Other Public Health Programs

Sexuality Education

Education is an important part of family planning and sexual health decision making. High-quality, comprehensive, and medically accurate sexuality education is essential at all stages of life, which is why education and counseling are key components of publicly funded family planning services in the United States.


NFPRHA works with its partners to ensure that all people have access to high-quality, comprehensive education about their sexual health. Specifically, NFPRHA advocates for assigning the limited federal resources for sexuality education to evidence-based programs rather than abstinence-only programs. Additionally, NFPRHA helps equip congressional champions and its members with tools and resources to fight continued efforts by conservative opponents to eliminate funding for comprehensive sexuality education programs.

Teen Pregnancy Prevention Program
NFPRHA supports funding for the Teen Pregnancy Prevention Program (TPPP), first funded through the Consolidated Appropriations Act of 2010 (Public Law 111–117). The program provides "competitive contracts and grants to public and private entities to fund medically accurate and age appropriate programs that reduce teen pregnancy." TPPP is not a sexuality eduation program but grants can be used to support educational efforts. 

NFPRHA is concerned by the shortening of TPPP grants in July 2017; while project periods were scheduled to go through 2020, grantees were notified that funding would cease in June 2018. NFPRHA is working with partners to track this situation closely. For litigation updates, please see this memo from SIECUS: Sex Ed for Social Change. 

Personal Responsibility Education Program (PREP)
In 2010, as part of the Affordable Care Act (ACA; Public Law 111-148), an additional comprehensive sexuality education program was created entitled the Personal Responsibility Education Program (PREP). NFPRHA supports this program which provides $75 million per year for the period 2010-2014 to states to provide comprehensive, medically accurate, and age-appropriate sexuality education to prevent unintended pregnancy and sexually transmitted diseases (STDs), including HIV/AIDS. PREP programs are also required to address life skills that help teens make responsible decisions that lead to safe and healthy lives. PREP's authorization expired on September 30, 2017, though talks are ongoing to renew it for another two years and grantees have not yet lost funds. 

Abstinence-Only Programs
Since 1996, the US has spent more than $1.5 billion in federal and state funding on abstinence-only programs that failed to teach teens how to prevent pregnancy or STDs, including HIV/AIDS. Recognizing the ineffectiveness, the federal government has begun to divert resources from these programs. In 2009, funding for the Community-Based Abstinence Education (CBAE) program was eliminated through the fiscal year (FY) 2010 federal appropriations process. Also in 2009, the Title V (Section 510) State Abstinence Grant Program was allowed to expire. Unfortunately, support for abstinence-only education (sometimes referred to as "Sexual Risk Avoidance" programs by abstinence-only supporters) has rebounded in Congress. President Trump brought on several abstinence-only advocates to fill key positions at the Department of Health and Human Services.

FY 2022 Funding Chart (in millions)


FY2021 Final 

Change from Previous Year (+/-)

FY2022 President's Budget

FY2022 House Labor-HHS Appropriations

FY2022 Senate Labor-HHS Appropriations

FY2022 Enacted 

Teen Pregnancy Prevention Initiative (TPPP)






Personal Responsibility Education Program (PREP)   $75 -- n/a - mandatory program  n/a  n/a  n/a
Title V Abstinence-Only-Until-Marriage   $75 -- n/a - mandatory program  n/a  n/a  n/a
Competitive Abstinence Education (CAE) Grant Program/Sexual Risk Avoidance $35 -- $35  $0 - defund  TBD  TBD
CDC Division of Adolescent School Health (DASH) $34 $1 $34  $50  TBD  TBD


For additional resources & information, access NFPRHA fact sheets and federal comments by issue or read NFPRHA's publications. 

National Family Planning & Reproductive Health Association

1025 Vermont Ave. NW, Suite 800, Washington, DC 20005
Phone: 202-293-3114  |  info@nfprha.org

© 2020 National Family Planning & Reproductive Health Association