,i #aac? ,,congress #a/ ,session ,h4 ,r4 #gbe ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,febru>y #ad1 #bjac ,ms4 ,lee ( ,cali=nia 7= h]self1 ,ms4 ,moore1 ,ms4 ,p+ree ( ,ma9e1 ,mr4 ,mc,dermott1 ,mrs4 ,davis ( ,cali=nia1 ,mr4 ,clay1 ,ms4 ,norton1 ,ms4 ,de,gette1 ,ms4 ,slaught]1 ,mr4 ,moran1 ,ms4 ,wass]man ,s*ultz1 ,ms4 ,roybal-,all>d1 ,mr4 ,grijalva1 ,ms4 ,bonamici1 ,ms4 ,cl>ke1 ,ms4 ,spei]1 ,mr4 ,deut*1 ,mr4 ,blum5au]1 ,ms4 ,l(gr51 ,mr4 ,lewis1 ,ms4 ,*u1 ,mr4 ,rangel1 ,ms4 ,mc,collum1 ,mr4 ,honda1 ,mr4 ,nadl]1 ,mr4 ,cony]s1 ,mr4 ,holt1 ,ms4 ,wat]s1 ,mr4 ,ha/+s ( ,florida1 ,ms4 ,s*ak[sky1 ,mr4 ,l>s5 ( ,wa%+ton1 ,mrs4 ,*ri/5s51 & ,mr4 ,sires7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ,education & ! ,work=ce1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to provide = ! r$uction ( un9t5d$ pregnancy & sexually transmitt$ infections1 includ+ ,,hiv1 & ! promotion ( heal?y relation%ips1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,real ,education = ,heal?y ,y\? ,act ( #bjac4 #b4 ,purposes2 ,s5se ( ,congress 7a7 ,purposes ,! purposes ( ?is ,act are-- 7#a7 to provide "y p ) compreh5sive sex education t-- 7,a7 provides ! in=mation & skills "y p ne$ to make in=m$1 responsible1 & heal?y decisions 9 ord] to become sexually heal?y adults & h heal?y relation%ips2 7,b7 provides in=mation ab\t ! prev5tion ( un9t5d$ pregnancy1 sexually transmitt$ infections1 includ+ ,,hiv1 sexual assault1 dat+ viol5ce1 bully+1 & h>assm5t2 & 7,c7 promotes & upholds ! rights ( "y p to in=mation 9 ord] to make heal?y & responsible decisions ab\t _! sexual heal?2 & 7#b7 9 ord] to provide ! compreh5sive sex education describ$ 9 p>agraph 7#a71 to provide increas$ res\rces = sex education programs t-- 7,a7 are evid5ce-bas$1 hav+ be5 prov5 ?r\gh rigor\s evaluation to *ange sexual behavior or incorporate *>act]i/ics ( effective programs2 7,b7 cov] a broad range ( topics1 includ+ m$ically accurate1 complete1 age & developm5tally appropriate in=mation ab\t all ! aspects ( sex ne$$ = a complete sex education program1 includ+-- 7i7 anatomy & physiology2 7ii7 gr[? & developm5t2 7iii7 heal?y relation%ips2 7iv7 ! prev5tion ( un9t5d$ pregnancy & sexually transmitt$ infections1 includ+ ,,hiv1 ?r\gh ab/95ce & contraception2 7v7 g5d]1 g5d] id5tity1 & sexual ori5tation2 & 7vi7 protection f dat+ viol5ce1 sexual assault1 bully+1 & h>assm5t2 7,c7 are g5d]- & g5d] id5tity-s5sitive1 emphasiz+ ! importance ( equality & ! social environm5t = a*iev+ sexual & reproductive heal? & ov]all well-be+2 7,d7 promote educational a*ievem5t1 critical ?9k+1 decisionmak+1 self-e/eem1 & self-efficacy2 7,e7 help develop heal?y attitudes & insights necess>y = und]/&+ relation%ips betwe5 oneself & o!rs & society2 7,f7 fo/] lead]%ip skills & community engagem5t by-- 7i7 promot+ pr9ciples ( fairness1 human dignity1 & respect2 & 7ii7 engag+ "y p z p>tn]s 9 _! communities2 & 7,g7 are culturally & l+ui/ically appropriate1 reflect+ ! div]se circum/ances & realities ( "y p4 7b7 ,s5se ( ,congress ,x is ! s5se ( ,congress t-- 7#a7 f$]ally fund$ sex education programs %\ld aim to-- 7,a7 r$uce un9t5d$ pregnancy & sexually transmitt$ infections1 includ+ ,,hiv2 7,b7 promote safe & heal?y relation%ips2 7,c7 use1 & be in=m$ by1 ! be/ sci5tific in=mation available2 7,d7 be built on *>act]i/ics ( effective programs2 7,e7 exp& ! exi/+ body ( evid5ce on compreh5sive sex education programs ?r\gh program evaluation2 7,f7 exp& tra9+ programs = tea*]s ( compreh5sive sex education2 7,g7 build on ! p]sonal responsibility education programs fund$ "u section #eac ( ! ,social ,security ,act 7#db ,u4,s4,c4 #gac7 & ! ,presid5t's ,te5 ,pregnancy ,prev5tion program1 fund$ "u title ,,ii ( ! ,consolidat$ ,appropriations ,act1 #bjaj 7,public ,law #aaa-aag2 #abc ,/at4 #cbec72 & 7,h7 promote & uphold ! rights ( "y p to in=mation 9 ord] to make heal?y & responsible decisions ab\t _! sexual heal?2 & 7#b7 no ,f$]al funds %\ld be us$ = heal? education programs t-- 7,a7 delib]ately )hold life-sav+ in=mation ab\t ,,hiv2 7,b7 are m$ically inaccurate or h be5 sci5tifically %[n to be ineffective2 7,c7 promote g5d] /]eotypes2 7,d7 are ins5sitive & unresponsive to ! ne$s ( sexually active adolesc5ts2 7,e7 are ins5sitive & unresponsive to ! ne$s ( lesbian1 gay1 bisexual1 or transg5d] y\?2 or 7,f7 are inconsi/5t ) ! e?ical imp]atives ( m$ic9e & public heal?4 #c4 ,grants = compreh5sive sex education = adolesc5ts 7a7 ,program au?oriz$ ,! ,secret>y1 9 coord9ation ) ! ,director ( ! ,(fice ( ,adolesc5t ,heal?1 %all aw>d grants1 on a competitive basis1 to eligible entities to enable su* eligible entities to c>ry out programs t provide adolesc5ts ) compreh5sive sex education1 z describ$ 9 subsection 7f74 7b7 ,duration ,grants aw>d$ "u ?is section %all be = a p]iod ( #e ye>s4 7c7 ,eligible ,entity ,9 ?is section1 ! t]m eligible entity means a public or private entity t focuses on adolesc5t heal? or education or has exp]i5ce work+ ) adolesc5ts1 :i* may include-- 7#a7 a ,/ate educational ag5cy2 7#b7 a local educational ag5cy2 7#c7 a tribe or tribal organization1 z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #dej;b72 7#d7 a ,/ate or local dep>tm5t ( heal?2 7#e7 a ,/ate or local dep>tm5t ( education2 7#f7 a nonpr(it organization2 7#g7 a nonpr(it or public in/itution ( high] education2 or 7#h7 a hospital4 7d7 ,applications ,an eligible entity desir+ a grant "u ?is section %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 includ+ ! evaluation plan describ$ 9 subsection 7g77#a74 7e7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority to eligible entities t-- 7#a7 are ,/ate or local public entities1 ) an additional priority = ,/ate or local educational ag5cies2 & 7#b7 address heal? disp>ities among "y p t are at highe/ risk = n less ?an #a ( ! foll[+3 7,a7 ,un9t5d$ pregnancies4 7,b7 ,sexually transmitt$ infections1 includ+ ,,hiv4 7,c7 ,dat+ viol5ce & sexual assault4 7f7 ,use ( funds 7#a7 ,9 ,g5]al ,ea* eligible entity t receives a grant "u ?is section %all use grant funds to c>ry out a program t provides adolesc5ts ) compreh5sive sex education t-- 7,a7 replicates evid5ce-bas$ sex education programs2 7,b7 sub/antially incorporates elem5ts ( evid5ce-bas$ sex education programs2 or 7,c7 creates a demon/ration project bas$ on g5]ally accept$ *>act]i/ics ( effective sex education programs4 7#b7 ,cont5ts ( ,sex ,education ,programs ,! sex education programs fund$ "u ?is section %all include curricula & program mat]ials t address-- 7,a7 ab/95ce & delay+ sexual initiation2 7,b7 ! heal? b5efits & side effects ( all contraceptive & b>ri] me?ods z a means to prev5t pregnancy & sexually transmitt$ infections1 includ+ ,,hiv2 7,c7 heal?y relation%ips1 includ+ ! developm5t ( heal?y attitudes & skills necess>y = und]/&+-- 7i7 heal?y relation%ips betwe5 oneself & family1 o!rs1 & society2 & 7ii7 ! prev5tion ( sexual abuse1 te5 dat+ viol5ce1 bully+1 h>assm5t1 & suicide2 7,d7 heal?y life skills includ+ goal-sett+1 decisionmak+1 int]p]sonal skills 7su* z communication1 ass]tiv5ess1 & pe] refusal skills71 critical ?9k+1 self-e/eem & self-efficacy1 & /ress managem5t2 7,e7 h[ to make responsible decisions ab\t sex & sexuality1 includ+-- 7i7 h[ to avoid1 & h[ to avoid mak+1 unwant$ v]bal1 physical1 & sexual advances2 & 7ii7 h[ alcohol & drug use c affect responsible decisionmak+2 7,f7 ! developm5t ( heal?y attitudes & values ab\t su* topics z adolesc5t gr[? & developm5t1 body image1 g5d] roles & g5d] id5tity1 racial & e?nic div]sity1 & sexual ori5tation2 & 7,g7 ref]ral s]vices = local heal? cl9ics & s]vices :]e adolesc5ts c obta9 additional in=mation & s]vices relat$ to sexual & reproductive heal?1 dat+ viol5ce & sexual assault1 & suicide prev5tion4 7g7 ,evaluation2 ,report 7#a7 ,indep5d5t ,evaluation ,ea* eligible entity apply+ = a grant "u ?is section %all develop & submit to ! ,secret>y a plan = a rigor\s indep5d5t evaluation ( su* grant program4 ,! plan %all describe an indep5d5t evaluation t-- 7,a7 uses s\nd /ati/ical me?ods & te*niques relat+ to ! behavioral sci5ces1 includ+ r&om assignm5t me?odologies1 :5ev] possible2 7,b7 uses quantitative data = assessm5ts & impact evaluations1 :5ev] possible2 & 7,c7 is c>ri$ out by an entity indep5d5t f su* eligible entity4 7#b7 ,selection ( evaluat$ programs2 budget 7,a7 ,selection ( ,evaluat$ ,programs ,! ,secret>y %all select1 at r&om1 a subset ( ! eligible entities t ! ,secret>y has select$ to receive a grant "u ?is section to receive additional fund+ to c>ry out ! evaluation plan describ$ 9 p>agraph 7#a74 7,b7 ,budget = ,evaluation ,activities ,! ,secret>y1 9 coord9ation ) ! ,director ( ! ,(fice ( ,adolesc5t ,heal?1 %all e/abli% a budget = ea* eligible entity select$ "u subp>agraph 7,a7 = ! co/s ( c>ry+ out ! evaluation plan describ$ 9 p>agraph 7#a74 7#c7 ,funds = evaluation ,! ,secret>y %all provide eligible entities :o are select$ "u p>agraph 7#b77;,a7 ) additional funds1 9 accordance ) ! budget describ$ 9 p>agraph 7#b77;,b71 to c>ry out & report to ! ,secret>y on ! evaluation plan describ$ 9 p>agraph 7#a74 7#d7 ,p]=mance ,measures ,! ,secret>y1 9 coord9ation ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all e/abli% a common set ( p]=mance measures to assess ! implem5tation & impact ( grant programs fund$ "u ?is section4 ,su* p]=mance measures %all include-- 7,a7 output measures1 su* z ! numb] ( individuals s]v$ & ! numb] ( h\rs ( s]vice deliv]y2 7,b7 outcome measures1 includ+ measures relat+ to-- 7i7 ! k t y\? p>ticipat+ 9 ! grant program h ga9$ ab\t-- 7,i7 adolesc5t gr[? & developm5t2 7,,ii7 relation%ip dynamics2 7,,iii7 ways to prev5t un9t5d$ pregnancy & sexually transmitt$ infections1 includ+ ,,hiv2 & 7,,iv7 sexual heal?2 7ii7 ! skills t adolesc5ts p>ticipat+ 9 ! grant program h ga9$ reg>d+-- 7,i7 negotiation & communication2 7,,ii7 decisionmak+ & goal-sett+2 7,,iii7 int]p]sonal skills & heal?y relation%ips2 & 7,,iv7 condom use2 & 7iii7 ! behaviors ( adolesc5ts p>ticipat+ 9 ! grant program1 includ+ data ab\t-- 7,i7 age ( fir/ int]c\rse2 7,,ii7 numb] ( sexual p>tn]s2 7,,iii7 condom & contraceptive use at fir/ int]c\rse2 7,,iv7 rec5t condom & contraceptive use2 & 7,v7 dat+ abuse & lifetime hi/ory ( dome/ic viol5ce1 sexual assault1 dat+ viol5ce1 bully+1 h>assm5t1 & /alk+4 7#e7 ,report to ! ,secret>y ,eligible entities receiv+ a grant "u ?is section :o h be5 select$ to receive funds to c>ry out ! evaluation plan describ$ 9 p>agraph 7#a71 9 accordance ) p>agraph 7#b77;,a71 %all collect & report to ! ,secret>y-- 7,a7 ! results ( ! indep5d5t evaluation describ$ 9 p>agraph 7#a72 & 7,b7 in=mation ab\t ! p]=mance measures describ$ 9 p>agraph 7#b74 7#f7 ,effective programs ,! ,secret>y1 9 coord9ation ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all publi% on ! website ( ! ,c5t]s = ,disease ,control & ,prev5tion1 a li/ ( programs fund$ "u ?is section t ! ,secret>y has det]m9$ to be effective programs4 #d4 ,grants = compreh5sive sex education at in/itutions ( high] education 7a7 ,program au?oriz$ ,! ,secret>y1 9 coord9ation ) ! ,(fice ( ,adolesc5t ,heal? & ! ,secret>y ( ,education1 %all aw>d grants1 on a competitive basis1 to in/itutions ( high] education to enable su* in/itutions to provide "y p ) compreh5sive sex education1 describ$ 9 subsection 7e77#b71 ) an emphasis on r$uc+ ,,hiv1 o!r sexually transmitt$ infections1 & un9t5d$ pregnancy ?r\gh in/ruction ab\t-- 7#a7 ab/95ce & contraception2 7#b7 r$uc+ dat+ viol5ce1 sexual assault1 bully+1 & h>assm5t2 7#c7 increas+ heal?y relation%ips2 & 7#d7 academic a*ievem5t4 7b7 ,duration ,grants aw>d$ "u ?is section %all be = a p]iod ( #e ye>s4 7c7 ,applications ,an in/itution ( high] education desir+ a grant "u ?is section %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7d7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority to an in/itution ( high] education t-- 7#a7 has an enrollm5t ( ne$y /ud5ts z def9$ 9 section #cah7;b7 ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajei;e7b772 7#b7 is a ,hispanic-s]v+ in/itution1 z def9$ 9 section #ejb7;a7 ( su* ,act 7#bj ,u4,s4,c4 #aaja;a7a772 7#c7 is a ,tribal ,college or ,univ]sity1 z def9$ 9 section #caf7;b7 ( su* ,act 7#bj ,u4,s4,c4 #ajei;c7b772 7#d7 is an ,alaska ,native-s]v+ in/itution1 z def9$ 9 section #cag7;b7 ( su* ,act 7#bj ,u4,s4,c4 #ajei;d7b772 7#e7 is a ,native ,hawaiian-s]v+ in/itution1 z def9$ 9 section #cag7;b7 ( su* ,act 7#bj ,u4,s4,c4 #ajei;d7b772 7#f7 is a ,pr$om9ately ,black ,in/itution1 z def9$ 9 section #cah7;b7 ( su* ,act 7#bj ,u4,s4,c4 #ajei;e7b772 7#g7 is a ,native ,am]ican-s]v+1 nontribal in/itution1 z def9$ 9 section #cai7;b7 ( su* ,act 7#bj ,u4,s4,c4 #ajei;f7b772 7#h7 is an ,asian ,am]ican & ,native ,am]ican ,pacific ,isl&]-s]v+ in/itution1 z def9$ 9 section #cbj7;b7 ( su* ,act 7#bj ,u4,s4,c4 #ajei;g7b772 or 7#i7 is a m9ority in/itution1 z def9$ 9 section #cfe ( su* ,act 7#bj ,u4,s4,c4 #ajfgk71 ) an enrollm5t ( ne$y /ud5ts1 z def9$ 9 section #cab ( su* ,act 7#bj ,u4,s4,c4 #ajeh74 7e7 ,uses ( funds 7#a7 ,9 g5]al ,an in/itution ( high] education receiv+ a grant "u ?is section may use grant funds to integrate issues relat+ to compreh5sive sex education into ! academic or support sectors ( ! in/itution ( high] education 9 ord] to rea* a l>ge numb] ( /ud5ts1 by c>ry+ out #a or m ( ! foll[+ activities3 7,a7 ,develop+ educational cont5t = issues relat+ to compreh5sive sex education t w be incorporat$ into fir/-ye> ori5tation or core c\rses4 7,b7 ,develop+ & employ+ s*oolwide educational programm+ outside ( class t deliv]s elem5ts ( compreh5sive sex education programs to /ud5ts1 faculty1 & /aff4 7,c7 ,creat+ innovative te*nology-bas$ approa*es to deliv] sex education to /ud5ts1 faculty1 & /aff4 7,d7 ,develop+ & employ+ pe]-outrea* & education programs to g5]ate discussion1 educate1 & raise aw>5ess among /ud5ts ab\t issues relat+ to compreh5sive sex education4 7#b7 ,cont5ts ( sex education programs ,ea* in/itution ( high] education's program ( compreh5sive sex education fund$ "u ?is section %all include curricula & program mat]ials t address in=mation ab\t-- 7,a7 safe & responsible sexual behavior ) respect to ! prev5tion ( pregnancy & sexually transmitt$ infections1 includ+ ,,hiv1 includ+ ?r\gh-- 7i7 ab/95ce2 7ii7 a r$uc$ numb] ( sexual p>tn]s2 & 7iii7 ! use ( condoms & contraception2 7,b7 heal?y relation%ips1 includ+ ! developm5t ( heal?y attitudes & insights necess>y = und]/&+-- 7i7 relation%ips betwe5 oneself1 family1 p>tn]s1 o!rs1 & society2 & 7ii7 ! prev5tion ( sexual abuse1 dat+ viol5ce1 bully+1 h>assm5t1 & suicide2 & 7,c7 ref]ral s]vices to local heal? cl9ics :]e "y p c obta9 additional in=mation & s]vices relat$ to sexual & reproductive heal?1 dat+ viol5ce & sexual assault1 & suicide prev5tion4 7#c7 ,optional compon5ts ( sex education ,ea* in/itution ( high] education's program ( compreh5sive sex education may also include in=mation & skills developm5t relat+ to-- 7,a7 h[ to make responsible decisions ab\t sex & sexuality1 includ+-- 7i7 h[ to avoid1 & avoid mak+1 unwant$ v]bal1 physical1 & sexual advances2 & 7ii7 h[ alcohol & drug use c affect responsible decisionmak+2 7,b7 heal?y life skills1 includ+-- 7i7 goal-sett+ & decisionmak+2 7ii7 int]p]sonal skills1 su* z communication1 ass]tiv5ess1 & pe] refusal skills2 7iii7 critical ?9k+2 7iv7 self-e/eem & self-efficacy2 & 7v7 /ress managem5t2 7,c7 ! developm5t ( heal?y attitudes & values ab\t su* topics z body image1 g5d] roles & g5d] id5tity1 racial & e?nic div]sity1 & sexual ori5tation2 & 7,d7 ! responsibilities ( p>5t+ & ! skills necess>y to p>5t well4 7f7 ,evaluation2 ,report ,! requirem5ts describ$ 9 section #c7;g7 %all also apply to eligible entities receiv+ a grant "u ?is section 9 ! same mann] z su* requirem5ts apply to eligible entities receiv+ grants "u section #c4 #e4 ,grants = pre-s]vice & 9-s]vice tea*] tra9+ 7a7 ,program au?oriz$ ,! ,secret>y1 9 coord9ation ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion & ! ,secret>y ( ,education1 %all aw>d grants1 on a competitive basis1 to eligible entities to enable su* eligible entities to c>ry out ! activities describ$ 9 subsection 7e74 7b7 ,duration ,grants aw>d$ "u ?is section %all be = a p]iod ( #e ye>s4 7c7 ,eligible ,entity ,9 ?is section1 ! t]m eligible entity means-- 7#a7 a ,/ate educational ag5cy2 7#b7 a local educational ag5cy2 7#c7 a tribe or tribal organization1 z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #dej;b72 7#d7 a ,/ate or local dep>tm5t ( heal?2 7#e7 a ,/ate or local dep>tm5t ( education2 7#f7 a nonpr(it in/itution ( high] education2 7#g7 a national or /atewide nonpr(it organization t has z its prim>y purpose ! improvem5t ( provision ( compreh5sive sex education ?r\gh effective tea*+ ( compreh5sive sex education2 or 7#h7 a consortium ( nonpr(it organizations t has z its prim>y purpose ! improvem5t ( provision ( compreh5sive sex education ?r\gh effective tea*+ ( compreh5sive sex education4 7d7 ,application ,an eligible entity desir+ a grant "u ?is section %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7e7 ,au?oriz$ ,activities 7#a7 ,requir$ ,activity ,ea* eligible entity receiv+ a grant "u ?is section %all use grant funds to tra9 t>get$ faculty & /aff1 9 ord] to increase effective tea*+ ( compreh5sive sex education = elem5t>y s*ool & second>y s*ool /ud5ts4 7#b7 ,p]missible ,activities ,ea* eligible entity receiv+ a grant "u ?is section may use grant funds to-- 7,a7 /r5g!n & exp& ! eligible entity's relation%ips )-- 7i7 in/itutions ( high] education2 7ii7 ,/ate educational ag5cies2 7iii7 local educational ag5cies2 or 7iv7 o!r public & private organizations ) a commitm5t to compreh5sive sex education & ! b5efits ( compreh5sive sex education2 7,b7 support & promote rese>*-bas$ tra9+ ( tea*]s ( compreh5sive sex education & relat$ discipl9es 9 elem5t>y s*ools & second>y s*ools z a means ( broad5+ /ud5t k ab\t issues relat$ to human developm5t1 relation%ips1 p]sonal skills1 sexual behavior1 sexual heal?1 & society & culture2 7,c7 support ! dissem9ation ( in=mation on effective practices & rese>* f9d+s conc]n+ ! tea*+ ( compreh5sive sex education2 7,d7 support rese>* on-- 7i7 effective compreh5sive sex education tea*+ practices2 & 7ii7 ! developm5t ( assessm5t in/rum5ts & /rategies to docum5t-- 7,i7 /ud5t und]/&+ ( compreh5sive sex education2 & 7,,ii7 ! effects ( compreh5sive sex education2 7,e7 conv5e national conf]5ces on compreh5sive sex education1 9 ord] to effectively tra9 tea*]s 9 ! provision ( compreh5sive sex education2 & 7,f7 develop & dissem9ate appropriate rese>*-bas$ mat]ials to fo/] compreh5sive sex education4 7#c7 ,subgrants ,ea* eligible entity receiv+ a grant "u ?is section may aw>d subgrants to nonpr(it organizations1 ,/ate educational ag5cies1 or local educational ag5cies to enable su* organizations or ag5cies to-- 7,a7 tra9 tea*]s 9 compreh5sive sex education2 7,b7 support ,int]net or di/ance le>n+ relat$ to compreh5sive sex education2 7,c7 promote rigor\s academic /&>ds & assessm5t te*niques to guide & measure /ud5t p]=mance 9 compreh5sive sex education2 7,d7 enc\rage replication ( be/ practices & model programs to promote compreh5sive sex education2 7,e7 develop & dissem9ate effective1 rese>*-bas$ compreh5sive sex education le>n+ mat]ials2 7,f7 develop academic c\rses on ! p$agogy ( sex education at in/itutions ( high] education2 or 7,g7 conv5e ,/ate-bas$ conf]5ces to tra9 tea*]s 9 compreh5sive sex education & to id5tify /rategies = improvem5t4 #f4 ,report to ,congress 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft] = a p]iod ( #e ye>s1 ! ,secret>y %all prep>e & submit to ! appropriate committees ( ,congress a report on ! activities to provide adolesc5ts & "y p ) compreh5sive sex education fund$ "u ?is ,act4 7b7 ,report elem5ts ,! report describ$ 9 subsection 7a7 %all include-- 7#a7 a /atem5t ( :e!r ! ,secret>y has met ! purposes describ$ 9 section #b7;a72 & 7#b7 in=mation ab\t-- 7,a7 ! numb] ( eligible entities & in/itutions ( high] education t are receiv+ grant funds "u sections #c & #d ( ?is ,act2 7,b7 ! specific activities support$ by grant funds aw>d$ "u sections #c & #d ( ?is ,act2 7,c7 ! numb] ( adolesc5ts s]v$ by grant programs fund$ "u section #c2 7,d7 ! numb] ( "y p s]v$ by grant programs fund$ "u section #d2 & 7,e7 ! /atus ( program evaluations describ$ "u sections #c & #d ( ?is ,act4 #g4 ,nondiscrim9ation ,programs fund$ "u ?is ,act %all n discrim9ate on ! basis ( actual or p]ceiv$ sex1 race1 color1 e?nicity1 national orig91 disability1 sexual ori5tation1 g5d] id5tity1 or religion4 ,no?+ 9 ?is ,act %all be con/ru$ to invalidate or limit rights1 rem$ies1 proc$ures1 or legal /&>ds available to victims ( discrim9ation "u any o!r ,f$]al law or any law ( a ,/ate or a political subdivision ( a ,/ate1 includ+ title ,,vi ( ! ,civil ,rights ,act ( #aifd 7#db ,u4,s4,c4 #bjjj;d et seq471 title ,,ix ( ! ,education ,am5dm5ts ( #aigb 7#bj ,u4,s4,c4 #afha et seq471 section #ejd ( ! ,rehabilitation ,act ( #aigc 7#bi ,u4,s4,c4 #gid71 ! ,am]icans ) ,disabilities ,act ( #aiij 7#db ,u4,s4,c4 #abaja et seq471 & section #aeeg ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahaaf74 #h4 ,limitation ,no ,f$]al funds provid$ "u ?is ,act may be us$ = heal? education programs t-- 7#a7 delib]ately )hold life-sav+ in=mation ab\t ,,hiv2 7#b7 are m$ically inaccurate or h be5 sci5tifically %[n to be ineffective2 7#c7 promote g5d] /]eotypes2 7#d7 are ins5sitive & unresponsive to ! ne$s ( sexually active y\? or lesbian1 gay1 bisexual1 or transg5d] y\?2 or 7#e7 are inconsi/5t ) ! e?ical imp]atives ( m$ic9e & public heal?4 #i4 ,am5dm5ts to o!r laws 7a7 ,am5dm5t to ! ,public ,heal? ,s]vice ,act ,section #bejj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;ee7 is am5d$ by /rik+ subsections 7b7 ?r\gh 7d7 & ins]t+ ! foll[+3 7b7 ,cont5ts ( programs ,all programs ( education & in=mation receiv+ funds "u ?is title %all include in=mation ab\t ! h>mful effects ( intrav5\s sub/ance abuse & unsafe sexual activity1 & ! b5efits ( ab/a9+ f su* activities4 4 7b7 ,am5dm5ts to ! ,elem5t>y & ,second>y ,education ,act ( #aife ,section #iebf7;a7 ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #gijf7;a77 is am5d$-- 7#a7 9 p>agraph 7#b71 by ins]t+ or aft] ! semicolon2 7#b7 9 p>agraph 7#c71 by /rik+ 2 or & ins]t+ a p]iod2 & 7#c7 by /rik+ p>agraph 7#d74 #aj4 ,def9itions ,9 ?is ,act3 7#a7 ,,esea ,def9itions ,! t]ms elem5t>y s*ool1 local educational ag5cy1 second>y s*ool1 & ,/ate educational ag5cy h ! mean+s giv5 ! t]ms 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#b7 ,age & developm5tally appropriate ,! t]m age & developm5tally appropriate means suitable = a p>ticul> age or age gr\p ( *ildr5 & adolesc5ts1 bas$ on develop+ cognitive1 emotional1 & behavioral capacity typical = t age or age gr\p4 7#c7 ,adolesc5ts ,! t]m adolesc5ts means individuals :o are ages #aj ?r\gh #ai at ! "t ( comm5cem5t ( p>ticipation 9 a program support$ "u ?is ,act4 7#d7 ,*>act]i/ics ( effective programs ,! t]m *>act]i/ics ( effective programs means ! aspects ( evid5ce-bas$ programs1 includ+ developm5t1 cont5t1 & implem5tation ( su* programs1 t-- 7,a7 h be5 %[n to be effective 9 t]ms ( increas+ k1 cl>ify+ values & attitudes1 increas+ skills1 & impact+ ^u behavior2 & 7,b7 are widely recogniz$ by lead+ m$ical & public heal? ag5cies to be effective 9 *ang+ sexual behaviors t lead to sexually transmitt$ infections1 includ+ ,,hiv1 un9t5d$ pregnancy1 & dat+ viol5ce & sexual assault among "y p4 7#e7 ,compreh5sive sex education ,! t]m compreh5sive sex education means a program t-- 7,a7 includes age- & developm5tally appropriate1 culturally & l+ui/ically relevant in=mation on a broad set ( topics relat$ to sexuality includ+ human developm5t1 relation%ips1 decisionmak+1 communication1 ab/95ce1 contraception1 & disease & pregnancy prev5tion2 7,b7 provides /ud5ts ) opportunities = develop+ skills z well z le>n+ in=mation2 7,c7 is inclusive ( lesbian1 gay1 bisexual1 transg5d]1 & het]osexual "y p2 & 7,d7 aims to-- 7i7 provide sci5tifically accurate & reali/ic in=mation ab\t human sexuality2 7ii7 provide opportunities = individuals to und]/& _! own1 _! families'1 & _! communities' values1 attitudes1 & insights ab\t sexuality2 7iii7 help individuals develop heal?y relation%ips & int]p]sonal skills2 & 7iv7 help individuals ex]cise responsibility reg>d+ sexual relation%ips1 :i* includes address+ ab/95ce1 pressures to become prematurely involv$ 9 sexual int]c\rse1 & ! use ( contraception & o!r sexual heal? measures4 7#f7 ,evid5ce-bas$ program ,! t]m evid5ce-bas$ program means a sex education program t has be5 prov5 ?r\gh rigor\s evaluation to be effective 9 *ang+ sexual behavior or incorporates elem5ts ( o!r sex education programs t h be5 prov5 to be effective 9 *ang+ sexual behavior4 7#g7 ,in/itution ( high] education ,! t]m in/itution ( high] education has ! mean+ giv5 ! t]m 9 section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja74 7#h7 ,m$ically accurate & complete ,! t]m m$ically accurate & complete1 :5 us$ ) respect to a sex education program1 means t-- 7,a7 ! in=mation provid$ ?r\gh ! program is v]ifi$ or support$ by ! weight ( rese>* conduct$ 9 compliance ) accept$ sci5tific me?ods & is publi%$ 9 pe]-review$ j\rnals1 :]e applicable2 or 7,b7 7i7 ! program conta9s in=mation t lead+ pr(essional organizations & ag5cies ) relevant exp]tise 9 ! field recognize z accurate1 objective1 & complete2 & 7ii7 ! program does n )hold in=mation ab\t ! effectiv5ess & b5efits ( correct & consi/5t use ( condoms & o!r contraceptives4 7#i7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#aj7 ,"y p ,! t]m "y p means individuals :o are ages #aj ?r\gh #bd at ! "t ( comm5cem5t ( p>ticipation 9 a program support$ "u ?is ,act4 #aa4 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is ,act su* sums z may be necess>y4