,,ii #aah? ,,congress #a/ ,session ,s4 #afig ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,may #ah1 #bjbc,ms4 ,hirono 7= h]self1 ,mr4 ,book]1 ,mr4 ,blum5?al1 ,mr4 ,br[n1 ,ms4 ,duckwor?1 ,mr4 ,m>key1 ,mr4 ,m55dez1 ,mr4 ,m]kley1 ,mr4 ,murphy1 ,mr4 ,padilla1 ,ms4 ,smi?1 ,mr4 ,van ,holl51 & ,ms4 ,w>r57 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 & atta9m5t ( lifelong sexual heal? & heal?y relation%ips1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,real ,education & ,access = ,heal?y ,y\? ,act ( #bjbc4 #b4 ,purpose & f9d+s 7a7 ,purpose ,! purpose ( ?is ,act is to provide "y p ) sex education & sexual heal? s]vices t-- 7#a7 promote & uphold ! rights ( "y p to in=mation & s]vices t emp[] !m to make decisions ab\t _! bodies1 heal?1 sexuality1 families1 & communities 9 all areas ( life2 7#b7 are evid5ce-in=m$1 compreh5sive 9 scope1 confid5tial1 equitable1 accessible1 m$ically accurate & complete1 age & developm5tally appropriate1 culturally responsive1 trauma-in=m$ & resili5ce-ori5t$1 & align ) ! ,national ,sex ,education ,/&>ds ( ! ,future ( ,sex ,ed ,initiative2 7#c7 provide in=mation ab\t ! prev5tion1 treatm5t1 & c>e ( pregnancy1 sexually transmitt$ infections1 & int]p]sonal viol5ce2 7#d7 provide in=mation ab\t ! importance ( cons5t z a basis = heal?y relation%ips & = autonomy 9 heal?c>e2 7#e7 provide in=mation on g5d] id5tity & g5d] expression2 7#f7 provide in=mation on ! hi/orical & curr5t condition 9 :i* education & heal? sy/ems1 policies1 programs1 s]vices1 & practices h uniquely & adv]sely impact$ ,black1 ,indig5\s1 ,lat9e1 ,asian ,am]ican1 ,native ,hawaiian1 ,pacific ,isl&]1 & o!r ,p ( ,color2 & 7#g7 r$ress inequities 9 ! deliv]y ( sex education & sexual heal? s]vices to m>g9aliz$ "y p4 7b7 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,"y p ne$ & h ! "r to sex education & sexual heal? s]vices t are evid5ce-in=m$1 compreh5sive 9 scope1 confid5tial1 equitable1 accessible1 m$ically accurate & complete1 age & developm5tally appropriate1 culturally responsive1 & trauma-in=m$ & resili5ce-ori5t$4 7#b7 ,curr5tly1 !re is a gap betwe5 ! sex education t "y p %\ld be receiv+ bas$ on exp]t /&>ds & ! sex education _m actually receive4 7#c7 ,only #ch ,/ates & ! ,di/rict ( ,columbia m&ate sex education or human immunodefici5cy virus 7,,hiv7 education 9 s*ools4 7#d7 ,:5 !re is sex education or in/ruction reg>d+ ,,hiv or sexually transmitt$ infections 7,,/i71 #ac ,/ates d n require ! cont5t to be evid5ce-in=m$1 m$ically accurate & complete1 age & developm5tally appropriate1 or culturally responsive4 7#e7 ,_m sex education programs & sexual heal? s]vices curr5tly available 7 n design$ to & d n curr5tly meet ! ne$s ( m>g9aliz$ "y p4 ,"s su* programs & s]vices actually h>m m>g9aliz$ "y p4 7#f7 ,= m>g9aliz$ "y p1 a lack ( compreh5sive 9 scope1 confid5tial1 equitable1 & accessible sex education & sexual heal? s]vices is n unfamili>1 b r a long/&+ manife/ation ( :ite supremacy1 :i* has t\*$ e aspect ( our hi/ory1 culture1 & in/itutions1 includ+ ! education & heal?c>e sy/ems4 7#g7 ,! developm5t & deliv]y ( sexual heal? education & sexual heal? s]vices 9 ! ,unit$ ,/ates hi/orically has be5 root$ 9 ! oppression ( ,black1 ,indig5\s1 ,lat9e1 ,asian ,am]ican1 ,native ,hawaiian1 ,pacific ,isl&]1 & o!r ,p ( ,color4 7#h7 ,! ,unit$ ,/ates has a long hi/ory ( eug5ics & =c$ /]ilization4 ,! sexual & reproductive rights & bodily autonomy ( specific communities deem$ undesirable or defective 7 t>get$ by our gov]nm5ts result+ 9 /ate-sanction$ viol5ce & g5]ations ( trauma & oppression4 ,^! communities include-- 7,a7 p ) l[ incomes2 7,b7 immigrants2 7,c7 p ) disabilities2 7,d7 p liv+ ) ,,hiv2 7,e7 survivors ( int]p]sonal viol5ce2 7,f7 p :o are inc>c]at$1 deta9$1 or :o o!rwise h enc\nt]$ ! crim9al-legal sy/em2 7,g7 ,black1 ,indig5\s1 ,lat9e1 ,asian ,am]ican1 & o!r ,p ( ,color2 7,h7 p :o are lesbian1 gay1 bisexual1 transg5d]1 & que]2 & 7,i7 "y p :o are pregnant & p>5t+4 7#i7 ,black "y p are m likely to receive ab/95ce-only in/ruction4 ,rese>* %[s t ab/95ce-only in/ruction1 also kn[n z sexual risk avoidance in/ruction1 is ineffective 9 comp>ison to sex education4 7#aj7 ,black1 ,indig5\s1 & ,lat9e "y p are disproportionately m likely to be diagnos$ ) an ,,/i1 h an un9t5d$ pregnancy1 or exp]i5ce sexual assault4 7#aa7 ,! framework ( ,reproductive ,ju/ice ackn[l$ges & aims to address ! legacy ( :ite supremacy1 sy/emic oppression1 & ! re/rictions on sex education & sexual heal? s]vices t disproportionately impact m>g9aliz$ communities4 ,reproductive ,ju/ice w be a*iev$ :5 all p reg>dless ( actual or p]ceiv$ race1 color1 e?nicity1 national orig91 religion1 immigration /atus1 sex 7includ+ g5d] id5tity & sexual ori5tation71 disability /atus1 pregnancy or p>5t+ /atus1 or age h ! p[] to make decisions ab\t _! bodies1 heal?1 sexuality1 families1 & communities 9 all areas ( life4 7#ab7 ,increas$ res\rces are requir$ = sex education & sexual heal? s]vices to rea* all "y p1 r$ress inequities & _! impacts on m>g9aliz$ "y p1 & a*ieve ,reproductive ,ju/ice = "y p4 7#ac7 ,su* sex education & sexual heal? s]vices %\ld-- 7,a7 promote & uphold ! rights ( "y p to in=mation & s]vices 9 ord] to make & ex]cise in=m$ & responsible decisions ab\t _! sexual heal?2 7,b7 be evid5ce-in=m$1 compreh5sive 9 scope1 confid5tial1 equitable1 accessible1 age & developm5tally appropriate1 culturally responsive1 & trauma-in=m$ & resili5ce-ori5t$2 7,c7 include in/ruction & mat]ials t address-- 7i7 pub]ty & adolesc5t developm5t2 7ii7 sexual & reproductive anatomy & physiology2 7iii7 sexual ori5tation1 g5d] id5tity1 & g5d] expression2 7iv7 contraception1 pregnancy1 & reproduction2 7v7 ,,hiv & o!r ,s,t,is2 7vi7 cons5t & heal?y relation%ips2 & 7vii7 int]p]sonal viol5ce2 7,d7 promote g5d] equity & be inclusive ( "y p ) v>y+ g5d] id5tities1 g5d] expressions1 & sexual ori5tations2 7,e7 promote safe & heal?y relation%ips2 & 7,f7 promote racial equity & be responsive to ! ne$s ( "y p :o are ,black1 ,indig5\s1 & o!r ,p ( ,color4 #c4 ,def9itions ,9 ?is ,act3 7#a7 ,age & developm5tally appropriate ,! t]m age & developm5tally appropriate means topics1 messages1 & tea*+ me?ods suitable to p>ticul> ages1 age gr\ps1 or developm5tal levels1 bas$ on cognitive1 emotional1 social1 & behavioral capacity ( mo/ "y p at t age level4 7#b7 ,cons5t ,! t]m cons5t means affirmative1 consci\s1 & volunt>y agreem5t to engage 9 int]p]sonal1 physical1 or sexual activity4 7#c7 ,culturally responsive ,! t]m culturally responsive means education & s]vices t-- 7,a7 embrace & actively engage & adju/ to "y p & _! v>i\s cultural id5tities2 7,b7 recognize ! ways 9 :i* _m m>g9aliz$ "y p face unique b>ri]s 9 our society t result 9 increas$ adv]se heal? outcomes & associat$ /]eotypes2 & 7,c7 may address ! ways 9 :i* racism has %ap$ national heal? c>e policy1 ! la/+ hi/orical trauma associat$ ) reproductive heal? exp]im5ts & =c$ /]ilizations ( ,black1 ,lat9e1 & ,indig5\s communities1 or sexual /]eotypes assign$ to "y ,p ( ,color or ,,lgbtq p4 7#d7 ,evid5ce-in=m$ ,! t]m evid5ce-in=m$ means incorporates *>act]i/ics1 cont5t1 or skills t h be5 prov5 to be effective ?r\gh evaluation 9 *ang+ sexual behavior4 7#e7 ,g5d] expression ,! t]m g5d] expression 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#f7 ,g5d] id5tity ,! t]m g5d] id5tity 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?4 7#g7 ,inclusive ,! t]m inclusive means cont5t & skills t ensure m>g9aliz$ "y p are valu$1 respect$1 c5t]$1 & support$ 9 sex education in/ruction & mat]ials4 7#h7 ,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#i7 ,int]p]sonal viol5ce ,! t]m int]p]sonal viol5ce means abuse1 assault1 bully+1 dat+ viol5ce1 dome/ic viol5ce1 h>assm5t1 intimate p>tn] viol5ce1 or /alk+4 7#aj7 ,local educational ag5cy ,! t]m local educational ag5cy has ! mean+ giv5 ! t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#aa7 ,m>g9aliz$ "y p ,! t]m m>g9aliz$ "y p means "y p :o are disadvantag$ by und]ly+ /ructural b>ri]s & social inequities1 includ+ "y p :o are-- 7,a7 ,black1 ,indig5\s1 ,lat9e1 ,asian ,am]ican1 ,native ,hawaiian1 ,pacific ,isl&]1 & o!r ,p ( ,color2 7,b7 immigrants2 7,c7 9 contact ) ! fo/] c>e sy/em2 7,d7 9 contact ) ! juv5ile ju/ice sy/em2 7,e7 exp]i5c+ homelessness2 7,f7 pregnant or p>5t+2 7,g7 lesbian1 gay1 bisexual1 transg5d]1 or que]2 7,h7 liv+ ) ,,hiv2 7,i7 liv+ ) disabilities2 7,j7 f families ) l[-incomes2 or 7,k7 liv+ 9 rural areas4 7#ab7 ,m$ically accurate & complete ,! t]m m$ically accurate & complete means t-- 7,a7 ! in=mation provid$ ?r\gh ! education 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 ! education conta9s in=mation t lead+ pr(essional organizations & ag5cies ) relevant exp]tise 9 ! field recognize z accurate1 objective1 & complete4 7#ac7 ,resili5ce ,! t]m resili5ce means ! ability to adapt to trauma & trag$y4 7#ad7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#ae7 ,sex education ,! t]m sex education means high quality tea*+ & le>n+ t-- 7,a7 is deliv]$1 to ! maximum ext5t practicable1 foll[+ ! ,national ,sexuality ,education ,/&>ds ( ! ,future ( ,sex ,ed ,initiative2 7,b7 is ab\t a broad v>iety ( topics relat$ to sex & sexuality1 includ+-- 7i7 pub]ty & adolesc5t developm5t2 7ii7 sexual & reproductive anatomy & physiology2 7iii7 sexual ori5tation1 g5d] id5tity1 & g5d] expression2 7iv7 contraception1 pregnancy1 pregnancy options1 & reproduction2 7v7 ,,hiv & o!r ,s,t,is2 7vi7 cons5t & heal?y relation%ips2 & 7vii7 int]p]sonal viol5ce2 7,c7 explores values & beliefs ab\t su* topics2 & 7,d7 helps "y p 9 ga9+ ! skills t are ne$$ to navigate relation%ips & manage "o's own sexual heal?4 7#af7 ,sexual heal? s]vices ,! t]m sexual heal? s]vices includes-- 7,a7 sexual heal? in=mation1 education1 & c\nsel+2 7,b7 all me?ods ( contraception approv$ by ! ,food & ,drug ,adm9i/ration2 7,c7 r\t9e gynecological c>e1 includ+ human papillomavirus 7,,hpv7 vacc9es & canc] scre5+s2 7,d7 pre-exposure prophylaxis or po/-exposure prophylaxis2 7,e7 sub/ance use & m5tal heal? s]vices2 7,f7 int]p]sonal viol5ce survivor s]vices2 & 7,g7 o!r pregnancy & ,,/i prev5tion1 c>e1 or treatm5t s]vices4 7#ag7 ,sexual ori5tation ,! t]m sexual ori5tation means an individual's romantic1 emotional1 or sexual attraction to o!r p4 7#ah7 ,/ate educational ag5cy ,! t]m ,/ate educational ag5cy has ! mean+ giv5 ! t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#ai7 ,trauma ,! t]m trauma means a response to an ev5t1 s]ies ( ev5ts1 or set ( circum/ances t is exp]i5c$ or witness$ by an individual or gr\p ( p z physically or emotionally h>mful or life-?reat5+ ) la/+ adv]se effects on _! function+ & m5tal1 physical1 social1 emotional1 or spiritual well-be+4 7#bj7 ,trauma-in=m$ & resili5ce-ori5t$ ,! t]m trauma-in=m$ & resili5ce-ori5t$ means an approa* t realizes ! preval5ce ( trauma1 recognizes ! v>i\s ways individuals1 organizations1 & communities may respond to trauma diff]5tly1 recognizes t resili5ce c be built1 & responds by putt+ ?is k into practice4 7#ba7 ,"y p ,! t]m "y p means individuals :o are ages #aj ?r\gh #bi at ! "t ( comm5cem5t ( p>ticipation 9 a project support$ "u ?is ,act4 7#bb7 ,y\?-fri5dly sexual heal? s]vices ,! t]m y\?-fri5dly sexual heal? s]vices means sexual heal? s]vices t are provid$ 9 a confid5tial1 equitable1 & accessible mann] t makes x easy & com=table = "y p to seek out & receive s]vices4 #d4 ,grants = sex education at elem5t>y & second>y s*ools & y\?-s]v+ organizations 7a7 ,program au?oriz$ ,! ,secret>y1 9 coord9ation ) ! ,secret>y ( ,education1 %all aw>d grants1 on a competitive basis1 to eligible entities to enable su* eligible entities to c>ry out projects t provide "y p ) sex education4 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 deliv]s heal? education to "y p4 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 require4 7e7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority to eligible entities t are-- 7#a7 ,/ate educational ag5cies or local educational ag5cies2 or 7#b7 ,indian ,tribes or ,tribal organizations1 z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7f7 ,use ( funds ,ea* eligible entity t receives a grant "u ?is section %all use ! grant funds to c>ry out a project t provides "y p ) sex education4 #e4 ,grants = 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 /ud5ts ) age & developm5tally appropriate sex education4 7b7 ,duration ,grants aw>d$ "u ?is section %all be = a p]iod ( #e ye>s4 7c7 ,applications ,an in/itution ( high] education or consortium ( 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 require4 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 /ud5ts1 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$om9antly ,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 ,an in/itution ( high] education or consortium ( su* in/itutions receiv+ a grant "u ?is section %all use grant funds to develop & implem5t a project to integrate sex education into ! in/itution ( high] education 9 ord] to rea* a l>ge numb] ( /ud5ts1 by c>ry+ out #a or m ( ! foll[+ activities3 7#a7 ,adopt+ & incorporat+ age & developm5tally appropriate sex education into /ud5t ori5tation1 g5]al education1 or c\rses4 7#b7 ,develop+ or adopt+ & implem5t+ educational programm+ outside ( class t deliv]s age & developm5tally appropriate sex education to /ud5ts4 7#c7 ,develop+ or adopt+ & implem5t+ innovative te*nology-bas$ approa*es to deliv] age & developm5tally appropriate sex education to /ud5ts4 7#d7 ,develop+ or adopt+ & implem5t+ pe]-l$ activities to g5]ate discussion1 educate1 & raise aw>5ess among /ud5ts ab\t age & developm5tally appropriate sex education4 7#e7 ,develop+ or adopt+ & implem5t+ policies & practices to l9k /ud5ts to sexual heal? s]vices4 #f4 ,grants = educator tra9+ 7a7 ,program au?oriz$ ,! ,secret>y1 9 coord9ation ) ! ,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 educational ag5cy or local educational ag5cy2 7#b7 an ,indian ,tribe or ,tribal organization1 z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd72 7#c7 a ,/ate or local dep>tm5t ( heal?2 7#d7 an educational s]vice ag5cy1 z def9$ 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja72 7#e7 a nonpr(it in/itution ( high] education or a consortium ( su* in/itutions2 or 7#f7 a national or /atewide nonpr(it organization or consortium ( nonpr(it organizations t has z its prim>y purpose ! improvem5t ( provision ( sex education ?r\gh tra9+ & effective tea*+ ( 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 require4 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 tea*]s1 heal? educators1 faculty1 adm9i/rators1 & /aff1 9 ord] to increase effective tea*+ ( sex education to "y p4 7#b7 ,p]missible activities ,ea* eligible entity receiv+ a grant "u ?is section may use grant funds to-- 7,a7 provide tra9+ & support = educators ab\t ! cont5t1 skills1 & pr(essional disposition ne$$ to implem5t sex education effectively2 7,b7 develop & provide tra9+ & support to educators on incorporat+ anti-raci/ & g5d] inclusive policies & practices 9 sex education2 7,c7 support ! dissem9ation ( in=mation on effective practices & rese>* f9d+s conc]n+ ! tea*+ ( sex education2 7,d7 support rese>* on-- 7i7 effective sex education tea*+ practices2 & 7ii7 ! developm5t ( assessm5t in/rum5ts & /rategies to docum5t-- 7,i7 "y p's und]/&+ ( sex education2 & 7,,ii7 ! effects ( sex education2 7,e7 conv5e conf]5ces on sex education1 9 ord] to effectively tra9 educators 9 ! provision ( sex education2 & 7,f7 develop & dissem9ate appropriate rese>*-bas$ mat]ials to fo/] 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 tea*]s1 heal? educators1 faculty1 adm9i/rators1 & /aff on sex education to-- 7,a7 tra9 educators 9 sex education2 7,b7 support int]net or di/ance le>n+ relat$ to sex education2 7,c7 promote rigor\s academic /&>ds & assessm5t te*niques to guide & measure /ud5t p]=mance 9 sex education2 7,d7 enc\rage replication ( be/ practices & model programs to promote sex education2 7,e7 develop & dissem9ate effective1 rese>*-bas$ sex education le>n+ mat]ials2 or 7,f7 develop academic c\rses on ! p$agogy ( sex education at in/itutions ( high] education4 #g4 ,au?orization ( grants to support ! deliv]y ( sexual heal? s]vices to m>g9aliz$ "y p 7a7 ,program au?oriz$ ,! ,secret>y %all aw>d grants1 on a competitive basis1 to eligible entities to enable su* entities to provide y\?-fri5dly sexual heal? s]vices to m>g9aliz$ "y p4 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 public or private y\?-s]v+ organization2 or 7#b7 a cov]$ entity1 z def9$ 9 section #cdj;,b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;b74 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 require4 7e7 ,uses ( funds ,ea* eligible entity t receives a grant "u ?is section may use ! grant funds to-- 7#a7 develop & implem5t an evid5ce-in=m$ project to deliv] sexual heal? s]vices to m>g9aliz$ "y p2 7#b7 e/abli%1 alt]1 or modify /aff positions1 s]vice deliv]y policies & practices1 s]vice deliv]y locations1 s]vice deliv]y environm5ts1 s]vice deliv]y s*$ules1 or o!r s]vices compon5ts 9 ord] to increase y\?-fri5dly sexual heal? s]vices to m>g9aliz$ "y p2 7#c7 conduct outrea* to m>g9aliz$ "y p to invite !m to p>ticipate 9 ! eligible entity's sexual heal? s]vices & to provide fe$back to in=m improvem5ts 9 ! deliv]y ( su* s]vices2 7#d7 e/abli% & ref9e sy/ems ( ref]ral to connect m>g9aliz$ "y p to o!r sexual heal? s]vices & supportive s]vices2 7#e7 e/abli% p>tn]%ips & collaborations ) entities provid+ s]vices to m>g9aliz$ "y p to l9k su* "y p to sexual heal? s]vices1 su* z by deliv]+ heal? s]vices at locations :]e !y congregate1 provid+ transportation to locations :]e sexual heal? s]vices are provid$1 or o!r l9kages to s]vices approa*es2 7#f7 provide evid5ce-in=m$1 compreh5sive 9 scope1 confid5tial1 equitable1 accessible1 m$ically accurate & complete1 age & developm5tally appropriate1 culturally responsive1 & trauma-in=m$ & resili5ce-ori5t$ sexual heal? in=mation to m>g9aliz$ "y p 9 ! languages & cultural contexts t are mo/ appropriate = ! m>g9aliz$ "y p to be s]v$ by ! eligible entity2 7#g7 promote effective communication reg>d+ sexual heal? among m>g9aliz$ "y p2 & 7#h7 provide tra9+ & support = eligible entity p]sonnel & community memb]s :o "w ) m>g9aliz$ "y p ab\t ! cont5t1 skills1 & pr(essional disposition ne$$ to provide y\?-fri5dly sex education & y\?-fri5dly sexual heal? s]vices4 #h4 ,report+ & impact evaluation 7a7 ,grantee report to secret>y ,= ea* ye> a grantee receives grant funds "u section #d1 #e1 #f1 or #g1 ! grantee %all submit to ! ,secret>y a report t includes-- 7#a7 ! use ( grant funds by ! grantee2 7#b7 h[ ! use ( grant funds has increas$ ! access ( "y p to sex education or sexual heal? s]vices2 & 7#c7 su* o!r in=mation z ! ,secret>y may require4 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 ,congress a report on ! activities fund$ "u ?is ,act4 ,! ,secret>y's report to ,congress %all include-- 7#a7 a /atem5t ( h[ grants aw>d$ by ! ,secret>y meet ! purpose describ$ 9 section #b7;a72 & 7#b7 in=mation ab\t-- 7,a7 ! numb] ( grantees t are receiv+ grant funds "u sections #d1 #e1 #f1 & #g2 7,b7 ! specific activities support$ by grant funds aw>d$ "u sections #d1 #e1 #f1 & #g2 7,c7 ! numb] ( "y p s]v$ by projects fund$ "u sections #d1 #e1 & #g1 9 ! aggregate & disaggregat$ & cross-tabulat$ by grant program1 race & e?nicity1 sex1 sexual ori5tation1 g5d] id5tity1 & o!r *>act]i/ics det]m9$ by ! ,secret>y 7except t su* disaggregation or cross-tabulation %all n be requir$ 9 a case 9 :i* ! results w\ld reveal p]sonally id5tifiable in=mation ab\t an individual "y p]son72 7,d7 ! numb] ( tea*]s1 heal? educators1 faculty1 s*ool adm9i/rators1 & /aff tra9$ "u section #f2 & 7,e7 ! /atus ( ! evaluation requir$ "u subsection 7c74 7c7 ,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 evaluations to conduct a multi-ye> evaluation on ! impact ( ! projects fund$ "u sections #d1 #e1 #f1 & #g & 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 section #d1 #e1 #f1 or #g2 & 7,d7 be design$ to provide in=mation on output measures & outcome measures to be det]m9$ by ! ,secret>y4 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 #i4 ,nondiscrim9ation ,activities fund$ "u ?is ,act %all n discrim9ate on ! basis ( actual or p]ceiv$ sex 7includ+ sexual ori5tation & g5d] id5tity71 age1 p>5tal /atus1 race1 color1 e?nicity1 national orig91 disability1 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$]al law or any law ( a ,/ate or a political subdivision ( a ,/ate1 includ+ ! ,civil ,rights ,act ( #aifd 7#db ,u4,s4,c4 #bjjj;a et seq471 title ,,ix ( ! ,education ,am5dm5ts ( #aigb 7#bj ,u4,s4,c4 #afha et seq471 section #ejd ( ! ,rehabilitation ,act ( #aigc 7#bi ,u4,s4,c4 #gid71 ! ,am]icans ) ,disabilities ,act ( #aiij 7#db ,u4,s4,c4 #abaja et seq471 & section #aeeg ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahaaf74 #aj4 ,limitation ,no ,f$]al funds provid$ "u ?is ,act may be us$ = sex education or sexual heal? s]vices t-- 7#a7 )hold heal?-promot+ or life-sav+ in=mation ab\t sexuality-relat$ topics1 includ+ ,,hiv2 7#b7 are m$ically inaccurate or incomplete2 7#c7 promote g5d] or racial /]eotypes or are unresponsive to g5d] or racial inequities2 7#d7 fail to address ! ne$s ( sexually active "y p2 7#e7 fail to address ! ne$s ( pregnant or p>5t+ "y p2 7#f7 fail to address ! ne$s ( survivors ( int]p]sonal viol5ce2 7#g7 fail to address ! ne$s ( "y p ( all physical1 developm5tal1 or m5tal abilities2 7#h7 fail to be inclusive ( individuals ) v>y+ g5d] id5tities1 g5d] expressions1 & sexual ori5tations2 or 7#i7 are inconsi/5t ) ! e?ical imp]atives ( m$ic9e & public heal?4 #aa4 ,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 use4 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$-- 7#a7 by /rik+ p>agraphs 7#c71 7#e71 & 7#f72 7#b7 by r$esignat+ p>agraph 7#d7 z p>agraph 7#c72 7#c7 9 p>agraph 7#c71 z r$esignat$ by p>agraph 7#b71 by ins]t+ or aft] ! semicolon2 & 7#d7 by r$esignat+ p>agraph 7#g7 z p>agraph 7#d74 #ab4 ,fund+ 7a7 ,au?orization ,= ! purpose ( c>ry+ out ?is ,act1 !re is au?oriz$ to be appropriat$ #ajj1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbi4 ,am\nts appropriat$ "u ?is subsection %all rema9 available until exp5d$4 7b7 ,res]vations ( funds 7#a7 ,9 g5]al ,! ,secret>y-- 7,a7 %all res]ve n m ?an #cj p]c5t ( ! am\nt au?oriz$ "u subsection 7a7 = ! purposes ( aw>d+ grants = sex education at elem5t>y & second>y s*ools & y\?-s]v+ organizations "u section #d2 7,b7 %all res]ve n m ?an #aj p]c5t ( ! am\nt au?oriz$ "u subsection 7a7 = ! purpose ( aw>d+ grants = sex education at in/itutions ( high] education "u section #e2 7,c7 %all res]ve n m ?an #ae p]c5t ( ! am\nt au?oriz$ "u subsection 7a7 = ! purpose ( aw>d+ grants = educator tra9+ "u section #f2 7,d7 %all res]ve n m ?an #cj p]c5t ( ! am\nt au?oriz$ "u subsection 7a7 = ! purpose ( aw>d+ grants = sexual heal? s]vices = m>g9aliz$ y\? "u section #g2 & 7,e7 %all res]ve n less ?an #e p]c5t ( ! am\nt au?oriz$ "u subsection 7a7 = ! purpose ( c>ry+ out ! report+ & impact evaluation requir$ "u section #h4 7#b7 ,rese>*1 tra9+1 & te*nical assi/ance ,! ,secret>y %all res]ve n less ?an #aj p]c5t ( ! am\nt au?oriz$ "u subsection 7a7 = 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 sex education & sexual heal? s]vices /&>ds sett+1 design1 developm5t1 deliv]y1 rese>*1 monitor+1 & evaluation4 7c7 ,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 7d7 ,repeal ( ab/95ce only until m>riage program ,section #eaj ( ! ,social ,security ,act 7#db ,u4,s4,c4 #gaj et seq47 is repeal$4