119-hr3527

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3527 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 3527

 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 21, 2025

Ms. Adams (for herself, Ms. Jayapal, Mr. Beyer, Mr. Davis of Illinois, 
and Ms. Bonamici) introduced the following bill; which was referred to 
 the Committee on Education and 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 2025''.

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, 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 underserved 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 36 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 underserved young people. Some such programs 
 and services actually harm underserved young people.

    (6) For underserved 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 sexual health 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 comprehensive 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 underserved 
 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 underserved 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) Consent.--The term ``consent'' means affirmative, 
 conscious, and voluntary agreement to engage in interpersonal, 
 physical, or sexual activity.

    (3) 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 underserved 
 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.

    (4) Evidence-informed.--The term ``evidence-informed'' 
 means incorporating characteristics, content, or skills that 
 have been proven to be effective through evaluation in changing 
 sexual behavior.

    (5) 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.

    (6) 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.

    (7) Inclusive.--The term ``inclusive'' means content and 
 skills that ensure underserved young people are valued, 
 respected, centered, and supported in sex education instruction 
 and materials.

    (8) 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).

    (9) Interpersonal violence.--The term ``interpersonal 
 violence'' means abuse, assault, bullying, dating violence, 
 domestic violence, harassment, intimate partner violence, or 
 stalking.

    (10) Local educational agency.--The term ``local 
 educational agency'' has the meaning given the term in 

section 8101 of the Elementary and Secondary Education Act of 1965 (20 
 U.S.C. 7801).

    (11) 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.

    (12) Resilience.--The term ``resilience'' means the ability 
 to adapt to trauma and tragedy.

    (13) Secretary.--The term ``Secretary'' means the Secretary 
 of Health and Human Services.

    (14) 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.

    (15) 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) pre-exposure 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.

    (16) Sexual orientation.--The term ``sexual orientation'' 
 means an individual's romantic, emotional, or sexual attraction 
 to other people.

    (17) State educational agency.--The term ``State 
 educational agency'' has the meaning given the term in 

section 8101 of the Elementary and Secondary Education Act of 1965 (20 
 U.S.C. 7801).

    (18) 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.

    (19) 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.

    (20) Underserved young people.--The term ``underserved 
 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.

    (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, as defined in 

section 8101 of the Elementary and Secondary Education Act of 1965 (20 
 U.S.C. 7801);

    (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 anti-racist 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 in multiple 
 languages; 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 UNDERSERVED 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 underserved 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 underserved 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 underserved young people;

    (3) conduct outreach to underserved 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 
 underserved young people to other sexual health services and 
 supportive services;

    (5) establish partnerships and collaborations with entities 
 providing services to underserved 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 underserved young people in the languages 
 and cultural contexts that are most appropriate for the 
 underserved young people to be served by the eligible entity;

    (7) promote effective communication regarding sexual health 
 among underserved young people; and

    (8) provide training and support for eligible entity 
 personnel and community members who work with underserved 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 a grantee receives 
grant funds under 

section 4, 5, 6, or 7, the grantee shall submit to 
the Secretary a report that includes--

    (1) the use of grant funds by the grantee;

    (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 purpose described in 

section 2

    (a) ; and

    (2) information about--
        (A) the number of grantees 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) Multi-Year 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 multi-year 
 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 paragraph

    (4) as paragraph

    (3) ;

    (3) in paragraph

    (3) , as redesignated by paragraph

    (2) , by 
 inserting ``or'' after the semicolon; and

    (4) by redesignating paragraph

    (7) as paragraph

    (4) .

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 
2026 through 2031. 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 
 underserved 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) is repealed.
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