81R6413 YDB/KKA-F By: Strama H.B. No. 1694 A BILL TO BE ENTITLED AN ACT relating to the improvement of women's health by providing certain services and information related to unintended pregnancies and sexually transmitted diseases. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. SHORT TITLE. This Act may be cited as the Texas Prevention Works Act. SECTION 2. OUTREACH. Subchapter B, Chapter 531, Government Code, is amended by adding Section 531.095 to read as follows: Sec. 531.095. IMPLEMENTATION OF MEASURES TO ACHIEVE CASELOAD AND COST-SAVINGS ESTIMATES. (a) To attain the state and federal cost-savings and reduced rates of unintended pregnancies estimated in the waiver application, or any renewal waiver application, submitted to the Centers for Medicare and Medicaid Services for implementation of the demonstration project authorized under Section 32.0248, Human Resources Code, the commission shall implement effective education, outreach, and other measures designed to increase participation in the demonstration project and through the increased participation achieve the caseload and cost-saving estimates stated in the waiver application. (b) The commission, in complying with Subsection (a), may not take any action to decrease the level of programs and services designed to reduce the number of unintended pregnancies and lower the rates of sexually transmitted diseases to below the level of programs and services provided on September 1, 2009. SECTION 3. EDUCATION. Section 28.004, Education Code, is amended by amending Subsections (e) and (i) and adding Subsections (m) and (n) to read as follows: (e) Any course materials and instruction relating to human sexuality, sexually transmitted diseases, or human immunodeficiency virus or acquired immune deficiency syndrome shall be selected by the board of trustees with the advice of the local school health advisory council and must: (1) be medically accurate; (2) present abstinence from sexual activity as the preferred choice of behavior in relationship to all sexual activity for unmarried persons of school age; (3) [(2)] devote more attention to abstinence from sexual activity than to any other behavior; (4) [(3)] emphasize that abstinence from sexual activity, if used consistently and correctly, is the only method that is 100 percent effective in preventing pregnancy, sexually transmitted diseases, infection with human immunodeficiency virus, [or] acquired immune deficiency syndrome, and the emotional trauma associated with adolescent sexual activity; (5) [(4)] direct adolescents to a standard of behavior in which abstinence from sexual activity before marriage is the most effective way to prevent pregnancy, sexually transmitted diseases, [and] infection with human immunodeficiency virus, and [or] acquired immune deficiency syndrome; and (6) [(5)] teach contraception and condom use in terms of human use reality rates instead of theoretical laboratory rates, if instruction on contraception and condoms is included in curriculum content. (i) Before providing human sexuality instruction to students, a [A] school district shall provide written notice to [notify] a parent of each student enrolled in the district. The notice must include [of]: (1) a summary of the basic content of the district's human sexuality instruction to be provided to the student, with a statement informing the parent that the instruction is required by state law to: (A) present abstinence from sexual activity as the preferred choice of behavior in relationship to all sexual activity for unmarried persons of school age; and (B) devote more attention to abstinence from sexual activity than to any other behavior; [and] (2) a statement of whether the instruction is considered by the district to be abstinence-only instruction or comprehensive instruction, including an explanation of the difference between those types of instruction and a specific statement regarding whether the student will receive information on contraception and condom use; (3) if the instruction will include information on contraception and condom use, a statement that state law requires the information to be taught in terms of human use reality rates; (4) a statement of the parent's right to: (A) review curriculum materials under Subsection (j); and (B) remove the student from any part of the district's human sexuality instruction, without subjecting the student to any disciplinary action, academic penalty, or other sanction; and (5) information describing the opportunities for parental involvement in the development of curriculum to be used in the instruction, including information regarding the council established under Subsection (a). (m) The board procedure adopted under Section 26.011 applies to a complaint filed regarding a right guaranteed by this section. (n) In this section: (1) "Abstinence-only instruction" means instruction that does not include information about preventing pregnancy, sexually transmitted diseases, infection with human immunodeficiency virus, or acquired immune deficiency syndrome through any means other than total abstinence from sexual activity. (2) "Medically accurate" means information that is: (A) verified or supported by the weight of research conducted in compliance with accepted scientific methods; (B) published in peer-reviewed journals; and (C) recognized as accurate, objective, and complete by mainstream professional organizations and agencies with expertise in the relevant field, including the federal Centers for Disease Control and Prevention, the American College of Obstetricians and Gynecologists, the American Academy of Pediatrics, the American Public Health Association, the American Academy of Family Physicians, the Infectious Disease Society of America, and the American Psychological Association. SECTION 4. WAIVER. If before implementing any provision of this Act a state agency determines that a waiver or authorization from a federal agency is necessary for implementation of that provision, the agency affected by the provision shall request the waiver or authorization and may delay implementing that provision until the waiver or authorization is granted. SECTION 5. EFFECTIVE DATE. This Act takes effect September 1, 2009.