BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                       AB 329


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          ASSEMBLY THIRD READING


          AB  
          329 (Weber)


          As Amended  April 13, 2015


          Majority vote


           ----------------------------------------------------------------- 
          |Committee       |Votes |Ayes                |Noes                |
          |                |      |                    |                    |
          |                |      |                    |                    |
          |----------------+------+--------------------+--------------------|
          |Education       |6-1   |O'Donnell, Chávez,  |Kim                 |
          |                |      |McCarty, Santiago,  |                    |
          |                |      |Thurmond, Weber     |                    |
          |                |      |                    |                    |
          |----------------+------+--------------------+--------------------|
          |Appropriations  |12-5  |Gomez, Bonta,       |Bigelow, Chang,     |
          |                |      |Calderon, Daly,     |Gallagher, Jones,   |
          |                |      |Eggman,             |Wagner              |
          |                |      |                    |                    |
          |                |      |                    |                    |
          |                |      |Eduardo Garcia,     |                    |
          |                |      |Gordon, Holden,     |                    |
          |                |      |Quirk, Rendon,      |                    |
          |                |      |Weber, Wood         |                    |
          |                |      |                    |                    |
          |                |      |                    |                    |
           ----------------------------------------------------------------- 


          SUMMARY:  Makes instruction in sexual health education mandatory,  
          revises human immunodeficiency virus (HIV) prevention education  








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          content, expands topics covered in sexual health education,  
          requires this instruction to be inclusive of different sexual  
          orientations, and clarifies parental consent policy.   
          Specifically, this bill:  


          1)Renames the Comprehensive Sexual Health and HIV/acquired  
            immunodeficiency syndrome (AIDS) Prevention Education Act as the  
            California Healthy Youth Act.


          2)Adds to the intended purposes of the Act, to:


             a)   Promote understanding of sexuality as a normal part of  
               human development.


             b)   Provide students with integrated, comprehensive, accurate,  
               and unbiased sexual health and HIV prevention instruction.


             c)   Provide educators with clear tools and guidance to  
               accomplish that end.


             d)   Provide students with the knowledge and skills necessary  
               to have healthy, positive, and safe relationships and  
               behaviors.


          3)Replaces the term HIV/AIDS with "HIV and AIDS," and replaces  
            "sexually transmitted disease" with "sexually transmitted  
            infection" throughout.


          4)Defines the qualifications of instructors to include knowledge  
            of "healthy relationships."









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          5)Requires instruction under this act to: 


             a)   Affirmatively recognize that people have different sexual  
               orientations and, when discussing or providing examples of  
               relationships and couples, shall be inclusive of same-sex  
               relationships.
             b)   Teach pupils about gender, gender expression, gender  
               identity, and explore the harm of negative gender  
               stereotypes.


          6)Revises a requirement that instruction and materials encourage  
            students to communicate with their parents or guardians to also  
            encourage that students communicate with "other trusted adults,"  
            and that this instruction also provide students with the  
            knowledge and skills necessary to do so.


          7)Revises a requirement that instruction and materials teach  
            respect for marriage to read:  "prepare pupils to have and  
            maintain committed relationships such as marriage."


          8)Requires that instruction and materials provide students with  
            knowledge and skills they need to form healthy relationships  
            that are based on mutual respect and affection, and are free  
            from violence, coercion, and intimidation.


          9)Revises a requirement and makes it apply to all sexual health  
            education (currently in HIV/AIDS prevention education) that  
            instruction and materials provide students with "negotiation"  
            skills (in addition to refusal skills) to assist them in  
            overcoming peer pressure.


          10)Requires that instruction on sexual health in grades 7-12 occur  








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            at least once during junior high school and once during high  
            school (in addition to HIV prevention education).  This includes  
            the requirements in existing law for comprehensive sexual health  
            education and HIV/AIDS prevention education, while also  
            requiring as part of this instruction:


             a)   The effectiveness and safety, as one federal Food and Drug  
               Administration (FDA) approved method to prevent or reduce the  
               risk of contracting HIV and other sexually transmitted  
               infections, of the use of antiretroviral medication,  
               consistent with the federal Centers for Disease Control and  
               Prevention.  


             b)   The effectiveness and safety of reducing the risk of HIV  
               transmission as a result of injection drug use by decreasing  
               needle use and needle sharing.


             c)   The treatment of HIV and other sexually transmitted  
               infections, including how antiretroviral therapy can  
               dramatically prolong the lives of many people living with HIV  
               and reduce the likelihood of transmitting HIV to others.


             d)   The facts that successfully treated HIV-positive  
               individuals have a normal life expectancy, all people are at  
               some risk of contracting HIV, and the only way to know if one  
               is HIV-positive is to get tested.


             e)   Information on students' legal rights to access local  
               resources for sexual and reproductive health care such as  
               testing and medical care for HIV and other sexually  
               transmitted infections and pregnancy prevention and care, as  
               well as local resources for assistance with sexual assault  
               and intimate partner violence.









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             f)   Information on pregnancy, including an objective  
               discussion of all legally available pregnancy outcomes,  
               including all of the following:


               i)     Parenting, adoption, and abortion.


               ii)    Information on the law on surrendering physical  
                 custody of a minor child 72 hours of age or younger.


               iii)   The importance of prenatal care.


             g)   Information on sexual harassment, sexual assault,  
               adolescent relationship abuse, intimate partner violence, and  
               sex trafficking.


          11)Expands, by increasing the topics taught in sexual health  
            education, the number of topics which may be taught to students  
            earlier than grade 7 in an age appropriate and medically  
            accurate manner.


          12)Removes the requirements that HIV instruction:


             a)   Accurately reflect the recommendations of the United  
               States Surgeon General and the National Academy of Sciences.


             b)   Emphasize compassion for persons living with HIV/AIDS.


             c)   Emphasize monogamy and avoidance of multiple sexual  
               partners as among the most effective means of preventing HIV  








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               infection.


          13)Requires that outside consultants and guest speakers have  
            knowledge of the most recent medically accurate research on the  
            relevant topics covered in their instruction.
          14)Adds sexual health to the requirements for in-service training  
            for teachers of HIV prevention education. 


          15)Clarifies that active parental consent ("opt in") policies for  
            sexual health instruction and for research and evaluation tools  
            are prohibited.


          EXISTING LAW:  


          1)Permits school districts to provide comprehensive sexual health  
            education, and places a number of requirements on districts  
            choosing to provide that instruction.  Among, these  
            requirements, instruction must be age appropriate, medically  
            accurate and objective, teach respect for committed  
            relationships and marriage, encourage students to speak with  
            their parents or guardians about human sexuality, be appropriate  
            and accessible for use with students with disabilities, and be  
            appropriate for students of all races, genders, sexual  
            orientations, and ethnic and cultural backgrounds.  


          2)Requires school districts to provide HIV/AIDS prevention  
            education, and specifies what is to be included in that  
            instruction.  Requires in-service training of instructors  
            providing HIV/AIDS prevention education.


          3)Permits instruction to be provided by outside consultants and  
            guest speakers at assemblies and requires that this instruction  
            conform to the requirements for school district instruction.








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          4)States that a parent or guardian of a student has the right to  
            excuse their child from all or part of comprehensive sexual  
            health education, HIV/AIDS prevention education, and related  
            assessments, and requires that parents be notified of this  
            right.


          FISCAL EFFECT:  According to the Assembly Appropriations  
          Committee: 


          1)Minor/absorbable costs to the California Department of Education  
            (CDE) to maintain and update CDE website and provide technical  
            assistance to local education agencies.


          2)Unknown Proposition 98/General Fund state mandated costs for  
            school districts to provide integrated HIV and sexual health  
            instruction. Many districts providing HIV prevention education  
            under current law are using integrated instructional materials.  
            Actual costs would depend on the number of school districts that  
            would have to modify curriculum. There are approximately 963,430  
            students impacted by this bill. If one-quarter of those students  
            attend schools that would need to purchase new instructional  
            materials, the statewide cost for duplicating student materials  
            would be approximately $480,000 per year.


          COMMENTS:  


          Purposes of this bill.  The author explains that this bill is  
          intended to address five topics by:


          1)Updating the HIV and AIDS prevention education to reflect  
            today's understanding of HIV and AIDS.








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          2)Ensuring that students are receiving comprehensive and accurate  
            prevention information for HIV, other sexually transmitted  
            infections, and unintended pregnancy, as well as information  
            about local health resources.


          3)Clarifying and bolstering existing requirements that instruction  
            and materials be appropriate for students of all sexual  
            orientations and genders.


          4)Clarifying the existing passive consent policy for parental  
            consent.


          5)Including new language relating to adolescent relationship abuse  
            and sex trafficking, and reinforcing a focus on healthy  
            attitudes, healthy behaviors, and healthy relationships.


          Making comprehensive sexual health education mandatory.  Current  
          law does not mandate sexual health education, but places  
          requirements on instruction that is voluntarily provided to  
          students.  While this instruction is voluntary, research has shown  
          that nearly all (96%) school districts offer a program of sexual  
          health education.  In contrast, HIV/AIDS prevention education has  
          been mandated since 1992.  This bill proposes to combine sexual  
          health education and the HIV/AIDS prevention education statutes  
          into a single, mandatory program of instruction.  Proponents of  
          this bill argue that this bill reflects the way that sexual health  
          and HIV prevention education is actually provided in schools - as  
          an integrated program of instruction.  Research has found that 93%  
          teach the two topics as one class.  


          Compliance problems.  A 2011 report from the University of  
          California, San Francisco, titled Uneven Progress: Sex Education  








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          in California Schools, found that since the last major reform in  
          this area there have been improvements in instruction, but that  
          there remain problems regarding school district compliance with  
          current law.  Among the findings:


          1)Twenty-five percent of districts discussed the required topic of  
            emergency contraception.


          2)Fifty-eight percent of districts included required information  
            about contraception in middle and high school.


          3)Twenty-five percent of districts omitted required HIV prevention  
            topics.


          4)Sixteen percent of districts taught students that condoms are  
            not an effective way to prevent pregnancy and transmission of  
            STIs.


          5)Nineteen percent of districts reported that birth control  
            methods are mentioned but that most of the instructional time  
            was spent on the benefits of abstinence.


          6)Thirty percent of districts addressed sexual orientation.


          7)Thirty-seven percent of districts did not provide required  
            teacher training.


          8)Thirty-nine percent of districts failed to provide required  
            materials in languages other than English.










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          9)Twenty-seven percent of districts failed to provide required  
            materials to make content accessible to students with  
            disabilities.


          CDE changing its interpretation of parental consent law.  Contrary  
          to significant Legislative history on this issue, the CDE has  
          advised school districts that the law permits them to adopt an  
          "opt in" policy regarding comprehensive sexual health instruction  
          (but not HIV/AIDS prevention education).  The CDE has recently  
          informed staff that it is in the process of changing this  
          interpretation, and will be advising that "opt in" policies are  
          prohibited.




          Analysis Prepared by:                                               
                          Tanya Lieberman / ED. / (916) 319-2087  FN:  
          0000713