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B-308128 1 (2006-10-18)

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       Accountability * Integrity * Reliability
United States Government Accountability Office
Washington, DC 20548



         B-308128

         October 18, 2006

         The Honorable Michael 0. Leavitt
         Secretary of Health and Human Services

         Subject: Abstinence Education: Applicability of Section 317P of the Public Health
                 Service Act

         Dear Mr. Secretary:

         In responding to a congressional request on federal abstinence education grant
         programs, we identified a legal matter that requires the attention of the Department
         of Health and Human Services (HHS). In this regard, section 317P(c)(2) of the Public
         Health Service Act' requires certain educational materials to contain medically
         accurate information about condom effectiveness. HHS believes that this statute
         does not apply to materials prepared and used by recipients of federal abstinence
         education grants. As discussed below, we conclude that this requirement would
         apply to abstinence education materials prepared and used by federal grant
         recipients, depending upon the substantive content of those materials. We did not
         assess any particular abstinence education materials for compliance with section
         317P(c)(2) and, therefore, reach no conclusions regarding statutory violations.
         However, in light of our conclusion, we recommend that HHS reexamine its position
         and adopt measures to ensure that, where applicable, abstinence education materials
         comply with this requirement.

         BACKGROUND

         As you know, HHS supports efforts to provide abstinence education primarily
         through grants to states, local communities, and private organizations under three
         programs. First, under section 510 of the Social Security Act,' HHS makes formula
         grants to states for the provision of abstinence education, targeting those most likely
         to have children out-of-wedlock. In addition, under section 1110 of the Social


'42 U.S.C. § 247b-17(c)(2) (2000).

'42 U.S.C. § 710 (2000 & Supp. III 2003).

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