[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 725 Introduced in House (IH)]

113th CONGRESS
  1st Session
                                H. R. 725

   To provide for the reduction of unintended pregnancy and sexually 
  transmitted infections, including HIV, and the promotion of healthy 
                 relationships, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           February 14, 2013

 Ms. Lee of California (for herself, Ms. Moore, Ms. Pingree of Maine, 
  Mr. McDermott, Mrs. Davis of California, Mr. Clay, Ms. Norton, Ms. 
 DeGette, Ms. Slaughter, Mr. Moran, Ms. Wasserman Schultz, Ms. Roybal-
Allard, Mr. Grijalva, Ms. Bonamici, Ms. Clarke, Ms. Speier, Mr. Deutch, 
   Mr. Blumenauer, Ms. Lofgren, Mr. Lewis, Ms. Chu, Mr. Rangel, Ms. 
McCollum, Mr. Honda, Mr. Nadler, Mr. Conyers, Mr. Holt, Ms. Waters, Mr. 
  Hastings of Florida, Ms. Schakowsky, Mr. Larsen of Washington, Mrs. 
 Christensen, and Mr. Sires) introduced the following bill; which was 
 referred to the Committee on Energy and Commerce, and in addition to 
   the Committee on Education and the Workforce, 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 reduction of unintended pregnancy and sexually 
  transmitted infections, including HIV, and the promotion of 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 for Healthy Youth Act 
of 2013''.

SEC. 2. PURPOSES; SENSE OF CONGRESS.

    (a) Purposes.--The purposes of this Act are--
            (1) to provide young people with comprehensive sex 
        education that--
                    (A) provides the information and skills young 
                people need to make informed, responsible, and healthy 
                decisions in order to become sexually healthy adults 
                and have healthy relationships;
                    (B) provides information about the prevention of 
                unintended pregnancy, sexually transmitted infections, 
                including HIV, sexual assault, dating violence, 
                bullying, and harassment; and
                    (C) promotes and upholds the rights of young people 
                to information in order to make healthy and responsible 
                decisions about their sexual health; and
            (2) in order to provide the comprehensive sex education 
        described in paragraph (1), to provide increased resources for 
        sex education programs that--
                    (A) are evidence-based, having been proven through 
                rigorous evaluation to change sexual behavior or 
                incorporate characteristics of effective programs;
                    (B) cover a broad range of topics, including 
                medically accurate, complete, age and developmentally 
                appropriate information about all the aspects of sex 
                needed for a complete sex education program, 
                including--
                            (i) anatomy and physiology;
                            (ii) growth and development;
                            (iii) healthy relationships;
                            (iv) the prevention of unintended pregnancy 
                        and sexually transmitted infections, including 
                        HIV, through abstinence and contraception;
                            (v) gender, gender identity, and sexual 
                        orientation; and
                            (vi) protection from dating violence, 
                        sexual assault, bullying, and harassment;
                    (C) are gender- and gender identity-sensitive, 
                emphasizing the importance of equality and the social 
                environment for achieving sexual and reproductive 
                health and overall well-being;
                    (D) promote educational achievement, critical 
                thinking, decisionmaking, self-esteem, and self-
                efficacy;
                    (E) help develop healthy attitudes and insights 
                necessary for understanding relationships between 
                oneself and others and society;
                    (F) foster leadership skills and community 
                engagement by--
                            (i) promoting principles of fairness, human 
                        dignity, and respect; and
                            (ii) engaging young people as partners in 
                        their communities; and
                    (G) are culturally and linguistically appropriate, 
                reflecting the diverse circumstances and realities of 
                young people.
    (b) Sense of Congress.--It is the sense of Congress that--
            (1) federally funded sex education programs should aim to--
                    (A) reduce unintended pregnancy and sexually 
                transmitted infections, including HIV;
                    (B) promote safe and healthy relationships;
                    (C) use, and be informed by, the best scientific 
                information available;
                    (D) be built on characteristics of effective 
                programs;
                    (E) expand the existing body of evidence on 
                comprehensive sex education programs through program 
                evaluation;
                    (F) expand training programs for teachers of 
                comprehensive sex education;
                    (G) build on the personal responsibility education 
                programs funded under section 513 of the Social 
                Security Act (42 U.S.C. 713) and the President's Teen 
                Pregnancy Prevention program, funded under title II of 
                the Consolidated Appropriations Act, 2010 (Public Law 
                111-117; 123 Stat. 3253); and
                    (H) promote and uphold the rights of young people 
                to information in order to make healthy and responsible 
                decisions about their sexual health; and
            (2) no Federal funds should be used for health education 
        programs that--
                    (A) deliberately withhold life-saving information 
                about HIV;
                    (B) are medically inaccurate or have been 
                scientifically shown to be ineffective;
                    (C) promote gender stereotypes;
                    (D) are insensitive and unresponsive to the needs 
                of sexually active adolescents;
                    (E) are insensitive and unresponsive to the needs 
                of lesbian, gay, bisexual, or transgender youth; or
                    (F) are inconsistent with the ethical imperatives 
                of medicine and public health.

SEC. 3. GRANTS FOR COMPREHENSIVE SEX EDUCATION FOR ADOLESCENTS.

    (a) Program Authorized.--The Secretary, in coordination with the 
Director of the Office of Adolescent Health, shall award grants, on a 
competitive basis, to eligible entities to enable such eligible 
entities to carry out programs that provide adolescents with 
comprehensive sex education, as described in subsection (f).
    (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 focuses on adolescent health or 
education or has experience working with adolescents, which may 
include--
            (1) a State educational agency;
            (2) a local educational agency;
            (3) a tribe or tribal organization, as defined in section 4 
        of the Indian Self-Determination and Education Assistance Act 
        (25 U.S.C. 450b);
            (4) a State or local department of health;
            (5) a State or local department of education;
            (6) a nonprofit organization;
            (7) a nonprofit or public institution of higher education; 
        or
            (8) a hospital.
    (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, including the evaluation plan described in subsection (g)(1).
    (e) Priority.--In awarding grants under this section, the Secretary 
shall give priority to eligible entities that--
            (1) are State or local public entities, with an additional 
        priority for State or local educational agencies; and
            (2) address health disparities among young people that are 
        at highest risk for not less than 1 of the following:
                    (A) Unintended pregnancies.
                    (B) Sexually transmitted infections, including HIV.
                    (C) Dating violence and sexual assault.
    (f) Use of Funds.--
            (1) In general.--Each eligible entity that receives a grant 
        under this section shall use grant funds to carry out a program 
        that provides adolescents with comprehensive sex education 
        that--
                    (A) replicates evidence-based sex education 
                programs;
                    (B) substantially incorporates elements of 
                evidence-based sex education programs; or
                    (C) creates a demonstration project based on 
                generally accepted characteristics of effective sex 
                education programs.
            (2) Contents of sex education programs.--The sex education 
        programs funded under this section shall include curricula and 
        program materials that address--
                    (A) abstinence and delaying sexual initiation;
                    (B) the health benefits and side effects of all 
                contraceptive and barrier methods as a means to prevent 
                pregnancy and sexually transmitted infections, 
                including HIV;
                    (C) healthy relationships, including the 
                development of healthy attitudes and skills necessary 
                for understanding--
                            (i) healthy relationships between oneself 
                        and family, others, and society; and
                            (ii) the prevention of sexual abuse, teen 
                        dating violence, bullying, harassment, and 
                        suicide;
                    (D) healthy life skills including goal-setting, 
                decisionmaking, interpersonal skills (such as 
                communication, assertiveness, and peer refusal skills), 
                critical thinking, self-esteem and self-efficacy, and 
                stress management;
                    (E) how to make responsible decisions about sex and 
                sexuality, including--
                            (i) how to avoid, and how to avoid making, 
                        unwanted verbal, physical, and sexual advances; 
                        and
                            (ii) how alcohol and drug use can affect 
                        responsible decisionmaking;
                    (F) the development of healthy attitudes and values 
                about such topics as adolescent growth and development, 
                body image, gender roles and gender identity, racial 
                and ethnic diversity, and sexual orientation; and
                    (G) referral services for local health clinics and 
                services where adolescents can obtain additional 
                information and services related to sexual and 
                reproductive health, dating violence and sexual 
                assault, and suicide prevention.
    (g) Evaluation; Report.--
            (1) Independent evaluation.--Each eligible entity applying 
        for a grant under this section shall develop and submit to the 
        Secretary a plan for a rigorous independent evaluation of such 
        grant program. The plan shall describe an independent 
        evaluation that--
                    (A) uses sound statistical methods and techniques 
                relating to the behavioral sciences, including random 
                assignment methodologies, whenever possible;
                    (B) uses quantitative data for assessments and 
                impact evaluations, whenever possible; and
                    (C) is carried out by an entity independent from 
                such eligible entity.
            (2) Selection of evaluated programs; budget.--
                    (A) Selection of evaluated programs.--The Secretary 
                shall select, at random, a subset of the eligible 
                entities that the Secretary has selected to receive a 
                grant under this section to receive additional funding 
                to carry out the evaluation plan described in paragraph 
                (1).
                    (B) Budget for evaluation activities.--The 
                Secretary, in coordination with the Director of the 
                Office of Adolescent Health, shall establish a budget 
                for each eligible entity selected under subparagraph 
                (A) for the costs of carrying out the evaluation plan 
                described in paragraph (1).
            (3) Funds for evaluation.--The Secretary shall provide 
        eligible entities who are selected under paragraph (2)(A) with 
        additional funds, in accordance with the budget described in 
        paragraph (2)(B), to carry out and report to the Secretary on 
        the evaluation plan described in paragraph (1).
            (4) Performance measures.--The Secretary, in coordination 
        with the Director of the Centers for Disease Control and 
        Prevention, shall establish a common set of performance 
        measures to assess the implementation and impact of grant 
        programs funded under this section. Such performance measures 
        shall include--
                    (A) output measures, such as the number of 
                individuals served and the number of hours of service 
                delivery;
                    (B) outcome measures, including measures relating 
                to--
                            (i) the knowledge that youth participating 
                        in the grant program have gained about--
                                    (I) adolescent growth and 
                                development;
                                    (II) relationship dynamics;
                                    (III) ways to prevent unintended 
                                pregnancy and sexually transmitted 
                                infections, including HIV; and
                                    (IV) sexual health;
                            (ii) the skills that adolescents 
                        participating in the grant program have gained 
                        regarding--
                                    (I) negotiation and communication;
                                    (II) decisionmaking and goal-
                                setting;
                                    (III) interpersonal skills and 
                                healthy relationships; and
                                    (IV) condom use; and
                            (iii) the behaviors of adolescents 
                        participating in the grant program, including 
                        data about--
                                    (I) age of first intercourse;
                                    (II) number of sexual partners;
                                    (III) condom and contraceptive use 
                                at first intercourse;
                                    (IV) recent condom and 
                                contraceptive use; and
                                    (V) dating abuse and lifetime 
                                history of domestic violence, sexual 
                                assault, dating violence, bullying, 
                                harassment, and stalking.
            (5) Report to the secretary.--Eligible entities receiving a 
        grant under this section who have been selected to receive 
        funds to carry out the evaluation plan described in paragraph 
        (1), in accordance with paragraph (2)(A), shall collect and 
        report to the Secretary--
                    (A) the results of the independent evaluation 
                described in paragraph (1); and
                    (B) information about the performance measures 
                described in paragraph (2).
            (6) Effective programs.--The Secretary, in coordination 
        with the Director of the Centers for Disease Control and 
        Prevention, shall publish on the website of the Centers for 
        Disease Control and Prevention, a list of programs funded under 
        this section that the Secretary has determined to be effective 
        programs.

SEC. 4. GRANTS FOR COMPREHENSIVE SEX EDUCATION AT INSTITUTIONS OF 
              HIGHER EDUCATION.

    (a) Program Authorized.--The Secretary, in coordination with the 
Office of Adolescent Health and the Secretary of Education, shall award 
grants, on a competitive basis, to institutions of higher education to 
enable such institutions to provide young people with comprehensive sex 
education, described in subsection (e)(2), with an emphasis on reducing 
HIV, other sexually transmitted infections, and unintended pregnancy 
through instruction about--
            (1) abstinence and contraception;
            (2) reducing dating violence, sexual assault, bullying, and 
        harassment;
            (3) increasing healthy relationships; and
            (4) academic achievement.
    (b) Duration.--Grants awarded under this section shall be for a 
period of 5 years.
    (c) Applications.--An institution of higher education 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 Predominately 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.--
            (1) In general.--An institution of higher education 
        receiving a grant under this section may use grant funds to 
        integrate issues relating to comprehensive sex education into 
        the academic or support sectors of the institution of higher 
        education in order to reach a large number of students, by 
        carrying out 1 or more of the following activities:
                    (A) Developing educational content for issues 
                relating to comprehensive sex education that will be 
                incorporated into first-year orientation or core 
                courses.
                    (B) Developing and employing schoolwide educational 
                programming outside of class that delivers elements of 
                comprehensive sex education programs to students, 
                faculty, and staff.
                    (C) Creating innovative technology-based approaches 
                to deliver sex education to students, faculty, and 
                staff.
                    (D) Developing and employing peer-outreach and 
                education programs to generate discussion, educate, and 
                raise awareness among students about issues relating to 
                comprehensive sex education.
            (2) Contents of sex education programs.--Each institution 
        of higher education's program of comprehensive sex education 
        funded under this section shall include curricula and program 
        materials that address information about--
                    (A) safe and responsible sexual behavior with 
                respect to the prevention of pregnancy and sexually 
                transmitted infections, including HIV, including 
                through--
                            (i) abstinence;
                            (ii) a reduced number of sexual partners; 
                        and
                            (iii) the use of condoms and contraception;
                    (B) healthy relationships, including the 
                development of healthy attitudes and insights necessary 
                for understanding--
                            (i) relationships between oneself, family, 
                        partners, others, and society; and
                            (ii) the prevention of sexual abuse, dating 
                        violence, bullying, harassment, and suicide; 
                        and
                    (C) referral services to local health clinics where 
                young people can obtain additional information and 
                services related to sexual and reproductive health, 
                dating violence and sexual assault, and suicide 
                prevention.
            (3) Optional components of sex education.--Each institution 
        of higher education's program of comprehensive sex education 
        may also include information and skills development relating 
        to--
                    (A) how to make responsible decisions about sex and 
                sexuality, including--
                            (i) how to avoid, and avoid making, 
                        unwanted verbal, physical, and sexual advances; 
                        and
                            (ii) how alcohol and drug use can affect 
                        responsible decisionmaking;
                    (B) healthy life skills, including--
                            (i) goal-setting and decisionmaking;
                            (ii) interpersonal skills, such as 
                        communication, assertiveness, and peer refusal 
                        skills;
                            (iii) critical thinking;
                            (iv) self-esteem and self-efficacy; and
                            (v) stress management;
                    (C) the development of healthy attitudes and values 
                about such topics as body image, gender roles and 
                gender identity, racial and ethnic diversity, and 
                sexual orientation; and
                    (D) the responsibilities of parenting and the 
                skills necessary to parent well.
    (f) Evaluation; Report.--The requirements described in section 3(g) 
shall also apply to eligible entities receiving a grant under this 
section in the same manner as such requirements apply to eligible 
entities receiving grants under section 3.

SEC. 5. GRANTS FOR PRE-SERVICE AND IN-SERVICE TEACHER TRAINING.

    (a) Program Authorized.--The Secretary, in coordination with the 
Director of the Centers for Disease Control and Prevention and 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;
            (2) a local educational agency;
            (3) a tribe or tribal organization, as defined in section 4 
        of the Indian Self-Determination and Education Assistance Act 
        (25 U.S.C. 450b);
            (4) a State or local department of health;
            (5) a State or local department of education;
            (6) a nonprofit institution of higher education;
            (7) a national or statewide nonprofit organization that has 
        as its primary purpose the improvement of provision of 
        comprehensive sex education through effective teaching of 
        comprehensive sex education; or
            (8) a consortium of nonprofit organizations that has as its 
        primary purpose the improvement of provision of comprehensive 
        sex education through effective teaching of comprehensive 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 to train 
        targeted faculty and staff, in order to increase effective 
        teaching of comprehensive sex education for elementary school 
        and secondary school students.
            (2) Permissible activities.--Each eligible entity receiving 
        a grant under this section may use grant funds to--
                    (A) strengthen and expand the eligible entity's 
                relationships with--
                            (i) institutions of higher education;
                            (ii) State educational agencies;
                            (iii) local educational agencies; or
                            (iv) other public and private organizations 
                        with a commitment to comprehensive sex 
                        education and the benefits of comprehensive sex 
                        education;
                    (B) support and promote research-based training of 
                teachers of comprehensive sex education and related 
                disciplines in elementary schools and secondary schools 
                as a means of broadening student knowledge about issues 
                related to human development, relationships, personal 
                skills, sexual behavior, sexual health, and society and 
                culture;
                    (C) support the dissemination of information on 
                effective practices and research findings concerning 
                the teaching of comprehensive sex education;
                    (D) support research on--
                            (i) effective comprehensive sex education 
                        teaching practices; and
                            (ii) the development of assessment 
                        instruments and strategies to document--
                                    (I) student understanding of 
                                comprehensive sex education; and
                                    (II) the effects of comprehensive 
                                sex education;
                    (E) convene national conferences on comprehensive 
                sex education, in order to effectively train teachers 
                in the provision of comprehensive sex education; and
                    (F) develop and disseminate appropriate research-
                based materials to foster comprehensive sex education.
            (3) Subgrants.--Each eligible entity receiving a grant 
        under this section may award subgrants to nonprofit 
        organizations, State educational agencies, or local educational 
        agencies to enable such organizations or agencies to--
                    (A) train teachers in comprehensive sex education;
                    (B) support Internet or distance learning related 
                to comprehensive sex education;
                    (C) promote rigorous academic standards and 
                assessment techniques to guide and measure student 
                performance in comprehensive sex education;
                    (D) encourage replication of best practices and 
                model programs to promote comprehensive sex education;
                    (E) develop and disseminate effective, research-
                based comprehensive sex education learning materials;
                    (F) develop academic courses on the pedagogy of sex 
                education at institutions of higher education; or
                    (G) convene State-based conferences to train 
                teachers in comprehensive sex education and to identify 
                strategies for improvement.

SEC. 6. REPORT TO CONGRESS.

    (a) In General.--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 the appropriate committees of 
Congress a report on the activities to provide adolescents and young 
people with comprehensive sex education funded under this Act.
    (b) Report Elements.--The report described in subsection (a) shall 
include--
            (1) a statement of whether the Secretary has met the 
        purposes described in section 2(a); and
            (2) information about--
                    (A) the number of eligible entities and 
                institutions of higher education that are receiving 
                grant funds under sections 3 and 4 of this Act;
                    (B) the specific activities supported by grant 
                funds awarded under sections 3 and 4 of this Act;
                    (C) the number of adolescents served by grant 
                programs funded under section 3;
                    (D) the number of young people served by grant 
                programs funded under section 4; and
                    (E) the status of program evaluations described 
                under sections 3 and 4 of this Act.

SEC. 7. NONDISCRIMINATION.

    Programs funded under this Act shall not discriminate on the basis 
of actual or perceived sex, race, color, ethnicity, national origin, 
disability, sexual orientation, gender identity, or religion. Nothing 
in this Act shall be construed to invalidate or limit rights, remedies, 
procedures, or legal standards available to victims of discrimination 
under any other Federal law or any law of a State or a political 
subdivision of a State, including title VI of the Civil Rights Act of 
1964 (42 U.S.C. 2000d 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. 8. LIMITATION.

    No Federal funds provided under this Act may be used for health 
education programs that--
            (1) deliberately withhold life-saving information about 
        HIV;
            (2) are medically inaccurate or have been scientifically 
        shown to be ineffective;
            (3) promote gender stereotypes;
            (4) are insensitive and unresponsive to the needs of 
        sexually active youth or lesbian, gay, bisexual, or transgender 
        youth; or
            (5) are inconsistent with the ethical imperatives of 
        medicine and public health.

SEC. 9. 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 harmful effects of intravenous substance abuse and unsafe 
sexual activity, and the benefits of abstaining from such 
activities.''.
    (b) Amendments to the Elementary and Secondary Education Act of 
1965.--Section 9526(a) of the Elementary and Secondary Education Act of 
1965 (20 U.S.C. 7906(a)) is amended--
            (1) in paragraph (2), by inserting ``or'' after the 
        semicolon;
            (2) in paragraph (3), by striking ``; or'' and inserting a 
        period; and
            (3) by striking paragraph (4).

SEC. 10. DEFINITIONS.

    In this Act:
            (1) ESEA definitions.--The terms ``elementary school'', 
        ``local educational agency'', ``secondary school'', and ``State 
        educational agency'' have the meanings given the terms in 
        section 9101 of the Elementary and Secondary Education Act of 
        1965 (20 U.S.C. 7801).
            (2) Age and developmentally appropriate.--The term ``age 
        and developmentally appropriate'' means suitable for a 
        particular age or age group of children and adolescents, based 
        on developing cognitive, emotional, and behavioral capacity 
        typical for that age or age group.
            (3) Adolescents.--The term ``adolescents'' means 
        individuals who are ages 10 through 19 at the time of 
        commencement of participation in a program supported under this 
        Act.
            (4) Characteristics of effective programs.--The term 
        ``characteristics of effective programs'' means the aspects of 
        evidence-based 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 upon 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, including HIV, unintended pregnancy, and 
                dating violence and sexual assault among young people.
            (5) Comprehensive sex education.--The term ``comprehensive 
        sex education'' means a program that--
                    (A) includes age- and developmentally appropriate, 
                culturally and linguistically relevant information on a 
                broad set of topics related to sexuality including 
                human development, relationships, decisionmaking, 
                communication, abstinence, contraception, and disease 
                and pregnancy prevention;
                    (B) provides students with opportunities for 
                developing skills as well as learning information;
                    (C) is inclusive of lesbian, gay, bisexual, 
                transgender, and heterosexual young people; and
                    (D) aims to--
                            (i) provide scientifically accurate and 
                        realistic information about human sexuality;
                            (ii) provide opportunities for individuals 
                        to understand their own, their families', and 
                        their communities' values, attitudes, and 
                        insights about sexuality;
                            (iii) help individuals develop healthy 
                        relationships and interpersonal skills; and
                            (iv) help individuals exercise 
                        responsibility regarding sexual relationships, 
                        which includes addressing abstinence, pressures 
                        to become prematurely involved in sexual 
                        intercourse, and the use of contraception and 
                        other sexual health measures.
            (6) Evidence-based program.--The term ``evidence-based 
        program'' means a sex education program that has been proven 
        through rigorous evaluation to be effective in changing sexual 
        behavior or incorporates elements of other sex education 
        programs that have been proven to be effective in changing 
        sexual behavior.
            (7) 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).
            (8) Medically accurate and complete.--The term ``medically 
        accurate and complete'', when used with respect to a sex 
        education program, means that--
                    (A) the information provided through the program 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)(i) the program contains information that 
                leading professional organizations and agencies with 
                relevant expertise in the field recognize as accurate, 
                objective, and complete; and
                    (ii) the program does not withhold information 
                about the effectiveness and benefits of correct and 
                consistent use of condoms and other contraceptives.
            (9) Secretary.--The term ``Secretary'' means the Secretary 
        of Health and Human Services.
            (10) Young people.--The term ``young people'' means 
        individuals who are ages 10 through 24 at the time of 
        commencement of participation in a program supported under this 
        Act.

SEC. 11. AUTHORIZATION OF APPROPRIATIONS.

    There are authorized to be appropriated to carry out this Act such 
sums as may be necessary.
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