Statistics (‘‘NCHS’’) indicate that teen birthrates 
are on the rise. NCHS reports a 3-percent national 
increase between 2005 and 2006 (from 40.5 to 41.9 
births per 1,000 females aged 15–19). 
(10) Teen pregnancy rates are much higher in 
the United States than in many other developed 
countries—twice as high as in England and Wales 
or Canada, and eight times as high as in the Neth-
erlands or Japan. 
(11) The decline in the teen birthrate between 
1991 and 2004 resulted in saving taxpayers 
$6,700,000,000 in associated health care, child wel-
fare, and other such costs in 2004 alone, reducing 
the cost to taxpayers from $15,800,000,000 to 
$9,100,000,000. Investing in effective programs that 
improve teen sexual behavior by delaying sexual ac-
tivity, improving contraceptive use among teens, and 
reducing teen pregnancies would contribute to reduc-
ing the taxpayer costs associated with teen child-
bearing. 
(12) Ethnic and racial minority groups have 
been disproportionately affected by early pregnancy 
and parenthood. Fifty-three percent of Latina teens 
and 51 percent of African-American young women 
will become pregnant at least once before they turn 
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20, as compared to only 19 percent of non-Hispanic 
White young women. 
(13) The United States has one of the highest 
rates of sexually transmitted infections among indus-
trialized 
nations. 
There 
are 
approximately 
19,000,000 new cases of sexually transmitted infec-
tions each year, almost half of them occurring in 
young people ages 15 to 24. According to the Cen-
ters for Disease Control and Prevention, these sexu-
ally transmitted diseases impose a tremendous eco-
nomic burden with direct medical costs as high as 
$14,100,000,000 per year. 
(14) Recent estimates suggest that while 15- to 
24-year-olds represent 25 percent of the sexually ac-
tive population, they acquire nearly half of all new 
STIs. Each year, one in four sexually active teen-
agers contracts a sexually transmitted infection. 
(15) Nearly 15 percent of the 56,000 annual 
new cases of HIV infections in the United States oc-
curred in youth ages 13 through 24 in 2006. An av-
erage of one young person every hour of every day 
is infected with HIV in the United States. 
(16) African-American and Latino youth have 
been disproportionately affected by the HIV/AIDS 
epidemic. Although African-American adolescents 
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ages 13 through 19 represent only 17 percent of the 
adolescent population in the United States, they ac-
counted for 70 percent of new HIV/AIDS cases re-
ported among teens in 2005. Latino adolescents 
ages 13 through 19 accounted for 17 percent of 
AIDS cases among teens, the same as their propor-
tion of the U.S. population in 2005. Although 
Latinos ages 20 through 24 represent only 18 per-
cent of the young adults in the United States, they 
accounted for 22 percent of the new AIDS cases in 
2005. 
(17) Parental involvement is critical to any 
healthy relationship program. A major study showed 
that adolescents who reported feeling connected to 
parents and family were more likely than other teens 
to delay initiating sexual intercourse. Another study 
found that teens who reported previous discussions 
of sexuality with parents were seven times more like-
ly to feel able to communicate with a partner about 
HIV/AIDS than those who did not have such discus-
sions with their parents. Parental involvement is a 
leading protective factor for dating violence preven-
tion. 
(18) Incorporating teen dating violence preven-
tion into health education and sexuality education is 
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imperative given the widespread experience of vio-
lence in dating relationships. Approximately one in 
three teens reports some kind of abuse in a romantic 
relationship, including emotional and verbal abuse. 
Young women who experience dating violence have 
sex earlier than their peers; are much less likely to 
use birth control; and engage in a wide variety of 
high-risk behaviors including multiple partners, sex 
with older men, and drug and alcohol abuse. Young 
women who are victims of dating violence are four 
to six times more likely than nonabused girls to be-
come pregnant. 
SEC. 3. 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 award a grant to each eligible State, 
for each of the fiscal years 2010 through 2014, to conduct 
programs of sex education described in subsection (b), in-
cluding education on both abstinence and contraception 
for the prevention of teenage pregnancy and sexually 
transmitted diseases, including HIV/AIDS. 
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(b) REQUIREMENTS
FOR SEX EDUCATION PRO-
GRAMS.—A program of sex education described in this 
subsection 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; 
(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) develops healthy relationships, including the 
prevention of dating and sexual violence; 
(7) teaches young people how alcohol and drug 
use can affect responsible decisionmaking; and 
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