,,ii #aagth ,,congress #ast ,session ,s4 #afhi ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #ah1 #bjba ,mr4 ,booker 7for himself1 ,ms4 ,hirono1 ,mr4 ,markey1 ,mr4 ,menendez1 ,ms4 ,warren1 ,mr4 ,brown1 ,ms4 ,baldwin1 ,mr4 ,blumenthal1 ,ms4 ,smith1 ,ms4 ,duckworth1 and ,mr4 ,merkley7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to provide for the overall health and well-being of young people1 including the promotion and attainment of lifelong sexual health and healthy relationships1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,real ,education and ,access for ,healthy ,youth ,act of #bjba4 #b4 ,purpose and findings 7a7 ,purpose ,the purpose of this ,act is to provide young people with sex education and sexual health services that-- 7#a7 promote and uphold the rights of young people to information and services that empower them to make decisions about their bodies1 health1 sexuality1 families1 and communities in all areas of life2 7#b7 are evidence-informed1 comprehensive in scope1 confidential1 equitable1 accessible1 medically accurate and complete1 age and developmentally appropriate1 culturally responsive1 and trauma-informed and resilience-oriented2 7#c7 provide information about the prevention1 treatment1 and care of pregnancy1 sexually transmitted infections1 and interpersonal violence2 7#d7 provide information about the importance of consent as a basis for healthy relationships and for autonomy in healthcare2 7#e7 provide information on gender roles and gender discrimination2 7#f7 provide information on the historical and current condition in which education and health systems1 policies1 programs1 services1 and practices have uniquely and adversely impacted ,black1 ,indigenous1 ,latinx1 ,asian1 ,asian ,american and ,pacific ,islander1 and other ,people of ,color2 and 7#g7 redress inequities in the delivery of sex education and sexual health services to marginalized young people4 7b7 ,findings ,congress finds the following3 7#a7 ,young people need and have the right to sex education and sexual health services that are evidence-informed1 comprehensive in scope1 confidential1 equitable1 accessible1 medically accurate and complete1 age and developmentally appropriate1 culturally responsive1 and trauma-informed and resilience-oriented4 7#b7 ,currently1 there is a gap between the sex education that young people should be receiving based on expert standards and the sex education many actually receive4 7#c7 ,only #bi ,states and the ,district of ,columbia mandate sex education in schools4 7#d7 ,when there is sex education or instruction regarding human immunodeficiency virus 7,,hiv7 or sexually transmitted infections 7,,sti71 #ae ,states do not require the content to be evidence-informed1 medically accurate and complete1 age and developmentally appropriate1 or culturally responsive4 7#e7 ,many sex education programs and sexual health services currently available were not designed to and do not currently meet the needs of marginalized young people4 ,some such programs and services actually harm marginalized young people4 7#f7 ,for marginalized young people1 a lack of comprehensive in scope1 confidential1 equitable1 and accessible sex education and sexual health services is not unfamiliar1 but rather a longstanding manifestation of white supremacy1 which has touched every aspect of our history1 culture1 and institutions1 including the education and healthcare systems4 7#g7 ,the development and delivery of sexual health education and services in the ,united ,states historically has been rooted in the oppression of ,black1 ,indigenous1 ,latinx1 ,asian1 ,asian ,american and ,pacific ,islander1 and other ,people of ,color4 7#h7 ,the ,united ,states has a long history of eugenics and forced sterilization4 ,the sexual and reproductive rights and bodily autonomy of specific communities deemed undesirable or defective were targeted by our governments resulting in state-sanctioned violence and generations of trauma and oppression4 ,these communities include-- 7,a7 people with low incomes2 7,b7 immigrants2 7,c7 people with disabilities2 7,d7 people living with ,,hiv2 7,e7 survivors of interpersonal violence2 7,f7 people who are incarcerated1 detained1 or who otherwise have encountered the criminal-legal system2 7,g7 ,black1 ,indigenous1 and other ,people of ,color2 7,h7 people who are lesbian1 gay1 bisexual1 transgender1 and queer2 and 7,i7 young people who are pregnant and parenting4 7#i7 ,black young people are more likely to receive abstinence-only instruction4 ,research shows that abstinence-only instruction1 also known as sexual risk avoidance instruction1 is ineffective in comparison to sex education4 7#aj7 ,black1 ,indigenous1 and ,latinx young people are disproportionately more likely to be diagnosed with an ,,sti1 have an unintended pregnancy1 or experience sexual assault4 7#aa7 ,the framework of ,reproductive ,justice acknowledges and aims to address the legacy of white supremacy1 systemic oppression1 and the restrictions on sex education and sexual health services that disproportionately impact marginalized communities4 ,reproductive ,justice will be achieved when all people regardless of actual or perceived race1 color1 ethnicity1 national origin1 religion1 immigration status1 sex 7including gender identity and sexual orientation71 disability status1 pregnancy or parenting status1 or age have the power to make decisions about their bodies1 health1 sexuality1 families1 and communities in all areas of life4 7#ab7 ,increased resources are required for sex education and sexual health services to reach all young people1 redress inequities and their impacts on marginalized young people1 and achieve ,reproductive ,justice for young people4 7#ac7 ,such sex education and sexual health services should-- 7,a7 promote and uphold the rights of young people to information and services in order to make and exercise informed and responsible decisions about their sexual health2 7,b7 be evidence-informed1 comprehensive in scope1 confidential1 equitable1 accessible1 age and developmentally appropriate1 culturally responsive1 and trauma-informed and resilience-oriented2 7,c7 include instruction and materials that address-- 7i7 puberty and adolescent development2 7ii7 sexual and reproductive anatomy and physiology2 7iii7 sexual orientation1 gender identity1 and gender expression2 7iv7 contraception1 pregnancy1 and reproduction2 7v7 ,,hiv and other ,s,t,is2 7vi7 consent and healthy relationships2 and 7vii7 interpersonal violence2 7,d7 promote gender equity and be inclusive of young people with varying gender identities1 gender expressions1 and sexual orientations2 7,e7 promote safe and healthy relationships2 and 7,f7 promote racial equity and be responsive to the needs of young people who are ,black1 ,indigenous1 and other ,people of ,color4 #c4 ,definitions ,in this ,act3 7#a7 ,age and developmentally appropriate ,the term age and developmentally appropriate means topics1 messages1 and teaching methods suitable to particular ages1 age groups1 or developmental levels1 based on cognitive1 emotional1 social1 and behavioral capacity of most young people at that age level4 7#b7 ,characteristics of effective programs ,the term characteristics of effective programs means the aspects of evidence-informed programs1 including development1 content1 and implementation of such programs1 that-- 7,a7 have been shown to be effective in terms of increasing knowledge1 clarifying values and attitudes1 increasing skills1 and impacting behavior2 and 7,b7 are widely recognized by leading medical and public health agencies to be effective in changing sexual behaviors that lead to sexually transmitted infections1 unintended pregnancy1 and interpersonal violence among young people4 7#c7 ,consent ,the term consent means affirmative1 conscious1 and voluntary agreement to engage in interpersonal1 physical1 or sexual activity4 7#d7 ,culturally responsive ,the term culturally responsive means education and services that-- 7,a7 embrace and actively engage and adjust to young people and their various cultural identities2 7,b7 recognize the ways in which many marginalized young people face unique barriers in our society that result in increased adverse health outcomes and associated stereotypes2 and 7,c7 may address the ways in which racism has shaped national health care policy1 the lasting historical trauma associated with reproductive health experiments and forced sterilizations of ,black1 ,latinx1 and ,indigenous communities1 or sexual stereotypes assigned to young ,people of ,color or ,,lgbtq people4 7#e7 ,evidence-informed ,the term evidence-informed means incorporates characteristics1 content1 or skills that have been proven to be effective through evaluation in changing sexual behavior4 7#f7 ,gender expression ,the term gender expression means the expression of one's gender1 such as through behavior1 clothing1 haircut1 or voice1 and which may or may not conform to socially defined behaviors and characteristics typically associated with being either masculine or feminine4 7#g7 ,gender identity ,the term gender identity means the gender-related identity1 appearance1 mannerisms1 or other gender-related characteristics of an individual1 regardless of the individual's designated sex at birth4 7#h7 ,inclusive ,the term inclusive means content and skills that ensure marginalized young people are valued1 respected1 centered1 and supported in sex education instruction and materials4 7#i7 ,institution of higher education ,the term institution of higher education has the meaning given the term in section #aja of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajja74 7#aj7 ,interpersonal violence ,the term interpersonal violence means abuse1 assault1 bullying1 dating violence1 domestic violence1 harassment1 intimate partner violence1 or stalking4 7#aa7 ,marginalized young people ,the term marginalized young people means young people who are disadvantaged by underlying structural barriers and social inequities1 including young people who are-- 7,a7 ,black1 ,indigenous1 and other ,people of ,color2 7,b7 immigrants2 7,c7 in contact with the foster care system2 7,d7 in contact with the juvenile justice system2 7,e7 experiencing homelessness2 7,f7 pregnant or parenting2 7,g7 lesbian1 gay1 bisexual1 transgender1 or queer2 7,h7 living with ,,hiv2 7,i7 living with disabilities2 7,j7 from families with low-incomes2 or 7,k7 living in rural areas4 7#ab7 ,medically accurate and complete ,the term medically accurate and complete means that-- 7,a7 the information provided through the education is verified or supported by the weight of research conducted in compliance with accepted scientific methods and is published in peer-reviewed journals1 where applicable2 or 7,b7 the education contains information that leading professional organizations and agencies with relevant expertise in the field recognize as accurate1 objective1 and complete4 7#ac7 ,resilience ,the term resilience means the ability to adapt to trauma and tragedy4 7#ad7 ,secretary ,the term ,secretary means the ,secretary of ,health and ,human ,services4 7#ae7 ,sex education ,the term sex education means high quality teaching and learning that-- 7,a7 is delivered1 to the maximum extent practicable1 following the ,national ,sexuality ,education ,standards of the ,future of ,sex ,ed ,initiative2 7,b7 is about a broad variety of topics related to sex and sexuality1 including-- 7i7 puberty and adolescent development2 7ii7 sexual and reproductive anatomy and physiology2 7iii7 sexual orientation1 gender identity1 and gender expression2 7iv7 contraception1 pregnancy1 and reproduction2 7v7 ,,hiv and other ,s,t,is2 7vi7 consent and healthy relationships2 and 7vii7 interpersonal violence2 7,c7 explores values and beliefs about such topics2 and 7,d7 helps young people in gaining the skills that are needed to navigate relationships and manage one's own sexual health4 7#af7 ,sexual development ,the term sexual development means the lifelong process of physical1 behavioral1 cognitive1 and emotional growth and change as it relates to an individual's sexuality and sexual maturation1 including puberty1 identity development1 socio-cultural influences1 and sexual behaviors4 7#ag7 ,sexual health services ,the term sexual health services includes-- 7,a7 sexual health information1 education1 and counseling2 7,b7 all methods of contraception approved by the ,food and ,drug ,administration2 7,c7 routine gynecological care1 including human papillomavirus 7,,hpv7 vaccines and cancer screenings2 7,d7 pre-exposure prophylaxis or post-exposure prophylaxis2 7,e7 substance use and mental health services2 7,f7 interpersonal violence survivor services2 and 7,g7 other prevention1 care1 or treatment services4 7#ah7 ,sexual orientation ,the term sexual orientation means an individual's romantic1 emotional1 or sexual attraction to other people4 7#ai7 ,trauma ,the term trauma means a response to an event1 series of events1 or set of circumstances that is experienced or witnessed by an individual or group of people as physically or emotionally harmful or life-threatening with lasting adverse effects on their functioning and mental1 physical1 social1 emotional1 or spiritual well-being4 7#bj7 ,trauma-informed and resilience-oriented ,the term trauma-informed and resilience-oriented means an approach that realizes the prevalence of trauma1 recognizes the various ways individuals1 organizations1 and communities may respond to trauma differently1 recognizes that resilience can be built1 and responds by putting this knowledge into practice4 7#ba7 ,young people ,the term young people means individuals who are ages #aj through #bi at the time of commencement of participation in a project supported under this ,act4 7#bb7 ,youth-friendly sexual health services ,the term youth-friendly sexual health services means sexual health services that are provided in a confidential1 equitable1 and accessible manner that makes it easy and comfortable for young people to seek out and receive services4 #d4 ,grants for sex education at elementary and secondary schools and youth-serving organizations 7a7 ,program authorized ,the ,secretary1 in coordination with the ,secretary of ,education1 shall award grants1 on a competitive basis1 to eligible entities to enable such eligible entities to carry out projects that provide young people with sex education4 7b7 ,duration ,grants awarded under this section shall be for a period of #e years4 7c7 ,eligible entity ,in this section1 the term eligible entity means a public or private entity that delivers health education to young people4 7d7 ,applications ,an eligible entity desiring a grant under this section shall submit an application to the ,secretary at such time1 in such manner1 and containing such information as the ,secretary may require4 7e7 ,priority ,in awarding grants under this section1 the ,secretary shall give priority to eligible entities that are-- 7#a7 ,state educational agencies or local educational agencies2 or 7#b7 ,indian ,tribes or ,tribal organizations1 as defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecjd74 7f7 ,use of funds ,each eligible entity that receives a grant under this section shall use the grant funds to carry out a project that provides young people with sex education4 #e4 ,grants for sex education at institutions of higher education 7a7 ,program authorized ,the ,secretary1 in coordination with the ,secretary of ,education1 shall award grants1 on a competitive basis1 to institutions of higher education or consortia of such institutions to enable such institutions to provide students with age and developmentally appropriate sex education4 7b7 ,duration ,grants awarded under this section shall be for a period of #e years4 7c7 ,applications ,an institution of higher education or consortium of such institutions desiring a grant under this section 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 this section1 the ,secretary shall give priority to an institution of higher education that-- 7#a7 has an enrollment of needy students1 as defined in section #cah7;b7 of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajei;e7b772 7#b7 is a ,hispanic-serving institution1 as defined in section #ejb7;a7 of such ,act 7#bj ,u4,s4,c4 #aaja;a7a772 7#c7 is a ,tribal ,college or ,university1 as defined in section #caf7;b7 of such ,act 7#bj ,u4,s4,c4 #ajei;c7b772 7#d7 is an ,alaska ,native-serving institution1 as defined in section #cag7;b7 of such ,act 7#bj ,u4,s4,c4 #ajei;d7b772 7#e7 is a ,native ,hawaiian-serving institution1 as defined in section #cag7;b7 of such ,act 7#bj ,u4,s4,c4 #ajei;d7b772 7#f7 is a ,predominantly ,black ,institution1 as defined in section #cah7;b7 of such ,act 7#bj ,u4,s4,c4 #ajei;e7b772 7#g7 is a ,native ,american-serving1 nontribal institution1 as defined in section #cai7;b7 of such ,act 7#bj ,u4,s4,c4 #ajei;f7b772 7#h7 is an ,asian ,american and ,native ,american ,pacific ,islander-serving institution1 as defined in section #cbj7;b7 of such ,act 7#bj ,u4,s4,c4 #ajei;g7b772 or 7#i7 is a minority institution1 as defined in section #cfe of such ,act 7#bj ,u4,s4,c4 #ajfgk71 with an enrollment of needy students1 as defined in section #cab of such ,act 7#bj ,u4,s4,c4 #ajeh74 7e7 ,uses of funds 7#a7 ,in general ,an institution of higher education or consortium of such institutions receiving a grant under this section shall use grant funds to develop and implement a project to integrate sex education into the institution of higher education in order to reach a large number of students1 by carrying out #a or more of the following activities3 7,a7 ,adopting and incorporating age and developmentally appropriate sex education into student orientation1 general education1 or courses4 7,b7 ,developing or adopting and implementing educational programming outside of class that delivers age and developmentally appropriate sex education to students4 7,c7 ,developing or adopting and implementing innovative technology-based approaches to deliver age and developmentally appropriate sex education to students4 7,d7 ,developing or adopting and implementing peer-led activities to generate discussion1 educate1 and raise awareness among students about age and developmentally appropriate sex education4 7,e7 ,developing or adopting and implementing policies and practices to link students to sexual health services4 #f4 ,grants for educator training 7a7 ,program authorized ,the ,secretary1 in coordination with the ,secretary of ,education1 shall award grants1 on a competitive basis1 to eligible entities to enable such eligible entities to carry out the activities described in subsection 7e74 7b7 ,duration ,grants awarded under this section shall be for a period of #e years4 7c7 ,eligible entity ,in this section1 the term eligible entity means-- 7#a7 a ,state educational agency or local educational agency2 7#b7 an ,indian ,tribe or ,tribal organization1 as defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecjd72 7#c7 a ,state or local department of health2 7#d7 an educational service agency2 7#e7 a nonprofit institution of higher education or a consortium of such institutions2 or 7#f7 a national or statewide nonprofit organization or consortium of nonprofit organizations that has as its primary purpose the improvement of provision of sex education through training and effective teaching of sex education4 7d7 ,application ,an eligible entity desiring a grant under this section shall submit an application to the ,secretary at such time1 in such manner1 and containing such information as the ,secretary may require4 7e7 ,authorized activities 7#a7 ,required activity ,each eligible entity receiving a grant under this section shall use grant funds for professional development and training of relevant teachers1 health educators1 faculty1 administrators1 and staff1 in order to increase effective teaching of sex education to young people4 7#b7 ,permissible activities ,each eligible entity receiving a grant under this section may use grant funds to-- 7,a7 provide training and support for educators about the content1 skills1 and professional disposition needed to implement sex education effectively2 7,b7 develop and provide training and support to educators on incorporating anti-racist and gender inclusive policies and practices in sex education2 7,c7 support the dissemination of information on effective practices and research findings concerning the teaching of sex education2 7,d7 support research on-- 7i7 effective sex education teaching practices2 and 7ii7 the development of assessment instruments and strategies to document-- 7,i7 young people's understanding of sex education2 and 7,,ii7 the effects of sex education2 7,e7 convene conferences on sex education1 in order to effectively train educators in the provision of sex education2 and 7,f7 develop and disseminate appropriate research-based materials to foster sex education4 7#c7 ,subgrants ,each eligible entity receiving a grant under this section may award subgrants to nonprofit organizations that possess a demonstrated record of providing training to teachers1 health educators1 faculty1 administrators1 and staff on sex education to-- 7,a7 train educators in sex education2 7,b7 support internet or distance learning related to sex education2 7,c7 promote rigorous academic standards and assessment techniques to guide and measure student performance in sex education2 7,d7 encourage replication of best practices and model programs to promote sex education2 7,e7 develop and disseminate effective1 research-based sex education learning materials2 or 7,f7 develop academic courses on the pedagogy of sex education at institutions of higher education4 #g4 ,authorization of grants to support the delivery of sexual health services to marginalized young people 7a7 ,program authorized ,the ,secretary shall award grants1 on a competitive basis1 to eligible entities to enable such entities to provide youth-friendly sexual health services to marginalized young people4 7b7 ,duration ,grants awarded under this section shall be for a period of #e years4 7c7 ,eligible entity ,in this section1 the term eligible entity means-- 7#a7 a public or private youth-serving organization2 or 7#b7 a covered entity1 as defined in section #cdj;,b of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bef;b74 7d7 ,applications ,an eligible entity desiring a grant under this section shall submit an application to the ,secretary at such time1 in such manner1 and containing such information as the ,secretary may require4 7e7 ,use of funds 7#a7 ,in general ,each eligible entity that receives a grant under this section may use the grant funds to-- 7,a7 develop and implement an evidence-informed project to deliver sexual health services to marginalized young people2 7,b7 establish1 alter1 or modify staff positions1 service delivery policies and practices1 service delivery locations1 service delivery environments1 service delivery schedules1 or other services components in order to increase youth-friendly sexual health services to marginalized young people2 7,c7 conduct outreach to marginalized young people to invite them to participate in the eligible entity's sexual health services and to provide feedback to inform improvements in the delivery of such services2 7,d7 establish and refine systems of referral to connect marginalized young people to other sexual health services and supportive services2 7,e7 establish partnerships and collaborations with entities providing services to marginalized young people to link such young people to sexual health services1 such as by delivering health services at locations where they congregate1 providing transportation to locations where sexual health services are provided1 or other linkages to services approaches2 7,f7 provide evidence-informed1 comprehensive in scope1 confidential1 equitable1 accessible1 medically accurate and complete1 age and developmentally appropriate1 culturally responsive1 and trauma-informed and resilience-oriented sexual health information to marginalized young people in the languages and cultural contexts that are most appropriate for the marginalized young people to be served by the eligible entity2 7,g7 promote effective communication regarding sexual health among marginalized young people2 and 7,h7 provide training and support for eligible entity personnel and community members who work with marginalized young people about the content1 skills1 and professional disposition needed to provide youth-friendly sex education and youth-friendly sexual health services4 #h4 ,reporting and impact evaluation 7a7 ,grantee report to secretary ,for each year an eligible entity receives grant funds under section #d1 #e1 #f1 or #g1 the eligible entity shall submit to the ,secretary a report that includes-- 7#a7 the use of grant funds by the eligible entity2 7#b7 how the use of grant funds has increased the access of young people to sex education or sexual health services2 and 7#c7 such other information as the ,secretary may require4 7b7 ,secretary's report to ,congress ,not later than #a year after the date of the enactment of this ,act1 and annually thereafter for a period of #e years1 the ,secretary shall prepare and submit to ,congress a report on the activities funded under this ,act4 ,the ,secretary's report to ,congress shall include-- 7#a7 a statement of how grants awarded by the ,secretary meet the purposes described in section #b7;a72 and 7#b7 information about-- 7,a7 the number of eligible entities that are receiving grant funds under sections #d1 #e1 #f1 and #g2 7,b7 the specific activities supported by grant funds awarded under sections #d1 #e1 #f1 and #g2 7,c7 the number of young people served by projects funded under sections #d1 #e1 and #g1 in the aggregate and disaggregated and cross-tabulated by grant program1 race and ethnicity1 sex1 sexual orientation1 gender identity1 and other characteristics determined by the ,secretary 7except that such disaggregation or cross-tabulation shall not be required in a case in which the results would reveal personally identifiable information about an individual young person72 7,d7 the number of teachers1 health educators1 faculty1 school administrators1 and staff trained under section #f2 and 7,e7 the status of the evaluation required under subsection 7c74 7c7 ,multi-,year evaluation 7#a7 ,in general ,not later than #f months after the date of the enactment of this ,act1 the ,secretary shall enter into a contract with a nonprofit organization with experience in conducting impact evaluations to conduct a multi-year evaluation on the impact of the projects funded under sections #d1 #e1 #f1 and #g and to report to ,congress and the ,secretary on the findings of such evaluation4 7#b7 ,evaluation ,the evaluation conducted under this subsection shall-- 7,a7 be conducted in a manner consistent with relevant1 nationally recognized professional and technical evaluation standards2 7,b7 use sound statistical methods and techniques relating to the behavioral sciences1 including quasi-experimental designs1 inferential statistics1 and other methodologies and techniques that allow for conclusions to be reached2 7,c7 be carried out by an independent organization that has not received a grant under section #d1 #e1 #f1 or #g2 and 7,d7 be designed to provide information on output measures and outcome measures to be determined by the ,secretary4 7#c7 ,report ,not later than #f years after the date of enactment of this ,act1 the organization conducting the evaluation under this subsection shall prepare and submit to the appropriate committees of ,congress and the ,secretary an evaluation report4 ,such report shall be made publicly available1 including on the website of the ,department of ,health and ,human ,services4 #i4 ,nondiscrimination ,activities funded under this ,act shall not discriminate on the basis of actual or perceived sex 7including sexual orientation and gender identity71 age1 parental status1 race1 color1 ethnicity1 national origin1 disability1 or religion4 ,nothing in this ,act shall be construed to invalidate or limit rights1 remedies1 procedures1 or legal standards available under any other ,federal law or any law of a ,state or a political subdivision of a ,state1 including the ,civil ,rights ,act of #aifd 7#db ,u4,s4,c4 #bjjj;a et seq471 title ,,ix of the ,education ,amendments of #aigb 7#bj ,u4,s4,c4 #afha et seq471 section #ejd of the ,rehabilitation ,act of #aigc 7#bi ,u4,s4,c4 #gid71 the ,americans with ,disabilities ,act of #aiij 7#db ,u4,s4,c4 #abaja et seq471 and section #aeeg of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahaaf74 #aj4 ,limitation ,no ,federal funds provided under this ,act may be used for sex education or sexual health services that-- 7#a7 withhold health-promoting or life-saving information about sexuality-related topics1 including ,,hiv2 7#b7 are medically inaccurate or incomplete2 7#c7 promote gender or racial stereotypes or are unresponsive to gender or racial inequities2 7#d7 fail to address the needs of sexually active young people2 7#e7 fail to address the needs of pregnant or parenting young people2 7#f7 fail to address the needs of survivors of interpersonal violence2 7#g7 fail to address the needs of young people of all physical1 developmental1 or mental abilities2 7#h7 fail to be inclusive of individuals with varying gender identities1 gender expressions1 and sexual orientations2 or 7#i7 are inconsistent with the ethical imperatives of medicine and public health4 #aa4 ,amendments to other laws 7a7 ,amendment to the ,public ,health ,service ,act ,section #bejj of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;ee7 is amended by striking subsections 7b7 through 7d7 and inserting the following3 7b7 ,contents of programs ,all programs of education and information receiving funds under this subchapter shall include information about the potential effects of intravenous substance use4 4 7b7 ,amendments to the ,elementary and ,secondary ,education ,act of #aife ,section #hebf of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #gijf7 is amended-- 7#a7 by striking paragraphs 7#c71 7#e71 and 7#f72 7#b7 in paragraph 7#b71 by inserting or after the semicolon2 7#c7 by redesignating paragraph 7#d7 as paragraph 7#c72 and 7#d7 in paragraph 7#c71 as redesignated by paragraph 7#c71 by striking the semicolon and inserting a period4 #ab4 ,funding 7a7 ,authorization ,for the purpose of carrying out this ,act1 there is authorized to be appropriated #ajj1jjj1jjj for each of fiscal years #bjbb through #bjbg4 ,amounts appropriated under this subsection shall remain available until expended4 7b7 ,reservations of funds 7#a7 ,in general ,the ,secretary-- 7,a7 shall reserve not more than #cj percent of the amount authorized under subsection 7a7 for the purposes of awarding grants for sex education at elementary and secondary schools and youth-serving organizations under section #d2 7,b7 shall reserve not more than #aj percent of the amount authorized under subsection 7a7 for the purpose of awarding grants for sex education at institutions of higher education under section #e2 7,c7 shall reserve not more than #ae percent of the amount authorized under subsection 7a7 for the purpose of awarding grants for educator training under section #f2 7,d7 shall reserve not more than #cj percent of the amount authorized under subsection 7a7 for the purpose of awarding grants for sexual health services for marginalized youth under section #g2 and 7,e7 shall reserve not less than #e percent of the amount authorized under subsection 7a7 for the purpose of carrying out the reporting and impact evaluation required under section #h4 7#b7 ,research1 training and technical assistance ,the ,secretary shall reserve not less than #aj percent of the amount authorized under subsection 7a7 for expenditures by the ,secretary to provide1 directly or through a competitive grant process1 research1 training1 and technical assistance1 including dissemination of research and information regarding effective and promising practices1 providing consultation and resources1 and developing resources and materials to support the activities of recipients of grants4 ,in carrying out such functions1 the ,secretary shall collaborate with a variety of entities that have expertise in sex education and sexual health services standards setting1 design1 development1 delivery1 research1 monitoring1 and evaluation4 7c7 ,reprogramming of abstinence only until marriage program funding ,the unobligated balance of funds made available to carry out section #eaj of the ,social ,security ,act 7#db ,u4,s4,c4 #gaj7 7as in effect on the day before the date of enactment of this ,act7 are hereby transferred and shall be used by the ,secretary to carry out this ,act4 ,the amounts transferred and made available to carry out this ,act shall remain available until expended4 7d7 ,repeal of abstinence only until marriage program ,section #eaj of the ,social ,security ,act 7#db ,u4,s4,c4 #gaj et seq47 is repealed4