,i #aacth ,,congress #ast ,session ,h4 ,r4 #cggd ,,in ,,the ,,house ,,of ,,representatives ,december #af1 #bjac,ms4 ,lee of ,california 7for herself1 ,mr4 ,moran1 ,ms4 ,moore1 ,ms4 ,schakowsky1 ,mrs4 ,capps1 and ,mr4 ,farr7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,appropriations1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to amend title ,v of the ,social ,security ,act to eliminate the abstinence-only education program1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,repealing ,ineffective and ,incomplete ,abstinence-,only ,program ,funding ,act of #bjac4 #b4 ,findings ,congress makes the following findings3 7#a7 ,the ,united ,states has the highest rate of teen pregnancy among its peers in the developed world4 ,in #bjab1 #c1ieb1icg babies were born to teenagers aged #ae to #ai years4 ,from #bjjg to #bjaa1 the birth rates among ,african-,american and ,hispanic teens were more than two times higher than the rate for ,white teens4 ,from #bjaa to #bjab1 both the number of births and the fertility rate for ,asian or ,pacific ,islander women rose1 by #g percent and #d percent1 respectively4 7#b7 ,while young people in the ,united ,states ages #ae to #bd make up only #be percent of the sexually active population1 they acquire about #ej percent of the #ai1gjj1jjj new sexually transmitted infections 7,s,t,is7 every year4 ,the ,centers for ,disease ,control and ,prevention 7,,cdc7 reported that the rate of chlamydia diagnoses among persons ages #ae-bd in #bjaa was four times higher than the general population4 ,according to the ,,cdc1 young people ages #ac to #bd account for #be percent of the estimated #ej1jjj new ,,hiv infections each year2 every month #a1jjj teenagers or young adults are infected with ,,hiv4 ,african-,american adolescents ages #ac to #ai years are disproportionately affected by ,,hiv1 accounting for only #ae percent of the adolescent population1 but comprising #fg percent of the estimated ,,hiv diagnoses in #bjaa4 ,since #bjjh1 new ,,hiv cases specifically among young ,black men who have sex with men 7,,msm7 ages #ac to #bd have increased by #bj percent4 7#c7 ,abstinence-only-until-marriage programs have been discredited by a wide body of evidence1 including most notably in a congressionally mandated study in #bjjg which found these programs ineffective in stopping or delaying teen sex1 reducing the number of reported sexual partners1 reducing reported rates of pregnancy or sexually transmitted infections1 or otherwise beneficially impacting young people's sexual behavior4 ,the ,institute of ,medicine of the ,national ,academy of ,sciences recommends the termination of such programs because they represent poor fiscal and public health policy4 7#d7 ,programs funded through title ,v1 section #eaj of the ,social ,security ,act are required to adhere to a stigmatizing1 shaming1 and stereotyping eight-point definition of 8abstinence education40 ,this definition promotes marriage as the only acceptable family structure2 ostracizes lesbian1 gay1 bisexual1 and transgender 7,,lgbt7 youth2 stigmatizes youth who have been sexually abused2 and denies information to sexually active youth4 7#e7 ,over #ajj leading medical and public health professional groups1 including the ,american ,medical ,association1 the ,american ,academy of ,pediatrics1 the ,society of ,adolescent ,health and ,medicine1 the ,american ,college of ,obstetricians and ,gynecologists1 the ,american ,nurses ,association1 the ,american ,public ,health ,association1 and the ,american ,psychological ,association1 oppose an abstinence-only-until-marriage approach as antithetical to the principles of science4 ,these organizations all stress the need for sexuality education that includes messages about abstinence and also provide young people with information about contraception for the prevention of teen pregnancy1 ,,hiv_/,,aids1 and other ,s,t,is4 ,additionally1 every ,united ,states ,surgeon ,general from ,dr4 ,koop to ,dr4 ,carmona has supported comprehensive sex education4 ,,cdc includes teen pregnancy prevention as one of its top six priorities1 a 8winnable battle0 in public health1 noting needed support for evidence-based prevention programs4 7#f7 ,since #aihb1 the ,united ,states has spent over #a1gej1jjj1jjj in ,federal funding on abstinence-only-until-marriage programs that fail to teach teens how to prevent unintended pregnancy or ,s,t,is1 including ,,hiv4 ,particularly as the ,nation continues recovery efforts from the worst economic disaster since the ,great ,depression1 government funding should only support evidence-informed programs4 7#g7 ,according to the results of a #bjje-bjjf nationally representative survey of ,united ,states adults published in the ,archives of ,pediatric ,adolescent ,medicine1 more than #h in #aj 7#hb percent7 of those polled1 regardless of political ideology1 support comprehensive sex education that is medically accurate and age-appropriate and includes information about both abstinence and contraception for protection against unintended pregnancy and ,s,t,is1 including ,,hiv4 7#h7 ,there is strong evidence that more comprehensive approaches to sex education help young people both to withstand the pressures to have sex too soon and to have healthy1 responsible1 and mutually protective relationships when they do become sexually active4 ,more comprehensive sex education has been found to be effective in delaying sexual intercourse1 increasing contraceptive use1 and reducing the number of partners among teens4 7#i7 ,strong evidence indicates that sex education programs that promote both abstinence and the use of contraception does not increase sexual behavior4 ,studies show that when teens are educated about and have access to contraception1 levels of contraception use at first intercourse increase while levels of sex stay the same4 7#aj7 ,teens who receive sex education that includes both abstinence and contraception are more likely than those who receive abstinence-only-until-marriage messages to delay sexual activity and use contraception when they do become sexually active4 ,research from the ,united ,states shows that teens who practice contraception consistently in their first sexual relationship are more likely to continue doing so than those who use no method or who use a method inconsistently4 7#aa7 ,the ,personal ,responsibility ,education ,program 7,,prep7 funds programs that are required to provide medically accurate information on both abstinence and contraception for the prevention of pregnancy and ,s,t,is1 including ,,hiv_/,,aids1 with a substantial emphasis on both abstinence and contraceptive use4 ,programs must also address adulthood preparation topics such as healthy relationships1 adolescent development1 financial literacy1 educational and career success1 and healthy life skills4 ,funded programs are required to be evidence-based or replicate elements of evidence-based programs that have been proven on the basis of rigorous scientific research to change behavior4 #c4 ,elimination of abstinence-only education program 7a7 ,in general ,title ,v of the ,social ,security ,act 7#db ,u4,s4,c4 #gja et seq47 is amended by striking section #eaj4 7b7 ,rescission ,amounts appropriated for fiscal year #bjad under section #eaj7;d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #gaj7;d77 7as in effect on the day before the date of enactment of this ,act7 that are unobligated as of the date of enactment of this ,act are rescinded4 #d4 ,reprogramming of abstinence-only education program ,section #eac7;f7 of the ,social ,security ,act 7#db ,u4,s4,c4 #gac7;f77 is amended by striking for each of fiscal years #bjaj through #bjad and inserting for fiscal year #bjad1 increased by an amount equal to the unobligated portion of funds appropriated for fiscal year #bjad under section #eaj7;d7 that are rescinded under subsection 7b74