,i #aafth ,,congress #ast ,session ,h4 ,r4 #bgja ,,in ,,the ,,house ,,of ,,representatives ,may #ad1 #bjai,ms4 ,adams 7for herself1 ,ms4 ,norton1 ,ms4 ,velzquez1 ,mr4 ,nadler1 ,ms4 ,roybal-,allard1 ,ms4 ,barragn1 ,ms4 ,jayapal1 ,ms4 ,lee of ,california1 ,ms4 ,schakowsky1 ,miss ,rice of ,new ,york1 ,ms4 ,speier1 ,ms4 ,kelly of ,illinois1 ,mr4 ,aguilar1 ,mr4 ,ryan1 ,ms4 ,judy ,chu of ,california1 ,mr4 ,pocan1 and ,mr4 ,blumenauer7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,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 #bjai4 #b4 ,authorization of grants to support the access of marginalized youth to sexual health services 7a7 ,grants ,the ,secretary of ,health and ,human ,services 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 complete and age-1 developmentally1 and culturally 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 infections1 including the human immunodeficiency virus 7,,hiv72 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 adolescent programs for the prevention of pregnancy1 ,,hiv1 and other sexually transmitted infections4 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- and developmentally appropriate2 7ii7 medically accurate and complete2 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 will 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 two 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 young people1 including-- 7,a7 youth with varying gender identities1 gender expressions1 and sexual orientations2 7,b7 sexually active youth2 7,c7 pregnant or parenting youth2 7,d7 survivors of sexual abuse or assault2 and 7,e7 youth of all physical1 developmental1 and mental abilities2 or 7#e7 are inconsistent with the ethical imperatives of medicine and public health4 7h7 ,transfer of funds ,any unobligated balance of funds made available under section #eaj7;f7 of the ,social ,security ,act 7#db ,u4,s4,c4 #gaj7;f77 7as in effect on the day before the date of the enactment of this ,act7 are hereby transferred and made available to the ,secretary to carry out this ,act4 ,the amounts transferred and made available to carry out this ,act shall remain available until expended4 7i7 ,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 #ecjd774 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 and complete ,the term medically accurate and complete1 when used with respect to information1 means information that-- 7,a7 is supported by research and recognized as accurate1 objective1 and complete by leading medical1 psychological1 psychiatric1 or public health organizations and agencies2 and 7,b7 does not withhold any information relating to the effectiveness and benefits of correct and consistent use of condoms or other contraceptives and pregnancy prevention methods4 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 information1 education1 and counseling2 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 human papillomavirus 7,,hpv7 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 prevention1 care1 or treatment4