,,ii #aadth ,,congress #b;d ,session ,s4 #ccfj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,september #bj1 #bjaf,ms4 ,hirono 7for herself1 ,mr4 ,blumenthal1 ,mr4 ,brown1 ,mrs4 ,gillibrand1 ,mr4 ,markey1 ,mr4 ,franken1 ,ms4 ,warren1 and ,mr4 ,booker7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to authorize the ,secretary of ,health and ,human ,services to award grants to support the access of marginalized youth to sexual health services1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,youth ,access to ,sexual ,health ,services ,act of #bjaf4 #b4 ,authorization of grants to support the access of marginalized youth to sexual health services 7a7 ,grants ,the ,secretary may award grants on a competitive basis to eligible entities to support the access of marginalized youth to sexual health services4 7b7 ,use of funds ,an eligible entity that is awarded a grant under subsection 7a7 may use the funds to-- 7#a7 provide medically accurate and age appropriate sexual health information to marginalized youth1 including information on how to access sexual health services2 7#b7 promote effective communication regarding sexual health among marginalized youth2 7#c7 promote and support better health1 education1 and economic opportunities for school-age parents2 and 7#d7 train individuals who work with marginalized youth to promote-- 7,a7 the prevention of unintended pregnancy2 7,b7 the prevention of sexually transmitted infections2 7,c7 healthy relationships2 and 7,d7 the development of safe and supportive environments4 7c7 ,application ,to be awarded a grant under subsection 7a71 an eligible entity shall submit an application to the ,secretary at such time1 in such manner1 and containing such information as the ,secretary may require4 7d7 ,priority ,in awarding grants under subsection 7a71 the ,secretary shall give priority to eligible entities-- 7#a7 with a history of supporting the access of marginalized youth to sexuality education or sexual health services2 and 7#b7 that plan to serve marginalized youth that are not served by ,federal teen pregnancy prevention programs4 7e7 ,requirements ,the ,secretary may not award a grant under subsection 7a7 to an eligible entity unless-- 7#a7 such eligible entity has formed a partnership with a community organization2 and 7#b7 such eligible entity agrees-- 7,a7 to employ a scientifically effective strategy2 7,b7 that all information provided to marginalized youth will be-- 7i7 age-appropriate2 7ii7 medically accurate2 7iii7 scientifically based2 and 7iv7 provided in the language and cultural context that is most appropriate for the individuals served by the eligible entity2 and 7,c7 that for each year the eligible entity receives grant funds under subsection 7a71 the eligible entity shall submit to the ,secretary an annual report that includes-- 7i7 the use of grant funds by the eligible entity2 7ii7 how the use of grant funds has increased the access of marginalized youth to sexual health services2 and 7iii7 such other information as the ,secretary may require4 7f7 ,publication and evaluations 7#a7 ,evaluations ,not less than once every #b years after the date of the enactment of this ,act1 the ,secretary shall evaluate the effectiveness of whichever of the following is greater3 7,a7 ,eight grants awarded under subsection 7a74 7,b7 ,ten percent of the grants awarded under subsection 7a74 7#b7 ,publication ,the ,secretary shall make available to the public-- 7,a7 the evaluations required under paragraph 7#a72 and 7,b7 the reports required under subsection 7e77#b77;,c74 7g7 ,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-- 7#a7 withhold sexual health-promoting or life-saving information2 7#b7 are medically inaccurate or have been scientifically shown to be ineffective2 7#c7 promote gender stereotypes2 7#d7 are insensitive or unresponsive to the needs of lesbian1 gay1 bisexual1 transgender1 queer or questioning youth1 sexually active youth1 or school-age parents2 7#e7 are insensitive or unresponsive to the needs of survivors of sexual abuse or assault2 or 7#f7 are inconsistent with the ethical imperatives of medicine and public health4 7h7 ,definitions ,in this section3 7#a7 ,community organization ,the term community organization includes a ,state or local health or education agency1 public school1 youth-focused organization that is faith-based and community-based1 juvenile justice entity1 or other organization that provides confidential and appropriate sexuality education or sexual health services to marginalized youth4 7#b7 ,eligible entity ,the term eligible entity includes a ,state or local health or education agency1 public school1 nonprofit organization1 hospital1 or an ,indian tribe or tribal organization 7as such terms are defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #dej;b774 7#c7 ,marginalized youth ,the term marginalized youth means a person under the age of #bf that is disadvantaged by underlying structural barriers and social inequity4 7#d7 ,medically accurate ,the term medically accurate1 with respect to information1 means information that is supported by research and recognized as accurate and objective by leading medical1 psychological1 psychiatric1 or public health organizations and agencies4 7#e7 ,scientifically effective strategy ,the term scientifically effective strategy means a strategy that-- 7,a7 is widely recognized by leading medical and public health agencies as effective in promoting sexual health awareness and healthy behavior2 and 7,b7 either-- 7i7 has been demonstrated to be effective on the basis of rigorous scientific research2 or 7ii7 incorporates characteristics of effective programs4 7#f7 ,secretary ,the term ,secretary means the ,secretary of ,health and ,human ,services4 7#g7 ,sexual health services ,the term sexual health services includes-- 7,a7 sexual health education2 7,b7 contraception2 7,c7 emergency contraception2 7,d7 condoms and other barrier methods to prevent pregnancy or sexually transmitted infections2 7,e7 routine gynecological care1 including ,,hpv vaccines and cancer screenings2 7,f7 pre-exposure prophylaxis or post-exposure prophylaxis2 7,g7 mental health services2 7,h7 sexual assault survivor services2 and 7,i7 other preventative treatment or care4 7i7 ,appropriation 7#a7 ,grants ,of the amounts appropriated for fiscal year #bjag under section #eaj7;d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #gaj7;d771 the unobligated balance of such amounts shall be made available to carry out this section for such fiscal year4 ,for purposes of the previous sentence1 the unobligated balance of such amounts shall be determined by the ,director of the ,office of ,management and ,budget1 in consultation with the ,secretary4 7#b7 ,limitation ,of the amount made available under paragraph 7#a7 for fiscal year #bjag1 the ,secretary may reserve not more than #aj percent to conduct evaluations under subsection 7f7 for such year4