Affordable Care Act (ACA) Abstinence Education Program


To enable States to provide abstinence education, and at the option of the State, where appropriate, mentoring, counseling, and adult supervision to promote abstinence from sexual activity, with a focus on those groups which are most likely to bear children out-of-wedlock. The Affordable Health Care Act (ACA) appropriated funding for this program through FY 2014. This program can redistribute unclaimed funds to states currently receiving funding with the provision that the funding is used for abstinence-only education in P.L. 113-235. The program has been extended through September 30, 2017 in P.L. 114-10.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Agency: Department of Health and Human Services
Office: Administration for Children and Families
Type(s) of Assistance Offered
Program Accomplishments
Fiscal Year 2014: 39 grants were awarded. Fiscal Year 2015: 39 grants have been awarded. Fiscal Year 2016: It is anticipated that 59 grants will be awarded.
Patient Protection and Affordable Care Act of 2010, Title II Role Of Public Programs, Subtitle L Maternal and Child Services

The Patient Protection and Affordable Care Act, Title II Role of Public Programs, Subtitle L, Maternal and Child Health Service, Title V, Section 2954, Public Law 111-148, 42 U.S.C. 713(c)(1)., Title V, Section 2954, Public Law 113-93, 42 U.S.C 710; The Consolidated and Further Continuing Appropriation Act of 2015, Section 229, Public Law 113-235; The Medicare Access and CHIP Reauthorization Act of 2015 , Section 214, Public Law 114-10.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Funds are allotted to 59 States and Territories to enable them to carry out abstinence education programs. Eligible applicants include the 50 United States, the District of Columbia, Puerto Rico, Virgin Islands, Guam, American Samoa, Northern Mariana Islands, Micronesia, the republic of the Marshall Islands, and the Republic of Palau.
Beneficiary Eligibility
School-age girls and boys, adolescents, at-risk populations subject to out-of-wedlock births, parents, youth serving professionals and families.
A signed letter from the authorized representative must accompany each application; it should include documentation establishing the authorized representative's authority to apply for and administer the Abstinence Education grant program funds on behalf of the State or Territory. 2 CFR 200, Subpart E - Cost Principles applies to this program.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Application procedures will be given in the Funding Opportunity Announcement (FOA).
Award Procedure
ACF recruits and trains Federal staff and contractors to review applications. Program administrators review, observe, and edit comments of reviewers to ensure they are in compliance with guidelines and Federal law. Applications are rated “Approved,” “Approved with Conditions,” or “Approval Pending.” States that submit applications that are “Approved” receive grant awards and do not need to send further information. States that submit applications that are “Approved with Conditions" receive grant awards with descriptions of weaknesses and subsequent conditions that must be met in order to receive “Approved” status. The applicants are given a set time period to send to ACF a response that addresses the conditions. States that submit applications that are rated “Approval Pending” receive a list of weaknesses cited by the reviewer and directions for submitting an amended application that addresses the weaknesses. The State will not receive a grant award until the State submits a satisfactory application. The applicants are notified of a final due date for submission of a satisfactory application.
Contact the headquarters or regional office, as appropriate, for application deadlines.
Approval/Disapproval Decision Time
From 30 to 60 days.
Not Applicable.
From 90 to 120 days.
How are proposals selected?
Applications are reviewed and assessed by the evaluation criteria provided in the funding opportunity announcement.
How may assistance be used?
The purpose of an allotment under subsection (a) to a State is to enable the State to provide abstinence education, and at the option of the State, where appropriate, mentoring, counseling, and adult supervision to promote abstinence from sexual activity, with a focus on those groups which are most likely to bear children out-of-wedlock.

Pursuant to Section 510(b)(2) of Title V of the Social Security Act, the term "abstinence education," for purposes of this program means an educational or motivational program that:
(A) Has as its exclusive purpose, teaching the social, psychological, and health gains to be realized by abstaining from sexual activity;
(B) Teaches abstinence from sexual activity outside marriage as the expected standard for all school age children;
(C) Teaches that abstinence from sexual activity is the only certain way to avoid out-of-wedlock pregnancy, sexually transmitted diseases, and other associated health problems;
(D) Teaches that a mutually faithful monogamous relationship in the context of marriage is the expected standard of human sexual activity;
(E) Teaches that sexual activity outside of the context of marriage is likely to have harmful psychological and physical effects;
(F) Teaches that bearing children out-of-wedlock is likely to have harmful consequences for the child, the child's parents, and society;
(G) Teaches young people how to reject sexual advances and how alcohol and drug use increases vulnerability to sexual advances; and
(H) Teaches the importance of attaining self-sufficiency before engaging in sexual activity.
What are the requirements after being awarded this opportunity?
Progress reports and financial expenditure reports are required. The Financial Status Report is required semi-annually. Specific guidance regarding data to be reported will given in the program announcement. Program guidelines allow States to expend abstinence education funds over a two-year period. An interim Financial Status Report (SF-425) is due semi-annually, and a final fiscal report is due 90 days after the end of the project period. Performance monitoring occurs by reviewing program progress reports and conducting monitoring phone calls.
In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. As described in Title V, Section 506(b)(1) of the Social Security Act, each state shall, not less often than once every 2 years, audit its expenditures from amounts received under this title.
Records of the recipient shall be made available to the Secretary to secure an accurate description of the activities for which funds were spent in achieving the purposes of this section. States shall make available copies of reports and audits for public inspection within the State. Within 30 days following the completion of each audit report, the State shall submit a copy of that audit report to the Secretary.
Other Assistance Considerations
Formula and Matching Requirements
Statutory Formula: Title V.
Matching Requirements: The statutory formula for this program is based upon census data. Grants awarded to each State are determined by a formula using the State's proportion of low-income children compared to the total number of low-income children in the U.S. based on the most recent Census data for children in poverty. For each fiscal year, the estimated allotment for each State or Territory will be updated based on the most current available census data and will be communicated to States by August 15 of the preceding fiscal year. Census data are unavailable for the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau. Thus, the allocations for these three entities are based on the amounts allocated to them by HHS in prior fiscal years. There is a required match of 43 nonfederal dollars for every 100 federal dollars. For example, if a state’s federal award is $100,000, the State must provide a match of $75,250, which would represent 43% of the total project cost of $175,000 (counting both federal grant and state match). The match can be reached by use of state dollars, local government dollars, and private dollars including foundation dollars, in-kind support, or any combination thereof.
This program does not have MOE requirements.
Length and Time Phasing of Assistance
In accordance with Section 503 of the Social Security Act, “Any amount payable to a State under this title from allotments for a fiscal year which remains unobligated at the end of such year shall remain available to such State for obligation during the next fiscal year.” For example, funds appropriated and allocated to the States in FY 2010 (starting October 1, 2009) are available for obligation and expenditures through September 30, 2011. The program was extended through FY2017 and legislation was enacted to redistribute unclaimed funds to states currently receiving funding with the provision that they use the funding for abstinence-only education. See the following for information on how assistance is awarded/released: Draw downs are based upon need and project progress.
Who do I contact about this opportunity?
Regional or Local Office
Headquarters Office
LeBretia White 1250 Maryland Ave., SW, Washington, District of Columbia 20024 Email: Phone: (202) 205-9605 Fax: (202) 205-9535
Website Address
Financial Information
Account Identification
(Formula Grants) FY 14 $35,841,891; FY 15 est $46,218,983; and FY 16 est $75,000,000 - All funds are available through the Affordable Care Act.
Range and Average of Financial Assistance
Range: $45,559 - $4,861,789 Average: $804,237 ($46,400,000 divided by 59 eligible States, Territories and the District of Columbia).
Regulations, Guidelines and Literature
Contact the Family and Youth Services Bureau central office for available literature. You may also get information on the Family and Youth Services Bureau website at the following address:
Examples of Funded Projects
Fiscal Year 2014: No Current Data Available Fiscal Year 2015: Grantees implement a wide range of program types including: in-class abstinence education, after-school abstinence education, parent education, training for abstinence educators, mentoring, counseling, adult supervision, assemblies, community retreats, conferences and other activities. Fiscal Year 2016: No Current Data Available


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