I 
113TH CONGRESS 
1ST SESSION 
H. R. 725 
To provide for the reduction of unintended pregnancy and sexually trans-
mitted infections, including HIV, and the promotion of healthy relation-
ships, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 14, 2013 
Ms. LEE of California (for herself, Ms. MOORE, Ms. PINGREE of Maine, Mr. 
MCDERMOTT, Mrs. DAVIS of California, Mr. CLAY, Ms. NORTON, Ms. 
DEGETTE, Ms. SLAUGHTER, Mr. MORAN, Ms. WASSERMAN SCHULTZ, 
Ms. ROYBAL-ALLARD, Mr. GRIJALVA, Ms. BONAMICI, Ms. CLARKE, Ms. 
SPEIER, Mr. DEUTCH, Mr. BLUMENAUER, Ms. LOFGREN, Mr. LEWIS, 
Ms. CHU, Mr. RANGEL, Ms. MCCOLLUM, Mr. HONDA, Mr. NADLER, Mr. 
CONYERS, Mr. HOLT, Ms. WATERS, Mr. HASTINGS of Florida, Ms. SCHA-
KOWSKY, Mr. LARSEN of Washington, Mrs. CHRISTENSEN, and Mr. 
SIRES) introduced the following bill; which was referred to the Committee 
on Energy and Commerce, and in addition to the Committee on Edu-
cation and the Workforce, for a period to be subsequently determined by 
the Speaker, in each case for consideration of such provisions as fall with-
in the jurisdiction of the committee concerned 
A BILL 
To provide for the reduction of unintended pregnancy and 
sexually transmitted infections, including HIV, and the 
promotion of healthy relationships, and for other pur-
poses. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Real Education for 
Healthy Youth Act of 2013’’. 
SEC. 2. PURPOSES; SENSE OF CONGRESS. 
(a) PURPOSES.—The purposes of this Act are— 
(1) to provide young people with comprehensive 
sex education that— 
(A) provides the information and skills 
young people need to make informed, respon-
sible, and healthy decisions in order to become 
sexually healthy adults and have healthy rela-
tionships; 
(B) provides information about the preven-
tion of unintended pregnancy, sexually trans-
mitted infections, including HIV, sexual assault, 
dating violence, bullying, and harassment; and 
(C) promotes and upholds the rights of 
young people to information in order to make 
healthy and responsible decisions about their 
sexual health; and 
(2) in order to provide the comprehensive sex 
education described in paragraph (1), to provide in-
creased resources for sex education programs that— 
(A) are evidence-based, having been proven 
through rigorous evaluation to change sexual 
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behavior or incorporate characteristics of effec-
tive programs; 
(B) cover a broad range of topics, includ-
ing medically accurate, complete, age and devel-
opmentally appropriate information about all 
the aspects of sex needed for a complete sex 
education program, including— 
(i) anatomy and physiology; 
(ii) growth and development; 
(iii) healthy relationships; 
(iv) the prevention of unintended 
pregnancy and sexually transmitted infec-
tions, including HIV, through abstinence 
and contraception; 
(v) gender, gender identity, and sexual 
orientation; and 
(vi) protection from dating violence, 
sexual assault, bullying, and harassment; 
(C) are gender- and gender identity-sen-
sitive, emphasizing the importance of equality 
and the social environment for achieving sexual 
and reproductive health and overall well-being; 
(D) promote educational achievement, crit-
ical thinking, decisionmaking, self-esteem, and 
self-efficacy; 
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(E) help develop healthy attitudes and in-
sights necessary for understanding relationships 
between oneself and others and society; 
(F) foster leadership skills and community 
engagement by— 
(i) promoting principles of fairness, 
human dignity, and respect; and 
(ii) engaging young people as partners 
in their communities; and 
(G) are culturally and linguistically appro-
priate, reflecting the diverse circumstances and 
realities of young people. 
(b) SENSE OF CONGRESS.—It is the sense of Con-
gress that— 
(1) federally funded sex education programs 
should aim to— 
(A) reduce unintended pregnancy and sex-
ually transmitted infections, including HIV; 
(B) promote safe and healthy relation-
ships; 
(C) use, and be informed by, the best sci-
entific information available; 
(D) be built on characteristics of effective 
programs; 
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(E) expand the existing body of evidence 
on comprehensive sex education programs 
through program evaluation; 
(F) expand training programs for teachers 
of comprehensive sex education; 
(G) build on the personal responsibility 
education programs funded under section 513 
of the Social Security Act (42 U.S.C. 713) and 
the President’s Teen Pregnancy Prevention pro-
gram, funded under title II of the Consolidated 
Appropriations Act, 2010 (Public Law 111– 
117; 123 Stat. 3253); and 
(H) promote and uphold the rights of 
young people to information in order to make 
healthy and responsible decisions about their 
sexual health; and 
(2) no Federal funds should be used for health 
education programs that— 
(A) deliberately withhold life-saving infor-
mation about HIV; 
(B) are medically inaccurate or have been 
scientifically shown to be ineffective; 
(C) promote gender stereotypes; 
(D) are insensitive and unresponsive to the 
needs of sexually active adolescents; 
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(E) are insensitive and unresponsive to the 
needs of lesbian, gay, bisexual, or transgender 
youth; or 
(F) are inconsistent with the ethical im-
peratives of medicine and public health. 
SEC. 3. GRANTS FOR COMPREHENSIVE SEX EDUCATION 
FOR ADOLESCENTS. 
(a) PROGRAM AUTHORIZED.—The Secretary, in co-
ordination with the Director of the Office of Adolescent 
Health, shall award grants, on a competitive basis, to eligi-
ble entities to enable such eligible entities to carry out pro-
grams 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 ‘‘el-
igible entity’’ means a public or private entity that focuses 
on adolescent health or education or has experience work-
ing with adolescents, which may include— 
(1) a State educational agency; 
(2) a local educational agency; 
(3) a tribe or tribal organization, as defined in 
section 4 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 450b); 
(4) a State or local department of health; 
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(5) a State or local department of education; 
(6) a nonprofit organization; 
(7) a nonprofit or public institution of higher 
education; or 
(8) a hospital. 
(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 
the evaluation plan described in subsection (g)(1). 
(e) PRIORITY.—In awarding grants under this sec-
tion, the Secretary shall give priority to eligible entities 
that— 
(1) are State or local public entities, with an 
additional priority for State or local educational 
agencies; and 
(2) address health disparities among young peo-
ple that are at highest risk for not less than 1 of 
the following: 
(A) Unintended pregnancies. 
(B) Sexually transmitted infections, includ-
ing HIV. 
(C) Dating violence and sexual assault. 
(f) USE OF FUNDS.— 
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(1) IN GENERAL.—Each eligible entity that re-
ceives a grant under this section shall use grant 
funds to carry out a program that provides adoles-
cents with comprehensive sex education that— 
(A) replicates evidence-based sex education 
programs; 
(B) substantially incorporates elements of 
evidence-based sex education programs; or 
(C) creates a demonstration project based 
on generally accepted characteristics of effective 
sex education programs. 
(2) CONTENTS
OF
SEX
EDUCATION
PRO-
GRAMS.—The sex education programs funded under 
this section shall include curricula and program ma-
terials that address— 
(A) abstinence and delaying sexual initi-
ation; 
(B) the health benefits and side effects of 
all contraceptive and barrier methods as a 
means to prevent pregnancy and sexually trans-
mitted infections, including HIV; 
(C) healthy relationships, including the de-
velopment of healthy attitudes and skills nec-
essary for understanding— 
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(i) healthy relationships between one-
self and family, others, and society; and 
(ii) the prevention of sexual abuse, 
teen dating violence, bullying, harassment, 
and suicide; 
(D) healthy life skills including goal-set-
ting, decisionmaking, interpersonal skills (such 
as communication, assertiveness, and peer re-
fusal skills), critical thinking, self-esteem and 
self-efficacy, and stress management; 
(E) how to make responsible decisions 
about sex and sexuality, including— 
(i) how to avoid, and how to avoid 
making, unwanted verbal, physical, and 
sexual advances; and 
(ii) how alcohol and drug use can af-
fect responsible decisionmaking; 
(F) the development of healthy attitudes 
and values about such topics as adolescent 
growth and development, body image, gender 
roles and gender identity, racial and ethnic di-
versity, and sexual orientation; and 
(G) referral services for local health clinics 
and services where adolescents can obtain addi-
tional information and services related to sexual 
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and reproductive health, dating violence and 
sexual assault, and suicide prevention. 
(g) EVALUATION; REPORT.— 
(1) INDEPENDENT EVALUATION.—Each eligible 
entity applying for a grant under this section shall 
develop and submit to the Secretary a plan for a rig-
orous independent evaluation of such grant program. 
The plan shall describe an independent evaluation 
that— 
(A) uses sound statistical methods and 
techniques relating to the behavioral sciences, 
including random assignment methodologies, 
whenever possible; 
(B) uses quantitative data for assessments 
and impact evaluations, whenever possible; and 
(C) is carried out by an entity independent 
from such eligible entity. 
(2) SELECTION
OF
EVALUATED
PROGRAMS; 
BUDGET.— 
(A) SELECTION
OF
EVALUATED
PRO-
GRAMS.—The Secretary shall select, at random, 
a subset of the eligible entities that the Sec-
retary has selected to receive a grant under this 
section to receive additional funding to carry 
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out the evaluation plan described in paragraph 
(1). 
(B) BUDGET
FOR
EVALUATION
ACTIVI-
TIES.—The Secretary, in coordination with the 
Director of the Office of Adolescent Health, 
shall establish a budget for each eligible entity 
selected under subparagraph (A) for the costs 
of carrying out the evaluation plan described in 
paragraph (1). 
(3) FUNDS FOR EVALUATION.—The Secretary 
shall provide eligible entities who are selected under 
paragraph (2)(A) with additional funds, in accord-
ance with the budget described in paragraph (2)(B), 
to carry out and report to the Secretary on the eval-
uation plan described in paragraph (1). 
(4) PERFORMANCE MEASURES.—The Secretary, 
in coordination with the Director of the Centers for 
Disease Control and Prevention, shall establish a 
common set of performance measures to assess the 
implementation and impact of grant programs fund-
ed under this section. Such performance measures 
shall include— 
(A) output measures, such as the number 
of individuals served and the number of hours 
of service delivery; 
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(B) outcome measures, including measures 
relating to— 
(i) the knowledge that youth partici-
pating in the grant program have gained 
about— 
(I) adolescent growth and devel-
opment; 
(II) relationship dynamics; 
(III) ways to prevent unintended 
pregnancy and sexually transmitted 
infections, including HIV; and 
(IV) sexual health; 
(ii) the skills that adolescents partici-
pating in the grant program have gained 
regarding— 
(I) negotiation and communica-
tion; 
(II) decisionmaking and goal-set-
ting; 
(III) 
interpersonal 
skills 
and 
healthy relationships; and 
(IV) condom use; and 
(iii) the behaviors of adolescents par-
ticipating in the grant program, including 
data about— 
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(I) age of first intercourse; 
(II) number of sexual partners; 
(III) condom and contraceptive 
use at first intercourse; 
(IV) recent condom and contra-
ceptive use; and 
(V) dating abuse and lifetime his-
tory of domestic violence, sexual as-
sault, dating violence, bullying, har-
assment, and stalking. 
(5) REPORT TO THE SECRETARY.—Eligible en-
tities receiving a grant under this section who have 
been selected to receive funds to carry out the eval-
uation plan described in paragraph (1), in accord-
ance with paragraph (2)(A), shall collect and report 
to the Secretary— 
(A) the results of the independent evalua-
tion described in paragraph (1); and 
(B) information about the performance 
measures described in paragraph (2). 
(6) EFFECTIVE PROGRAMS.—The Secretary, in 
coordination with the Director of the Centers for 
Disease Control and Prevention, shall publish on the 
website of the Centers for Disease Control and Pre-
vention, a list of programs funded under this section 
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that the Secretary has determined to be effective 
programs. 
SEC. 4. GRANTS FOR COMPREHENSIVE SEX EDUCATION AT 
INSTITUTIONS OF HIGHER EDUCATION. 
(a) PROGRAM AUTHORIZED.—The Secretary, in co-
ordination with the Office of Adolescent Health and the 
Secretary of Education, shall award grants, on a competi-
tive basis, to institutions of higher education to enable 
such institutions to provide young people with comprehen-
sive sex education, described in subsection (e)(2), with an 
emphasis on reducing HIV, other sexually transmitted in-
fections, and unintended pregnancy through instruction 
about— 
(1) abstinence and contraception; 
(2) reducing dating violence, sexual assault, 
bullying, and harassment; 
(3) increasing healthy relationships; and 
(4) academic achievement. 
(b) DURATION.—Grants awarded under this section 
shall be for a period of 5 years. 
(c) APPLICATIONS.—An institution of higher edu-
cation 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 re-
quire. 
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(9) is a minority institution, as defined in sec-
tion 365 of such Act (20 U.S.C. 1067k), with an en-
rollment 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 edu-
cation receiving a grant under this section may use 
grant funds to integrate issues relating to com-
prehensive sex education into the academic or sup-
port sectors of the institution of higher education in 
order to reach a large number of students, by car-
rying out 1 or more of the following activities: 
(A) Developing educational content for 
issues relating to comprehensive sex education 
that will be incorporated into first-year orienta-
tion or core courses. 
(B) Developing and employing schoolwide 
educational programming outside of class that 
delivers elements of comprehensive sex edu-
cation programs to students, faculty, and staff. 
(C) Creating innovative technology-based 
approaches to deliver sex education to students, 
faculty, and staff. 
(D) Developing and employing peer-out-
reach and education programs to generate dis-
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cussion, educate, and raise awareness among 
students about issues relating to comprehensive 
sex education. 
(2) CONTENTS
OF
SEX
EDUCATION
PRO-
GRAMS.—Each institution of higher education’s pro-
gram of comprehensive sex education funded under 
this section shall include curricula and program ma-
terials that address information about— 
(A) safe and responsible sexual behavior 
with respect to the prevention of pregnancy and 
sexually transmitted infections, including HIV, 
including through— 
(i) abstinence; 
(ii) a reduced number of sexual part-
ners; and 
(iii) the use of condoms and contra-
ception; 
(B) healthy relationships, including the de-
velopment of healthy attitudes and insights nec-
essary for understanding— 
(i) relationships between oneself, fam-
ily, partners, others, and society; and 
(ii) the prevention of sexual abuse, 
dating violence, bullying, harassment, and 
suicide; and 
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(C) referral services to local health clinics 
where young people can obtain additional infor-
mation and services related to sexual and repro-
ductive health, dating violence and sexual as-
sault, and suicide prevention. 
(3) OPTIONAL
COMPONENTS
OF
SEX
EDU-
CATION.—Each institution of higher education’s pro-
gram of comprehensive sex education may also in-
clude information and skills development relating 
to— 
(A) how to make responsible decisions 
about sex and sexuality, including— 
(i) how to avoid, and avoid making, 
unwanted verbal, physical, and sexual ad-
vances; and 
(ii) how alcohol and drug use can af-
fect responsible decisionmaking; 
(B) healthy life skills, including— 
(i) goal-setting and decisionmaking; 
(ii) interpersonal skills, such as com-
munication, assertiveness, and peer refusal 
skills; 
(iii) critical thinking; 
(iv) self-esteem and self-efficacy; and 
(v) stress management; 
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(C) the development of healthy attitudes 
and values about such topics as body image, 
gender roles and gender identity, racial and eth-
nic diversity, and sexual orientation; and 
(D) the responsibilities of parenting and 
the skills necessary to parent well. 
(f) EVALUATION; REPORT.—The requirements de-
scribed in section 3(g) shall also apply to eligible entities 
receiving a grant under this section in the same manner 
as such requirements apply to eligible entities receiving 
grants under section 3. 
SEC. 5. GRANTS FOR PRE-SERVICE AND IN-SERVICE TEACH-
ER TRAINING. 
(a) PROGRAM AUTHORIZED.—The Secretary, in co-
ordination 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 enti-
ties to enable such eligible entities to carry out the activi-
ties 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 ‘‘el-
igible entity’’ means— 
(1) a State educational agency; 
(2) a local educational agency; 
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(3) a tribe or tribal organization, as defined in 
section 4 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 450b); 
(4) a State or local department of health; 
(5) a State or local department of education; 
(6) a nonprofit institution of higher education; 
(7) a national or statewide nonprofit organiza-
tion that has as its primary purpose the improve-
ment of provision of comprehensive sex education 
through effective teaching of comprehensive sex edu-
cation; or 
(8) a consortium of nonprofit organizations that 
has as its primary purpose the improvement of pro-
vision of comprehensive sex education through effec-
tive 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. 
(e) AUTHORIZED ACTIVITIES.— 
(1) REQUIRED ACTIVITY.—Each eligible entity 
receiving a grant under this section shall use grant 
funds to train targeted faculty and staff, in order to 
increase effective teaching of comprehensive sex edu-
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cation for elementary school and secondary school 
students. 
(2) PERMISSIBLE
ACTIVITIES.—Each eligible 
entity receiving a grant under this section may use 
grant funds to— 
(A) strengthen and expand the eligible en-
tity’s relationships with— 
(i) institutions of higher education; 
(ii) State educational agencies; 
(iii) local educational agencies; or 
(iv) other public and private organiza-
tions with a commitment to comprehensive 
sex education and the benefits of com-
prehensive sex education; 
(B) support and promote research-based 
training of teachers of comprehensive sex edu-
cation and related disciplines in elementary 
schools and secondary schools as a means of 
broadening student knowledge about issues re-
lated to human development, relationships, per-
sonal skills, sexual behavior, sexual health, and 
society and culture; 
(C) support the dissemination of informa-
tion on effective practices and research findings 
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concerning the teaching of comprehensive sex 
education; 
(D) support research on— 
(i) effective comprehensive sex edu-
cation teaching practices; and 
(ii) the development of assessment in-
struments and strategies to document— 
(I) student understanding of 
comprehensive sex education; and 
(II) the effects of comprehensive 
sex education; 
(E) convene national conferences on com-
prehensive sex education, in order to effectively 
train teachers in the provision of comprehensive 
sex education; and 
(F) develop and disseminate appropriate 
research-based materials to foster comprehen-
sive sex education. 
(3) SUBGRANTS.—Each eligible entity receiving 
a grant under this section may award subgrants to 
nonprofit organizations, State educational agencies, 
or local educational agencies to enable such organi-
zations or agencies to— 
(A) train teachers in comprehensive sex 
education; 
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(B) support Internet or distance learning 
related to comprehensive sex education; 
(C) promote rigorous academic standards 
and assessment techniques to guide and meas-
ure 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, re-
search-based 
comprehensive 
sex 
education 
learning materials; 
(F) develop academic courses on the peda-
gogy 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. REPORT TO CONGRESS. 
(a) IN GENERAL.—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 funded under this Act. 
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(b) REPORT ELEMENTS.—The report described in 
subsection (a) shall include— 
(1) a statement of whether the Secretary has 
met the purposes described in section 2(a); and 
(2) information about— 
(A) the number of eligible entities and in-
stitutions of higher education that are receiving 
grant funds under sections 3 and 4 of this Act; 
(B) the specific activities supported by 
grant funds awarded under sections 3 and 4 of 
this Act; 
(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; and 
(E) the status of program evaluations de-
scribed under sections 3 and 4 of this Act. 
SEC. 7. NONDISCRIMINATION. 
Programs funded under this Act shall not discrimi-
nate 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, proce-
dures, or legal standards available to victims of discrimi-
nation under any other Federal law or any law of a State 
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or a political subdivision of a State, including title VI of 
the Civil Rights Act of 1964 (42 U.S.C. 2000d 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) deliberately withhold life-saving information 
about HIV; 
(2) are medically inaccurate or have been sci-
entifically shown to be ineffective; 
(3) promote gender stereotypes; 
(4) are insensitive and unresponsive to the 
needs of sexually active youth or lesbian, gay, bisex-
ual, or transgender youth; or 
(5) 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 
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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 title 
shall include information about the harmful effects of in-
travenous substance abuse and unsafe sexual activity, and 
the benefits of abstaining from such activities.’’. 
(b) AMENDMENTS TO THE ELEMENTARY AND SEC-
ONDARY EDUCATION ACT OF 1965.—Section 9526(a) of 
the Elementary and Secondary Education Act of 1965 (20 
U.S.C. 7906(a)) is amended— 
(1) in paragraph (2), by inserting ‘‘or’’ after 
the semicolon; 
(2) in paragraph (3), by striking ‘‘; or’’ and in-
serting a period; and 
(3) by striking paragraph (4). 
SEC. 10. DEFINITIONS. 
In this Act: 
(1) ESEA DEFINITIONS.—The terms ‘‘elemen-
tary school’’, ‘‘local educational agency’’, ‘‘secondary 
school’’, and ‘‘State educational agency’’ have the 
meanings given the terms in section 9101 of the Ele-
mentary and Secondary Education Act of 1965 (20 
U.S.C. 7801). 
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(2) AGE
AND
DEVELOPMENTALLY
APPRO-
PRIATE.—The term ‘‘age and developmentally appro-
priate’’ means suitable for a particular age or age 
group of children and adolescents, based on devel-
oping cognitive, emotional, and behavioral capacity 
typical for that age or age group. 
(3) ADOLESCENTS.—The term ‘‘adolescents’’ 
means individuals who are ages 10 through 19 at 
the time of commencement of participation in a pro-
gram supported under this Act. 
(4) CHARACTERISTICS
OF
EFFECTIVE
PRO-
GRAMS.—The term ‘‘characteristics of effective pro-
grams’’ means the aspects of evidence-based pro-
grams, including development, content, and imple-
mentation 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 med-
ical and public health agencies to be effective in 
changing sexual behaviors that lead to sexually 
transmitted infections, including HIV, unin-
tended pregnancy, and dating violence and sex-
ual assault among young people. 
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(5) COMPREHENSIVE
SEX
EDUCATION.—The 
term ‘‘comprehensive sex education’’ means a pro-
gram that— 
(A) includes age- and developmentally ap-
propriate, culturally and linguistically relevant 
information on a broad set of topics related to 
sexuality including human development, rela-
tionships, decisionmaking, communication, ab-
stinence, contraception, and disease and preg-
nancy prevention; 
(B) provides students with opportunities 
for developing skills as well as learning informa-
tion; 
(C) is inclusive of lesbian, gay, bisexual, 
transgender, and heterosexual young people; 
and 
(D) aims to— 
(i) provide scientifically accurate and 
realistic information about human sexu-
ality; 
(ii) provide opportunities for individ-
uals to understand their own, their fami-
lies’, and their communities’ values, atti-
tudes, and insights about sexuality; 
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(iii) help individuals develop healthy 
relationships and interpersonal skills; and 
(iv) help individuals exercise responsi-
bility regarding sexual relationships, which 
includes addressing abstinence, pressures 
to become prematurely involved in sexual 
intercourse, and the use of contraception 
and other sexual health measures. 
(6) EVIDENCE-BASED
PROGRAM.—The term 
‘‘evidence-based program’’ means a sex education 
program that has been proven through rigorous eval-
uation to be effective in changing sexual behavior or 
incorporates elements of other sex education pro-
grams that have been proven to be effective in 
changing sexual behavior. 
(7) 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). 
(8) 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 
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of research conducted in compliance with ac-
cepted 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 rec-
ognize as accurate, objective, and complete; and 
(ii) the program does not withhold infor-
mation about the effectiveness and benefits of 
correct and consistent use of condoms and 
other contraceptives. 
(9) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
(10) YOUNG PEOPLE.—The term ‘‘young peo-
ple’’ means individuals who are ages 10 through 24 
at the time of commencement of participation in a 
program supported under this Act. 
SEC. 11. AUTHORIZATION OF APPROPRIATIONS. 
There are authorized to be appropriated to carry out 
this Act such sums as may be necessary. 
Æ 
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