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II
113th CONGRESS
1st Session
S. 13
IN THE SENATE OF THE UNITED STATES
February 26, 2013
Mr. Graham (for himself,
Mr. Thune, 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
Abstinence Education Reallocation Act
of 2013.
2.
Sexual risk
avoidance education
(a)
Grants
The Secretary of Health and Human Services,
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 qualify for funding under subsection
(a), sexual risk avoidance education shall meet each of the following:
(1) The education
shall be age appropriate.
(2) The education
shall be medically accurate.
(3) The education
shall be an evidence-based approach.
(4) The context for all sexual health education
shall be teaching the skills and benefits of sexual abstinence as the optimal
sexual health behavior for youth.
(5) The education
shall include, consistent with paragraphs (1) through (4), teaching of each of
the following:
(A) The holistic
health, economic, and societal benefits that can be gained by refraining from
nonmarital sexual activity, through teaching practical skills that promote
self-regulation, goal setting, and a focus on the future.
(B) The clear
advantage of reserving human sexual activity for marriage, as a key
contributing factor in the prevention of poverty and the preservation of
physical and emotional health, based on social science research.
(C) The foundational
components of a healthy relationship and related research regarding the
individual, economic, and societal advantages of bearing children within the
context of a committed marital relationship in order to form healthy marriages
and safe and stable families.
(D) The skills needed
to resist the negative influences of the pervasive sex-saturated culture that
presents teenage sexual activity as an expected norm, with few risks or
negative consequences.
(E) The understanding
of how drugs, alcohol, and the irresponsible use of social media can influence
sexual decisionmaking and can contribute to risky and often aggressive sexual
behavior.
(F) A focused priority
on the superior health benefits of sexual abstinence, ensuring that any
information provided on contraception does not exaggerate its effectiveness in
preventing sexually transmitted diseases and pregnancies.
(c)
Priority
In awarding grants under subsection (a),
the Secretary of Health and Human Services shall give priority to applicants
proposing programs to provide qualified sexual risk avoidance education
that—
(1) will serve youth
spanning ages 12 to 19; and
(2) will promote
protective benefits of 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 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 base that integrates research findings with practical
implementation expertise that is relevant to the field;
(B) matches the needs
and desired outcomes for the intended audience; and
(C) if implemented
well, 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 abstinence means voluntarily refraining from sexual
activity.
(5) The term
sexual activity means genital contact or sexual stimulation
including, but not limited to, sexual intercourse.
(e)
Authorization of
appropriations
(1)
In
general
There is authorized to be appropriated $110,000,000 for
each of fiscal years 2013 through 2017 to carry out this Act. 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
amount authorized to be appropriated by paragraph (1) for a fiscal year—
(A) not more than
$1,000,000 are authorized to be used for Federal administrative costs;
and
(B) of the amount used
by the Secretary of Health and Human Services 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 abstinence education;
(ii) that have
expertise in theory-based abstinence education curriculum development and
implementation;
(iii) that have direct
experience in developing sexual risk avoidance evaluation instruments;
and
(iv) that can offer
technical assistance and training on a wide range of topics relevant to the
sexual risk avoidance (or abstinence education) field.