I 
114TH CONGRESS 
2D SESSION 
H. R. 4475 
To authorize the Secretary of Health and Human Services to award grants 
to support the access of marginalized youth to sexual health services, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 4, 2016 
Ms. ADAMS (for herself, Mr. TAKAI, Ms. VELA´ZQUEZ, Ms. KELLY of Illinois, 
Ms. JACKSON LEE, Ms. NORTON, Ms. MOORE, Ms. LEE, Mr. CONYERS, 
Mr. GRIJALVA, Mr. HASTINGS, Ms. MICHELLE LUJAN GRISHAM of New 
Mexico, Mrs. LAWRENCE, Mr. DAVID SCOTT of Georgia, Ms. EDWARDS, 
Mr. RICHMOND, Mr. TED LIEU of California, Mr. QUIGLEY, Ms. 
PLASKETT, Mr. RANGEL, Ms. MAXINE WATERS of California, Ms. JUDY 
CHU of California, Mrs. DAVIS of California, Mr. MCDERMOTT, Mr. 
POCAN, Mrs. WATSON COLEMAN, Mr. NADLER, Mr. PAYNE, Mr. VAN 
HOLLEN, and Mr. HONDA) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce 
A BILL 
To authorize the Secretary of Health and Human Services 
to award grants to support the access of marginalized 
youth to sexual health services, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Youth Access to Sexual 
Health Services Act of 2016’’. 
VerDate Sep 11 2014 
04:41 Feb 06, 2016
Jkt 059200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H4475.IH
H4475
emcdonald on DSK67QTVN1PROD with BILLS
SEC. 2. AUTHORIZATION OF GRANTS TO SUPPORT THE AC-
CESS OF MARGINALIZED YOUTH TO SEXUAL 
HEALTH SERVICES. 
(a) GRANTS.—The Secretary may award grants on 
a competitive basis to eligible entities to support the access 
of marginalized youth to sexual health services. 
(b) USE OF FUNDS.—An eligible entity that is award-
ed a grant under subsection (a) may use the funds to— 
(1) provide medically accurate and age appro-
priate sexual health information to marginalized 
youth, including information on how to access sexual 
health services; 
(2) promote effective communication regarding 
sexual health among marginalized youth; 
(3) promote and support better health, edu-
cation, and economic opportunities for school-age 
parents; and 
(4) train individuals who work with marginal-
ized youth to promote— 
(A) the prevention of unintended preg-
nancy; 
(B) the prevention of sexually transmitted 
infections; 
(C) healthy relationships; and 
(D) the development of safe and supportive 
environments. 
VerDate Sep 11 2014 
04:41 Feb 06, 2016
Jkt 059200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H4475.IH
H4475
emcdonald on DSK67QTVN1PROD with BILLS
(c) APPLICATION.—To be awarded a grant under 
subsection (a), an eligible entity shall submit an applica-
tion to the Secretary at such time, in such manner, and 
containing such information as the Secretary may require. 
(d) PRIORITY.—In awarding grants under subsection 
(a), the Secretary shall give priority to eligible entities— 
(1) with a history of supporting the access of 
marginalized youth to sexuality education or sexual 
health services; and 
(2) that plan to serve marginalized youth that 
are not served by Federal teen pregnancy prevention 
programs. 
(e) REQUIREMENTS.—The Secretary may not award 
a grant under subsection (a) to an eligible entity unless— 
(1) such eligible entity has formed a partner-
ship with a community organization; and 
(2) such eligible entity agrees— 
(A) to employ a scientifically effective 
strategy; 
(B) that all information provided to 
marginalized youth will be— 
(i) age-appropriate; 
(ii) medically accurate; 
(iii) scientifically based; and 
VerDate Sep 11 2014 
04:41 Feb 06, 2016
Jkt 059200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H4475.IH
H4475
emcdonald on DSK67QTVN1PROD with BILLS
(iv) provided in the language and cul-
tural context that is most appropriate for 
the individuals served by the eligible entity; 
and 
(C) that for each year the eligible entity 
receives grant funds under subsection (a), the 
eligible entity shall submit to the Secretary an 
annual report that includes— 
(i) the use of grant funds by the eligi-
ble entity; 
(ii) how the use of grant funds has in-
creased the access of marginalized youth to 
sexual health services; and 
(iii) such other information as the 
Secretary may require. 
(f) PUBLICATION AND EVALUATIONS.— 
(1) EVALUATIONS.—Not less than once every 2 
years after the date of the enactment of this Act, the 
Secretary shall evaluate the effectiveness of which-
ever of the following is greater: 
(A) Eight grants awarded under subsection 
(a). 
(B) Ten percent of the grants awarded 
under subsection (a). 
VerDate Sep 11 2014 
04:41 Feb 06, 2016
Jkt 059200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H4475.IH
H4475
emcdonald on DSK67QTVN1PROD with BILLS
(2) PUBLICATION.—The Secretary shall make 
available to the public— 
(A) the evaluations required under para-
graph (1); and 
(B) the reports required under subsection 
(e)(2)(C). 
(g) LIMITATIONS.—No funds made available to an el-
igible entity under this section may be used by such entity 
to provide access to sexual health services that— 
(1) withhold sexual health-promoting or life-sav-
ing information; 
(2) are medically inaccurate or have been sci-
entifically shown to be ineffective; 
(3) promote gender stereotypes; 
(4) are insensitive or unresponsive to the needs 
of lesbian, gay, bisexual, transgender, queer or ques-
tioning youth, sexually active youth, or school-age 
parents; 
(5) are insensitive or unresponsive to the needs 
of survivors of sexual abuse or assault; or 
(6) are inconsistent with the ethical imperatives 
of medicine and public health. 
(h) DEFINITIONS.—In this section: 
(1) COMMUNITY
ORGANIZATION.—The term 
‘‘community organization’’ includes a State or local 
VerDate Sep 11 2014 
04:41 Feb 06, 2016
Jkt 059200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H4475.IH
H4475
emcdonald on DSK67QTVN1PROD with BILLS
health or education agency, public school, youth-fo-
cused organization that is faith-based and commu-
nity-based, juvenile justice entity, or other organiza-
tion that provides confidential and appropriate sexu-
ality education or sexual health services to marginal-
ized youth. 
(2) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ includes a State or local health or education 
agency, public school, nonprofit organization, hos-
pital, or an Indian tribe or tribal organization (as 
such terms are defined in section 4 of the Indian 
Self-Determination and Education Assistance Act 
(25 U.S.C. 450b)). 
(3) MARGINALIZED YOUTH.—The term ‘‘mar-
ginalized youth’’ means a person under the age of 
26 that is disadvantaged by underlying structural 
barriers and social inequity. 
(4) MEDICALLY ACCURATE.—The term ‘‘medi-
cally accurate’’, with respect to information, means 
information that is supported by research and recog-
nized as accurate and objective by leading medical, 
psychological, psychiatric, or public health organiza-
tions and agencies. 
VerDate Sep 11 2014 
04:41 Feb 06, 2016
Jkt 059200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H4475.IH
H4475
emcdonald on DSK67QTVN1PROD with BILLS
(5) SCIENTIFICALLY EFFECTIVE STRATEGY.— 
The term ‘‘scientifically effective strategy’’ means a 
strategy that— 
(A) is widely recognized by leading medical 
and public health agencies as effective in pro-
moting sexual health awareness and healthy be-
havior; and 
(B) either— 
(i) has been demonstrated to be effec-
tive on the basis of rigorous scientific re-
search; or 
(ii) incorporates characteristics of ef-
fective programs. 
(6) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
(7) SEXUAL
HEALTH
SERVICES.—The term 
‘‘sexual health services’’ includes— 
(A) sexual health education; 
(B) contraception; 
(C) emergency contraception; 
(D) condoms and other barrier methods to 
prevent pregnancy or sexually transmitted in-
fections; 
(E) routine gynecological care, including 
HPV vaccines and cancer screenings; 
VerDate Sep 11 2014 
04:41 Feb 06, 2016
Jkt 059200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H4475.IH
H4475
emcdonald on DSK67QTVN1PROD with BILLS
(F) pre-exposure prophylaxis or post-expo-
sure prophylaxis; 
(G) mental health services; 
(H) sexual assault survivor services; and 
(I) other preventative treatment or care. 
(i) APPROPRIATION.— 
(1) GRANTS.—Of the amounts appropriated for 
fiscal year 2017 under section 510(d) of the Social 
Security Act (42 U.S.C. 710(d)), the unobligated 
balance of such amounts shall be made available to 
carry out this section for such fiscal year. For pur-
poses of the previous sentence, the unobligated bal-
ance of such amounts shall be determined by the Di-
rector of the Office of Management and Budget, in 
consultation with the Secretary. 
(2) LIMITATION.—Of the amount made avail-
able under paragraph (1) for fiscal year 2017, the 
Secretary may reserve not more than 10 percent to 
conduct evaluations under subsection (f) for such 
year. 
Æ 
VerDate Sep 11 2014 
04:41 Feb 06, 2016
Jkt 059200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6301
E:\BILLS\H4475.IH
H4475
emcdonald on DSK67QTVN1PROD with BILLS