,,ii #aaf? ,,congress #a/ ,session ,s4 #aebd ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,may #af1 #bjai,mr4 ,book] 7= himself1 ,ms4 ,hirono1 ,mr4 ,br[n1 ,mr4 ,murphy1 ,ms4 ,smi?1 ,mr4 ,m55dez1 ,mr4 ,blum5?al1 ,ms4 ,w>r51 ,ms4 ,baldw91 ,mr4 ,m>key1 ,ms4 ,duckwor?1 & ,mrs4 ,gillibr&7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to provide = ! ov]all heal? & well-be+ ( "y p1 includ+ ! promotion ( lifelong sexual heal? & heal?y relation%ips1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,real ,education = ,heal?y ,y\? ,act ( #bjai4 #b4 ,purposes2 f9d+2 s5se ( ,congress 7a7 ,purposes ,! purposes ( ?is ,act are to provide "y p ) compreh5sive sex education programs t-- 7#a7 promote & uphold ! rights ( "y p to in=mation 9 ord] to make heal?y decisions ab\t _! sexual heal?2 7#b7 provide ! in=mation & skills all "y p ne$ to make in=m$1 responsible1 & heal?y decisions 9 ord] to become sexually heal?y adults & h heal?y relation%ips2 7#c7 provide in=mation ab\t ! prev5tion ( un9t5d$ pregnancy1 sexually transmitt$ infections1 includ+ ,,hiv1 dat+ viol5ce1 sexual assault1 bully+1 & h>assm5t2 & 7#d7 provide res\rces & in=mation on topics rang+ f g5d] /]eotyp+ & g5d] roles & /igma & socio-cultural influ5ces surr\nd+ sex & sexuality4 7b7 ,f9d+ on requir$ res\rces ,9 ord] to provide ! compreh5sive sex education describ$ 9 subsection 7a71 ,congress f9ds t increas$ res\rces are requir$ = sex education programs t-- 7#a7 sub/antially incorporate elem5ts ( evid5ce-bas$ programs or *>act]i/ics ( effective programs2 7#b7 cov] a broad range ( topics1 includ+ m$ically accurate & complete in=mation t is age & developm5tally appropriate ab\t all ! aspects ( sex1 sexual heal?1 & sexuality2 7#c7 are g5d] & g5d] id5tity-s5sitive1 emphasiz+ ! importance ( equality & ! social environm5t = a*iev+ sexual & reproductive heal? & ov]all well-be+2 7#d7 promote educational a*ievem5t1 critical ?9k+1 decision mak+1 self-e/eem1 & self-efficacy2 7#e7 help develop heal?y attitudes & insights necess>y = und]/&+ relation%ips betwe5 oneself & o!rs & society2 7#f7 fo/] lead]%ip skills & community engagem5t by-- 7,a7 promot+ pr9ciples ( fairness1 human dignity1 & respect2 & 7,b7 engag+ "y p z p>tn]s 9 _! communities2 & 7#g7 are culturally & l+ui/ically appropriate1 reflect+ ! div]se circum/ances & realities ( "y p4 7c7 ,s5se ( ,congress ,x is ! s5se ( ,congress t-- 7#a7 f$]ally fund$ sex education programs %\ld aim to-- 7,a7 provide in=mation ab\t a range ( human sexuality topics1 includ+-- 7i7 human developm5t1 heal?y relation%ips1 p]sonal skills2 7ii7 sexual behavior includ+ ab/95ce2 7iii7 sexual heal? includ+ prev5t+ un9t5d$ pregnancy2 7iv7 sexually transmitt$ infections includ+ ,,hiv2 & 7v7 society & culture2 7,b7 promote safe & heal?y relation%ips2 7,c7 promote g5d] equity2 7,d7 use1 & be in=m$ by1 ! be/ sci5tific in=mation available2 7,e7 be culturally appropriate & inclusive ( y\? ) v>y+ g5d] id5tities1 g5d] expressions1 & sexual ori5tations2 7,f7 be built on *>act]i/ics ( effective programs2 7,g7 exp& ! exi/+ body ( rese>* on compreh5sive sex education programs ?r\gh program evaluation2 7,h7 exp& tra9+ programs = tea*]s ( compreh5sive sex education2 7,i7 build on programs fund$ "u section #eac ( ! ,social ,security ,act 7#db ,u4,s4,c4 #gac7 & ! ,(fice ( ,adolesc5t ,heal?'s ,te5 ,pregnancy ,prev5tion ,program1 fund$ "u title ,,ii ( ! ,consolidat$ ,appropriations ,act1 #bjaj 7,public ,law #aaa-aag2 #abc ,/at4 #cbec71 & on programs support$ ?r\gh ! ,c5t]s = ,disease ,control & ,prev5tion 7,,cdc72 & 7,j7 promote & uphold ! rights ( "y p to in=mation 9 ord] to make heal?y & autonom\s decisions ab\t _! sexual heal?2 & 7#b7 no ,f$]al funds %\ld be us$ = heal? education programs t-- 7,a7 )hold heal?-promot+ or life-sav+ in=mation ab\t sexuality-relat$ topics1 includ+ ,,hiv2 7,b7 are m$ically inaccurate or h be5 sci5tifically %[n to be ineffective2 7,c7 promote g5d] or racial /]eotypes2 7,d7 are ins5sitive & unresponsive to ! ne$s ( sexually active "y p2 7,e7 are ins5sitive & unresponsive to ! ne$s ( survivors ( sexual viol5ce2 7,f7 are ins5sitive & unresponsive to ! ne$s ( y\? ( all physical1 developm5tal1 & m5tal abilities2 7,g7 are ins5sitive & unresponsive to ! ne$s ( y\? ) v>y+ g5d] id5tities1 g5d] expressions1 & sexual ori5tations2 or 7,h7 are inconsi/5t ) ! e?ical imp]atives ( m$ic9e & public heal?4 #c4 ,grants = compreh5sive sex education = adolesc5ts 7a7 ,program au?oriz$ ,! ,secret>y1 9 coord9ation ) ! ,associate ,commission] ( ! ,family & ,y\? ,s]vices ,bureau ( ! ,adm9i/ration on ,*ildr51 ,y\?1 & ,families ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,director ( ! ,(fice ( ,adolesc5t ,heal?1 ! ,director ( ! ,division ( ,adolesc5t & ,s*ool ,heal? )9 ! ,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 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? & education or has exp]i5ce work+ ) adolesc5ts4 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+ an assurance to p>ticipate 9 ! evaluation describ$ 9 section #f4 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 entities2 7#b7 are entities n curr5tly receiv+ funds "u-- 7,a7 section #eac ( ! ,social ,security ,act 7#db ,u4,s4,c4 #gac72 7,b7 ! ,(fice ( ,adolesc5t ,heal?'s ,te5 ,pregnancy ,prev5tion ,program1 fund$ "u title ,,ii ( ! ,consolidat$ ,appropriations ,act1 #bjaj 7,public ,law #aaa-aag2 #abc ,/at4 #cbec71 or any sub/antially simil> successive program2 or 7,c7 ! ,c5t]s = ,disease ,control & ,prev5tion's ,division ( ,adolesc5t & ,s*ool ,heal?2 & 7#c7 address heal? inequities among "y p t face sy/emic b>ri]s result+ 9 disproportionate rates ( n less ?an "o ( ! foll[+3 7,a7 ,un9t5d$ pregnancies4 7,b7 ,sexually transmitt$ infections1 includ+ ,,hiv4 7,c7 ,dat+ viol5ce & sexual viol5ce4 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 an education program t provides adolesc5ts ) compreh5sive sex education t-- 7,a7 is age & developm5tally appropriate2 7,b7 is m$ically accurate & complete2 7,c7 sub/antially incorporates elem5ts ( evid5ce-bas$ sex education in/ruction2 or 7,d7 creates a demon/ration project bas$ on *>act]i/ics ( effective programs4 7#b7 ,cont5ts ( compreh5sive sex education programs ,! compreh5sive sex education programs fund$ "u ?is section %all include in/ruction & mat]ials t address-- 7,a7 ! physical1 social1 & emotional *anges ( human developm5t includ+1 human anatomy1 reproduction1 & sexual developm5t2 7,b7 heal?y relation%ips1 includ+ fri5d%ips1 )9 families1 & society1 t are bas$ on mutual respect1 & ! ability to di/+ui% betwe5 heal?y & unheal?y relation%ips1 includ+-- 7i7 effective communication1 negotiation & refusal skills1 includ+ ! skills to recognize & report inappropriate or abusive sexual advances2 7ii7 bodily autonomy1 sett+ & respect+ p]sonal b\nd>ies1 practic+ p]sonal safety1 & cons5t2 & 7iii7 ! limitations & h>m ( g5d]-role /]eotypes1 viol5ce1 co]cion1 bully+1 h>assm5t1 & intimidation 9 relation%ips2 7,c7 heal?y decision mak+ skills ab\t sexuality & relation%ips t include-- 7i7 critical ?9k+1 problem solv+1 self-efficacy1 /ress-managem5t1 self-c>e1 & decision mak+2 7ii7 individual values & attitudes2 7iii7 ! promotion ( positive body images2 7iv7 develop+ an und]/&+ t !re are a range ( body types & enc\rag+ positive feel+ ab\t /ud5ts' own body types2 7v7 in=mation on h[ to respect o!rs & ensure safety on ! int]net & :5 us+ o!r =ms ( digital communication2 7vi7 in=mation on local s]vices & res\rces :]e /ud5ts c obta9 additional in=mation relat$ to bully+1 h>assm5t1 dat+ viol5ce & sexual assault1 suicide prev5tion1 & o!r relat$ c>e2 7vii7 enc\ragem5t = y\? to communicate ) _! p>5ts or gu>dians1 heal? & social s]vice pr(essionals1 & o!r tru/$ adults ab\t sexuality & intimate relation%ips2 7viii7 in=mation on h[ to create a safe environm5t = all /ud5ts & o!rs 9 society2 7ix7 examples ( v>y+ types ( relation%ips1 c\ples1 & family /ructures2 & 7x7 affirmative repres5tation ( v>y+ g5d] id5tities1 g5d] expressions1 & sexual ori5tations1 includ+ individuals & relation%ips betwe5 same sex c\ples & _! families2 7,d7 ab/95ce1 delay+ age ( fir/ sexual activity1 ! use ( condoms1 prev5tive m$ication1 vacc9ation1 bir? control1 & o!r sexually transmitt$ infection prev5tion measures1 & ! options = pregnancy1 includ+ p>5t+1 adoption1 & abortion includ+-- 7i7 ! importance ( effectively us+ condoms1 prev5tive m$ication1 & applicable vacc9ations to protect aga9/ sexually transmitt$ infections1 includ+ ,,hiv2 7ii7 ! b5efits ( effective contraceptive & condom use 9 avoid+ un9t5d$ pregnancy2 7iii7 ! relation%ip betwe5 sub/ance use & sexual heal? & behaviors2 & 7iv7 in=mation ab\t local heal? s]vices :]e /ud5ts c obta9 additional in=mation & s]vices relat$ to sexual & reproductive heal? & o!r relat$ c>e2 7,e7 ?r\gh affirmative recognition1 ! roles t traditions1 values1 religion1 norms1 g5d] roles1 acculturation1 family /ructure1 heal? beliefs1 & political p[] play 9 h[ /ud5ts make decisions t affect _! sexual heal?1 us+ examples ( v>i\s types ( races1 e?nicities1 cultures1 & families1 includ+ s+le-p>5t h\seholds & "y families2 7,f7 in=mation ab\t g5d] id5tity1 g5d] expression1 & sexual ori5tation = all /ud5ts1 includ+-- 7i7 affirmative recognition t p h diff]5t g5d] id5tities1 g5d] expressions1 & sexual ori5tations2 & 7ii7 community res\rces t c provide additional support = individuals ) v>y+ g5d] id5tities1 g5d] expressions1 & sexual ori5tations2 & 7,g7 opportunities to explore ! roles t race1 e?nicity1 immigration /atus1 disability /atus1 economic /atus1 homelessness1 fo/] c>e /atus1 & language )9 diff]5t communities affect sexual attitudes 9 society & culture & h[ ?is may impact /ud5t sexual heal?4 #d4 ,grants = compreh5sive sex education at in/itutions ( high] education 7a7 ,program au?oriz$ ,! ,secret>y1 9 coord9ation ) ! ,secret>y ( ,education1 %all aw>d grants1 on a competitive basis1 to in/itutions ( high] education or consortia ( su* in/itutions to enable su* in/itutions to provide "y p ) compreh5sive sex education1 describ$ 9 subsection 7e77#b74 7b7 ,duration ,grants aw>d$ "u ?is section %all be = a p]iod ( #e ye>s4 7c7 ,applications ,an in/itution ( high] education or consortia ( su* in/itutions 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+ an assurance to p>ticipate 9 ! evaluation describ$ 9 section #f4 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 %all use grant funds to integrate issues relat+ to compreh5sive sex education into in/itution ( high] education 9 ord] to rea* a l>ge numb] ( /ud5ts1 by c>ry+ out "o or m ( ! foll[+ activities3 7,a7 ,develop+ or adopt+ educational cont5t = issues relat+ to compreh5sive sex education t w be incorporat$ into /ud5t ori5tation1 g5]al education1 or core c\rses4 7,b7 ,develop+ or adopt+1 & implem5t+ s*oolwide educational programm+ outside ( class t deliv]s elem5ts ( compreh5sive sex education programs to /ud5ts1 faculty1 & /aff4 7,c7 ,develop+ or adopt+ innovative te*nology-bas$ approa*es to deliv] sex education to /ud5ts1 faculty1 & /aff4 7,d7 ,develop+ or adopt+1 & implem5t+ 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 in/ruction & mat]ials t address ! requirem5ts "u section #c7;f74 #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 or local educational ag5cy2 7#b7 a ,/ate or local dep>tm5t ( heal?2 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 #ecjd72 7#d7 an educational s]vice ag5cy2 7#e7 a nonpr(it in/itution ( high] education2 7#f7 a national or /atewide nonpr(it organization t has z its prim>y purpose ! improvem5t ( provision ( compreh5sive sex education ?r\gh tra9+ & effective tea*+ ( compreh5sive sex education2 or 7#g7 a consortium ( nonpr(it organizations t has z its prim>y purpose ! improvem5t ( provision ( compreh5sive sex education ?r\gh tra9+ & 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 require1 includ+ an assurance to p>ticipate 9 ! evaluation describ$ 9 section #f4 7e7 ,au?oriz$ activities 7#a7 ,requir$ activity ,ea* eligible entity receiv+ a grant "u ?is section %all use grant funds = pr(essional developm5t & tra9+ ( relevant faculty1 s*ool adm9i/rators1 tea*]s1 & /aff1 9 ord] to increase effective tea*+ ( compreh5sive sex education /ud5ts4 7#b7 ,p]missible activities ,ea* eligible entity receiv+ a grant "u ?is section may use grant funds to-- 7,a7 provide rese>*-bas$ tra9+ ( tea*]s = compreh5sive sex education = adolesc5ts z a means ( broad5+ /ud5t k ab\t issues relat$ to human developm5t1 heal?y relation%ips1 p]sonal skills1 & sexual behavior1 includ+ ab/95ce1 sexual heal?1 & society & culture2 7,b7 support ! dissem9ation ( in=mation on effective practices & rese>* f9d+s conc]n+ ! tea*+ ( compreh5sive sex education2 7,c7 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,d7 conv5e national conf]5ces on compreh5sive sex education1 9 ord] to effectively tra9 tea*]s 9 ! provision ( compreh5sive sex education2 & 7,e7 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 organizations t possess a demon/rat$ record ( provid+ tra9+ to faculty1 s*ool adm9i/rators1 tea*]s1 & /aff on compreh5sive sex education 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 ,impact evaluation & report+ 7a7 ,multi-,ye> evaluation 7#a7 ,9 g5]al ,n lat] ?an #f mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all ent] into a contract ) a nonpr(it organization ) exp]i5ce 9 conduct+ impact evaluations1 to conduct a multi-ye> evaluation on ! impact ( ! grants "u sections #c1 #d1 & #e1 & to report to ,congress & ! ,secret>y on ! f9d+s ( su* evaluation4 7#b7 ,evaluation ,! evaluation conduct$ "u ?is subsection %all-- 7,a7 be conduct$ 9 a mann] consi/5t ) relevant1 nationally recogniz$ pr(essional & te*nical evaluation /&>ds2 7,b7 use s\nd /ati/ical me?ods & te*niques relat+ to ! behavioral sci5ces1 includ+ quasi-exp]im5tal designs1 inf]5tial /ati/ics1 & o!r me?odologies & te*niques t all[ = conclusions to be rea*$2 7,c7 be c>ri$ out by an indep5d5t organization t has n receiv$ a grant "u sections #c1 #d1 or #e2 & 7,d7 be design$ to provide in=mation on-- 7i7 output measures1 su* z ! numb] ( individuals s]v$ "u ! grant & ! numb] ( h\rs ( in/ruction2 7ii7 outcome measures1 includ+ measures relat+ to-- 7,i7 ! k t individuals p>ticipat+ 9 ! grant program h ga9$ 9 ea* ( ! foll[+ age & developm5tally appropriate areas-- 7aa7 gr[? & developm5t2 7bb7 relation%ip dynamics2 7cc7 ways to prev5t un9t5d$ pregnancy & sexually transmitt$ infections1 includ+ ,,hiv2 & 7dd7 sexual heal?2 7,,ii7 ! age & developm5tally appropriate skills t individuals p>ticipat+ 9 ! grant program h ga9$ reg>d+-- 7aa7 negotiation & communication2 7bb7 decision mak+ & goal-sett+2 7cc7 int]p]sonal skills & heal?y relation%ips2 & 7dd7 condom use2 & 7,,iii7 ! behaviors ( adolesc5ts p>ticipat+ 9 ! grant program1 includ+ data ab\t-- 7aa7 age ( fir/ int]c\rse2 7bb7 condom & contraceptive use at fir/ int]c\rse2 7cc7 rec5t condom & contraceptive use2 7dd7 sub/ance use2 7ee7 dat+ abuse & lifetime hi/ory ( sexual assault1 dat+ viol5ce1 bully+1 h>assm5t1 /alk+2 & 7ff7 academic p]=mance2 & 7iii7 o!r measures necess>y to evaluate ! impact ( ! grant program4 7#c7 ,report ,n lat] ?an #f ye>s aft] ! date ( enactm5t ( ?is ,act1 ! organization conduct+ ! evaluation "u ?is subsection %all prep>e & submit to ! appropriate committees ( ,congress & ! ,secret>y an evaluation report4 ,su* report %all be made publicly available1 includ+ on ! website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7b7 ,secret>y's report to ,congress ,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 & pre-s]vice & 9-s]vice tea*] tra9+ fund$ "u ?is ,act4 ,! ,secret>y's report to ,congress %all include-- 7#a7 a /atem5t ( h[ grants aw>d$ by ! ,secret>y meet ! 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 #c1 #d1 & #e2 7,b7 ! specific activities support$ by grant funds aw>d$ "u sections #c1 #d1 & #e2 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 ! numb] ( faculty1 s*ool adm9i/rators1 tea*]s1 & /aff tra9$ "u section #e2 & 7,f7 ! /atus ( ! evaluation requir$ "u subsection 7a74 #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 "u any o!r ,f$]al law or any law ( a ,/ate or a political subdivision ( a ,/ate1 includ+ ! ,civil ,rights ,act ( #aifd 7#db ,u4,s4,c4 #bjjj;a et seq471 title ,,ix ( ! ,education ,am5dm5ts ( #aigb 7#bj ,u4,s4,c4 #afha et seq471 section #ejd ( ! ,rehabilitation ,act ( #aigc 7#bi ,u4,s4,c4 #gid71 ! ,am]icans ) ,disabilities ,act ( #aiij 7#db ,u4,s4,c4 #abaja et seq471 & section #aeeg ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahaaf74 #h4 ,limitation ,no ,f$]al funds provid$ "u ?is ,act may be us$ = heal? education programs t-- 7#a7 )hold heal?-promot+ or life-sav+ in=mation ab\t sexuality-relat$ topics1 includ+ ,,hiv2 7#b7 are m$ically inaccurate or h be5 sci5tifically %[n to be ineffective2 7#c7 promote g5d] or racial /]eotypes2 7#d7 are ins5sitive & unresponsive to ! ne$s ( sexually active "y p2 7#e7 are ins5sitive & unresponsive to ! ne$s ( pregnant or p>5t+ "y p2 7#f7 are ins5sitive & unresponsive to ! ne$s ( survivors ( sexual abuse or assault2 7#g7 are ins5sitive & unresponsive to ! ne$s ( y\? ( all physical1 developm5tal1 or m5tal abilities2 7#h7 are ins5sitive & unresponsive to individuals ) v>y+ g5d] id5tities1 g5d] expressions1 & sexual ori5tations2 or 7#i7 are inconsi/5t ) ! e?ical imp]atives ( m$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 sub*apt] %all include in=mation ab\t ! pot5tial effects ( intrav5\s sub/ance abuse4 4 7b7 ,am5dm5ts to ! ,elem5t>y & ,second>y ,education ,act ( #aife ,section #hebf ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #gijf7 is am5d$-- 7#a7 by /rik+ p>agraph 7#c72 7#b7 by r$esignat+ p>agraphs 7#d7 & 7#e7 z p>agraphs 7#c7 & 7#d71 respectively2 7#c7 9 p>agraph 7#d71 by ins]t+ or aft] ! semicolon2 7#d7 9 p>agraph 7#e71 by /rik+ 2 or & ins]t+ a p]iod2 & 7#e7 by /rik+ p>agraph 7#f74 #aj4 ,def9itions ,9 ?is ,act3 7#a7 ,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#b7 ,age & developm5tally appropriate ,! t]m age & developm5tally appropriate means topics1 messages1 & tea*+ me?ods suitable to p>ticul> age1 age gr\p ( *ildr5 & adolesc5ts1 or developm5tal levels1 bas$ on cognitive1 emotional1 social1 & behavioral capacity ( mo/ /ud5ts at t age level4 7#c7 ,appropriate committees ( congress ,! t]m appropriate committees ( ,congress means ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 ! ,committee on ,appropriations ( ! ,s5ate1 ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 ! ,committee on ,education & ! ,work=ce ( ! ,h\se ( ,repres5tatives1 & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives4 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 in/ruction "p ( a compreh5sive s*ool heal? education approa* :i* addresses ! physical1 m5tal1 emotional1 & social dim5sions ( human sexuality2 design$ to motivate & assi/ /ud5ts to ma9ta9 & improve _! sexual heal?1 prev5t disease & r$uce sexual heal?-relat$ risk behaviors2 & enable & emp[] /ud5ts to develop & demon/rate age & developm5tally appropriate sexuality & sexual heal?-relat$ k1 attitudes1 skills1 & practices4 7#f7 ,cons5t ,! t]m cons5t means affirmative1 consci\s1 & volunt>y agreem5t to engage 9 int]p]sonal1 physical1 or sexual activity4 7#g7 ,culturally appropriate ,! t]m culturally appropriate means mat]ials & in/ruction t respond to culturally div]se individuals1 families & communities 9 an inclusive1 respectful & effective mann]2 includ+ mat]ials & in/ruction t are inclusive ( race1 e?nicity1 languages1 cultural backgr\nd1 religion1 sex1 g5d] id5tity1 sexual ori5tation1 & diff]5t abilities4 7#h7 ,evid5ce-bas$ ,! t]m evid5ce-bas$1 :5 us$ ) respect to sex education in/ruction 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 programs t h be5 prov5 to be effective 9 *ang+ sexual behavior4 7#i7 ,g5d] expression ,! t]m g5d] expression1 :5 us$ ) respect to a sex education program1 means ! expression ( "o's g5d]1 su* z ?r\gh behavior1 clo?+1 haircut1 or voice1 & :i* may or may n con=m to socially def9$ behaviors & *>act]i/ics typically associat$ ) be+ ei!r mascul9e or fem99e4 7#aj7 ,g5d] id5tity ,except ) respect to section #g1 ! t]m g5d] id5tity1 :5 us$ ) respect to a sex education program1 means ! g5d]-relat$ id5tity1 appe>ance1 mann]isms1 or o!r g5d]-relat$ *>act]i/ics ( an individual1 reg>dless ( ! individual's designat$ sex at bir? includ+ a p]son's deeply held s5se or k ( _! own g5d]2 su* z male1 female1 bo? or nei!r4 7#aa7 ,inclusive ,! t]m inclusive1 :5 us$ ) respect to a sex education program1 means curriculum t ensures t /ud5ts f hi/orically m>g9aliz$ communities are reflect$ 9 classroom mat]ials & lessons4 7#ab7 ,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#ac7 ,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#ad7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#ae7 ,sexual developm5t ,! t]m sexual developm5t means ! lifelong process ( physical1 behavioral1 cognitive1 & emotional gr[? & *ange z x relates to an individual's sexuality & sexual maturation1 includ+ pub]ty1 id5tity developm5t1 socio-cultural influ5ces1 & sexual behaviors4 7#af7 ,sexual ori5tation ,except ) respect to section #g1 ! t]m sexual ori5tation1 :5 us$ ) respect to a sex education program1 means an individual's attraction1 includ+ physical or emotional1 to ! same or diff]5t g5d]4 7#ag7 ,"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 ,fund+ 7a7 ,appropriation ,= ! purpose ( c>ry+ out ,act1 !re is appropriat$ #ge1jjj1jjj = ea* fiscal ye>s #bjbj ?r\gh #bjbe4 ,am\nts appropriat$ "u ?is subsection %all rema9 available until exp5d$4 7b7 ,res]vations ( funds 7#a7 ,! ,secret>y %all res]ve #ej p]c5t ( ! am\nt appropriat$ "u subsection 7a7 = ! purposes ( aw>d+ grants = compreh5sive sex education = adolesc5ts "u section #c4 7#b7 ,! ,secret>y %all res]ve #be p]c5t ( ! am\nt appropriat$ "u subsection 7a7 = ! purposes ( aw>d+ grants = compreh5sive sex education at in/itutes ( high] education "u section #d4 7#c7 ,! ,secret>y %all res]ve #bj p]c5t ( ! am\nt appropriat$ "u subsection 7a7 = ! purposes ( aw>d+ grants = pre-s]vice & 9-s]vice tea*] tra9+ "u section #e4 7#d7 ,! ,secret>y %all res]ve #b p]c5t ( ! am\nt appropriat$ "u subsection 7a7 = ! purpose ( c>ry+ out ! impact evaluation & report+ requir$ "u section #f7;a74 7c7 ,secret>ial responsibilities ,! ,secret>y %all res]ve #c p]c5t ( am\nt appropriat$ "u subsection 7a7 = ea* fiscal ye> = exp5ditures by ! ,secret>y to provide1 directly or ?r\gh a competitive grant process1 rese>*1 tra9+1 & te*nical assi/ance1 includ+ dissem9ation ( rese>* & in=mation reg>d+ effective & promis+ practices1 provid+ consultation & res\rces1 & develop+ res\rces & mat]ials to support ! activities ( recipi5ts ( grants4 ,9 c>ry+ out su* functions1 ! ,secret>y %all collaborate ) a v>iety ( entities t h exp]tise 9 adolesc5t sexual heal? developm5t1 education1 & promotion4 7d7 ,reprogramm+ ( ab/95ce only until m>riage program fund+ ,! unobligat$ balance ( funds made available to c>ry out section #eaj ( ! ,social ,security ,act 7#db ,u4,s4,c4 #gaj7 7z 9 effect on ! day be=e ! date ( enactm5t ( ?is ,act7 are h]eby transf]r$ & %all be us$ by ! ,secret>y to c>ry out ?is ,act4 ,! am\nts transf]r$ & made available to c>ry out ?is ,act %all rema9 available until exp5d$4 7e7 ,repeal ( ab/95ce only until m>riage program ,section #eaj ( ! ,social ,security ,act 7#db ,u4,s4,c4 #gaj et seq47 is repeal$4