall designate,

19 within the Centers for Disease Control, an office to serve

20 as the Healthy Students-Healthy Schools Office to carry

21 out the functions and activities described in subsection (b).

22 (b) FUNCTIONS AND ACTIVITIES.—The Office des23 ignated under subsection (a) shall—

24 (1) assist State and local educational agencies

25 in their efforts to—
10

•HR 1439 IH

1 (A) develop and maintain comprehensive

2 sequential school health education programs

3 and curricula, which, to the extent practicable,

4 are based on the model framework developed by

5 the Advisory Council, in all elementary and sec6 ondary schools within their jurisdiction;

7 (B) train teachers in comprehensive se8 quential school health education;

9 (C) integrate and encourage school-, com10 munity-based, and public-private health pro11 motion partnerships and efforts;

12 (D) integrate health education programs

13 with health and social services for school-age

14 youth;

15 (E) provide nutritious school food services;

16 and

17 (F) encourage healthy, tobacco-free school

18 environments;

19 (2) provide technical support to State and local

20 educational agencies and educators concerning

21 health education programs and curricula and admin22 ister the grant program authorized under section 7;

23 (3) establish and maintain a national clearing24 house, using advanced technologies to the maximum

25 extent practicable, and mechanism for the wide dis-
11

•HR 1439 IH

1 semination of school health education material, in2 cluding written, audio-visual, and electronically-con3 veyed information to educators, schools, health care

4 providers, and other individuals, organizations, and

5 governmental entities;

6 (4) assist States in coordinating school-based

7 programs that will help ensure progress toward rel8 evant Healthy People 2000 Objectives and the

9 Healthy Students-Healthy Schools Goals established

10 under section 5;

11 (5) assist States in developing mechanisms to

12 uniformly evaluate competency based health edu13 cation skills and physical fitness and to collect and

14 maintain uniform data, including baseline data on a

15 continuing basis, on health behavior indicators, in16 cluding absenteeism due to pregnancy and ill-health,

17 which will measure progress toward relevant Healthy

18 People 2000 Objectives and the Healthy Students19 Healthy Schools Goals established under this Act;

20 (6) assist the Secretary in preparing an annual

21 report on the status of school health education in

22 the United States, as required under this section;

23 and

24 (7) coordinate with other Federal school health

25 education efforts and assist in reducing categorical
12

•HR 1439 IH

1 barriers to sequential, comprehensive school health

2 education programs.

3 (c) OFFICE OF COMPREHENSIVE SCHOOL HEALTH

4 EDUCATION.—

5 (1) IN GENERAL.—Section 4605(c) of the Ele6 mentary and Secondary Education Act of 1965 (20

7 U.S.C. 3155(c)) is amended—

8 (A) in the matter preceding paragraph (1),

9 by striking out ‘‘Office of the Secretary’’ and

10 inserting in lieu thereof ‘‘Office of Elementary

11 and Secondary Education’’; and

12 (B) by adding at the end thereof the fol13 lowing new paragraph:

14 ‘‘(4) To act as a liaison office for the coordina15 tion of the activities undertaken by the Office under

16 this section with related activities of the Assistant

17 Secretary for Special Education, other offices within

18 the Department, the Department of Health and

19 Human Services, the Department of Agriculture,

20 and other Federal agencies, and to expand school

21 health education research grant programs under this

22 section.’’.

23 (2) TRANSITION.—The Secretary of Education

24 shall take all appropriate actions to facilitate the

25 transfer of the Office of Comprehensive School
13

•HR 1439 IH

1 Health Education pursuant to the amendment made

2 by paragraph (1).

3 SEC. 5. HEALTHY STUDENTS-HEALTHY SCHOOLS ADVISORY

4 COUNCIL.

5 (a) ESTABLISHMENT.—There is established the

6 Healthy Students-Healthy Schools Advisory Council that

7 shall carry out the function and activities required under

8 subsection (e).

9 (b) MEMBERSHIP AND APPOINTMENT.—

10 (1) IN GENERAL.—The Advisory Council shall

11 be composed of 2 ex officio, nonvoting members and

12 18 voting members appointed under paragraph (3).

13 (2) EX OFFICIO MEMBERS.—The Secretary and

14 the Secretary of Education shall serve as ex officio

15 members of the Advisory Council.

16 (3) APPOINTED MEMBERS.—Of the voting

17 members of the Advisory Council—

18 (A) six shall be appointed by the President

19 in accordance with paragraph (5);

20 (B) six shall be appointed by the Speaker

21 of the House of Representatives in consultation

22 with the Minority Leader of the House of Rep23 resentatives; and

24 (C) six shall be appointed by the President

25 pro tempore of the Senate on the recommenda-
14

•HR 1439 IH

1 tion of the Majority Leader and Minority Lead2 er of the Senate.

3 The initial members of the Advisory Council shall be

4 appointed under this paragraph not later than 90

5 days after the date of the enactment of this Act.

6 (4) REQUIREMENTS.—Each member of the Ad7 visory Council appointed under paragraph (3)

8 shall—

9 (A) be eminent in the field of health edu10 cation, adolescent and elementary behavior,

11 family counseling, nutrition, reproductive and

12 sexually transmitted disease behavior, drug and

13 alcohol abuse, HIV prevention education tech14 niques, epidemiology, school nursing, school

15 health services, clinical medicine, school policy,

16 public administration, or public-private health

17 promotion partnerships or activities; and

18 (B) be selected for appointment solely on

19 the basis of an established record of distin20 guished service or research.

21 (5) ADVISORY COUNCIL APPOINTMENTS.—Of

22 the members appointed under paragraph (3)—

23 (A) two members shall be directors of ado24 lescent health research units that are primarily
15

•HR 1439 IH

1 supported by Federal funds and who have spe2 cialized interest in school health;

3 (B) four members shall be employees of

4 State governmental entities or members of local

5 education agencies or school boards and who

6 have specialized interest in school health edu7 cation or school health;

8 (C) two members shall be school health

9 educators currently teaching school health in el10 ementary or secondary schools;

11 (D) two members shall be school nurses

12 currently employed in the field of school health;

13 and

14 (E) four members shall be appointed rep15 resentatives of national educational associa16 tions.

17 (6) REPRESENTATION.—The membership of the

18 Advisory Council, shall at all times have members

19 who represent various geographic areas, including

20 rural and underserved areas, the private sector, aca21 demia, scientific and professional societies, and mi22 nority and youth organizations.

23 (7) CHAIRPERSON.—The members of the Advi24 sory Council shall elect a member to serve as the
16

•HR 1439 IH

1 Chairperson of the Advisory Council for a term of

2 office that shall not exceed 3 years.

3 (8) TERMS.—

4 (A) IN GENERAL.—Each member ap5 pointed to the Advisory Council under para6 graph (3) shall serve for a term of 5 years, ex7 cept that of the initial members appointed

8 under subparagraph (A) of such paragraph,

9 three shall be appointed for a term of 4 years

10 and two shall be appointed for a term of 3

11 years, as designated by the President at the

12 time of appointment. No member shall be eligi13 ble to serve continuously for more than two

14 consecutive terms.

15 (B) VACANCIES.—A vacancy on the Advi16 sory Council shall be filled in the same manner

17 as the original appointment with respect to

18 such vacancy was made. Any member appointed

19 to fill a vacancy occurring prior to the expira20 tion of the term for which the predecessor of

21 such member was appointed shall be appointed

22 for the remainder of such term.

23 (c) MEETINGS.—

24 (1) IN GENERAL.—The Advisory Council shall

25 meet on a regular basis, but in no case less than five
17

•HR 1439 IH

1 times during the first 2 years after the appointment

2 of the members of the Council. Such meetings shall

3 be at the call of the Chairperson, or on the written

4 request of one-third of the members of the Advisory

5 Council.

6 (2) INITIAL MEETING.—The Advisory Council

7 shall have its first meeting not later than 120 days

8 after the date of enactment of this Act.

9 (3) QUORUM.—A majority of the appointed

10 members of the Advisory Council shall constitute a

11 quorum.

12 (d) EMPLOYMENT AND EXPENSES.—

13 (1) EMPLOYMENT.—Appointed members of the

14 Advisory Council may not be full-time employees of

15 the Federal Government.

16 (2) EXPENSES.—While away from their homes

17 or regular places of business on the business of the

18 Advisory Council, members of the Council shall be

19 allowed travel expenses, including per diem in lieu of

20 subsistence, as is authorized under section 5703 of

21 title 5, United States Code, for persons employed

22 intermittently in the Government service.

23 (e) FUNCTIONS AND ACTIVITIES.—The Advisory

24 Council shall—
18

•HR 1439 IH

1 (1) establish national Healthy Students-Healthy

2 Schools Goals based on existing data and research,

3 including the Healthy People 2000 Objectives, iden4 tify the activities required to meet such goals, and

5 identify the responsible Federal agencies or individ6 uals with respect to each such goal;

7 (2) review existing comprehensive school health

8 education standards, programs and curricula in ele9 mentary and secondary schools and review and

10 evaluate Federally-supported health education pro11 grams currently being implemented in schools;

12 (3) develop a model framework for sequential

13 comprehensive school health education programs and

14 curricula, including sample materials and methods

15 for distribution to schools and to educators for use

16 in kindergarten through 12th grade that shall in17 clude—

18 (A) health education;

19 (B) physical fitness education;

20 (C) counseling; and

21 (D) community-based, school-site health

22 promotion programs for faculty, staff, parents,

23 and family;

24 (4) develop and incorporate model school health

25 education guidelines and evaluation mechanisms, in-
19

•HR 1439 IH

1 cluding the gathering of baseline data, in the model

2 framework for programs and curricula established

3 under paragraph (1);

4 (5) provide scientific and technical advice con5 cerning the development and implementation of all

6 components of comprehensive school health edu7 cation programs and the reduction of categorical

8 barriers to comprehensive school health education;

9 (6) recommend uniform methods for effectively

10 linking research findings at the Federal level with

11 implementation at the State and local level; and

12 (7) serve in an advisory capacity to the Sec13 retary and other Federal agencies.

14 SEC. 6. HEALTHY STUDENTS-HEALTHY SCHOOLS INTER15 AGENCY TASK FORCE.

16 (a) ESTABLISHMENT.—Not later than 90 days after

17 the date of enactment of this Act, the Secretary shall es18 tablish a Healthy Students-Healthy Schools Interagency

19 task force that shall be staffed by the Office of Disease

20 Prevention and Health Promotion and be composed of rep21 resentatives of the Office of Disease Prevention and

22 Health Promotion, the National Institutes of Health, the

23 Centers for Disease Control, and other Federal agencies

24 and departments, including the Extension Service of the

25 Department of Agriculture, which have responsibility for
20

•HR 1439 IH

1 components of school health and education, including

2 AIDS prevention, drug and alcohol abuse prevention, in3 jury prevention, physical fitness, and nutrition.

4 (b) CO-CHAIRPERSONS.—The Assistant Secretary for

5 Health, Public Health Service, and the Assistant Sec6 retary for Education (Elementary and Secondary Edu7 cation) shall serve as co-chairpersons of the task force es8 tablished under subsection (a).

9 (c) FUNCTIONS AND ACTIVITIES.—The task force es10 tablished under subsection (a) shall—

11 (1) review and coordinate all Federal school

12 health education efforts in school health education,

13 including drug and alcohol abuse prevention edu14 cation, HIV prevention education, physical fitness,

15 school services, and nutrition;

16 (2) provide scientific and technical advice con17 cerning the development and implementation of the

18 model framework comprehensive school health edu19 cation programs and curricula to be developed under

20 section 5;

21 (3) develop a consolidated grant application

22 form (a form that serves as the main document con23 taining the core information concerning a particular

24 entity) and procedures that may be used with re25 spect to all school health-related programs (including
21

•HR 1439 IH

1 supplementary information procedures to be imple2 mented when an entity that has already submitted

3 a consolidated application form is applying for addi4 tional assistance) that require the submission of an

5 application; and

6 (4) serve in an advisory capacity to and assist

7 the Office designated by the Secretary under section

8 4, and other Federal agencies.

9 SEC. 7. FUNCTIONS OF THE SECRETARY.

10 The Secretary, with the assistance of the Advisory

11 Council, shall—

12 (1) foster the interaction, coordination, and

13 partnerships needed to create Healthy American

14 Schools among Federal agencies, State and local

15 governments, school administrators, educators,

16 school nurses and other school health providers, the

17 private sector, scientific communities, community18 based organizations, health professionals, parents,

19 and students;

20 (2) update progress toward achieving relevant

21 Healthy People 2000 Objectives and the Healthy

22 Students-Healthy Schools Goals established under

23 this Act by establishing a national monitoring sys24 tem to be implemented in schools and administered

25 by the States and local educational agencies;
22

•HR 1439 IH

1 (3) ensure the timely implementation of the ac2 tivities and nationwide mechanisms necessary for

3 achieving and monitoring progress toward such ob4 jectives and goals;

5 (4) submit to the appropriate committees of

6 Congress and the States an annual report, that shall

7 include data on relevant agency budgets for each fis8 cal year, as required by section 9; and

9 (5) recognize, in the annual report, schools that

10 have demonstrated exemplary efforts in becoming

11 Healthy American Schools and provide a short eval12 uation to States that incorporate the Healthy Stu13 dents-Healthy Schools Goals.

14 SEC. 8. HEALTHY AMERICAN SCHOOLS GRANT PROGRAM.

15 (a) GENERAL AUTHORITY.—The Secretary, acting

16 through the Office designated under section 4(a), is au17 thorized to award grants to States and local educational

18 agencies to assist the schools under the jurisdiction of

19 such States and agencies in becoming Healthy American

20 Schools that teach comprehensive sequential school health

21 education programs which, to the maximum extent prac22 ticable, make use of advanced technologies, such as com23 puter-based learning and innovative communication chan24 nels.
23

•HR 1439 IH

1 (b) ELIGIBILITY.—To encourage all schools to be2 come Healthy American Schools, the Secretary shall in3 sure that every public elementary and secondary school in

4 the United States is eligible to receive assistance under

5 this section and that such assistance shall be distributed

6 among all geographic areas, including rural, urban, and

7 suburban areas.

8 (c) USES OF GRANTS.—Amounts awarded under this

9 section shall be used to establish and implement programs

10 that meet the goals of the Healthy Students-Healthy

11 Schools program, which shall include—

12 (1) teacher training in sequential school health

13 education and related in-service training;

14 (2) healthy school environment standards;

15 (3) personal health and fitness activities;

16 (4) nutrition education and nutritious food

17 services;

18 (5) mental health wellness programs;

19 (6) chronic disease prevention programs;

20 (7) substance abuse prevention education;

21 (8) prevention of intentional and unintentional

22 injury and safety education;

23 (9) community and environmental health activi24 ties;

25 (10) family life education activities;
24

•HR 1439 IH

1 (11) activities for the prevention and control of

2 communicable diseases;

3 (12) activities for the effective use of the health

4 services delivery systems;

5 (13) development and aging activities; and

6 (14) worksite health promotion programs and

7 partnerships with community-based organizations

8 and the private sector.

9 (d) APPLICATION.—To be eligible to receive a grant

10 under this section, an entity shall prepare and submit to

11 the Secretary an application at such time, in such manner,

12 and containing or accompanied by such information as the

13 Secretary may reasonably require. Each such application

14 shall—

15 (1) describe the comprehensive school health

16 education program for which assistance is sought,

17 particularly the activities described in subsection (b);

18 (2) provide assurances that qualified health

19 educators will teach or supervise the programs for

20 which assistance is sought;

21 (3) provide assurance that the State, relevant

22 local educational agency, or Indian tribe will involve

23 the community, on an on-going basis, in the plan24 ning, implementation and evaluation of the pro25 grams for which assistance is sought, including the
25

•HR 1439 IH

1 establishment of partnerships with the private sec2 tor, cooperative extension systems of land-grant uni3 versities, nonprofit public agencies, organizations,

4 community-based organizations, parents, and stu5 dents;

6 (4) provide assurance that funding made avail7 able under this section will be used in a coordinated

8 and cooperative manner with other school health

9 education programs that the State, local educational

10 agency or Indian tribe may be undertaking and will

11 not duplicate other school health education pro12 grams;

13 (5) provide assurances that the State or Indian

14 tribe will submit an annual report on the program

15 to the Secretary (in the case of a local education

16 agency, it shall submit an annual report to the State

17 which shall then submit a Statewide report to the

18 Secretary) to be integrated into the annual report

19 required under section 9; and

20 (6) provide assurances that the State or Indian

21 tribe will provide matching funds, through monetary

22 or in kind contribution, in an amount that equals 25

23 percent of the amount of the grant.

24 (e) OUTSTANDING HEALTHY AMERICAN SCHOOL

25 AWARDS.—The Secretary shall annually recognize schools
26

•HR 1439 IH

1 that epitomize the Healthy Students-Healthy Schools

2 Goals established under this Act and shall award such

3 schools a commemorative plaque and a $1,000 cash

4 award.

5 SEC. 9. EVALUATION AND ANNUAL REPORT.

6 (a) GENERAL AUTHORITY.—The Secretary shall uni7 formly collect, compile, and preserve data concerning

8 school health education programs and curricula through9 out the United States.

10 (b) DATA COLLECTION.—The Secretary shall develop

11 and ensure the implementation of a system for the collec12 tion of data that uniformly measures and evaluates the

13 impact of school health education programs and curricula

14 to determine—

15 (1) the effectiveness of such programs in pro16 moting progress toward achieving relevant Healthy

17 People 2000 Objectives and the Healthy Students18 Healthy Schools Goals established under this Act;

19 and

20 (2) the impact of such programs on related

21 health indicators such as absenteeism and teen-age

22 pregnancy rates.

23 (c) RESULTS OF EVALUATIONS.—
27

•HR 1439 IH

1 (1) ANNUAL REPORT.—Not later than Janu2 ary 1, 1994, and annually thereafter, the Secretary

3 shall prepare and publish a report that—

4 (A) evaluates the status of school health

5 education in the United States, including the

6 impact and effectiveness of the health education

7 programs and curricula of each State;

8 (B) measures national progress towards

9 achieving relevant Healthy People 2000 Objec10 tives and the Healthy Students-Healthy Schools

11 Goals established under this Act; and

12 (C) recognizes outstanding Healthy Amer13 ican Schools.

14 (2) ENTITIES RECEIVING REPORT.—In January

15 of each fiscal year, the Secretary shall submit the re16 port required under subsection (c) to the appropriate

17 committees of the Congress and to the States to aid

18 in the program evaluation and development efforts

19 of such States.

20 SEC. 10. PROGRAM FOR COMPREHENSIVE HEALTH AND

21 PHYSICAL EDUCATION AMONG INDIAN STU22 DENTS.

23 (a) IN GENERAL.—The Secretary of the Interior, act24 ing through the Bureau of Indian Affairs and in consulta25 tion and cooperation with the Secretary of Health and
28

•HR 1439 IH

1 Human Services and the Secretary of Education, shall de2 velop and, not later than the date that is 1 year after the

3 date of enactment of this Act, implement a program which

4 provides gender and culturally competent sequential com5 prehensive health education and physical education to stu6 dents enrolled in elementary and secondary schools oper7 ated by, or on behalf of, the Bureau of Indian Affairs.

8 (b) COURSES OF INSTRUCTION AND PARTICIPA9 TION.—

10 (1) COURSES OF INSTRUCTION.—The program

11 which the Secretary of the Interior is required to de12 velop under subsection (a) shall provide courses of

13 instruction for each grade of elementary and second14 ary school in a manner that ensures sequential, pro15 gressive, comprehensive, and continuous instruction.

16 (2) PARTICIPATION.—Except as otherwise pre17 scribed by the Secretary of the Interior, all students

18 enrolled in schools operated by, or on behalf of, the

19 Bureau of Indian Affairs shall participate in the

20 courses of instruction provided at such schools under

21 the program developed under subsection (a).

22 (c) CONSULTATION.—In developing and implement23 ing the program required under subsection (a), the Sec24 retary of the Interior shall consult with—
29

•HR 1439 IH

1 (1) representatives of the Indian tribes that are

2 to be served by such program;

3 (2) local educational and health personnel; and

4 (3) the Advisory Council established under sec5 tion 5.

6 (d) REPORT.—Not later than the date that is 1 year

7 after the date of enactment of this Act, the Secretary of

8 the Interior shall submit to the Congress a report on the

9 progress made by the Secretary of the Interior in carrying

10 out the requirements of this section.

11 SEC. 11. APPROPRIATIONS AUTHORIZATION.

12 (a) IN GENERAL.—There are authorized to be appro13 priated to carry out this Act, $200,000,000 for each of

14 the fiscal years 1994 through 1998.

15 (b) USE.—Amounts appropriated under this section

16 shall be used to fund the Healthy Students-Healthy

17 Schools Grant Program, and to make available funds that

18 may be necessary to carry out the activities of the Healthy

19 Students-Healthy Schools Coordinating Office and the

20 clearinghouse established under section 4(b)(4) and the

21 Healthy Students-Healthy Schools Advisory Council estab22 lished under section 5.

23 (c) LIMITATION.—The Secretary may not carry out

24 the provisions of this Act until such time as amounts ap-
30

•HR 1439 IH

1 propriated under section 8(a) for a fiscal year equal or

2 exceed $25,000,000.

3 SEC. 12. DRUG-FREE SCHOOLS AND COMMUNITIES ACT.

4 Part E of the Drug-Free Schools and Communities

5 Act of 1986 (20 U.S.C. 3221 et seq.) is amended by add6 ing at the end thereof the following new section:

7 ‘‘SEC. 5147. USE OF APPROPRIATIONS FOR HEALTHY STU8 DENTS-HEALTHY SCHOOLS PROGRAMS.

9 ‘‘Notwithstanding any other provision of law,

10 amounts appropriated under this Act may be used in con11 junction with the Healthy Students-Healthy Schools Pro12 gram of any State, Indian tribe, local educational agency,

13 or school, so long as substance abuse prevention is a major

14 component of such Program, pursuant to the Healthy Stu15 dents-Healthy Schools Act.’’.

16 SEC. 13. EFFECTIVE DATE.

17 This Act shall become effective on October 1, 1993.

Æ

HR 1439 IH——2

HR 1439 IH——3