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NEW YORK

New York received $10,648,287 in federal funds for
abstinence-only-until-marriage programs in Fiscal Year 2005.1

New York Sexuality Education Law and Policy

Health education is required for all students in kindergarten through twelfth grade in New York. This instruction must provide information about HIV/AIDS, including how to prevent its transmission. Health education is taught by classroom teachers in kindergarten through sixth grade and by certified health teachers in grades seven through twelve. In grades seven through twelve, health education must be a separate one-half year course.

All HIV/AIDS education must “provide accurate information to pupils concerning the nature of the disease, methods of transmission, and methods of prevention.” This instruction must be age-appropriate and consistent with community values and “shall stress abstinence as the most appropriate and effective premarital protection against AIDS.”

Each local school board must establish an advisory council to make recommendations on HIV/AIDS instruction. The state does not require or suggest a specific curriculum, but does have the Learning Standards for Health, Physical Education, and Family and Consumer Sciences, which provides a curriculum framework. The framework does not specifically mention sexuality education though certain areas of sexuality education are implied.

Parents may exempt their children from HIV/AIDS classes as long as the school is given “assurance that the pupil will receive such instruction at home.” This is referred to as an “opt-out” policy.

See New York Commissioner's Regulations 135.3 and Learning Standards for Health, Physical Education, and Family and Consumer Sciences.

Recent Legislation

Healthy Teens Act Introduced

Assembly Bill 6619B and Senate Bill 5121, introduced in March and April 2005 respectively and referred to their own Committees on Health, would establish an age-appropriate sexuality education grant program with the intent of providing “at-risk adolescents with the information, assistance, skills, and support to enable them to make responsible decisions, including abstaining from sexual intercourse and for those who do become sexually active, the use of condoms or contraceptives effectively.” The bill outlines the parameters of such programs, including requirements that they be medically accurate and provide information on contraceptives.

AB 6619B passed the House but there was no action in the Senate.  The House must pass it again during the 2006 session.

Events of Note

New York Still Requires EC Prescription
August 2005; NY

New York Governor George Pataki (R) vetoed a law in early August 2005 that would have made emergency contraception (EC) available without a prescription in pharmacies across the Empire State. The bill—approved by the State Assembly in January and by the State Senate in June—would have allowed pharmacists and nurses to dispense EC without a physician's prescription using blanket prescriptions (ones that do not name a specific patient) issued by physicians, certified nurse midwives, or certified nurse practitioners.

Governor Pataki explained that his primary concerns with the bill were that there were no age restrictions limiting the access of EC for women under the age of 16 and no limit to the number of doses that could be purchased at one time. The Governor also cited the pending federal FDA ruling on the matter. In a clear indication that the Governor sought any excuse imaginable to veto the legislation, he even argued that the bill would allow men to purchase emergency contraception in an effort to persuade young women to engage in intercourse. Pataki suggested that he is open to approving a revised bill that includes an age restriction and patient counseling requirements.

Supporters of the bill believe that Governor Pataki is using the veto to appeal to conservative voters because he plans to seek the 2008 Republican presidential nomination. “The Governor's failure to enact the Unintended Pregnancy Prevention Act is a tragedy for the women of New York State,” said JoAnn M. Smith, president and CEO of Family Planning Advocates of New York State. “Emergency contraception can prevent unintended pregnancy, but it is only effective if taken in a timely manner.”

Teen Girls Required to Present Results of STD and Pregnancy Tests
February 2004; New York, NY

In June 2003, New York City school administrators allegedly forced approximately 10 young women in eighth-grade to be tested for pregnancy and sexually transmitted disease (STDs) after they skipped school to attend a “hooky party” where sexual activity reportedly occurred.

According to a lawsuit filed by the New York Civil Liberties Union (NYCLU) on behalf of two of the young women, after hearing of the party, school officials decided that rather than give detention or other common punishment to the young women, they would instead require them to undergo medical tests for pregnancy and STDs and show school officials the results. Initially, some of the young women brought notes stating that they had been to the doctor but they were told they would not be able to return to Intermediate School 164 unless they brought a doctor's note specifically describing their test results.

“What [the school] did is completely unheard of….It violates their right to privacy. It violated their right to go to school. It violated their right not to be subjected to summary punishment,” said the executive director of the NYCLU.2 “There seems to be an assumption here that if they had tested positive for pregnancy or for an STD that they would not have been allowed back in the school. That's clearly wrong under the law.”3 She also pointed out that one male student from the school attended the party but as far as she knew he was not required to be tested for STDs.

In the lawsuit, the girls asked for an apology from the New York Department of Education, for their confidential medical information to be returned to them, and for the information on this disciplinary action to be stricken from their records. In addition, they asked that the staff receive training on respecting students' privacy.

The NYCLU originally learned about the party and the school's response from medical professionals at the free clinic where many of the girls had gone to get tested. A physician who screened several of the girls said, “I was outraged, basically.”4 He pointed out that “having teens presented to me as a punishment jeopardizes their trust to future relationships with me and their future care providers.”5

According to school officials, there is some discrepancy about what actually occurred and what had been required. One official with the Department of Education, who wished to remain anonymous, said that a policy of preventing young people from attending school based upon forced medical testing would never be supported. He said that there were certain factual issues that needed to be resolved with the case.6 However, one of the young women was quite clear on what happened. “The principal said that if we didn't get the tests we couldn't come back,” she said.7

In February 2004, the city settled the federal lawsuit. As part of the settlement, the s chool revised a policy regarding medical tests for students and created new guidelines that explain officials cannot order tests for pregnancy or sexually transmitted diseases. In addition, schools cannot require students to say whether they are pregnant or have a disease. The financial aspects of the settlement were not disclosed.

New York's Youth: Statistical Information of Note8

  • In 2005, 39% of female high school students and 45% of male high school students in New York reported ever having had sexual intercourse compared to 46% of female high school students and 48% of male high school students nationwide.

  • In 2005, 3% of female high school students and 9% of male high school students in New York reported having had sexual intercourse before age 13 compared to 4% of female high school students and 9% of male high school students nationwide.

  • In 2005, 9% of female high school students and 16% of male high school students in New York reported having had four or more lifetime sexual partners compared to 12% of female high school students and 17% of male high school students nationwide.

  • In 2005, 29% of female high school students and 29% of male high school students in New York reported being currently sexually active (defined as having had sexual intercourse in the three months prior to the survey) compared to 35% of female high school students and 33% of male high school students nationwide.

  • In 2005, among those high school students who reported being currently sexually active, 66% of females and 76% of males in New York reported having used condoms the last time they had sexual intercourse compared to 56% of females and 70% of males nationwide.

  • In 2005, among those high school students who reported being currently sexually active, 14% of females and 13% of males in New York reported having used birth control pills the last time they had sexual intercourse compared to 21% of females and 15% of males nationwide.

  • In 2005, among those high school students who reported being currently sexually active, 15% of females and 23% of males in New York reported having used alcohol or drugs the last time they had sexual intercourse compared to 19% of females and 28% of males nationwide.

  • In 2005, 89% of high school students in New York reported having been taught about AIDS/HIV in school compared to 88% of high school students nationwide.

  • In 2000, New York's abortion rate was 46 per 1,000 women ages 15–19 compared to a teen abortion rate of 24 per 1,000 nationwide.9

  • In 2002, New York's birth rate was 30 per 1,000 women ages 15–19 compared to a teen birth rate of 43 per 1,000 nationwide.10

New York, New York

  • In 2005, 43% of female high school students and 52% of male high school students in New York City reported ever having had sexual intercourse compared to 46% of female high school students and 48% of male high school students nationwide.

  • In 2005, 5% of female high school students and 17% of male high school students in New York City reported having had sexual intercourse before age 13 compared to 4% of female high school students and 9% of male high school students nationwide.

  • In 2005, 12% of female high school students and 24% of male high school students in New York City reported having had four or more lifetime sexual partners compared to 12% of female high school students and 17% of male high school students nationwide.

  • In 2005, 30% of female high school students and 30% of male high school students in New York City reported being currently sexually active (defined as having had sexual intercourse in the three months prior to the survey) compared to 35% of female high school students and 33% of male high school students nationwide.

  • In 2005, among those high school students who reported being currently sexually active, 63% of females and 77% of males in New York City reported having used condoms the last time they had sexual intercourse compared to 56% of females and 70% of males nationwide.

  • In 2005, among those high school students who reported being currently sexually active, 6% of females and 9% of males in New York City reported having used birth control pills the last time they had sexual intercourse compared to 21% of females and 15% of males nationwide.

  • In 2005, among those high school students who reported being currently sexually active, 11% of females and 22% of males in New York City reported having used alcohol or drugs the last time they had sexual intercourse compared to 19% of females and 28% of males nationwide.

  • In 2005, 85% of high school students in New York City reported having been taught about AIDS/HIV in school compared to 88% of high school students nationwide.

Title V Abstinence-Only-Until-Marriage Funding

New York received $3,676,827 in federal Title V funding in Fiscal Year 2005. The Title V abstinence-only-until-marriage grant requires states to provide three state-raised dollars or the equivalent in services for every four federal dollars received. The state match may be provided in part or in full by local groups. New York matches federal funding with $2,600,000 of state funds.

The majority of this funding is distributed to 33 sub-grantees. Eight out of 33 sub-grantees are Catholic organizations. For information on some of these sub-grantees, please see the Community-Based Abstinent Education (CBAE) section. Some of the remaining funding supports a statewide media campaign, which is designed to supplement the local grants.

Community-Based Abstinence Education (CBAE)11 and Adolescent Family Life Act (AFLA) Grantees

There are ten CBAE grantees in New York State: Adolescent and Family Comprehensive Services; Be'er Haolah Institutes; Boys and Girls Club of Buffalo; Builders for Youth and Family; Catholic Charities of Buffalo/ProjecTruth; Catholic Charities of Chemug and Schuyler; Catholic Charities of Southern Tier/Schuyler Office; Hope Initiative CDC; Jewish Child Care Association; and Program REACH.

There are six AFLA grantees in New York: Be'er Haolah Institutes; Builders for Youth and Family; Catholic Charities/Syracuse (Neighborhood Centers); Educators for Children, Youth, and Families; Our Lady of Lourdes Memorial Hospital; and St Luke's Roosevelt Institute for Health Sciences.

Catholic Charities of Buffalo/Monsignor Carr Institute runs ProjecTruth, a curriculum funded by its CBAE grant that focuses on character and abstinence education. In answer to the question, “Why ProjecTruth ?,” the website explains that contraception “provides a dangerous false sense of security, sets expectation of failure, rationalizes undesired behavior, and minimizes the message regarding emotional and psychological consequences.” It also states that, “psychological consequences facing teens are regret and self-recrimination, loss of self respect/self esteem, rage over betrayal, depression and suicide, and stunted personal development.”

ProjecTruth consists of a character component and an abstinence component. The character component, titled Love & Life at the Movies, “provides students with visual and dynamic examples of character and virtue through viewing and discussion of one of four different classic films.” The abstinence component uses the A.C. Green's Game Plan, a widely used curriculum which the website explains “uses a sports-themed approach to understanding the benefits of abstinence until marriage.”

SIECUS reviewed Game Plan and found that in order to convince high school students to remain abstinent until marriage, the curriculum relies on messages of fear and shame, inaccurate and misleading information, and biased views of marriage, sexual orientation, and family structure. In addition, Game Plan fails to provide important information on sexual health including how students can seek testing and treatment if they suspect they may have an STD. Finally, the format and underlying biases of the curriculum do not allow for cultural, community, and individual values, and discourage critical thinking and discussions of alternate points of view in the classroom. For example, Game Plan states that, “even if you've been sexually active, it's never too late to say no. You can't go back, but you can go forward. You might feel guilty or untrustworthy, but you can start over again.”12

Educators for Children, Youth, & Families is based in Brooklyn, NY, and runs an after school abstinence-only-until-marriage program for 250 young people ages 10–17. It offers physical education, role-plays, and career exploration. It also offers instruction using the Choosing the Best curricula.

SIECUS reviewed two of the curricula produced by Choosing the Best, Inc.— Choosing the Best LIFE (for high school students) and Choosing the Best Path (for middle school students). These reviews found that the curricula name numerous negative consequences of premarital sexual activity and suggest that teens should feel guilty, embarrassed, and ashamed of sexual behavior. For example, Choosing the Best LIFE states that, “relationships often lower the self-respect of both partners—one feeling used, the other feeling like the user. Emotional pain can cause a downward spiral leading to intense feelings of lack of worthlessness.” Choosing the Best PATH says, “sexual activity also can lead to the trashing of a person's reputation, resulting in the loss of friends.”13

Federal and State Funding for Abstinence-Only-Until-Marriage Programs in FY 200514

Abstinence-Only-Until-Marriage Grantee

Length of Grant

Amount of Grant

Type of Grant (includes Title V, CBAE, and AFLA)

New York Department of Health

www.health.state.ny.us/

$3,676,827 federal

$2,600,000 state

Title V

Addison Central School District

 

Title V sub-grantee

Adolescent & Family Comprehensive Services

DUAL GRANTEE

2005–2008

$486,093

Title V sub-grantee

CBAE

Archdiocese of New York

 

Title V sub-grantee

Builders for Youth and Family, Diocese of Brooklyn

TRIPLE GRANTEE

2005–2008

TRIPLE GRANTEE

2005–2006

$644,201

 

$225,000

Title V sub-grantee

 

CBAE

AFLA

Caribbean Women's Health Association

 

Title V sub-grantee

Catholic Charities of Western New York/ Monsignor Carr Institute

www.ccwny.org

 

Title V sub-grantee

Catholic Charities/ Finger Lake

 

Title V sub-grantee

Catholic Charities/ Ogdensberg

www.cathcharities.org

 

Title V sub-grantee

Catholic Charities/ Oswego

 

Title V sub-grantee

Catholic Charities/ Rockville

www.catholiccharities.cc

 

Title V sub-grantee

Catholic Charities/ Syracuse (Neighborhood Centers)

DUAL GRANTEE

2005–2006

www.ccoc.us

$225,000

Title V sub-grantee

AFLA

Catholic Family Center

 

Title V sub-grantee

Cayuga County Health Department

www.co.cayuga.ny.us/
healthdept/health.html

 

Title V sub-grantee

Chatauqua County Youth Bureau

www.co.chautauqua.ny.us/
youth/youthframe.htm

 

Title V sub-grantee

Cheming County YMCA

www.chemungymca.org

 

Title V sub-grantee

Church Avenue Merchants Block Association

www.camba.org

 

Title V sub-grantee

Community of Maternity Services

www.albany.edu/cpsp/sites/c/c38.
html

 

Title V sub-grantee

Council of Community Services

www.ccsnys.org

 

Title V sub-grantee

Delaware Chenango Madison Otsego BOCES

www.dcmoboces.com

 

Title V sub-grantee

Harlem Hospital

www.harleminternalmedicine.org

 

Title V sub-grantee

Hudson City School District

 

Title V sub-grantee

Hudson River Health Center

www.hrhcare.org

 

Title V sub-grantee

Inwood House

www.inwoodhouse.com

 

Title V sub-grantee

King Urban Life Center

www.kingurbanlifecenter.org

 

Title V sub-grantee

Monroe County Health Department

www.monroecounty.gov

 

Title V sub-grantee

Mothers & Babies of South Central New York

www.mothersandbabies.org

 

Title V sub-grantee

Niagara Falls Memorial Hospital

www.nfmmc.org

 

Title V sub-grantee

North Shore/ Long Island Jewish Health System

www.northshorelij.com

 

Title V sub-grantee

Orange County Health Department

www.co.orange.ny.us

 

Title V sub-grantee

Pioneer Central School District

www.pioneer.wnyric.org

 

Title V sub-grantee

Suffolk Network on Adolescent Pregnancy

www.snapinc.org

 

Title V sub-grantee

Syracuse Model Neighborhood Facility

www.swccsyr.org

 

Title V sub-grantee

Be'er Haolah Institutes

2005–2008

DUAL GRANTEE

2005–2006

www.just-tzedakah.org

$291,102

 

$225,000

CBAE

 

AFLA

Boys and Girls Club of Buffalo

2005–2008

$750,500

CBAE

Catholic Charities of Buffalo/ ProjecTruth

2004–2007

$800,000

CBAE

Catholic Charities of Chemug and Schuyler

2005–2008

$399,551

CBAE

Catholic Charities of Southern Tier/ Schuyler Office

2002–2005

$280,000

CBAE

H.O.P.E Initiative CDC

2002–2005

$302,554

CBAE

Jewish Child Care Association

2004–2007

$797,010

CBAE

Program Reach

2005–2008

$795,449

CBAE

Educators for Children, Youth, & Family

2005-2006

$225,000

AFLA

Our Lady of Lourdes Memorial Hospital

2005–2006

www.lourdes.com

$300,000

AFLA

St. Luke's Roosevelt Hospital

2005–2006

$225,000

AFLA

Abstinence-Only-Until-Marriage Coordinator

Stephanie Sheehan
New York State Department of Health
Bureau of Child and Adolescent Health
Empire State Plaza
Corning Tower - Room 208
Albany, NY 12237
Phone: (518) 486-4966

New York Organizations that Support Comprehensive Sexuality Education

Empire State Pride Agenda
One Commerce Plaza
99 Washington Ave. Ste 805
Albany, NY 12260
Phone: (518) 472-3330
www.prideagenda.org

Family Planning Advocates of New York State
17 Elk St.
Albany, NY 12207
Phone: (518) 436-8408
www.fpaofnys.org
www.getthefactsny.org

National Education Association
of New York
217 Lark Street
Albany, NY 12210
Phone: (518) 462-6451
www.neany.org

New York AIDS Coalition
231 W. 29 th St., #1002
New York, NY 10001
Phone: (212) 629-3075
www.nyaidscoalition.org

New York Civil Liberties Union
125 Broad St.
New York, NY 10004
Phone: (212) 344-3005
www.nyclu.org

New York State United Teachers
800 Troy-Schenectady Rd.
Latham, NY 12110
Phone: (518) 213-6000
www.nysut.org

Planned Parenthood of New York City
26 Bleecker St.
New York, NY 10012
Phone: (212) 274-7200
www.ppnyc.org

Youth Organizers United
105 Washington St.
New York, NY 10006
Phone: (212) 608-6365

New York Organizations that Oppose Comprehensive Sexuality Education

Conservative Party of New York
486 78 th St.
Brooklyn, NY 11209
Phone: (718) 921-2158
www.cpnys.org

New York Family Policy Council
3 E-Comm Square
Albany, NY 12207
Phone: (518) 432-8756
www.nyfpc.org

New York State Catholic Conference
465 State St.
Albany, NY 12203
Phone: (518) 434-6195
www.nyscatholicconference.org

New York State Right to Life Committee
41 State St.
Albany, NY 12207
Phone: (518) 434-1293
www.nysrighttolife.org

Newspapers in New York

Big Apple Parent
Kirsten Matthew
Family/Parenting Editor
9 E. 38 th St.
New York, NY 10016
Phone: (212) 889-6400

The Buffalo News
Henry Davis
Health & Medicine Reporter
1 News Plz.
Buffalo, NY 14203
Phone: (716) 849-5595

The Buffalo News
Lisa Muehlbauer
Health & Medicine Assistant Editor
1 News Plz.
Buffalo, NY 14203
Phone: (716) 849-4467

The Buffalo News
Paula Voell
Family & Parenting Reporter
1 News Plz.
Buffalo, NY 14203
Phone: (716) 849-4057

Daily News
Michael Segell
Health & Medicine Editor
450 W. 33rd St.
New York, NY 10001
Phone: (212) 210-2281

Hudson Valley Parent
Leah Black
Editor
174 South St
Newburgh, NY 12550
Phone: (845) 562-3606

New York Post
Health & Medicine Editor
1211 Avenue Of The Americas
New York, NY 10036
Phone: (212) 930-8000

The New York Times
Lawrence Altman
Health & Medicine Reporter
229 W. 43 rd St.
New York, NY 10036
Phone: (212) 556-4306

The New York Times
Laura Chang
Health & Medicine Editor
229 W. 43 rd St.
New York, NY 10036
Phone: (212) 556-3634

The New York Times
Gail Collins
Editorial Page Editor
229 W. 43 rd St.
New York, NY 10036
Phone: (212) 556-7832

The New York Times
Bob Herbert
Opinion Page Columnist
229 W. 43 rd St.
New York, NY 10036
Phone: (212) 556-7229

The New York Times
Jane Karr
Education Section Editor
229 W. 43 rd St.
New York, NY 10036
Phone: (212) 556-4102

The New York Times
Leslie Kaufman
Social Issues Reporter
229 W. 43 rd St.
New York, NY 10036
Phone: (212) 556-1872

The New York Times
Gina Kolata
Medicine Reporter
229 W. 43 rd St.
New York, NY 10036
Phone: (212) 556-3658

The New York Times
Nicholas Kristof
Opinion Page Columnist
229 W. 43 rd St.
New York, NY 10036
Phone: (212) 556-7059

The New York Times
Mireya Navarro
Social Issues Reporter
229 W. 43 rd St.
New York, NY 10036
Phone: (212) 556-7356

The New York Times
Marc Santora
Health & Medicine Reporter
229 W. 43 rd St.
New York, NY 10036
Phone: (212) 556-1533

The New York Times
David Shipley
Opinion Page Editor
229 W. 43 rd St.
New York, NY 10036
Phone: (212) 556-7735

Newsday
Marci Kemen
Health & Medicine Editor
235 Pinelawn Rd.
Melville, NY 11747
Phone: (631) 843-4608

Newsday
Jamie Talan
Health & Medicine Reporter
235 Pinelawn Rd.
Melville, NY 11747
Phone: (631) 843-3026

Newsday
Judy Cartwright
Health & Medicine Editor
235 Pinelawn Rd.
Melville, NY 11747
Phone: (631) 843-4604

Newsday
Marci Kemen
Health & Medicine Deputy Editor
235 Pinelawn Rd.
Melville, NY 11747
Phone: (631) 843-4608

Newsday
Jamie Talan
Health & Medicine Reporter
235 Pinelawn Rd.
Melville, NY 11747
Phone: (631) 843-3026

The Post-Standard
Gina Ogden
Health & Medicine Editor
1 Clinton Sq.
Syracuse, NY 13202
Phone: (315) 470-2272

Press & Sun-Bulletin
Dominick Yanchunas
Health & Medicine Reporter
PO Box 1270
Binghamton, NY 13902
Phone: (607) 798-1176

Rochester Democrat and Chronicle
Heather Hare
Education Reporter
55 Exchange Blvd.
Rochester, NY 14614
Phone: (585) 258-2660

Rochester Democrat and Chronicle
Steve Sink
Education Editor
55 Exchange Blvd.
Rochester, NY 14614
Phone: (585) 232-7100

Staten Island Advance
Diane O'Donnell
Health & Medicine Editor
950 W. Fingerboard Rd.
Staten Island, NY 10305
Phone: (718) 981-1234

Times Herald Record
Beth Quinn
Health & Medicine Editor
40 Mulberry St.
Middletown, NY 10940
Phone: (845) 346-3147

Times Union
Matt Pacenza
Health & Medicine Reporter
645 Albany Shaker Rd.
Albany, NY 12211
Phone: (518) 454-5533

Times Union
Tracy Ormsbee
Health & Medicine Editor
PO Box 15000
Albany, NY 12212
Phone: (518) 454-5486

The Village Voice
Health & Medicine Editor
36 Cooper Sq.
New York, NY 10003
Phone: (212) 475-3300

The Wall Street Journal
Elyse Tanouye
Health & Medicine Editor
200 Liberty St.
New York, NY 10281
Phone: (212) 416-2110

References

  1. This refers to the fiscal year for the Federal Government, which begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, Fiscal Year 2005 begins on October 1, 2004 and ends on September 30, 2005.
  2. K. Matthews, “Lawsuit: New York Middle School Forced Pregnancy, STD Tests on Eighth-Graders,” NapaNews.com (CA), 9 July 2003.
  3. Ibid.
  4. S. Saulny and A. Goodnough, “Suit Says School Ordered Girls Tested for Diseases After Party,” The New York Times, 9 July 2003.
  5. Matthews.
  6. Saulny and Goodnough.
  7. Ibid.
  8. Unless otherwise cited, all statistical information comes from: Danice K. Eaton, et. al., “Youth Risk Behavior Surveillance—United States, 2005,” Surveillance Summaries, Morbidity and Mortality Weekly Report, vol. 55, no. SS-5 (9 June 2006): 1-108, accessed 8 June 2006, <http://www.cdc.gov/HealthyYouth/yrbs/index.htm>. Information on New York does not include New York City; information on New York City is listed separately.
  9. U.S. Teenage Pregnancy Statistics: Overall Trends, Trends by Race and Ethnicity and State-by-State Information (New York: Guttmacher Institute, February 2004), accessed 28 January 2005, <http://www.guttmacher.org/pubs/state_pregnancy_trends.pdf>.
  10. National Vital Statistics Reports 52.10 (Hyattsville, MD: National Center for Health Statistics, 2003), 48, accessed 4 February 2005, <http://www.cdc.gov/nchs/births.htm#stat%20tables>.
  11. In Fiscal Year 2004 SPRANS–CBAE was administered within the U.S. Department of Health and Human Services (HHS) by the Maternal and Child Health Bureau. In Fiscal Year 2005 this funding stream was moved to HHS' Administration for Children and Families and is now referred to simply as Community-Based Abstinence Education (CBAE).
  12. Scott Phelps and Libby Gray, A.C. Green's Game Plan (Golf, IL: Project Reality, 2001). For more information, see SIECUS' review of A.C. Green's Game Plan at <http://www.communityactionkit.org/curricula_reviews.html>.
  13. Bruce Cook, Choosing the Best LIFE (Marietta, GA: Choosing the Best Inc., 2000); Bruce Cook, Choosing the Best PATH (Marietta, GA: Choosing the Best Inc., 2000). For more information, see SIECUS' reviews of Choosing the Best LIFE and Choosing the Best PATH at <http://www.communityactionkit.org/curricula_reviews.html>.
  14. SIECUS was unable to obtain exact funding amounts for all sub-grantees.

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