I 

117TH CONGRESS 

1ST SESSION H. R. 3312 

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

the promotion and attainment of lifelong sexual health and healthy relationships, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 18, 2021 

Ms. LEE of California (for herself, Ms. ADAMS, Mr. SAN NICOLAS, Mr. 

LOWENTHAL, Mr. JOHNSON of Georgia, Ms. SPEIER, Ms. DELBENE, Ms. 

CLARKE of New York, Ms. SCHAKOWSKY, Ms. VELA ́ZQUEZ, Mrs. HAYES, 

Mr. CONNOLLY, Mr. TONKO, Mr. DEUTCH, Ms. SEWELL, Ms. BASS, Ms. 

NORTON, Mr. GALLEGO, Ms. BROWNLEY, Mr. BLUMENAUER, Ms. MOORE

of Wisconsin, Mr. LIEU, Mrs. FLETCHER, Mr. COHEN, Mr. GRIJALVA, 

Mr. LARSEN of Washington, Mr. MCNERNEY, Mr. YARMUTH, Mr. 

GARCI ́A of Illinois, Ms. DEGETTE, Ms. PRESSLEY, Mr. TRONE, Ms. 

BUSH, Ms. KUSTER, Mr. AUCHINCLOSS, Mr. WELCH, Mr. POCAN, Ms. 

JAYAPAL, Mr. BROWN, Mr. TAKANO, Ms. OMAR, Mr. ESPAILLAT, Ms. 

TITUS, Mr. PAYNE, Ms. ROSS, Mr. SMITH of Washington, Mr. DANNY

K. DAVIS of Illinois, and Ms. CHU) introduced the following bill; which 

was referred to the Committee on Education and Labor, and in addition 

to the Committee on Energy and Commerce, 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 and attainment of lifelong sexual health and healthy relationships, 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 and 

5 Access for Healthy Youth Act of 2021’’. 

6 SEC. 2. PURPOSE AND FINDINGS. 

7 (a) PURPOSE.—The purpose of this Act is to provide 

8 young people with sex education and sexual health services 

9 that— 

10 (1) promote and uphold the rights of young 

11 people to information and services that empower 

12 them to make decisions about their bodies, health, 

13 sexuality, families, and communities in all areas of 

14 life; 

15 (2) are evidence-informed, comprehensive in 

16 scope, confidential, equitable, accessible, medically 

17 accurate and complete, age and developmentally ap18 propriate, culturally responsive, and trauma-in19 formed and resilience-oriented; 

20 (3) provide information about the prevention, 

21 treatment, and care of pregnancy, sexually trans22 mitted infections, and interpersonal violence; 

23 (4) provide information about the importance of 

24 consent as a basis for healthy relationships and for 

25 autonomy in healthcare; 


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1 (5) provide information on gender roles and 

2 gender discrimination; 

3 (6) provide information on the historical and 

4 current condition in which education and health sys5 tems, policies, programs, services, and practices have 

6 uniquely and adversely impacted Black, Indigenous, 

7 Latinx, Asian, Asian American and Pacific Islander, 

8 and other People of Color; and 

9 (7) redress inequities in the delivery of sex edu10 cation and sexual health services to marginalized 

11 young people. 

12 (b) FINDINGS.—Congress finds the following: 

13 (1) Young people need and have the right to sex 

14 education and sexual health services that are evi15 dence-informed, comprehensive in scope, confiden16 tial, equitable, accessible, medically accurate and 

17 complete, age and developmentally appropriate, cul18 turally responsive, and trauma-informed and resil19 ience-oriented. 

20 (2) Currently, there is a gap between the sex 

21 education that young people should be receiving 

22 based on expert standards and the sex education 

23 many actually receive. 

24 (3) Only 29 States and the District of Colum25 bia mandate sex education in schools. 


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1 (4) When there is sex education or instruction 

2 regarding human immunodeficiency virus (HIV) or 

3 sexually transmitted infections (STI), 15 States do 

4 not require the content to be evidence-informed, 

5 medically accurate and complete, age and develop6 mentally appropriate, or culturally responsive. 

7 (5) Many sex education programs and sexual 

8 health services currently available were not designed 

9 to and do not currently meet the needs of 

10 marginalized young people. Some such programs and 

11 services actually harm marginalized young people. 

12 (6) For marginalized young people, a lack of 

13 comprehensive in scope, confidential, equitable, and 

14 accessible sex education and sexual health services is 

15 not unfamiliar, but rather a longstanding manifesta16 tion of white supremacy, which has touched every 

17 aspect of our history, culture, and institutions, in18 cluding the education and healthcare systems. 

19 (7) The development and delivery of sexual 

20 health education and services in the United States 

21 historically has been rooted in the oppression of 

22 Black, Indigenous, Latinx, Asian, Asian American 

23 and Pacific Islander, and other People of Color. 

24 (8) The United States has a long history of eu25 genics and forced sterilization. The sexual and reVerDate Sep 11 2014 05:13 Jul 01, 2021 Jkt 019200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H3312.IH H3312

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1 productive rights and bodily autonomy of specific 

2 communities deemed ‘‘undesirable’’ or ‘‘defective’’ 

3 were targeted by our governments resulting in state4 sanctioned violence and generations of trauma and 

5 oppression. These communities include— 

6 (A) people with low incomes; 

7 (B) immigrants; 

8 (C) people with disabilities; 

9 (D) people living with HIV; 

10 (E) survivors of interpersonal violence; 

11 (F) people who are incarcerated, detained, 

12 or who otherwise have encountered the crimi13 nal-legal system; 

14 (G) Black, Indigenous, and other People of 

15 Color; 

16 (H) people who are lesbian, gay, bisexual, 

17 transgender, and queer; and 

18 (I) young people who are pregnant and 

19 parenting. 

20 (9) Black young people are more likely to re21 ceive abstinence-only instruction. Research shows 

22 that abstinence-only instruction, also known as ‘‘sex23 ual risk avoidance’’ instruction, is ineffective in com24 parison to sex education. 


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1 (10) Black, Indigenous, and Latinx young peo2 ple are disproportionately more likely to be diag3 nosed with an STI, have an unintended pregnancy, 

4 or experience sexual assault. 

5 (11) The framework of Reproductive Justice ac6 knowledges and aims to address the legacy of white 

7 supremacy, systemic oppression, and the restrictions 

8 on sex education and sexual health services that dis9 proportionately impact marginalized communities. 

10 Reproductive Justice will be achieved when all people 

11 regardless of actual or perceived race, color, eth12 nicity, national origin, religion, immigration status, 

13 sex (including gender identity and sexual orienta14 tion), disability status, pregnancy or parenting sta15 tus, or age have the power to make decisions about 

16 their bodies, health, sexuality, families, and commu17 nities in all areas of life. 

18 (12) Increased resources are required for sex 

19 education and sexual health services to reach all 

20 young people, redress inequities and their impacts 

21 on marginalized young people, and achieve Repro22 ductive Justice for young people. 

23 (13) Such sex education and sexual health serv24 ices should— 


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1 (A) promote and uphold the rights of 

2 young people to information and services in 

3 order to make and exercise informed and re4 sponsible decisions about their sexual health; 

5 (B) be evidence-informed, comprehensive in 

6 scope, confidential, equitable, accessible, age 

7 and developmentally appropriate, culturally re8 sponsive, and trauma-informed and resilience9 oriented; 

10 (C) include instruction and materials that 

11 address— 

12 (i) puberty and adolescent develop13 ment; 

14 (ii) sexual and reproductive anatomy 

15 and physiology; 

16 (iii) sexual orientation, gender iden17 tity, and gender expression; 

18 (iv) contraception, pregnancy, and re19 production; 

20 (v) HIV and other STIs; 

21 (vi) consent and healthy relationships; 

22 and 

23 (vii) interpersonal violence; 


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1 (D) promote gender equity and be inclusive 

2 of young people with varying gender identities, 

3 gender expressions, and sexual orientations; 

4 (E) promote safe and healthy relationships; 

5 and 

6 (F) promote racial equity and be respon7 sive to the needs of young people who are 

8 Black, Indigenous, and other People of Color. 

9 SEC. 3. DEFINITIONS. 

10 In this Act: 

11 (1) AGE AND DEVELOPMENTALLY APPRO12 PRIATE.—The term ‘‘age and developmentally appro13 priate’’ means topics, messages, and teaching meth14 ods suitable to particular ages, age groups, or devel15 opmental levels, based on cognitive, emotional, so16 cial, and behavioral capacity of most young people at 

17 that age level. 

18 (2) CHARACTERISTICS OF EFFECTIVE PRO19 GRAMS.—The term ‘‘characteristics of effective pro20 grams’’ means the aspects of evidence-informed pro21 grams, including development, content, and imple22 mentation of such programs, that— 

23 (A) have been shown to be effective in 

24 terms of increasing knowledge, clarifying values 


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1 and attitudes, increasing skills, and impacting 

2 behavior; and 

3 (B) are widely recognized by leading med4 ical and public health agencies to be effective in 

5 changing sexual behaviors that lead to sexually 

6 transmitted infections, unintended pregnancy, 

7 and interpersonal violence among young people. 

8 (3) CONSENT.—The term ‘‘consent’’ means af9 firmative, conscious, and voluntary agreement to en10 gage in interpersonal, physical, or sexual activity. 

11 (4) CULTURALLY RESPONSIVE.—The term ‘‘cul12 turally responsive’’ means education and services 

13 that— 

14 (A) embrace and actively engage and ad15 just to young people and their various cultural 

16 identities; 

17 (B) recognize the ways in which many 

18 marginalized young people face unique barriers 

19 in our society that result in increased adverse 

20 health outcomes and associated stereotypes; and 

21 (C) may address the ways in which racism 

22 has shaped national health care policy, the last23 ing historical trauma associated with reproduc24 tive health experiments and forced sterilizations 

25 of Black, Latinx, and Indigenous communities, 


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1 or sexual stereotypes assigned to young People 

2 of Color or LGBTQ+ people. 

3 (5) EVIDENCE-INFORMED.—The term ‘‘evi4 dence-informed’’ means incorporates characteristics, 

5 content, or skills that have been proven to be effec6 tive through evaluation in changing sexual behavior. 

7 (6) GENDER EXPRESSION.—The term ‘‘gender 

8 expression’’ means the expression of one’s gender, 

9 such as through behavior, clothing, haircut, or voice, 

10 and which may or may not conform to socially de11 fined behaviors and characteristics typically associ12 ated with being either masculine or feminine. 

13 (7) GENDER IDENTITY.—The term ‘‘gender 

14 identity’’ means the gender-related identity, appear15 ance, mannerisms, or other gender-related character16 istics of an individual, regardless of the individual’s 

17 designated sex at birth. 

18 (8) INCLUSIVE.—The term ‘‘inclusive’’ means 

19 content and skills that ensure marginalized young 

20 people are valued, respected, centered, and sup21 ported in sex education instruction and materials. 

22 (9) INSTITUTION OF HIGHER EDUCATION.—The 

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

24 meaning given the term in section 101 of the Higher 

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


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1 (10) INTERPERSONAL VIOLENCE.—The term 

2 ‘‘interpersonal violence’’ means abuse, assault, bul3 lying, dating violence, domestic violence, harassment, 

4 intimate partner violence, or stalking. 

5 (11) MARGINALIZED YOUNG PEOPLE.—The 

6 term ‘‘marginalized young people’’ means young peo7 ple who are disadvantaged by underlying structural 

8 barriers and social inequities, including young people 

9 who are— 

10 (A) Black, Indigenous, and other People of 

11 Color; 

12 (B) immigrants; 

13 (C) in contact with the foster care system; 

14 (D) in contact with the juvenile justice sys15 tem; 

16 (E) experiencing homelessness; 

17 (F) pregnant or parenting; 

18 (G) lesbian, gay, bisexual, transgender, or 

19 queer; 

20 (H) living with HIV; 

21 (I) living with disabilities; 

22 (J) from families with low-incomes; or 

23 (K) living in rural areas. 


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1 (12) MEDICALLY ACCURATE AND COMPLETE.— 

2 The term ‘‘medically accurate and complete’’ means 

3 that— 

4 (A) the information provided through the 

5 education is verified or supported by the weight 

6 of research conducted in compliance with ac7 cepted scientific methods and is published in 

8 peer-reviewed journals, where applicable; or 

9 (B) the education contains information 

10 that leading professional organizations and 

11 agencies with relevant expertise in the field rec12 ognize as accurate, objective, and complete. 

13 (13) RESILIENCE.—The term ‘‘resilience’’ 

14 means the ability to adapt to trauma and tragedy. 

15 (14) SECRETARY.—The term ‘‘Secretary’’ 

16 means the Secretary of Health and Human Services. 

17 (15) SEX EDUCATION.—The term ‘‘sex edu18 cation’’ means high quality teaching and learning 

19 that— 

20 (A) is delivered, to the maximum extent 

21 practicable, following the National Sexuality 

22 Education Standards of the Future of Sex Ed 

23 Initiative; 

24 (B) is about a broad variety of topics re25 lated to sex and sexuality, including— 


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1 (i) puberty and adolescent develop2 ment; 

3 (ii) sexual and reproductive anatomy 

4 and physiology; 

5 (iii) sexual orientation, gender iden6 tity, and gender expression; 

7 (iv) contraception, pregnancy, and re8 production; 

9 (v) HIV and other STIs; 

10 (vi) consent and healthy relationships; 

11 and 

12 (vii) interpersonal violence; 

13 (C) explores values and beliefs about such 

14 topics; and 

15 (D) helps young people in gaining the 

16 skills that are needed to navigate relationships 

17 and manage one’s own sexual health. 

18 (16) SEXUAL DEVELOPMENT.—The term ‘‘sex19 ual development’’ means the lifelong process of phys20 ical, behavioral, cognitive, and emotional growth and 

21 change as it relates to an individual’s sexuality and 

22 sexual maturation, including puberty, identity devel23 opment, socio-cultural influences, and sexual behav24 iors. 


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1 (17) SEXUAL HEALTH SERVICES.—The term 

2 ‘‘sexual health services’’ includes— 

3 (A) sexual health information, education, 

4 and counseling; 

5 (B) all methods of contraception approved 

6 by the Food and Drug Administration; 

7 (C) routine gynecological care, including 

8 human papillomavirus (HPV) vaccines and can9 cer screenings; 

10 (D) pre-exposure prophylaxis or post-expo11 sure prophylaxis; 

12 (E) substance use and mental health serv13 ices; 

14 (F) interpersonal violence survivor services; 

15 and 

16 (G) other prevention, care, or treatment 

17 services. 

18 (18) SEXUAL ORIENTATION.—The term ‘‘sexual 

19 orientation’’ means an individual’s romantic, emo20 tional, or sexual attraction to other people. 

21 (19) TRAUMA.—The term ‘‘trauma’’ means a 

22 response to an event, series of events, or set of cir23 cumstances that is experienced or witnessed by an 

24 individual or group of people as physically or emo25 tionally harmful or life-threatening with lasting adVerDate Sep 11 2014 05:13 Jul 01, 2021 Jkt 019200 PO 00000 Frm 00014 Fmt 6652 Sfmt 6201 E:\BILLS\H3312.IH H3312

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1 verse effects on their functioning and mental, phys2 ical, social, emotional, or spiritual well-being. 

3 (20) TRAUMA-INFORMED AND RESILIENCE-ORI4 ENTED.—The term ‘‘trauma-informed and resil5 ience-oriented’’ means an approach that realizes the 

6 prevalence of trauma, recognizes the various ways 

7 individuals, organizations, and communities may re8 spond to trauma differently, recognizes that resil9 ience can be built, and responds by putting this 

10 knowledge into practice. 

11 (21) YOUNG PEOPLE.—The term ‘‘young peo12 ple’’ means individuals who are ages 10 through 29 

13 at the time of commencement of participation in a 

14 project supported under this Act. 

15 (22) YOUTH-FRIENDLY SEXUAL HEALTH SERV16 ICES.—The term ‘‘youth-friendly sexual health serv17 ices’’ means sexual health services that are provided 

18 in a confidential, equitable, and accessible manner 

19 that makes it easy and comfortable for young people 

20 to seek out and receive services. 

21 SEC. 4. GRANTS FOR SEX EDUCATION AT ELEMENTARY 

22 AND SECONDARY SCHOOLS AND YOUTH23 SERVING ORGANIZATIONS. 

24 (a) PROGRAM AUTHORIZED.—The Secretary, in co25 ordination with the Secretary of Education, shall award 


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1 grants, on a competitive basis, to eligible entities to enable 

2 such eligible entities to carry out projects that provide 

3 young people with sex education. 

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

5 shall be for a period of 5 years. 

6 (c) ELIGIBLE ENTITY.—In this section, the term ‘‘el7 igible entity’’ means a public or private entity that delivers 

8 health education to young people. 

9 (d) APPLICATIONS.—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) PRIORITY.—In awarding grants under this sec14 tion, the Secretary shall give priority to eligible entities 

15 that are— 

16 (1) State educational agencies or local edu17 cational agencies; or 

18 (2) Indian Tribes or Tribal organizations, as 

19 defined in section 4 of the Indian Self-Determination 

20 and Education Assistance Act (25 U.S.C. 5304). 

21 (f) USE OF FUNDS.—Each eligible entity that re22 ceives a grant under this section shall use the grant funds 

23 to carry out a project that provides young people with sex 

24 education. 


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1 SEC. 5. GRANTS FOR SEX EDUCATION AT INSTITUTIONS OF 

2 HIGHER EDUCATION. 

3 (a) PROGRAM AUTHORIZED.—The Secretary, in co4 ordination with the Secretary of Education, shall award 

5 grants, on a competitive basis, to institutions of higher 

6 education or consortia of such institutions to enable such 

7 institutions to provide students with age and develop8 mentally appropriate sex education. 

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

10 shall be for a period of 5 years. 

11 (c) APPLICATIONS.—An institution of higher edu12 cation or consortium of such institutions desiring a grant 

13 under this section shall submit an application to the Sec14 retary at such time, in such manner, and containing such 

15 information as the Secretary may require. 

16 (d) PRIORITY.—In awarding grants under this sec17 tion, the Secretary shall give priority to an institution of 

18 higher education that— 

19 (1) has an enrollment of needy students, as de20 fined in section 318(b) of the Higher Education Act 

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

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

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

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

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


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

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

3 1059d(b)); 

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

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

6 1059d(b)); 

7 (6) is a Predominantly Black Institution, as de8 fined in section 318(b) of such Act (20 U.S.C. 

9 1059e(b)); 

10 (7) is a Native American-serving, nontribal in11 stitution, as defined in section 319(b) of such Act 

12 (20 U.S.C. 1059f(b)); 

13 (8) is an Asian American and Native American 

14 Pacific Islander-serving institution, as defined in 

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

16 (9) is a minority institution, as defined in sec17 tion 365 of such Act (20 U.S.C. 1067k), with an en18 rollment of needy students, as defined in section 312 

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

20 (e) USES OF FUNDS.—An institution of higher edu21 cation or consortium of such institutions receiving a grant 

22 under this section shall use grant funds to develop and 

23 implement a project to integrate sex education into the 

24 institution of higher education in order to reach a large 


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1 number of students, by carrying out 1 or more of the fol2 lowing activities: 

3 (1) Adopting and incorporating age and devel4 opmentally appropriate sex education into student 

5 orientation, general education, or courses. 

6 (2) Developing or adopting and implementing 

7 educational programming outside of class that deliv8 ers age and developmentally appropriate sex edu9 cation to students. 

10 (3) Developing or adopting and implementing 

11 innovative technology-based approaches to deliver 

12 age and developmentally appropriate sex education 

13 to students. 

14 (4) Developing or adopting and implementing 

15 peer-led activities to generate discussion, educate, 

16 and raise awareness among students about age and 

17 developmentally appropriate sex education. 

18 (5) Developing or adopting and implementing 

19 policies and practices to link students to sexual 

20 health services. 

21 SEC. 6. GRANTS FOR EDUCATOR TRAINING. 

22 (a) PROGRAM AUTHORIZED.—The Secretary, in co23 ordination with the Secretary of Education, shall award 

24 grants, on a competitive basis, to eligible entities to enable 


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1 such eligible entities to carry out the activities described 

2 in subsection (e). 

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

4 shall be for a period of 5 years. 

5 (c) ELIGIBLE ENTITY.—In this section, the term ‘‘el6 igible entity’’ means— 

7 (1) a State educational agency or local edu8 cational agency; 

9 (2) an Indian Tribe or Tribal organization, as 

10 defined in section 4 of the Indian Self-Determination 

11 and Education Assistance Act (25 U.S.C. 5304); 

12 (3) a State or local department of health; 

13 (4) an educational service agency; 

14 (5) a nonprofit institution of higher education 

15 or a consortium of such institutions; or 

16 (6) a national or statewide nonprofit organiza17 tion or consortium of nonprofit organizations that 

18 has as its primary purpose the improvement of pro19 vision of sex education through training and effec20 tive teaching of sex education. 

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

22 grant under this section shall submit an application to the 

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

24 such information as the Secretary may require. 

25 (e) AUTHORIZED ACTIVITIES.— 


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1 (1) REQUIRED ACTIVITY.—Each eligible entity 

2 receiving a grant under this section shall use grant 

3 funds for professional development and training of 

4 relevant teachers, health educators, faculty, adminis5 trators, and staff, in order to increase effective 

6 teaching of sex education to young people. 

7 (2) PERMISSIBLE ACTIVITIES.—Each eligible 

8 entity receiving a grant under this section may use 

9 grant funds to— 

10 (A) provide training and support for edu11 cators about the content, skills, and profes12 sional disposition needed to implement sex edu13 cation effectively; 

14 (B) develop and provide training and sup15 port to educators on incorporating anti-racist 

16 and gender inclusive policies and practices in 

17 sex education; 

18 (C) support the dissemination of informa19 tion on effective practices and research findings 

20 concerning the teaching of sex education; 

21 (D) support research on— 

22 (i) effective sex education teaching 

23 practices; and 

24 (ii) the development of assessment in25 struments and strategies to document— 


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1 (I) young people’s understanding 

2 of sex education; and 

3 (II) the effects of sex education; 

4 (E) convene conferences on sex education, 

5 in order to effectively train educators in the 

6 provision of sex education; and 

7 (F) develop and disseminate appropriate 

8 research-based materials to foster sex edu9 cation. 

10 (3) SUBGRANTS.—Each eligible entity receiving 

11 a grant under this section may award subgrants to 

12 nonprofit organizations that possess a demonstrated 

13 record of providing training to teachers, health edu14 cators, faculty, administrators, and staff on sex edu15 cation to— 

16 (A) train educators in sex education; 

17 (B) support internet or distance learning 

18 related to sex education; 

19 (C) promote rigorous academic standards 

20 and assessment techniques to guide and meas21 ure student performance in sex education; 

22 (D) encourage replication of best practices 

23 and model programs to promote sex education; 


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1 (E) develop and disseminate effective, re2 search-based sex education learning materials; 

3 or 

4 (F) develop academic courses on the peda5 gogy of sex education at institutions of higher 

6 education. 

7 SEC. 7. AUTHORIZATION OF GRANTS TO SUPPORT THE DE8 LIVERY OF SEXUAL HEALTH SERVICES TO 

9 MARGINALIZED YOUNG PEOPLE. 

10 (a) PROGRAM AUTHORIZED.—The Secretary shall 

11 award grants, on a competitive basis, to eligible entities 

12 to enable such entities to provide youth-friendly sexual 

13 health services to marginalized young people. 

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

15 shall be for a period of 5 years. 

16 (c) ELIGIBLE ENTITY.—In this section, the term ‘‘el17 igible entity’’ means— 

18 (1) a public or private youth-serving organiza19 tion; or 

20 (2) a covered entity, as defined in section 340B 

21 of the Public Health Service Act (42 U.S.C. 256b). 

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

23 grant under this section shall submit an application to the 

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

25 such information as the Secretary may require. 


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1 (e) USES OF FUNDS.—Each eligible entity that re2 ceives a grant under this section may use the grant funds 

3 to— 

4 (1) develop and implement an evidence-in5 formed project to deliver sexual health services to 

6 marginalized young people; 

7 (2) establish, alter, or modify staff positions, 

8 service delivery policies and practices, service deliv9 ery locations, service delivery environments, service 

10 delivery schedules, or other services components in 

11 order to increase youth-friendly sexual health serv12 ices to marginalized young people; 

13 (3) conduct outreach to marginalized young 

14 people to invite them to participate in the eligible 

15 entity’s sexual health services and to provide feed16 back to inform improvements in the delivery of such 

17 services; 

18 (4) establish and refine systems of referral to 

19 connect marginalized young people to other sexual 

20 health services and supportive services; 

21 (5) establish partnerships and collaborations 

22 with entities providing services to marginalized 

23 young people to link such young people to sexual 

24 health services, such as by delivering health services 

25 at locations where they congregate, providing transVerDate Sep 11 2014 05:13 Jul 01, 2021 Jkt 019200 PO 00000 Frm 00024 Fmt 6652 Sfmt 6201 E:\BILLS\H3312.IH H3312

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1 portation to locations where sexual health services 

2 are provided, or other linkages to services ap3 proaches; 

4 (6) provide evidence-informed, comprehensive in 

5 scope, confidential, equitable, accessible, medically 

6 accurate and complete, age and developmentally ap7 propriate, culturally responsive, and trauma-in8 formed and resilience-oriented sexual health infor9 mation to marginalized young people in the lan10 guages and cultural contexts that are most appro11 priate for the marginalized young people to be 

12 served by the eligible entity; 

13 (7) promote effective communication regarding 

14 sexual health among marginalized young people; and 

15 (8) provide training and support for eligible en16 tity personnel and community members who work 

17 with marginalized young people about the content, 

18 skills, and professional disposition needed to provide 

19 youth-friendly sex education and youth-friendly sex20 ual health services. 

21 SEC. 8. REPORTING AND IMPACT EVALUATION. 

22 (a) GRANTEE REPORT TO SECRETARY.—For each 

23 year an eligible entity receives grant funds under section 

24 4, 5, 6, or 7, the eligible entity shall submit to the Sec25 retary a report that includes— 


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1 (1) the use of grant funds by the eligible entity; 

2 (2) how the use of grant funds has increased 

3 the access of young people to sex education or sexual 

4 health services; and 

5 (3) such other information as the Secretary 

6 may require. 

7 (b) SECRETARY’S REPORT TO CONGRESS.—Not later 

8 than 1 year after the date of the enactment of this Act, 

9 and annually thereafter for a period of 5 years, the Sec10 retary shall prepare and submit to Congress a report on 

11 the activities funded under this Act. The Secretary’s re12 port to Congress shall include— 

13 (1) a statement of how grants awarded by the 

14 Secretary meet the purposes described in section 

15 2(a); and 

16 (2) information about— 

17 (A) the number of eligible entities that are 

18 receiving grant funds under sections 4, 5, 6, 

19 and 7; 

20 (B) the specific activities supported by 

21 grant funds awarded under sections 4, 5, 6, and 

22 7; 

23 (C) the number of young people served by 

24 projects funded under sections 4, 5, and 7, in 

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1 ulated by grant program, race and ethnicity, 

2 sex, sexual orientation, gender identity, and 

3 other characteristics determined by the Sec4 retary (except that such disaggregation or 

5 cross-tabulation shall not be required in a case 

6 in which the results would reveal personally 

7 identifiable information about an individual 

8 young person); 

9 (D) the number of teachers, health edu10 cators, faculty, school administrators, and staff 

11 trained under section 6; and 

12 (E) the status of the evaluation required 

13 under subsection (c). 

14 (c) MULTI-YEAR EVALUATION.— 

15 (1) IN GENERAL.—Not later than 6 months 

16 after the date of the enactment of this Act, the Sec17 retary shall enter into a contract with a nonprofit 

18 organization with experience in conducting impact 

19 evaluations to conduct a multi-year evaluation on the 

20 impact of the projects funded under sections 4, 5, 6, 

21 and 7 and to report to Congress and the Secretary 

22 on the findings of such evaluation. 

23 (2) EVALUATION.—The evaluation conducted 

24 under this subsection shall— 


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1 (A) be conducted in a manner consistent 

2 with relevant, nationally recognized professional 

3 and technical evaluation standards; 

4 (B) use sound statistical methods and 

5 techniques relating to the behavioral sciences, 

6 including quasi-experimental designs, inferential 

7 statistics, and other methodologies and tech8 niques that allow for conclusions to be reached; 

9 (C) be carried out by an independent orga10 nization that has not received a grant under 

11 section 4, 5, 6, or 7; and 

12 (D) be designed to provide information on 

13 output measures and outcome measures to be 

14 determined by the Secretary. 

15 (3) REPORT.—Not later than 6 years after the 

16 date of enactment of this Act, the organization con17 ducting the evaluation under this subsection shall 

18 prepare and submit to the appropriate committees of 

19 Congress and the Secretary an evaluation report. 

20 Such report shall be made publicly available, includ21 ing on the website of the Department of Health and 

22 Human Services. 

23 SEC. 9. NONDISCRIMINATION. 

24 Activities funded under this Act shall not discrimi25 nate on the basis of actual or perceived sex (including sexVerDate Sep 11 2014 05:13 Jul 01, 2021 Jkt 019200 PO 00000 Frm 00028 Fmt 6652 Sfmt 6201 E:\BILLS\H3312.IH H3312

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1 ual orientation and gender identity), age, parental status, 

2 race, color, ethnicity, national origin, disability, or reli3 gion. Nothing in this Act shall be construed to invalidate 

4 or limit rights, remedies, procedures, or legal standards 

5 available under any other Federal law or any law of a 

6 State or a political subdivision of a State, including the 

7 Civil Rights Act of 1964 (42 U.S.C. 2000a et seq.), title 

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

9 1681 et seq.), section 504 of the Rehabilitation Act of 

10 1973 (29 U.S.C. 794), the Americans with Disabilities Act 

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

12 the Patient Protection and Affordable Care Act (42 

13 U.S.C. 18116). 

14 SEC. 10. LIMITATION. 

15 No Federal funds provided under this Act may be 

16 used for sex education or sexual health services that— 

17 (1) withhold health-promoting or life-saving in18 formation about sexuality-related topics, including 

19 HIV; 

20 (2) are medically inaccurate or incomplete; 

21 (3) promote gender or racial stereotypes or are 

22 unresponsive to gender or racial inequities; 

23 (4) fail to address the needs of sexually active 

24 young people; 


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1 (5) fail to address the needs of pregnant or par2 enting young people; 

3 (6) fail to address the needs of survivors of 

4 interpersonal violence; 

5 (7) fail to address the needs of young people of 

6 all physical, developmental, or mental abilities; 

7 (8) fail to be inclusive of individuals with vary8 ing gender identities, gender expressions, and sexual 

9 orientations; or 

10 (9) are inconsistent with the ethical imperatives 

11 of medicine and public health. 

12 SEC. 11. AMENDMENTS TO OTHER LAWS. 

13 (a) AMENDMENT TO THE PUBLIC HEALTH SERVICE

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

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

16 through (d) and inserting the following: 

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

18 education and information receiving funds under this sub19 chapter shall include information about the potential ef20 fects of intravenous substance use.’’. 

21 (b) AMENDMENTS TO THE ELEMENTARY AND SEC22 ONDARY EDUCATION ACT OF 1965.—Section 8526 of the 

23 Elementary and Secondary Education Act of 1965 (20 

24 U.S.C. 7906) is amended— 

25 (1) by striking paragraphs (3), (5), and (6); 


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

2 the semicolon; 

3 (3) by redesignating paragraph (4) as para4 graph (3); and 

5 (4) in paragraph (3), as redesignated by para6 graph (3), by striking the semicolon and inserting a 

7 period. 

8 SEC. 12. FUNDING. 

9 (a) AUTHORIZATION.—For the purpose of carrying 

10 out this Act, there is authorized to be appropriated 

11 $100,000,000 for each of fiscal years 2022 through 2027. 

12 Amounts appropriated under this subsection shall remain 

13 available until expended. 

14 (b) RESERVATIONS OF FUNDS.— 

15 (1) IN GENERAL.—The Secretary— 

16 (A) shall reserve not more than 30 percent 

17 of the amount authorized under subsection (a) 

18 for the purposes of awarding grants for sex 

19 education at elementary and secondary schools 

20 and youth-serving organizations under section 

21 4; 

22 (B) shall reserve not more than 10 percent 

23 of the amount authorized under subsection (a) 

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1 cation at institutions of higher education under 

2 section 5; 

3 (C) shall reserve not more than 15 percent 

4 of the amount authorized under subsection (a) 

5 for the purpose of awarding grants for educator 

6 training under section 6; 

7 (D) shall reserve not more than 30 percent 

8 of the amount authorized under subsection (a) 

9 for the purpose of awarding grants for sexual 

10 health services for marginalized youth under 

11 section 7; and 

12 (E) shall reserve not less than 5 percent of 

13 the amount authorized under subsection (a) for 

14 the purpose of carrying out the reporting and 

15 impact evaluation required under section 8. 

16 (2) RESEARCH, TRAINING AND TECHNICAL AS17 SISTANCE.—The Secretary shall reserve not less 

18 than 10 percent of the amount authorized under 

19 subsection (a) for expenditures by the Secretary to 

20 provide, directly or through a competitive grant 

21 process, research, training, and technical assistance, 

22 including dissemination of research and information 

23 regarding effective and promising practices, pro24 viding consultation and resources, and developing re25 sources and materials to support the activities of reVerDate Sep 11 2014 05:13 Jul 01, 2021 Jkt 019200 PO 00000 Frm 00032 Fmt 6652 Sfmt 6201 E:\BILLS\H3312.IH H3312

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1 cipients of grants. In carrying out such functions, 

2 the Secretary shall collaborate with a variety of enti3 ties that have expertise in sex education and sexual 

4 health services standards setting, design, develop5 ment, delivery, research, monitoring, and evaluation. 

6 (c) REPROGRAMMING OF ABSTINENCE ONLY UNTIL

7 MARRIAGE PROGRAM FUNDING.—The unobligated bal8 ance of funds made available to carry out section 510 of 

9 the Social Security Act (42 U.S.C. 710) (as in effect on 

10 the day before the date of enactment of this Act) are here11 by transferred and shall be used by the Secretary to carry 

12 out this Act. The amounts transferred and made available 

13 to carry out this Act shall remain available until expended. 

14 (d) REPEAL OF ABSTINENCE ONLY UNTIL MAR15 RIAGE PROGRAM.—Section 510 of the Social Security Act 

16 (42 U.S.C. 710 et seq.) is repealed. 

Æ 


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