HR3527-119

What This Bill Does

The Real Education and Access for Healthy Youth Act of 2025 creates a federal sex education and sexual health services grant framework. It defines evidence-informed, comprehensive, culturally responsive, trauma-informed, inclusive sex education and describes underserved young people, gender identity, gender expression, consent, interpersonal violence, and related terms. HHS, coordinated with Education, must award five-year competitive grants for sex education at elementary and secondary schools and youth-serving organizations, prioritizing state and local educational agencies, Indian Tribes, and Tribal organizations. It also creates five-year grants for institutions of higher education, prioritizing institutions with needy students and minority-serving institutions such as Hispanic-serving institutions, Tribal Colleges and Universities, Alaska Native-serving institutions, Native Hawaiian-serving institutions, Predominantly Black Institutions, Asian American and Native American Pacific Islander-serving institutions, and other designated institutions. It creates educator-training grants for state and local educational agencies, tribes, health departments, educational service agencies, nonprofit higher education institutions, and nonprofits focused on sex education teaching. It creates five-year grants for youth-friendly sexual health services to underserved young people through youth-serving organizations and 340B covered entities. Grantees must report annually on fund use and how access increased. HHS must report annually to Congress for five years with grantee counts, activities, numbers served disaggregated and cross-tabulated by race, ethnicity, sex, sexual orientation, gender identity, and other characteristics when privacy permits. Funded activities cannot discriminate based on sex, sexual orientation, gender identity, age, parental status, race, ethnicity, national origin, disability, or religion. Federal funds cannot support programs that withhold life-saving sexuality or HIV information, are medically inaccurate, promote gender or racial stereotypes, fail to address sexually active youth, pregnant or parenting youth, survivors, young people with disabilities, or LGBTQ+ youth, or conflict with medicine and public health ethics. The bill authorizes $100 million annually for fiscal 2026 through 2031, reserving up to 30 percent for school and youth-serving sex education, up to 10 percent for higher education, up to 15 percent for educator training, up to 30 percent for underserved-youth services, at least 5 percent for reporting and evaluation, and at least 10 percent for federal research, training, technical assistance, and evaluation.

Who Benefits and How

Young people benefit from medically accurate, age-appropriate, consent-focused, inclusive sex education. Underserved young people benefit from youth-friendly sexual health services and disaggregated evaluation of access gaps. State educational agencies benefit from five-year grants for school-based sex education projects. Tribal organizations benefit from priority for school grants and eligibility for educator-training grants. Minority-serving colleges benefit from priority in higher education sex education grants. 340B covered entities benefit from grant eligibility for sexual health services to underserved youth.

Who Bears the Burden and How

HHS program staff must administer multiple grant competitions, reserve funding by category, provide reports, and evaluate impacts. Department of Education staff must coordinate school, higher education, and educator-training grant implementation. Grantees must submit annual reports and track access, activities, and disaggregated service data while protecting privacy. Programs using abstinence-only or medically incomplete content cannot use federal funds under the Act. Federal taxpayers bear $100 million per year in authorized appropriations from fiscal 2026 through 2031.

Key Provisions

• Authorizes $100 million annually from fiscal 2026 through 2031 for sex education, training, services, reporting, research, and technical assistance.
• Creates five-year grants for elementary and secondary schools, youth-serving organizations, higher education institutions, educator training, and youth-friendly sexual health services.
• Prioritizes state and local educational agencies, tribes, Tribal organizations, needy-student institutions, and minority-serving institutions.
• Requires annual grantee reports and annual HHS reports to Congress with disaggregated and cross-tabulated service data.
• Prohibits funded activities from discriminating based on sex, sexual orientation, gender identity, age, parental status, race, ethnicity, national origin, disability, or religion.
• Restricts federal funds from medically inaccurate, incomplete, stereotype-promoting, or exclusionary sex education and health services.