339 
‘‘SEC. 399OO–2. MULTIMEDIA CAMPAIGNS TO PROMOTE 
TEEN SEXUAL HEALTH. 
‘‘(a) IN GENERAL.—The Secretary shall award com-
petitive grants to public and private entities, including na-
tional or regional intermediaries with affiliates located in 
urban communities, to carry out multimedia campaigns to 
provide public education and increase public awareness re-
garding teen sexual health, including unintended preg-
nancy, sexually transmitted infections including HIV, sex-
ual violence, and related relationship, emotional, social, 
and cultural issues. 
‘‘(b) PRIORITY.—In awarding grants under this sec-
tion, the Secretary shall give priority to applicants pro-
posing to carry out campaigns developed for communities 
with a high prevalence of unintended teen pregnancy (par-
ticularly young people of color, immigrant communities, 
youth in the foster care system, youth in the juvenile jus-
tice system, rural youth, and LGBTQ youth). 
‘‘(c) INFORMATION TO BE PROVIDED.—As a condi-
tion of receipt of a grant under this section, an entity shall 
agree to use the grant to carry out multimedia campaigns 
described in subsection (a) that— 
‘‘(1) at a minimum, shall provide information 
on— 
‘‘(A) human development; 
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‘‘(B) healthy relationships and personal 
skills including communication, consent, and vi-
olence prevention; and 
‘‘(C) sexual behavior and health, including 
abstinence, prevention of unintended teen preg-
nancy, and HIV and other sexually transmitted 
infections; and 
‘‘(2) may provide information on the prevention 
of dating violence and sexual assault. 
‘‘SEC. 399OO–3. RESEARCH ON REDUCING UNINTENDED 
TEENAGE PREGNANCIES AND TEENAGE DAT-
ING VIOLENCE AND IMPROVING HEALTHY 
RELATIONSHIPS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, shall make grants to public and private entities 
to conduct, support, or coordinate research on teen sexual 
health (including unintended teen pregnancy, dating vio-
lence, and healthy relationships among persons of color 
and immigrant communities) that— 
‘‘(1) improves data collection on— 
‘‘(A) sexual and reproductive health, in-
cluding unintended teenage pregnancies and 
births, among all minority communities and 
subpopulations in which such data are not col-
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lected, including American Indian and Alaska 
Native youth; 
‘‘(B) sexual behavior, reproductive and sex-
ual coercion, and teenage contraceptive use pat-
terns at the State level, as appropriate; 
‘‘(C) 
unintended 
teenage 
pregnancies 
among youth in and aging out of foster care or 
juvenile justice systems and the underlying fac-
tors that lead to unintended teenage pregnancy 
among youth in foster care or juvenile justice 
systems; and 
‘‘(D) sexual and reproductive health, in-
cluding teenage pregnancies and births, sexual 
behavior, reproductive and sexual coercion, and 
teenage contraceptive use among— 
‘‘(i) LGBTQ youth; and 
‘‘(ii) rural youth; 
‘‘(2) investigates— 
‘‘(A) the variance in the rates of unin-
tended teenage pregnancy by— 
‘‘(i) racial and ethnic group (such as 
Hispanic, Asian-American, African-Amer-
ican, Pacific Islander, American Indian, 
and Alaska Native); and 
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‘‘(ii) socioeconomic status, based on 
the income of the family and education at-
tainment; 
‘‘(B) factors affecting the risk for youth of 
unintended teenage pregnancy or dating vio-
lence, including the physical and social environ-
ment, level of acculturation, access to health 
care, aspirations for the future, and history of 
physical or sexual violence or abuse; 
‘‘(C) the role that violence and abuse play 
in teenage sex, pregnancy, and childbearing; 
‘‘(D) strategies to address the dispropor-
tionate rates of unintended teenage pregnancies 
and dating violence in racial or ethnic minority 
or immigrant communities; 
‘‘(E) how effective interventions can be 
replicated or adapted in other settings to serve 
racial or ethnic minority or immigrant commu-
nities in a culturally appropriate manner; and 
‘‘(F) the effectiveness of media campaigns 
in addressing healthy relationship development, 
dating violence prevention, and unintended 
teenage pregnancy; and 
‘‘(3) tests research-based strategies for address-
ing high rates of unintended teenage pregnancy 
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through programs that emphasize healthy relation-
ships and violence prevention. 
‘‘(b) PRIORITY.—In carrying out this section, the 
Secretary shall give priority to research that incor-
porates— 
‘‘(1) interdisciplinary approaches; 
‘‘(2) a strong emphasis on community-based 
participatory research; 
‘‘(3) consideration and assessment of State and 
local education and health policies that may impact 
teen sexual health; or 
‘‘(4) translational research. 
‘‘SEC. 399OO–4. HHS ADOLESCENT HEALTH WORK GROUP. 
‘‘(a) PURPOSE.—Not later than 30 days after the 
date of the enactment of this part, the Secretary shall di-
rect the interagency adolescent health workgroup within 
the Office of Adolescent Health of the Department of 
Health and Human Services to— 
‘‘(1) include in the work of the group strategies 
for teenage dating violence prevention and healthy 
teenage relationships with a particular focus among 
racial or ethnic minority or immigrant communities; 
and 
‘‘(2) with respect to including such strategies, 
consult, to the greatest extent possible, with the 
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Federal Interagency Workgroup on Teen Dating Vi-
olence formed under the leadership of the National 
Institute of Justice of the Department of Justice. 
‘‘(b) 
REPORT
REQUIREMENT.—The 
Secretary, 
through the Office of Adolescent Health, shall periodically 
submit to Congress a report that— 
‘‘(1) includes a review of the evidence-based 
programs on preventing unintended teenage preg-
nancy, which are carried out and identified by the 
Office; and 
‘‘(2) identifies the programs of the Department 
of Health and Human Services that include teenage 
dating violence prevention and the promotion of 
healthy teenage relationships as part of a strategy to 
prevent unintended teenage pregnancy. 
‘‘SEC. 399OO–5. GENERAL GRANT PROVISIONS. 
‘‘(a) APPLICATIONS.—To seek a grant under this 
part, an entity shall submit an application to the Secretary 
in such form, in such manner, and containing such agree-
ments, assurances, and information as the Secretary may 
require. 
‘‘(b) ADDITIONAL REQUIREMENTS.—A grant may be 
made under this part only if the applicant involved agrees 
that information, activities, and services provided under 
the grant— 
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‘‘(1) will be evidence-based or evidence-in-
formed; 
‘‘(2) will be factually and medically accurate 
and complete; and 
‘‘(3) if directed to a particular population 
group, will be provided in an appropriate language 
and cultural context. 
‘‘(c) TRAINING AND TECHNICAL ASSISTANCE.— 
‘‘(1) IN GENERAL.—Of the total amount made 
available to carry out this part for a fiscal year, the 
Secretary shall use 10 percent to provide, directly or 
through a competitive grant process, training and 
technical assistance to the grant recipients under 
this part, including by disseminating research and 
information regarding effective and promising prac-
tices, providing consultation and resources on a 
broad array of teenage and unintended pregnancy 
and violence prevention strategies, and developing 
resources and materials. 
‘‘(2) COLLABORATION.—In carrying out this 
subsection, the Secretary shall collaborate with Fed-
eral, State, public, and private entities that have ex-
pertise in sexual health education, prevention of un-
intended teen pregnancy, healthy relationship devel-
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opment, minority health and health disparities, and 
violence prevention. 
‘‘SEC. 399OO–6. DEFINITIONS. 
‘‘In this part: 
‘‘(1) 
EVIDENCE-BASED
OR
EVIDENCE-IN-
FORMED.—The terms ‘evidence-based or evidence-in-
formed’ mean having been proven through rigorous 
evaluation to change sexual behavior or incorporate 
characteristics of effective programs, including devel-
opment, content, and implementation of such pro-
grams, 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 unin-
tended pregnancy, sexually transmitted infec-
tions including HIV, and dating violence and 
sexual assault among young people. 
‘‘(2) LGBTQ 
YOUTH.—The term ‘LGBTQ 
youth’ means lesbian, gay, bisexual, transgender, 
queer, and questioning (LGBTQ) youth. 
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‘‘(3) MEDICALLY ACCURATE AND COMPLETE.— 
The term ‘medically accurate and complete’ means, 
with respect to information, activities, or services, 
verified or supported by the weight of research con-
ducted in compliance with accepted scientific meth-
ods and— 
‘‘(A) published in peer-reviewed journals, 
where applicable; or 
‘‘(B) comprising information that leading 
professional organizations and agencies with 
relevant expertise in the field recognize as accu-
rate, objective, and complete. 
‘‘(4) RACIAL OR ETHNIC MINORITY OR IMMI-
GRANT COMMUNITIES.—The term ‘racial or ethnic 
minority or immigrant communities’ means commu-
nities with a substantial number of residents who 
are members of racial or ethnic minority groups or 
who are immigrants. 
‘‘(5) REPRODUCTIVE AND SEXUAL COERCION.— 
The term ‘reproductive and sexual coercion’— 
‘‘(A) means, with respect to a person, coer-
cive behavior that interferes with the ability of 
such person to control the reproductive deci-
sionmaking of such person, such as inten-
tionally exposing such person to sexually trans-
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mitted infections; attempting to impregnate 
such person against their will; intentionally 
interfering with the person’s birth control; or 
threatening or acting violent if the person does 
not comply with the perpetrator’s wishes re-
garding contraception or the decision whether 
to terminate or continue a pregnancy; and 
‘‘(B) includes a range of behaviors that a 
partner may use related to sexual decision-mak-
ing to pressure or coerce a person to have sex 
without using physical force, such as repeatedly 
pressuring a partner to have sex when they do 
not want to; threatening to end a relationship 
if a person does not have sex; and threatening 
retaliation if notified of a positive sexually 
transmitted infection test result. 
‘‘(6) YOUTH.—The term ‘youth’ means individ-
uals who are 11 to 19 years of age. 
‘‘SEC. 399OO–7. REPORTS. 
‘‘(a) REPORT ON USE OF FUNDS.—Not later than 
1 year after the date of the enactment of this part, the 
Secretary shall submit to Congress a report on the use 
of funds provided pursuant to this part. 
‘‘(b) REPORT ON IMPACT OF PROGRAMS.—Not later 
than March 1, 2021, the Secretary shall submit to Con-
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gress a report on the impact of the programs under this 
part on reducing unintended teenage pregnancies. 
‘‘SEC. 399OO–8. AUTHORIZATION OF APPROPRIATIONS. 
‘‘(a) IN GENERAL.—There are authorized to be ap-
propriated to carry out this part such sums as may be 
necessary for each of the fiscal years 2017 through 2021. 
‘‘(b) AVAILABILITY.—Amounts appropriated pursu-
ant to subsection (a)— 
‘‘(1) are authorized to remain available until ex-
pended; and 
‘‘(2) are in addition to amounts otherwise made 
available for such purposes.’’. 
SEC. 509. GESTATIONAL DIABETES. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by adding after section 
317H the following: 
‘‘SEC. 317H–1. GESTATIONAL DIABETES. 
‘‘(a) UNDERSTANDING
AND MONITORING GESTA-
TIONAL DIABETES.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, in consultation with the Di-
abetes Mellitus Interagency Coordinating Committee 
established under section 429 and representatives of 
appropriate national health organizations, shall de-
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velop a multisite gestational diabetes research 
project within the diabetes program of the Centers 
for Disease Control and Prevention to expand and 
enhance surveillance data and public health research 
on gestational diabetes. 
‘‘(2) AREAS TO BE ADDRESSED.—The research 
project developed under paragraph (1) shall ad-
dress— 
‘‘(A) procedures to establish accurate and 
efficient systems for the collection of gestational 
diabetes data within each State and common-
wealth, territory, or possession of the United 
States; 
‘‘(B) the progress of collaborative activities 
with the National Vital Statistics System, the 
National Center for Health Statistics, and 
State health departments with respect to the 
standard birth certificate, in order to improve 
surveillance of gestational diabetes; 
‘‘(C) postpartum methods of tracking 
women with gestational diabetes after delivery 
as well as targeted interventions proven to 
lower the incidence of type 2 diabetes in that 
population; 
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‘‘(D) variations in the distribution of diag-
nosed and undiagnosed gestational diabetes, 
and of impaired fasting glucose tolerance and 
impaired fasting glucose, within and among 
groups of women; and 
‘‘(E) factors and culturally sensitive inter-
ventions that influence risks and reduce the in-
cidence of gestational diabetes and related com-
plications during childbirth, including cultural, 
behavioral, racial, ethnic, geographic, demo-
graphic, socioeconomic, and genetic factors. 
‘‘(3) REPORT.—Not later than 2 years after the 
date of the enactment of this section, and annually 
thereafter, the Secretary shall generate a report on 
the findings and recommendations of the research 
project including prevalence of gestational diabetes 
in the multisite area and disseminate the report to 
the appropriate Federal and non-Federal agencies. 
‘‘(b) EXPANSION OF GESTATIONAL DIABETES RE-
SEARCH.— 
‘‘(1) IN GENERAL.—The Secretary shall expand 
and intensify public health research regarding gesta-
tional diabetes. Such research may include— 
‘‘(A) developing and testing novel ap-
proaches for improving postpartum diabetes 
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testing or screening and for preventing type 2 
diabetes in women with a history of gestational 
diabetes; and 
‘‘(B) conducting public health research to 
further understanding of the epidemiologic, 
socioenvironmental, behavioral, translation, and 
biomedical factors and health systems that in-
fluence the risk of gestational diabetes and the 
development of type 2 diabetes in women with 
a history of gestational diabetes. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $5,000,000 for each of fiscal years 
2017 through 2021. 
‘‘(c) DEMONSTRATION GRANTS TO LOWER
THE 
RATE OF GESTATIONAL DIABETES.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall award grants, on a 
competitive basis, to eligible entities for demonstra-
tion projects that implement evidence-based inter-
ventions to reduce the incidence of gestational diabe-
tes, the recurrence of gestational diabetes in subse-
quent pregnancies, and the development of type 2 di-
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abetes in women with a history of gestational diabe-
tes. 
‘‘(2) PRIORITY.—In making grants under this 
subsection, the Secretary shall give priority to 
projects focusing on— 
‘‘(A) helping women who have 1 or more 
risk factors for developing gestational diabetes; 
‘‘(B) working with women with a history of 
gestational diabetes during a previous preg-
nancy; 
‘‘(C) providing postpartum care for women 
with gestational diabetes; 
‘‘(D) tracking cases where women with a 
history of gestational diabetes developed type 2 
diabetes; 
‘‘(E) educating mothers with a history of 
gestational diabetes about the increased risk of 
their child developing diabetes; 
‘‘(F) working to prevent gestational diabe-
tes and prevent or delay the development of 
type 2 diabetes in women with a history of ges-
tational diabetes; and 
‘‘(G) achieving outcomes designed to assess 
the efficacy and cost-effectiveness of interven-
tions that can inform decisions on long-term 
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sustainability, including third-party reimburse-
ment. 
‘‘(3) APPLICATION.—An eligible entity desiring 
to receive a grant under this subsection shall submit 
to the Secretary— 
‘‘(A) an application at such time, in such 
manner, and containing such information as the 
Secretary may require; and 
‘‘(B) a plan to— 
‘‘(i) lower the rate of gestational dia-
betes during pregnancy; or 
‘‘(ii) develop methods of tracking 
women with a history of gestational diabe-
tes and develop effective interventions to 
lower the incidence of the recurrence of 
gestational diabetes in subsequent preg-
nancies and the development of type 2 dia-
betes. 
‘‘(4) USES OF FUNDS.—An eligible entity re-
ceiving a grant under this subsection shall use the 
grant funds to carry out demonstration projects de-
scribed in paragraph (1), including— 
‘‘(A) expanding community-based health 
promotion education, activities, and incentives 
focused on the prevention of gestational diabe-
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tes and development of type 2 diabetes in 
women with a history of gestational diabetes; 
‘‘(B) aiding State- and tribal-based diabe-
tes prevention and control programs to collect, 
analyze, disseminate, and report surveillance 
data on women with, and at risk for, gesta-
tional diabetes, the recurrence of gestational di-
abetes in subsequent pregnancies, and, for 
women with a history of gestational diabetes, 
the development of type 2 diabetes; and 
‘‘(C) training and encouraging health care 
providers— 
‘‘(i) to promote risk assessment, high- 
quality care, and self-management for ges-
tational diabetes and the recurrence of ges-
tational diabetes in subsequent preg-
nancies; and 
‘‘(ii) to prevent the development of 
type 2 diabetes in women with a history of 
gestational diabetes, and its complications 
in the practice settings of the health care 
providers. 
‘‘(5) REPORT.—Not later than 4 years after the 
date of the enactment of this section, the Secretary 
shall prepare and submit to the Congress a report 
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concerning the results of the demonstration projects 
conducted through the grants awarded under this 
subsection. 
‘‘(6) DEFINITION
OF
ELIGIBLE
ENTITY.—In 
this subsection, the term ‘eligible entity’ means a 
nonprofit organization (such as a nonprofit academic 
center or community health center) or a State, trib-
al, or local health agency. 
‘‘(7) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $5,000,000 for each of fiscal years 
2017 through 2021. 
‘‘(d) POSTPARTUM FOLLOWUP REGARDING GESTA-
TIONAL DIABETES.—The Secretary, acting through the 
Director of the Centers for Disease Control and Preven-
tion, shall work with the State- and tribal-based diabetes 
prevention and control programs assisted by the Centers 
to encourage postpartum followup after gestational diabe-
tes, as medically appropriate, for the purpose of reducing 
the incidence of gestational diabetes, the recurrence of 
gestational diabetes in subsequent pregnancies, the devel-
opment of type 2 diabetes in women with a history of ges-
tational diabetes, and related complications.’’. 
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SEC. 510. EMERGENCY CONTRACEPTION EDUCATION AND 
INFORMATION PROGRAMS. 
(a) 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 medically accurate and complete 
information on emergency contraception. 
(2) DISSEMINATION.—The Secretary may dis-
seminate medically accurate and complete informa-
tion under paragraph (1) directly or through ar-
rangements with nonprofit organizations, community 
health workers including promotoras, consumer 
groups, institutions of higher education, clinics, the 
media, and Federal, State, and local agencies. 
(3) INFORMATION.—The information dissemi-
nated under paragraph (1) shall— 
(A) include, at a minimum, a description 
of emergency contraception and an explanation 
of the use, safety, efficacy, and availability of 
such contraception; and 
(B) be pilot tested for consumer com-
prehension, cultural and linguistic appropriate-
ness, and acceptance of the messages across 
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geographically, racially, ethnically, and linguis-
tically diverse populations. 
(b) 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; and 
(C) information explaining how to obtain 
copies of the information developed under sub-
section (a) for distribution to the patients of 
the providers. 
(c) DEFINITIONS.—In this section: 
(1) EMERGENCY
CONTRACEPTION.—The term 
‘‘emergency contraception’’ means a drug or device 
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(as the terms are defined in section 201 of the Fed-
eral Food, Drug, and Cosmetic Act (21 U.S.C. 321)) 
or a drug regimen that— 
(A) is used postcoitally; 
(B) prevents pregnancy primarily by pre-
venting or delaying ovulation, and does not ter-
minate an established pregnancy; 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. Such term shall include a phar-
macist. 
(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) MEDICALLY ACCURATE AND COMPLETE.— 
The term ‘‘medically accurate and complete’’ means, 
with respect to information, activities, or services 
verified or supported by the weight of research con-
ducted in compliance with accepted scientific meth-
ods and— 
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(A) published in peer-reviewed journals, 
where applicable; or 
(B) comprising information that leading 
professional organizations and agencies with 
relevant expertise in the field recognize as accu-
rate, objective, and complete. 
(5) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
(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 
2017 through 2021. 
SEC. 511. SUPPORTING HEALTHY ADOLESCENT DEVELOP-
MENT. 
(a) IN GENERAL.—The Secretary may award a grant 
to each eligible State to conduct programs of sex education 
described in subsection (b), including education on both 
abstinence and contraception for the prevention of teenage 
pregnancy and sexually transmitted infections, including 
HIV/AIDS and viral hepatitis. 
(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; 
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