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 under any other Fed-
eral 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 Amend-
ments of 1972 (20 U.S.C. 1681 et seq.), section 504 of 
the Rehabilitation Act of 1973 (29 U.S.C. 794), the Amer-
icans with Disabilities Act of 1990 (42 U.S.C. 12101 et 
seq.), and section 1557 of the Patient Protection and Af-
fordable 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 in-
formation about sexuality-related topics, including 
HIV; 
(2) are medically inaccurate or have been sci-
entifically shown to be ineffective; 
(3) promote gender or racial stereotypes; 
(4) are insensitive and unresponsive to the 
needs of sexually active young people; 
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(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 individ-
uals with varying gender identities, gender expres-
sions, 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 sub-
chapter shall include information about the potential ef-
fects of intravenous substance abuse.’’. 
(b) AMENDMENTS TO THE ELEMENTARY AND SEC-
ONDARY EDUCATION ACT OF 1965.—Section 8526 of the 
Elementary and Secondary Education Act of 1965 (20 
U.S.C. 7906) is amended— 
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(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 in-
serting 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 pro-
gram supported under this Act. 
(2) AGE
AND
DEVELOPMENTALLY
APPRO-
PRIATE.—The term ‘‘age and developmentally appro-
priate’’ means topics, messages, and teaching meth-
ods 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
CON-
GRESS.—The term ‘‘appropriate committees of Con-
gress’’ means the Committee on Health, Education, 
Labor, and Pensions of the Senate, the Committee 
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on Appropriations of the Senate, the Committee on 
Energy and Commerce of the House of Representa-
tives, the Committee on Education and the Work-
force of the House of Representatives, and the Com-
mittee on Appropriations of the House of Represent-
atives. 
(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. 
(5) COMPREHENSIVE
SEX
EDUCATION.—The 
term ‘‘comprehensive sex education’’ means instruc-
tional part of a comprehensive school health edu-
cation approach which addresses the physical, men-
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tal, emotional, and social dimensions of human sexu-
ality; designed to motivate and assist students to 
maintain and improve their sexual health, prevent 
disease and reduce sexual health-related risk behav-
iors; and enable and empower students to develop 
and demonstrate age and developmentally appro-
priate sexuality and sexual health-related knowledge, 
attitudes, skills, and practices. 
(6) CONSENT.—The term ‘‘consent’’ means af-
firmative, conscious, and voluntary agreement to en-
gage in interpersonal, physical, or sexual activity. 
(7) CULTURALLY
APPROPRIATE.—The term 
‘‘culturally appropriate’’ means materials and in-
struction that respond to culturally diverse individ-
uals, families and communities in an inclusive, re-
spectful 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 in-
struction means a sex education program that has 
been proven through rigorous evaluation to be effec-
tive in changing sexual behavior or incorporates ele-
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ments 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 edu-
cation program, means the expression of one’s gen-
der, such as through behavior, clothing, haircut, or 
voice, and which may or may not conform to socially 
defined behaviors and characteristics typically asso-
ciated 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 histori-
cally marginalized communities are reflected in 
classroom materials and lessons. 
(12) INSTITUTION OF HIGHER EDUCATION.— 
The term ‘‘institution of higher education’’ has the 
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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 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. 
(14) 
SECRETARY.—The 
term 
‘‘Secretary’’ 
means the Secretary of Health and Human Services. 
(15) SEXUAL DEVELOPMENT.—The term ‘‘sex-
ual development’’ means the lifelong process of phys-
ical, behavioral, cognitive, and emotional growth and 
change as it relates to an individual’s sexuality and 
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sexual maturation, including puberty, identity devel-
opment, socio-cultural influences, and sexual behav-
iors. 
(16) SEXUAL ORIENTATION.—Except with re-
spect 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 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. FUNDING. 
(a) APPROPRIATION.—For the purpose of carrying 
out this Act, there is appropriated $75,000,000 for each 
of fiscal years 2020 through 2025. Amounts appropriated 
under this subsection shall remain available until ex-
pended. 
(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 
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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 Sec-
retary shall reserve 3 percent of the amount appropriated 
under subsection (a) for each fiscal year for expenditures 
by the Secretary to provide, directly or through a competi-
tive grant process, research, training, and technical assist-
ance, including dissemination of research and information 
regarding effective and promising practices, providing con-
sultation and resources, and developing resources and ma-
terials to support the activities of recipients of grants. In 
carrying out such functions, the Secretary shall collabo-
rate with a variety of entities that have expertise in adoles-
cent sexual health development, education, and promotion. 
(d) REPROGRAMMING OF ABSTINENCE ONLY UNTIL 
MARRIAGE PROGRAM FUNDING.—The unobligated bal-
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ance 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 here-
by 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 MAR-
RIAGE PROGRAM.—Section 510 of the Social Security Act 
(42 U.S.C. 710 et seq.) is repealed. 
Æ 
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