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 Initiative
NFPRHA supports funding for the Teen Pregnancy Prevention Initiative (TPPI), 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."

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. On April 1, 2014, President Obama signed into law a one-year extension of PREP and the Title V abstinence-only-until-marriage (AOUM) program through 2015 as part of PL113-93, the Protecting Access to Medicare Act. As part of his fiscal year 2016 budget proposal, President Obama requested that that program be reauthorized for an additional 5 years at $75 million for FY 2016-2020.  

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. This program provided $50 million per year to states for abstinence-only programs. Title V, however, was reauthorized as part of the ACA in 2010 through FY 2014. The program was extended for an additional year as part of  PL113-93, the Protecting Access to Medicare Act and set to expire on December 30, 2015. As part of his fiscal year 2016 budget proposal, President Obama requested that that program not be reauthorized.   

FY 2015 Funding Chart (in millions)


FY2015 Final 

FY2016 Enacted 

Change from Previous Year (+/-)

FY2016 President's Budget

FY2016 Senate Labor-HHS Appropriations

FY2016 House Labor-HHS Appropriations

Teen Pregnancy Prevention Initiative (TPPI)







TPPI Evaluation



No Change


$0 $0
Personal Responsibility Education Program (PREP) [Mandatory]  n/a  n/a Mandatory Funded Program Proposal requests Congress pass a five-year reauthorization at $75 million for FY 2016-2020. TBD TBD
Title V Abstinence-Only-Until-Marriage [Mandatory]  n/a  n/a Mandatory Funded Program Does not include program reauthorization TBD TBD
Competitive Abstinence Education (CAE) Grant Program/Sexual Risk Avoidance $5 $10 +$5 $0 $10 $20
CDC Division of Adolescent School Health (DASH) $31.1 $31.1 +$0 $37 $31 $31


Outside Resources

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



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