II 114th CONGRESS 1st Session S. 923 IN THE SENATE OF THE UNITED STATES April 14, 2015 Mr. Graham (for himself, Mr. Vitter , Mr. Thune , Mr. Scott , Mr. Sessions , and Mr. Coats ) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To authorize the Secretary of Health and Human Services, acting through the Administrator of the Health Resources and Services Administration, to award grants on a competitive basis to public and private entities to provide qualified sexual risk avoidance education to youth and their parents.

1. Short title This Act may be cited as the Healthy Relationships Act of 2015 . 2. Sexual risk avoidance education Part P of title III of the Public Health Service Act ( 42 U.S.C. 280g et seq. ) is amended by adding at the end the following: 399V–6. Sexual risk avoidance education (a) In general The Secretary, acting through the Administrator of the Health Resources and Services Administration, may award grants on a competitive basis to public and private entities to provide qualified sexual risk avoidance education to youth and their parents. (b) Qualified Sexual Risk Avoidance Education To be eligible to receive a grant under subsection (a), an entity shall submit an application to the Secretary describing a sexual risk avoidance education program that the entity would offer and that meets all of the following requirements: (1) The primary emphasis and context for each topic covered through the program shall be the unambiguous message that postponing sexual activity is the optimal sexual health behavior for youth. (2) The education shall be medically accurate. (3) The education shall use an evidence-based approach. (4) The education shall be age appropriate. (5) The education shall include thorough treatment of each of the following topics: (A) The holistic individual and societal benefits associated with personal responsibility, success sequencing, self-regulation, goal-setting, healthy decisionmaking, and a focus on the future. (B) The research-based advantage of reserving sexual activity for marriage, as associated with poverty prevention and optimal physical and emotional health for all youth, regardless of previous sexual experience. (C) The skills needed to resist the pervasive sex-saturated culture that portrays teenage sexual activity as an expected norm, with few risks or negative consequences. (D) The foundational components of healthy relationships and their impact on the formation of healthy marriages and safe and stable families. (E) How to avoid sexual coercion, dating violence, and risk behaviors, such as drugs, alcohol, and the misuse of social media. (6) The education shall ensure that any information provided on contraception emphasizes the superior health benefits of sexual delay and does not exaggerate the effectiveness of contraception in preventing the physical and non-physical consequences of teen sexual activity. (c) Priority In awarding grants under subsection (a), the Secretary shall give priority to applicants proposing programs to provide qualified sexual risk avoidance education that— (1) serves youth throughout the middle and high school grades; and (2) will promote parent-child communication regarding healthy sexual decisionmaking. (d) Definitions In this Act: (1) The term age appropriate means appropriate for the general developmental and social maturity of the age group, as opposed to appropriate to the cognitive ability to understand a topic or the atypical development of a small segment of the targeted population. (2) The term evidence-based approach means an approach that— (A) has a clear theoretical framework integrating research findings with practical implementation relevant to the field; (B) matches the needs and desired outcomes for the intended audience; and (C) if effectively implemented, will demonstrate improved outcomes for the targeted population. (3) The term medically accurate means referenced to peer-reviewed research by medical, educational, scientific, governmental, or public health publications, organizations, or agencies. (4) The term sexual risk avoidance means voluntarily refraining from sexual activity. (5) The term sexual activity means genital contact or sexual stimulation for the purpose of arousal, including sexual intercourse. (6) The term success sequencing means the progression of youth through a series of behavioral benchmarks that increases the youth's chances of avoiding poverty, in the following sequence: completing school, securing a job, and marrying before bearing children. (e) Authorization of Appropriations (1) In general There is authorized to be appropriated $110,000,000 for each of fiscal years 2016 through 2020 to carry out this section. Amounts authorized to be appropriated by the preceding sentence shall be derived exclusively from amounts in the Prevention and Public Health Fund established by section 4002 of the Patient Protection and Affordable Care Act ( 42 U.S.C. 300u–11 ). (2) Federal administrative costs Of the amounts appropriated under paragraph (1) for a fiscal year— (A) not more than $1,000,000 may be used for Federal administrative costs; and (B) of the amount used by the Secretary for administrative costs, at least 40 percent shall be used for training and technical assistance by qualified organizations— (i) whose sole focus is the development and advancement of sexual risk avoidance; (ii) have expertise in theory-based sexual risk avoidance curriculum development and implementation; (iii) have direct experience in developing sexual risk avoidance evaluation instruments; and (iv) can offer technical assistance and training on a wide range of topics relevant to the sexual risk avoidance field. .