I 

114TH CONGRESS 

1ST SESSION H. R. 1706 

To provide for the overall health and well-being of young people, including 

the promotion of comprehensive sexual health and healthy relationships, 

the reduction of unintended pregnancy and sexually transmitted infections (STIs), including HIV, and the prevention of dating violence and 

sexual assault, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 26, 2015 

Ms. LEE (for herself, Ms. CLARKE of New York, Ms. NORTON, Ms. DELAURO, 

Ms. SCHAKOWSKY, Mr. HASTINGS, Mr. TAKANO, Mrs. LAWRENCE, Ms. 

SPEIER, Mr. PETERS, Mr. DAVID SCOTT of Georgia, Mr. MCDERMOTT, 

Mr. NADLER, Mr. DEUTCH, Mr. LEWIS, Ms. FRANKEL of Florida, Ms. 

MICHELLE LUJAN GRISHAM of New Mexico, Ms. JACKSON LEE, Mr. 

CONYERS, Ms. ADAMS, Mr. LOWENTHAL, Ms. TITUS, Ms. EDDIE BERNICE JOHNSON of Texas, Ms. DEGETTE, Mr. FARR, Ms. WASSERMAN

SCHULTZ, and Ms. MOORE) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to 

the Committee on Education and the Workforce, 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 comprehensive sexual 

health and healthy relationships, the reduction of unintended pregnancy and sexually transmitted infections 

(STIs), including HIV, and the prevention of dating violence and sexual assault, and for other purposes. 


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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 ‘‘Real Education for 

5 Healthy Youth Act of 2015’’. 

6 SEC. 2. PURPOSES; SENSE OF CONGRESS. 

7 (a) PURPOSES.—The purposes of this Act are to pro8 vide young people with comprehensive sex education pro9 grams that— 

10 (1) provide the information and skills all young 

11 people need to make informed, responsible, and 

12 healthy decisions in order to become sexually healthy 

13 adults and have healthy relationships; 

14 (2) provide information about the prevention of 

15 unintended pregnancy, sexually transmitted infec16 tions (including HIV), dating violence, sexual as17 sault, bullying, and harassment; and 

18 (3) promote and uphold the rights of young 

19 people to information in order to make healthy and 

20 responsible decisions about their sexual health. 

21 (b) FINDING ON REQUIRED RESOURCES.—In order 

22 to provide the comprehensive sex education described in 

23 subsection (a), the Congress finds that increased resources 

24 are required for sex education programs that— 


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1 (1) are evidence-based, having been proven 

2 through rigorous evaluation to change sexual behav3 ior or incorporate characteristics of effective pro4 grams; 

5 (2) cover a broad range of topics, including 

6 medically accurate, complete, age and develop7 mentally appropriate information about all the as8 pects of sex needed for a complete sex education 

9 program, including— 

10 (A) anatomy and physiology; 

11 (B) growth and development; 

12 (C) healthy relationships; 

13 (D) the prevention of unintended preg14 nancy and sexually transmitted infections 

15 (STIs), including HIV, through abstinence and 

16 contraception; 

17 (E) gender, gender identity, and sexual 

18 orientation; and 

19 (F) protection from dating violence, sexual 

20 assault, bullying, and harassment; 

21 (3) are gender and gender identity-sensitive, 

22 emphasizing the importance of equality and the so23 cial environment for achieving sexual and reproduc24 tive health and overall well-being; 


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1 (4) promote educational achievement, critical 

2 thinking, decisionmaking, self-esteem, and self-effi3 cacy; 

4 (5) help develop healthy attitudes and insights 

5 necessary for understanding relationships between 

6 oneself and others and society; 

7 (6) foster leadership skills and community en8 gagement by— 

9 (A) promoting principles of fairness, 

10 human dignity, and respect; and 

11 (B) engaging young people as partners in 

12 their communities; and 

13 (7) are culturally and linguistically appropriate, 

14 reflecting the diverse circumstances and realities of 

15 young people. 

16 (c) SENSE OF CONGRESS.—It is the sense of Con17 gress that— 

18 (1) federally funded sex education programs 

19 should aim to— 

20 (A) provide information about a range of 

21 human sexuality topics, including human devel22 opment, relationships, personal skills, and sex23 ual behavior data including abstinence, sexual 

24 health, and society and culture; 


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1 (B) promote safe and healthy relation2 ships; 

3 (C) reduce unintended pregnancy and sex4 ually transmitted infections, including HIV; 

5 (D) promote gender equality; 

6 (E) use, and be informed by, the best sci7 entific information available; 

8 (F) be built on characteristics of effective 

9 programs; 

10 (G) be culturally competent and inclusive 

11 of lesbian, gay, bisexual, transgender, queer, 

12 and questioning (LGBTQ) youth; 

13 (H) expand the existing body of evidence 

14 on comprehensive sex education programs 

15 through program evaluation; 

16 (I) expand training programs for teachers 

17 of comprehensive sex education; 

18 (J) build on the personal responsibility 

19 education programs funded under section 513 

20 of the Social Security Act (42 U.S.C. 713) and 

21 the President’s Teen Pregnancy Prevention pro22 gram, funded under title II of the Consolidated 

23 Appropriations Act, 2010 (Public Law 111– 

24 117; 123 Stat. 3253), and on programs supVerDate Sep 11 2014 06:23 Apr 03, 2015 Jkt 049200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H1706.IH H1706

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1 ported through the Centers for Disease Control 

2 and Prevention (CDC); and 

3 (K) promote and uphold the rights of 

4 young people to information in order to make 

5 healthy and responsible decisions about their 

6 sexual health; and 

7 (2) no Federal funds should be used for health 

8 education programs that— 

9 (A) withhold health promoting or life-sav10 ing information about sexuality-related topics or 

11 HIV; 

12 (B) are medically inaccurate or have been 

13 scientifically shown to be ineffective; 

14 (C) promote gender stereotypes; 

15 (D) are insensitive and unresponsive to the 

16 needs of sexually active adolescents; 

17 (E) are insensitive and unresponsive to the 

18 needs of survivors of sexual abuse or assault; 

19 (F) are insensitive and unresponsive to the 

20 needs of LGBTQ youth; or 

21 (G) are inconsistent with the ethical im22 peratives of medicine and public health. 


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1 SEC. 3. GRANTS FOR COMPREHENSIVE SEX EDUCATION 

2 FOR ADOLESCENTS. 

3 (a) PROGRAM AUTHORIZED.—The Secretary, in co4 ordination with the Director of the Office of Adolescent 

5 Health and the Associate Commissioner of the Family and 

6 Youth Services Bureau of the Administration on Children, 

7 Youth, and Families of the Department of Health and 

8 Human Services, shall award grants, on a competitive 

9 basis, to eligible entities to enable such eligible entities to 

10 carry out programs that provide adolescents with com11 prehensive sex education, as described in subsection (f). 

12 (b) DURATION.—Grants awarded under this section 

13 shall be for a period of 5 years. 

14 (c) ELIGIBLE ENTITY.—In this section, the term ‘‘el15 igible entity’’ means a public or private entity that focuses 

16 on adolescent health or education or has experience work17 ing with adolescents, which may include— 

18 (1) a State educational agency; 

19 (2) a local educational agency; 

20 (3) a tribe or tribal organization, as defined in 

21 section 4 of the Indian Self-Determination and Edu22 cation Assistance Act (25 U.S.C. 450b); 

23 (4) a State or local department of health; 

24 (5) a State or local department of education; 

25 (6) a nonprofit organization; 


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1 (7) a nonprofit or public institution of higher 

2 education; or 

3 (8) a hospital. 

4 (d) APPLICATIONS.—An eligible entity desiring a 

5 grant under this section shall submit an application to the 

6 Secretary at such time, in such manner, and containing 

7 such information as the Secretary may require, including 

8 the evaluation plan described in subsection (g)(1). 

9 (e) PRIORITY.—In awarding grants under this sec10 tion, the Secretary shall give priority to eligible entities 

11 that— 

12 (1) are State or local public entities, with an 

13 additional priority for State or local educational 

14 agencies; 

15 (2) are entities not currently receiving funds 

16 under— 

17 (A) section 513 of the Social Security Act 

18 (42 U.S.C. 713); 

19 (B) the President’s Teen Pregnancy Pre20 vention program, funded under title II of the 

21 Consolidated Appropriations Act, 2010 (Public 

22 Law 111–117; 123 Stat. 3253); or 

23 (C) programs supported through the Cen24 ters for Disease Control and Prevention; and 


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1 (3) address health disparities among young peo2 ple that are at highest risk for not less than 1 of 

3 the following: 

4 (A) Unintended pregnancies. 

5 (B) Sexually transmitted infections, includ6 ing HIV. 

7 (C) Dating violence and sexual assault. 

8 (f) USE OF FUNDS.— 

9 (1) IN GENERAL.—Each eligible entity that re10 ceives a grant under this section shall use grant 

11 funds to carry out a program that provides adoles12 cents with comprehensive sex education that— 

13 (A) replicates evidence-based sex education 

14 programs; 

15 (B) substantially incorporates elements of 

16 evidence-based sex education programs; or 

17 (C) creates a demonstration project based 

18 on generally accepted characteristics of effective 

19 sex education programs. 

20 (2) CONTENTS OF SEX EDUCATION PRO21 GRAMS.—The sex education programs funded under 

22 this section shall include curricula and program ma23 terials that address— 

24 (A) abstinence and delaying sexual initi25 ation; 


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1 (B) the health benefits and side effects of 

2 all contraceptive and barrier methods as a 

3 means to prevent pregnancy and sexually trans4 mitted infections, including HIV; 

5 (C) healthy relationships, including the de6 velopment of healthy attitudes and skills nec7 essary for understanding— 

8 (i) healthy relationships between one9 self and family, others, and society; and 

10 (ii) the prevention of sexual abuse, 

11 teen dating violence, bullying, harassment, 

12 and suicide; 

13 (D) healthy life skills including goal-set14 ting, decisionmaking, interpersonal skills (such 

15 as communication, assertiveness, and peer re16 fusal skills), critical thinking, self-esteem and 

17 self-efficacy, and stress management; 

18 (E) how to make responsible decisions 

19 about sex and sexuality, including— 

20 (i) how to avoid, and how to avoid 

21 making, unwanted verbal, physical, and 

22 sexual advances; and 

23 (ii) how alcohol and drug use can af24 fect responsible decisionmaking; 


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1 (F) the development of healthy attitudes 

2 and values about such topics as adolescent 

3 growth and development, body image, gender 

4 roles and gender identity, racial and ethnic di5 versity, and sexual orientation; and 

6 (G) referral services for local health clinics 

7 and services where adolescents can obtain addi8 tional information and services related to sexual 

9 and reproductive health, dating violence and 

10 sexual assault, and suicide prevention. 

11 (g) EVALUATION; REPORT.— 

12 (1) INDEPENDENT EVALUATION.—Each eligible 

13 entity applying for a grant under this section shall 

14 develop and submit to the Secretary a plan for a rig15 orous independent evaluation of such grant program. 

16 The plan shall describe an independent evaluation 

17 that— 

18 (A) uses sound statistical methods and 

19 techniques relating to the behavioral sciences, 

20 including random assignment methodologies, 

21 whenever possible; 

22 (B) uses quantitative data for assessments 

23 and impact evaluations, whenever possible; and 

24 (C) is carried out by an entity independent 

25 from such eligible entity. 


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1 (2) SELECTION OF EVALUATED PROGRAMS; 

2 BUDGET.— 

3 (A) SELECTION OF EVALUATED PRO4 GRAMS.—The Secretary shall choose, at ran5 dom, a subset of the eligible entities that the 

6 Secretary has selected to receive a grant under 

7 this section to receive additional funding to 

8 carry out the evaluation plan described in para9 graph (1). 

10 (B) BUDGET FOR EVALUATION ACTIVI11 TIES.—The Secretary, in coordination with the 

12 Director of the Office of Adolescent Health, 

13 shall establish a budget for each eligible entity 

14 selected under subparagraph (A) for the costs 

15 of carrying out the evaluation plan described in 

16 paragraph (1). 

17 (3) FUNDS FOR EVALUATION.—The Secretary 

18 shall provide eligible entities who are selected under 

19 paragraph (2)(A) with additional funds, in accord20 ance with the budget described in paragraph (2)(B), 

21 to carry out and report to the Secretary on the eval22 uation plan described in paragraph (1). 

23 (4) PERFORMANCE MEASURES.—The Secretary, 

24 in coordination with the Director of the Centers for 

25 Disease Control and Prevention, shall establish a 


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1 common set of performance measures to assess the 

2 implementation and impact of grant programs fund3 ed under this section. Such performance measures 

4 shall include— 

5 (A) output measures, such as the number 

6 of individuals served and the number of hours 

7 of service delivery; and 

8 (B) outcome measures, including measures 

9 relating to— 

10 (i) the knowledge that youth partici11 pating in the grant program have gained 

12 about— 

13 (I) adolescent growth and devel14 opment; 

15 (II) relationship dynamics; 

16 (III) ways to prevent unintended 

17 pregnancy and sexually transmitted 

18 infections, including HIV; and 

19 (IV) sexual health; 

20 (ii) the skills that adolescents partici21 pating in the grant program have gained 

22 regarding— 

23 (I) negotiation and communica24 tion; 


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1 (II) decisionmaking and goal-set2 ting; 

3 (III) interpersonal skills and 

4 healthy relationships; and 

5 (IV) condom use; and 

6 (iii) the behaviors of adolescents par7 ticipating in the grant program, including 

8 data about— 

9 (I) age of first intercourse; 

10 (II) number of sexual partners; 

11 (III) condom and contraceptive 

12 use at first intercourse; 

13 (IV) recent condom and contra14 ceptive use; and 

15 (V) dating abuse and lifetime his16 tory of intimate partner violence 

17 (IPV), sexual assault, dating violence, 

18 bullying, harassment, and stalking. 

19 (5) REPORT TO THE SECRETARY.—Eligible en20 tities receiving a grant under this section who have 

21 been selected to receive funds to carry out the eval22 uation plan described in paragraph (1), in accord23 ance with paragraph (2)(A), shall collect and report 

24 to the Secretary— 


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1 (A) the results of the independent evalua2 tion described in paragraph (1); and 

3 (B) information about the performance 

4 measures described in paragraph (2). 

5 (6) EFFECTIVE PROGRAMS.—The Secretary, in 

6 coordination with the Director of the Centers for 

7 Disease Control and Prevention, shall publish on the 

8 website of the Centers for Disease Control and Pre9 vention, a list of programs funded under this section 

10 that the Secretary has determined to be effective 

11 programs. 

12 SEC. 4. GRANTS FOR COMPREHENSIVE SEX EDUCATION AT 

13 INSTITUTIONS OF HIGHER EDUCATION. 

14 (a) PROGRAM AUTHORIZED.—The Secretary, in co15 ordination with the Office of Adolescent Health, the Asso16 ciate Commissioner of the Family and Youth Services Bu17 reau of the Administration on Children, Youth, and Fami18 lies of the Department of Health and Human Services, 

19 and the Secretary of Education, shall award grants, on 

20 a competitive basis, to institutions of higher education to 

21 enable such institutions to provide young people with com22 prehensive sex education, described in subsection (e)(2), 

23 with an emphasis on reducing HIV, other sexually trans24 mitted infections, and unintended pregnancy through in25 struction about— 


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1 (1) abstinence and contraception; 

2 (2) reducing dating violence, sexual assault, 

3 bullying, and harassment; 

4 (3) increasing healthy relationships; and 

5 (4) academic achievement. 

6 (b) DURATION.—Grants awarded under this section 

7 shall be for a period of 5 years. 

8 (c) APPLICATIONS.—An institution of higher edu9 cation desiring a grant under this section shall submit an 

10 application to the Secretary at such time, in such manner, 

11 and containing such information as the Secretary may re12 quire. 

13 (d) PRIORITY.—In awarding grants under this sec14 tion, the Secretary shall give priority to an institution of 

15 higher education that— 

16 (1) has an enrollment of needy students as de17 fined in section 318(b) of the Higher Education Act 

18 of 1965 (20 U.S.C. 1059e(b)); 

19 (2) is a Hispanic-serving institution, as defined 

20 in section 502(a) of such Act (20 U.S.C. 1101a(a)); 

21 (3) is a Tribal College or University, as defined 

22 in section 316(b) of such Act (20 U.S.C. 1059c(b)); 

23 (4) is an Alaska Native-serving institution, as 

24 defined in section 317(b) of such Act (20 U.S.C. 

25 1059d(b)); 


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1 (5) is a Native Hawaiian-serving institution, as 

2 defined in section 317(b) of such Act (20 U.S.C. 

3 1059d(b)); 

4 (6) is a Predominately Black Institution, as de5 fined in section 318(b) of such Act (20 U.S.C. 

6 1059e(b)); 

7 (7) is a Native American-serving, nontribal in8 stitution, as defined in section 319(b) of such Act 

9 (20 U.S.C. 1059f(b)); 

10 (8) is an Asian American and Native American 

11 Pacific Islander-serving institution, as defined in 

12 section 320(b) of such Act (20 U.S.C. 1059g(b)); or 

13 (9) is a minority institution, as defined in sec14 tion 365 of such Act (20 U.S.C. 1067k), with an en15 rollment of needy students, as defined in section 312 

16 of such Act (20 U.S.C. 1058). 

17 (e) USES OF FUNDS.— 

18 (1) IN GENERAL.—An institution of higher edu19 cation receiving a grant under this section may use 

20 grant funds to integrate issues relating to com21 prehensive sex education into the academic or sup22 port sectors of the institution of higher education in 

23 order to reach a large number of students, by car24 rying out 1 or more of the following activities: 


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1 (A) Developing educational content for 

2 issues relating to comprehensive sex education 

3 that will be incorporated into student orienta4 tion, general education, or core courses. 

5 (B) Developing and employing school-wide 

6 educational programming outside of class that 

7 delivers elements of comprehensive sex edu8 cation programs to students, faculty, and staff. 

9 (C) Creating innovative technology-based 

10 approaches to deliver sex education to students, 

11 faculty, and staff. 

12 (D) Developing and employing peer-out13 reach and education programs to generate dis14 cussion, educate, and raise awareness among 

15 students about issues relating to comprehensive 

16 sex education. 

17 (2) CONTENTS OF SEX EDUCATION PRO18 GRAMS.—Each institution of higher education’s pro19 gram of comprehensive sex education funded under 

20 this section shall include curricula and program ma21 terials that address information about— 

22 (A) safe and responsible sexual behavior 

23 with respect to the prevention of pregnancy and 

24 sexually transmitted infections, including HIV, 

25 in addition to the teachings of— 


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1 (i) abstinence; 

2 (ii) a reduced number of sexual part3 ners; and 

4 (iii) the use of condoms and contra5 ception; 

6 (B) healthy relationships, including the de7 velopment of healthy attitudes and insights nec8 essary for understanding— 

9 (i) relationships between oneself, fam10 ily, partners, others, and society; and 

11 (ii) the prevention of sexual abuse, 

12 dating violence, bullying, harassment, and 

13 suicide; and 

14 (C) referral services to local health clinics 

15 where young people can obtain additional infor16 mation and services related to sexual and repro17 ductive health, dating violence and sexual as18 sault, and suicide prevention. 

19 (3) OPTIONAL COMPONENTS OF SEX EDU20 CATION.—Each institution of higher education’s pro21 gram of comprehensive sex education may also in22 clude information and skills development relating 

23 to— 

24 (A) how to make responsible decisions 

25 about sex and sexuality, including— 


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1 (i) how to avoid, and avoid making, 

2 unwanted verbal, physical, and sexual ad3 vances; and 

4 (ii) how alcohol and drug use can af5 fect responsible decisionmaking; 

6 (B) healthy life skills, including— 

7 (i) goal-setting and decisionmaking; 

8 (ii) interpersonal skills, such as com9 munication, assertiveness, and peer refusal 

10 skills; 

11 (iii) critical thinking; 

12 (iv) self-esteem and self-efficacy; and 

13 (v) stress management; 

14 (C) the development of healthy attitudes 

15 and values about such topics as body image, 

16 gender roles and gender identity, racial and eth17 nic diversity, and sexual orientation; and 

18 (D) parenting, including— 

19 (i) financial and emotional responsibil20 ities; 

21 (ii) communication skills; 

22 (iii) problem solving; and 

23 (iv) caretaking. 

24 (f) EVALUATION; REPORT.—The requirements de25 scribed in section 3(g) shall apply to eligible entities reVerDate Sep 11 2014 06:23 Apr 03, 2015 Jkt 049200 PO 00000 Frm 00020 Fmt 6652 Sfmt 6201 E:\BILLS\H1706.IH H1706

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1 ceiving a grant under this section in the same manner as 

2 such requirements apply to eligible entities receiving 

3 grants under section 3. 

4 SEC. 5. GRANTS FOR PRE-SERVICE AND IN-SERVICE TEACH5 ER TRAINING. 

6 (a) PROGRAM AUTHORIZED.—The Secretary, in co7 ordination with the Director of the Centers for Disease 

8 Control and Prevention and the Secretary of Education, 

9 shall award grants, on a competitive basis, to eligible enti10 ties to enable such eligible entities to carry out the activi11 ties described in subsection (e). 

12 (b) DURATION.—Grants awarded under this section 

13 shall be for a period of 5 years. 

14 (c) ELIGIBLE ENTITY.—In this section, the term ‘‘el15 igible entity’’ means— 

16 (1) a State educational agency; 

17 (2) a local educational agency; 

18 (3) a tribe or tribal organization, as defined in 

19 section 4 of the Indian Self-Determination and Edu20 cation Assistance Act (25 U.S.C. 450b); 

21 (4) a State or local department of health; 

22 (5) a State or local department of education; 

23 (6) a nonprofit institution of higher education; 

24 (7) a national or statewide nonprofit organiza25 tion that has as its primary purpose the improveVerDate Sep 11 2014 06:23 Apr 03, 2015 Jkt 049200 PO 00000 Frm 00021 Fmt 6652 Sfmt 6201 E:\BILLS\H1706.IH H1706

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1 ment of provision of comprehensive sex education 

2 through training and effective teaching of com3 prehensive sex education; or 

4 (8) a consortium of nonprofit organizations that 

5 has as its primary purpose the improvement of pro6 vision of comprehensive sex education through train7 ing and effective teaching of comprehensive sex edu8 cation. 

9 (d) APPLICATION.—An eligible entity desiring a 

10 grant under this section shall submit an application to the 

11 Secretary at such time, in such manner, and containing 

12 such information as the Secretary may require. 

13 (e) AUTHORIZED ACTIVITIES.— 

14 (1) REQUIRED ACTIVITY.—Each eligible entity 

15 receiving a grant under this section shall use grant 

16 funds for professional development and training of 

17 targeted faculty, school administrators, teachers, 

18 and staff, in order to increase effective teaching of 

19 comprehensive sex education for elementary school 

20 and secondary school students. 

21 (2) PERMISSIBLE ACTIVITIES.—Each eligible 

22 entity receiving a grant under this section may use 

23 grant funds to— 

24 (A) strengthen and expand the eligible en25 tity’s relationships with— 


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1 (i) institutions of higher education; 

2 (ii) State educational agencies; 

3 (iii) local educational agencies; or 

4 (iv) other public and private organiza5 tions with a commitment to comprehensive 

6 sex education and the benefits of com7 prehensive sex education; 

8 (B) support and promote research-based 

9 training of teachers for comprehensive sex edu10 cation and related disciplines in elementary and 

11 secondary schools as a means of broadening 

12 student knowledge about issues related to 

13 human development, relationships, personal 

14 skills, and sexual behavior, including absti15 nence, sexual health, and society and culture; 

16 (C) support the dissemination of informa17 tion on effective practices and research findings 

18 concerning the teaching of comprehensive sex 

19 education; 

20 (D) support research on— 

21 (i) effective comprehensive sex edu22 cation teaching practices; and 

23 (ii) the development of assessment in24 struments and strategies to document— 


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1 (I) student understanding of 

2 comprehensive sex education; and 

3 (II) the effects of comprehensive 

4 sex education; 

5 (E) convene national conferences on com6 prehensive sex education, in order to effectively 

7 train teachers in the provision of comprehensive 

8 sex education; and 

9 (F) develop and disseminate appropriate 

10 research-based materials to foster comprehen11 sive sex education. 

12 (3) SUBGRANTS.—Each eligible entity receiving 

13 a grant under this section may award subgrants to 

14 nonprofit organizations that possess a demonstrated 

15 record of providing comprehensive sex education, 

16 State educational agencies, or local educational 

17 agencies to enable such organizations or agencies 

18 to— 

19 (A) train teachers in comprehensive sex 

20 education; 

21 (B) support Internet or distance learning 

22 related to comprehensive sex education; 

23 (C) promote rigorous academic standards 

24 and assessment techniques to guide and measVerDate Sep 11 2014 06:23 Apr 03, 2015 Jkt 049200 PO 00000 Frm 00024 Fmt 6652 Sfmt 6201 E:\BILLS\H1706.IH H1706

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1 ure student performance in comprehensive sex 

2 education; 

3 (D) encourage replication of best practices 

4 and model programs to promote comprehensive 

5 sex education; 

6 (E) develop and disseminate effective, re7 search-based comprehensive sex education 

8 learning materials; 

9 (F) develop academic courses on the peda10 gogy of sex education at institutions of higher 

11 education; or 

12 (G) convene State-based conferences to 

13 train teachers in comprehensive sex education 

14 and to identify strategies for improvement. 

15 SEC. 6. REPORT TO CONGRESS. 

16 (a) IN GENERAL.—Not later than 1 year after the 

17 date of the enactment of this Act, and annually thereafter 

18 for a period of 5 years, the Secretary shall prepare and 

19 submit to the appropriate committees of Congress a report 

20 on the activities to provide adolescents and young people 

21 with comprehensive sex education funded under this Act. 

22 (b) REPORT ELEMENTS.—The report described in 

23 subsection (a) shall include— 

24 (1) a statement of whether the Secretary has 

25 met the purposes described in section 2(a); and 


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1 (2) information about— 

2 (A) the number of eligible entities and in3 stitutions of higher education that are receiving 

4 grant funds under sections 3 and 4 of this Act; 

5 (B) the specific activities supported by 

6 grant funds awarded under sections 3 and 4 of 

7 this Act; 

8 (C) the number of adolescents served by 

9 grant programs funded under section 3; 

10 (D) the number of young people served by 

11 grant programs funded under section 4; and 

12 (E) the status of program evaluations de13 scribed under sections 3 and 4 of this Act. 

14 SEC. 7. NONDISCRIMINATION. 

15 Programs funded under this Act shall not discrimi16 nate on the basis of actual or perceived sex, race, color, 

17 ethnicity, national origin, disability, sexual orientation, 

18 gender identity, or religion. Nothing in this Act shall be 

19 construed to invalidate or limit rights, remedies, proce20 dures, or legal standards available to victims of discrimi21 nation under any other Federal law or any law of a State 

22 or a political subdivision of a State, including title VI of 

23 the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.), 

24 title IX of the Education Amendments of 1972 (20 U.S.C. 

25 1681 et seq.), section 504 of the Rehabilitation Act of 


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1 1973 (29 U.S.C. 794), the Americans with Disabilities Act 

2 of 1990 (42 U.S.C. 12101 et seq.), and section 1557 of 

3 the Patient Protection and Affordable Care Act (42 

4 U.S.C. 18116). 

5 SEC. 8. LIMITATION. 

6 No Federal funds provided under this Act may be 

7 used for health education programs that— 

8 (1) deliberately withhold health promoting or 

9 life-saving information about sexuality-related topics, 

10 including HIV; 

11 (2) are medically inaccurate or have been sci12 entifically shown to be ineffective; 

13 (3) promote gender stereotypes; 

14 (4) are insensitive and unresponsive to the 

15 needs of sexually active youth or lesbian, gay, bisex16 ual, transgender, queer, and questioning (LGBTQ) 

17 youth; 

18 (5) are insensitive and unresponsive to the 

19 needs of survivors of sexual abuse or assault; or 

20 (6) are inconsistent with the ethical imperatives 

21 of medicine and public health. 

22 SEC. 9. AMENDMENTS TO OTHER LAWS. 

23 (a) AMENDMENT TO THE PUBLIC HEALTH SERVICE

24 ACT.—Section 2500 of the Public Health Service Act (42 


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1 U.S.C. 300ee) is amended by striking subsections (b) 

2 through (d) and inserting the following: 

3 ‘‘(b) CONTENTS OF PROGRAMS.—All programs of 

4 education and information receiving funds under this title 

5 shall include information about the harmful effects of in6 travenous substance abuse and unsafe sexual activity, and 

7 the benefits of abstaining from such activities.’’. 

8 (b) AMENDMENTS TO THE ELEMENTARY AND SEC9 ONDARY EDUCATION ACT OF 1965.—Section 9526(a) of 

10 the Elementary and Secondary Education Act of 1965 (20 

11 U.S.C. 7906(a)) is amended— 

12 (1) in paragraph (2), by inserting ‘‘or’’ after 

13 the semicolon; 

14 (2) in paragraph (3), by striking ‘‘; or’’ and in15 serting a period; and 

16 (3) by striking paragraph (4). 

17 SEC. 10. DEFINITIONS. 

18 In this Act: 

19 (1) ESEA DEFINITIONS.—The terms ‘‘elemen20 tary school’’, ‘‘local educational agency’’, ‘‘secondary 

21 school’’, and ‘‘State educational agency’’ have the 

22 meanings given the terms in section 9101 of the Ele23 mentary and Secondary Education Act of 1965 (20 

24 U.S.C. 7801). 


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1 (2) AGE AND DEVELOPMENTALLY APPRO2 PRIATE.—The term ‘‘age and developmentally appro3 priate’’ means suitable for a particular age or age 

4 group of children and adolescents, based on devel5 oping cognitive, emotional, and behavioral capacity 

6 typical for that age or age group. 

7 (3) ADOLESCENTS.—The term ‘‘adolescents’’ 

8 means individuals who are ages 10 through 19 at 

9 the time of commencement of participation in a pro10 gram supported under this Act. 

11 (4) CHARACTERISTICS OF EFFECTIVE PRO12 GRAMS.—The term ‘‘characteristics of effective pro13 grams’’ means the aspects of evidence-based pro14 grams, including development, content, and imple15 mentation of such programs, that— 

16 (A) have been shown to be effective in 

17 terms of increasing knowledge, clarifying values 

18 and attitudes, increasing skills, and impacting 

19 upon behavior; and 

20 (B) are widely recognized by leading med21 ical and public health agencies to be effective in 

22 changing sexual behaviors that lead to sexually 

23 transmitted infections, including HIV, unin24 tended pregnancy, and dating violence and sex25 ual assault among young people. 


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1 (5) COMPREHENSIVE SEX EDUCATION.—The 

2 term ‘‘comprehensive sex education’’ means a pro3 gram that— 

4 (A) includes age- and developmentally ap5 propriate, culturally and linguistically relevant 

6 information on a broad set of topics related to 

7 sexuality including human development, rela8 tionships, decisionmaking, communication, ab9 stinence, contraception, and disease and preg10 nancy prevention; 

11 (B) provides students with opportunities 

12 for developing skills as well as learning informa13 tion; 

14 (C) is inclusive of lesbian, gay, bisexual, 

15 transgender, and heterosexual young people; 

16 and 

17 (D) aims to— 

18 (i) provide scientifically accurate and 

19 realistic information about human sexu20 ality; 

21 (ii) provide opportunities for individ22 uals to understand their own, their fami23 lies’, and their communities’ values, atti24 tudes, and insights about sexuality; 


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1 (iii) help individuals develop healthy 

2 relationships and interpersonal skills; and 

3 (iv) help individuals exercise responsi4 bility regarding sexual relationships, which 

5 includes addressing abstinence, pressures 

6 to become prematurely involved in sexual 

7 intercourse, and the use of contraception 

8 and other sexual health measures. 

9 (6) EVIDENCE-BASED PROGRAM.—The term 

10 ‘‘evidence-based program’’ means a sex education 

11 program that has been proven through rigorous eval12 uation to be effective in changing sexual behavior or 

13 incorporates elements of other sex education pro14 grams that have been proven to be effective in 

15 changing sexual behavior. 

16 (7) INSTITUTION OF HIGHER EDUCATION.—The 

17 term ‘‘institution of higher education’’ has the 

18 meaning given the term in section 101 of the Higher 

19 Education Act of 1965 (20 U.S.C. 1001). 

20 (8) MEDICALLY ACCURATE AND COMPLETE.— 

21 The term ‘‘medically accurate and complete’’, when 

22 used with respect to a sex education program, means 

23 that— 

24 (A) the information provided through the 

25 program is verified or supported by the weight 


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1 of research conducted in compliance with ac2 cepted scientific methods and is published in 

3 peer-reviewed journals, where applicable; or 

4 (B)(i) the program contains information 

5 that leading professional organizations and 

6 agencies with relevant expertise in the field rec7 ognize as accurate, objective, and complete; and 

8 (ii) the program does not withhold infor9 mation about the effectiveness and benefits of 

10 correct and consistent use of condoms and 

11 other contraceptives. 

12 (9) SECRETARY.—The term ‘‘Secretary’’ means 

13 the Secretary of Health and Human Services. 

14 (10) YOUNG PEOPLE.—The term ‘‘young peo15 ple’’ means individuals who are ages 10 through 24 

16 at the time of commencement of participation in a 

17 program supported under this Act. 

18 SEC. 11. AUTHORIZATION OF APPROPRIATIONS. 

19 There are authorized to be appropriated to carry out 

20 this Act such sums as may be necessary. 

Æ 


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