[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[S. 629 Introduced in Senate (IS)]

103d CONGRESS
  1st Session
                                 S. 629

 To create ``Healthy American Schools,'' where children will learn the 
lifelong health and fitness skills vital to developing a smart body and 
  smart mind and to empower every school with the ability to become a 
   healthy school, built on a firm foundation of ``healthy mind and 
                       healthy body'' curricula.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

               March 23 (legislative day, March 3), 1993

Mr. Bingaman (for himself and Mr. Cohen) introduced the following bill; 
 which was read twice and referred to the Committee on Labor and Human 
                               Resources

_______________________________________________________________________

                                 A BILL


 
 To create ``Healthy American Schools,'' where children will learn the 
lifelong health and fitness skills vital to developing a smart body and 
  smart mind and to empower every school with the ability to become a 
   healthy school, built on a firm foundation of ``healthy mind and 
                       healthy body'' curricula.

    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 ``Healthy Students-Healthy Schools 
Act''.

SEC. 2. FINDINGS AND PURPOSE.

    (a) Findings.--Congress finds that--
            (1) comprehensive, high quality education for the children 
        of the United States has always been important, but in recent 
        years it has become even more critical to the social and 
        economic viability of our country;
            (2) unhealthy children do not learn well and tend to grow 
        into unhealthy adults, never realizing their full potential;
            (3) without an increased focus on the health of our 
        children, the United States will not be able to successfully 
        compete in the 21st century;
            (4) given the international dimensions of the health and 
        education challenges facing the United States, the Federal 
        Government should play a key role in the national effort to 
        equip all American children with the intellectual and physical 
        skills needed to compete in the new and rapidly changing global 
        marketplace;
            (5) although States and localities bear the primary 
        responsibility for elementary and secondary education, strong 
        national leadership, from the Congress and the Executive 
        branch, is vital to the future health of our children, schools, 
        and the United States;
            (6) studies show that high quality, comprehensive 
        educational care, as early as 3 years of age, translates into 
        well-rounded individuals, better school performance, lower 
        drop-out rates, lower teenage pregnancy rates, lower 
        unemployment rates, and lower crime rates;
            (7) a better understanding of the principles of good 
        health, taught in a gender and culturally competent manner, 
        could help children succeed in school and become active, 
        productive members of society;
            (8) statistics on federally supported efforts to improve 
        comprehensive school health curriculum demonstrate the 
        effectiveness of preventive programs on the knowledge, 
        behavior, and fitness of children and adolescents, yet few 
        school systems offer such programs and most States do not have 
        the resources to enforce sequential school health education 
        requirements;
            (9) several different agencies located in the Departments 
        of Health and Human Services, Education, Agriculture, Interior, 
        Energy, Defense, and Transportation currently administer school 
        health education programs in areas such as AIDS education, drug 
        abuse education, nutrition, physical fitness, smoking 
        prevention, and asthma education;
            (10) throughout the 1980s, Federal school health education 
        efforts lacked coordination, despite--
                    (A) the 1978 legislative mandate directing the 
                Commissioner of Education at what was then the 
                Department of Health, Education, and Welfare to consult 
                with the Public Health Service and the Surgeon General 
                to ``assure coordination and prevent duplication of 
                effort'' in all school health education programs; and
                    (B) the re-authorization and funding in 1988 of the 
                Department of Education's Office of Comprehensive 
                School Health Education;
            (11) a coordinated Federal effort is needed to help State 
        and local educational agencies develop and implement 
        comprehensive school health education programs;
            (12) over the past several years, the Department of Health 
        and Human Services has led most Federal health education 
        efforts, and the Public Health Service's 1990 report entitled 
        ``Healthy People 2000: National Health Promotion and Disease 
        Prevention Objectives'' outlines a comprehensive national 
        strategy for improving the health of all Americans during this 
        decade and includes specific goals related to school health 
        education;
            (13) one of the chief ``Healthy People 2000'' objectives is 
        to increase to at least 75 percent the proportion of the 
        Nation's elementary and secondary schools that provide planned 
        and sequential kindergarten through 12th grade quality school 
        health education; and
            (14) the President and the Nation's governors have set six 
        national education goals, as part of a strategy to create a new 
        generation of American schools, which complement the Healthy 
        People 2000 goals and form the basis of a healthy partnership.
    (b) Purposes.--It is the purpose of this Act to--
            (1) provide the Federal leadership needed to create Healthy 
        American Schools, the building blocks of a healthy and strong 
        education system capable of providing every child with the 
        lifelong skills needed to become an intellectually and 
        physically fit member of a productive work force;
            (2) ensure that all federally funded school health 
        education programs, including alcohol and substance abuse 
        prevention programs, are coordinated and share the goals of 
        reducing categorical barriers and comprehensively encouraging 
        healthy students and healthy schools;
            (3) designate a central office within the Department of 
        Health and Human Services for the coordination and direction of 
        Federal school health education efforts;
            (4) establish a Federal clearinghouse where teachers can 
        easily access health education information through the use of 
        innovative and interactive technologies;
            (5) establish an independent advisory council of highly 
        respected, bipartisan, diverse experts to study, make 
        recommendations, and identify core national health education 
        goals to be known as the ``Healthy Students-Healthy Schools 
        Goals'' that are consistent with the Healthy People 2000 
        Objectives;
            (6) develop standards and a model framework for sequential 
        Comprehensive School Health Education programs for use in 
        kindergarten through grade 12;
            (7) establish a comprehensive framework through which the 
        Department of Health and Human Services will coordinate a 
        national effort to assess, on a continuing basis, the health-
        related knowledge and behaviors of the Nation's school children 
        and recognize schools which have successfully grown into 
        Healthy American Schools; and
            (8) establish an interagency task force on school health 
        education to reduce categorical barriers and foster cooperation 
        among Federal agencies carrying out school health education 
        programs.

SEC. 3. DEFINITIONS.

    As used in the Act:
            (1) Advisory council.--The term ``Advisory Council'' means 
        the Healthy Students-Healthy Schools Advisory Council 
        established under section 5.
            (2) Comprehensive health education.--The term 
        ``comprehensive health education'' means a planned, sequential, 
        kindergarten through grade 12 curriculum that addresses the 
        physical, mental, emotional and social dimensions of health. 
        Such curriculum shall--
                    (A) be designed to assist students in developing 
                the knowledge, attitudes, and behavioral skills needed 
                to make positive health choices and maintain and 
                improve their health, prevent disease, and reduce 
                health-related risk behaviors;
                    (B) permit students to develop and demonstrate 
                increasingly sophisticated health-related knowledge, 
                attitudes, skills, and practices; and
                    (C) be comprehensive and include a variety of 
                topics such as personal health, family health, 
                community health, consumer health, environmental 
                health, family life, mental and emotional health, 
                injury prevention and safety, nutrition, prevention and 
                control of disease, and substance use and abuse, taught 
                by qualified teachers who have been trained to teach 
                the subject.
            (3) Department.--The term ``Department'' means the 
        Department of Health and Human Services.
            (4) Local education agency.--The term ``local education 
        agency'' means the local education agencies, as defined in 
        section 1471(12) of the Elementary and Secondary Education Act 
        of 1965, and Federally recognized Indian tribes that are 
        responsible for providing elementary and secondary education 
        for tribal members.
            (5) Healthy people 2000 objectives.--The term ``Healthy 
        People 2000 Objectives'' means the 300 specific health 
        objectives in 22 priority areas, such as fitness, nutrition, 
        tobacco, maternal and infant health, cancer, cardiovascular 
        disease, HIV disease, school health, immunization and 
        environmental health, identified by the Secretary of Health and 
        Human Services in the report entitled ``Healthy People 2000: 
        National Health Promotion and Disease Prevention Objectives''.
            (6) Secretary.--The term ``Secretary'' means the Secretary 
        of Health and Human Services.
            (7) State.--The term ``State'' means each of the several 
        States, the District of Columbia, the Commonwealth of Puerto 
        Rico, Guam, American Samoa, the Virgin Islands, the Trust 
        Territory of the Pacific Islands, and the Commonwealth of the 
        Northern Mariana Islands.

SEC. 4. DESIGNATION OF HEALTHY STUDENTS-HEALTHY SCHOOLS OFFICE.

    (a) Designation.--The Secretary shall designate, within the Centers 
for Disease Control, an office to serve as the Healthy Students-Healthy 
Schools Office to carry out the functions and activities described in 
subsection (b).
    (b) Functions and Activities.--The Office designated under 
subsection (a) shall--
            (1) assist State and local educational agencies in their 
        efforts to--
                    (A) develop and maintain comprehensive sequential 
                school health education programs and curricula, which, 
                to the extent practicable, are based on the model 
                framework developed by the Advisory Council, in all 
                elementary and secondary schools within their 
                jurisdiction;
                    (B) train teachers in comprehensive sequential 
                school health education;
                    (C) integrate and encourage school-, community-
                based, and public-private health promotion partnerships 
                and efforts;
                    (D) integrate health education programs with health 
                and social services for school-age youth;
                    (E) provide nutritious school food services; and
                    (F) encourage healthy, tobacco-free school 
                environments;
            (2) provide technical support to State and local 
        educational agencies and educators concerning health education 
        programs and curricula and administer the grant program 
        authorized under section 7;
            (3) establish and maintain a national clearinghouse, using 
        advanced technologies to the maximum extent practicable, and 
        mechanism for the diverse dissemination of school health 
        education material, including written, audio-visual, and 
        electronically-conveyed information to educators, schools, 
        health care providers, and other individuals, organizations, 
        and governmental entities;
            (4) assist States in coordinating school-based programs 
        that will help ensure progress toward relevant Healthy People 
        2000 Objectives and the Healthy Students-Healthy Schools Goals 
        established under section 5;
            (5) assist States in developing mechanisms to uniformly 
        evaluate competency based health education skills and physical 
        fitness and to collect and maintain uniform data, including 
        baseline data on a continuing basis, on health behavior 
        indicators, including absenteeism due to pregnancy and ill-
        health, which will measure progress toward relevant Healthy 
        People 2000 Objectives and the Healthy Students-Healthy Schools 
        Goals established under this Act;
            (6) assist the Secretary in preparing an annual report on 
        the status of school health education in the United States, as 
        required under this section; and
            (7) coordinate with other Federal school health education 
        efforts and assist in reducing categorical barriers to 
        sequential, comprehensive school health education programs.
    (c) Office of Comprehensive School Health Education.--
            (1) In general.--Section 4605(c) of the Elementary and 
        Secondary Education Act of 1965 (20 U.S.C. 3155(c)) is 
        amended--
                    (A) in the matter preceding paragraph (1), by 
                striking out ``Office of the Secretary'' and inserting 
                in lieu thereof ``Office of Elementary and Secondary 
                Education''; and
                    (B) by adding at the end thereof the following new 
                paragraph:
            ``(4) To act as a liaison office for the coordination of 
        the activities undertaken by the Office under this section with 
        related activities of the Assistant Secretary for Special 
        Education, other offices within the Department, the Department 
        of Health and Human Services, the Department of Agriculture and 
        other Federal agencies, and to expand school health education 
        research grant programs under this section.''.
            (2) Transition.--The Secretary of Education shall take all 
        appropriate actions to facilitate the transfer of the Office of 
        Comprehensive School Health Education pursuant to the amendment 
        made by paragraph (1).

SEC. 5. HEALTHY STUDENTS-HEALTHY SCHOOLS ADVISORY COUNCIL.

    (a) Establishment.--There is established the Healthy Students-
Healthy Schools Advisory Council that shall carry out the function and 
activities required under subsection (e).
    (b) Membership and Appointment.--
            (1) In general.--The Advisory Council shall be composed of 
        2 ex officio, nonvoting members and 18 voting members appointed 
        under paragraph (3).
            (2) Ex officio members.--The Secretary and the Secretary of 
        Education shall serve as ex officio members of the Advisory 
        Council.
            (3) Appointed members.--Of the voting members of the 
        Advisory Council--
                    (A) six shall be appointed by the President in 
                accordance with paragraph (5);
                    (B) six shall be appointed by the Speaker of the 
                House of Representatives in consultation with the 
                Minority Leader of the House of Representatives; and
                    (C) six shall be appointed by the President pro 
                tempore of the Senate on the recommendation of the 
                Majority Leader and Minority Leader of the Senate.
        The initial members of the Advisory Council shall be appointed 
        under this paragraph not later than 90 days after the date of 
        the enactment of this Act.
            (4) Requirements.--Each member of the Advisory Council 
        appointed under paragraph (3) shall--
                    (A) be eminent in the field of health education, 
                adolescent and elementary behavior, family counseling, 
                nutrition, reproductive and sexually transmitted 
                disease behavior, drug and alcohol abuse, HIV 
                prevention education techniques, epidemiology, school 
                nursing, school health services, clinical medicine, 
                school policy, public administration, or public-private 
                health promotion partnerships or activities; and
                    (B) be selected for appointment solely on the basis 
                of an established record of distinguished service or 
                research.
            (5) Advisory council appointments.--Of the members 
        appointed under paragraph (3)--
                    (A) two members shall be directors of adolescent 
                health research units that are primarily supported by 
                Federal funds and who have specialized interest in 
                school health;
                    (B) four members shall be employees of State 
                governmental entities or members of local education 
                agencies or school boards and who have specialized 
                interest in school health education or school health;
                    (C) two members shall be school health educators 
                currently teaching school health in elementary or 
                secondary schools;
                    (D) two members shall be school nurses currently 
                employed in the field of school health; and
                    (E) four members shall be appointed representatives 
                of national educational associations.
            (6) Representation.--The membership of the Advisory 
        Council, shall at all times have members who represent various 
        geographic areas, including rural and underserved areas, the 
        private sector, academia, scientific and professional 
        societies, and minority and youth organizations.
            (7) Chairperson.--The members of the Advisory Council shall 
        elect a member to serve as the Chairperson of the Advisory 
        Council for a term of office that shall not exceed 3 years.
            (8) Terms.--
                    (A) In general.--Each member appointed to the 
                Advisory Council under paragraph (3) shall serve for a 
                term of 5 years, except that of the initial members 
                appointed under subparagraph (A) of such paragraph, 
                three shall be appointed for a term of 4 years and two 
                shall be appointed for a term of 3 years, as designated 
                by the President at the time of appointment. No member 
                shall be eligible to serve continuously for more than 
                two consecutive terms.
                    (B) Vacancies.--A vacancy on the Advisory Council 
                shall be filled in the same manner as the original 
                appointment with respect to such vacancy was made. Any 
                member appointed to fill a vacancy occurring prior to 
                the expiration of the term for which the predecessor of 
                such member was appointed shall be appointed for the 
                remainder of such term.
    (c) Meetings.--
            (1) In general.--The Advisory Council shall meet on a 
        regular basis, but in no case less than five times during the 
        first 2 years after the appointment of the members of the 
        Council. Such meetings shall be at the call of the Chairperson, 
        or on the written request of one-third of the members of the 
        Advisory Council.
            (2) Initial meeting.--The Advisory Council shall have its 
        first meeting not later than 120 days after the date of 
        enactment of this Act.
            (3) Quorum.--A majority of the appointed members of the 
        Advisory Council shall constitute a quorum.
    (d) Employment and Expenses.--
            (1) Employment.--Appointed members of the Advisory Council 
        may not be full-time employees of the Federal Government.
            (2) Expenses.--While away from their homes or regular 
        places of business on the business of the Advisory Council, 
        members of the Council shall be allowed travel expenses, 
        including per diem in lieu of subsistence, as is authorized 
        under section 5703 of title 5, United States Code, for persons 
        employed intermittently in the Government service.
    (e) Functions and Activities.--The Advisory Council shall--
            (1) establish national Healthy Students-Healthy Schools 
        Goals based on existing data and research, including the 
        Healthy People 2000 Objectives, identify the activities 
        required to meet such goals, and identify the responsible 
        Federal agencies or individuals with respect to each such goal;
            (2) review existing comprehensive school health education 
        standards, programs and curricula in elementary and secondary 
        schools and review and evaluate Federally-supported health 
        education programs currently being implemented in schools;
            (3) develop a model framework for sequential comprehensive 
        school health education curricula, including sample materials 
        and methods for distribution to schools and to educators for 
        use in kindergarten through 12th grade.
            (4) develop and incorporate model school health education 
        guidelines and evaluation mechanisms, including the gathering 
        of baseline data, in the model framework for programs and 
        curricula established under paragraph (1);
            (5) provide scientific and technical advice concerning the 
        development and implementation of all components of a 
        comprehensive school health education program and the reduction 
        of categorical barriers to comprehensive school health 
        education;
            (6) recommend uniform methods for effectively linking 
        research findings at the Federal level with implementation at 
        the State and local level; and
            (7) serve in an advisory capacity to the Secretary and 
        other Federal agencies.

SEC. 6. HEALTHY STUDENTS-HEALTHY SCHOOLS INTERAGENCY TASK FORCE.

    (a) Establishment.--Not later than 90 days after the date of 
enactment of this Act, the Secretary shall establish a Healthy 
Students-Healthy Schools Interagency task force that shall be staffed 
by the Office of Disease Prevention and Health Promotion and be 
composed of representatives of the Office of Disease Prevention and 
Health Promotion, the National Institutes of Health, the Centers for 
Disease Control, and other Federal agencies and departments, including 
the Extension Service of the Department of Agriculture, which have 
responsibility for components of school health and education, including 
AIDS prevention, drug and alcohol abuse prevention, injury prevention, 
physical fitness, and nutrition.
    (b) Co-Chairpersons.--The Assistant Secretary for Health, Public 
Health Service, and the Assistant Secretary for Education (Elementary 
and Secondary Education) shall serve as co-chairpersons of the task 
force established under subsection (a).
    (c) Functions and Activities.--The task force established under 
subsection (a) shall--
            (1) review and coordinate all Federal efforts in school 
        health education, including drug and alcohol abuse prevention 
        education, HIV prevention education, physical fitness, school 
        services, and nutrition;
            (2) provide scientific and technical advice concerning the 
        development and implementation of the model framework 
        comprehensive school health education programs and curricula to 
        be developed under section 5;
            (3) develop a consolidated grant application form (a form 
        that serves as the main document containing the core 
        information concerning a particular entity) and procedures that 
        may be used with respect to all school health-related programs 
        (including supplementary information procedures to be 
        implemented when an entity that has already submitted a 
        consolidated application form is applying for additional 
        assistance) that require the submission of an application; and
            (4) serve in an advisory capacity to and assist the Office 
        designated by the Secretary under section 4, and other Federal 
        agencies.

SEC. 7. FUNCTIONS OF THE SECRETARY.

    The Secretary, with the assistance of the Advisory Council, shall--
            (1) foster the interaction, coordination, and partnerships 
        needed to create Healthy American Schools among Federal 
        agencies, State and local governments, school administrators, 
        educators, school nurses and other school health providers, the 
        private sector, scientific communities, community-based 
        organizations, health professionals, parents, and students;
            (2) update progress toward achieving relevant Healthy 
        People 2000 Objectives and the Healthy Students-Healthy Schools 
        Goals established under this Act by establishing a national 
        monitoring system to be implemented in schools and administered 
        by the States and local educational agencies;
            (3) ensure the timely implementation of the activities and 
        nationwide mechanisms necessary for achieving and monitoring 
        progress toward such objectives and goals;
            (4) submit to the appropriate committees of Congress and 
        the States an annual report, that shall include data on 
        relevant agency budgets for each fiscal year, as required by 
        section 9; and
            (5) recognize, in the annual report, schools that have 
        demonstrated exemplary efforts in becoming Healthy American 
        Schools and provide a short evaluation to States that 
        incorporate the Healthy Students-Healthy Schools Goals.

SEC. 8. HEALTHY AMERICAN SCHOOLS GRANT PROGRAM.

    (a) General Authority.--The Secretary, acting through the Office 
designated under section 4(a), is authorized to award grants to States 
and local educational agencies to assist the schools under the 
jurisdiction of such States and agencies in becoming Healthy American 
Schools that teach comprehensive sequential school health education 
which, to the maximum extent practicable, make use of advanced 
technologies, such as computer-based learning and innovative 
communication channels.
    (b) Eligibility.--To encourage all schools to become Healthy 
American Schools, the Secretary shall insure that every public 
elementary and secondary school in the United States is eligible to 
receive assistance under this section and that such assistance shall be 
distributed among all geographic areas, including rural, urban, and 
suburban areas.
    (c) Uses of Grants.--Amounts awarded under this section shall be 
used to establish and implement comprehensive school health education 
curricula and programs that meet the goals of the Healthy Students-
Healthy Schools program, which shall include--
            (1) teacher training in sequential comprehensive school 
        health education and related in-service training;
            (2) healthy school environment standards;
            (3) personal health and fitness activities;
            (4) nutrition education and nutritious food services;
            (5) mental health wellness programs;
            (6) chronic disease prevention programs;
            (7) substance abuse prevention education;
            (8) prevention of intentional and unintentional injury and 
        safety education;
            (9) community and environmental health activities;
            (10) family life education activities;
            (11) activities for the prevention and control of 
        communicable diseases;
            (12) activities for the effective use of the health 
        services delivery systems;
            (13) development and aging activities; and
            (14) worksite health promotion programs and partnerships 
        with community-based organizations and the private sector.
    (d) Application.--To be eligible to receive a grant under this 
section, an entity shall prepare and submit to the Secretary an 
application at such time, in such manner, and containing or accompanied 
by such information as the Secretary may reasonably require. Each such 
application shall--
            (1) describe the comprehensive school health education 
        program for which assistance is sought, particularly the 
        activities described in subsection (b);
            (2) provide assurances that qualified health educators will 
        teach or supervise the programs for which assistance is sought;
            (3) provide assurance that the State, relevant local 
        educational agency, or Indian tribe will involve the community, 
        on an on-going basis, in the planning, implementation and 
        evaluation of the programs for which assistance is sought, 
        including the establishment of partnerships with the private 
        sector, cooperative extension systems of land-grant 
        universities, nonprofit public agencies, organizations, 
        community-based organizations, parents, and students;
            (4) provide assurance that funding made available under 
        this section will be used in a coordinated and cooperative 
        manner with other school health education programs that the 
        State, local educational agency or Indian tribe may be 
        undertaking and will not duplicate other school health 
        education programs;
            (5) provide assurances that the State or Indian tribe will 
        submit an annual report on the program to the Secretary (in the 
        case of a local education agency, it shall submit an annual 
        report to the State which shall then submit a Statewide report 
        to the Secretary) to be integrated into the annual report 
        required under section 9; and
            (6) provide assurances that the State or Indian tribe will 
        provide matching funds, through monetary or in kind 
        contribution, in an amount that equals 25 percent of the amount 
        of the grant.
    (e) Outstanding Healthy American School Awards.--The Secretary 
shall annually recognize schools that epitomize the Healthy Students-
Healthy Schools Goals established under this Act and shall award such 
schools a commemorative plaque and a $1,000 cash award.

SEC. 9. EVALUATION AND ANNUAL REPORT.

    (a) General Authority.--The Secretary shall uniformly collect, 
compile, and preserve data concerning school health education programs 
and curricula throughout the United States.
    (b) Data Collection.--The Secretary shall develop and ensure the 
implementation of a system for the collection of data that uniformly 
measures and evaluates the impact of school health education programs 
and curricula to determine--
            (1) the effectiveness of such programs in promoting 
        progress toward achieving relevant Healthy People 2000 
        Objectives and the Healthy Students-Healthy Schools Goals 
        established under this Act; and
            (2) the impact of such programs on related health 
        indicators such as absenteeism and teen-age pregnancy rates.
    (c) Results of Evaluations.--
            (1) Annual report.--Not later than January 1, 1994, and 
        annually thereafter, the Secretary shall prepare and publish a 
        report that--
                    (A) evaluates the status of school health education 
                in the United States, including the impact and 
                effectiveness of the health education programs and 
                curricula of each State;
                    (B) measures national progress toward achieving 
                relevant Healthy People 2000 Objectives and the Healthy 
                Students-Healthy Schools Goals established under this 
                Act; and
                    (C) recognizes outstanding Healthy American 
                Schools.
            (2) Entities receiving report.--In January of each fiscal 
        year, the Secretary shall submit the report required under 
        subsection (c) to the appropriate committees of the Congress 
        and to the States to aid in the program evaluation and 
        development efforts of such States.

SEC. 10. PROGRAM FOR COMPREHENSIVE HEALTH AND PHYSICAL EDUCATION AMONG 
              INDIAN STUDENTS.

    (a) In General.--The Secretary of the Interior, acting through the 
Bureau of Indian Affairs and in consultation and cooperation with the 
Secretary of Health and Human Services and the Secretary of Education, 
shall develop and, not later than the date that is 1 year after the 
date of enactment of this Act, implement a program which provides 
gender and culturally competent sequential comprehensive health 
education and physical education to students enrolled in elementary and 
secondary schools operated by, or on behalf of, the Bureau of Indian 
Affairs.
    (b) Courses of Instruction and Participation.--
            (1) Courses of instruction.--The program which the 
        Secretary of the Interior is required to develop under 
        subsection (a) shall provide courses of instruction for each 
        grade of elementary and secondary school in a manner that 
        ensures sequential, progressive, comprehensive, and continuous 
        instruction.
            (2) Participation.--Except as otherwise prescribed by the 
        Secretary of the Interior, all students enrolled in schools 
        operated by, or on behalf of, the Bureau of Indian Affairs 
        shall participate in the courses of instruction provided at 
        such schools under the program developed under subsection (a).
    (c) Consultation.--In developing and implementing the program 
required under subsection (a), the Secretary of the Interior shall 
consult with--
            (1) representatives of the Indian tribes that are to be 
        served by such program;
            (2) local educational and health personnel; and
            (3) the Advisory Council established under section 5.
    (d) Report.--Not later than the date that is 1 year after the date 
of enactment of this Act, the Secretary of the Interior shall submit to 
the Congress a report on the progress made by the Secretary of the 
Interior in carrying out the requirements of this section.

SEC. 11. APPROPRIATIONS AUTHORIZATION.

    (a) In General.--There are authorized to be appropriated to carry 
out this Act, $200,000,000 for each of the fiscal years 1994 through 
1998.
    (b) Use.--Amounts appropriated under this section shall be used to 
fund the Healthy Students-Healthy Schools Grant Program, and to make 
available funds that may be necessary to carry out the activities of 
the Healthy Students-Healthy Schools Coordinating Office and the 
clearinghouse established under section 4(b)(4) and the Healthy 
Students-Healthy Schools Advisory Council established under section 5.
    (c) Limitation.--The Secretary may not carry out the provisions of 
this Act until such time as amounts appropriated under section 8(a) for 
a fiscal year equal or exceed $25,000,000.

SEC. 12. DRUG-FREE SCHOOLS AND COMMUNITIES ACT.

    Part E of the Drug-Free Schools and Communities Act of 1986 (20 
U.S.C. 3221 et seq.) is amended by adding at the end thereof the 
following new section:

``SEC. 5147. USE OF APPROPRIATIONS FOR HEALTHY STUDENTS-HEALTHY SCHOOLS 
              PROGRAMS.

    ``Notwithstanding any other provision of law, amounts appropriated 
under this Act may be used in conjunction with the Healthy Students-
Healthy Schools Program of any State, Indian tribe, local educational 
agency, or school, so long as substance abuse prevention is a major 
component of such Program, pursuant to the Healthy Students-Healthy 
Schools Act.''.

SEC. 13. EFFECTIVE DATE.

    This Act shall become effective on October 1, 1993.

                                 <all>

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