State Policy Research in Health Education

Arkansas

Arkansas high school students are required to earn one-half (1/2) credit of health and one-half (1/2) credit of physical education in order to graduate.

State law mandates that students in elementary school get forty minutes of physical education instruction each week (with an additional 90 minutes of physical activity such as recess each week). While the physical education standards should be covered in a PE class, the health-related standards may be incorporated into other subject areas as appropriate in elementary school. However, the health course codes must still be included in the master schedule for each grade level. Students in a middle school setting must have the annual equivalent of forty minutes of physical education each week. They must also take a health class each school year. It is possible to cover the health standards and the PE standards in a single course, but both course codes must be included in the master schedule. This is often accomplished by coding PE for Monday, Wednesday, and Friday, and coding Health for Tuesday and Thursday. The 'Healthy Skills and Relationships' standard states: Students will demonstrate healthy relationships and interaction with others, utilize effective communication skills (verbal, non-verbal, and online), and differentiate between healthy and unhealthy behaviors, and how those behaviors impact relationships with peers and adults.

The 'Human Growth and Development' standard states: Students will demonstrate the ability to apply their understanding of human growth and development, including awareness of their own and others’, related to body systems. Student Learning Objectives for 9-12 include: analyze growth patterns and developmental changes and examine factors that interfere with healthy development; examine factors important to human reproduction, including prenatal care, pregnancy, and childbirth, and identify available health resources. The 'Healthy Skills and Relationships' standard for 9-12 includes: identify healthy sexual behavior, communicate with peers about dating violence, and describe the signs of dating violence and abuse.

Health education is mandatory for elementary, middle, and high school students. Specific learning objectives are provided for K-2, 3-5, 6-8, and 9-12 grade bands.

For Physical Education/Health, Grades K-12 (area 500), an educator must possess a standard Arkansas educator license, seek to add this area of licensure and be assigned to teach in this area, and pass the Praxis II: Health & Physical Education, test #5857 with a minimum score of 155.

https://dese.ade.arkansas.gov/Files/20201209134403_ADE_0119-001.HealthDocument.J.pdf, https://dese.ade.arkansas.gov/Files/20201103152408_P.E._Health_K-12_Rev_October_2019.pdf

Wyoming

Chapter 31 Wyoming Graduation Requirements does not explicitly list health education as a separate required course for high school graduation. Districts are responsible for establishing their own high school diploma requirements, which must be reflected in policy and related documents. Proficient performance on the district assessment system aligned to state standards is required.

The 2021 Wyoming Health Content & Performance Standards (WYCPS) were developed in grade bands K-2, 3-5, 6-8, and 9-12, with full implementation by the beginning of the 2025-26 school year. The curriculum is structured around four main domains: 1) Health Information, Products, and Resources; 2) Problem Solving and Decision Making; 3) Effective Communication; and 4) Personal and Social Responsibility. Suggested health topics include Alcohol, Tobacco, and Other Drugs (ATOD), Community and Environment Health (CEH), CPR, First Aid (FA), Family Life (FAM), Growth & Development (G&D), Human Sexuality (HSX), Injury Prevention and Safety (IPS), Mental and Emotional Health (ME), Nutrition (NUT), Physical Activity (PA), Prevention and Control of Disease (PCD), Personal Health (PH), and Violence Prevention and Bullying (VPB). An emphasis is placed on preventing suicide, bullying, violence, poor nutrition, poor sleep hygiene, physical inactivity, and substance abuse.

Wyoming schools are not required by the state to teach sex education; decisions are made at the local school district level. If sex education is provided, it must include information on pregnancy prevention, STIs (including HIV/AIDS), and avoiding coercion, and must be medically accurate. Curriculum is not required to include instruction on sexual orientation, gender identity, or consent.

Health education standards are developed for grade bands K-2, 3-5, 6-8, and 9-12. Schools have local control over how to map the curriculum across these grade bands. At the secondary level, only students electing to take a course aligned to these standards need to be assessed in the District Assessment System (DAS).

Wyoming teachers are certified by the Wyoming Professional Teaching Standards Board (PTSB). Health is listed as an endorsement area for K-12. General requirements for licensure include a bachelor's degree and completion of an approved educator preparation program. Specific requirements for adding an endorsement can be found on the PTSB website under 'Add Endorsements' and 'Endorsement Areas'.

https://edu.wyoming.gov/wp-content/uploads/2021/06/2021-Health-CPS-PLDs_for-Public-Ed.-Input.pdf, https://edu.wyoming.gov/downloads/accountability/Chapter31_CLEAN.pdf

Wisconsin

0.5 credits of health education in grades 7-12.

The Wisconsin Standards for Health Education provides a framework for curriculum, instruction, and assessment for PreK-12. It outlines 8 standards and learning priorities by grade band. Health education is an integral part of the total education of every child in kindergarten through grade 12. Quality health education programs are needed to increase student knowledge on various age-appropriate contemporary health issues and to apply appropriate skills to take action that promotes or restores health.

Sex education is not mandated in Wisconsin. However, if schools choose to teach it, they must stress abstinence. If school districts decide to teach sexual health education, then teaching about sexually transmitted infections (STIs) is required, and curricula are required to be medically accurate and age-appropriate.

Health education is an integral part of the total education of every child in kindergarten through grade 12. The Wisconsin Standards for Health Education provides grade band descriptions for each learning priority (PK-2, 3-5, 6-8, and 9-12).

DPI License Number 8011 is the specific PI-34 teacher licensure for health science education in Wisconsin. A Bachelor's degree is the minimum degree requirement for most Wisconsin teaching licenses. Graduates are eligible to apply for a Wisconsin teaching license in Health at the Kindergarten through Grade 12 level.

https://dpi.wi.gov/sites/default/files/imce/cal/pdf/health-stds.pdf, https://docs.legis.wisconsin.gov/statutes/statutes/118/33?view=section

West Virginia

1 credit of Health Education is required for high school graduation, typically Health 9-12.

The West Virginia College- and Career-Readiness Standards for Wellness Education (Policy 2520.5) define the content standards for health, physical education, and wellness. These standards are integrated into classroom instruction from Kindergarten through 12th grade. The curriculum emphasizes health literacy, healthy behaviors, and an appreciation for lifelong physical fitness. Specific content includes wellness promotion and disease prevention, wellness information and services, and wellness behaviors.

West Virginia law requires HIV/AIDS education in schools. Parents or guardians can remove their child from health education classes. All sexuality education courses taught in schools must provide medically accurate information. While the state does not mandate comprehensive sex education, schools are required to teach about HIV/AIDS and abstinence. The 'Body Safety and Sexual Abuse Prevention Toolkit' is available from WVDE, and all school personnel are required to complete four hours of sexual abuse education and prevention training.

Health education is integrated into wellness education from Kindergarten through 12th grade. Physical education, including physical exercise, is required for K-5 for not less than 30 minutes, three days a week. FitnessGram® is administered to all students in grades four through eight and the required high school course.

Information on specific teacher certification requirements for health education was not explicitly found in the provided documents. However, the WVCCRS for Wellness Education states that 'West Virginia educators and representatives from higher education institutions played a key role in shaping the standards to align with research and best practice in the field of wellness education.'

https://wvde.us/sites/default/files/2022/03/Graduation-Requirements-FEB-2022-Report.pdf, https://wvde.us/sites/default/files/2018/11/WVCCRS-WELLNESS-EDUCATION-2520.5.pdf, https://wvde.us/student-support-wellness/mental-behavioral-physical-health/nurses/school-health-policies-laws, https://wvde.us/student-support-wellness/mental-behavioral-physical-health/body-safety-sexual-abuse-prevention-toolkit

Washington

0.5 credits of Health and 1.5 credits of Fitness are required for high school graduation.

The Washington State K–12 Learning Standards for Health and Physical Education (adopted in 2016) define what all students should know and be able to do at each grade level. These standards are comprehensive, medically accurate, and inclusive. Health education covers topics such as wellness, nutrition, sexual health, social and emotional health, safety, and substance use and abuse prevention.

Senate Bill 5395 (2020) requires all public schools to provide comprehensive sexual health education (CSHE) to all students by the 2022–23 school year. There is no sexual health content required for students in grades K–3. Schools must provide CSHE at least once in grades 4-5, at least once in grades 6-8, and at least twice in grades 9-12. Instruction must be age-appropriate, medically and scientifically accurate, and inclusive. Required topics include understanding and respecting personal boundaries, healthy relationships, human growth and development, choosing healthy behaviors, reducing health risks (including abstinence, condom use, and contraceptives), accessing valid health care and prevention resources, bystander intervention, avoiding exploitative relationships, and HIV/STD prevention (annually from 5th grade).

Health and physical education learning standards must be incorporated into all grades from kindergarten to grade 8, and as part of high school graduation requirements. Comprehensive sexual health education is required at least once in grades 4-5, at least once in grades 6-8, and at least twice in grades 9-12. HIV/STD prevention education must start no later than 5th grade and be provided annually through 12th grade.

To become a health and fitness teacher in Washington State, individuals need to obtain a Residency Certificate with an endorsement in Health and Fitness. This typically requires a bachelor's degree and completion of a state-approved teacher preparation program.

https://ospi.k12.wa.us/student-success/resources-subject-area/health-and-physical-education/health-and-physical-education-laws-resources, https://ospi.k12.wa.us/student-success/resources-subject-area/sexual-health-education/comprehensive-sexual-health-education-implementation, https://ospi.k12.wa.us/student-success/graduation/credit-requirements, https://sbe.wa.gov/our-work/graduation-requirements/graduation-requirements-class-2024-and-beyond, https://ospi.k12.wa.us/sites/default/files/2023-08/hpe-standards.pdf, https://www.pesb.wa.gov/pathways/becoming-an-educator/

Virginia

To graduate with a Standard Diploma, students entering 9th grade in 2018-2019 and beyond must earn at least 22 standard credits and 5 verified credits. This includes 2 standard credits in Health and Physical Education.

The 2020 Health Education Standards of Learning and Curriculum Framework describes the commonwealth's expectations for student learning and achievement in grades K-10 health education. It includes advanced directive education for high school students (standard 10.3e).

Family Life Education provides a comprehensive, sequential K-12 curriculum including age-appropriate instruction in family living and community relationships, abstinence education, the value of postponing sexual activity, the benefits of adoption as a positive choice in the event of an unwanted pregnancy, human sexuality and human reproduction. Parents have the right to review the complete family life curricula and opt-out their children from participation.

Health Education is required for grades K-10. Family Life Education is a comprehensive, sequential K-12 curriculum.

Health and Physical Education preK-12 endorsement requires a baccalaureate degree from an accredited institution and graduation from an approved teacher preparation program in health and physical education, or a baccalaureate degree and 45 semester hours of coursework in specified areas (e.g., personal health, human anatomy, instructional methods, etc.).

https://www.doe.virginia.gov/teaching-learning-assessment/instruction/health-education, https://www.doe.virginia.gov/teaching-learning-assessment/k-12-standards-instruction/health-education/standards-of-learning, https://www.doe.virginia.gov/parents-students/for-students/graduation/diploma-options/standard-diploma-graduation-requirements, https://www.doe.virginia.gov/teaching-learning-assessment/instruction/family-life-education, https://law.lis.virginia.gov/admincode/title8/agency20/chapter23/section380/

Vermont

A Vermont Portrait of a Graduate (PoG) was collaboratively developed to be used as a tool for reviewing and refining local proficiency-based graduation requirements, as well as a guide for making instructional decisions. The PoG specifies the cognitive, personal, and interpersonal skills and abilities that students should be able to demonstrate upon graduation considering six attributes: learner agency, global citizenship, academic proficiency, communication, critical thinking and problem solving, and well-being. Health and physical education programs should provide students with valuable learning experiences that support the development of PoG attributes.

Vermont law (16 V.S.A § 131) defines comprehensive health education as “systemic and extensive” educational program and requires this education for K-12 students. The State Board of Education adopted December 2024 the SHAPE America National Health Education Standards, which define what a student should know and be able to do as result of a highly effective health education program. Vermont Education Quality Standards (EQS) stipulate each Supervisory Union/Supervisory District (SU/SD) have a written and delivered curriculum aligned with standards approved by the State Board of Education. Health education curriculum includes: Body structure and function, community health, safety (first aid, disaster prevention, accident prevention, CPR/AED), disease (HIV, STDs, communicable diseases), family health and mental health (responsible personal behavior, decision making about sexual activity including abstinence, strengthening family ties, understanding depression and suicide risk), personal health habits (dental health), consumer health (health careers, costs, utilizing services), human growth and development (physical, emotional, social elements, interpersonal relationships, parenting methods/styles, outcomes of premature sexual activity, contraceptives, adolescent pregnancy, childbirth, adoption, abortion), drugs (alcohol, caffeine, nicotine, prescribed drugs), nutrition, and how to recognize and prevent sexual abuse and sexual violence.

In Vermont, 16 V.S.A. 131 (Comprehensive Health Education) includes Sexual Health Education. The Agency of Education (AOE) is responsible for helping to increase the awareness of sexual health-related information and services that are available to promote student wellness and increase academic success. Sexual Health education should address a variety of health-related issues including but not limited to healthy relationships, consent, LGBTQ education, HIV/AIDS and Sexually Transmitted Infection (STI) education, and sexual violence prevention. As of July 1, 2021, 16 V.S.A § 132 states that each school district shall make condoms available to all students in its secondary schools, free of charge, in locations that are safe and readily accessible.

K-12

The Vermont Agency of Education endorsement requirements for candidates seeking to add health endorsement to their current teaching credentials include: 18 credits of Vermont Higher Education Collaborative (VT-HEC) Health Education Coursework (Personal and Community Health Concepts, Principles and Methods for Teaching Effective Health Education, Nutrition and Food Education, Human Sexuality and STD Prevention, Substance Misuse Prevention, Injury and Violence Prevention), 60 hours practicum in Health Education, Praxis II: Health Education, First Aid, and CPR-AED.

https://education.vermont.gov/student-learning/content-areas/health-education, https://education.vermont.gov/student-support/healthy-and-safe-schools/sexual-health, https://legislature.vermont.gov/statutes/section/16/001/00131, https://www.vthec.org/wp-content/uploads/2024/12/Pathways-to-Health-Licensure-2.pdf

Utah

Specific core standards in health education must be met by all K-12 students to graduate from Utah's secondary schools. This includes completion of Health I (middle school) and Health II (high school) courses.

The Utah Health Education Core Curriculum emphasizes developing positive, life-long, health-related attitudes and behaviors. The curriculum is organized into six strands: Health Foundations and Protective Factors of Healthy Self, Mental and Emotional Health, Safety and Disease Prevention, Substance Abuse Prevention, Nutrition, and Human Development. These standards align vertically from kindergarten through high school, systematically building on knowledge and skills each year.

Utah's sex education instruction is abstinence-based, stressing the importance of abstinence before marriage and fidelity after marriage. Instruction is allowed to include information about contraceptive methods or devices that stress effectiveness, limitations, risks, and information on state law applicable to minors obtaining contraceptive methods or devices. Parental permission (opt-in) is required for sex education instruction. Content includes physical, social, cognitive, and emotional changes of adolescence; reproductive anatomy and physiology; benefits of practicing abstinence; process of pregnancy and prevention; STI/STD prevention; common reproductive diseases; and accurate sources of information on sexual health and relationships.

Health education is required for all K-12 students. Sex education instruction is included in the Health Education Core Standards once in middle school and once in high school.

Health educators are required to have Sex Education and Health Methods courses in undergraduate preparation. New and newly assigned teachers of human sexuality instruction must attend USBE Law and Policy Workshops. LEA-sponsored update human sexuality trainings are required at least once every three years.

https://schools.utah.gov/curr/health/_health/healtheducationutahcorestandards/utahcorestandards/CoreStandards1.pdf, https://schools.utah.gov/curr/health/_health/sexeducationlawandpolicy/resources/UtahSexEducationInstructionFAQs.pdf

Texas

Health education is not a state requirement for high school graduation in Texas. However, local school districts may offer additional opportunities for students to select health education as an elective course.

Health education standards are found in the Texas Essential Knowledge and Skills (TEKS) for Health Education, specifically 19 Texas Administrative Code (TAC) Chapter 115. Schools are required to teach the TEKS for health education in K-5 and 6-8 grades. Districts must provide instruction in all TEKS for grade 6, and for grades 7-8, instruction must be provided in all TEKS to students in grades 7 and/or 8. Districts have flexibility in how and when to offer the course. The curriculum includes five strands for K-3 (physical health and hygiene; mental health and wellness; healthy eating and physical activity; injury and violence prevention and safety; and alcohol, tobacco, and other drugs) and six strands for grades 4-12 (adding reproductive and sexual health).

Texas Education Code, Section 28.004, prohibits the imposition of any academic penalty on a student whose parent withholds the student from human sexuality instruction. The Parenting and Paternity Awareness (p.a.p.a.) curriculum (TEC §28.002(p) and 19 TAC §74.35(a)) is required to be offered in all public schools and open-enrollment charter schools and incorporated into middle or junior high and high school health curriculum. Students under 14 years of age may not participate without parental permission. The program addresses parenting skills and responsibilities (including child support and legal rights), relationship skills (money management, communication, marriage preparation), and family violence prevention. Materials and training are provided by the Office of the Attorney General (OAG) of Texas. The reproductive and sexual health strand in TEKS includes healthy/unhealthy relationships, communication/refusal skills for boundaries, responding to sexual harassment/abuse, changes associated with adolescent development, fertilization, fetal development, prenatal care, and emphasizes sexual abstinence until marriage as the only 100% effective means of avoiding unplanned pregnancies and sexually transmitted diseases/infections.

Health education is required for K-5 and 6-8 grade levels. For grades 7-8, instruction must be provided in all TEKS to students in grades 7 and/or 8. High school health education is optional/elective.

For high school health courses taken in middle school, the teacher must be appropriately certified to teach high school health. Further details on general health education teacher certification requirements are not explicitly detailed in the available documentation.

Health Education Frequently Asked Questions (August 4, 2023): https://tea.texas.gov/academics/subject-areas/health-and-physical-education/health-education-faq-final-updated.pdf; Texas Essential Knowledge and Skills for Health Education 19 TAC Chapter 115: https://tea.texas.gov/about-tea/laws-and-rules/texas-administrative-code/19-tac-chapter-115; Office of the Attorney General (OAG) of Texas p.a.p.a. information: https://www.texasattorneygeneral.gov/cs/parenting-and-paternity-awareness-p.a.p.a.; Evidence-based programs for alcohol awareness: https://tea.texas.gov/academics/subject-areas/evidence-based-programs-for-alcohol-awareness

Tennessee

All students must successfully pass one high school credit of Lifetime Wellness in order to graduate with a diploma.

The State Board of Education (SBE) adopts the academic standards for subjects in grades K-12. Tennessee's Health Education Standards are used to support the effective implementation of comprehensive health education as one of the components of Coordinated School Health. The standards are divided into three grade bands: K-5 Elementary Health Standards, 6-8 Middle School Health Standards, and 9-12 High School Lifetime Wellness Standards. These standards cover topics such as personal wellness (nutrition, hygiene, physical activity), mental, emotional, and social health, safety and prevention (disease prevention, first aid, technology safety), human growth and development (anatomy, puberty, pregnancy, sexuality), and substance use and abuse. The 2024 School Health Laws document outlines various laws related to coordinated school health, including those pertaining to child abuse reporting, school safety, mental health services, and drug abuse prevention.

The Lifetime Wellness Standards (9-12) include a 'Sexuality' subcomponent under 'Human Growth and Development'. This section covers topics such as the basic structures and functions of the reproductive system, abstinence from all sexual activity as a positive choice, preventative methods and potential outcomes of engaging in sexual behaviors (e.g., pregnancy, STIs), and skills necessary for maintaining reproductive health. The Tennessee School Health Laws document also mentions 'AIDS Education Programs – Prevention of AIDS or Other Sexually Transmitted Diseases' under Title 49, Chapter 6, Part 10: Curriculum Generally, Tenn. Code Ann. § 49-6-1008.

K-12

The Tennessee Health Education and Lifetime Wellness Standards were written by teams of Tennessee health education teachers and higher education faculty. The 2024 School Health Laws document mentions 'Annual Child Abuse Training Program for Teachers' under Tenn. Code Ann. § 37-1-408.

https://www.tn.gov/content/dam/tn/education/standards/pe/Elementary-Health-Standards.pdf, https://www.tn.gov/content/dam/tn/education/standards/pe/Middle-School-Health-Standards.pdf, https://www.tn.gov/content/dam/tn/education/standards/pe/Lifetime-Wellness-Standards.pdf, https://www.tn.gov/content/dam/tn/education/health-and-safety/coordinated-school-health/Tennessee_School_Health_Laws_2024.pdf

South Dakota

Students are required to take .5 unit of Health at any time during grades 6-12. A district may choose to integrate Health across the curriculum at the middle or high school level in lieu of a stand-alone course. Total 22 units are required for graduation.

The South Dakota Health Education Standards (SDHES) broadly articulate what students should know and be able to do to adopt or maintain health-enhancing behaviors. The eight standards are: Standard 1: Students will comprehend concepts related to health promotion and disease prevention to enhance health. Standard 2: Students will analyze the influence of family, peers, culture, media, technology and other factors on health behaviors. Standard 3: Students will demonstrate the ability to access valid information and products and services to enhance health. Standard 4: Students will demonstrate the ability to use interpersonal communication skills to enhance health and avoid or reduce health risk. Standard 5: Students will demonstrate the ability to use decision-making skills to enhance health. Standard 6: Students will demonstrate the ability to use goal-setting skills to enhance health. Standard 7: Students will demonstrate the ability to practice health-enhancing behaviors and avoid or reduce health risk. Standard 8: Students will demonstrate the ability to advocate for personal, family and community health.

The SDHES do not address specific health education content areas; instead, they provide a framework from which curricula can be developed independently. The selection of specific health content is left to state and local education agencies. However, "Family Life and Sexuality" is listed as a common health education content area.

Pre-kindergarten through Grade 2, Grade 3 through Grade 5, Grade 6 through Grade 8, Grade 9 through Grade 12

To be certified to teach an assignment or act as an administrator or education specialist, certified educators must have the appropriate endorsement that meets state certification. An educator must request an endorsement be added to a certificate. This will not be automatically added after passing the state-designated test or completing the requirements of the endorsement. Chapter 24:28:18 covers Endorsement general provisions. Chapter 24:28:23 covers Endorsements for a kindergarten through grade twelve (K-12) preparation.

https://doe.sd.gov/contentstandards/documents/SD-HealthEducationStandards-18.pdf, https://sdlegislature.gov/Rules/Administrative/24:28, https://doe.sd.gov/gradrequirements/documents/Grad-Infographic.pdf

South Carolina

At least one time during the four years of grades nine through twelve, each student shall receive instruction in comprehensive health education, including at least seven hundred fifty minutes of reproductive health education and pregnancy prevention education.

The 2017 South Carolina Academic Standards for Health and Safety Education outlines the curriculum. Key concepts include: Alcohol, Tobacco, and Other Drugs; Growth, Development, and Sexual Health and Responsibility; Injury Prevention and Safety; Mental, Emotional, and Social Health; Nutrition and Physical Activity; Personal and Community Health. Specific subjects for K-5 include: community health, consumer health, environmental health, growth and development, nutritional health, personal health, prevention and control of diseases and disorders, safety and accident prevention, substance use and abuse, dental health, and mental and emotional health. For grades 6-8, these subjects are included, along with sexually transmitted diseases and domestic violence (starting 2016-2017 school year).

Reproductive health education (human physiology, conception, prenatal care and development, childbirth, and postnatal care) is included, but does not include instruction concerning sexual practices outside marriage or practices unrelated to reproduction except within the context of the risk of disease. Abstinence and the risks associated with sexual activity outside of marriage must be strongly emphasized. Pregnancy prevention education stresses abstinence, helps students resist peer pressure, and explains methods of contraception (excluding abortion as birth control). Contraception methods are not taught before sixth grade. Family life education covers physical, mental, emotional, social, economic, and psychological aspects of close personal relationships, physiological, psychological, and cultural foundations of human development, responsible personal values and behavior, strong family life, and laws related to sexual conduct of minors. Sexual abuse and assault awareness and prevention instruction is required for K-12. Reproductive health instruction is permitted before grade six at the option of local school boards. Family life and pregnancy-prevention instruction is permitted in grades six, seven, and eight at the option of local school boards; sexually transmitted infections and diseases (STIs/STDs)-prevention and reproductive health instruction is required in these three grades. A locally-appointed thirteen-member Comprehensive Health Education Advisory Committee reviews and approves local materials used for instruction in reproductive health, family life, and STD/STI and pregnancy prevention. Content must be taught separately to male and female students.

Health education is mandatory for grades Kindergarten through twelve. Specific requirements: K-5, 6-8, and 9-12.

The documents reviewed do not explicitly detail teacher certification requirements for health education. However, the 2017 standards document mentions that 'teacher information and plans for professional development and training that enhance effectiveness of instruction and student learning' are included as characteristics of an effective health education curriculum.

https://www.scstatehouse.gov/code/t59c032.php, https://ed.sc.gov/instruction/standards/health-education/standards/2017-south-carolina-academic-standards-for-health-and-safety-education/

Rhode Island

Not explicitly stated in the provided document, but implied by K-12 mandatory curriculum.

Comprehensive K-12 curriculum aligned with National Health Education Standards, skills-based, emphasizing health literacy development, and integrating social and emotional learning (SEL).

Not explicitly detailed in the provided document, but the framework includes 'medically accurate information and a range of health-related topics at developmentally appropriate ages.'

K-12

Certified and properly endorsed educators are required. Professional development is emphasized for quality professional development in order to continually improve teaching practices.

https://ride.ri.gov/sites/g/files/xkgbur806/files/Portals/0/Uploads/Documents/Instruction-and-Assessment-World-Class-Standards/Other-Subjects/RIDE_Health_Ed_Framework_2022.pdf?ver=2022-06-10-155908-047

Pennsylvania

Pennsylvania high school students, effective with the graduating class of 2023, have options to demonstrate postsecondary preparedness through five Pathways to Graduation. While the statewide code (22 Pa. Code Chapter 4, Section 4.24) outlines general graduation requirements, specific health education credit requirements are often determined at the local school district level. Several school districts (e.g., Penn Manor High School, Reading School District, Mars Area High School) require 0.5 to 1 credit in Health/Physical Education for graduation.

The Pennsylvania State Board of Education requires planned instruction aligned with academic standards in health and physical education for students in primary (K-3), intermediate (4-6), middle school (7-9), and senior high (10-12) programs. Schools must provide sufficient time for students to achieve proficient levels on the Pennsylvania Academic Standards in health, safety, and physical education. These standards cover: Concepts of Health (Stages of Growth and Development, Interaction of Body Systems, Nutrition, Alcohol, Tobacco and Chemical Substances, Health Problems and Disease Prevention), Healthful Living (Health Practices, Products and Services, Health Information and Consumer Choices, Health Information and the Media, Decision-making Skills, Health and the Environment), Safety and Injury Prevention (Safe/Unsafe Practices, Emergency Responses/Injury Management, Strategies to Avoid/Manage Conflict, Safe Practices in Physical Activity), Physical Activity (Physical Activities That Promote Health and Fitness, Effects of Regular Participation, Responses of the Body Systems to Physical Activity, Physical Activity Preferences, Physical Activity and Motor Skill Improvement, Physical Activity and Group Interaction), and Concepts, Principles and Strategies of Movement (Movement Skills and Concepts, Motor Skill Development, Practice Strategies, Principles of Exercise/Training, Scientific Principles That Affect Movement, Game Strategies).

The CSPG 47 for Health Education PK-12 (Code 4810) and Health and Physical Education (4805) (PK-12) explicitly states that an educator holding a valid Pennsylvania certificate for Health PK-12 (Code 4810) is qualified to teach 'healthy relationships/sexual health' and 'HIV/AIDS and other Sexually-Transmitted Infection education'. The 22 Pa. Code Chapter 4, Section 4.29, also addresses 'HIV/AIDS and other life-threatening and communicable diseases'. Additionally, the Pennsylvania School Discipline Laws & Regulations: State Model Policies and Implementation Support indicates that 'a school district may incorporate dating violence education that is age appropriate into the annual health curriculum framework for students in grades...'.

Health and physical education is required for students in primary (generally grades K-3), intermediate (generally 4-6), middle school (generally grades 7-9), and senior high (generally 10-12) programs.

A person holding a valid and active Pennsylvania teaching certificate in the area of Health and Physical Education K-12 (Code 4805) is qualified to teach all health and physical education courses in grades K-12. An educator holding a valid Pennsylvania certificate for Health PK-12 (Code 4810) is qualified to teach health courses. Specific guidelines are detailed in CSPG 47 – Health Education PK-12 (4810) and Health and Physical Education (4805) (PK-12).

https://www.pa.gov/agencies/education/programs-and-services/instruction/elementary-and-secondary-education/curriculum/health-and-physical-education.html, https://www.pa.gov/agencies/education/programs-and-services/educators/certification/certification-staffing/staffing-guidelines/cspg-47-health-and-health-and-physical-education-k-12, https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/022/chapter4/chap4toc.html, https://static.pdesas.org/content/documents/Academic_Standards_for_Health_Safety_and_Physical_Education.pdf

Oregon

To earn an Oregon diploma, students need to successfully complete 1 credit of Health and 1 credit of Physical Education. Total credits required are 24.

Oregon's K-12 Health Education Standards, adopted on October 19, 2023, will be fully implemented by the 2025-26 school year. These standards are organized into 8 topic areas: Wellness and Health Promotion (WHP), Safety and First Aid (SFA), Substance Use, Misuse, and Abuse (SUB), Food, Nutrition, and Physical Activity (FNP), Social, Emotional, and Mental Health (SEM), Healthy Relationships and Violence/Abuse Prevention (HRVP), Growth and Development (GD), and Sexual and Reproductive Health (SRH). The curriculum is designed to be age-appropriate, medically accurate, and inclusive, and is scaffolded across grades to ensure a progression of learning. It is built upon the National Health Education Standards and the National Sexuality Education Standards, focusing on knowledge and skill development for health literacy. Key knowledge and skills (K-12) include comprehending functional health knowledge, analyzing influences on health behaviors, accessing valid health information, demonstrating effective interpersonal communication, decision-making, goal-setting, observable health and safety practices, and advocating for healthy behaviors. These standards are integrated with Oregon’s Transformative Social Emotional Learning (TSEL) Standards and align with the Oregon Student Success Plans and the Tribal History/Shared History law.

Sexuality Education is a required part of Health Education in Oregon. It aims to equip students with knowledge and skills to realize their health, well-being, and educational goals, including building healthy relationships, developing awareness of identities, protecting rights, considering boundaries, and accessing support. Oregon law prohibits discrimination based on sex, sexual orientation, and gender identity. Mandatory content includes a child sexual abuse prevention instructional program for all students, K-12, with a minimum of four lessons per year (as per OAR 581-022-2050). Instruction and material must be age-appropriate, medically accurate, not shame or fear based, LGBTQ2SIA+ inclusive, and build on itself.

Kindergarten through 12th grade (K-12)

To teach health education in Oregon, individuals typically need an Oregon teaching license with a Health Endorsement. This generally requires a bachelor's degree from a regionally accredited college or university, completion of a teacher preparation program, and passing teacher certification examinations, including a subject-specific exam for Health Education. Detailed requirements are available on the Oregon Teacher Standards and Practices Commission (TSPC) website.

https://www.oregon.gov/ode/students-and-family/healthsafety/pages/default.aspx, https://www.oregon.gov/ode/educator-resources/standards/health/pages/default.aspx, https://www.oregon.gov/ode/students-and-family/healthsafety/Pages/Sexuality-Education-Resources.aspx, https://www.oregon.gov/ode/students-and-family/oregondiploma/pages/default.aspx, https://www.oregon.gov/tspc/lic/pages/first-time-license.aspx, https://www.oregon.gov/ode/educator-resources/standards/health/Documents/Health%20Standards%20Adopted%2010.19.23.pdf, https://oregon.public.law/rules/oar_581-022-2050, https://secure.sos.state.or.us/oard/view.action?ruleNumber=581-021-0038, https://www.oregonlegislature.gov/bills_laws/ors/ors659.html, https://secure.sos.state.or.us/oard/view.action?ruleNumber=581-021-0587, https://secure.sos.state.or.us/oard/view.action?ruleNumber=581-021-0590, https://secure.sos.state.or.us/oard/view.action?ruleNumber=581-021-0593, https://secure.sos.state.or.us/oard/view.action?ruleNumber=581-021-0596, https://secure.sos.state.or.us/oard/view.action?ruleNumber=581-022-2515, https://www.oregonlegislature.gov/bills_laws/ors/ors339.html, https://secure.sos.state.or.us/oard/view.action?ruleNumber=581-022-2510, https://secure.sos.state.or.us/oard/view.action?ruleNumber=581-022-2312

Oklahoma

As of current information, health education is highly recommended but not a mandatory standalone graduation requirement. Senate Bill 410 outlines provisions for health literacy, and some legislative proposals suggest two units of physical and health education. However, current official documents emphasize recommendations rather than strict mandates for health education credits for high school graduation. Physical Education is often combined with Health Education, and some schools may require a combined unit.

The mandatory health education curriculum standards are outlined in the '2023 Oklahoma Academic Standards for Health Education'. These standards cover eight key areas: Essential Knowledge, Analyze Influences, Access Information, Interpersonal Communication, Decision Making, Goal Setting, Self-Management, and Advocacy. Specific content includes nutrition, physical activity, mental health and wellness, substance use and abuse prevention, healthy relationships, and injury prevention and personal health. The standards are designed for Pre-K through 12th grade.

Oklahoma's sexual health education policy is primarily focused on Sexual Risk Avoidance Education (SRAE). The SRAE grant program works with community partners to implement education that teaches youth to voluntarily refrain from sexual activity. Topics include personal responsibility, self-regulation, goal setting, healthy decision-making, and prevention of risk behaviors. There is also mention of 'opt-in' legislation for sex education, indicating parental consent is required for students to receive sexual education. HIV education is mandated for Oklahoma schools.

Comprehensive school health education includes curricula and instruction for students in pre-K through grade 12.

While specific health education teacher certification requirements were not explicitly detailed in the immediate search results, general Oklahoma teacher certification requires graduating from an accredited institution, completing a state-approved program, and passing relevant examinations. There are programs like 'Physical Education with Teacher Certification (BS)' that qualify individuals to teach physical education in grades PK-12, which often includes health education. The Health Education Micro-Credential does not currently count toward the Health and Physical Education certification process but can bolster a teacher's resume.

https://oklahoma.gov/content/dam/ok/en/osde/documents/services/literacy-policy-and-programs/oklahoma-academic-standards/2023-OAS-Health-Standards.pdf

Ohio

Ohio law outlines that students must earn a minimum of 20 course units in specified subject areas to earn a diploma. Health education is part of the curriculum, but specific credit requirements for health education for high school graduation are not explicitly stated as a standalone credit on the 'Complete Courses and Requirements' page. However, the Ohio Revised Code 3313.60 states that health education is included in the curriculum for all schools K-12.

Ohio Revised Code 3313.60 directs schools and districts to include health education and other related topics at various times throughout its K-12 curriculum. Health education must include instruction in: nutritive value of foods, harmful effects of drugs of abuse, alcoholic beverages, and tobacco (including electronic smoking devices), sexually transmitted infection education, child sexual abuse prevention (K-6), personal safety and assault prevention (K-6), dating violence prevention education and sexual violence prevention education (7-12), prescription opioid abuse prevention, the process of making an anatomical gift, evidence-based suicide awareness and prevention (6-12), safety training and violence prevention (6-12), and evidence-based social inclusion instruction (6-12).

Ohio Revised Code 3313.60 requires health education to include sexually transmitted infection education. Instruction in child sexual abuse prevention (K-6) and dating violence prevention education and sexual violence prevention education (7-12) are also mandated. Parental consent is required for any sexual education beyond what is outlined in ORC 3313.6011, and parents can excuse students from sexually transmitted infection education, child sexual abuse prevention, and sexual violence prevention instruction with a written request. The Ohio Department of Education and Workforce conducts an annual audit of school districts regarding compliance with Sexually Transmitted Infection Education requirements.

Health education is included in the K-12 curriculum. Specific topics are mandated for certain grade ranges: child sexual abuse prevention (K-6), personal safety and assault prevention (K-6), dating violence prevention education and sexual violence prevention education (7-12), suicide awareness and prevention (6-12), safety training and violence prevention (6-12), and social inclusion (6-12).

Teacher certification for health education in Ohio generally requires a bachelor's degree from an accredited institution, completion of appropriate subject area coursework, and passing the Ohio Assessments for Educators licensure exams. Specific programs and universities offer dual certification in Health and Physical Education.

https://education.ohio.gov/Topics/Learning-in-Ohio/Health-Education, https://codes.ohio.gov/ohio-revised-code/section-3313.60, https://education.ohio.gov/Topics/Ohio-s-Graduation-Requirements/Ohio%e2%80%99s-Graduation-Requirements/Complete-Courses-Classes, https://education.ohio.gov/Topics/Learning-in-Ohio/Health-Education/Sexually-Transmitted-Infection-Education-Audit

North Dakota

High school graduation requirements typically include 0.5 units of health education, often as an alternative to or in conjunction with physical education. North Dakota Century Code 15.1-21-02.2 specifies that one-half unit of physical education and one-half unit of health can fulfill a portion of the physical education requirement.

The mandatory health education curriculum standards are outlined in the 'North Dakota Health Education Content Standards Grades K-12, August 2018' document. These standards are skills-based and cover eight key areas: 1) Understand concepts related to human growth and development, health promotion, disease prevention. 2) Analyze the influence of family, peers, culture, media, technology, and other factors on health behaviors. 3) Demonstrate the ability to access valid health information, products, and services. 4) Demonstrate the ability to use interpersonal communication skills to enhance health and avoid or reduce health risks. 5) Demonstrate the ability to use decision-making skills to enhance health and avoid or reduce health risks. 6) Demonstrate the ability to use goal-setting skills to enhance health and avoid or reduce health risks. 7) Demonstrate the ability to practice health-enhancing behaviors and avoid or reduce health risks. 8) Demonstrate the ability to advocate for personal, family, and community health.

North Dakota Century Code 15.1-21-28 requires that middle school (Grades 7-8, Code 1.8.10) and high school (Grades 9-12, Code 1.12.10) health education curriculum include a high-definition ultrasound video, at least three minutes in duration, showing the development of the brain, heart, sex organs, and other vital organs in early fetal development. The video must also contain a high-quality, computer-generated rendering or animation showing the process of fertilization and every stage of human development in the uterus, noting significant markers in cell growth and organ development for every week of pregnancy until birth. The standards also address topics such as the functions of the reproductive system, prenatal and postnatal practices, benefits of abstinence and/or contraceptive methods, and healthy/unhealthy relationships.

Health education content standards are provided for grades K-12, grouped into five grade bands: K-2, 3-5, 6, 7-8, and 9-12. It is expected that students meet the designated benchmarks by the end of each grade band.

While the 'North Dakota Health Education Content Standards' document does not explicitly detail teacher certification requirements, search results indicate that programs like NDSU's Health Education program prepare candidates for certification to teach health in grades 5-12 or 7-12, and are accredited by the Council for the Accreditation of Educator Preparation and approved by the North Dakota Education Standards and Practices Board.

https://www.nd.gov/dpi/sites/www/files/documents/Academic%20Support/Health%20Standards%202018%20Rev2May2024.pdf

North Carolina

One Health and Physical Education credit is required for high school graduation. Students are also required to successfully complete CPR instruction to meet Healthful Living Essential Standards.

The 2012 Health Education Essential Standards for Grades 9-12 cover Mental and Emotional Health (MEH), Personal and Consumer Health (PCH), Interpersonal Communications and Relationships (ICR), Nutrition and Physical Activity (NPA), and Alcohol, Tobacco, and Other Drugs (ATOD).

North Carolina General Statute 115C-81.30 mandates a reproductive health and safety education program starting in the seventh grade. This instruction must be age-appropriate and based on scientific research. It must teach that abstinence from sexual activity outside of marriage is the expected standard, present techniques to deal with peer pressure, provide reasons for abstinence, and state that abstinence is the only certain means of avoiding out-of-wedlock pregnancy and STDs. It also teaches that a mutually faithful monogamous heterosexual relationship in marriage is the best lifelong means of avoiding STDs. The curriculum includes the positive benefits of abstinence until marriage, factual information on the human reproductive system, preventable risks for preterm birth, and information on sexually transmitted diseases (transmission, FDA-approved risk reduction methods, infection rates, effects of contracting STDs, HPV). It also covers the effectiveness and safety of FDA-approved contraceptive methods, awareness of sexual assault/abuse/risk reduction, and sex trafficking prevention and awareness.

Health education is required from Kindergarten through ninth grade. Sexual health education commences in the seventh grade.

School nurses are prevented from being assigned as classroom teachers or assuming responsibility for curriculum due to teacher credential standards of the North Carolina Department of Public Instruction.

North Carolina G.S. 115C-81.25, State Board of Education requirements, North Carolina Healthful Living Essential Standards, North Carolina General Statute 115C-81.30.

New York

High school students must take a Health Education course, and all high school students must earn the equivalent of one credit in Health Education to graduate.

New York State sets learning standards for Health Education at each grade level, describing what students should know and be able to do. The curriculum must follow NY State and City standards. The `Guidance Document for Achieving the New York State Standards in Health Education` (November 2005) provides a framework for developing health curricula and implementing instructional and assessment practices. It emphasizes a skills-driven approach, focusing on seven developmental personal and social skills: Self-Management, Relationship Management, Stress Management, Communication, Decision Making, Planning and Goal Setting, and Advocacy. Functional Knowledge areas are based on CDC risk behaviors and NYS Mandates and Commissioner’s Regulations.

All students must take Health Education, which includes lessons on HIV and AIDS prevention every year, as part of NY State law. New York City Public Schools requires that middle and high school students have sexual health education lessons as part of their Health Education classes. Specific HIV lesson requirements are:* **Grades K-5:** Five HIV lessons per year.* **Grade 6:** Five HIV lessons per year.* **Grades 7-8:** Six HIV lessons per year.* **Grades 9-12:** Six HIV lessons per year.

NY State law sets Health Education requirements for all students in grades K-12.* **Elementary School (K-5):** Health Education every year. NYC Public Schools recommends 45 minutes (one class period) per week.* **Middle School:** Must take a Health Education course, totaling 54 hours of instruction.* **High School:** Must take a Health Education course, totaling 54 hours of instruction.

Certified Health Education teachers are the most qualified to teach Health Education. * **Elementary School:** Certified Health Education teachers or classroom teachers may provide instruction.* **Middle School and High School:** Health Education must be taught by a certified Health Education teacher. In some cases, a teacher without health education certification may teach one health class.

New York State Education Department Health Education: https://www.nysed.gov/standards-instruction/health-educationNew York City Department of Education Health Education Requirements: https://www.schools.nyc.gov/learning/subjects/health-education/health-education-requirementsGuidance Document for Achieving the New York State Standards in Health Education (PDF): https://www.nysed.gov/sites/default/files/programs/standards-instruction/guidancedocumentfinal1105.pdf

New Mexico

The HB171 Graduation Requirements FAQ mentions that 'Algebra 1, Geometry, and Health earned prior to enrolling in high school, will meet the state graduation requirements to earn a diploma of excellence'. It also states that 'two units set by each local school board or governing body of a charter school that meet department academic content and performance standards' are required.

New Mexico has Health Education Standards for Grades 9-12. These standards cover topics such as sexuality, nutrition, alcohol, tobacco and other drug use, physical activity, personal safety, and mental, social and emotional well-being. The state has also adopted the National Sexuality Education Standards.

New Mexico has adopted the National Sexuality Education Standards. These standards cover topics including anatomy and physiology, puberty and adolescent development, identity, relationships, personal safety, and sexual health. The state also has policies related to pregnancy prevention and prevention of sexually transmitted infections.

9-12 for Health Education Standards; K-12 for Sexual Health Education Standards (National Standards adopted by NM); Graduation requirements apply to high school.

The New Mexico Public Education Department (NMPED) is responsible for approving, maintaining, and monitoring the quality of all educator preparation programs. The EPP Overview document outlines the goal to 'Increase the quality, number, and diversity of new teachers in New Mexico through a streamlined approval of EPPS.' Specific health education teacher certification requirements were not explicitly found but are likely covered under general teacher licensure requirements and specific endorsements.

https://web.ped.nm.gov/wp-content/uploads/2025/05/SHSB_Health-Education-Standards-9-12-1.pdf, http://answer.rutgers.edu/file/national-sexuality-education-standards.pdf, https://web.ped.nm.gov/wp-content/uploads/2025/05/Frequently-Asked-Questions-Cohort-2029.pdf, https://web.ped.nm.gov/wp-content/uploads/2025/01/EPP-overview-1.pdf

New Jersey

15 credits in Health, Safety, and Physical Education over four years, including 3.75 credits per year, distributed as 150 minutes per week each year.

The 2020 New Jersey Student Learning Standards - Comprehensive Health and Physical Education (NJSLS-CHPE) provides a K-12 sequential program. The standards emphasize 21st Century skills and interdisciplinary connections to empower students to live a healthy active lifestyle. The curriculum focuses on concepts and skills that promote and influence healthy behaviors. Key disciplinary concepts include Personal Growth and Development, Emotional Health, Social and Sexual Health, Community Health Services and Support, and Movement Skills and Concepts.

The NJSLS-CHPE includes 'Social and Sexual Health' as a disciplinary concept. This encompasses a person’s ability to communicate and interact with others efficiently, form meaningful relationships, and interact in healthy, appropriate ways. It includes respect and acceptance of differences (race, religion, gender identity, gender expression, ethnicity, disability, socioeconomic background). The standards also state that there are factors that contribute to making healthy decisions about sex, and state and federal laws provide access to sexual health care services for minors and protect minors from unhealthy sexual situations. Specific learning objectives related to sexual health are outlined for the end of grades 2, 5, 8, and 12, covering topics such as puberty, pregnancy prevention, sexually transmitted infections, and healthy relationships.

K-12

Not explicitly stated in the provided documents.

https://www.nj.gov/education/standards/chp/2020_NJSLS-CHPE.pdf, https://www.nj.gov/education/standards/docs/grad.pdf

New Hampshire

New Hampshire requires a minimum of 20 credits to graduate and earn a high school diploma. Health education is required to be taught as part of the basic curriculum per Revised Statutes §§ 186:11 and 189:10, but specific credit requirements are determined locally.

Health education must be taught as part of the basic curriculum with emphasis on physiology, hygiene, and health and physical education as they relate to HIV/AIDS and STDs. The 2003 Health Education Curriculum Guidelines specify instruction for elementary (families/relationships, growth/development, HIV/AIDS), middle school (adds sexual behavior, STD/pregnancy prevention), and high school (adds violence/date rape). Public schools must adhere to state-identified health education standards covering K-12.

New Hampshire schools ARE required to teach sex education. No statute regarding abstinence instruction, but guidelines emphasize abstinence as most effective prevention method. Curriculum NOT required to include sexual orientation, gender identity, or consent instruction, but MUST include dating violence and date rape. Parents may opt-out based on religious objections. No regulation requiring medically accurate instruction. Minimum 2 weeks advance notice required to parents prior to human sexuality instruction (as of 2017).

Health education required K-12 as part of basic curriculum. Sex education required but specific grade levels not mandated by state law.

Information on specific teacher certification requirements for health education was not found in available documents.

Revised Statutes §§ 186:11 and 189:10 (health education requirements); Revised Statutes § 193-E:2-a (school standards); Health Education Curriculum Guidelines (2003); Ed 306.27 Standard Regulation (graduation requirements)

Nevada

High school graduation requirements include 0.5 credit in Health Education. (Source: Clark County School District, which follows state guidelines).

The 2020 Nevada Academic Content Standards (NVACS) for Health outline what students should know and be able to do by the end of each grade or grade band. These standards cover core concepts and skills related to personal, community, and environmental health; mental and emotional health; nutrition and physical activity; substance use and abuse; safety practices, injury prevention, and CPR/AED; personal safety; and human reproductive system, HIV/AIDS, related communicable diseases, and sexual responsibility. Specific legislative requirements include instruction on annual physical examinations, CPR/AED (middle and high school), organ and tissue donation, suicide prevention, personal safety of children, and mental health.

Nevada Revised Statute (NRS) 389.036 mandates that each school district's Board of Trustees establish a course or unit of a course of factual instruction concerning acquired immune deficiency syndrome (AIDS), the human reproductive system, related communicable diseases, and sexual responsibility. These courses cannot be a requirement for graduation. Parents must provide written consent for their children to participate (opt-in policy). Instruction on AIDS must be factual, but there is no regulation regarding medically accurate sex education instruction in general. Curriculum is not required to include instruction on sexual orientation, gender identity, or consent.

K-12 for Health Education. Sexual health education is typically introduced in middle school (grades 6-8) and continues through high school.

General teacher licensure requirements in Nevada include a bachelor's degree and a 2.5 GPA. Specific health education teacher certification would likely fall under a secondary single-subject endorsement. The Nevada Department of Education website provides information on general license requirements and fees, and special licenses/endorsements.

https://doe.nv.gov/offices/office-of-teaching-and-learning/health, https://webapp-strapi-paas-prod-nde-001.azurewebsites.net/uploads/2020_NVACS_Health_5dc34a3de8.pdf, https://sexeducationcollaborative.org/states/nevada, https://www.ncedsv.org/wp-content/uploads/2022/11/3.-NCEDSV-One-Page_-Sex-Education.pdf

Nebraska

Each high school must require from grades nine through twelve at least 200 credit hours for graduation. There is no specific statewide health education credit requirement for high school graduation, but health education is part of the core curriculum.

The Nebraska Health Education Standards identify eight content strands across kindergarten through 12th grade: Foundations of Personal Health, Nutrition & Physical Activity Promotion, Substance Abuse Prevention, Disease Prevention, Injury Prevention & Safety, Social, Emotional, & Mental Health, Human Growth & Development, and Consumer & Environmental Health. Public and accredited non-public schools are required to include health education within their instructional programs for elementary, middle, and high schools. The core curriculum includes personal health and physical fitness.

Local school districts/school systems should consider including sex education within health education. Decisions about sex education content are made locally in consultation with parents/guardians, local school boards, and community members, along with teachers and school leaders. Locally-determined content should be developmentally appropriate, medically accurate, affirming, and protective.

Health education is required for students in kindergarten through 12th grade.

Teachers must be certificated pursuant to 92 NAC 21. The Health Education endorsement requires a minimum of 30 semester hours in health courses that demonstrate content knowledge and skills of a health literate educator.

https://cdn.education.ne.gov/wp-content/uploads/2021/07/NE-Health-Education-Standards-Draft-2.pdf, https://www.education.ne.gov/wp-content/uploads/2024/05/Web-Rule-10.pdf

Montana

As per Mont. Admin. r. 10.55.905, a minimum of 20 units of study are required for graduation, including 1 unit of health and physical education.

The Montana Health Enhancement Content Standards (Health and Physical Education) Grade by Grade outlines the required health education curriculum standards. These standards cover various health topics, with benchmarks for different grade levels (e.g., by end of Grade 4, Grade 8, and Grade 12). The Montana Accreditation Standards for Health Enhancement also state that schools are accountable for meeting these standards.

According to the Montana Summary Report. Analysis of State Health Education Laws., there is "No Law or Regulation" regarding sexual health education, HIV Prevention, and STD Prevention at the state level. However, the Montana Accreditation Standards for Health Enhancement mention a "human sexuality component" within the Health Enhancement program. The content should reflect community values, and local school districts have the decision-making authority regarding abstinence-based or abstinence-until-marriage approaches. Parental notification is required for lessons related to sex, anatomy, intimate relationships, and sexual orientation (Senate Bill 99).

Health education content standards are provided for grades K-12. Specific grade levels where health education is mandatory are not explicitly stated beyond the K-12 content standards, but the graduation requirement implies it is part of the high school curriculum.

Teacher certification requirements for health education are handled through the Montana Office of Public Instruction's Educator Licensure division. Specific requirements for Health and Physical Education K-12 certification are offered through various universities in Montana, leading to a Class II Teaching Certificate endorsed in Health and Physical Education (K-12).

https://opi.mt.gov/Portals/182/Page%20Files/Health%20%26%20Physical%20Education/16HEStandards_byGrade.pdf, https://opi.mt.gov/Portals/182/Page%20Files/Health%20%26%20Physical%20Education/HEStandardsSexEd.pdf, https://www.law.cornell.edu/regulations/montana/Mont-Admin-r-10.55.905_v2

Missouri

Beginning with the class of 2010, the state minimum high school graduation requirements include 24 units of credit. One-half unit of credit in Health and Family Education is required, to be implemented for the 2024-25 school year and all subsequent school years. Local school boards may include additional requirements.

Comprehensive school health education should address the National Health Education Standards and include curricula for students in pre-Kindergarten through grade 12 that incorporate a variety of topics such as Alcohol, tobacco, vaping, opioids and other drug awareness, Healthy eating and nutrition, Social, emotional, and mental health, Personal health and wellness, Physical activity, Safety and injury prevention, Sexual health, and Violence prevention.

Missouri state law does not require schools to teach sex education. However, if sex education is provided, it must stress abstinence and include HIV/AIDS education. Schools that offer sex education must make all curriculum materials publicly available, and parents have the right to remove their child from sex education classes.

Pre-Kindergarten through grade 12

To be certified in Health (K-12) in Missouri, candidates must pass the Health Education (5551) Praxis exam with a qualifying score of 155.

https://dese.mo.gov/college-career-readiness/curriculum/health-physical-education, https://dese.mo.gov/quality-schools/graduation-requirements-how-many-credits-does-student-need-graduate-0, https://health.mo.gov/youth/mosexed, https://dese.mo.gov/media/pdf/gle-health-education, https://dese.mo.gov/educator-quality/certification/subject-area-requirements

Mississippi

0.5 Credit of Health/Physical Education is required for high school graduation under all three pathways (Career Pathway Option, Traditional Pathway Option, and MS Early Exit Exam Option). It is important to note that the Mississippi Healthy Students Act (MS Code 37-13-134) mentions '½ Carnegie Unit of physical education for graduation, 9-12', suggesting that the 0.5 credit might be primarily for physical education, with health education potentially being integrated or a separate, non-credit requirement.

The Mississippi Healthy Students Act (MS Code 37-13-134) mandates 45 minutes per week of health education for grades K-8. Standard 27 of the Mississippi Public School Accountability Standards states that health education is part of the basic curriculum for elementary and middle schools (any configuration of grades K-8).

House Bill 999 (MS Code 37-13-171) requires public school districts to adopt and implement a sex education policy—either “abstinence-only” or “abstinence-plus.” Any course containing sex-related education offered in the public schools must include instruction in either abstinence-only or abstinence-plus education.

Health education is mandated for grades K-8.

Specific requirements for health education teacher certification are detailed in the "GUIDELINES FOR MISSISSIPPI EDUCATOR LICENSURE K-12" document. Mississippi teacher license endorsement 961 is needed to teach the Health Sciences Pathway. A valid Mississippi educator's license in home economics, biology, general science, or physical education is also mentioned as a requirement for 143 Health Education (12 hours) at Mississippi State University.

https://mdek12.org/healthyschools/health-education/, https://mdek12.org/healthyschools/contactspoliciesresources/, https://mdek12.org/healthyschools/healthystudentsact/, https://mdek12.org/healthyschools/mscode3713171/, https://www.mdek12.org/sites/default/files/mississippi-high-school-nbsp-graduation-pathway.pdf, https://www.mdek12.org/sites/default/files/Offices/MDE/OA/OTL/Teacher%20Center/guidelines_for_mississippi_educator_licensure_k-12_april_2021.pdf

Minnesota

Students must satisfactorily complete all state academic standards or local academic standards where state standards do not apply. A minimum of 21.5 course credits are required for graduation. Health Education credit is determined at the local level and must meet locally developed standard requirements.

The Minnesota Department of Education (MDE) is actively developing the first-ever statewide K–12 Academic Standards in Health. Until statewide rules are implemented, locally developed health standards apply. Required health-related subject areas to be included in statewide standards are: Cardiopulmonary Resuscitation (CPR) and Automatic External Defibrillator (AED) Education (Grades 7-12), Vaping Awareness and Prevention Education (Grades 6-8), Cannabis Use and Substance Use Education (Grades 6-12), Sexually Transmitted Infections (STIs) and Diseases Education (must meet requirements of Minnesota Statutes, section 121A.23), and Mental Health Education (Grades 4-12).

Sexually Transmitted Infections (STIs) and Diseases Education is a required subject area in statewide health standards, which must meet the requirements of Minnesota Statutes, section 121A.23. The Minnesota Department of Health (MDH) supports comprehensive sexuality education (CSE) as part of broader public health initiatives, emphasizing that human sexuality is lifelong and a normal part of development. MDH views sexual health as a state of physical, emotional, mental, and social well-being.

Health education is required at various grade levels depending on the specific topic: Mental Health Education (Grades 4-12), Vaping Awareness and Prevention Education (Grades 6-8), Cannabis Use and Substance Use Education (Grades 6-12), Cardiopulmonary Resuscitation (CPR) and Automatic External Defibrillator (AED) Education (Grades 7-12). Overall K-12 health standards are being developed.

To obtain a Minnesota teaching license in Health Education (typically grades 5-12), candidates generally need to complete a bachelor's degree, an approved Educator Preparation Program (EPP), required Human Relations coursework, and pass the MTLE (Minnesota Teacher Licensure Examinations) pedagogy and content area tests.

https://education.mn.gov/MDE/dse/stds/hpe/, https://education.mn.gov/mde/dse/gradreq/

Michigan

Health education is part of the Michigan Merit Curriculum for Grades 9-12. One credit of physical education and health is required for high school graduation.

School districts are required to teach about dangerous communicable diseases, including HIV/AIDS, at least once a year at every building level (elementary, middle/junior, senior high). Instruction must stress abstinence. Health education content expectations (GLCEs for K-8 and MMC for 9-12) provide recommendations for content and skills, including HIV prevention and growth and development/sex education. The Michigan Model for Health is aligned with GLCEs and MMC.

School districts may provide sex education, but it is not required. If provided, it must be in accordance with MCL sections 380.1506, 380.1507, 380.1507a, 380.1507b. Instruction must stress abstinence. Parents have the right to opt-out their children from sex education. Clinical abortion cannot be taught as a method of family planning or reproductive health. Family planning drugs/devices cannot be distributed on school property. Sex education advisory boards (SEABs) are required if sex education is offered, with specific membership requirements and responsibilities.

HIV/AIDS education is required at every building level (elementary, middle/junior, senior high). Health education content expectations are provided for K-8 and 9-12.

To teach HIV/AIDS education, teachers must have training in HIV/AIDS education for young people. To teach sex education, teachers must be qualified to teach health, with specific endorsements (MA, MC, MX, KH) at the secondary level. The MDE issues permits if a properly certified teacher is unavailable. MDE recommends 6 clock-hours of professional development in HIV and sex education content, teaching methods, and Michigan laws at least once every five years.

https://www.michigan.gov/mde/-/media/Project/Websites/mde/Food-and-Nutrition-Programs/School-Health-and-Safety/HIV/A-Summary-of-HIV-STI-and-Sex-Ed-Legal-Obligations-2023-12-19ADA.pdf, https://www.michigan.gov/mde/-/media/Project/Websites/mde/Food-and-Nutrition-Programs/School-Health-and-Safety/HIV/Michigan-Compiled-Laws-re-Teaching-of-HIV-Health-PE-and-Sex-EdADA.pdf

Massachusetts

Health education is not explicitly a statewide graduation requirement. Some individual school districts (e.g., Dedham High School, Shrewsbury Public Schools, Lowell High School) appear to have health education as a graduation requirement, but this is not a statewide mandate according to the DESE website's general graduation requirements.

The 2023 Comprehensive Health and Physical Education Framework provides learning standards for health and physical education programming, organized by grade spans (Pre-K-2, 3-5, 6-8, 9-12), practices, and topics. It emphasizes that every student should have access to health and physical education annually from Pre-K through grade 12.

The framework includes a dedicated topic area for "Gender, Sexual Orientation, and Sexual Health [GS]". Specific standards related to sexual health are introduced at various grade levels:* **Grades Pre-K-2 (PK.3.GS):** Focuses on discussing gender-role stereotypes and treating all people with dignity and respect.* **Grades 3-5 (3.5.GS, 3.6.GS, 3.7.GS):** Introduces concepts of biological sex vs. gender identity, different expressions of gender, and the variability of gender identity and sexual orientation. It also covers identifying valid health information related to human sexual and reproductive anatomy, puberty, and personal hygiene, and seeking help from trusted adults for these topics. It also promotes treating people of all gender identities, expressions, and sexual orientations with dignity and respect.* **Grades 6-8 (6.1.GS, 6.2.GS, 6.3.GS, 6.5.GS, 6.6.GS, 6.7.GS):** Delves into applying decision-making processes for sexual health, preventing pregnancy and STIs, understanding the consequences of sexual activity, and the importance of postponing sexual activity. It also covers assessing personal health practices for healthy sexual behaviors, understanding the distinction between assigned sex, gender identity, and gender expression, and the three dimensions of sexual orientation. It also addresses influences on attitudes and beliefs toward sexual orientation, sexual health, and sexual activity, and accessing credible sources for information on these topics.* **Grades 9-12 (9.1.GS, 9.5.GS):** Focuses on applying decision-making processes for sexual activity and health, discussing reasons against coercion, analyzing factors contributing to risk of pregnancy, HIV, and STIs, and the importance of STI testing. It also covers evaluating readiness and options for sexual activity, and analyzing internal and external influences on sexual behavior and identity, and the role of personal views on gender, sexual identity, and sexual health.

Pre-K-2, grades 3-5, grades 6-8, and grades 9-12.

Massachusetts offers a "Health/Family and Consumer Science" teacher license for "All" grade levels. The general requirements for obtaining an Academic PreK-12 license include completing an approved educator preparation program, passing the Massachusetts Tests for Educator Licensure (MTEL), and meeting other specific requirements depending on the license type (Temporary, Provisional, Initial, and Professional).

2023 Comprehensive Health and Physical Education Framework: https://www.doe.mass.edu/frameworks/health/2023-health-physical-education-framework.pdf

Maryland

Students in grades 9-12 need to complete 1.0 credits in health education to meet graduation requirements.

The comprehensive instructional program shall help students adopt and maintain healthy behaviors and skills that contribute directly to a student’s ability to successfully practice behaviors that protect and promote health and avoid or reduce health risks. The instructional program shall provide for the diversity of student needs, abilities, and interests at the elementary, middle, and high school learning years, and shall include the Maryland Health Education Standards with related indicators and objectives covering: Mental and emotional health, Substance abuse prevention, Family life and human sexuality, Safety and violence prevention, Healthy eating, and Disease prevention and control. Specific content includes: Substance Abuse Prevention (instruction on drug addiction and prevention, including heroin, opioid, and fentanyl, delivered at least once in grade bands 3-5, 6-8, and 9-12 as a stand-alone program); Safety and Violence Prevention (high school students must complete instruction in hands-only cardiopulmonary resuscitation (CPR) and the use of an automated external defibrillator (AED); age-appropriate instruction on the awareness and prevention of sexual abuse and assault, including consent and personal boundaries); Disease Prevention and Control (students will apply knowledge to reduce susceptibility and manage diseases, including sexually transmitted infections (HIV); instruction in oral health; age-appropriate lessons on diabetes).

Maryland family life and human sexuality instruction shall represent all students regardless of ability, sexual orientation, gender identity, and gender expression. Beginning no later than grade 7, teaching shall emphasize that refraining from sexual activity is the best method to avoid sexually transmitted infections, including HIV, and unintended pregnancy. Education shall include medically accurate information about contraception and condoms. Local school systems must establish a joint committee of educators and community representatives to review and comment on instructional materials. Direct teaching of family life and human sexuality indicators and objectives will begin in or prior to grade 5. Local school systems must establish opt-out policies for family life and human sexuality instruction, and provide alternative learning activities for opting-out students. Parents/guardians must have the opportunity to view instructional materials. Age-appropriate instruction on “consent” and respect for personal boundaries is required.

Health education is provided yearly for all students in Prekindergarten through 8th grade. A comprehensive health education program is offered for students in grades 9-12. Direct teaching of family life and human sexuality objectives begins in or prior to grade 5. Substance abuse prevention instruction is delivered at least once in grade bands 3-5, 6-8, and 9-12.

Teachers delivering family life and human sexuality content are required to have additional preparation in content and teaching methods, which may include college courses, local in-service programs, and/or State workshops. Teachers providing instruction on sexual abuse and assault awareness and prevention must be trained. Teachers delivering drug addiction and prevention education must be trained in that field.

Maryland Comprehensive Health Education Framework: https://marylandpublicschools.org/about/Documents/DCAA/Health/Health_Education_Framework_July_2022.pdf; COMAR 13A.04.18.01: https://dsd.maryland.gov/regulations/pages/13a.04.18.01.aspx

Maine

Health education is part of the Maine Learning Results. Specific graduation requirements for health education are not explicitly detailed as credits or courses in the provided documents, but rather as meeting the content standards within the comprehensive health education curriculum.

Maine Learning Results Health Education and Physical Education Standards (Revised April 2022). The curriculum covers various health topics, including personal and community health, injury prevention, nutrition, physical activity, and social-emotional health.

Maine Comprehensive Family Life Education Statute (20-A MRSA §4706) allows school administrative units to provide comprehensive family life education, including sexual health education. The Child Sexual Abuse Prevention and Response (20-A MRSA §4726) mandates age-appropriate instruction on child sexual abuse prevention. Parents/guardians have the right to opt their children out of sexual education instruction.

Pre-kindergarten through Grade 12

Endorsement 1.18: Pre-kindergarten through Grade 12 Teacher of Health and Physical Education. Requirements include a bachelor's degree, specific semester hours in health and physical education, an adaptive physical education course, diversity-centered content, human development/educational psychology, content area methods courses in health and physical education, and passing basic skills tests or achieving a 3.0 GPA/portfolio review. Student teaching in both health and physical education is required.

https://www.maine.gov/doe/schools/safeschools/healthed/laws, https://www.maine.gov/doe/sites/maine.gov.doe/files/inline-files/Health%20Education%20and%20Physical%20Education%20Standards%20Revised%20April%202022_9.pdf, https://www.maine.gov/sos/sites/maine.gov.sos/files/content/assets/071c115.docx

Louisiana

High school graduation requirements include 0.5 units of Health Education and 1.5 units of Physical Education. These are part of the 24 total credits required for a diploma (e.g., TOPS University Diploma or Jump Start TOPS Tech Career Diploma).

Louisiana Health Education Content Standards establish a framework for interdisciplinary connections across learning areas and the inclusion of school health. These standards are detailed in Bulletin 103. Specific content includes factual biological/pathological information related to human reproduction, sexually transmitted diseases, pregnancy, childbirth, puberty, menstruation, and menopause. It also includes factual information about parental responsibilities under child support laws. The major emphasis of any sex education instruction must be to encourage sexual abstinence between unmarried persons.

Louisiana public elementary or secondary schools may, but are not required to, offer instruction in subject matter designated as "sex education." If offered, it must be integrated into an existing course of study such as biology, science, physical hygiene, or physical education. The major emphasis must be to encourage sexual abstinence between unmarried persons. It must emphasize abstinence as a way to avoid unwanted pregnancy, sexually transmitted diseases, including acquired immune deficiency syndrome, and other associated health problems. It must also emphasize that each student has the power to control personal behavior and to encourage students to base action on reasoning, self-esteem, and respect for others. Sex education does not include religious beliefs, practices in human sexuality, nor subjective moral and ethical judgments of the instructor. Students cannot be tested, quizzed, or surveyed about personal/family beliefs or practices in sex, morality, or religion. No contraceptive or abortifacient drug, device, or other similar product shall be distributed, and no sexually explicit materials depicting male or female homosexual activity shall be used. Any child may be excused from sex education instruction at the option of their parent or guardian. No program offering sex education instruction shall counsel or advocate abortion.

Health education is generally required at the high school level for graduation (0.5 units). Sex education instruction is not offered in kindergarten or grades one through six. The Orleans Parish School Board may offer sex education at the third grade level or higher.

The qualifications for all teachers or instructors in "sex education" shall be established and the selection of all such teachers or instructors shall be made solely and exclusively by the public local or parish school board. General health and physical education teacher certification requires a baccalaureate degree from a regionally accredited college or university, with specific coursework and passing of Praxis exams (e.g., Principles of Learning and Teaching).

https://legis.la.gov/legis/law.aspx?d=80423 (Louisiana Revised Statutes Title 17, Section 281), https://doe.louisiana.gov/school-system-leaders/ccr/graduation-requirements, https://www.doa.la.gov/media/b24py233/28v59.pdf (Bulletin 103 – Louisiana Health Education Content Standards)

Kentucky

One-half (1/2) credit in health education and one-half (1/2) credit in physical education are required for high school graduation.

The Kentucky Academic Standards for Health Education direct schools and districts to address the physical, mental, emotional and social dimensions of health. Comprehensive school health education includes courses of study (curricula) for students in pre-K through grade 12 that address topics such as alcohol and other drug use and abuse, healthy eating/nutrition, mental and emotional health, personal health and wellness, physical activity, safety and injury prevention, sexual health, tobacco use, and violence prevention.

Senate Bill 150 prohibits instruction that explores gender identity, gender expression or sexual orientation for all grade levels, and forbids instruction on human sexuality in grades five and below. Parental consent is required for students in grades 6 and up to receive sex education (opt-in policy).

Health education is included in curricula for students in pre-K through grade 12.

Candidates for initial certification must complete an Education Professional Standards Board approved educator preparation program, create an account on the Kentucky Educator Credentialing System (KECS), pass appropriate assessments, provide official transcripts, and complete a Character and Fitness review.

https://www.education.ky.gov/curriculum/standards/kyacadstand/Documents/Kentucky_Academic_Standards_for_Health%20Education.pdf, https://apps.legislature.ky.gov/law/kar/titles/704/003/305/, https://www.education.ky.gov/epsb/Pages/Educator-Certification.aspx

Kansas

One half unit of health which may include safety, first aid or physiology.

The National Standards were used and followed in the development of the Kansas’ Health Education Standards. The Kansas Health Education Standards are to be used to plan and implement K-12 health education in Kansas schools. Local school control determines content and extent of human sexuality education.

Each school shall be assigned its accreditation status based upon the extent to which the school has met the performance and quality criteria established by the state board of education in this regulation. The quality criteria shall consist of quality measures, which shall be required to be in place at each school. Programs and services to support student learning and growth at both the elementary and secondary levels include physical education, which shall include instruction in health and human sexuality. Local school districts determine if they wish to offer the opt-in or the opt-out policy for student in human sexuality education.

Health education is required to be taught at both the elementary and secondary levels. The Kansas Health Education Standards are to be used to plan and implement K-12 health education in Kansas schools.

To qualify for a Kansas initial teaching license, you must complete a content knowledge assessment in each of the endorsement or teaching subjects areas. KSDE requires at least eight credit hours or one year of student teaching experience in order to apply for your initial teaching license. Candidates for initial teacher licensure in Kansas will need to earn passing scores on one of the four Praxis Principles of Learning and Teaching exams.

https://www.ksde.gov/Portals/0/CSAS/CSAS%20Home/Graduation%20and%20Schools%20of%20Choice/Graduation%20Requirements%20Fact%20Sheet%20-%20Class%20of%202028%20and%20beyond.pdf, https://www.ksde.gov/Portals/0/CSAS/Content%20Area%20(F-L)/Health%20Education/Kansas%20Health%20Education%20FAQ.pdf

Iowa

The document does not explicitly state high school graduation requirements for health education in terms of credits or specific courses. It focuses on curriculum standards.

Iowa adopted the National Health Education Standards (NHES) as its recommended Health Education Standards and performance indicators. These standards provide a framework for student learning through eight anchor standards consistent across grades Pre K-12. The document lists these eight standards:1. Students will comprehend concepts related to health promotion and disease prevention to enhance health.2. Students will analyze the influence of family, peers, culture, media, technology and other factors on health behaviors.3. Students will demonstrate the ability to access valid information and products and services to enhance health.4. Students will demonstrate the ability to use interpersonal communication skills to enhance health and avoid or reduce health risks.5. Students will demonstrate the ability to use decision-making skills to enhance health.6. Students will demonstrate the ability to use goal-setting skills to enhance health.7. Students will demonstrate the ability to practice health-enhancing behaviors and avoid or reduce health risks.8. Students will demonstrate the ability to advocate for personal, family and community health.

Sex education is mandated in Iowa. Instruction must be age appropriate and research based, but is not required to align with the National Sex Education Standards. Iowa schools are required to teach sex education, also known as “human growth and development instruction.” Iowa has no standard regarding the inclusion of abstinence in sex education curriculum; however, it permits abstinence-based or abstinence-only materials as long as those materials fall within the parameters of the law. Sex education instruction must be free of bias based on race, ethnicity, sexual orientation, or gender. Curriculum is not required to include instruction on consent. Parents or guardians may remove their children from any part of health education courses if the course conflicts with the student’s religious beliefs (opt-out policy). Sex education curriculum must be medically accurate.

Health education standards are for students in all grade levels—from pre-Kindergarten through grade 12.

Health education content may be taught by a certified teacher with grade-level and appropriate content endorsement if integrated into other courses in grades K-8. Health education must be taught by a certified teacher with a grade-level and health education endorsement when offered as a stand-alone course.

Iowa Administrative Code chapter 12, Iowa Code 256.11, Iowa Code 256.9A, Iowa Code §§ 279.50, SF 496 (2023)

Indiana

1 credit in Health and Wellness is required for both Core 40 and Honors Diplomas.

Indiana Academic Standards for Health & Wellness (K-12). Sexual health education must include abstinence as the expected standard, the only certain way to avoid out-of-wedlock pregnancy and STIs, and the importance of consent. It also requires an in-person or virtual presentation on human growth and development during pregnancy.

IC 20-30-5-13: Instruction on human sexuality or sexually transmitted infections. Requires teaching abstinence as the expected standard, the only certain way to avoid out-of-wedlock pregnancy and STIs, and the importance of consent. Also requires a medically accurate and age-appropriate presentation on human growth and development during pregnancy, including ultrasound video and fetal development stages. Curricular materials must be approved by the governing body of the school corporation.

K-12 (Health and Wellness standards), K-12 (Sexual Health Education)

Health education teachers at the elementary primary level (K-5) and elementary intermediate level (3-8) require a 'Health covering elementary/primary school setting' or 'Health covering grades P-3, K-6, P-12' license, or a 'P.E. & Health Area Major (K-12)'. For high school (9-12), a 'Health & Safety (7-12)' or 'Health & Safety (9-12)' license, or a 'P.E. & Health Area Major (K-12)' is required. A P.E. & Health Area Major (K-12) license appears to be a common requirement across all grade levels.

https://www.in.gov/doe/students/indiana-academic-standards/health-and-wellness/, https://www.in.gov/doe/students/school-safety-and-wellness/health/health-laws/, https://iga.in.gov/legislative/laws/2024/ic/titles/20#20-30-5-13, https://www.in.gov/doe/educators/educator-licensing/what-can-i-teach-with-my-license/, https://www.in.gov/doe/students/graduation-requirements/

Illinois

Each student shall be required to take one semester or the equivalent (at least 18 weeks) of health education during the secondary school experience.

The Comprehensive Health Education Program includes, but is not limited to, the following major educational areas as a basis for curricula in all elementary and secondary schools: Human ecology and health; human growth and development; the emotional, psychological, physiological, hygienic, and social responsibilities of family life, including sexual abstinence until marriage; the prevention and control of disease, including instruction in grades 6 through 12 on the prevention, transmission, and spread of AIDS; age-appropriate sexual abuse and assault awareness and prevention education in grades pre-kindergarten through 12; public and environmental health; consumer health; safety education and disaster survival; mental health and illness (including how and where to find mental health resources and specialized treatment); personal health habits; alcohol and drug use and abuse (including medical and legal ramifications, and abuse during pregnancy); evidence-based and medically accurate information regarding sexual abstinence; tobacco and e-cigarettes and other vapor devices; nutrition; and dental health. Information about cancer (types, signs, symptoms, risk factors, early prevention and detection); Basic first aid (including CPR and Heimlich maneuver); Heart disease, diabetes, stroke; Prevention of child abuse, neglect, and suicide; Teen dating violence in grades 7 through 12. Beginning with the 2014-2015 school year, training on how to properly administer cardiopulmonary resuscitation (CPR) and how to use an automated external defibrillator (AED) shall be included as a basis for curricula in all secondary schools. Beginning with the 2024-2025 school year in grades 9 through 12, instruction on the dangers of allergies (recognizing signs/symptoms, preventing exposure, safe emergency epinephrine administration).

Instruction on the emotional, psychological, physiological, hygienic, and social responsibilities of family life, including sexual abstinence until marriage. Instruction in grades 6 through 12 on the prevention, transmission, and spread of AIDS. Age-appropriate sexual abuse and assault awareness and prevention education in grades pre-kindergarten through 12. Evidence-based and medically accurate information regarding sexual abstinence.

Health education is required at all elementary and secondary grade levels. AIDS instruction: grades 6 through 12. Sexual abuse and assault awareness and prevention education: grades pre-kindergarten through 12. Teen dating violence: grades 7 through 12. CPR/AED training: all secondary schools (beginning 2014-2015 school year). Allergies instruction: grades 9 through 12 (beginning 2024-2025 school year).

All prospective health teachers in Illinois must have at least a bachelor's degree from a regionally accredited university or college. They must also pass a subject matter knowledge test and meet specific coursework requirements (e.g., 25 semester hours in health education or a major in health education).

https://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=1015&ChapterID=17

Idaho

Starting with the 2025-2026 school year, Idaho high school graduation requirements include 1 credit of Health/Wellness. Local school districts may establish additional requirements.

The Idaho Content Standards for Health Education outline the curriculum for Kindergarten through Grade 12. The standards are organized by grade bands (K-2, 3-5, 6-8, 9-12) and cover eight core concepts: Alcohol, Tobacco, & Other Drugs; Nutrition & Physical Activity; Injury Prevention & Safety; Mental, Emotional, & Social Health; Prevention & Control of Disease; Consumer & Community Health; Growth, Development, & Family Life; and Environmental Health.

Sex education is not mandated in Idaho. If schools choose to offer sex education, the curriculum must emphasize abstinence. Local school boards determine whether to provide sex education, the content, and the grade levels. Recent legislative discussions include prohibiting sex education before fifth grade and requiring parental opt-in for sexuality-related discussions.

Kindergarten through Grade 12.

General teacher certification in Idaho requires a bachelor's degree and completion of an SDE approved teacher preparation program, along with passing the Praxis Subject Assessment. Specific requirements for health education teachers would fall under these general guidelines, and there are discussions about new certification pathways.

https://www.sde.idaho.gov/academic/shared/health/ICS-Health.pdf

Hawaii

In high school, a one-semester course (0.5 credits; 60 hours) in Health Education is required for graduation.

The National Health Education Standards (NHES) were adopted in December 2019, with full implementation in SY 2023-2024. Health Education in Hawaiʻi's Pre-kindergarten is aligned to the HELDS. The curriculum focuses on developing health literacy skills and addresses eight Priority Health Topics: Mental and Emotional Health, Personal Health and Wellness, Healthy Eating and Physical Activity, Safety (Unintentional Injury Prevention), Violence Prevention, Tobacco Use Prevention, Alcohol and Other Drug Use Prevention, and Sexual Health and Responsibility.

Comprehensive sexual health education is provided to students with age-appropriate, medically accurate content and skills. It includes instruction on abstinence, contraception, and methods of infection prevention (HIV/STIs). It also focuses on developing healthy relationships, communication skills, critical thinking, problem-solving, decision-making, and stress management. Students are encouraged to communicate with parents/guardians/trusted adults, and information on community resources is provided. Parents/legal guardians have the right to opt-out their children from sexual health instruction. Policies include Hawai‘i Revised Statutes (HRS) §321-11.1, Board Policy 103-5 Sexual Health Education, and Board Policy 103-8 Prophylactics in the Public Schools.

Health Education is required in all elementary grades. Middle/intermediate schools must offer courses that allow all students to meet Health Education standards and performance indicators for Grades 6-8 (one semester/0.5 credits/60 hours strongly recommended but not required). In high school, a one-semester course (0.5 credits; 60 hours) in Health Education is required for graduation. Sexual health education is provided in Grades K-2 (foundational), 3-5 (puberty education), and 6-12 (comprehensive sexual health education).

Not explicitly found in the provided documents.

https://www.hawaiipublicschools.org/DOE%20Forms/Health%20and%20Nutrition/HealthStandards.pdf, https://www.hawaiipublicschools.org/DOE%20Forms/Sexual%20Health%20Education/SexualHealthEducationHIDOE.pdf, https://boe.hawaii.gov/policies/Board%20Policies/Sexual%20Health%20Education.pdf

Georgia

Each school containing any grade 6-12 shall make available instruction in health and physical education. Instruction in cardiopulmonary resuscitation and the use of an automated external defibrillator is a requirement within one of the required health or physical education courses (Health (17.011), Health and Personal Fitness (36.051), or Advanced Personal Fitness (36.061)) for schools with grades nine through 12.

A comprehensive health and physical education program shall include information and concepts in the following areas: Alcohol and other drug use, Disease prevention, Environmental health, Nutrition, Personal health, Sex education/AIDS education, Safety, Mental health, Growth and development, Consumer health, Community health, Health careers, Family living, Motor skills, Physical fitness, Lifetime sports, Outdoor education, Fitness assessment.

Sex education/AIDS education is a planned program that shall include instruction relating to the handling of peer pressure, promotion of high self-esteem, local community values, and abstinence from sexual activity as an effective method of preventing acquired immune deficiency syndrome and the only sure method of preventing pregnancy and sexually transmitted diseases. This instruction shall emphasize abstinence from sexual activity until marriage and fidelity in marriage as important personal goals. Sex education and AIDS education shall be a part of a comprehensive health program. Sex education shall also include annual age-appropriate sexual abuse and assault awareness and prevention education in kindergarten through grade 9. Parents and legal guardians have the option of excluding their child from sex education and AIDS prevention instructional programs. They must be informed of the instruction and have the opportunity to review all instructional materials. Each local board of education shall establish a committee to review periodically sex/AIDS education instructional materials and make recommendations concerning age/grade level use. The committee should be composed primarily of nonteaching parents, augmented by educators, health professionals, and community representatives, and include male and female students from 11th or 12th grade.

Each school containing any grade K-5 shall provide a minimum of 90 contact hours of instruction at each grade level K-5 in health and physical education. Each school containing any grade 6-12 shall make available instruction in health and physical education. Alcohol, tobacco, vapor products, and other drug use education is required annually for grades K-12. Sexual abuse and assault awareness and prevention education is required annually in kindergarten through grade 9. CPR/AED instruction is required for grades 9-12. Human trafficking awareness is required annually for grades 6-12.

The fitness assessment program must be conducted during a physical education course that is taught by a certificated physical education teacher.

https://lor2.gadoe.org/gadoe/file/fde87c5b-a29a-4117-8f01-6438ef612575/1/160-4-2-.12-COMPREHENSIVE-HEALTH-AND-PHYSICAL-EDUCATION.pdf

Florida

One-half credit in health education (as per SB 440 (2008) - High School Graduation Requirements/Health Ed).

Grades K-12: Injury prevention and safety, Internet safety, Nutrition, Personal health, Prevention and control of disease, Substance use and abuse, Prevention of child sexual abuse, exploitation, and human trafficking, Life skills that build confidence, support mental and emotional health, and enable students to overcome challenges.Grades 6-12: Awareness of the benefits of sexual abstinence as the expected standard and the consequences of teenage pregnancy, The effects of social media (negative effects on mental health, misinformation, manipulation, permanency of sharing, personal security, cyberbullying, predatory behavior, human trafficking, reporting suspicious behavior).Grades 7-12: Teen dating violence and abuse (definition, warning signs, healthy relationships, prevention, community resources).Grades 9-12: Leadership skills, interpersonal skills, organization and research skills; creating a résumé (including digital); exploring career pathways; using state career planning resources; employment interview skills; workplace ethics and law; managing stress and expectations; self-motivation.State Academic Standards: Based on established health behavior theories, models, evidence-based research and best practices. Strands: Personal Health Concepts (PHC), Community and Environmental Health (CEH), Consumer Health (CH). Additional strands: Resiliency Education (R) (Character, Personal Responsibility, Mentorship and Citizenship, Critical Thinking and Problem Solving), Substance Use and Abuse (SUA).

For Grades 6-12: Awareness of the benefits of sexual abstinence as the expected standard and the consequences of teenage pregnancy. Florida law requires schools to emphasize the benefits of sexual abstinence as the expected standard and the consequences of teenage pregnancy.

K-12 (specific content varies by grade band: K-12, 6-12, 7-12, 9-12)

School health education is a teaching education program that meets certification requirements of the state of Florida for specializations in grades K – 12. Florida offers two types of Educator Certificates: the Temporary Certificate and the Professional Certificate. Professional educator certificates in Florida must be valid for a five (5) year period. Renewal generally requires six (6) college credit semester hours. Certified Health Education Specialist Exam (CHES®) eligibility requires a bachelor's, master's, or doctoral degree from an accredited institution.

https://www.fldoe.org/schools/healthy-schools/comprehensive-health-edu.stml, https://www.fldoe.org/schools/healthy-schools/HealthEducationPlans.stml, http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=1000-1099/1003/Sections/1003.46.html, https://www.fldoe.org/core/fileparse.php/20653/urlt/6-5.pdf, https://www.fldoe.org/core/fileparse.php/20602/urlt/10-4.pdf, https://info.fldoe.org/docushare/dsweb/Get/Document-10290/dps-2024-78b.pdf

District of Columbia

Yes - 1.5 Carnegie Units in Physical Education/Health required for graduation (24 total units required)

Yes - Comprehensive school health education is required in all public schools, including instruction on human sexuality and reproduction. Must be age-appropriate and taught in grades Pre-K through 12.

Required - Sex education is mandated as part of comprehensive school health education. Must include instruction on abstinence, gender identity, sexual orientation, consent, and how alcohol/substances affect consent. Not required to be medically accurate. Parents can opt-out with written request.

Pre-K through 12

Yes - Superintendent must provide systematic teacher training and staff development activities for health and physical education instructors

DC Municipal Regulations §§ 5-E2304 and 5-E2305; DC Health Education Standards (2016); Sexual Health Curriculum Review (2017); DC Code § 38-824.02

Delaware

For the graduating class of 2011, a public school student shall be granted a State of Delaware Diploma when such student has successfully completed a minimum of twenty two (22) credits in order to graduate including: one-half (1/2) credit in Health Education.

School districts and charter schools shall provide instructional programs in health education for each grade K through 12 that meet the hours requirements outlined in 14 DE Admin. Code 551. School districts and charter schools shall provide comprehensive health education programming for each grade K through 8 that demonstrates alignment to the Department of Education's adopted health education content standards. All public school students in grades 9 to 12 shall complete the credits in health education necessary to graduate from high school through health education programming that demonstrates alignment to the Department of Education's adopted health education content standards.

From 14 Del. Admin. Code 551 K-12 Comprehensive Health Education Program:* **2.1.3.1 In grades K to 4**, a minimum of thirty (30) hours in each grade of comprehensive health education and family life education of which at least ten (10) hours, in each grade, must address drug and alcohol education.* **2.1.3.2 In grades 5 and 6**, a minimum of thirty five (35) hours in each grade of comprehensive health education and family life education of which at least ten (10) hours, in each grade, must address drug and alcohol education.* **2.1.3.3 In grades 7 and 8**, a minimum of forty (40) hours in each grade of comprehensive health education and family life education of which at least ten (10) hours, in each grade, must address drug and alcohol education.* **2.1.3.4 In grades 9 to 12**, one half (1/2) credit of comprehensive health education is required for graduation of which at least fifteen (15) hours of this 1/2 credit must address drug and alcohol education.From the Consent Education Annual Report:* Beginning in the 2020-2021 school year, each school district and charter school serving 1 or more of the grades 7 through 12 shall provide age- and developmentally- appropriate, evidence-informed instruction on the meaning of consent and respecting others’ personal boundaries as part of health standard programming related to comprehensive healthy relationships.* “Consent” means the unambiguous, voluntary, and freely given agreement by all participants in each physical act in the course of sexual activity, including respect for personal boundaries. Consent does not include any of the following: (a) the lack of verbal or physical resistance or submission resulting from the use of force, threat of force, or placing another individual in fear or (b) a current or previous dating, social or sexual relationship.

K-12

Certification is required for all K-12 Teachers working in Delaware’s public school system. Applying for Delaware licensure and certification is a two-step process, in that you must hold both a License and at least one Certificate. The License authorizes you to work in a Delaware public/charter school, and the Certificate(s) identifies the area(s) in which you are authorized to teach.**License Types:*** **Initial License:** For new educators or those with more than one year but less than four years of licensed teaching experience.* **Continuing License:** For those with over four years of licensed teaching experience.* **Advanced License:** For those with National Board for Professional Teaching Standards certification.**Certificate Types:*** **Standard Certificate:** Issued to certify that an educator has the prescribed knowledge, skill or education to practice in a particular area to teach a particular subject, or to teach a category of students.* **Emergency Certificate:** A temporary credential issued to an educator who has obtained employment or an offer of employment with an employing authority and holds a valid Delaware Initial, Continuing, or Advanced License, but lacks the necessary skills and knowledge to immediately meet certification requirements in a specific content area.* **Certificate of Eligibility (COE):** Issued to an educator who is participating in a state-approved, appropriate, alternative route to licensure and certification program for teachers of students with disabilities and holds a valid Delaware Initial, Continuing, or Advanced License.**Documentation Requirements:*** Official Transcript(s) – minimum of a Bachelor’s Degree.* Student Teaching on an official transcript. Proof of student teaching, if this does not appear on your transcript.* Copy of current and valid out-of-state license, if applicable.* Scores on Performance Assessments (ETS, Pearson, ACTFL, other State-authorized).* Form E (Verification of Teaching Experience) – if you have over one year of out-of-state teaching experience.* Test scores should be forwarded to the Delaware Department of Education electronically upon your request. For certificates requiring Praxis II, Educational Testing Service (ETS) administers the Praxis tests. Please use Reporting Code R7065. For certificates requiring American Council on the Teaching of Foreign Languages (ACTFL), Language Testing International administers the ACTFL tests.* If applying with credentials from out of state or out of country, there may be additional requirements.

https://education.delaware.gov/legacy/home/instruction-and-assessment/standards-and-instruction/health-education/health-education-standards/, https://education.delaware.gov/community/data/reports/consent-education-report/, https://regulations.delaware.gov/AdminCode/title14/505, https://www.law.cornell.edu/regulations/delaware/14-Del-Admin-Code-SS-503-9.0, https://regulations.delaware.gov/AdminCode/title14/551, https://education.delaware.gov/legacy/home/educators/licensure-and-certification/educators-certification/new-de-educators/teacher-k-12/

Connecticut

Students must satisfactorily complete one credit in health and safety education and one credit in physical education and wellness in order to graduate in 2023.

The 2021 Healthy and Balanced Living Curriculum Framework outlines health education and physical education standards and performance indicators. Key content areas include Alcohol, Nicotine and Other Drugs (ANOD), Healthy Relationships (HR), Violence Prevention (VP), and Healthy Eating and Physical Activity (HEPA).

The state promotes an 'Exemplary Sexual Health Education (ESHE)' approach. The curriculum framework includes a 'Sexual Health' component within the 'Healthy Relationships' section, covering topics like consent, healthy relationships, and the impact of social media on relationships.

The curriculum framework outlines content and skill development across grade clusters: PK-2, 3-5, 6-8, and 9-12.

Teacher certification for health education requires specific coursework and passing the Praxis II exam. Cross-endorsement programs are available.

https://www.casciac.org/pdfs/2021_CT_Healthy_and_Balanced_Living_Curriculum_Framework.pdf, https://portal.ct.gov/SDE/Health-Education/Exemplary-Sexual-Health-Education-ESHE

Colorado

Colorado High School Graduation Guidelines state that local boards of education must meet or exceed statewide guidelines. While specific health education credits are not explicitly mandated at the state level, it is integrated into the broader academic standards. Local districts are encouraged to include comprehensive health in their graduation policies. Successful completion of an Individual Career and Academic Plan (ICAP) is required for 9th-12th grade students.

The Colorado Academic Standards for Comprehensive Health apply from Preschool through 12th grade. Key areas of focus include personal decision-making, positive communication, healthy eating, physical activity, tobacco, drug, and alcohol abuse prevention, and violence prevention. The four standards are Physical and Personal Wellness, Social and Emotional Wellness, and Prevention and Risk Management. Instruction must be medically accurate and developmentally appropriate, emphasizing skills-based health education.

Sex education is not required in Colorado. If offered, instruction must be comprehensive, medically and scientifically accurate, and meet specific content and delivery requirements, including methods to prevent unintended pregnancy and sexually transmitted infections, and promoting healthy relationships. If pregnancy outcome options are provided, all options must be covered. Prior written notice to parents with a detailed outline of topics and materials is required, and parents can request exemption. Provisions do not apply to students in kindergarten through third grade.

Preschool through 12th grade

For Health (grades K-12) Teacher Endorsement: Bachelor's or higher degree in health; OR 24 semester hours of coursework as identified on the health endorsement worksheet; OR PRAXIS 5551 (155).

https://www.cde.state.co.us/cohealth/policiesandguidelines-health, https://www.cde.state.co.us/cohealth/cas-ch-standards-p12-2018, https://www.cde.state.co.us/postsecondary/graduation-guidelines

California

California does not specify health education as a mandatory graduation requirement at the state level. However, Education Code Section 51225.3 allows local school districts to establish health education requirements for graduation. Some districts require health education credits (typically 0.5-1.0 credits) for high school graduation. The California Healthy Youth Act mandates sexual health education in grades 7-12 but does not specify credit requirements.

California Health Education Content Standards adopted March 12, 2008, define essential skills and knowledge for health literacy. Eight overarching standards cover: (1) Essential Health Concepts, (2) Analyzing Health Influences, (3) Accessing Valid Health Information, (4) Interpersonal Communication, (5) Decision Making, (6) Goal Setting, (7) Practicing Health-Enhancing Behaviors, and (8) Health Promotion. Content areas include Growth and Development, Nutrition, Alcohol/Tobacco/Other Drugs, Injury Prevention and Safety, Mental/Emotional/Social Health, and Personal and Community Health. The California Healthy Youth Act requires comprehensive sexual health education and HIV prevention education for grades 7-12 at least once.

The California Healthy Youth Act (Education Code Sections 51930-51939) requires comprehensive sexual health education and HIV prevention education for students in grades 7-12 at least once. Key requirements include: medically accurate and age-appropriate instruction; coverage of abstinence, contraception, HIV/STD prevention; information on healthy relationships, consent, and sexual assault prevention; instruction on pregnancy outcomes including parenting, adoption, and abortion; emphasis on abstinence as most effective prevention method; respect for diverse sexual orientations and gender identities; parent notification with opt-out provisions. Districts may provide instruction in grades K-6 but it is not mandated.

Kindergarten through Grade 12 (K-12). Health education content standards are organized by grade levels: Kindergarten, Grade 1, Grade 2, Grade 3, Grade 4, Grade 5, Grade 6, Grades 7-8 (combined), and High School (Grades 9-12).

Health education teachers in California must obtain a Single Subject Teaching Credential in Health Science. Requirements include: (1) Bachelor's degree from accredited institution, (2) Pass the California Basic Educational Skills Test (CBEST), (3) Complete either a Health Science Subject Matter Program or pass the California Subject Examinations for Teachers (CSET) in Health Science (Subtests I, II, and III), (4) Complete a teacher preparation program, (5) Pass the California Teaching Performance Assessment (CalTPA), (6) Complete health education coursework including nutrition and substance abuse effects. The credential authorizes teaching health education in grades K-12.

Primary policy documents include: Health Education Content Standards for California Public Schools, Kindergarten Through Grade Twelve (March 2008); California Healthy Youth Act (Education Code Sections 51930-51939); Education Code Section 51210.8 (health education standards requirement); California Education Code Section 51225.3 (local graduation requirements); Health Framework for California Public Schools; and various CDE guidance documents on sexual health education implementation.

Arizona

Arizona does not specify health education as a mandatory graduation requirement at the state level. The statewide minimum course of study requires 22 credits but health education is not explicitly listed among required subjects (English, Math, Science, History & Social Science).

The Health Education Standards are required to be implemented by all schools that serve grades K-8 per Arizona Administrative Code R7-2-301. However, specific curriculum content details were not accessible due to website restrictions. CPR instruction is provided but not a graduation requirement.

Sexual Health Education is PERMITTED but not required. If offered, instruction must emphasize abstinence from sexual intercourse as the only 100% effective method for avoiding pregnancy and stress that sexually transmitted diseases have serious health consequences. Local Education Agencies have authority to choose or approve curriculum. Parents must be provided opportunity to opt-in students to sexual health education and opt-out from HIV Prevention instruction. Instruction regarding contraception is not addressed in state law. Each school district with existing sex education curricula must include instruction on laws relating to sexual conduct with a minor.

Health Education Standards required for grades K-8. Sexual health education permitted but not mandated for any specific grade levels.

Information on specific teacher certification requirements for health education was not accessible due to website restrictions.

Arizona Administrative Code R7-2-301 (Health Education Standards for K-8); Arizona Revised Statutes 15-711 (Sex education instruction requirements); CDC Summary Report on Arizona Health Education Laws

Alaska

Alaska Statutes § 14.30.360 (2024) encourages districts to initiate and conduct a program in health education for kindergarten through grade 12. It does not explicitly state health education as a high school graduation requirement.

Alaska Statutes § 14.30.360 (2024) states that health education programs should include instruction in physical health and personal safety, including alcohol and drug abuse education, cardiopulmonary resuscitation (CPR), early cancer prevention and detection, dental health, family health (including infant care), environmental health, identification and prevention of child abuse, child abduction, neglect, sexual abuse, and domestic violence, and appropriate use of health services. The state board is to establish guidelines for a health and personal safety education program. The 'Skills for a Healthy Life' document outlines content standards for health education.

Alaska Statutes § 14.30.361 (2024) states that a person may only teach sex education, human reproduction education, or human sexuality education if they possess a valid teacher certificate and are employed by the school, or are supervised by such a person. Curriculum, literature, or materials related to these topics must be approved by the school board and made available for parents to review. The requirements do not apply to sexual abuse and sexual assault awareness and prevention training or dating violence and abuse awareness and prevention training.

Health education is encouraged for kindergarten through grade 12. Physical activity guidelines are established for grades kindergarten through eight.

For general health education, Alaska Statutes § 14.30.360 (2024) mentions a program of teacher training in health and personal safety education. For sex education, human reproduction education, or human sexuality education, teachers must possess a valid teacher certificate issued under AS 14.20 and be employed under a contract with the school, or be supervised by such a person.

https://education.alaska.gov/schoolhealth, https://law.justia.com/codes/alaska/title-14/chapter-30/article-8/section-14-30-360/, https://law.justia.com/codes/alaska/title-14/chapter-30/article-8/section-14-30-361/, https://education.alaska.gov/standards

Alabama

One-half credit of health education is required for high school graduation. Suicide prevention education must be included in this course.

The Alabama Course of Study: Health Education provides the legal foundation for the minimum content of a locally developed health education curriculum. It focuses on developing health-literate citizens, is skill-based, and integrates current evidence-based health information for disease prevention and health.

Any program or curriculum in public schools that includes sex education or the human reproductive process must emphasize: 1) Abstinence from sexual activity as the only completely effective protection against unwanted pregnancy, sexually transmitted diseases, and AIDS. 2) Abstinence from sexual activity outside of lawful marriage as the expected social standard for unmarried school-age persons. Materials and instruction must be age-appropriate, emphasize abstinence, refusal skills, ethical conduct, and applicable laws (child support, sexual abuse, and homosexual conduct), and include information on the reliability and unreliability of contraceptives. Students in Grades 5-12 receive instruction about AIDS.

Health education is required in Grades K-8. AIDS education is provided in Grades 5-12. Parenting education is provided in Grades 7-12.

Instruction in health education must be provided by certified teachers.

https://www.alabamaachieves.org/wp-content/uploads/2021/03/2019-Alabama-Course-of-Study-Health-Education.pdf

One-half credit of health education is required for high school graduation. Suicide prevention education must be included in this course.

The Alabama Course of Study: Health Education provides the legal foundation for the minimum content of a locally developed health education curriculum. It focuses on developing health-literate citizens, is skill-based, and integrates current evidence-based health information for disease prevention and health.

Any program or curriculum in public schools that includes sex education or the human reproductive process must emphasize: 1) Abstinence from sexual activity as the only completely effective protection against unwanted pregnancy, sexually transmitted diseases, and AIDS. 2) Abstinence from sexual activity outside of lawful marriage as the expected social standard for unmarried school-age persons. Materials and instruction must be age-appropriate, emphasize abstinence, refusal skills, ethical conduct, and applicable laws (child support, sexual abuse, and homosexual conduct), and include information on the reliability and unreliability of contraceptives. Students in Grades 5-12 receive instruction about AIDS.

Health education is required in Grades K-8. AIDS education is provided in Grades 5-12. Parenting education is provided in Grades 7-12.

Instruction in health education must be provided by certified teachers.

https://www.alabamaachieves.org/wp-content/uploads/2021/03/2019-Alabama-Course-of-Study-Health-Education.pdf

The curriculum also includes character education, drug abuse prevention education (with parental opt-out), parenting education, suicide prevention education (including the Jason Flatt Act), Erin's Law (child sexual abuse prevention), mandatory reporting guidelines for abuse/neglect, information on sexting, human trafficking, Jamari Terrell Williams Student Bullying Prevention Act, Annalyn's Law (sex offender notification), and texting while driving.