(E) develop and disseminate effective, re-
search-based sex education learning materials; 
or 
(F) develop academic courses on the peda-
gogy of sex education at institutions of higher 
education. 
SEC. 7. AUTHORIZATION OF GRANTS TO SUPPORT THE DE-
LIVERY OF SEXUAL HEALTH SERVICES TO 
MARGINALIZED YOUNG PEOPLE. 
(a) PROGRAM AUTHORIZED.—The Secretary shall 
award grants, on a competitive basis, to eligible entities 
to enable such entities to provide youth-friendly sexual 
health services to marginalized young people. 
(b) DURATION.—Grants awarded under this section 
shall be for a period of 5 years. 
(c) ELIGIBLE ENTITY.—In this section, the term ‘‘el-
igible entity’’ means— 
(1) a public or private youth-serving organiza-
tion; or 
(2) a covered entity, as defined in section 340B 
of the Public Health Service Act (42 U.S.C. 256b). 
(d) APPLICATIONS.—An eligible entity desiring a 
grant under this section shall submit an application to the 
Secretary at such time, in such manner, and containing 
such information as the Secretary may require. 
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(e) USES OF FUNDS.—Each eligible entity that re-
ceives a grant under this section may use the grant funds 
to— 
(1) develop and implement an evidence-in-
formed project to deliver sexual health services to 
marginalized young people; 
(2) establish, alter, or modify staff positions, 
service delivery policies and practices, service deliv-
ery locations, service delivery environments, service 
delivery schedules, or other services components in 
order to increase youth-friendly sexual health serv-
ices to marginalized young people; 
(3) conduct outreach to marginalized young 
people to invite them to participate in the eligible 
entity’s sexual health services and to provide feed-
back to inform improvements in the delivery of such 
services; 
(4) establish and refine systems of referral to 
connect marginalized young people to other sexual 
health services and supportive services; 
(5) establish partnerships and collaborations 
with entities providing services to marginalized 
young people to link such young people to sexual 
health services, such as by delivering health services 
at locations where they congregate, providing trans-
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portation to locations where sexual health services 
are provided, or other linkages to services ap-
proaches; 
(6) provide evidence-informed, comprehensive in 
scope, confidential, equitable, accessible, medically 
accurate and complete, age and developmentally ap-
propriate, culturally responsive, and trauma-in-
formed and resilience-oriented sexual health infor-
mation to marginalized young people in the lan-
guages and cultural contexts that are most appro-
priate for the marginalized young people to be 
served by the eligible entity; 
(7) promote effective communication regarding 
sexual health among marginalized young people; and 
(8) provide training and support for eligible en-
tity personnel and community members who work 
with marginalized young people about the content, 
skills, and professional disposition needed to provide 
youth-friendly sex education and youth-friendly sex-
ual health services. 
SEC. 8. REPORTING AND IMPACT EVALUATION. 
(a) GRANTEE REPORT TO SECRETARY.—For each 
year an eligible entity receives grant funds under section 
4, 5, 6, or 7, the eligible entity shall submit to the Sec-
retary a report that includes— 
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(1) the use of grant funds by the eligible entity; 
(2) how the use of grant funds has increased 
the access of young people to sex education or sexual 
health services; and 
(3) such other information as the Secretary 
may require. 
(b) SECRETARY’S REPORT TO CONGRESS.—Not later 
than 1 year after the date of the enactment of this Act, 
and annually thereafter for a period of 5 years, the Sec-
retary shall prepare and submit to Congress a report on 
the activities funded under this Act. The Secretary’s re-
port to Congress shall include— 
(1) a statement of how grants awarded by the 
Secretary meet the purposes described in section 
2(a); and 
(2) information about— 
(A) the number of eligible entities that are 
receiving grant funds under sections 4, 5, 6, 
and 7; 
(B) the specific activities supported by 
grant funds awarded under sections 4, 5, 6, and 
7; 
(C) the number of young people served by 
projects funded under sections 4, 5, and 7, in 
the aggregate and disaggregated and cross-tab-
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ulated by grant program, race and ethnicity, 
sex, sexual orientation, gender identity, and 
other characteristics determined by the Sec-
retary (except that such disaggregation or 
cross-tabulation shall not be required in a case 
in which the results would reveal personally 
identifiable information about an individual 
young person); 
(D) the number of teachers, health edu-
cators, faculty, school administrators, and staff 
trained under section 6; and 
(E) the status of the evaluation required 
under subsection (c). 
(c) MULTIYEAR EVALUATION.— 
(1) IN
GENERAL.—Not later than 6 months 
after the date of the enactment of this Act, the Sec-
retary shall enter into a contract with a nonprofit 
organization with experience in conducting impact 
evaluations to conduct a multiyear evaluation on the 
impact of the projects funded under sections 4, 5, 6, 
and 7 and to report to Congress and the Secretary 
on the findings of such evaluation. 
(2) EVALUATION.—The evaluation conducted 
under this subsection shall— 
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(A) be conducted in a manner consistent 
with relevant, nationally recognized professional 
and technical evaluation standards; 
(B) use sound statistical methods and 
techniques relating to the behavioral sciences, 
including quasi-experimental designs, inferential 
statistics, and other methodologies and tech-
niques that allow for conclusions to be reached; 
(C) be carried out by an independent orga-
nization that has not received a grant under 
section 4, 5, 6, or 7; and 
(D) be designed to provide information on 
output measures and outcome measures to be 
determined by the Secretary. 
(3) REPORT.—Not later than 6 years after the 
date of enactment of this Act, the organization con-
ducting the evaluation under this subsection shall 
prepare and submit to the appropriate committees of 
Congress and the Secretary an evaluation report. 
Such report shall be made publicly available, includ-
ing on the website of the Department of Health and 
Human Services. 
SEC. 9. NONDISCRIMINATION. 
Activities funded under this Act shall not discrimi-
nate on the basis of actual or perceived sex (including sex-
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ual orientation and gender identity), age, parental status, 
race, color, ethnicity, national origin, disability, or reli-
gion. Nothing in this Act shall be construed to invalidate 
or limit rights, remedies, procedures, or legal standards 
available under any other Federal 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 Amendments of 1972 (20 U.S.C. 
1681 et seq.), section 504 of the Rehabilitation Act of 
1973 (29 U.S.C. 794), the Americans with Disabilities Act 
of 1990 (42 U.S.C. 12101 et seq.), and section 1557 of 
the Patient Protection and Affordable Care Act (42 
U.S.C. 18116). 
SEC. 10. LIMITATION. 
No Federal funds provided under this Act may be 
used for sex education or sexual health services that— 
(1) withhold health-promoting or life-saving in-
formation about sexuality-related topics, including 
HIV; 
(2) are medically inaccurate or incomplete; 
(3) promote gender or racial stereotypes or are 
unresponsive to gender or racial inequities; 
(4) fail to address the needs of sexually active 
young people; 
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(5) fail to address the needs of pregnant or par-
enting young people; 
(6) fail to address the needs of survivors of 
interpersonal violence; 
(7) fail to address the needs of young people of 
all physical, developmental, or mental abilities; 
(8) fail to be inclusive of individuals with vary-
ing gender identities, gender expressions, and sexual 
orientations; or 
(9) are inconsistent with the ethical imperatives 
of medicine and public health. 
SEC. 11. 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 title 
shall include information about the potential effects of in-
travenous substance use.’’. 
(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— 
(1) by striking paragraphs (3), (5), and (6); 
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(2) by redesignating paragraphs (4) and (7) as 
paragraphs (3) and (4), respectively; and 
(3) in paragraph (3), as redesignated, by insert-
ing ‘‘or’’ after the semicolon. 
SEC. 12. FUNDING. 
(a) AUTHORIZATION.—For the purpose of carrying 
out this Act, there is authorized to be appropriated 
$100,000,000 for each of fiscal years 2024 through 2029. 
Amounts appropriated under this subsection shall remain 
available until expended. 
(b) RESERVATIONS OF FUNDS.— 
(1) IN GENERAL.—The Secretary— 
(A) shall reserve not more than 30 percent 
of the amount authorized under subsection (a) 
for the purposes of awarding grants for sex 
education at elementary and secondary schools 
and youth-serving organizations under section 
4; 
(B) shall reserve not more than 10 percent 
of the amount authorized under subsection (a) 
for the purpose of awarding grants for sex edu-
cation at institutions of higher education under 
section 5; 
(C) shall reserve not more than 15 percent 
of the amount authorized under subsection (a) 
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for the purpose of awarding grants for educator 
training under section 6; 
(D) shall reserve not more than 30 percent 
of the amount authorized under subsection (a) 
for the purpose of awarding grants for sexual 
health services for marginalized youth under 
section 7; and 
(E) shall reserve not less than 5 percent of 
the amount authorized under subsection (a) for 
the purpose of carrying out the reporting and 
impact evaluation required under section 8. 
(2) RESEARCH, TRAINING, AND TECHNICAL AS-
SISTANCE.—The Secretary shall reserve not less 
than 10 percent of the amount authorized under 
subsection (a) for expenditures by the Secretary to 
provide, directly or through a competitive grant 
process, research, training, and technical assistance, 
including dissemination of research and information 
regarding effective and promising practices, pro-
viding consultation and resources, and developing re-
sources and materials to support the activities of re-
cipients of grants. In carrying out such functions, 
the Secretary shall collaborate with a variety of enti-
ties that have expertise in sex education and sexual 
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health services standards setting, design, develop-
ment, delivery, research, monitoring, and evaluation. 
(c) REPROGRAMMING OF ABSTINENCE ONLY UNTIL 
MARRIAGE PROGRAM FUNDING.—The unobligated bal-
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. 
(d) 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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