Real Education and Access for Healthy Youth Act of 2023
This bill requires the Department of Health and Human Services (HHS) to establish grants to support sex education and sexual health services for young people (ages 10 through 29) and repeals requirements that apply to certain federally funded sex education programs.
HHS must award grants, in coordination with the Department of Education, to (1) provide sex education to young people; and (2) train education professionals to effectively teach, and otherwise support, sex education. Sex education refers to high quality teaching and learning that
Additionally, HHS must award grants to youth-serving organizations and health care entities that are eligible to receive covered outpatient drugs at reduced prices through the 340B drug discount program for providing sexual health services to marginalized youth.
Recipients of any of these grants must comply with certain nondiscrimination requirements. In addition, they may not use funds for sex education programs or sexual health services that provide incomplete or inaccurate medical information or fail to address specified issues.
The bill also eliminates prohibitions regarding the content of specified federally funded sexual health education and information programs and repeals the Abstinence Only Until Marriage program.
[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3583 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 3583
To provide for the overall health and well-being of young people,
including the promotion and attainment of lifelong sexual health and
healthy relationships, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 22, 2023
Ms. Lee of California (for herself, Ms. Adams, Ms. Jayapal, Mr. Casten,
Ms. Dean of Pennsylvania, Mr. Doggett, Mr. Swalwell, Ms. Garcia of
Texas, Mr. Payne, Ms. Norton, Ms. Brownley, Ms. Castor of Florida, Ms.
Schakowsky, Mr. Davis of Illinois, Ms. Pingree, Ms. Wilson of Florida,
Ms. Bonamici, Ms. Tokuda, Mr. Pocan, Ms. Bush, Mr. Quigley, Mr.
Thanedar, Mr. Trone, Mr. Gomez, Ms. Clarke of New York, Ms. Chu, Ms.
DeGette, Mr. DeSaulnier, Ms. Strickland, Mr. Beyer, Mr. Grijalva, and
Ms. Crockett) introduced the following bill; which was referred to the
Committee on Education and the Workforce, and in addition to the
Committee on Energy and Commerce, for a period to be subsequently
determined by the Speaker, in each case for consideration of such
provisions as fall within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To provide for the overall health and well-being of young people,
including the promotion and attainment of lifelong sexual health and
healthy relationships, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Real Education and Access for
Healthy Youth Act of 2023''.
SEC. 2. PURPOSE AND FINDINGS.
(a) Purpose.--The purpose of this Act is to provide young people
with sex education and sexual health services that--
(1) promote and uphold the rights of young people to
information and services that empower them to make decisions
about their bodies, health, sexuality, families, and
communities in all areas of life;
(2) are evidence-informed, comprehensive in scope,
confidential, equitable, accessible, medically accurate and
complete, age and developmentally appropriate, culturally
responsive, and trauma-informed and resilience-oriented, and
align with the National Sex Education Standards of the Future
of Sex Ed Initiative;
(3) provide information about the prevention, treatment,
and care of pregnancy, sexually transmitted infections, and
interpersonal violence;
(4) provide information about the importance of consent as
a basis for healthy relationships and for autonomy in health
care;
(5) provide information on gender identity and gender
expression;
(6) provide information on the historical and current
condition in which education and health systems, policies,
programs, services, and practices have uniquely and adversely
impacted Black, Indigenous, Latine, Asian American, Native
Hawaiian, Pacific Islander, and other People of Color; and
(7) redress inequities in the delivery of sex education and
sexual health services to marginalized young people.
(b) Findings.--Congress finds the following:
(1) Young people need and have the right to sex education
and sexual health services that are evidence-informed,
comprehensive in scope, confidential, equitable, accessible,
medically accurate and complete, age and developmentally
appropriate, culturally responsive, and trauma-informed and
resilience-oriented.
(2) Currently, there is a gap between the sex education
that young people should be receiving based on expert standards
and the sex education many actually receive.
(3) Only 38 States and the District of Columbia mandate sex
education or human immunodeficiency virus (HIV) education in
schools.
(4) When there is sex education or instruction regarding
HIV or sexually transmitted infections (STI), 13 States do not
require the content to be evidence-informed, medically accurate
and complete, age and developmentally appropriate, or
culturally responsive.
(5) Many sex education programs and sexual health services
currently available were not designed to and do not currently
meet the needs of marginalized young people. Some such programs
and services actually harm marginalized young people.
(6) For marginalized young people, a lack of comprehensive
in scope, confidential, equitable, and accessible sex education
and sexual health services is not unfamiliar, but rather a
longstanding manifestation of White supremacy, which has
touched every aspect of our history, culture, and institutions,
including the education and health care systems.
(7) The development and delivery of sexual health education
and services in the United States historically has been rooted
in the oppression of Black, Indigenous, Latine, Asian American,
Native Hawaiian, Pacific Islander, and other People of Color.
(8) The United States has a long history of eugenics and
forced sterilization. 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
oppression. These communities include--
(A) people with low incomes;
(B) immigrants;
(C) people with disabilities;
(D) people living with HIV;
(E) survivors of interpersonal violence;
(F) people who are incarcerated, detained, or who
otherwise have encountered the criminal-legal system;
(G) Black, Indigenous, Latine, Asian American, and
other People of Color;
(H) people who are lesbian, gay, bisexual,
transgender, and queer; and
(I) young people who are pregnant and parenting.
(9) Black young people are more likely to receive
abstinence-only instruction. Research shows that abstinence-
only instruction, also known as ``sexual risk avoidance''
instruction, is ineffective in comparison to sex education.
(10) Black, Indigenous, and Latine young people are
disproportionately more likely to be diagnosed with an STI,
have an unintended pregnancy, or experience sexual assault.
(11) The framework of reproductive justice acknowledges and
aims to address the legacy of White supremacy, systemic
oppression, and the restrictions on sex education and sexual
health services that disproportionately impact marginalized
communities. Reproductive justice will be achieved when all
people regardless of actual or perceived race, color,
ethnicity, national origin, religion, immigration status, sex
(including gender identity and sexual orientation), disability
status, pregnancy or parenting status, or age have the power to
make decisions about their bodies, health, sexuality, families,
and communities in all areas of life.
(12) Increased resources are required for sex education and
sexual health services to reach all young people, redress
inequities and their impacts on marginalized young people, and
achieve reproductive justice for young people.
(13) Such sex education and sexual health services should--
(A) 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 health;
(B) be evidence-informed, comprehensive in scope,
confidential, equitable, accessible, age and
developmentally appropriate, culturally responsive, and
trauma-informed and resilience-oriented;
(C) include instruction and materials that
address--
(i) puberty and adolescent development;
(ii) sexual and reproductive anatomy and
physiology;
(iii) sexual orientation, gender identity,
and gender expression;
(iv) contraception, pregnancy, and
reproduction;
(v) HIV and other STIs;
(vi) consent and healthy relationships; and
(vii) interpersonal violence;
(D) promote gender equity and be inclusive of young
people with varying gender identities, gender
expressions, and sexual orientations;
(E) promote safe and healthy relationships; and
(F) promote racial equity and be responsive to the
needs of young people who are Black, Indigenous, and
other People of Color.
SEC. 3. DEFINITIONS.
In this Act:
(1) Age and developmentally appropriate.--The term ``age
and developmentally appropriate'' means topics, messages, and
teaching methods suitable to particular ages, age groups, or
developmental levels, based on cognitive, emotional, social,
and behavioral capacity of most young people at that age level.
(2) Characteristics of effective programs.--The term
``characteristics of effective programs'' means the aspects of
evidence-informed programs, including development, content, and
implementation of such programs, that--
(A) have been shown to be effective in terms of
increasing knowledge, clarifying values and attitudes,
increasing skills, and impacting behavior; and
(B) are widely recognized by leading medical and
public health agencies to be effective in changing
sexual behaviors that lead to sexually transmitted
infections, unintended pregnancy, and interpersonal
violence among young people.
(3) Consent.--The term ``consent'' means affirmative,
conscious, and voluntary agreement to engage in interpersonal,
physical, or sexual activity.
(4) Culturally responsive.--The term ``culturally
responsive'' means education and services that--
(A) embrace and actively engage and adjust to young
people and their various cultural identities;
(B) recognize the ways in which many marginalized
young people face unique barriers in our society that
result in increased adverse health outcomes and
associated stereotypes; and
(C) may address the ways in which racism has shaped
national health care policy, the lasting historical
trauma associated with reproductive health experiments
and forced sterilizations of Black, Latine, and
Indigenous communities, or sexual stereotypes assigned
to young People of Color or LGBTQ+ people.
(5) Evidence-informed.--The term ``evidence-informed''
means incorporates characteristics, content, or skills that
have been proven to be effective through evaluation in changing
sexual behavior.
(6) Gender expression.--The term ``gender expression''
means the expression of one's gender, such as through behavior,
clothing, haircut, or voice, and which may or may not conform
to socially defined behaviors and characteristics typically
associated with being either masculine or feminine.
(7) Gender identity.--The term ``gender identity'' means
the gender-related identity, appearance, mannerisms, or other
gender-related characteristics of an individual, regardless of
the individual's designated sex at birth.
(8) Inclusive.--The term ``inclusive'' means content and
skills that ensure marginalized young people are valued,
respected, centered, and supported in sex education instruction
and materials.
(9) Institution of higher education.--The term
``institution of higher education'' has the meaning given the
term in section 101 of the Higher Education Act of 1965 (20
U.S.C. 1001).
(10) Interpersonal violence.--The term ``interpersonal
violence'' means abuse, assault, bullying, dating violence,
domestic violence, harassment, intimate partner violence, or
stalking.
(11) Marginalized young people.--The term ``marginalized
young people'' means young people who are disadvantaged by
underlying structural barriers and social inequities, including
young people who are--
(A) Black, Indigenous, Latine, Asian American,
Native Hawaiian, Pacific Islander, and other People of
Color;
(B) immigrants;
(C) in contact with the foster care system;
(D) in contact with the juvenile justice system;
(E) experiencing homelessness;
(F) pregnant or parenting;
(G) lesbian, gay, bisexual, transgender, or queer;
(H) living with HIV;
(I) living with disabilities;
(J) from families with low incomes; or
(K) living in rural areas.
(12) Medically accurate and complete.--The term ``medically
accurate and complete'' means that--
(A) 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 journals,
where applicable; or
(B) the education contains information that leading
professional organizations and agencies with relevant
expertise in the field recognize as accurate,
objective, and complete.
(13) Resilience.--The term ``resilience'' means the ability
to adapt to trauma and tragedy.
(14) Secretary.--The term ``Secretary'' means the Secretary
of Health and Human Services.
(15) Sex education.--The term ``sex education'' means high
quality teaching and learning that--
(A) is delivered, to the maximum extent
practicable, following the National Sexuality Education
Standards of the Future of Sex Ed Initiative;
(B) is about a broad variety of topics related to
sex and sexuality, including--
(i) puberty and adolescent development;
(ii) sexual and reproductive anatomy and
physiology;
(iii) sexual orientation, gender identity,
and gender expression;
(iv) contraception, pregnancy, pregnancy
options, and reproduction;
(v) HIV and other STIs;
(vi) consent and healthy relationships; and
(vii) interpersonal violence;
(C) explores values and beliefs about such topics;
and
(D) helps young people in gaining the skills that
are needed to navigate relationships and manage one's
own sexual health.
(16) Sexual development.--The term ``sexual development''
means the lifelong process of physical, behavioral, cognitive,
and emotional growth and change as it relates to an
individual's sexuality and sexual maturation, including
puberty, identity development, sociocultural influences, and
sexual behaviors.
(17) Sexual health services.--The term ``sexual health
services'' includes--
(A) sexual health information, education, and
counseling;
(B) all methods of contraception approved by the
Food and Drug Administration;
(C) routine gynecological care, including human
papillomavirus (HPV) vaccines and cancer screenings;
(D) preexposure prophylaxis or post-exposure
prophylaxis;
(E) substance use and mental health services;
(F) interpersonal violence survivor services; and
(G) other pregnancy and STI prevention, care, or
treatment services.
(18) Sexual orientation.--The term ``sexual orientation''
means an individual's romantic, emotional, or sexual attraction
to other people.
(19) Trauma.--The term ``trauma'' means a response to an
event, series of events, 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 mental,
physical, social, emotional, or spiritual well-being.
(20) Trauma-informed and resilience-oriented.--The term
``trauma-informed and resilience-oriented'' means an approach
that realizes the prevalence of trauma, recognizes the various
ways individuals, organizations, and communities may respond to
trauma differently, recognizes that resilience can be built,
and responds by putting this knowledge into practice.
(21) Young people.--The term ``young people'' means
individuals who are ages 10 through 29 at the time of
commencement of participation in a project supported under this
Act.
(22) Youth-friendly sexual health services.--The term
``youth-friendly sexual health services'' means sexual health
services that are provided in a confidential, equitable, and
accessible manner that makes it easy and comfortable for young
people to seek out and receive services.
SEC. 4. GRANTS FOR SEX EDUCATION AT ELEMENTARY AND SECONDARY SCHOOLS
AND YOUTH-SERVING ORGANIZATIONS.
(a) Program Authorized.--The Secretary, in coordination with the
Secretary of Education, shall award grants, on a competitive basis, to
eligible entities to enable such eligible entities to carry out
projects that provide young people with sex education.
(b) Duration.--Grants awarded under this section shall be for a
period of 5 years.
(c) Eligible Entity.--In this section, the term ``eligible entity''
means a public or private entity that delivers health education to
young people.
(d) Applications.--An eligible entity desiring a grant under this
section shall submit an application to the Secretary at such time, in
such manner, and containing such information as the Secretary may
require.
(e) Priority.--In awarding grants under this section, the Secretary
shall give priority to eligible entities that are--
(1) State educational agencies or local educational
agencies; or
(2) Indian Tribes or Tribal organizations, as defined in
section 4 of the Indian Self-Determination and Education
Assistance Act (25 U.S.C. 5304).
(f) 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 education.
SEC. 5. GRANTS FOR SEX EDUCATION AT INSTITUTIONS OF HIGHER EDUCATION.
(a) Program Authorized.--The Secretary, in coordination with the
Secretary of Education, shall award grants, on a competitive basis, to
institutions of higher education or consortia of such institutions to
enable such institutions to provide students with age and
developmentally appropriate sex education.
(b) Duration.--Grants awarded under this section shall be for a
period of 5 years.
(c) 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 time, in such manner, and
containing such information as the Secretary may require.
(d) Priority.--In awarding grants under this section, the Secretary
shall give priority to an institution of higher education that--
(1) has an enrollment of needy students, as defined in
section 318(b) of the Higher Education Act of 1965 (20 U.S.C.
1059e(b));
(2) is a Hispanic-serving institution, as defined in
section 502(a) of such Act (20 U.S.C. 1101a(a));
(3) is a Tribal College or University, as defined in
section 316(b) of such Act (20 U.S.C. 1059c(b));
(4) is an Alaska Native-serving institution, as defined in
section 317(b) of such Act (20 U.S.C. 1059d(b));
(5) is a Native Hawaiian-serving institution, as defined in
section 317(b) of such Act (20 U.S.C. 1059d(b));
(6) is a Predominantly Black Institution, as defined in
section 318(b) of such Act (20 U.S.C. 1059e(b));
(7) is a Native American-serving, nontribal institution, as
defined in section 319(b) of such Act (20 U.S.C. 1059f(b));
(8) is an Asian American and Native American Pacific
Islander-serving institution, as defined in section 320(b) of
such Act (20 U.S.C. 1059g(b)); or
(9) is a minority institution, as defined in section 365 of
such Act (20 U.S.C. 1067k), with an enrollment of needy
students, as defined in section 312 of such Act (20 U.S.C.
1058).
(e) Uses of Funds.--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 students, by carrying out 1 or more of the
following activities:
(1) Adopting and incorporating age and developmentally
appropriate sex education into student orientation, general
education, or courses.
(2) Developing or adopting and implementing educational
programming outside of class that delivers age and
developmentally appropriate sex education to students.
(3) Developing or adopting and implementing innovative,
technology-based approaches to deliver age and developmentally
appropriate sex education to students.
(4) Developing or adopting and implementing peer-led
activities to generate discussion, educate, and raise awareness
among students about age and developmentally appropriate sex
education.
(5) Developing or adopting and implementing policies and
practices to link students to sexual health services.
SEC. 6. GRANTS FOR EDUCATOR TRAINING.
(a) Program Authorized.--The Secretary, in coordination with the
Secretary of Education, shall award grants, on a competitive basis, to
eligible entities to enable such eligible entities to carry out the
activities described in subsection (e).
(b) Duration.--Grants awarded under this section shall be for a
period of 5 years.
(c) Eligible Entity.--In this section, the term ``eligible entity''
means--
(1) a State educational agency or local educational agency;
(2) an Indian Tribe or Tribal organization, as defined in
section 4 of the Indian Self-Determination and Education
Assistance Act (25 U.S.C. 5304);
(3) a State or local department of health;
(4) an educational service agency;
(5) a nonprofit institution of higher education or a
consortium of such institutions; or
(6) 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 education.
(d) Application.--An eligible entity desiring a grant under this
section shall submit an application to the Secretary at such time, in
such manner, and containing such information as the Secretary may
require.
(e) Authorized Activities.--
(1) Required activity.--Each eligible entity receiving a
grant under this section shall use grant funds for professional
development and training of relevant teachers, health
educators, faculty, administrators, and staff, in order to
increase effective teaching of sex education to young people.
(2) Permissible activities.--Each eligible entity receiving
a grant under this section may use grant funds to--
(A) provide training and support for educators
about the content, skills, and professional disposition
needed to implement sex education effectively;
(B) develop and provide training and support to
educators on incorporating antiracist and gender
inclusive policies and practices in sex education;
(C) support the dissemination of information on
effective practices and research findings concerning
the teaching of sex education;
(D) support research on--
(i) effective sex education teaching
practices; and
(ii) the development of assessment
instruments and strategies to document--
(I) young people's understanding of
sex education; and
(II) the effects of sex education;
(E) convene conferences on sex education, in order
to effectively train educators in the provision of sex
education; and
(F) develop and disseminate appropriate research-
based materials to foster sex education.
(3) 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 teachers, health educators, faculty,
administrators, and staff on sex education to--
(A) train educators in sex education;
(B) support internet or distance learning related
to sex education;
(C) promote rigorous academic standards and
assessment techniques to guide and measure student
performance in sex education;
(D) encourage replication of best practices and
model programs to promote sex education;
(E) develop and disseminate effective, research-
based sex education learning materials; or
(F) develop academic courses on the pedagogy of sex
education at institutions of higher education.
SEC. 7. AUTHORIZATION OF GRANTS TO SUPPORT THE DELIVERY OF SEXUAL
HEALTH SERVICES TO MARGINALIZED YOUNG PEOPLE.
(a) Program Authorized.--The Secretary shall award grants, on a
competitive basis, to eligible entities to enable such entities to
provide youth-friendly sexual health services to marginalized young
people.
(b) Duration.--Grants awarded under this section shall be for a
period of 5 years.
(c) Eligible Entity.--In this section, the term ``eligible entity''
means--
(1) a public or private youth-serving organization; or
(2) a covered entity, as defined in section 340B of the
Public Health Service Act (42 U.S.C. 256b).
(d) Applications.--An eligible entity desiring a grant under this
section shall submit an application to the Secretary at such time, in
such manner, and containing such information as the Secretary may
require.
(e) Uses of Funds.--Each eligible entity that receives a grant
under this section may use the grant funds to--
(1) develop and implement an evidence-informed project to
deliver sexual health services to marginalized young people;
(2) establish, alter, or modify staff positions, service
delivery policies and practices, service delivery locations,
service delivery environments, service delivery schedules, or
other services components in order to increase youth-friendly
sexual health services to marginalized young people;
(3) 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 services;
(4) establish and refine systems of referral to connect
marginalized young people to other sexual health services and
supportive services;
(5) establish partnerships and collaborations with entities
providing services to marginalized young people to link such
young people to sexual health services, such as by delivering
health services at locations where they congregate, providing
transportation to locations where sexual health services are
provided, or other linkages to services approaches;
(6) provide evidence-informed, comprehensive in scope,
confidential, equitable, accessible, medically accurate and
complete, age and developmentally appropriate, culturally
responsive, 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
entity;
(7) promote effective communication regarding sexual health
among marginalized young people; and
(8) provide training and support for eligible entity
personnel and community members who work with marginalized
young people about the content, skills, and professional
disposition needed to provide youth-friendly sex education and
youth-friendly sexual health services.
SEC. 8. REPORTING AND IMPACT EVALUATION.
(a) Grantee Report to Secretary.--For each year an eligible entity
receives grant funds under section 4, 5, 6, or 7, the eligible entity
shall submit to the Secretary a report that includes--
(1) the use of grant funds by the eligible entity;
(2) how the use of grant funds has increased the access of
young people to sex education or sexual health services; and
(3) such other information as the Secretary may require.
(b) Secretary's Report to Congress.--Not later than 1 year after
the date of the enactment of this Act, and annually thereafter for a
period of 5 years, the Secretary shall prepare and submit to Congress a
report on the activities funded under this Act. The Secretary's report
to Congress shall include--
(1) a statement of how grants awarded by the Secretary meet
the purposes described in section 2(a); and
(2) information about--
(A) the number of eligible entities that are
receiving grant funds under sections 4, 5, 6, and 7;
(B) the specific activities supported by grant
funds awarded under sections 4, 5, 6, and 7;
(C) the number of young people served by projects
funded under sections 4, 5, and 7, in the aggregate and
disaggregated and cross-tabulated by grant program,
race and ethnicity, sex, sexual orientation, gender
identity, and other characteristics determined by the
Secretary (except 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 person);
(D) the number of teachers, health educators,
faculty, school administrators, and staff trained under
section 6; and
(E) the status of the evaluation required under
subsection (c).
(c) Multiyear Evaluation.--
(1) In general.--Not later than 6 months after the date of
the enactment of this Act, the Secretary shall enter into a
contract with a nonprofit organization with experience in
conducting impact evaluations to conduct a multiyear evaluation
on the impact of the projects funded under sections 4, 5, 6,
and 7 and to report to Congress and the Secretary on the
findings of such evaluation.
(2) Evaluation.--The evaluation conducted under this
subsection shall--
(A) be conducted in a manner consistent with
relevant, nationally recognized professional and
technical evaluation standards;
(B) use sound statistical methods and techniques
relating to the behavioral sciences, including quasi-
experimental designs, inferential statistics, and other
methodologies and techniques that allow for conclusions
to be reached;
(C) be carried out by an independent organization
that has not received a grant under section 4, 5, 6, or
7; and
(D) be designed to provide information on output
measures and outcome measures to be determined by the
Secretary.
(3) Report.--Not later than 6 years after the date of
enactment of this Act, the organization conducting the
evaluation under this subsection shall prepare and submit to
the appropriate committees of Congress and the Secretary an
evaluation report. Such report shall be made publicly
available, including on the website of the Department of Health
and Human Services.
SEC. 9. NONDISCRIMINATION.
Activities funded under this Act shall not discriminate on the
basis of actual or perceived sex (including sexual orientation and
gender identity), age, parental status, race, color, ethnicity,
national origin, disability, or religion. Nothing in this Act shall be
construed to invalidate or limit rights, remedies, procedures, or legal
standards available under any other Federal law or any law of a State
or a political subdivision of a State, including the Civil Rights Act
of 1964 (42 U.S.C. 2000a et seq.), title IX of the Education Amendments
of 1972 (20 U.S.C. 1681 et seq.), section 504 of the Rehabilitation Act
of 1973 (29 U.S.C. 794), the Americans with Disabilities Act of 1990
(42 U.S.C. 12101 et seq.), and section 1557 of the Patient Protection
and Affordable Care Act (42 U.S.C. 18116).
SEC. 10. LIMITATION.
No Federal funds provided under this Act may be used for sex
education or sexual health services that--
(1) withhold health-promoting or life-saving information
about sexuality-related topics, including HIV;
(2) are medically inaccurate or incomplete;
(3) promote gender or racial stereotypes or are
unresponsive to gender or racial inequities;
(4) fail to address the needs of sexually active young
people;
(5) fail to address the needs of pregnant or parenting
young people;
(6) fail to address the needs of survivors of interpersonal
violence;
(7) fail to address the needs of young people of all
physical, developmental, or mental abilities;
(8) fail to be inclusive of individuals with varying gender
identities, gender expressions, and sexual orientations; or
(9) are inconsistent with the ethical imperatives of
medicine and public health.
SEC. 11. AMENDMENTS TO OTHER LAWS.
(a) Amendment to the Public Health Service Act.--Section 2500 of
the Public Health Service Act (42 U.S.C. 300ee) is amended by striking
subsections (b) through (d) and inserting the following:
``(b) Contents of Programs.--All programs of education and
information receiving funds under this title shall include information
about the potential effects of intravenous substance use.''.
(b) Amendments to the Elementary and Secondary Education Act of
1965.--Section 8526 of the Elementary and Secondary Education Act of
1965 (20 U.S.C. 7906) is amended--
(1) by striking paragraphs (3), (5), and (6);
(2) by redesignating paragraphs (4) and (7) as paragraphs
(3) and (4), respectively; and
(3) in paragraph (3), as redesignated, by inserting ``or''
after the semicolon.
SEC. 12. FUNDING.
(a) Authorization.--For the purpose of carrying out this Act, there
is authorized to be appropriated $100,000,000 for each of fiscal years
2024 through 2029. Amounts appropriated under this subsection shall
remain available until expended.
(b) Reservations of Funds.--
(1) In general.--The Secretary--
(A) shall reserve not more than 30 percent of the
amount authorized under subsection (a) for the purposes
of awarding grants for sex education at elementary and
secondary schools and youth-serving organizations under
section 4;
(B) shall reserve not more than 10 percent of the
amount authorized under subsection (a) for the purpose
of awarding grants for sex education at institutions of
higher education under section 5;
(C) shall reserve not more than 15 percent of the
amount authorized under subsection (a) for the purpose
of awarding grants for educator training under section
6;
(D) shall reserve not more than 30 percent of the
amount authorized under subsection (a) for the purpose
of awarding grants for sexual health services for
marginalized youth under section 7; and
(E) shall reserve not less than 5 percent of the
amount authorized under subsection (a) for the purpose
of carrying out the reporting and impact evaluation
required under section 8.
(2) Research, training, and technical assistance.--The
Secretary shall reserve not less than 10 percent of the amount
authorized under subsection (a) for expenditures by the
Secretary to provide, directly or through a competitive grant
process, research, training, and technical assistance,
including dissemination of research and information regarding
effective and promising practices, providing consultation and
resources, and developing resources and materials to support
the activities of recipients of grants. In carrying out such
functions, the Secretary shall collaborate with a variety of
entities that have expertise in sex education and sexual health
services standards setting, design, development, delivery,
research, monitoring, and evaluation.
(c) Reprogramming of Abstinence Only Until Marriage Program
Funding.--The unobligated balance of funds made available to carry out
section 510 of the Social Security Act (42 U.S.C. 710) (as in effect on
the day before the date of enactment of this Act) are hereby
transferred and shall be used by the Secretary to carry out this Act.
The amounts transferred and made available to carry out this Act shall
remain available until expended.
(d) Repeal of Abstinence Only Until Marriage Program.--Section 510
of the Social Security Act (42 U.S.C. 710 et seq.) is repealed.
<all>
Introduced in House
Introduced in House
Referred to the Committee on Education and the Workforce, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Education and the Workforce, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Subcommittee on Health.
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