555 
of comprehensive sex education for elementary 
school and secondary school students. 
(B) PERMISSIBLE ACTIVITIES.—Each eligi-
ble entity receiving a grant under this sub-
section may use grant funds to— 
(i) strengthen and expand the eligible 
entity’s relationships with— 
(I) institutions of higher edu-
cation; 
(II) State educational agencies; 
(III) local educational agencies; 
or 
(IV) other public and private or-
ganizations with a commitment to 
comprehensive sex education and the 
benefits of comprehensive sex edu-
cation; 
(ii) support and promote research- 
based training of teachers of comprehen-
sive sex education and related disciplines 
in 
elementary 
schools 
and 
secondary 
schools as a means of broadening student 
knowledge about issues related to human 
development, relationships, personal skills, 
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sexual behavior, sexual health, and society 
and culture; 
(iii) support the dissemination of in-
formation on effective practices and re-
search findings concerning the teaching of 
comprehensive sex education; 
(iv) support research on— 
(I) effective comprehensive sex 
education teaching practices; and 
(II) the development of assess-
ment instruments and strategies to 
document— 
(aa) student understanding 
of comprehensive sex education; 
and 
(bb) the effects of com-
prehensive sex education; 
(v) convene national conferences on 
comprehensive sex education, in order to 
effectively train teachers in the provision of 
comprehensive sex education; and 
(vi) develop and disseminate appro-
priate research-based materials to foster 
comprehensive sex education. 
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(C) SUBGRANTS.—Each eligible entity re-
ceiving a grant under this subsection may 
award subgrants to nonprofit organizations, 
State educational agencies, or local educational 
agencies to enable such organizations or agen-
cies to— 
(i) train teachers in comprehensive 
sex education; 
(ii) support Internet or distance learn-
ing related to comprehensive sex education; 
(iii) promote rigorous academic stand-
ards and assessment techniques to guide 
and measure student performance in com-
prehensive sex education; 
(iv) encourage replication of best 
practices and model programs to promote 
comprehensive sex education; 
(v) develop and disseminate effective, 
research-based comprehensive sex edu-
cation learning materials; 
(vi) develop academic courses on the 
pedagogy of sex education at institutions 
of higher education; or 
(vii) convene State-based conferences 
to train teachers in comprehensive sex edu-
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cation and to identify strategies for im-
provement. 
(e) REPORT TO CONGRESS.— 
(1) 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 adoles-
cents and young people with comprehensive sex edu-
cation funded under this section. 
(2) REPORT ELEMENTS.—The report described 
in paragraph (1) shall include information about— 
(A) the number of eligible entities and in-
stitutions of higher education that are receiving 
grant funds under subsections (b) and (c); 
(B) the specific activities supported by 
grant funds awarded under subsections (b) and 
(c); 
(C) the number of adolescents served by 
grant programs funded under subsection (b); 
(D) the number of young people served by 
grant programs funded under subsection (c); 
and 
(E) the status of program evaluations de-
scribed under subsections (b) and (c). 
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(f) LIMITATION.—No Federal funds provided under 
this section 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, transgender, queer, or questioning youth; or 
(5) are inconsistent with the ethical imperatives 
of medicine and public health. 
(g) DEFINITIONS.—In this section: 
(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 8101 of the Ele-
mentary and Secondary Education Act of 1965 (20 
U.S.C. 7801). 
(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-
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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 section. 
(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 a pro-
gram that— 
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