,,ii #aadth ,,congress #ast ,session ,s4 #ibc ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,april #ad1 #bjae ,mr4 ,graham 7for himself1 ,mr4 ,vitter1 ,mr4 ,thune1 ,mr4 ,scott1 ,mr4 ,sessions1 and ,mr4 ,coats7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to authorize the ,secretary of ,health and ,human ,services1 acting through the ,administrator of the ,health ,resources and ,services ,administration1 to award grants on a competitive basis to public and private entities to provide qualified sexual risk avoidance education to youth and their parents4 #a4 ,short title ,this ,act may be cited as the ,healthy ,relationships ,act of #bjae4 #b4 ,sexual risk avoidance education ,part ,p of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is amended by adding at the end the following3 #cii,v-#f4 ,sexual risk avoidance education 7a7 ,in general ,the ,secretary1 acting through the ,administrator of the ,health ,resources and ,services ,administration1 may award grants on a competitive basis to public and private entities to provide qualified sexual risk avoidance education to youth and their parents4 7b7 ,qualified ,sexual ,risk ,avoidance ,education ,to be eligible to receive a grant under subsection 7a71 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 requirements3 7#a7 ,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 youth4 7#b7 ,the education shall be medically accurate4 7#c7 ,the education shall use an evidence-based approach4 7#d7 ,the education shall be age appropriate4 7#e7 ,the education shall include thorough treatment of each of the following topics3 7,a7 ,the holistic individual and societal benefits associated with personal responsibility1 success sequencing1 self-regulation1 goal-setting1 healthy decisionmaking1 and a focus on the future4 7,b7 ,the research-based advantage of reserving sexual activity for marriage1 as associated with poverty prevention and optimal physical and emotional health for all youth1 regardless of previous sexual experience4 7,c7 ,the skills needed to resist the pervasive sex-saturated culture that portrays teenage sexual activity as an expected norm1 with few risks or negative consequences4 7,d7 ,the foundational components of healthy relationships and their impact on the formation of healthy marriages and safe and stable families4 7,e7 ,how to avoid sexual coercion1 dating violence1 and risk behaviors1 such as drugs1 alcohol1 and the misuse of social media4 7#f7 ,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 activity4 7c7 ,priority ,in awarding grants under subsection 7a71 the ,secretary shall give priority to applicants proposing programs to provide qualified sexual risk avoidance education that-- 7#a7 serves youth throughout the middle and high school grades2 and 7#b7 will promote parent-child communication regarding healthy sexual decisionmaking4 7d7 ,definitions ,in this ,act3 7#a7 ,the term age appropriate means appropriate for the general developmental and social maturity of the age group1 as opposed to appropriate to the cognitive ability to understand a topic or the atypical development of a small segment of the targeted population4 7#b7 ,the term evidence-based approach means an approach that-- 7,a7 has a clear theoretical framework integrating research findings with practical implementation relevant to the field2 7,b7 matches the needs and desired outcomes for the intended audience2 and 7,c7 if effectively implemented1 will demonstrate improved outcomes for the targeted population4 7#c7 ,the term medically accurate means referenced to peer-reviewed research by medical1 educational1 scientific1 governmental1 or public health publications1 organizations1 or agencies4 7#d7 ,the term sexual risk avoidance means voluntarily refraining from sexual activity4 7#e7 ,the term sexual activity means genital contact or sexual stimulation for the purpose of arousal1 including sexual intercourse4 7#f7 ,the term success sequencing means the progression of youth through a series of behavioral benchmarks that increases the youth's chances of avoiding poverty1 in the following sequence3 completing school1 securing a job1 and marrying before bearing children4 7e7 ,authorization of ,appropriations 7#a7 ,in general ,there is authorized to be appropriated #aaj1jjj1jjj for each of fiscal years #bjaf through #bjbj to carry out this section4 ,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 #djjb of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #cjju-#aa74 7#b7 ,federal administrative costs ,of the amounts appropriated under paragraph 7#a7 for a fiscal year-- 7,a7 not more than #a1jjj1jjj may be used for ,federal administrative costs2 and 7,b7 of the amount used by the ,secretary for administrative costs1 at least #dj percent shall be used for training and technical assistance by qualified organizations-- 7i7 whose sole focus is the development and advancement of sexual risk avoidance2 7ii7 have expertise in theory-based sexual risk avoidance curriculum development and implementation2 7iii7 have direct experience in developing sexual risk avoidance evaluation instruments2 and 7iv7 can offer technical assistance and training on a wide range of topics relevant to the sexual risk avoidance field4 4