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[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 1524 Introduced in Senate (IS)]

<DOC>

116th CONGRESS
  1st Session
                                S. 1524

   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 SENATE OF THE UNITED STATES

                              May 16, 2019

Mr. Booker (for himself, Ms. Hirono, Mr. Brown, Mr. Murphy, Ms. Smith, 
Mr. Menendez, Mr. Blumenthal, Ms. Warren, Ms. Baldwin, Mr. Markey, Ms. 
 Duckworth, and Mrs. Gillibrand) introduced the following bill; which 
  was read twice and referred to the Committee on Health, Education, 
                          Labor, and Pensions

_______________________________________________________________________

                                 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 
        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 requirements under section 3(f).

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 or local educational agency;
            (2) a State or local department of health;
            (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) an educational service agency;
            (5) a nonprofit institution of higher education;
            (6) 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
            (7) 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 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 sections 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 in each of the following age and 
                                developmentally appropriate areas--
                                            (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 instruction 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 Act, there is 
appropriated 75,000,000 for each 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 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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