Health Promotion and Disease Prevention Objec-
tives. 
(2) Although the Centers for Disease Control 
and Prevention (referred to in this section as the 
‘‘CDC’’) included family planning in its published 
list of the Ten Great Public Health Achievements in 
the 20th Century, the United States still has one of 
the highest rates of unintended pregnancies among 
industrialized nations. 
(3) Each year, nearly half of all pregnancies in 
the United States are unintended, and nearly half of 
unintended pregnancies end in abortion. 
(4) In 2006, 36,200,000 women, more than 
half of all women of reproductive age, were in need 
of contraceptive services and supplies to help prevent 
unintended pregnancy, and nearly half of those were 
in need of public support for such care. 
(5) The United States has some of the highest 
rates of sexually transmitted infections (referred to 
in this section as ‘‘STIs’’) among industrialized na-
tions. In 2006, there were approximately 19,000,000 
new cases of STIs, almost half of them occurring in 
young people ages 15 to 24. According to the CDC, 
in addition to the burden on public health, STIs im-
pose a tremendous economic burden with direct med-
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ical costs as high as $14,700,000,000 each year in 
2006 dollars. 
(6) Contraceptive use can improve overall 
health by enabling women to plan and space their 
pregnancies and has contributed to dramatic de-
clines in maternal and infant mortality. Widespread 
use of contraceptives has been the driving force in 
reducing unintended pregnancies and sexually trans-
mitted infections, and reducing the need for abortion 
in this nation. Contraceptive use also saves public 
health dollars. For every dollar spent to provide 
services in publicly funded family planning clinics, 
$4.02 in Medicaid expenses are saved because unin-
tended births are averted. 
(7) Reducing unintended pregnancy improves 
maternal health and is an important strategy in ef-
forts to reduce maternal mortality. Women experi-
encing unintended pregnancy are at greater risk for 
physical abuse. 
(8) A child born from an unintended pregnancy 
is at greater risk than a child born from an intended 
pregnancy of low birth weight, dying in the first 
year of life, being abused, and not receiving suffi-
cient resources for healthy development. 
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(9) The ability to control fertility allows couples 
to achieve economic stability by facilitating greater 
educational achievement and participation in the 
workforce. 
(10) Contraceptives are effective in preventing 
unintended pregnancy when used consistently and 
correctly. Without contraception, a sexually active 
woman has an 85 percent chance of becoming preg-
nant within a year. 
(11) Approximately 50 percent of unintended 
pregnancies occur among women who do not use 
contraception. 
(12) Many poor and low-income women cannot 
afford to purchase contraceptive services and sup-
plies on their own. The number of women needing 
subsidized services has increased by more than 
1,000,000 (seven percent) since 2000. A poor 
woman in the United States is now nearly four times 
as likely as a more affluent woman to have an un-
planned pregnancy. Between 1994 and 2001, unin-
tended pregnancy among low-income women in-
creased by 29 percent, while unintended pregnancy 
decreased by 20 percent among women with higher 
incomes. 
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(13) Public health programs, such as the Med-
icaid program and family planning programs under 
title X of the Public Health Service Act, provide 
high-quality family planning services and other pre-
ventive health care to underinsured or uninsured in-
dividuals who may otherwise lack access to health 
care. 
(14) Medicaid has become an essential source of 
support for the provision of subsidized family plan-
ning services and supplies. It is the single largest 
source of public funds supporting these services. In 
2001, the program provided six in ten of all public 
dollars spent on family planning services. In 2006, 
12 percent of women of reproductive age (7,300,000 
women between the ages of 15 and 44) looked to 
Medicaid for their care and 37 percent of poor 
women of reproductive age rely upon Medicaid. 
(15) Approximately 1,400,000 unintended preg-
nancies and 600,000 abortions are averted each year 
because of services provided in publicly funded clin-
ics. In 2006, title X service providers performed 
more than 2,400,000 Pap tests, 2,400,000 breast 
exams, and 5,800,000 tests for STIs, including 
652,426 HIV tests and 2,300,000 Chlamydia tests. 
One in four women who obtain reproductive health 
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services from a medical provider does so at a pub-
licly funded clinic. 
(16) The stagnant funding for public family 
planning programs in combination with the increas-
ing demand for subsidized services; the rising costs 
of contraceptive services and supplies, and the high 
cost of improved screening and treatment for cer-
vical cancer and sexually transmitted infections has 
diminished the ability of clinics receiving funds 
under title X of the Public Health Services Act to 
adequately serve all those in need. At present, clinics 
are able to reach just 41 percent of the women need-
ing subsidized services. Had title X funding kept up 
with inflation since FY 1980, it would now be fund-
ed at $759,000,000, instead of its fiscal year 2007 
funding level of $283,000,000. Taking inflation into 
account, funding for title X in constant dollars is 63 
percent lower today than it was in FY 1980. 
(17) While the Medicaid program remains the 
largest source of subsidized family planning services, 
States are facing significant budgetary pressures to 
cut their Medicaid programs, putting many women 
at risk of losing coverage for family planning serv-
ices. 
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(18) In addition, eligibility under the Medicaid 
program in many States is severely restricted, which 
leaves family planning services financially out of 
reach for many poor women. Many States have dem-
onstrated tremendous success with Medicaid family 
planning waivers that allow States to expand access 
to Medicaid family planning services. However, the 
administrative burden of applying for a waiver poses 
a significant barrier to States that would like to ex-
pand their coverage of family planning programs 
through Medicaid. 
(19) As of December 2008, 27 States offered 
expanded family planning benefits as a result of 
Medicaid family planning waivers. The cost-effective-
ness of these waivers was affirmed by a recent eval-
uation funded by the Centers for Medicare & Med-
icaid Services. This evaluation of six waivers found 
that all family planning programs under such waiv-
ers resulted in significant savings to both the Fed-
eral and State governments. Moreover, the research-
ers found measurable reductions in unintended preg-
nancy. 
(20) Although employer-sponsored health plans 
have improved coverage of contraceptive services and 
supplies, largely in response to State contraceptive 
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coverage laws, there is still significant room for im-
provement. The ongoing lack of coverage in health 
insurance plans, particularly in self-insured and indi-
vidual plans, continues to place effective forms of 
contraception beyond the financial reach of many 
women. 
(21) Including contraceptive coverage in private 
health care plans saves employers money. Not cov-
ering contraceptives in employee health plans costs 
employers 15 to 17 percent more than providing 
such coverage. 
(22) Approved for use by the Food and Drug 
Administration, emergency contraception is a safe 
and effective way to prevent unintended pregnancy 
after unprotected sex. Research confirms that easier 
access to emergency contraceptives does not increase 
sexual risk-taking or sexually transmitted diseases. 
(23) The available evidence shows that many 
women do not know about emergency contraception, 
do not know where to get it, or are unable to access 
it. Overcoming these obstacles could help ensure that 
more women use emergency contraception consist-
ently and correctly. 
(24) A November 2006 study of declining preg-
nancy rates among teens concluded that the reduc-
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tion in teen pregnancy between 1995 and 2002 is 
primarily the result of increased use of contracep-
tives. As such, it is critically important that teens 
receive accurate, unbiased information about contra-
ception. 
(25) The American Medical Association, the 
American Nurses Association, the American Acad-
emy of Pediatrics, the American College of Obstetri-
cians and Gynecologists, the American Public Health 
Association, and the Society for Adolescent Medi-
cine, support responsible sexuality education that in-
cludes information about both abstinence and con-
traception. 
(26) Teens who receive comprehensive sexuality 
education that includes discussion of contraception 
as well as abstinence are more likely than those who 
receive abstinence-only messages to delay sex, to 
have fewer partners, and to use contraceptives when 
they do become sexually active. 
(27) Government-funded abstinence-only-until- 
marriage programs are precluded from discussing 
contraception except to talk about failure rates. An 
October 2006 report by the Government Account-
ability Office found that the Department of Health 
and Human Services does not review the materials 
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of recipients of grants administered by such Depart-
ment for scientific accuracy and requires grantees to 
review their own materials for scientific accuracy. 
The GAO also reported on the Department’s total 
lack of appropriate and customary measurements to 
determine if funded programs are effective. In addi-
tion, a separate letter from the Government Ac-
countability Office found that the Department of 
Health and Human Services is in violation of Fed-
eral law by failing to enforce a requirement under 
the Public Health Service Act that federally funded 
grantees working to address the prevention of sexu-
ally transmitted diseases, including abstinence-only- 
until-marriage programs, must provide medically ac-
curate information about the effectiveness of 
condoms. 
(28) Recent scientific reports by the Institute of 
Medicine, the American Medical Association, and the 
Office on National AIDS Policy stress the need for 
sexuality education that includes messages about ab-
stinence and provides young people with information 
about contraception for the prevention of teen preg-
nancy, HIV/AIDS, and other sexually transmitted 
diseases. 
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(29) A 2006 statement from the American Pub-
lic Health Association (referred to in this section as 
‘‘APHA’’) states that APHA ‘‘recognizes the impor-
tance of abstinence education, but only as part of a 
comprehensive sexuality education program . . . 
APHA calls for repealing current Federal funding 
for abstinence-only programs and replacing it with 
funding for a new Federal program to promote com-
prehensive sexuality education, combining informa-
tion about abstinence with age-appropriate sexuality 
education.’’. 
(30) Comprehensive sexuality education pro-
grams respect the diversity of values and beliefs rep-
resented in the community and will complement and 
augment the sexuality education children receive 
from their families. 
(31) Over 60 percent of the 56,300 annual new 
cases of HIV infections in the United States occur 
in youth ages 13 through 24. African-American and 
Latino youth have been disproportionately affected 
by the HIV/AIDS epidemic. In 2005, Blacks and 
Latinos accounted for 84 percent of all new HIV in-
fections among 13- to 19-year-olds and 76 percent 
of HIV infections among 20- to 24-year-olds in the 
United States even though, Black and Latinos rep-
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resent only about 32 percent of people in these ages. 
Teens in the United States contract an estimated 
9,000,000 sexually transmitted infections each year. 
By age 24, at least one in four sexually active people 
between the ages of 15 and 24 will have contracted 
a sexually transmitted infection. 
(32) Approximately 50 young people a day, an 
average of 2 young people every hour of every day, 
are infected with HIV in the United States. 
TITLE I—TITLE X OF PUBLIC 
HEALTH SERVICE ACT 
SEC. 101. SHORT TITLE. 
This title may be cited as the ‘‘Title X Family Plan-
ning Services Act of 2009’’. 
SEC. 102. AUTHORIZATION OF APPROPRIATIONS. 
Section 1001(d) of the Public Health Service Act is 
amended by striking all that follows ‘‘there are authorized 
to be appropriated’’ and inserting ‘‘$700,000,000 for fis-
cal year 2010 and such sums as may be necessary for each 
subsequent fiscal year’’. 
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TITLE II—EQUITY IN PRESCRIP-
TION INSURANCE AND CON-
TRACEPTIVE COVERAGE 
SEC. 201. SHORT TITLE. 
This title may be cited as the ‘‘Equity in Prescription 
Insurance and Contraceptive Coverage Act of 2009’’. 
SEC. 202. AMENDMENTS TO EMPLOYEE RETIREMENT IN-
COME SECURITY ACT OF 1974. 
(a) IN GENERAL.—Subpart B of part 7 of subtitle 
B of title I of the Employee Retirement Income Security 
Act of 1974 (29 U.S.C. 1185 et seq.) is amended by add-
ing at the end the following: 
‘‘SEC. 715. STANDARDS RELATING TO BENEFITS FOR CON-
TRACEPTIVES. 
‘‘(a) REQUIREMENTS
FOR
COVERAGE.—A group 
health plan, and a health insurance issuer providing health 
insurance coverage in connection with a group health plan, 
may not— 
‘‘(1) exclude or restrict benefits for prescription 
contraceptive drugs or devices approved by the Food 
and Drug Administration, or generic equivalents ap-
proved as substitutable by the Food and Drug Ad-
ministration, if such plan or coverage provides bene-
fits for other outpatient prescription drugs or de-
vices; or 
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‘‘(2) exclude or restrict benefits for outpatient 
contraceptive services if such plan or coverage pro-
vides benefits for other outpatient health care serv-
ices. 
‘‘(b) PROHIBITIONS.—A group health plan, and a 
health insurance issuer providing health insurance cov-
erage in connection with a group health plan, may not— 
‘‘(1) deny to an individual eligibility, or contin-
ued eligibility, to enroll or to renew coverage under 
the terms of the plan because of the individual’s or 
enrollee’s use or potential use of items or services 
that are covered in accordance with the requirements 
of this section; 
‘‘(2) provide monetary payments or rebates to 
a covered individual to encourage such individual to 
accept less than the minimum protections available 
under this section; 
‘‘(3) penalize or otherwise reduce or limit the 
reimbursement of a health care professional because 
such professional prescribed contraceptive drugs or 
devices, or provided contraceptive services, described 
in subsection (a), in accordance with this section; or 
‘‘(4) provide incentives (monetary or otherwise) 
to a health care professional to induce such profes-
sional to withhold from a covered individual contra-
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ceptive drugs or devices, or contraceptive services, 
described in subsection (a). 
‘‘(c) RULES OF CONSTRUCTION.— 
‘‘(1) IN
GENERAL.—Nothing in this section 
shall be construed— 
‘‘(A) as preventing a group health plan 
and a health insurance issuer providing health 
insurance coverage in connection with a group 
health plan from imposing deductibles, coinsur-
ance, or other cost-sharing or limitations in re-
lation to— 
‘‘(i) benefits for contraceptive drugs 
under the plan or coverage, except that 
such a deductible, coinsurance, or other 
cost-sharing or limitation for any such 
drug shall be consistent with those imposed 
for other outpatient prescription drugs oth-
erwise covered under the plan or coverage; 
‘‘(ii) benefits for contraceptive devices 
under the plan or coverage, except that 
such a deductible, coinsurance, or other 
cost-sharing or limitation for any such de-
vice shall be consistent with those imposed 
for other outpatient prescription devices 
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otherwise covered under the plan or cov-
erage; and 
‘‘(iii) benefits for outpatient contra-
ceptive services under the plan or coverage, 
except that such a deductible, coinsurance, 
or other cost-sharing or limitation for any 
such service shall be consistent with those 
imposed for other outpatient health care 
services otherwise covered under the plan 
or coverage; 
‘‘(B) as requiring a group health plan and 
a health insurance issuer providing health in-
surance coverage in connection with a group 
health plan to cover experimental or investiga-
tional contraceptive drugs or devices, or experi-
mental or investigational contraceptive services, 
described in subsection (a), except to the extent 
that the plan or issuer provides coverage for 
other experimental or investigational outpatient 
prescription drugs or devices, or experimental 
or investigational outpatient health care serv-
ices; or 
‘‘(C) as modifying, diminishing, or limiting 
the rights or protections of an individual under 
any other Federal law. 
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‘‘(2) LIMITATIONS.—As used in paragraph (1), 
the term ‘limitation’ includes— 
‘‘(A) in the case of a contraceptive drug or 
device— 
‘‘(i) restricting the type of health care 
professionals that may prescribe such 
drugs or devices; 
‘‘(ii) utilization review provisions; and 
‘‘(iii) limits on the volume of prescrip-
tion drugs or devices that may be obtained 
on the basis of a single consultation with 
a professional; or 
‘‘(B) in the case of an outpatient contra-
ceptive service— 
‘‘(i) restricting the type of health care 
professionals that may provide such serv-
ices; 
‘‘(ii) utilization review provisions; 
‘‘(iii) requirements relating to second 
opinions prior to the coverage of such serv-
ices; and 
‘‘(iv) 
requirements 
relating 
to 
preauthorizations prior to the coverage of 
such services. 
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‘‘(d) NOTICE UNDER GROUP HEALTH PLAN.—The 
imposition of the requirements of this section shall be 
treated as a material modification in the terms of the plan 
described in section 102(a)(1), for purposes of assuring 
notice of such requirements under the plan, except that 
the summary description required to be provided under the 
last sentence of section 104(b)(1) with respect to such 
modification shall be provided by not later than 60 days 
after the first day of the first plan year in which such 
requirements apply. 
‘‘(e) PREEMPTION.—Nothing in this section shall be 
construed to preempt any provision of State law to the 
extent that such State law establishes, implements, or con-
tinues in effect any standard or requirement that provides 
coverage or protections for participants or beneficiaries 
that are greater than the coverage or protections provided 
under this section. 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) 
OUTPATIENT
CONTRACEPTIVE
SERV-
ICES.—The term ‘outpatient contraceptive services’ 
means consultations, examinations, procedures, and 
medical services, provided on an outpatient basis 
and related to the use of contraceptive methods (in-
cluding natural family planning) to prevent an unin-
tended pregnancy. 
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‘‘(2) OUTPATIENT HEALTH CARE SERVICES.— 
The term ‘outpatient health care services’ means 
outpatient services provided by a health care profes-
sional.’’. 
(b) CLERICAL AMENDMENT.—The table of contents 
in section 1 of the Employee Retirement Income Security 
Act of 1974 (29 U.S.C. 1001) is amended by inserting 
after the item relating to section 714 the following: 
‘‘Sec. 715. Standards relating to benefits for contraceptives.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to plan years begin-
ning on or after January 1, 2010. 
SEC. 203. AMENDMENTS TO PUBLIC HEALTH SERVICE ACT 
RELATING TO THE GROUP MARKET. 
(a) IN GENERAL.—Subpart 2 of part A of title 
XXVII of the Public Health Service Act (42 U.S.C. 
300gg–4 et seq.) is amended by adding at the end the 
following: 
‘‘SEC. 2708. STANDARDS RELATING TO BENEFITS FOR CON-
TRACEPTIVES. 
‘‘(a) REQUIREMENTS
FOR
COVERAGE.—A group 
health plan, and a health insurance issuer providing health 
insurance coverage in connection with a group health plan, 
may not— 
‘‘(1) exclude or restrict benefits for prescription 
contraceptive drugs or devices approved by the Food 
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and Drug Administration, or generic equivalents ap-
proved as substitutable by the Food and Drug Ad-
ministration, if such plan or coverage provides bene-
fits for other outpatient prescription drugs or de-
vices; or 
‘‘(2) exclude or restrict benefits for outpatient 
contraceptive services if such plan or coverage pro-
vides benefits for other outpatient health care serv-
ices. 
‘‘(b) PROHIBITIONS.—A group health plan, and a 
health insurance issuer providing health insurance cov-
erage in connection with a group health plan, may not— 
‘‘(1) deny to an individual eligibility, or contin-
ued eligibility, to enroll or to renew coverage under 
the terms of the plan because of the individual’s or 
enrollee’s use or potential use of items or services 
that are covered in accordance with the requirements 
of this section; 
‘‘(2) provide monetary payments or rebates to 
a covered individual to encourage such individual to 
accept less than the minimum protections available 
under this section; 
‘‘(3) penalize or otherwise reduce or limit the 
reimbursement of a health care professional because 
such professional prescribed contraceptive drugs or 
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devices, or provided contraceptive services, described 
in subsection (a), in accordance with this section; or 
‘‘(4) provide incentives (monetary or otherwise) 
to a health care professional to induce such profes-
sional to withhold from covered individual contracep-
tive drugs or devices, or contraceptive services, de-
scribed in subsection (a). 
‘‘(c) RULES OF CONSTRUCTION.— 
‘‘(1) IN
GENERAL.—Nothing in this section 
shall be construed— 
‘‘(A) as preventing a group health plan 
and a health insurance issuer providing health 
insurance coverage in connection with a group 
health plan from imposing deductibles, coinsur-
ance, or other cost-sharing or limitations in re-
lation to— 
‘‘(i) benefits for contraceptive drugs 
under the plan or coverage, except that 
such a deductible, coinsurance, or other 
cost-sharing or limitation for any such 
drug shall be consistent with those imposed 
for other outpatient prescription drugs oth-
erwise covered under the plan or coverage; 
‘‘(ii) benefits for contraceptive devices 
under the plan or coverage, except that 
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such a deductible, coinsurance, or other 
cost-sharing or limitation for any such de-
vice shall be consistent with those imposed 
for other outpatient prescription devices 
otherwise covered under the plan or cov-
erage; and 
‘‘(iii) benefits for outpatient contra-
ceptive services under the plan or coverage, 
except that such a deductible, coinsurance, 
or other cost-sharing or limitation for any 
such service shall be consistent with those 
imposed for other outpatient health care 
services otherwise covered under the plan 
or coverage; 
‘‘(B) as requiring a group health plan and 
a health insurance issuer providing health in-
surance coverage in connection with a group 
health plan to cover experimental or investiga-
tional contraceptive drugs or devices, or experi-
mental or investigational contraceptive services, 
described in subsection (a), except to the extent 
that the plan or issuer provides coverage for 
other experimental or investigational outpatient 
prescription drugs or devices, or experimental 
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or investigational outpatient health care serv-
ices; or 
‘‘(C) as modifying, diminishing, or limiting 
the rights or protections of an individual under 
any other Federal law. 
‘‘(2) LIMITATIONS.—As used in paragraph (1), 
the term ‘limitation’ includes— 
‘‘(A) in the case of a contraceptive drug or 
device— 
‘‘(i) restricting the type of health care 
professionals that may prescribe such 
drugs or devices; 
‘‘(ii) utilization review provisions; and 
‘‘(iii) limits on the volume of prescrip-
tion drugs or devices that may be obtained 
on the basis of a single consultation with 
a professional; or 
‘‘(B) in the case of an outpatient contra-
ceptive service— 
‘‘(i) restricting the type of health care 
professionals that may provide such serv-
ices; 
‘‘(ii) utilization review provisions; 
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‘‘(iii) requirements relating to second 
opinions prior to the coverage of such serv-
ices; and 
‘‘(iv) 
requirements 
relating 
to 
preauthorizations prior to the coverage of 
such services. 
‘‘(d) NOTICE.—A group health plan under this part 
shall comply with the notice requirement under section 
715(d) of the Employee Retirement Income Security Act 
of 1974 with respect to the requirements of this section 
as if such section applied to such plan. 
‘‘(e) PREEMPTION.—Nothing in this section shall be 
construed to preempt any provision of State law to the 
extent that such State law establishes, implements, or con-
tinues in effect any standard or requirement that provides 
coverage or protections for enrollees that are greater than 
the coverage or protections provided under this section. 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) 
OUTPATIENT
CONTRACEPTIVE
SERV-
ICES.—The term ‘outpatient contraceptive services’ 
means consultations, examinations, procedures, and 
medical services, provided on an outpatient basis 
and related to the use of contraceptive methods (in-
cluding natural family planning) to prevent an unin-
tended pregnancy. 
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‘‘(2) OUTPATIENT HEALTH CARE SERVICES.— 
The term ‘outpatient health care services’ means 
outpatient services provided by a health care profes-
sional.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to group health plans 
for plan years beginning on or after January 1, 2010. 
SEC. 204. AMENDMENT TO PUBLIC HEALTH SERVICE ACT 
RELATING TO THE INDIVIDUAL MARKET. 
(a) IN GENERAL.—Part B of title XXVII of the Pub-
lic Health Service Act (42 U.S.C. 300gg–41 et seq.) is 
amended by adding at the end of subpart 2 the following: 
‘‘SEC. 2754. STANDARDS RELATING TO BENEFITS FOR CON-
TRACEPTIVES. 
‘‘The provisions of section 2708 shall apply to health 
insurance coverage offered by a health insurance issuer 
in the individual market in the same manner as such pro-
visions apply to health insurance coverage offered by a 
health insurance issuer in connection with a group health 
plan in the small or large group market.’’. 
(a) EFFECTIVE DATE.—The amendment made by 
this section shall apply with respect to health insurance 
coverage offered, sold, issued, renewed, in effect, or oper-
ated in the individual market on or after January 1, 2010. 
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TITLE 
III—EMERGENCY 
CON-
TRACEPTION 
EDUCATION 
AND INFORMATION 
SEC. 301. SHORT TITLE. 
This title may be cited as the ‘‘Emergency Contracep-
tion Education Act of 2009’’. 
SEC. 302. EMERGENCY CONTRACEPTION EDUCATION AND 
INFORMATION PROGRAMS. 
(a) DEFINITIONS.—For purposes of this section: 
(1) EMERGENCY
CONTRACEPTION.—The term 
‘‘emergency contraception’’ means a drug or device 
(as such terms are defined in section 201 of the 
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 
321)) or a drug regimen that— 
(A) is used after sexual relations; 
(B) prevents pregnancy, by preventing ovu-
lation, fertilization of an egg, or implantation of 
an egg in a uterus; and 
(C) is approved by the Food and Drug Ad-
ministration. 
(2) HEALTH
CARE
PROVIDER.—The term 
‘‘health care provider’’ means an individual who is li-
censed or certified under State law to provide health 
care services and who is operating within the scope 
of such license. 
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(3) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the same 
meaning given such term in section 101(a) of the 
Higher Education Act of 1965 (20 U.S.C. 1001(a)). 
(4) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
(b) EMERGENCY
CONTRACEPTION
PUBLIC
EDU-
CATION PROGRAM.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Director of the Centers for Disease 
Control and Prevention, shall develop and dissemi-
nate to the public information on emergency contra-
ception. 
(2) DISSEMINATION.—The Secretary may dis-
seminate information under paragraph (1) directly 
or through arrangements with nonprofit organiza-
tions, consumer groups, institutions of higher edu-
cation, Federal, State, or local agencies, clinics, and 
the media. 
(3) INFORMATION.—The information dissemi-
nated under paragraph (1) shall include, at a min-
imum, a description of emergency contraception and 
an explanation of the use, safety, efficacy, and avail-
ability of such contraception. 
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(c) EMERGENCY
CONTRACEPTION
INFORMATION 
PROGRAM FOR HEALTH CARE PROVIDERS.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Administrator of the Health Resources 
and Services Administration and in consultation 
with major medical and public health organizations, 
shall develop and disseminate to health care pro-
viders information on emergency contraception. 
(2) INFORMATION.—The information dissemi-
nated under paragraph (1) shall include, at a min-
imum— 
(A) information describing the use, safety, 
efficacy, and availability of emergency contra-
ception; 
(B) a recommendation regarding the use of 
such contraception in appropriate cases; and 
(C) information explaining how to obtain 
copies of the information developed under sub-
section (b) for distribution to the patients of 
the providers. 
(d) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of the fiscal years 
2010 through 2014. 
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TITLE IV—COMPASSIONATE AS-
SISTANCE FOR RAPE EMER-
GENCIES 
SEC. 401. SHORT TITLE. 
This title may be cited as the ‘‘Compassionate Assist-
ance for Rape Emergencies Act of 2009’’. 
SEC. 402. SURVIVORS OF SEXUAL ASSAULT; PROVISION BY 
HOSPITALS 
OF 
EMERGENCY 
CONTRACEP-
TIVES WITHOUT CHARGE. 
(a) IN GENERAL.—Federal funds may not be pro-
vided to a hospital under any health-related program, un-
less the hospital meets the conditions specified in sub-
section (b) in the case of— 
(1) any woman who presents at the hospital 
and states that she is a victim of sexual assault, or 
is accompanied by someone who states she is a vic-
tim of sexual assault; and 
(2) any woman who presents at the hospital 
whom hospital personnel have reason to believe is a 
victim of sexual assault. 
(b) ASSISTANCE FOR VICTIMS.—The conditions spec-
ified in this subsection regarding a hospital and a woman 
described in subsection (a) are as follows: 
(1) The hospital promptly provides the woman 
with medically and factually accurate and unbiased 
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written and oral information about emergency con-
traception, including information explaining that— 
(A) emergency contraception does not 
cause an abortion; and 
(B) emergency contraception is effective in 
most cases in preventing pregnancy after un-
protected sex. 
(2) The hospital promptly offers emergency 
contraception to the woman, and promptly provides 
such contraception to her on her request. 
(3) The information provided pursuant to para-
graph (1) is in clear and concise language, is readily 
comprehensible, and meets such conditions regarding 
the provision of the information in languages other 
than English as the Secretary may establish. 
(4) The services described in paragraphs (1) 
through (3) are not denied because of the inability 
of the woman or her family to pay for the services. 
(c) DEFINITIONS.—For purposes of this section: 
(1) The term ‘‘emergency contraception’’ means 
a drug, drug regimen, or device that— 
(A) is used postcoitally; 
(B) prevents pregnancy by delaying ovula-
tion, preventing fertilization of an egg, or pre-
venting implantation of an egg in a uterus; and 
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(C) is approved by the Food and Drug Ad-
ministration. 
(2) The term ‘‘hospital’’ has the meanings given 
such term in title XVIII of the Social Security Act, 
including— 
(A) the meaning given such term in section 
1861(e) of such Act; 
(B) the meaning given the term ‘‘psy-
chiatric hospital’’ in section 1861(f) of such 
Act; 
(C) the meaning given to the term ‘‘critical 
access hospital’’ under section 1861(mm) of 
such Act; and 
(D) the meaning applicable such title for 
purposes of making payments for emergency 
services to hospitals that do not have agree-
ments in effect under such title. 
(3) The term ‘‘Secretary’’ means the Secretary 
of Health and Human Services. 
(4) The term ‘‘sexual assault’’ means coitus in 
which the woman involved does not consent or lacks 
the legal capacity to consent. 
(d) EFFECTIVE DATE; AGENCY CRITERIA.—This sec-
tion takes effect upon the expiration of the 180-day period 
beginning on the date of the enactment of this title. Not 
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later than 30 days prior to the expiration of such period, 
the Secretary shall publish in the Federal Register criteria 
for carrying out this section. 
TITLE V—AT-RISK COMMUNITIES 
TEENAGE PREGNANCY PRE-
VENTION ACT 
SEC. 501. SHORT TITLE. 
This title may be cited as the ‘‘At-Risk Communities 
Teenage Pregnancy Prevention Act of 2009’’. 
SEC. 502. TEEN PREGNANCY PREVENTION. 
(a) TEENAGE PREGNANCY PREVENTION GRANTS.— 
Part P of title III of the Public Health Service Act (42 
U.S.C. 280g et seq.) is amended by inserting at the end 
the following section: 
‘‘SEC. 399U. TEENAGE PREGNANCY PREVENTION GRANTS. 
‘‘(a) AUTHORITY.—The Secretary may award on a 
competitive basis grants to public and private entities to 
establish or expand teenage pregnancy prevention pro-
grams. 
‘‘(b) GRANT RECIPIENTS.—Grant recipients under 
this section may include State and local not-for-profit coa-
litions working to prevent teenage pregnancy; State, local, 
and tribal agencies; schools; entities that provide after- 
school programs; and community and faith-based groups. 
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‘‘(c) PRIORITY.—In selecting grant recipients under 
this section, the Secretary shall give— 
‘‘(1) highest priority to applicants seeking as-
sistance for programs targeting communities or pop-
ulations in which— 
‘‘(A) teenage pregnancy or birth rates are 
higher than the corresponding State average; or 
‘‘(B) teenage pregnancy or birth rates are 
increasing; and 
‘‘(2) priority to applicants seeking assistance 
for programs that— 
‘‘(A) will benefit underserved or at-risk 
populations such as young males or immigrant 
youths; or 
‘‘(B) will take advantage of other available 
resources and be coordinated with other pro-
grams that serve youth, such as workforce de-
velopment and after-school programs. 
‘‘(d) USE OF FUNDS.—Funds received by an entity 
as a grant under this section may only be used for pro-
grams that— 
‘‘(1) replicate or substantially incorporate the 
elements of one or more teenage pregnancy preven-
tion programs that have been proven (on the basis 
of rigorous scientific research) to delay sexual inter-
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course or sexual activity, increase condom or contra-
ceptive use without increasing sexual activity, or re-
duce teenage pregnancy; 
‘‘(2) incorporate one or more of the following 
strategies for preventing teenage pregnancy: encour-
aging teenagers to delay sexual activity; sex and 
HIV education; interventions for sexually active 
teenagers; preventive health services; youth develop-
ment programs; service learning programs; and out-
reach or media programs; 
‘‘(3) provide information that is age-appro-
priate, factually and medically accurate and com-
plete, and scientifically based; and 
‘‘(4) provide any information, activities, and 
services that are directed toward a particular popu-
lation group in a language and cultural context that 
is most appropriate for individual in such group. 
‘‘(e) RELATION TO ABSTINENCE-ONLY PROGRAMS.— 
Funds under this section are not intended for use by absti-
nence-only education programs. Abstinence-only education 
programs that receive Federal funds through the Maternal 
and Child Health Block Grant, the Administration for 
Children and Families, the Adolescent Family Life Pro-
gram, and any other program that uses the definition of 
‘abstinence education’ found in section 510(b) of the So-
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cial Security Act are ineligible for funding under this sec-
tion. 
‘‘(f) APPLICATIONS.—Each entity seeking a grant 
under this section shall submit an application to the Sec-
retary at such time and in such form, is made in such 
manner, and contains such agreements, assurances, and 
information as the Secretary determines to be necessary 
to carry out the program involved. 
‘‘(g) MATCHING FUNDS.— 
‘‘(1) IN GENERAL.—The Federal share of the 
cost of an activity carried out with a grant under 
this section may not exceed 75 percent of cost of the 
activity. 
‘‘(2) APPLICANT’S
SHARE.—The applicant’s 
share of the cost of a program shall be provided in 
cash or in kind. 
‘‘(h) MAINTENANCE OF EFFORT.—As condition of 
making a grant under this section to an entity during any 
fiscal year, the Secretary shall require that the entity ex-
pend, during such fiscal year, not less than the amount 
of funds from non-Federal sources expended by such enti-
ty for teenage pregnancy prevention during the fiscal year 
preceding the first fiscal year for which such grant is made 
to such entity. 
‘‘(i) EVALUATIONS.— 
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‘‘(1) IN GENERAL.—The Secretary shall— 
‘‘(A) conduct or provide for a rigorous 
evaluation of 10 percent of programs for which 
a grant is awarded under this section for the 
purpose of determining the effectiveness of such 
programs; 
‘‘(B) collect and analyze data relating to 
program effectiveness on each program for 
which a grant is awarded under this section; 
and 
‘‘(C) upon completion of the evaluations 
referred to in subparagraph (A), submit to the 
Congress a report that includes a detailed state-
ment on the effectiveness of grants under this 
section. 
‘‘(2) COOPERATION BY GRANTEES.—Each grant 
recipient under this section shall provide such infor-
mation and cooperation as may be required by the 
Secretary for purposes of an evaluation or data col-
lection under paragraph (1). 
‘‘(j) DEFINITION.—For purposes of this section, the 
term ‘rigorous scientific research’ means research based 
on a program evaluation that— 
‘‘(1) measured impact of the program on sexual 
or contraceptive behavior, pregnancy or childbearing; 
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‘‘(2) employed an experimental or quasi-experi-
mental design with well-constructed and appropriate 
comparison groups; and 
‘‘(3) had a sample size large enough (at least 
100 in the combined treatment and control group) 
and a follow-up interval long enough (at least 6 
months) to draw valid conclusions about such im-
pact. 
‘‘(k) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for fiscal year 2010 and 
each subsequent fiscal year.’’. 
(b) TECHNICAL CORRECTIONS.—Part P of title III 
of the Public Health Service Act (42 U.S.C. 280g et seq.) 
is amended by— 
(1) redesignating the second section 399R (as 
added by section 2 of Public Law 110–373) as sec-
tion 399S; and 
(2) redesignating the third section 399R (as 
added by section 3 of Public Law 110–374) as sec-
tion 399T. 
SEC. 503. RESEARCH. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Director of the Cen-
ters for Disease Control and Prevention, shall make grants 
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to public or nonprofit private entities to conduct, support, 
and coordinate research on the prevention of teen preg-
nancy in eligible communities, including research on the 
factors contributing to the disproportionate rates of teen 
pregnancy in such communities. 
(b) RESEARCH.—In carrying out subsection (a), the 
Secretary of Health and Human Services shall support re-
search that— 
(1) investigates and determines the incidence 
and prevalence of teen pregnancy in communities de-
scribed in such subsection; 
(2) examines— 
(A) the extent of the impact of teen preg-
nancy on— 
(i) the health and well-being of teen-
agers in the communities; and 
(ii) the scholastic achievement of such 
teenagers; 
(B) the variance in the rates of teen preg-
nancy by— 
(i) location (such as inner cities, inner 
suburbs, and outer suburbs); 
(ii) population subgroup (such as His-
panic, Asian-Pacific Islander, African- 
American, and Native American); and 
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(iii) level of acculturation; 
(C) the importance of the physical and so-
cial environment as a factor in placing commu-
nities at risk of increased rates of teen preg-
nancy; and 
(D) the importance of aspirations as a fac-
tor affecting young women’s risk of teen preg-
nancy; and 
(3) is used to develop— 
(A) measures to address race, ethnicity, so-
cioeconomic status, environment, and edu-
cational attainment and the relationship to the 
incidence and prevalence of teen pregnancy; and 
(B) efforts to link the measures to relevant 
databases, including health databases. 
(c) PRIORITY.—In making grants under subsection 
(a), the Secretary of Health and Human Services shall 
give priority to research that incorporates— 
(1) interdisciplinary approaches; or 
(2) a strong emphasis on community-based 
participatory research. 
(d) REQUIREMENTS.—A grant may be made under 
this section only if— 
(1) the applicant agrees that all information 
provided pursuant to the grant will be age-appro-
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priate, factually and medically accurate and com-
plete, and scientifically based; 
(2) the applicant agrees that information, ac-
tivities, and services under the grant that are di-
rected toward a particular population group will be 
provided in the language and cultural context that is 
most appropriate for individuals in such group; and 
(3) an application for the grant is submitted to 
the Secretary of Health and Human Services and 
the application is in such form, is made in such 
manner, and contains such agreements, assurances, 
and information as the Secretary of Health and 
Human Services determines to be necessary to carry 
out the program involved. 
(e) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there is authorized 
to be appropriated such sums as may be necessary for 
each of the fiscal years 2010 through 2014. 
TITLE VI—ACCURACY OF 
CONTRACEPTIVE INFORMATION 
SEC. 601. SHORT TITLE. 
This title may be cited as the ‘‘Truth in Contracep-
tion Act of 2009’’. 
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SEC. 602. ACCURACY OF CONTRACEPTIVE INFORMATION. 
Notwithstanding any other provision of law, any in-
formation concerning the use of a contraceptive provided 
through any federally funded sex education, family life 
education, abstinence education, comprehensive health 
education, or character education program shall be medi-
cally accurate and shall include health benefits and failure 
rates relating to the use of such contraceptive. 
TITLE VII—UNINTENDED 
PREGNANCY REDUCTION ACT 
SEC. 701. SHORT TITLE. 
This title may be cited as the ‘‘Unintended Preg-
nancy Reduction Act of 2009’’. 
SEC. 702. MEDICAID; CLARIFICATION OF COVERAGE OF 
FAMILY PLANNING SERVICES AND SUPPLIES. 
Section 1937(b) of the Social Security Act (42 U.S.C. 
1396u–7(b)) is amended by adding at the end the fol-
lowing: 
‘‘(5) COVERAGE OF FAMILY PLANNING SERV-
ICES AND SUPPLIES.—Notwithstanding the previous 
provisions of this section, a State may not provide 
for medical assistance through enrollment of an indi-
vidual with benchmark coverage or benchmark-equiv-
alent coverage under this section unless such cov-
erage includes, for any individual described in sec-
tion 1905(a)(4)(c)), medical assistance for family 
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planning services and supplies in accordance with 
such section.’’. 
SEC. 703. EXPANSION OF FAMILY PLANNING SERVICES. 
(a) COVERAGE AS A MANDATORY CATEGORICALLY 
NEEDY GROUP.— 
(1) IN GENERAL.—Section 1902(a)(10)(A)(I) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1396a(a)(10)(A)(I)) is amended— 
(A) in subclause (VI), by striking ‘‘or’’ at 
the end; 
(B) in subclause (VII), by adding ‘‘or’’ at 
the end; and 
(C) by adding at the end the following new 
subclause: 
‘‘(VIII) who are described in sub-
section (dd) (relating to individuals 
who meet the income standards for 
pregnant women);’’. 
(2) GROUP DESCRIBED.—Section 1902 of the 
Social Security Act (42 U.S.C. 1396a) is amended 
by adding at the end the following new subsection: 
‘‘(dd)(1) Individuals described in this subsection are 
individuals who— 
‘‘(A) meet at least the income eligibility stand-
ards established under the State plan as of January 
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1, 2009, for pregnant women or such higher income 
eligibility standard for such women as the State may 
establish; and 
‘‘(B) are not pregnant. 
‘‘(2) At the option of a State, individuals described 
in this subsection may include individuals who are deter-
mined to meet the income eligibility standards referred to 
in paragraph (1)(A) under the terms and conditions appli-
cable to making eligibility determinations for medical as-
sistance under this title under a waiver to provide the ben-
efits described in clause (XV) of the matter following sub-
paragraph (G) of section 1902(a)(10) granted to the State 
under section 1115 as of January 1, 2007.’’. 
(3) 
LIMITATION
ON
BENEFITS.—Section 
1902(a)(10) of the Social Security Act (42 U.S.C. 
1396a(a)(10)) is amended in the matter following 
subparagraph (G)— 
(A) by striking ‘‘and (XIV)’’ and inserting 
‘‘(XIV)’’; and 
(B) by striking the semicolon at the end 
and inserting ‘‘, and (XV) the medical assist-
ance made available to an individual described 
in subsection (dd) who is eligible for medical as-
sistance 
only 
because 
of 
subparagraph 
(A)(10)(I)(VIII) shall be limited to family plan-
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ning 
services 
and 
supplies 
described 
in 
1905(a)(4)(C) and, at the State’s option, med-
ical diagnosis or treatment services that are 
provided in conjunction with a family planning 
service in a family planning setting provided 
during the period in which such an individual is 
eligible;’’. 
(4) 
CONFORMING
AMENDMENTS.—Section 
1905(a) of the Social Security Act (42 U.S.C. 
1396d(a)) is amended in the matter preceding para-
graph (1)— 
(A) in clause (xii), by striking ‘‘or’’ at the 
end; 
(B) in clause (xiii), by adding ‘‘or’’ at the 
end; and 
(C) by inserting after clause (xiii) the fol-
lowing: 
‘‘(xiv) individuals described in section 
1902(dd),’’. 
(b) PRESUMPTIVE ELIGIBILITY.— 
(1) IN GENERAL.—Title XIX of the Social Se-
curity Act (42 U.S.C. 1396 et seq.) is amended by 
inserting after section 1920B the following: 
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‘‘PRESUMPTIVE ELIGIBILITY FOR FAMILY PLANNING 
SERVICES 
‘‘SEC. 1920C. (a) STATE OPTION.—A State plan ap-
proved under section 1902 may provide for making med-
ical assistance available to an individual described in sec-
tion 1902(dd) (relating to individuals who meet the in-
come eligibility standard for pregnant women in the State) 
during a presumptive eligibility period. In the case of an 
individual described in section 1902(dd) who is eligible for 
medical 
assistance 
only 
because 
of 
subparagraph 
(A)(10)(I)(VIII), such medical assistance may be limited 
to family planning services and supplies described in 
1905(a)(4)(C) and, at the State’s option, medical diag-
nosis or treatment services that are provided in conjunc-
tion with a family planning service in a family planning 
setting provided during the period in which such an indi-
vidual is eligible. 
‘‘(b) DEFINITIONS.—For purposes of this section: 
‘‘(1) PRESUMPTIVE ELIGIBILITY PERIOD.—The 
term ‘presumptive eligibility period’ means, with re-
spect to an individual described in subsection (a), 
the period that— 
‘‘(A) begins with the date on which a 
qualified entity determines, on the basis of pre-
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liminary information, that the individual is de-
scribed in section 1902(dd); and 
‘‘(B) ends with (and includes) the earlier 
of— 
‘‘(i) the day on which a determination 
is made with respect to the eligibility of 
such individual for services under the State 
plan; or 
‘‘(ii) in the case of such an individual 
who does not file an application by the last 
day of the month following the month dur-
ing which the entity makes the determina-
tion referred to in subparagraph (A), such 
last day. 
‘‘(2) QUALIFIED ENTITY.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), the term ‘qualified entity’ means 
any entity that— 
‘‘(i) is eligible for payments under a 
State plan approved under this title; and 
‘‘(ii) is determined by the State agen-
cy to be capable of making determinations 
of the type described in paragraph (1)(A). 
‘‘(B) REGULATIONS.—The Secretary may 
issue regulations further limiting those entities 
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that may become qualified entities in order to 
prevent fraud and abuse and for other reasons. 
‘‘(C) RULE OF CONSTRUCTION.—Nothing 
in this paragraph shall be construed as pre-
venting a State from limiting the classes of en-
tities that may become qualified entities, con-
sistent with any limitations imposed under sub-
paragraph (B). 
‘‘(c) ADMINISTRATION.— 
‘‘(1) IN GENERAL.—The State agency shall pro-
vide qualified entities with— 
‘‘(A) such forms as are necessary for an 
application to be made by an individual de-
scribed in subsection (a) for medical assistance 
under the State plan; and 
‘‘(B) information on how to assist such in-
dividuals in completing and filing such forms. 
‘‘(2) NOTIFICATION REQUIREMENTS.—A quali-
fied 
entity 
that 
determines 
under 
subsection 
(b)(1)(A) that an individual described in subsection 
(a) is presumptively eligible for medical assistance 
under a State plan shall— 
‘‘(A) notify the State agency of the deter-
mination within 5 working days after the date 
on which determination is made; and 
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‘‘(B) inform such individual at the time 
the determination is made that an application 
for medical assistance is required to be made by 
not later than the last day of the month fol-
lowing the month during which the determina-
tion is made. 
‘‘(3) 
APPLICATION
FOR
MEDICAL
ASSIST-
ANCE.—In the case of an individual described in 
subsection (a) who is determined by a qualified enti-
ty to be presumptively eligible for medical assistance 
under a State plan, the individual shall apply for 
medical assistance by not later than the last day of 
the month following the month during which the de-
termination is made. 
‘‘(d) PAYMENT.—Notwithstanding any other provi-
sion of this title, medical assistance that— 
‘‘(1) is furnished to an individual described in 
subsection (a) during a presumptive eligibility period 
by an entity that is eligible for payments under the 
State plan; and 
‘‘(2) is included in the care and services covered 
by the State plan, 
shall be treated as medical assistance provided by such 
plan for purposes of clause (4) of the first sentence of 
section 1905(b).’’. 
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(2) CONFORMING AMENDMENTS.— 
(A) Section 1902(a)(47) of the Social Se-
curity Act (42 U.S.C. 1396a(a)(47)) is amend-
ed by inserting before the semicolon at the end 
the following: ‘‘and provide for making medical 
assistance available to individuals described in 
subsection (a) of section 1920C during a pre-
sumptive eligibility period in accordance with 
such section.’’. 
(B) Section 1903(u)(1)(D)(v) of such Act 
(42 U.S.C. 1396b(u)(1)(D)(v)) is amended— 
(i) by striking ‘‘or for’’ and inserting 
‘‘, for’’; and 
(ii) by inserting before the period the 
following: ‘‘, or for medical assistance pro-
vided to an individual described in sub-
section (a) of section 1920C during a pre-
sumptive eligibility period under such sec-
tion’’. 
SEC. 704. EFFECTIVE DATE. 
(a) IN GENERAL.—Except as provided in paragraph 
(2), the amendments made by this title take effect on Oc-
tober 1, 2010. 
(b) EXTENSION OF EFFECTIVE DATE FOR STATE 
LAW AMENDMENT.—In the case of a State plan under 
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title XIX of the Social Security Act (42 U.S.C. 1396 et 
seq.) which the Secretary of Health and Human Services 
determines requires State legislation in order for the plan 
to meet the additional requirements imposed by the 
amendments made by this title, the State plan shall not 
be regarded as failing to comply with the requirements of 
such title solely on the basis of its failure to meet these 
additional requirements before the first day of the first 
calendar quarter beginning after the close of the first reg-
ular session of the State legislature that begins after the 
date of the enactment of this Act. For purposes of the 
previous sentence, in the case of a State that has a 2- 
year legislative session, each year of the session is consid-
ered to be a separate regular session of the State legisla-
ture. 
TITLE VIII—RESPONSIBLE 
EDUCATION ABOUT LIFE ACT 
SEC. 801. SHORT TITLE. 
This title may be cited as the ‘‘Responsible Education 
About Life Act of 2009’’. 
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SEC. 802. ASSISTANCE TO REDUCE TEEN PREGNANCY, HIV/ 
AIDS, AND OTHER SEXUALLY TRANSMITTED 
DISEASES AND TO SUPPORT HEALTHY ADO-
LESCENT DEVELOPMENT. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services may make grants to eligible States to 
conduct sex education programs, including programs that 
provide education on both abstinence and contraception 
for the prevention of teenage pregnancy and sexually 
transmitted diseases, including HIV/AIDS. 
(b) REQUIREMENTS
FOR SEX EDUCATION PRO-
GRAMS.—For purposes of this title, a sex education pro-
gram is a program that— 
(1) is age-appropriate and medically accurate; 
(2) stresses the value of abstinence while not ig-
noring those young people who have had or are hav-
ing sexual intercourse; 
(3) provides information about the health bene-
fits and side effects of all contraceptive and barrier 
methods used— 
(A) as a means to prevent pregnancy; and 
(B) to reduce the risk of contracting sexu-
ally transmitted disease, including HIV/AIDS; 
(4) encourages family communication between 
parent and child about sexuality; 
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(5) teaches young people the skills to make re-
sponsible decisions about sexuality, including how to 
avoid unwanted verbal, physical, and sexual ad-
vances and how to avoid making verbal, physical, 
and sexual advances that are not wanted by the 
other party; 
(6) teaches young people how alcohol and drug 
use can affect responsible decision making; and 
(7) does not teach or promote religion; 
(c) ADDITIONAL ACTIVITIES.—In carrying out a pro-
gram of sex education, a State may expend a grant under 
subsection (a) to carry out educational and motivational 
activities that help young people— 
(1) gain knowledge about the physical, emo-
tional, biological, and hormonal changes of adoles-
cence and subsequent stages of human maturation; 
(2) develop the knowledge and skills necessary 
to ensure and protect their sexual and reproductive 
health from unintended pregnancy and sexually 
transmitted disease, including HIV/AIDS through-
out their lifespan; 
(3) gain knowledge about the specific involve-
ment and responsibility of males in sexual decision 
making; 
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(4) develop healthy attitudes and values about 
adolescent growth and development, body image, ra-
cial and ethnic diversity, and other related subjects; 
(5) develop and practice healthy life skills, in-
cluding goal-setting, decision making, negotiation, 
communication, and stress management; 
(6) develop healthy relationships, including 
skills to prevent dating and sexual violence; 
(7) promote self-esteem and positive inter-
personal skills focusing on relationship dynamics, in-
cluding friendships, dating, romantic involvement, 
marriage and family interactions; and 
(8) prepare for the adult world by focusing on 
educational and career success, including developing 
skills for employment, job seeking, independent liv-
ing, financial self-sufficiency, and workplace produc-
tivity. 
SEC. 803. SENSE OF CONGRESS. 
It is the sense of Congress that while States are not 
required under this title to provide matching funds, with 
respect to grants authorized under section 802(a), they 
are encouraged to do so. 
SEC. 804. EVALUATION OF PROGRAMS. 
(a) IN GENERAL.—For the purpose of evaluating the 
effectiveness of programs of sex education carried out with 
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