93.092: Affordable Care Act (ACA) Personal Responsibility Education Program
Alternate Name: PREP
Sept. 13, 2022
Sept. 13, 2022
The purpose of this program is to support projects that educate youth between 10 and 19 years of age and pregnant and parenting youth under age 21 on abstinence and contraception for the prevention of pregnancy and sexually transmitted infections (STIs), including human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS). Funds will support the implementation of projects that replicate evidence-based, effective programs, or substantially incorporate elements of effective programs that have been proven on the basis of rigorous scientific research to change behavior, which means delaying sexual activity, increasing condom or contraceptive use for sexually active youth, or reducing pregnancy among youth. Projects are further required to incorporate at least three of six adulthood of six adult preparation subjects, to include healthy life skills, adolescent development, parent-child communication, financial literacy, educational and career success, and healthy relationships. The overall goal of the Competitive PREP program is to educate adolescents on both abstinence and contraception for the prevention of pregnancy and STIs, including HIV/AIDS. The following are objectives of the Competitive PREP program: 1. Replicate evidence-based effective programs or incorporate elements of effective programs that are proven to change behaviors, including delaying sexual activity, increasing condom and contraceptive use for sexually active youth, or reducing pregnancy among youth; 2. Implement curricula that includes medically accurate information (referenced in peer-reviewed publications by educational, scientific, governmental, or health organizations) and is age-appropriate, culturally appropriate, and inclusive; 3. Promote successful and healthy transition to adulthood through the implementation of at least three of six adulthood preparation subjects; and 4. Target prevention education to youth between the ages of 10 and 19, or pregnant and parenting youth under 21 years of age, who are at high-risk for becoming pregnant or who have special circumstances.
Type of Assistance
B - Project Grants (Discretionary)
This program has a total annual appropriation of $75,000,000 from which funds in the amount of $55,250,000 are allocated annually to fund 59 states and territories to enable them to carry out Personal Responsibility Education Programs (PREP). Eligible applicants include the 50 United States, the District of Columbia, Puerto Rico, Virgin Islands, Guam, American Samoa, Northern Mariana Islands, Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau. States or territories that did not apply for funding in FY 2010 or 2011, are no longer eligible to apply for this program for the five year project period and their allotments are made available as Competitive PREP grants to community-based organizations for the same State or territory. Competitive PREP eligible applicants are organizations or entities, including faith-based organizations or consortia, located in the following states or territories only: Florida, Indiana, Kansas, North Dakota, Texas, Virginia, American Samoa, and Marshall Islands. Funds ($10,000,000) were reserved to award PREP Innovative Strategies (PREIS) grants to entities to implement innovative youth pregnancy prevention strategies and target services to high-risk, vulnerable, and culturally under-represented youth populations. Funds ($3,250,000) were reserved for Tribal PREP grants to Indian tribes and tribal organizations. Funds ($6,500,000) were reserved for program support that may be provided directly or through a competitive award process. Program support includes research, training and technical assistance, providing consultation and resources on a broad array of teen pregnancy prevention strategies, and developing materials to support grant activities. Funds shall also be reserved to evaluate PREP programs and activities.
PREP will provide services to adolescents and young adults. Applicants are encouraged to serve youth populations that are the most high-risk or vulnerable for pregnancies or otherwise have special circumstances, including youth in and aging of out foster care, homeless youth, youth with HIV/AIDS, victims of human trafficking, pregnant youth who are under 21 years of age, mothers who are under 21 years of age, and youth residing in areas with high birth rates for youth. Applicants must include the most recent pregnancy data for the State for youth ages 10 to 14 and youth ages 15-19, the most recent birth rates among the same age groups, and trends in those rates for the most recently preceding 5-year period for which data are available.