361 
(2) stresses the value of abstinence while not ig-
noring those young people who have been or are sex-
ually active; 
(3) includes information providing a factual un-
derstanding of male and female reproductive anat-
omy; 
(4) provides medically accurate and complete 
information about the health benefits side effects, 
and availability of contraceptive and barrier methods 
used— 
(A) as a means to prevent pregnancy; and 
(B) to reduce the risk of contracting a sex-
ually transmitted infection, including HIV/ 
AIDS and viral hepatitis; 
(5) encourages family communication between 
parent and child about sexuality; 
(6) cultivates a respectful dialogue about sexu-
ality, including sexual orientation and gender iden-
tity, and embraces the principles of nondiscrimina-
tion based on sexual orientation and gender identity; 
(7) counters the perpetuation of narrow gender 
roles, including the sexualization of female children, 
adolescents, and adults; 
(8) teaches young people the skills to make re-
sponsible decisions about sexuality, including how to 
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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; 
(9) develops healthy relationships, including the 
prevention of dating and sexual violence; 
(10) teaches young people how alcohol and drug 
use can affect responsible decisionmaking; and 
(11) does not teach or promote religion. 
(c) ADDITIONAL ACTIVITIES.—In carrying out a pro-
gram of sex education, a State may expend grant funds 
awarded 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 nec-
essary— 
(A) to ensure and protect their sexual and 
reproductive health from unintended pregnancy 
and sexually transmitted infection, including 
HIV/AIDS, throughout their lifespan; 
(B) to be aware that certain racial and 
ethnic groups are more affected by certain sex-
ually transmitted infections; and 
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(C) to receive the education to prevent fur-
ther transmission; 
(3) gain knowledge about the specific involve-
ment and responsibility of each individual in sexual 
decisionmaking; 
(4) develop healthy attitudes and values about 
adolescent growth and development, body image, 
gender roles, racial and ethnic diversity, sexual ori-
entation and gender identity, and other subjects; 
(5) develop and practice healthy life skills in-
cluding goal-setting, decisionmaking, negotiation, 
communication, and stress management; and 
(6) promote self-esteem and positive inter-
personal skills focusing on relationship dynamics, in-
cluding friendships, dating, romantic involvement, 
marriage, and family interactions. 
(d) MATCHING FUNDS.—The Secretary may not 
make payments to a State under this section in an amount 
exceeding Federal medical assistance percentage for such 
State (as such term is defined in section 1905(b) of the 
Social Security Act (42 U.S.C. 1396d(b))) of the costs of 
the programs conducted by the State under this section. 
(e) EVALUATION OF PROGRAMS.— 
(1) IN GENERAL.—For the purpose of evalu-
ating the effectiveness of programs of sex education 
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carried out with a grant under this section, evalua-
tions shall be carried out in accordance with para-
graphs (2) and (3). 
(2) NATIONAL EVALUATION.— 
(A) METHOD.—The Secretary shall pro-
vide for a national evaluation of a representa-
tive sample of programs of sex education car-
ried out with grants under this section to deter-
mine— 
(i) the effectiveness of such programs 
in helping to delay the initiation of sexual 
intercourse and other high-risk behaviors; 
(ii) the effectiveness of such programs 
in preventing adolescent pregnancy; 
(iii) the effectiveness of such pro-
grams in preventing sexually transmitted 
infection, including HIV/AIDS and viral 
hepatitis; 
(iv) the effectiveness of such programs 
in increasing contraceptive knowledge and 
contraceptive behaviors when sexual inter-
course occurs; and 
(v) a list of best practices that— 
(I) is based upon essential pro-
grammatic components of evaluated 
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programs that have led to success de-
scribed in clauses (i) through (iv); and 
(II) documents the racial and 
ethnic minority populations that are 
recipients of grant funds under this 
section or are served by programs of 
sex education funded under this sec-
tion. 
(B) GRANT CONDITION.—A condition for 
the receipt of a grant to a State under this sec-
tion is that the State cooperate with the evalua-
tion under subparagraph (A). 
(C) REPORT.—The Secretary shall submit 
to the Congress— 
(i) not later than the end of each fis-
cal year during the 5-year period beginning 
with fiscal year 2017, an interim report on 
the national evaluation under subpara-
graph (A); and 
(ii) not later than March 31, 2020, a 
final report providing the results of such 
national evaluation. 
(3) INDIVIDUAL STATE EVALUATIONS.—A con-
dition for the receipt of a grant under this section 
is that the State evaluate the programs of sex edu-
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cation funded through such grant in accordance with 
the following requirements: 
(A) The evaluation will be conducted by an 
external, independent entity. 
(B) The purposes of the evaluation will be 
the determination of— 
(i) the effectiveness of such programs 
in helping to delay the initiation of sexual 
intercourse and other high-risk behaviors; 
(ii) the effectiveness of such programs 
in preventing adolescent pregnancy; 
(iii) the effectiveness of such pro-
grams in preventing sexually transmitted 
infection, including HIV/AIDS; and 
(iv) the effectiveness of such programs 
in increasing contraceptive and barrier 
method knowledge and contraceptive be-
haviors when sexual intercourse occurs. 
(f) LIMITATIONS ON USE OF FUNDS.— 
(1) LIMITATIONS
ON
SECRETARY.—Of the 
amounts appropriated for a fiscal year for purposes 
of this section, the Secretary may not use more 
than— 
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(A) 7 percent of such amounts for admin-
istrative expenses related to carrying out this 
section for that fiscal year; and 
(B) 10 percent of such amounts for the 
national evaluation under subsection (e)(2). 
(2) LIMITATIONS TO STATES.—Of amounts pro-
vided to an eligible State under this subsection, the 
State may not use more than 10 percent of the 
grant to conduct any evaluation under subsection 
(e)(3). 
(g) 
NONDISCRIMINATION
REQUIRED.—Programs 
funded under this section shall not discriminate on the 
basis of sex, race, ethnicity, national origin, disability, reli-
gion, marital status, familial status, sexual orientation, or 
gender identity. Nothing in this section shall be construed 
to invalidate or limit rights, remedies, procedures, or legal 
standards available to victims of discrimination under any 
other Federal law or any law of a State or a political sub-
division of a State, including title VI of the Civil Rights 
Act of 1964 (42 U.S.C. 2000d 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), and the Americans with Disabilities Act of 1990 (42 
U.S.C. 12101 et seq.). 
(h) DEFINITIONS.—For purposes of this section: 
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(1) The term ‘‘age appropriate’’ means, with re-
spect to topics, messages, and teaching methods, 
those suitable to particular ages or age groups of 
children, adolescents, and adults, based on devel-
oping cognitive, emotional, and behavioral capacity 
typical for the age or age group. 
(2) The term ‘‘eligible State’’ means a State 
that submits to the Secretary an application for a 
grant under this section that is in such form, is 
made in such manner, and contains such agree-
ments, assurances, and information as the Secretary 
determines to be necessary to carry out this section. 
(3) The term ‘‘HIV/AIDS’’ means the human 
immunodeficiency virus, and includes acquired im-
mune deficiency syndrome. 
(4) The term ‘‘medically accurate’’, with respect 
to information, means information that is supported 
by research, recognized as accurate and objective by 
leading medical, psychological, psychiatric, and pub-
lic health organizations and agencies, and, published 
in journals that are peer reviewed. 
(5) The term ‘‘State’’ means the 50 States, the 
District of Columbia, the Commonwealth of Puerto 
Rico, the Commonwealth of the Northern Mariana 
Islands, American Samoa, Guam, the United States 
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Virgin Islands, and any other territory or possession 
of the United States. 
(i) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there is authorized 
to be appropriated $50,000,000 for each of the fiscal years 
2017 through 2021. 
SEC. 512. COMPASSIONATE ASSISTANCE FOR RAPE EMER-
GENCIES. 
(a) MEDICARE.— 
(1) 
LIMITATION
ON
PAYMENT.—Section 
1866(a)(1) of the Social Security Act (42 U.S.C. 
1395cc(a)(1)) is amended— 
(A) in the subparagraph (W) added by sec-
tion 3005(1)(C) of Public Law 111–148— 
(i) by striking the period at the end 
and inserting a comma; 
(ii) by moving the indentation 2 ems 
to the left; and 
(iii) by moving such subparagraph to 
immediately follow subparagraph (V); 
(B) in the subparagraph (W) added by sec-
tion 6406(b)(3) of Public Law 111–148— 
(i) by striking the period at the end 
and inserting ‘‘, and’’; 
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(ii) by moving the indentation 2 ems 
to the left; 
(iii) by redesignating such subpara-
graph as subparagraph (X); and 
(iv) by moving such subparagraph to 
immediately follow subparagraph (W), as 
moved under paragraph (2)(C); and 
(C) by inserting after the subparagraph 
(X), as redesignated and moved under para-
graph (3), the following: 
‘‘(Y) in the case of a hospital or critical ac-
cess hospital, to adopt and enforce a policy to 
ensure compliance with the requirements of 
subsection (l) and to meet the requirements of 
such subsection.’’. 
(2) ASSISTANCE TO VICTIMS.—Section 1866 of 
the Social Security Act (42 U.S.C. 1395cc) is 
amended by adding at the end the following new 
subsection: 
‘‘(l) COMPASSIONATE ASSISTANCE FOR RAPE EMER-
GENCIES.— 
‘‘(1) IN
GENERAL.—For purposes of section 
1866(a)(1)(Y), a hospital meets the requirements of 
this subsection if the hospital provides each of the 
services described in paragraph (2) to each indi-
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vidual, whether or not eligible for benefits under this 
title or under any other form of health insurance. 
who comes to the hospital on or after January 1, 
2017, and— 
‘‘(A) who states to hospital personnel that 
they are victims of sexual assault; 
‘‘(B) who is accompanied by an individual 
who states to hospital personnel that the indi-
vidual is a victim of sexual assault; or 
‘‘(C) whom hospital personnel, during the 
course of treatment and care for the individual, 
have reason to believe is a victim of sexual as-
sault. 
‘‘(2) REQUIRED
SERVICES
DESCRIBED.—For 
purposes of paragraph (1), the services described in 
this subparagraph are the following: 
‘‘(A) Provision of medically and factually 
accurate and unbiased written and oral infor-
mation about emergency contraception that— 
‘‘(i) is written in clear and concise 
language; 
‘‘(ii) is readily comprehensible; 
‘‘(iii) includes an explanation that— 
‘‘(I) emergency contraception has 
been approved by the Food and Drug 
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