Sexual Health Education Requirements in Washington State:
Frequently Asked Questions
What is my district/school required to teach related to sexual health?
HIV/AIDS Prevention is required for all students in Washington annually, through grade 12, beginning no later than 5th grade. This requirement was established by the AIDS Omnibus Act (RCW 28A.230.070).
What does the AIDS Omnibus Act require?
In addition to requiring that all students receive yearly instruction starting
no later than grade 5, HIV/AIDS prevention education must:
- Be approved for medical accuracy
- Address the life-threatening dangers of HIV/AIDS, its transmission, and its prevention
- Include behaviors that place a person at risk of contracting HIV and methods to avoid such risk
In addition, schools must:
- Provide a parent/guardian curriculum preview presentation, during weekend or evening hours (including curriculum and other materials used for instruction)
- Provide notice of the curriculum preview event at least one month prior to instruction
- Allow parents/guardians to remove students from HIV/AIDS prevention education
if they attended the preview event and if they object in writing
Is my district required to use the KNOW curriculum?
No, districts may use any curriculum that has been reviewed for medical accuracy
and coverage of required content by either the WA Department of Health (DOH) or
local experts as defined in the AIDS Omnibus Act. The KNOW curriculum, developed
by OSPI at the direction of the legislature, has undergone DOH and Centers for
Disease Control and Prevention (CDC) review and is approved for use in WA
schools. Training on use of the KNOW curriculum is provided by OSPI, but is not
required. The KNOW curriculum is available for free download on the HIV/Sexual Health Education webpage.
Is my district required to teach other sexual health content?
There are several state laws requiring specific sexual health content in the public schools:
- RCW 28A.230.020 (Common School Curriculum) requires that “all teachers shall stress the importance of…methods to prevent exposure to and transmission of sexually transmitted diseases…”
- RCW 28A.300.145 was amended by the legislature in 2013 to require that schools offering sexual health education must include “age-appropriate information about the legal elements of sexual [sex] offenses (under chapter 9A.44 RCW) where a minor is a victim and the consequences upon conviction.”
- IF schools do teach sexual health content, it must conform to the requirements of the Healthy Youth Act (HYA).
What is the Healthy Youth Act?
In September 2008, Washington State’s Healthy Youth Act (HYA) went into effect. This law, RCW 28A.300.475, relates to medically and scientifically accurate sexual health education in schools. The Healthy Youth Act requires that when teaching sexual health education, schools
must assure that the instruction:
- Is medically and scientifically accurate.
- Is age-appropriate.
- Is appropriate for students regardless of gender, race, disability status, or sexual orientation.
- Includes information about abstinence and other methods of
preventing unintended pregnancy and sexually transmitted diseases, neither to
the exclusion of the other.
- Is consistent with the 2005 Guidelines for Sexual Health
Information and Disease Prevention.
In addition, schools must (WAC 392-410-140):
- Provide at least one month’s notice to parents before teaching sexual health education.
- Allow parents/guardians to review the sexual health education
curriculum/materials offered in his or her child's school upon
filing a written request with the school district board of
directors, the principal of the school his or her child attends, or
the principal's designee.
- Allow parents to excuse their child from sexual health education
by submitting a written request.
What does “sexual health education” include?
defines sexual health education as including development (physiological,
psychological, and sociological), communication skills (intra- and
interpersonal), health care and prevention resources, healthy relationships, and
family/peer/community/media influences on healthy sexual relationships.
What does “medically and scientifically accurate” mean?
“Medically and scientifically accurate” means information that is verified or
supported by research in compliance with scientific methods, is published in
peer reviewed journals, and is recognized as accurate by objective professional
organizations and agencies with expertise in the field of sexual health,
including DOH, the CDC, and the American College of Obstetricians and
Do schools have to use a specific curriculum?
No, schools can use any curriculum/materials they choose, as long as they comply with the requirements of the Healthy Youth Act. Schools are strongly encouraged to use the expertise of DOH to determine medical and scientific accuracy
and to use the OSPI or
CDC curriculum review tools to assess consistency with the 2005 Guidelines. The HIV/Sexual Health Education page of
the OSPI website contains reports on three major curriculum reviews done jointly
by OSPI and DOH in 2009, 2011 and 2015, which assessed how commonly used
curricula address HYA requirements.
Can schools use materials that have not been reviewed by OSPI and DOH?
Yes, schools can review their own materials for compliance with the AIDS Omnibus
Act and/or Healthy Youth Act (see above), but DOH review for medical accuracy is
Can schools use the KNOW curriculum by itself and be compliant with the HYA?
No. The KNOW curriculum is an excellent tool for HIV prevention education, but
it does not provide adequate content to meet the criteria outlined in the 2005
Guidelines for Sexual Health and Disease Prevention. Schools using the
KNOW curriculum to satisfy the requirements of the AIDS Omnibus Act, who wish to
provide additional sexual health education, should supplement the curriculum
with other materials to be in alignment with the Healthy Youth Act.
Can outside speakers provide sexual health presentations in schools?
Yes, schools may offer presentations by outside speakers as long as all speakers
are in compliance with the requirements of the HYA (medically/scientifically
accurate, appropriate for all students, including information about abstinence
and other prevention methods, and consistent with the 2005 Guidelines).
Abstinence may not be taught to the exclusion of other instruction on
contraceptives and disease prevention. Schools may refer to the “Sexual Health
Education Supplemental Materials Evaluation Form,” available on the HIV/Sexual Health Education page
of the OSPI website, to help assess speaker alignment.
Who is responsible for implementing the Healthy Youth Act?
Implementation of the Healthy Youth Act is a partnership between OSPI and DOH.
OSPI is required by law to provide regular updates of the list of reviewed
curricula and to survey schools on curricula being used. DOH is available for
technical assistance related to medical and scientific accuracy. OSPI and DOH
coordinate closely to implement the HYA and to provide support to districts.
Districts and schools are responsible for ensuring that their instruction is in
alignment with the law.
How do the 2016 Health and PE Student Learning Standards relate to the Healthy Youth Act?
New grade-level student learning outcomes provide guidance for schools on what
students should know and be able to do related to a variety of topics, including
sexual health, and they are not required. They represent best practice for
sexual health education and are aligned with state legislative requirements for
districts that do provide such instruction. Adoption of the new standards did
not change the fact that sexual health education is optional for districts in
For more information regarding sexuality education programs in Washington schools, contact Laurie Dils, Sexual Health Education Program Supervisor, at (360) 725-6364, Laurie.firstname.lastname@example.org or TTY (360) 664-3631. http://www.k12.wa.us/HIVSexualhealth/default.aspx.