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PrEP

Fact Sheet

 
 
 
 
State by State Decisions Fiscal Year 2011 Edition:
The Personal Responsibility Education Program and Title V Abstinence-Only Program
 
With the enactment of health care reform legislation, the Patient Protection and Affordable Care Act (P.L. 111-148), on March 23, 2010, the federal government created the Personal Responsibility Education Program (PREP), the first-ever, dedicated funding stream for more comprehensive approaches to sexuality education. However, the legislation also reauthorized the failed Title V abstinence-only program, which originally expired on June 30, 2009. States now may choose to apply for comprehensive sexuality education funds, abstinence-only funds, or both.
 
Personal Responsibility Education Program (PREP)
        
  • PREP totals $75 million per year in mandatory funding for a period of five years, 2010–2014, with just over $55 million dedicated to state grants. A minimum of $250,000 per year is allocated to each state.
  • Programs supported by PREP are required to provide information on both abstinence and contraception for the prevention of unintended pregnancy and sexually transmitted infections, including HIV/AIDS, with a substantial emphasis on both abstinence and contraceptive use. Programs must also address three of the following adulthood preparation topics: healthy relationships, adolescent development, financial literacy, educational and career success, and healthy life skills.
  • The grant requires no matching funds from states.
 
Title V Abstinence-Only-Until-Marriage Program
 
  • The Title V abstinence-only state-grant program totals $250 million over the next five years, 2010–2014.
  • While the guidance issued for the funding makes the program more flexible than it has been in previous years, funded programs must continue to teach abstinence to the exclusion of other topics and may in no way contradict the A–H federal definition for “abstinence education.” This prohibits discussion of contraception.
  • The grant requires states to make a match of $3 for every $4 in federal funds received.
 
 
 
 
FY2011 PREP and Title V Abstinence-Only Grant Awards
 
  • A total of 48 states, the District of Columbia, and four U.S. territories applied for FY2011 funds. Of those, 45 states, the District of Columbia, the Federated States of Micronesia, Puerto Rico, and the U.S. Virgin Islands applied for PREP; while 34 states, Guam, the Federated States of Micronesia, and Puerto Rico applied for the Title V abstinence-only program. Two states chose not to apply for either program: Indiana and North Dakota.
  • An overwhelming majority of states applied for the PREP funds. Additionally, three states and one territory that did not originally apply for FY2010 PREP funds applied for and were awarded both FY2010 and FY2011 funds during the FY2011 funding cycle, including Hawaii, Minnesota, Nevada and the U.S. Virgin Islands.
  • States that choose not to apply for FY2010 or FY2011 PREP funds become ineligible to apply for funds during subsequent years of the five-year grant. The Secretary of the U.S. Department of Health and Human Services will award three-year grants to local entities in those states using their allotted funding for Fiscal Years 2012–2014. States that will no longer be eligible to apply for FY2012 PREP funds include: Florida1, Indiana, North Dakota, Texas, and Virginia.
  • An increased number of states applied for FY11 Title V abstinence-only funds than applied for FY10 funds. Six states applied for FY11 funds that did not apply for FY10 funds, including Hawaii, Iowa, Ohio, Oklahoma, Nevada, and Wisconsin. Two additional territories applied: Guam and the Federated States of Micronesia. North Dakota applied for FY10 funds but did not apply for FY11 funds.
 
1 Florida applied for and received FY2010 PREP funds but later returned the funds to the federal government.
 
 
 
 
State/Territory
 
Awarded Title V Abstinence-Only Funds
 
Awarded PREP Funds
FY10
FY11
FY10
FY11
Alabama
X
X
X
X
Alaska
 
 
X
X
Arizona
X
X
X
X
Arkansas
X
X
X
X
California
 
 
X
X
Colorado
X
X
X
X
Connecticut
 
 
X
X
Delaware
 
 
X
X
District of Columbia
 
 
X
X
Florida
X
X
X
 
Georgia
X
X
X
X
Hawaii
 
X
X
X
Idaho
 
 
X
X
Illinois
 
 
X
X
Indiana
 
 
 
 
Iowa
 
X
X
X
Kansas
X
X
X
X
Kentucky
X
X
X
X
Louisiana
X
X
X
X
Maine
 
 
X
X
Maryland
X
X
X
X
Massachusetts
 
 
X
X
Michigan
X
X
X
X
Minnesota
X
X
X
X
Mississippi
X
X
X
X
Missouri
X
X
X
X
Montana
 
 
X
X
Nebraska
X
X
X
X
Nevada
 
X
X
X
New Hampshire
X
X
X
X
New Jersey
X
X
X
X
New Mexico
 
 
X
X
New York
X
X
X
X
North Carolina
X
X
X
X
North Dakota
X
 
 
 
Ohio
 
X
X
X
Oklahoma
 
X
X
X
Oregon
X
X
X
X
Pennsylvania
X
X
X
X
Rhode Island
 
 
X
X
South Carolina
X
X
X
X
South Dakota
X
X
X
X
Tennessee
X
X
X
X
Texas
X
X
 
 
Utah
X
X
X
X
Vermont
 
 
X
X
Virginia
X
X
 
 
Washington
 
 
X
X
West Virginia
X
X
X
X
Wisconsin
 
X
X
X
Wyoming
 
 
X
X
Guam
 
X
 
 
Fed. States of Micronesia
 
X
X
X
Puerto Rico
X
X
X
X
Virgin Islands
 
 
X
X
 
 
 
 
 
National Coalition to Support Sexuality Education National Coalition to Support Sexuality Education