I 
119TH CONGRESS 
1ST SESSION H. R. 3527 
To provide for the overall health and well-being of young people, including 
the promotion and attainment of lifelong sexual health and healthy rela-
tionships, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 21, 2025 
Ms. ADAMS (for herself, Ms. JAYAPAL, Mr. BEYER, Mr. DAVIS of Illinois, and 
Ms. BONAMICI) introduced the following bill; which was referred to the 
Committee on Education and Workforce, and in addition to the Com-
mittee on Energy and Commerce, for a period to be subsequently deter-
mined by the Speaker, in each case for consideration of such provisions 
as fall within the jurisdiction of the committee concerned 
A BILL 
To provide for the overall health and well-being of young 
people, including the promotion and attainment of life-
long sexual health and healthy relationships, and for 
other purposes. 
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 and 
Access for Healthy Youth Act of 2025’’. 
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SEC. 2. PURPOSE AND FINDINGS. 
(a) PURPOSE.—The purpose of this Act is to provide 
young people with sex education and sexual health services 
that— 
(1) promote and uphold the rights of young 
people to information and services that empower 
them to make decisions about their bodies, health, 
sexuality, families, and communities in all areas of 
life; 
(2) are evidence-informed, comprehensive in 
scope, confidential, equitable, accessible, medically 
accurate and complete, age and developmentally ap-
propriate, culturally responsive, trauma-informed 
and resilience-oriented, and align with the National 
Sex Education Standards of the Future of Sex Ed 
Initiative; 
(3) provide information about the prevention, 
treatment, and care of pregnancy, sexually trans-
mitted infections, and interpersonal violence; 
(4) provide information about the importance of 
consent as a basis for healthy relationships and for 
autonomy in health care; 
(5) provide information on gender identity and 
gender expression; 
(6) provide information on the historical and 
current condition in which education and health sys-
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tems, policies, programs, services, and practices have 
uniquely and adversely impacted Black, Indigenous, 
Latine, Asian American, Native Hawaiian, Pacific 
Islander, and other People of Color; and 
(7) redress inequities in the delivery of sex edu-
cation and sexual health services to underserved 
young people. 
(b) FINDINGS.—Congress finds the following: 
(1) Young people need and have the right to sex 
education and sexual health services that are evi-
dence-informed, comprehensive in scope, confiden-
tial, equitable, accessible, medically accurate and 
complete, age and developmentally appropriate, cul-
turally responsive, and trauma-informed and resil-
ience-oriented. 
(2) Currently, there is a gap between the sex 
education that young people should be receiving 
based on expert standards and the sex education 
many actually receive. 
(3) Only 36 States and the District of Colum-
bia mandate sex education or human immuno-
deficiency virus (HIV) education in schools. 
(4) When there is sex education or instruction 
regarding HIV or sexually transmitted infections 
(STI), 13 States do not require the content to be 
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evidence-informed, medically accurate and complete, 
age and developmentally appropriate, or culturally 
responsive. 
(5) Many sex education programs and sexual 
health services currently available were not designed 
to and do not currently meet the needs of under-
served young people. Some such programs and serv-
ices actually harm underserved young people. 
(6) For underserved young people, a lack of 
comprehensive in scope, confidential, equitable, and 
accessible sex education and sexual health services is 
not unfamiliar, but rather a longstanding manifesta-
tion of white supremacy, which has touched every 
aspect of our history, culture, and institutions, in-
cluding the education and health care systems. 
(7) The development and delivery of sexual 
health education and sexual health services in the 
United States historically has been rooted in the op-
pression of Black, Indigenous, Latine, Asian Amer-
ican, Native Hawaiian, Pacific Islander, and other 
People of Color. 
(8) The United States has a long history of eu-
genics and forced sterilization. The sexual and re-
productive rights and bodily autonomy of specific 
communities deemed ‘‘undesirable’’ or ‘‘defective’’ 
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were targeted by our governments resulting in state- 
sanctioned violence and generations of trauma and 
oppression. These communities include— 
(A) people with low incomes; 
(B) immigrants; 
(C) people with disabilities; 
(D) people living with HIV; 
(E) survivors of interpersonal violence; 
(F) people who are incarcerated, detained, 
or who otherwise have encountered the crimi-
nal-legal system; 
(G) Black, Indigenous, Latine, Asian 
American, and other People of Color; 
(H) people who are lesbian, gay, bisexual, 
transgender, and queer; and 
(I) young people who are pregnant and 
parenting. 
(9) Black young people are more likely to re-
ceive abstinence-only instruction. Research shows 
that abstinence-only instruction, also known as ‘‘sex-
ual risk avoidance’’ instruction, is ineffective in com-
parison to comprehensive sex education. 
(10) Black, Indigenous, and Latine young peo-
ple are disproportionately more likely to be diag-
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nosed with an STI, have an unintended pregnancy, 
or experience sexual assault. 
(11) The framework of Reproductive Justice ac-
knowledges and aims to address the legacy of white 
supremacy, systemic oppression, and the restrictions 
on sex education and sexual health services that dis-
proportionately impact underserved communities. 
Reproductive Justice will be achieved when all people 
regardless of actual or perceived race, color, eth-
nicity, national origin, religion, immigration status, 
sex (including gender identity and sexual orienta-
tion), disability status, pregnancy or parenting sta-
tus, or age have the power to make decisions about 
their bodies, health, sexuality, families, and commu-
nities in all areas of life. 
(12) Increased resources are required for sex 
education and sexual health services to reach all 
young people, redress inequities and their impacts 
on underserved young people, and achieve Reproduc-
tive Justice for young people. 
(13) Such sex education and sexual health serv-
ices should— 
(A) promote and uphold the rights of 
young people to information and services in 
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order to make and exercise informed and re-
sponsible decisions about their sexual health; 
(B) be evidence-informed, comprehensive in 
scope, confidential, equitable, accessible, age 
and developmentally appropriate, culturally re-
sponsive, and trauma-informed and resilience- 
oriented; 
(C) include instruction and materials that 
address— 
(i) puberty and adolescent develop-
ment; 
(ii) sexual and reproductive anatomy 
and physiology; 
(iii) sexual orientation, gender iden-
tity, and gender expression; 
(iv) contraception, pregnancy, and re-
production; 
(v) HIV and other STIs; 
(vi) consent and healthy relationships; 
and 
(vii) interpersonal violence; 
(D) promote gender equity and be inclusive 
of young people with varying gender identities, 
gender expressions, and sexual orientations; 
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(E) promote safe and healthy relationships; 
and 
(F) promote racial equity and be respon-
sive to the needs of young people who are 
Black, Indigenous, and other People of Color. 
SEC. 3. DEFINITIONS. 
In this Act: 
(1) AGE
AND
DEVELOPMENTALLY
APPRO-
PRIATE.—The term ‘‘age and developmentally appro-
priate’’ means topics, messages, and teaching meth-
ods suitable to particular ages, age groups, or devel-
opmental levels, based on cognitive, emotional, so-
cial, and behavioral capacity of most young people at 
that age level. 
(2) CONSENT.—The term ‘‘consent’’ means af-
firmative, conscious, and voluntary agreement to en-
gage in interpersonal, physical, or sexual activity. 
(3) CULTURALLY RESPONSIVE.—The term ‘‘cul-
turally responsive’’ means education and services 
that— 
(A) embrace and actively engage and ad-
just to young people and their various cultural 
identities; 
(B) recognize the ways in which many un-
derserved young people face unique barriers in 
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our society that result in increased adverse 
health outcomes and associated stereotypes; and 
(C) may address the ways in which racism 
has shaped national health care policy, the last-
ing historical trauma associated with reproduc-
tive health experiments and forced sterilizations 
of Black, Latine, and Indigenous communities, 
or sexual stereotypes assigned to young People 
of Color or LGBTQ+ people. 
(4) EVIDENCE-INFORMED.—The term ‘‘evi-
dence-informed’’ means incorporating characteris-
tics, content, or skills that have been proven to be 
effective through evaluation in changing sexual be-
havior. 
(5) GENDER EXPRESSION.—The term ‘‘gender 
expression’’ means the expression of one’s gender, 
such as through behavior, clothing, haircut, or voice, 
and which may or may not conform to socially de-
fined behaviors and characteristics typically associ-
ated with being either masculine or feminine. 
(6) GENDER
IDENTITY.—The term ‘‘gender 
identity’’ means the gender-related identity, appear-
ance, mannerisms, or other gender-related character-
istics of an individual, regardless of the individual’s 
designated sex at birth. 
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(7) INCLUSIVE.—The term ‘‘inclusive’’ means 
content and skills that ensure underserved young 
people are valued, respected, centered, and sup-
ported in sex education instruction and materials. 
(8) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the 
meaning given the term in section 101 of the Higher 
Education Act of 1965 (20 U.S.C. 1001). 
(9) INTERPERSONAL
VIOLENCE.—The term 
‘‘interpersonal violence’’ means abuse, assault, bul-
lying, dating violence, domestic violence, harassment, 
intimate partner violence, or stalking. 
(10) LOCAL EDUCATIONAL AGENCY.—The term 
‘‘local educational agency’’ has the meaning given 
the term in section 8101 of the Elementary and Sec-
ondary Education Act of 1965 (20 U.S.C. 7801). 
(11) MEDICALLY ACCURATE AND COMPLETE.— 
The term ‘‘medically accurate and complete’’ means 
that— 
(A) the information provided through the 
education is verified or supported by the weight 
of research conducted in compliance with ac-
cepted scientific methods and is published in 
peer-reviewed journals, where applicable; or 
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(B) the education contains information 
that leading professional organizations and 
agencies with relevant expertise in the field rec-
ognize as accurate, objective, and complete. 
(12) 
RESILIENCE.—The 
term 
‘‘resilience’’ 
means the ability to adapt to trauma and tragedy. 
(13) 
SECRETARY.—The 
term 
‘‘Secretary’’ 
means the Secretary of Health and Human Services. 
(14) SEX
EDUCATION.—The term ‘‘sex edu-
cation’’ means high quality teaching and learning 
that— 
(A) is delivered, to the maximum extent 
practicable, following the National Sexuality 
Education Standards of the Future of Sex Ed 
Initiative; 
(B) is about a broad variety of topics re-
lated to sex and sexuality, including— 
(i) puberty and adolescent develop-
ment; 
(ii) sexual and reproductive anatomy 
and physiology; 
(iii) sexual orientation, gender iden-
tity, and gender expression; 
(iv) contraception, pregnancy, preg-
nancy options, and reproduction; 
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(v) HIV and other STIs; 
(vi) consent and healthy relationships; 
and 
(vii) interpersonal violence; 
(C) explores values and beliefs about such 
topics; and 
(D) helps young people in gaining the 
skills that are needed to navigate relationships 
and manage one’s own sexual health. 
(15) SEXUAL
HEALTH
SERVICES.—The term 
‘‘sexual health services’’ includes— 
(A) sexual health information, education, 
and counseling; 
(B) all methods of contraception approved 
by the Food and Drug Administration; 
(C) routine gynecological care, including 
human papillomavirus (HPV) vaccines and can-
cer screenings; 
(D) pre-exposure prophylaxis or post-expo-
sure prophylaxis; 
(E) substance use and mental health serv-
ices; 
(F) interpersonal violence survivor services; 
and 
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(G) other pregnancy and STI prevention, 
care, or treatment services. 
(16) SEXUAL ORIENTATION.—The term ‘‘sexual 
orientation’’ means an individual’s romantic, emo-
tional, or sexual attraction to other people. 
(17) STATE EDUCATIONAL AGENCY.—The term 
‘‘State educational agency’’ has the meaning given 
the term in section 8101 of the Elementary and Sec-
ondary Education Act of 1965 (20 U.S.C. 7801). 
(18) TRAUMA.—The term ‘‘trauma’’ means a 
response to an event, series of events, or set of cir-
cumstances that is experienced or witnessed by an 
individual or group of people as physically or emo-
tionally harmful or life-threatening with lasting ad-
verse effects on their functioning and mental, phys-
ical, social, emotional, or spiritual well-being. 
(19) TRAUMA-INFORMED AND RESILIENCE-ORI-
ENTED.—The term ‘‘trauma-informed and resil-
ience-oriented’’ means an approach that realizes the 
prevalence of trauma, recognizes the various ways 
individuals, organizations, and communities may re-
spond to trauma differently, recognizes that resil-
ience can be built, and responds by putting this 
knowledge into practice. 
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(20) UNDERSERVED
YOUNG
PEOPLE.—The 
term ‘‘underserved young people’’ means young peo-
ple who are disadvantaged by underlying structural 
barriers and social inequities, including young people 
who are— 
(A) Black, Indigenous, Latine, Asian 
American, Native Hawaiian, Pacific Islander, 
and other People of Color; 
(B) immigrants; 
(C) in contact with the foster care system; 
(D) in contact with the juvenile justice sys-
tem; 
(E) experiencing homelessness; 
(F) pregnant or parenting; 
(G) lesbian, gay, bisexual, transgender, or 
queer; 
(H) living with HIV; 
(I) living with disabilities; 
(J) from families with low-incomes; or 
(K) living in rural areas. 
(21) YOUNG PEOPLE.—The term ‘‘young peo-
ple’’ means individuals who are ages 10 through 29 
at the time of commencement of participation in a 
project supported under this Act. 
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(22) YOUTH-FRIENDLY SEXUAL HEALTH SERV-
ICES.—The term ‘‘youth-friendly sexual health serv-
ices’’ means sexual health services that are provided 
in a confidential, equitable, and accessible manner 
that makes it easy and comfortable for young people 
to seek out and receive services. 
SEC. 4. GRANTS FOR SEX EDUCATION AT ELEMENTARY 
AND 
SECONDARY 
SCHOOLS 
AND 
YOUTH- 
SERVING ORGANIZATIONS. 
(a) PROGRAM AUTHORIZED.—The Secretary, in co-
ordination with the Secretary of Education, shall award 
grants, on a competitive basis, to eligible entities to enable 
such eligible entities to carry out projects that provide 
young people with sex education. 
(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 delivers 
health education to young people. 
(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) PRIORITY.—In awarding grants under this sec-
tion, the Secretary shall give priority to eligible entities 
that are— 
(1) State educational agencies or local edu-
cational agencies; or 
(2) Indian Tribes or Tribal organizations, as 
defined in section 4 of the Indian Self-Determination 
and Education Assistance Act (25 U.S.C. 5304). 
(f) USE OF FUNDS.—Each eligible entity that re-
ceives a grant under this section shall use the grant funds 
to carry out a project that provides young people with sex 
education. 
SEC. 5. GRANTS FOR SEX EDUCATION AT INSTITUTIONS OF 
HIGHER EDUCATION. 
(a) PROGRAM AUTHORIZED.—The Secretary, in co-
ordination with the Secretary of Education, shall award 
grants, on a competitive basis, to institutions of higher 
education or consortia of such institutions to enable such 
institutions to provide students with age and develop-
mentally appropriate sex education. 
(b) DURATION.—Grants awarded under this section 
shall be for a period of 5 years. 
(c) APPLICATIONS.—An institution of higher edu-
cation or consortium of such institutions desiring a grant 
under this section shall submit an application to the Sec-
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retary at such time, in such manner, and containing such 
information as the Secretary may require. 
(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)); 
(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 Predominantly 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)); 
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(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.—An institution of higher edu-
cation or consortium of such institutions receiving a grant 
under this section shall use grant funds to develop and 
implement a project to integrate sex education into the 
institution of higher education in order to reach a large 
number of students, by carrying out 1 or more of the fol-
lowing activities: 
(1) Adopting and incorporating age and devel-
opmentally appropriate sex education into student 
orientation, general education, or courses. 
(2) Developing or adopting and implementing 
educational programming outside of class that deliv-
ers age and developmentally appropriate sex edu-
cation to students. 
(3) Developing or adopting and implementing 
innovative technology-based approaches to deliver 
age and developmentally appropriate sex education 
to students. 
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(4) Developing or adopting and implementing 
peer-led activities to generate discussion, educate, 
and raise awareness among students about age and 
developmentally appropriate sex education. 
(5) Developing or adopting and implementing 
policies and practices to link students to sexual 
health services. 
SEC. 6. GRANTS FOR EDUCATOR TRAINING. 
(a) PROGRAM AUTHORIZED.—The Secretary, in co-
ordination with the Secretary of Education, shall award 
grants, on a competitive basis, to eligible entities to enable 
such eligible entities to carry out the activities 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 or local edu-
cational agency; 
(2) an Indian Tribe or Tribal organization, as 
defined in section 4 of the Indian Self-Determination 
and Education Assistance Act (25 U.S.C. 5304); 
(3) a State or local department of health; 
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(4) an educational service agency, as defined in 
section 8101 of the Elementary and Secondary Edu-
cation Act of 1965 (20 U.S.C. 7801); 
(5) a nonprofit institution of higher education 
or a consortium of such institutions; or 
(6) a national or statewide nonprofit organiza-
tion or consortium of nonprofit organizations that 
has as its primary purpose the improvement of pro-
vision of sex education through training and effec-
tive teaching of sex education. 
(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 
relevant teachers, health educators, faculty, adminis-
trators, and staff, in order to increase effective 
teaching of sex education to young people. 
(2) PERMISSIBLE
ACTIVITIES.—Each eligible 
entity receiving a grant under this section may use 
grant funds to— 
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(3) SUBGRANTS.—Each eligible entity receiving 
a grant under this section may award subgrants to 
nonprofit organizations that possess a demonstrated 
record of providing training to teachers, health edu-
cators, faculty, administrators, and staff on sex edu-
cation to— 
(A) train educators in sex education; 
(B) support internet or distance learning 
related to sex education; 
(C) promote rigorous academic standards 
and assessment techniques to guide and meas-
ure student performance in sex education; 
(D) encourage replication of best practices 
and model programs to promote sex education; 
(E) develop and disseminate effective, re-
search-based sex education learning materials in 
multiple languages; 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 
UNDERSERVED YOUNG PEOPLE. 
(a) PROGRAM AUTHORIZED.—The Secretary shall 
award grants, on a competitive basis, to eligible entities 
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to enable such entities to provide youth-friendly sexual 
health services to underserved 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. 
(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 
underserved 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 
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order to increase youth-friendly sexual health serv-
ices to underserved young people; 
(3) conduct outreach to underserved young peo-
ple to invite them to participate in the eligible enti-
ty’s sexual health services and to provide feedback to 
inform improvements in the delivery of such services; 
(4) establish and refine systems of referral to 
connect underserved young people to other sexual 
health services and supportive services; 
(5) establish partnerships and collaborations 
with entities providing services to underserved young 
people to link such young people to sexual health 
services, such as by delivering health services at lo-
cations where they congregate, providing transpor-
tation to locations where sexual health services are 
provided, or other linkages to services approaches; 
(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 underserved young people in the lan-
guages and cultural contexts that are most appro-
priate for the underserved young people to be served 
by the eligible entity; 
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(7) promote effective communication regarding 
sexual health among underserved young people; and 
(8) provide training and support for eligible en-
tity personnel and community members who work 
with underserved 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 a grantee receives grant funds under section 4, 5, 
6, or 7, the grantee shall submit to the Secretary a report 
that includes— 
(1) the use of grant funds by the grantee; 
(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— 
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(1) a statement of how grants awarded by the 
Secretary meet the purpose described in section 
2(a); and 
(2) information about— 
(A) the number of grantees that are receiv-
ing 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-
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). 
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(c) MULTI-YEAR 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 multi-year 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— 
(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. 
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(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-
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). 
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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; 
(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 
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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 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); 
(2) by redesignating paragraph (4) as para-
graph (3); 
(3) in paragraph (3), as redesignated by para-
graph (2), by inserting ‘‘or’’ after the semicolon; and 
(4) by redesignating paragraph (7) as para-
graph (4). 
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 2026 through 2031. 
Amounts appropriated under this subsection shall remain 
available until expended. 
(b) RESERVATIONS OF FUNDS.— 
(1) IN GENERAL.—The Secretary— 
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(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) 
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 underserved youth under sec-
tion 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. 
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(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 
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. 
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(d) REPEAL OF ABSTINENCE ONLY UNTIL MAR-
RIAGE PROGRAM.—Section 510 of the Social Security Act 
(42 U.S.C. 710) is repealed. 
Æ 
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