I
107TH CONGRESS
1ST SESSION
H. R. 3469
To provide for the reduction of adolescent pregnancy, HIV rates, and other
sexually transmitted diseases, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
DECEMBER 12, 2001
Ms. LEE (for herself, Mr. GREENWOOD, and Ms. WOOLSEY) introduced the
following bill; which was referred to the Committee on Energy and Commerce
A BILL
To provide for the reduction of adolescent pregnancy, HIV
rates, and other sexually transmitted diseases, 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 ‘‘Family Life Education
Act’’.
SEC. 2. FINDINGS.
The Congress finds as follows:
(1) 
The 
American 
Medical 
Association
(‘‘AMA’’), 
the 
American 
Nurses 
Association
(‘‘ANA’’), the American Academy of Pediatrics
(‘‘AAP’’), the American College of Obstetricians and
Gynecologists (‘‘ACOG’’), the American Public
Health Association (‘‘APHA’’), and the Society of
Adolescent Medicine (‘‘SAM’’), support responsible
sexuality education that includes information about
both abstinence and contraception.
(2) Recent scientific reports by the Institute of
Medicine, the American Medical Association and the
Office on National AIDS Policy stress the need for
sexuality education that includes messages about ab-
stinence and provides young people with information
about contraception for the prevention of teen preg-
nancy, HIV/AIDS and other sexually transmitted
diseases (‘‘STDs’’).
(3) Research shows that teenagers who receive
sexuality education that includes discussion of con-
traception are more likely than those who receive ab-
stinence-only messages to delay sexual activity and
to use contraceptives when they do become sexually
active.
(4) Comprehensive sexuality education pro-
grams respect the diversity of values and beliefs rep-
resented in the community and will complement and
augment the sexuality education children receive
from their families.
(5) The median age of puberty is 13 years and
the average age of marriage is nearly 26 years old.
American teens need access to full, complete, and
medically and factually accurate information regard-
ing sexuality, including contraception, STD/HIV
prevention, and abstinence.
(6) Although teen pregnancy rates are decreas-
ing, there are still nearly 900,000 teen pregnancies
each year. Nearly 80 percent of teen pregnancies
among 15- to 19-year olds are unintended.
(7) Research shows that 75 percent of the de-
crease in teen pregnancy between 1988 and 1995
was due to improved contraceptive use, while 25 per-
cent was due to increased abstinence.
(8) More than eight out of ten Americans be-
lieve that young people should have information
about protecting themselves from unplanned preg-
nancies and sexually transmitted diseases.
(9) United States teens acquire an estimated
4,000,000 sexually transmitted infections each year.
By age 24, at least one in three sexually active peo-
ple will have contracted a sexually transmitted dis-
ease.
(10) An average of two young people in the
United States are infected with HIV every hour of
every day. African Americans and Hispanic youth
have been disproportionately affected by the HIV/
AIDS epidemic. Although less than 16 percent of
the adolescent population in the United States is Af-
rican American, nearly 50 percent of AIDS cases
through June 2000 among 13- to 19-year olds were
among Blacks. Hispanics comprise 13 percent of the
population and 20 percent of the reported adolescent
AIDS cases though June 2000.
SEC. 3. ASSISTANCE TO REDUCE TEEN PREGNANCY, HIV/
AIDS, AND OTHER SEXUALLY TRANSMITTED
DISEASES AND TO SUPPORT HEALTHY ADO-
LESCENT DEVELOPMENT.
(a) IN GENERAL.—Each eligible State shall be enti-
tled to receive from the Secretary of Health and Human
Services, for each of the fiscal years 2003 through 2007,
a grant to conduct programs of family life education, in-
cluding education on both abstinence and contraception
for the prevention of teenage pregnancy and sexually
transmitted diseases, including HIV/AIDS.
(b) REQUIREMENTS FOR FAMILY LIFE PROGRAMS.—
For purposes of this Act, a program of family life edu-
cation is a program that—
(1) is age-appropriate and medically accurate;
(2) does not teach or promote religion;
(3) teaches that abstinence is the only sure way
to avoid pregnancy or sexually transmitted diseases;
(4) stresses the value of abstinence while not ig-
noring those young people who have had or are hav-
ing sexual intercourse;
(5) provides information about the health bene-
fits and side effects of all contraceptives and barrier
methods as a means to prevent pregnancy;
(6) provides information about the health bene-
fits and side effects of all contraceptives and barrier
methods as a means to reduce the risk of con-
tracting sexually transmitted diseases, including
HIV/AIDS;
(7) encourages family communication about
sexuality between parent and child;
(8) teaches young people the skills to make re-
sponsible decisions about sexuality, including how to
avoid unwanted verbal, physical, and sexual ad-
vances and how not to make unwanted verbal, phys-
ical, and sexual advances; and
(9) teaches young people how alcohol and drug
use can effect responsible decisionmaking.
(c) ADDITIONAL ACTIVITIES.—In carrying out a pro-
gram of family life education, a State may expend a grant
under subsection (a) to carry out educational and motiva-
tional 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 necessary
to ensure and protect their sexual and reproductive
health from unintended pregnancy and sexually
transmitted disease, including HIV/AIDS through-
out their lifespan;
(3) gain knowledge about the specific involve-
ment of and male responsibility in sexual decision-
making;
(4) develop healthy attitudes and values about
adolescent growth and development, body image,
gender roles, racial and ethnic diversity, sexual ori-
entation, and other subjects;
(5) develop and practice healthy life skills in-
cluding goal-setting, decisionmaking, negotiation,
communication, and stress management;
(6) promote self-esteem and positive inter-
personal skills focusing on relationship dynamics, in-
cluding, but not limited to, friendships, dating, ro-
mantic involvement, marriage and family inter-
actions; and
(7) prepare for the adult world by focusing on
educational and career success, including developing
skills for employment preparation, job seeking, inde-
pendent living, financial self-sufficiency, and work-
place productivity.
SEC. 4. SENSE OF CONGRESS.
It is the sense of Congress that while States are not
required to provide matching funds, they are encouraged
to do so.
SEC. 5. EVALUATION OF PROGRAMS.
(a) IN GENERAL.—For the purpose of evaluating the
effectiveness of programs of family life education carried
out with a grant under section 3, evaluations of such pro-
gram shall be carried out in accordance with subsections
(b) and (c).
(b) NATIONAL EVALUATION.—
(1) IN GENERAL.—The Secretary shall provide
for a national evaluation of a representative sample
of programs of family life education carried out with
grants under section 3. A condition for the receipt
of such a grant is that the State involved agree to
cooperate with the evaluation. The purposes of the
national evaluation shall be the determination of—
(A) the effectiveness of such programs in
helping to delay the initiation of sexual inter-
course and other high-risk behaviors;
(B) the effectiveness of such programs in
preventing adolescent pregnancy;
(C) the effectiveness of such programs in
preventing sexually transmitted disease, includ-
ing HIV/AIDS;
(D) the effectiveness of such programs in
increasing contraceptive knowledge and contra-
ceptive behaviors when sexual intercourse oc-
curs; and
(E) a list of best practices based upon es-
sential programmatic components of evaluated
programs that have led to success in subpara-
graphs (A) through (D).
(2) REPORT.—A report providing the results of
the national evaluation under paragraph (1) shall be
submitted to the Congress not later than March 31,
2008, with an interim report provided on a yearly
basis at the end of each fiscal year.
(c) INDIVIDUAL STATE EVALUATIONS.—
(1) IN GENERAL.—A condition for the receipt
of a grant under section 3 is that the State involved
agree to provide for the evaluation of the programs
of family education carried out with the grant in ac-
cordance with the following:
(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
disease, including HIV/AIDS; and
(iv) the effectiveness of such programs
in increasing contraceptive knowledge and
contraceptive behaviors when sexual inter-
course occurs.
(2) USE OF GRANT.—A condition for the re-
ceipt of a grant under section 3 is that the State in-
volved agree that not more than 10 percent of the
grant will be expended for the evaluation under
paragraph (1).
SEC. 6. DEFINITIONS.
For purposes of this Act: