I 114th CONGRESS 2d Session H. R. 4475 IN THE HOUSE OF REPRESENTATIVES February 4, 2016 Ms. Adams (for herself, Mr. Takai , Ms. Velázquez , Ms. Kelly of Illinois , Ms. Jackson Lee , Ms. Norton , Ms. Moore , Ms. Lee , Mr. Conyers , Mr. Grijalva , Mr. Hastings , Ms. Michelle Lujan Grisham of New Mexico , Mrs. Lawrence , Mr. David Scott of Georgia , Ms. Edwards , Mr. Richmond , Mr. Ted Lieu of California , Mr. Quigley , Ms. Plaskett , Mr. Rangel , Ms. Maxine Waters of California , Ms. Judy Chu of California , Mrs. Davis of California , Mr. McDermott , Mr. Pocan , Mrs. Watson Coleman , Mr. Nadler , Mr. Payne , Mr. Van Hollen , and Mr. Honda ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To authorize the Secretary of Health and Human Services to award grants to support the access of marginalized youth to sexual health services, and for other purposes.

1. Short title This Act may be cited as the Youth Access to Sexual Health Services Act of 2016 . 2. Authorization of grants to support the access of marginalized youth to sexual health services (a) Grants The Secretary may award grants on a competitive basis to eligible entities to support the access of marginalized youth to sexual health services. (b) Use of funds An eligible entity that is awarded a grant under subsection (a) may use the funds to— (1) provide medically accurate and age appropriate sexual health information to marginalized youth, including information on how to access sexual health services; (2) promote effective communication regarding sexual health among marginalized youth; (3) promote and support better health, education, and economic opportunities for school-age parents; and (4) train individuals who work with mar­gin­al­ized youth to promote— (A) the prevention of unintended pregnancy; (B) the prevention of sexually transmitted infections; (C) healthy relationships; and (D) the development of safe and supportive environments. (c) Application To be awarded a grant under subsection (a), an eligible entity shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require. (d) Priority In awarding grants under subsection (a), the Secretary shall give priority to eligible entities— (1) with a history of supporting the access of marginalized youth to sexuality education or sexual health services; and (2) that plan to serve marginalized youth that are not served by Federal teen pregnancy prevention programs. (e) Requirements The Secretary may not award a grant under subsection (a) to an eligible entity unless— (1) such eligible entity has formed a partnership with a community organization; and (2) such eligible entity agrees— (A) to employ a scientifically effective strategy; (B) that all information provided to marginalized youth will be— (i) age-appropriate; (ii) medically accurate; (iii) scientifically based; and (iv) provided in the language and cultural context that is most appropriate for the individuals served by the eligible entity; and (C) that for each year the eligible entity receives grant funds under subsection (a), the eligible entity shall submit to the Secretary an annual report that includes— (i) the use of grant funds by the eligible entity; (ii) how the use of grant funds has increased the access of marginalized youth to sexual health services; and (iii) such other information as the Secretary may require. (f) Publication and evaluations (1) Evaluations Not less than once every 2 years after the date of the enactment of this Act, the Secretary shall evaluate the effectiveness of whichever of the following is greater: (A) Eight grants awarded under subsection (a). (B) Ten percent of the grants awarded under subsection (a). (2) Publication The Secretary shall make available to the public— (A) the evaluations required under paragraph (1); and (B) the reports required under subsection (e)(2)(C). (g) Limitations No funds made available to an eligible entity under this section may be used by such entity to provide access to sexual health services that— (1) withhold sexual health-promoting or life-saving information; (2) are medically inaccurate or have been scientifically shown to be ineffective; (3) promote gender stereotypes; (4) are insensitive or unresponsive to the needs of lesbian, gay, bisexual, transgender, queer or questioning youth, sexually active youth, or school-age parents; (5) are insensitive or unresponsive to the needs of survivors of sexual abuse or assault; or (6) are inconsistent with the ethical imperatives of medicine and public health. (h) Definitions In this section: (1) Community organization The term community organization includes a State or local health or education agency, public school, youth-focused organization that is faith-based and community-based, juvenile justice entity, or other organization that provides confidential and appropriate sexuality education or sexual health services to mar­gin­al­ized youth. (2) Eligible entity The term eligible entity includes a State or local health or education agency, public school, nonprofit organization, hospital, or an Indian tribe or tribal organization (as such terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 450b )). (3) Marginalized youth The term mar­gin­al­ized youth means a person under the age of 26 that is disadvantaged by underlying structural barriers and social inequity. (4) Medically accurate The term medically accurate , with respect to information, means information that is supported by research and recognized as accurate and objective by leading medical, psychological, psychiatric, or public health organizations and agencies. (5) Scientifically effective strategy The term scientifically effective strategy means a strategy that— (A) is widely recognized by leading medical and public health agencies as effective in promoting sexual health awareness and healthy behavior; and (B) either— (i) has been demonstrated to be effective on the basis of rigorous scientific research; or (ii) incorporates characteristics of effective programs. (6) Secretary The term Secretary means the Secretary of Health and Human Services. (7) Sexual health services The term sexual health services includes— (A) sexual health education; (B) contraception; (C) emergency contraception; (D) condoms and other barrier methods to prevent pregnancy or sexually transmitted infections; (E) routine gynecological care, including HPV vaccines and cancer screenings; (F) pre-exposure prophylaxis or post-exposure prophylaxis; (G) mental health services; (H) sexual assault survivor services; and (I) other preventative treatment or care. (i) Appropriation (1) Grants Of the amounts appropriated for fiscal year 2017 under section 510(d) of the Social Security Act ( 42 U.S.C. 710(d) ), the unobligated balance of such amounts shall be made available to carry out this section for such fiscal year. For purposes of the previous sentence, the unobligated balance of such amounts shall be determined by the Director of the Office of Management and Budget, in consultation with the Secretary. (2) Limitation Of the amount made available under paragraph (1) for fiscal year 2017, the Secretary may reserve not more than 10 percent to conduct evaluations under subsection (f) for such year.