Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Real Education for 
Healthy Youth Act of 2015’’. 
SEC. 2. PURPOSES; SENSE OF CONGRESS. 
(a) PURPOSES.—The purposes of this Act are to pro-
vide young people with comprehensive sex education pro-
grams that— 
(1) provide the information and skills all young 
people need to make informed, responsible, and 
healthy decisions in order to become sexually healthy 
adults and have healthy relationships; 
(2) provide information about the prevention of 
unintended pregnancy, sexually transmitted infec-
tions (including HIV), dating violence, sexual as-
sault, bullying, and harassment; and 
(3) promote and uphold the rights of young 
people to information in order to make healthy and 
responsible decisions about their sexual health. 
(b) FINDING ON REQUIRED RESOURCES.—In order 
to provide the comprehensive sex education described in 
subsection (a), the Congress finds that increased resources 
are required for sex education programs that— 
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(1) are evidence-based, having been proven 
through rigorous evaluation to change sexual behav-
ior or incorporate characteristics of effective pro-
grams; 
(2) cover a broad range of topics, including 
medically accurate, complete, age and develop-
mentally appropriate information about all the as-
pects of sex needed for a complete sex education 
program, including— 
(A) anatomy and physiology; 
(B) growth and development; 
(C) healthy relationships; 
(D) the prevention of unintended preg-
nancy and sexually transmitted infections 
(STIs), including HIV, through abstinence and 
contraception; 
(E) gender, gender identity, and sexual 
orientation; and 
(F) protection from dating violence, sexual 
assault, bullying, and harassment; 
(3) are gender and gender identity-sensitive, 
emphasizing the importance of equality and the so-
cial environment for achieving sexual and reproduc-
tive health and overall well-being; 
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(4) promote educational achievement, critical 
thinking, decisionmaking, self-esteem, and self-effi-
cacy; 
(5) help develop healthy attitudes and insights 
necessary for understanding relationships between 
oneself and others and society; 
(6) foster leadership skills and community en-
gagement by— 
(A) 
promoting 
principles 
of 
fairness, 
human dignity, and respect; and 
(B) engaging young people as partners in 
their communities; and 
(7) are culturally and linguistically appropriate, 
reflecting the diverse circumstances and realities of 
young people. 
(c) SENSE OF CONGRESS.—It is the sense of Con-
gress that— 
(1) federally funded sex education programs 
should aim to— 
(A) provide information about a range of 
human sexuality topics, including human devel-
opment, relationships, personal skills, and sex-
ual behavior data including abstinence, sexual 
health, and society and culture; 
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(B) promote safe and healthy relation-
ships; 
(C) reduce unintended pregnancy and sex-
ually transmitted infections, including HIV; 
(D) promote gender equality; 
(E) use, and be informed by, the best sci-
entific information available; 
(F) be built on characteristics of effective 
programs; 
(G) be culturally competent and inclusive 
of lesbian, gay, bisexual, transgender, queer, 
and questioning (LGBTQ) youth; 
(H) expand the existing body of evidence 
on comprehensive sex education programs 
through program evaluation; 
(I) expand training programs for teachers 
of comprehensive sex education; 
(J) build on the personal responsibility 
education programs funded under section 513 
of the Social Security Act (42 U.S.C. 713) and 
the President’s Teen Pregnancy Prevention pro-
gram, funded under title II of the Consolidated 
Appropriations Act, 2010 (Public Law 111– 
117; 123 Stat. 3253), and on programs sup-
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ported through the Centers for Disease Control 
and Prevention (CDC); and 
(K) promote and uphold the rights of 
young people to information in order to make 
healthy and responsible decisions about their 
sexual health; and 
(2) no Federal funds should be used for health 
education programs that— 
(A) withhold health promoting or life-sav-
ing information about sexuality-related topics or 
HIV; 
(B) are medically inaccurate or have been 
scientifically shown to be ineffective; 
(C) promote gender stereotypes; 
(D) are insensitive and unresponsive to the 
needs of sexually active adolescents; 
(E) are insensitive and unresponsive to the 
needs of survivors of sexual abuse or assault; 
(F) are insensitive and unresponsive to the 
needs of LGBTQ youth; or 
(G) are inconsistent with the ethical im-
peratives of medicine and public health. 
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SEC. 3. GRANTS FOR COMPREHENSIVE SEX EDUCATION 
FOR ADOLESCENTS. 
(a) PROGRAM AUTHORIZED.—The Secretary, in co-
ordination with the Director of the Office of Adolescent 
Health and the Associate Commissioner of the Family and 
Youth Services Bureau of the Administration on Children, 
Youth, and Families of the Department of Health and 
Human Services, shall award grants, on a competitive 
basis, to eligible entities to enable such eligible entities to 
carry out programs that provide adolescents with com-
prehensive sex education, as described in subsection (f). 
(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 a public or private entity that focuses 
on adolescent health or education or has experience work-
ing with adolescents, which may include— 
(1) a State educational agency; 
(2) a local educational agency; 
(3) a tribe or tribal organization, as defined in 
section 4 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 450b); 
(4) a State or local department of health; 
(5) a State or local department of education; 
(6) a nonprofit organization; 
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(7) a nonprofit or public institution of higher 
education; or 
(8) a hospital. 
(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, including 
the evaluation plan described in subsection (g)(1). 
(e) PRIORITY.—In awarding grants under this sec-
tion, the Secretary shall give priority to eligible entities 
that— 
(1) are State or local public entities, with an 
additional priority for State or local educational 
agencies; 
(2) are entities not currently receiving funds 
under— 
(A) section 513 of the Social Security Act 
(42 U.S.C. 713); 
(B) the President’s Teen Pregnancy Pre-
vention program, funded under title II of the 
Consolidated Appropriations Act, 2010 (Public 
Law 111–117; 123 Stat. 3253); or 
(C) programs supported through the Cen-
ters for Disease Control and Prevention; and 
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(3) address health disparities among young peo-
ple that are at highest risk for not less than 1 of 
the following: 
(A) Unintended pregnancies. 
(B) Sexually transmitted infections, includ-
ing HIV. 
(C) Dating violence and sexual assault. 
(f) USE OF FUNDS.— 
(1) IN GENERAL.—Each eligible entity that re-
ceives a grant under this section shall use grant 
funds to carry out a program that provides adoles-
cents with comprehensive sex education that— 
(A) replicates evidence-based sex education 
programs; 
(B) substantially incorporates elements of 
evidence-based sex education programs; or 
(C) creates a demonstration project based 
on generally accepted characteristics of effective 
sex education programs. 
(2) CONTENTS
OF
SEX
EDUCATION
PRO-
GRAMS.—The sex education programs funded under 
this section shall include curricula and program ma-
terials that address— 
(A) abstinence and delaying sexual initi-
ation; 
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(B) the health benefits and side effects of 
all contraceptive and barrier methods as a 
means to prevent pregnancy and sexually trans-
mitted infections, including HIV; 
(C) healthy relationships, including the de-
velopment of healthy attitudes and skills nec-
essary for understanding— 
(i) healthy relationships between one-
self and family, others, and society; and 
(ii) the prevention of sexual abuse, 
teen dating violence, bullying, harassment, 
and suicide; 
(D) healthy life skills including goal-set-
ting, decisionmaking, interpersonal skills (such 
as communication, assertiveness, and peer re-
fusal skills), critical thinking, self-esteem and 
self-efficacy, and stress management; 
(E) how to make responsible decisions 
about sex and sexuality, including— 
(i) how to avoid, and how to avoid 
making, unwanted verbal, physical, and 
sexual advances; and 
(ii) how alcohol and drug use can af-
fect responsible decisionmaking; 
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(F) the development of healthy attitudes 
and values about such topics as adolescent 
growth and development, body image, gender 
roles and gender identity, racial and ethnic di-
versity, and sexual orientation; and 
(G) referral services for local health clinics 
and services where adolescents can obtain addi-
tional information and services related to sexual 
and reproductive health, dating violence and 
sexual assault, and suicide prevention. 
(g) EVALUATION; REPORT.— 
(1) INDEPENDENT EVALUATION.—Each eligible 
entity applying for a grant under this section shall 
develop and submit to the Secretary a plan for a rig-
orous independent evaluation of such grant program. 
The plan shall describe an independent evaluation 
that— 
(A) uses sound statistical methods and 
techniques relating to the behavioral sciences, 
including random assignment methodologies, 
whenever possible; 
(B) uses quantitative data for assessments 
and impact evaluations, whenever possible; and 
(C) is carried out by an entity independent 
from such eligible entity. 
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(2) SELECTION
OF
EVALUATED
PROGRAMS; 
BUDGET.— 
(A) SELECTION
OF
EVALUATED
PRO-
GRAMS.—The Secretary shall choose, at ran-
dom, a subset of the eligible entities that the 
Secretary has selected to receive a grant under 
this section to receive additional funding to 
carry out the evaluation plan described in para-
graph (1). 
(B) BUDGET
FOR
EVALUATION
ACTIVI-
TIES.—The Secretary, in coordination with the 
Director of the Office of Adolescent Health, 
shall establish a budget for each eligible entity 
selected under subparagraph (A) for the costs 
of carrying out the evaluation plan described in 
paragraph (1). 
(3) FUNDS FOR EVALUATION.—The Secretary 
shall provide eligible entities who are selected under 
paragraph (2)(A) with additional funds, in accord-
ance with the budget described in paragraph (2)(B), 
to carry out and report to the Secretary on the eval-
uation plan described in paragraph (1). 
(4) PERFORMANCE MEASURES.—The Secretary, 
in coordination with the Director of the Centers for 
Disease Control and Prevention, shall establish a 
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common set of performance measures to assess the 
implementation and impact of grant programs fund-
ed under this section. Such performance measures 
shall include— 
(A) output measures, such as the number 
of individuals served and the number of hours 
of service delivery; and 
(B) outcome measures, including measures 
relating to— 
(i) the knowledge that youth partici-
pating in the grant program have gained 
about— 
(I) adolescent growth and devel-
opment; 
(II) relationship dynamics; 
(III) ways to prevent unintended 
pregnancy and sexually transmitted 
infections, including HIV; and 
(IV) sexual health; 
(ii) the skills that adolescents partici-
pating in the grant program have gained 
regarding— 
(I) negotiation and communica-
tion; 
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(II) decisionmaking and goal-set-
ting; 
(III) 
interpersonal 
skills 
and 
healthy relationships; and 
(IV) condom use; and 
(iii) the behaviors of adolescents par-
ticipating in the grant program, including 
data about— 
(I) age of first intercourse; 
(II) number of sexual partners; 
(III) condom and contraceptive 
use at first intercourse; 
(IV) recent condom and contra-
ceptive use; and 
(V) dating abuse and lifetime his-
tory of intimate partner violence 
(IPV), sexual assault, dating violence, 
bullying, harassment, and stalking. 
(5) REPORT TO THE SECRETARY.—Eligible en-
tities receiving a grant under this section who have 
been selected to receive funds to carry out the eval-
uation plan described in paragraph (1), in accord-
ance with paragraph (2)(A), shall collect and report 
to the Secretary— 
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(A) the results of the independent evalua-
tion described in paragraph (1); and 
(B) information about the performance 
measures described in paragraph (2). 
(6) EFFECTIVE PROGRAMS.—The Secretary, in 
coordination with the Director of the Centers for 
Disease Control and Prevention, shall publish on the 
website of the Centers for Disease Control and Pre-
vention, a list of programs funded under this section 
that the Secretary has determined to be effective 
programs. 
SEC. 4. GRANTS FOR COMPREHENSIVE SEX EDUCATION AT 
INSTITUTIONS OF HIGHER EDUCATION. 
(a) PROGRAM AUTHORIZED.—The Secretary, in co-
ordination with the Office of Adolescent Health, the Asso-
ciate Commissioner of the Family and Youth Services Bu-
reau of the Administration on Children, Youth, and Fami-
lies of the Department of Health and Human Services, 
and the Secretary of Education, shall award grants, on 
a competitive basis, to institutions of higher education to 
enable such institutions to provide young people with com-
prehensive sex education, described in subsection (e)(2), 
with an emphasis on reducing HIV, other sexually trans-
mitted infections, and unintended pregnancy through in-
struction about— 
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(1) abstinence and contraception; 
(2) reducing dating violence, sexual assault, 
bullying, and harassment; 
(3) increasing healthy relationships; and 
(4) academic achievement. 
(b) DURATION.—Grants awarded under this section 
shall be for a period of 5 years. 
(c) APPLICATIONS.—An institution of higher edu-
cation 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 re-
quire. 
(d) PRIORITY.—In awarding grants under this sec-
tion, the Secretary shall give priority to an institution of 
higher education that— 
(1) has an enrollment of needy students as de-
fined in section 318(b) of the Higher Education Act 
of 1965 (20 U.S.C. 1059e(b)); 
(2) is a Hispanic-serving institution, as defined 
in section 502(a) of such Act (20 U.S.C. 1101a(a)); 
(3) is a Tribal College or University, as defined 
in section 316(b) of such Act (20 U.S.C. 1059c(b)); 
(4) is an Alaska Native-serving institution, as 
defined in section 317(b) of such Act (20 U.S.C. 
1059d(b)); 
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(5) is a Native Hawaiian-serving institution, as 
defined in section 317(b) of such Act (20 U.S.C. 
1059d(b)); 
(6) is a Predominately Black Institution, as de-
fined in section 318(b) of such Act (20 U.S.C. 
1059e(b)); 
(7) is a Native American-serving, nontribal in-
stitution, as defined in section 319(b) of such Act 
(20 U.S.C. 1059f(b)); 
(8) is an Asian American and Native American 
Pacific Islander-serving institution, as defined in 
section 320(b) of such Act (20 U.S.C. 1059g(b)); or 
(9) is a minority institution, as defined in sec-
tion 365 of such Act (20 U.S.C. 1067k), with an en-
rollment of needy students, as defined in section 312 
of such Act (20 U.S.C. 1058). 
(e) USES OF FUNDS.— 
(1) IN GENERAL.—An institution of higher edu-
cation receiving a grant under this section may use 
grant funds to integrate issues relating to com-
prehensive sex education into the academic or sup-
port sectors of the institution of higher education in 
order to reach a large number of students, by car-
rying out 1 or more of the following activities: 
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(A) Developing educational content for 
issues relating to comprehensive sex education 
that will be incorporated into student orienta-
tion, general education, or core courses. 
(B) Developing and employing school-wide 
educational programming outside of class that 
delivers elements of comprehensive sex edu-
cation programs to students, faculty, and staff. 
(C) Creating innovative technology-based 
approaches to deliver sex education to students, 
faculty, and staff. 
(D) Developing and employing peer-out-
reach and education programs to generate dis-
cussion, educate, and raise awareness among 
students about issues relating to comprehensive 
sex education. 
(2) CONTENTS
OF
SEX
EDUCATION
PRO-
GRAMS.—Each institution of higher education’s pro-
gram of comprehensive sex education funded under 
this section shall include curricula and program ma-
terials that address information about— 
(A) safe and responsible sexual behavior 
with respect to the prevention of pregnancy and 
sexually transmitted infections, including HIV, 
in addition to the teachings of— 
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(i) abstinence; 
(ii) a reduced number of sexual part-
ners; and 
(iii) the use of condoms and contra-
ception; 
(B) healthy relationships, including the de-
velopment of healthy attitudes and insights nec-
essary for understanding— 
(i) relationships between oneself, fam-
ily, partners, others, and society; and 
(ii) the prevention of sexual abuse, 
dating violence, bullying, harassment, and 
suicide; and 
(C) referral services to local health clinics 
where young people can obtain additional infor-
mation and services related to sexual and repro-
ductive health, dating violence and sexual as-
sault, and suicide prevention. 
(3) OPTIONAL
COMPONENTS
OF
SEX
EDU-
CATION.—Each institution of higher education’s pro-
gram of comprehensive sex education may also in-
clude information and skills development relating 
to— 
(A) how to make responsible decisions 
about sex and sexuality, including— 
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(i) how to avoid, and avoid making, 
unwanted verbal, physical, and sexual ad-
vances; and 
(ii) how alcohol and drug use can af-
fect responsible decisionmaking; 
(B) healthy life skills, including— 
(i) goal-setting and decisionmaking; 
(ii) interpersonal skills, such as com-
munication, assertiveness, and peer refusal 
skills; 
(iii) critical thinking; 
(iv) self-esteem and self-efficacy; and 
(v) stress management; 
(C) the development of healthy attitudes 
and values about such topics as body image, 
gender roles and gender identity, racial and eth-
nic diversity, and sexual orientation; and 
(D) parenting, including— 
(i) financial and emotional responsibil-
ities; 
(ii) communication skills; 
(iii) problem solving; and 
(iv) caretaking. 
(f) EVALUATION; REPORT.—The requirements de-
scribed in section 3(g) shall apply to eligible entities re-
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ceiving a grant under this section in the same manner as 
such requirements apply to eligible entities receiving 
grants under section 3. 
SEC. 5. GRANTS FOR PRE-SERVICE AND IN-SERVICE TEACH-
ER TRAINING. 
(a) PROGRAM AUTHORIZED.—The Secretary, in co-
ordination with the Director of the Centers for Disease 
Control and Prevention and the Secretary of Education, 
shall award grants, on a competitive basis, to eligible enti-
ties to enable such eligible entities to carry out the activi-
ties described in subsection (e). 
(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 State educational agency; 
(2) a local educational agency; 
(3) a tribe or tribal organization, as defined in 
section 4 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 450b); 
(4) a State or local department of health; 
(5) a State or local department of education; 
(6) a nonprofit institution of higher education; 
(7) a national or statewide nonprofit organiza-
tion that has as its primary purpose the improve-
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ment of provision of comprehensive sex education 
through training and effective teaching of com-
prehensive sex education; or 
(8) a consortium of nonprofit organizations that 
has as its primary purpose the improvement of pro-
vision of comprehensive sex education through train-
ing and effective teaching of comprehensive sex edu-
cation. 
(d) APPLICATION.—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. 
(e) AUTHORIZED ACTIVITIES.— 
(1) REQUIRED ACTIVITY.—Each eligible entity 
receiving a grant under this section shall use grant 
funds for professional development and training of 
targeted faculty, school administrators, teachers, 
and staff, in order to increase effective teaching of 
comprehensive sex education for elementary school 
and secondary school students. 
(2) PERMISSIBLE
ACTIVITIES.—Each eligible 
entity receiving a grant under this section may use 
grant funds to— 
(A) strengthen and expand the eligible en-
tity’s relationships with— 
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(i) institutions of higher education; 
(ii) State educational agencies; 
(iii) local educational agencies; or 
(iv) other public and private organiza-
tions with a commitment to comprehensive 
sex education and the benefits of com-
prehensive sex education; 
(B) support and promote research-based 
training of teachers for comprehensive sex edu-
cation and related disciplines in elementary and 
secondary schools as a means of broadening 
student knowledge about issues related to 
human development, relationships, personal 
skills, and sexual behavior, including absti-
nence, sexual health, and society and culture; 
(C) support the dissemination of informa-
tion on effective practices and research findings 
concerning the teaching of comprehensive sex 
education; 
(D) support research on— 
(i) effective comprehensive sex edu-
cation teaching practices; and 
(ii) the development of assessment in-
struments and strategies to document— 
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(I) student understanding of 
comprehensive sex education; and 
(II) the effects of comprehensive 
sex education; 
(E) convene national conferences on com-
prehensive sex education, in order to effectively 
train teachers in the provision of comprehensive 
sex education; and 
(F) develop and disseminate appropriate 
research-based materials to foster comprehen-
sive sex education. 
(3) SUBGRANTS.—Each eligible entity receiving 
a grant under this section may award subgrants to 
nonprofit organizations that possess a demonstrated 
record of providing comprehensive sex education, 
State educational agencies, or local educational 
agencies to enable such organizations or agencies 
to— 
(A) train teachers in comprehensive sex 
education; 
(B) support Internet or distance learning 
related to comprehensive sex education; 
(C) promote rigorous academic standards 
and assessment techniques to guide and meas-
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ure student performance in comprehensive sex 
education; 
(D) encourage replication of best practices 
and model programs to promote comprehensive 
sex education; 
(E) develop and disseminate effective, re-
search-based 
comprehensive 
sex 
education 
learning materials; 
(F) develop academic courses on the peda-
gogy of sex education at institutions of higher 
education; or 
(G) convene State-based conferences to 
train teachers in comprehensive sex education 
and to identify strategies for improvement. 
SEC. 6. REPORT TO CONGRESS. 
(a) IN GENERAL.—Not later than 1 year after the 
date of the enactment of this Act, and annually thereafter 
for a period of 5 years, the Secretary shall prepare and 
submit to the appropriate committees of Congress a report 
on the activities to provide adolescents and young people 
with comprehensive sex education funded under this Act. 
(b) REPORT ELEMENTS.—The report described in 
subsection (a) shall include— 
(1) a statement of whether the Secretary has 
met the purposes described in section 2(a); and 
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(2) information about— 
(A) the number of eligible entities and in-
stitutions of higher education that are receiving 
grant funds under sections 3 and 4 of this Act; 
(B) the specific activities supported by 
grant funds awarded under sections 3 and 4 of 
this Act; 
(C) the number of adolescents served by 
grant programs funded under section 3; 
(D) the number of young people served by 
grant programs funded under section 4; and 
(E) the status of program evaluations de-
scribed under sections 3 and 4 of this Act. 
SEC. 7. NONDISCRIMINATION. 
Programs funded under this Act shall not discrimi-
nate on the basis of actual or perceived sex, race, color, 
ethnicity, national origin, disability, sexual orientation, 
gender identity, or religion. Nothing in this Act shall be 
construed to invalidate or limit rights, remedies, proce-
dures, or legal standards available to victims of discrimi-
nation under any other Federal law or any law of a State 
or a political subdivision 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 
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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. 8. LIMITATION. 
No Federal funds provided under this Act may be 
used for health education programs that— 
(1) deliberately withhold health promoting or 
life-saving information about sexuality-related topics, 
including HIV; 
(2) are medically inaccurate or have been sci-
entifically shown to be ineffective; 
(3) promote gender stereotypes; 
(4) are insensitive and unresponsive to the 
needs of sexually active youth or lesbian, gay, bisex-
ual, transgender, queer, and questioning (LGBTQ) 
youth; 
(5) are insensitive and unresponsive to the 
needs of survivors of sexual abuse or assault; or 
(6) are inconsistent with the ethical imperatives 
of medicine and public health. 
SEC. 9. AMENDMENTS TO OTHER LAWS. 
(a) AMENDMENT TO THE PUBLIC HEALTH SERVICE 
ACT.—Section 2500 of the Public Health Service Act (42 
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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 harmful effects of in-
travenous substance abuse and unsafe sexual activity, and 
the benefits of abstaining from such activities.’’. 
(b) AMENDMENTS TO THE ELEMENTARY AND SEC-
ONDARY EDUCATION ACT OF 1965.—Section 9526(a) of 
the Elementary and Secondary Education Act of 1965 (20 
U.S.C. 7906(a)) is amended— 
(1) in paragraph (2), by inserting ‘‘or’’ after 
the semicolon; 
(2) in paragraph (3), by striking ‘‘; or’’ and in-
serting a period; and 
(3) by striking paragraph (4). 
SEC. 10. DEFINITIONS. 
In this Act: 
(1) ESEA DEFINITIONS.—The terms ‘‘elemen-
tary school’’, ‘‘local educational agency’’, ‘‘secondary 
school’’, and ‘‘State educational agency’’ have the 
meanings given the terms in section 9101 of the Ele-
mentary and Secondary Education Act of 1965 (20 
U.S.C. 7801). 
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(2) AGE
AND
DEVELOPMENTALLY
APPRO-
PRIATE.—The term ‘‘age and developmentally appro-
priate’’ means suitable for a particular age or age 
group of children and adolescents, based on devel-
oping cognitive, emotional, and behavioral capacity 
typical for that age or age group. 
(3) ADOLESCENTS.—The term ‘‘adolescents’’ 
means individuals who are ages 10 through 19 at 
the time of commencement of participation in a pro-
gram supported under this Act. 
(4) CHARACTERISTICS
OF
EFFECTIVE
PRO-
GRAMS.—The term ‘‘characteristics of effective pro-
grams’’ means the aspects of evidence-based pro-
grams, including development, content, and imple-
mentation of such programs, 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 sexually 
transmitted infections, including HIV, unin-
tended pregnancy, and dating violence and sex-
ual assault among young people. 
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(5) COMPREHENSIVE
SEX
EDUCATION.—The 
term ‘‘comprehensive sex education’’ means a pro-
gram that— 
(A) includes age- and developmentally ap-
propriate, culturally and linguistically relevant 
information on a broad set of topics related to 
sexuality including human development, rela-
tionships, decisionmaking, communication, ab-
stinence, contraception, and disease and preg-
nancy prevention; 
(B) provides students with opportunities 
for developing skills as well as learning informa-
tion; 
(C) is inclusive of lesbian, gay, bisexual, 
transgender, and heterosexual young people; 
and 
(D) aims to— 
(i) provide scientifically accurate and 
realistic information about human sexu-
ality; 
(ii) provide opportunities for individ-
uals to understand their own, their fami-
lies’, and their communities’ values, atti-
tudes, and insights about sexuality; 
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