BILL ANALYSIS                                                                                                                                                                                                    Ó



          SENATE COMMITTEE ON EDUCATION
                              Senator Carol Liu, Chair
                                2015 - 2016  Regular 

          Bill No:              AB 329              
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          |Author:    |Weber                                                |
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          |Version:   |April 13, 2015                                       |
          |           |Hearing Date:     July 1, 2015                       |
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          |Urgency:   |No                      |Fiscal:     |Yes            |
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          |Consultant:|Lynn Lorber                                          |
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          Subject:  Pupil instruction:  sexual health education

            SUMMARY
          
          This bill requires schools to provide comprehensive sexual  
          health education, and modifies the currently required components  
          of sexual health education and HIV/AIDS prevention education.

            BACKGROUND
          
          Current law:

       1)Authorizes school districts to provide comprehensive sexual  
            health education, as specified, consisting of age-appropriate  
            instruction, in any grade, using instructors trained in the  
            appropriate courses.  School districts that elect to offer  
            comprehensive sexual health education must meet all of the  
            following criteria:

             a)   Instruction and materials must be age appropriate.

             b)   All factual information presented must be medically  
               accurate and objective.

             c)   Instruction and materials must encourage a student to  
               communicate with his or her parents about human sexuality,  
               teach respect for marriage and committed relationships.

             d)   Beginning in grade 7, instruction and materials must  
               teach that abstinence is the only certain way to prevent  







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               pregnancy and sexually transmitted diseases, provide  
               information other methods of preventing pregnancy and  
               sexually transmitted diseases, how sexually transmitted  
               diseases are and are not transmitted, information on local  
               resources for testing and medical care, and information on  
               the effectiveness and safety of all federal Food and Drug  
               Administration approved contraceptive methods.  (Education  
               Code § 51933)

       2)Requires school districts to ensure that all students in grades  
            7-12 receive HIV/AIDS prevention education, as specified, from  
            instructors trained in the appropriate courses.  Each student  
            must receive this instruction at least once in junior high or  
            middle school and at least once in high school.  (EC § 51934)

       3)Provides that parents have the right to excuse their child from  
            all or part of comprehensive sexual health education, HIV/AIDS  
            prevention education, and assessment related to that  
            education.  Current law requires school districts to notify  
            the parent of each student about instruction in sexual health  
            and HIV/AIDS prevention and research on student health  
            behaviors and risks planned for the coming year.  (EC § 51938)

           ANALYSIS
          
          This bill requires schools to provide comprehensive sexual  
          health education, and modifies the currently required components  
          of sexual health education and HIV/AIDS prevention education.   
          Specifically, this bill:

       1)Requires schools districts to ensure all students in grades 7-12  
            receive comprehensive sexual health education, and merges  
            existing statutes related to comprehensive sexual health  
            education and HIV prevention education.  Requires students to  
            receive this instruction at least once in junior high or  
            middle school and at least once in high school.

       2)Retains the authority for schools to provide age-appropriate  
            comprehensive sexual health education in grades K-6.  

       3)Modifies and expands the components that are required to be  
            included in sexual health education and HIV prevention  
            instruction:









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             a)   Modifies information about the effectiveness and safety  
               of federal Food and Drug Administration approved methods of  
               prevention to include prevention of HIV and other sexually  
               transmitted infections (in addition to preventing  
               pregnancy).

             b)   Adds information about 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)   Adds information about the treatment of HIV and other  
               sexually transmitted infections.

             d)   Adds information about students' legal rights to access  
               local resources for sexual and reproductive health care  
               such as testing and medical care for sexually transmitted  
               infections other than HIV, and pregnancy prevention and  
               care.

             e)   Requires instruction on pregnancy to include an  
               objective discussion of all legally available pregnancy  
               outcomes, including:

                   i)     Parenting, adoption, and abortion.

                   ii)    The importance of prenatal care.

       4)Modifies and expands criteria that comprehensive sexual health  
            and HIV prevention education must meet to include the  
            following:



               a)        All instruction and materials must be aligned  
               with and support the stated purposes of comprehensive  
               sexual health and HIV prevention education, and may not be  
               in conflict with any of those purposes.

               b)        Adds "English learners" to characteristics (race,  
               gender, sexual orientation, ethnic and cultural  
               backgrounds, students with disabilities) for which  
               instruction and materials must be appropriate.









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               c)        Instruction and materials must affirmatively  
               recognize that people have different sexual orientations  
               and, when discussing or providing examples of relationships  
               and couples, be inclusive of same-sex relationships.

               d)        Instruction and materials must teach students  
               about gender, gender expression, gender identity, and  
               explore the harm of negative gender stereotypes.

               e)        Adds "other trusted adults" with whom students  
               are encouraged, by instruction and materials, to  
               communicate.  Adds that instruction and materials are to  
               provide the knowledge and skills necessary to communicate  
               with a parent or other trusted adult about human sexuality.

               f)        Modifies what instruction and materials are to  
               teach from "respect for marriage and committed  
               relationships" to "the value of and prepare students to  
               have and maintain committed relationships such as  
               marriage."

               g)        Instruction and materials must 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.

               h)        Expands the provisions of knowledge and skills  
               for making and implementing healthy decisions about  
               sexuality to include negotiation and refusal skills to  
               assist students in overcoming peer pressure and using  
               effective decision-making skills to avoid high-risk  
               activities.

       5)Expands currently-required in-service training for school  
            personnel who provide instruction in HIV prevention to include  
            training on comprehensive sexual health education.   

       6)Clarifies that outside consultants and guest speakers providing  
            instruction must have expertise in sexual health education and  
            HIV prevention, and specifies that consultants and guest  
            speakers must have knowledge of the most recent medically  
            accurate research on the related topics.









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       7)Clarifies the existing parental opt-out (passive consent), and  
            specifically prohibits school districts from requiring active  
            parental consent (opt-in).

       8)Expands exclusions from being considered sexual education (does  
            not discuss human reproductive organs and their functions) to  
            include presentations or programming, and topics of discussion  
            to include gender identity, gender expression, discrimination,  
            harassment, bullying, intimidation, and relationships.

       9)Changes "HIV/AIDS prevention" to "HIV prevention," "family  
            planning" to "contraception," and "sexually transmitted  
            diseases" to "sexually transmitted infections."

          STAFF COMMENTS
          
       1)Need for the bill.  According to the author, "HIV prevention  
            education is mandated in California schools.  But the law,  
            written in 1992, is outdated and doesn't address the broader  
            context of HIV prevention.  For example, instruction that is  
            fundamental to equipping students to understand and prevent  
            HIV is currently relegated to non-mandated comprehensive  
            sexual health education.  A 2011 survey by the University of  
            California, San Francisco, found that many California schools  
            were out of compliance with existing law.  For instance, over  
            one-quarter of surveyed schools omitted required HIV  
            prevention topics, and 16% even taught the medically  
            inaccurate information that condoms are not effective."

       2)Mandatory sexual health education.  Current law does not mandate  
            sexual health education; school districts may choose to  
            provide sexual education but must ensure that the instruction  
            meets specified criteria, such as be medically accurate and  
            objective.  According to the Assembly Education Committee  
            analysis, while this instruction is voluntary, research has  
            shown that nearly all (96%) school districts offer a program  
            of sexual health education.  HIV/AIDS prevention education has  
            been mandated since 1992.  This bill combines sexual health  
            education and the HIV prevention education provisions into a  
            single, mandatory program of instruction.  

       3)Related and prior legislation.

       RELATED LEGISLATION








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       AB 517 (Gallagher, 2015) requires school districts to provide time  
            for parents to inspect educational materials used in sexual  
            health education and HIV/AIDS prevention education, authorizes  
            parents to make copies at the school of written materials, and  
            requires existing parental notification to include information  
            about the expertise of any guest speaker or outside consultant  
            in sexual health education and HIV/AIDS prevention education.   
            AB 517 is pending in the Senate Appropriations Committee.

       PRIOR LEGISLATION

       SB 1165 (Mitchell, Ch. 713, 2014) requires the Instructional  
            Quality Commission to consider including in the next revision  
            of the health framework, instruction on sexual abuse and sex  
            trafficking prevention.

       AB 2016 (Campos, Ch. 809, 2014) requires the State Board of  
            Education to consider including age-appropriate content on  
            sexual abuse and sexual assault awareness and prevention in  
            the next revision of the health content standards.  





          SUPPORT
          
          ACCESS Women's Health Justice
          AIDS Project Los Angeles
          American Civil Liberties Union
          American Congress of Obstetricians and Gynecologists
          American Federation of State, County and Municipal Employees
          American Nurses Association of California
          Bay Area Communities for Health Education
          Business & Professional Women of Nevada County
          California Association for Health, Physical Education,  
          Recreation and Dance
          California Association of School Health Educators
          California Conference of Local Health Officers
          California Family Health Council
          California Immigrant Policy Center
          California Latinas for Reproductive Justice
          California School Boards Association








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          California State PTA
          California Teachers Association
          Citizens for Choice
          Community Clinic Association of Los Angeles County
          Fresno Barrios Unidos
          Gay-Straight Alliance Network of California
          GSA Network of California
          Health Connected
          Health Initiatives for Youth
          Hollywood Homeless Youth Partnership
          Latino Health Alliance
          National Association of Social Workers, California Chapter
          National Council of Jewish Women, Los Angeles
          Oakland Unified School District
          Physicians for Reproductive Health
          Planned Parenthood Action Fund of Santa Barbara, Ventura, and  
          San Luis Obispo 
               Counties
          Planned Parenthood Action Fund of the Pacific Southwest
          Planned Parenthood Advocacy Project Los Angeles County
          Planned Parenthood Affiliates of California
          Planned Parenthood Mar Monte
          Planned Parenthood Northern California Action Fund
          Planned Parenthood of Orange and San Bernardino
          Planned Parenthood Pasadena and San Gabriel Valley
          Positive Women's Network-USA
          Public Health Institute's Center for Research on Adolescent  
          Health and Development
          San Francisco Unified School District
          Superintendent of Public Instruction, Tom Torlakson
          Teen Success
          Women's Community Clinic
          Numerous individuals

            OPPOSITION
           
           California Right to Life Committee
          Capitol Resource Institute
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