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Personal Responsibility Education Program (PREP)

About the Personal Responsibility Education Program (PREP)

PREP funds evidence-based programs dedicated to educating adolescents on both abstinence and contraception to prevent pregnancy and STIs. PREP also educates youth on adulthood preparation topics, such as healthy relationships, parent-child communication, and financial literacy. The program targets youth age 10–19 who are homeless, in foster care, live in rural areas or in geographic areas with high teen birth rates, or come from racial or ethnic minority groups, as well as pregnant and parenting youth. PREP includes formula grants to states (or competitive grants to organizations in the states that decline the formula grants), grants to tribes and tribal organizations, and grants for research and demonstration projects to implement and evaluate innovative strategies.

PREP and the Teen Pregnancy Prevention (TPP) Program are complementary federal funding streams for teen pregnancy prevention education. They are high-quality examples of tiered, evidence-based grant making that use evidence to inform awards and continuous program improvement.

FUNDING STATUS

Status: Funded through FY 2023

On December 27, the President signed an omnibus appropriations bill, the “Consolidated Appropriations Act, 2021,” which funds the federal government through the end of FY 2021 on September 30, 2021. The bill also includes provisions that extend expiring health programs and provides some relief funding to help address the impact of the COVID-19 pandemic. 

Attached to the omnibus bill is a measure to extend the Personal Responsibility Education Program (PREP) for three years (through FY 2023) at $75 million annually. It also reauthorizes the mandatory Sexual Risk Avoidance (SRA) Program at $75 million annually for three years.            

Please see Power to Decide’s full statement on the omnibus appropriations bill.

If haven’t already seen it, we encourage you to take a look at Power to Decide’s recommendations on how the next Administration can advance reproductive well-being.

HHS TEEN PREGNANCY PREVENTION EVIDENCE REVIEW

The HHS Teen Pregnancy Prevention Evidence Review is an independent, systematic, and rigorous review of evaluation studies conducted by Mathematica Policy Research and managed by the HHS Assistant Secretary for Planning and Evaluation (HHS' evidence and evaluation experts). The evidence review has identified a growing number of evidence-based teen pregnancy prevention program models that represent a variety of approaches.

The majority of State Personal Responsibility Education Program grantees use models identified by the evidence review. Tier 1 TPP Program grantees (FY 2010 - FY 2014 & FY 2015 - FY 2019) also used these models. 

On April 23, 2018, HHS released updated findings for the Teen Pregnancy Prevention Evidence Review. Four more models have demonstrated positive impacts on at least one teen sexual risk behavior or reproductive health outcome—bringing the list of evidence-based program models to 48. Also, two models already on this list now have evidence of longer-term impacts and/or youth outcomes. Past TPP Program FOAs have referenced the evidence review; the April 2018 FOAs do not, however this list still represents a valuable source of information on evidence-based programs. You can see a handy summary here.

The Teen Pregnancy Prevention Evidence Review is included in the Results First Clearinghouse Database, a project of the Pew-MacArthur Results First Initiative.

ADDITIONAL RESOURCES

PREP Specific Resources 

State-specific resources

Key Messages to Use in Your Outreach

  • 85% of adults (including 75% of Republicans and 89% of Democrats) favor maintaining federal funding for the TPP Program and PREP
  • Due to the 64% decline in the teen birth rate between 1991 and 2015, the U.S. saved $4.4 billion in public spending in 2015 alone. If all teens were able to avoid unplanned pregnancy and childbearing, the U.S. could save an additional $1.9 billion each year. (Find state specific information here)

Pregnancy Assistance Fund

The Pregnancy Assistance Fund (PAF) is administered by the Office of Population Affairs. It provides $25 million annually from FY2010–2019 for competitive grants to states, tribes, and territories to support pregnant and parenting teens and women, and combat violence against pregnant women. Projects helped teens in high schools and community service centers and young women in institutions of higher education complete school and gain access to health care, childcare, family housing, and other critical supports. For the most recent period, were 23 grantees in 22 states. Read more information about PAF here

Current Status: Funding for PAF ended on June 30, 2020. Power to Decide is working with the Healthy Teen Network to extend PAF. We’re very pleased that bipartisan bills have been introduced in both the House in Senate to reauthorize PAF for 5 years--which is just the first step in the process. We will update you as we know more.

Latest Action: 

- In December 2020, Reps. Spanberger (D-VA) and Cole (R-OK) introduced a bipartisan stand-alone bill HR 8862 to reauthorize PAF for 5 years. While this is not likely to result in reauthorization before the end of the calendar year, we are hopeful it is an important step toward reauthorization in the new Congress. If you are from Virginia or Oklahoma, please thank Rep. Spanberger or Cole respectively for working together to reauthorize PAF and continue to support pregnant and parenting young people and their children

- In July 2019, Senators Murkowski (R-AK) and Casey (D-PA) introduced a bipartisan stand-alone bill to reauthorize PAF for five years, at $25 million annually (S 2296). 

- On February 10, 2020, the President's FY 2021 budget was released, and it proposed ending PAF. You can read our full statement on the President's budget proposal here. It is important to note that the President's budget is merely a proposal. It signals the President's priorities, but Congress ultimately controls the purse.

If you can advocate, we are asking local, state, tribal, and national organizations to sign on to this PAF support letter.

Resources

FY 2019 to FY 2021 Budget Chart 

Research

A Maternal and Child Health Journal supplement highlighting the Pregnancy Assistance Fund (PAF) program has been published. The supplement includes 19 articles with information about the PAF program, PAF grantees’ promising approaches, implementation experiences, lessons learned, systematic reviews, evaluation data, and related research analyses.