MISSISSIPPI LEGISLATURE

2022 Regular Session

To: Public Health and Human Services

By: Representative Scott

House Bill 277

AN ACT TO AMEND SECTION 43-17-5, MISSISSIPPI CODE OF 1972, TO REQUIRE THE DEPARTMENT OF HUMAN SERVICES TO PROVIDE TEENAGE TANF RECIPIENTS WITH INFORMATION AND REFERRAL TO PROGRAMS THAT PROVIDE INFORMATION ABOUT BIRTH CONTROL, PRENATAL HEALTH CARE, ABSTINENCE EDUCATION, MARRIAGE EDUCATION, PARENTING SKILLS, FAMILY PRESERVATION AND FATHERHOOD, AND REQUIRE THOSE TANF RECIPIENTS TO PARTICIPATE IN CERTAIN EDUCATIONAL ACTIVITIES EMPHASIZING ABSTINENCE DESCRIBED IN THIS ACT; TO PROVIDE THAT AFTER THE IDENTITY OF THE FATHER OF A CHILD OF ANY OF THOSE TANF RECIPIENTS HAS BEEN LEGALLY DETERMINED, THE FATHER SHALL BE REQUIRED TO PARTICIPATE IN THOSE PROGRAMS; TO PROVIDE THAT ANY UNSPENT TANF FUNDS REMAINING FROM THE PRIOR FISCAL YEAR FIRST SHALL BE EXPENDED TO PAY FOR THE EDUCATION-RELATED EXPENSES OF PERSONS WHO ARE ENROLLED IN NURSING EDUCATION COURSES AS PART OF WORKFORCE TRAINING AND PAY FOR THE CHILD CARE EXPENSES OF THOSE PERSONS WHILE THEY ARE TAKING THE NURSING EDUCATION COURSES; TO REQUIRE THE DIVISION OF MEDICAID TO PROVIDE TEENAGE MEDICAID RECIPIENTS WITH INFORMATION AND REFERRAL TO PROGRAMS THAT PROVIDE INFORMATION ABOUT BIRTH CONTROL, PRENATAL HEALTH CARE, ABSTINENCE EDUCATION, MARRIAGE EDUCATION, PARENTING SKILLS, FAMILY PRESERVATION AND FATHERHOOD, AND REQUIRE THOSE MEDICAID RECIPIENTS TO PARTICIPATE IN THOSE PROGRAMS; TO PROVIDE THAT AFTER THE IDENTITY OF THE FATHER OF A CHILD OF ANY OF THOSE MEDICAID RECIPIENTS HAS BEEN LEGALLY DETERMINED, THE FATHER SHALL BE REQUIRED TO PARTICIPATE IN THOSE PROGRAMS; TO ESTABLISH THE CRITERIA REQUIRED FOR THE EDUCATIONAL ACTIVITY EMPHASIZING ABSTINENCE TO TEENAGE TANF BENEFITS; TO REQUIRE THE EDUCATIONAL ACTIVITY TO BE TAUGHT IN A MANNER THAT IS AGE AND DEVELOPMENTALLY APPROPRIATE; AND FOR RELATED PURPOSES.

     BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:

     SECTION 1.  Section 43-17-5, Mississippi Code of 1972, is amended as follows:

     43-17-5.  (1)  The amount of Temporary Assistance for Needy Families (TANF) benefits which may be granted for any dependent child and a needy caretaker relative shall be determined by the county department with due regard to the resources and necessary expenditures of the family and the conditions existing in each case, and in accordance with the rules and regulations made by the Department of Human Services which shall not be less than the Standard of Need in effect for 1988, and shall be sufficient when added to all other income (except that any income specified in the federal Social Security Act, as amended, may be disregarded) and support available to the child to provide such child with a reasonable subsistence compatible with decency and health.  The first family member in the dependent child's budget may receive an amount not to exceed Two Hundred Dollars ($200.00) per month; the second family member in the dependent child's budget may receive an amount not to exceed Thirty-six Dollars ($36.00) per month; and each additional family member in the dependent child's budget an amount not to exceed Twenty-four Dollars ($24.00) per month.  The maximum for any individual family member in the dependent child's budget may be exceeded for foster or medical care or in cases of children with an intellectual disability or a physical disability.  TANF benefits granted shall be specifically limited only (a) to children existing or conceived at the time the caretaker relative initially applies and qualifies for such assistance, unless this limitation is specifically waived by the department, or (b) to a child born following a twelve-consecutive-month period of discontinued benefits by the caretaker relative.

     (2)  TANF benefits in Mississippi shall be provided to the recipient family by an online electronic benefits transfer system.

     (3)  The Department of Human Services shall deny TANF benefits to the following categories of individuals, except for individuals and families specifically exempt or excluded for good cause as allowed by federal statute or regulation:

          (a)  Families without a minor child residing with the custodial parent or other adult caretaker relative of the child;

          (b)  Families which include an adult who has received TANF assistance for sixty (60) months after the commencement of the Mississippi TANF program, whether or not such period of time is consecutive;

          (c)  Families not assigning to the state any rights a family member may have, on behalf of the family member or of any other person for whom the family member has applied for or is receiving such assistance, to support from any other person, as required by law;

          (d)  Families who fail to cooperate in establishing paternity or obtaining child support, as required by law;

          (e)  Any individual who has not attained eighteen (18) years of age, is not married to the head of household, has a minor child at least twelve (12) weeks of age in his or her care, and has not successfully completed a high school education or its equivalent, if such individual does not participate in educational activities directed toward the attainment of a high school diploma or its equivalent, or an alternative educational or training program approved by the department;

          (f)  Any individual who has not attained eighteen (18) years of age, is not married, has a minor child in his or her care, and does not reside in a place or residence maintained by a parent, legal guardian or other adult relative or the individual as such parent's, guardian's or adult relative's own home;

          (g)  Any minor child who has been, or is expected by a parent or other caretaker relative of the child to be, absent from the home for a period of more than thirty (30) days;

          (h)  Any individual who is a parent or other caretaker relative of a minor child who fails to notify the department of the absence of the minor child from the home for the thirty-day period specified in paragraph (g), by the end of the five-day period that begins with the date that it becomes clear to the individual that the minor child will be absent for the thirty-day period;

          (i)  Any individual who fails to comply with the provisions of the Employability Development Plan signed by the individual which prescribe those activities designed to help the individual become and remain employed, or to participate satisfactorily in the assigned work activity, as authorized under subsection (6)(c) and (d), or who does not engage in applicant job search activities within the thirty-day period for TANF application approval after receiving the advice and consultation of eligibility workers and/or caseworkers of the department providing a detailed description of available job search venues in the individual's county of residence or the surrounding counties;

          (j)  A parent or caretaker relative who has not engaged in an allowable work activity once the department determines the parent or caretaker relative is ready to engage in work, or once the parent or caretaker relative has received TANF assistance under the program for twenty-four (24) months, whether or not consecutive, whichever is earlier;

          (k)  Any individual who is fleeing to avoid prosecution, or custody or confinement after conviction, under the laws of the jurisdiction from which the individual flees, for a crime, or an attempt to commit a crime, which is a felony under the laws of the place from which the individual flees, or who is violating a condition of probation or parole imposed under federal or state law;

          (l)  Aliens who are not qualified under federal law;

          (m)  For a period of ten (10) years following conviction, individuals convicted in federal or state court of having made a fraudulent statement or representation with respect to the individual's place of residence in order to receive TANF, food stamps or Supplemental Security Income (SSI) assistance under Title XVI or Title XIX simultaneously from two (2) or more states;

          (n)  Individuals who are recipients of federal Supplemental Security Income (SSI) assistance; and

          (o)  Individuals who are eighteen (18) years of age or older who are not in compliance with the drug testing and substance use disorder treatment requirements of Section 43-17-6.

     (4)  (a)  Any person who is otherwise eligible for TANF benefits, including custodial and noncustodial parents, shall be required to attend school and meet the monthly attendance requirement as provided in this subsection if all of the following apply:

               (i)  The person is under age twenty (20);

              (ii)  The person has not graduated from a public or private high school or obtained a High School Equivalency Diploma equivalent;

              (iii)  The person is physically able to attend school and is not excused from attending school; and

              (iv)  If the person is a parent or caretaker relative with whom a dependent child is living, child care is available for the child.

     The monthly attendance requirement under this subsection shall be attendance at the school in which the person is enrolled for each day during a month that the school conducts classes in which the person is enrolled, with not more than two (2) absences during the month for reasons other than the reasons listed in paragraph (e)(iv) of this subsection.  Persons who fail to meet participation requirements in this subsection shall be subject to sanctions as provided in paragraph (f) of this subsection.

          (b)  As used in this subsection, "school" means any one (1) of the following:

              (i)  A school as defined in Section 37-13-91(2);

              (ii)  A vocational, technical and adult education program; or

              (iii)  A course of study meeting the standards established by the State Department of Education for the granting of a declaration of equivalency of high school graduation.

          (c)  If any compulsory-school-age child, as defined in Section 37-13-91(2), to which TANF eligibility requirements apply is not in compliance with the compulsory school attendance requirements of Section 37-13-91(6), the superintendent of schools of the school district in which the child is enrolled or eligible to attend shall notify the county department of human services of the child's noncompliance.  The Department of Human Services shall review school attendance information as provided under this paragraph at all initial eligibility determinations and upon subsequent report of unsatisfactory attendance.

          (d)  The signature of a person on an application for TANF benefits constitutes permission for the release of school attendance records for that person or for any child residing with that person.  The department shall request information from the child's school district about the child's attendance in the school district's most recently completed semester of attendance.  If information about the child's previous school attendance is not available or cannot be verified, the department shall require the child to meet the monthly attendance requirement for one (1) semester or until the information is obtained.  The department shall use the attendance information provided by a school district to verify attendance for a child.  The department shall review with the parent or caretaker relative a child's claim that he or she has a good cause for not attending school.

     A school district shall provide information to the department about the attendance of a child who is enrolled in a public school in the district within five (5) working days of the receipt of a written request for that information from the department.  The school district shall define how many hours of attendance count as a full day and shall provide that information, upon request, to the department.  In reporting attendance, the school district may add partial days' absence together to constitute a full day's absence.

     If a school district fails to provide to the department the information about the school attendance of any child within fifteen (15) working days after a written request, the department shall notify the Department of Audit within three (3) working days of the school district's failure to comply with that requirement.  The Department of Audit shall begin audit proceedings within five (5) working days of notification by the Department of Human Services to determine the school district's compliance with the requirements of this subsection (4).  If the Department of Audit finds that the school district is not in compliance with the requirements of this subsection, the school district shall be penalized as follows:  The Department of Audit shall notify the State Department of Education of the school district's noncompliance, and the Department of Education shall reduce the calculation of the school district's average daily attendance (ADA) that is used to determine the allocation of Mississippi Adequate Education Program funds by the number of children for which the district has failed to provide to the Department of Human Services the required information about the school attendance of those children.  The reduction in the calculation of the school district's ADA under this paragraph shall be effective for a period of one (1) year.

          (e)  A child who is required to attend school to meet the requirements under this subsection shall comply except when there is good cause, which shall be demonstrated by any of the following circumstances:

              (i)  The minor parent is the caretaker of a child less than twelve (12) weeks old; or

              (ii)  The department determines that child care services are necessary for the minor parent to attend school and there is no child care available; or

              (iii)  The child is prohibited by the school district from attending school and an expulsion is pending.  This exemption no longer applies once the teenager has been expelled; however, a teenager who has been expelled and is making satisfactory progress towards obtaining a High School Equivalency Diploma equivalent shall be eligible for TANF benefits; or

              (iv)  The child failed to attend school for one or more of the following reasons:

                   1.  Illness, injury or incapacity of the child or the minor parent's child;

                   2.  Court-required appearances or temporary incarceration;

                   3.  Medical or dental appointments for the child or minor parent's child;

                   4.  Death of a close relative;

                   5.  Observance of a religious holiday;

                   6.  Family emergency;

                   7.  Breakdown in transportation;

                   8.  Suspension; or

                   9.  Any other circumstance beyond the control of the child, as defined in regulations of the department.

          (f)  Upon determination that a child has failed without good cause to attend school as required, the department shall provide written notice to the parent or caretaker relative (whoever is the primary recipient of the TANF benefits) that specifies:

              (i)  That the family will be sanctioned in the next possible payment month because the child who is required to attend school has failed to meet the attendance requirement of this subsection;

              (ii)  The beginning date of the sanction, and the child to whom the sanction applies;

              (iii)  The right of the child's parents or caretaker relative (whoever is the primary recipient of the TANF benefits) to request a fair hearing under this subsection.

     The child's parent or caretaker relative (whoever is the primary recipient of the TANF benefits) may request a fair hearing on the department's determination that the child has not been attending school.  If the child's parents or caretaker relative does not request a fair hearing under this subsection, or if, after a fair hearing has been held, the hearing officer finds that the child without good cause has failed to meet the monthly attendance requirement, the department shall discontinue or deny TANF benefits to the child thirteen (13) years old, or older, in the next possible payment month.  The department shall discontinue or deny twenty-five percent (25%) of the family grant when a child six (6) through twelve (12) years of age without good cause has failed to meet the monthly attendance requirement.  Both the child and family sanction may apply when children in both age groups fail to meet the attendance requirement without good cause.  A sanction applied under this subsection shall be effective for one (1) month for each month that the child failed to meet the monthly attendance requirement.  In the case of a dropout, the sanction shall remain in force until the parent or caretaker relative provides written proof from the school district that the child has reenrolled and met the monthly attendance requirement for one (1) calendar month.  Any month in which school is in session for at least ten (10) days during the month may be used to meet the attendance requirement under this subsection.  This includes attendance at summer school.  The sanction shall be removed the next possible payment month.

     (5)  All parents or caretaker relatives shall have their dependent children receive vaccinations and booster vaccinations against those diseases specified by the State Health Officer under Section 41-23-37 in accordance with the vaccination and booster vaccination schedule prescribed by the State Health Officer for children of that age, in order for the parents or caretaker relatives to be eligible or remain eligible to receive TANF benefits.  Proof of having received such vaccinations and booster vaccinations shall be given by presenting the certificates of vaccination issued by any health care provider licensed to administer vaccinations, and submitted on forms specified by the State Board of Health.  If the parents without good cause do not have their dependent children receive the vaccinations and booster vaccinations as required by this subsection and they fail to comply after thirty (30) days' notice, the department shall sanction the family's TANF benefits by twenty-five percent (25%) for the next payment month and each subsequent payment month until the requirements of this subsection are met.

     (6)  (a)  If the parent or caretaker relative applying for TANF assistance is work eligible, as determined by the Department of Human Services, the person shall be required to engage in an allowable work activity once the department determines the parent or caretaker relative is determined work eligible, or once the parent or caretaker relative has received TANF assistance under the program for twenty-four (24) months, whether or not consecutive, whichever is earlier.  No TANF benefits shall be given to any person to whom this section applies who fails without good cause to comply with the Employability Development Plan prepared by the department for the person, or who has refused to accept a referral or offer of employment, training or education in which he or she is able to engage, subject to the penalties prescribed in paragraph (e) of this subsection.  A person shall be deemed to have refused to accept a referral or offer of employment, training or education if he or she:

              (i)  Willfully fails to report for an interview with respect to employment when requested to do so by the department; or

              (ii)  Willfully fails to report to the department the result of a referral to employment; or

              (iii)  Willfully fails to report for allowable work activities as prescribed in paragraphs (c) and (d) of this subsection.

          (b)  The Department of Human Services shall operate a statewide work program for TANF recipients to provide work activities and supportive services to enable families to become self-sufficient and improve their competitive position in the workforce in accordance with the requirements of the federal Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Public Law 104-193), as amended, and the regulations promulgated thereunder, and the Deficit Reduction Act of 2005 (Public Law 109-171), as amended.  Within sixty (60) days after the initial application for TANF benefits, the TANF recipient must participate in a job search skills training workshop or a job readiness program, which shall include resume writing, job search skills, employability skills and, if available at no charge, the General Aptitude Test Battery or its equivalent.  All adults who are not specifically exempt shall be referred by the department for allowable work activities.  An adult may be exempt from the mandatory work activity requirement for the following reasons:

              (i)  Incapacity;

              (ii)  Temporary illness or injury, verified by physician's certificate;

              (iii)  Is in the third trimester of pregnancy, and there are complications verified by the certificate of a physician, nurse practitioner, physician assistant, or any other licensed health care professional practicing under a protocol with a licensed physician;

              (iv)  Caretaker of a child under twelve (12) months, for not more than twelve (12) months of the sixty-month maximum benefit period;

              (v)  Caretaker of an ill or incapacitated person, as verified by physician's certificate;

              (vi)  Age, if over sixty (60) or under eighteen (18) years of age;

              (vii)  Receiving treatment for substance abuse, if the person is in compliance with the substance abuse treatment plan;

              (viii)  In a two-parent family, the caretaker of a severely disabled child, as verified by a physician's certificate; or

              (ix)  History of having been a victim of domestic violence, which has been reported as required by state law and is substantiated by police reports or court records, and being at risk of further domestic violence, shall be exempt for a period as deemed necessary by the department but not to exceed a total of twelve (12) months, which need not be consecutive, in the sixty-month maximum benefit period.  For the purposes of this subparagraph (ix), "domestic violence" means that an individual has been subjected to:

                   1.  Physical acts that resulted in, or threatened to result in, physical injury to the individual;

                   2.  Sexual abuse;

                   3.  Sexual activity involving a dependent child;

                   4.  Being forced as the caretaker relative of a dependent child to engage in nonconsensual sexual acts or activities;

                   5.  Threats of, or attempts at, physical or sexual abuse;

                   6.  Mental abuse; or

                   7.  Neglect or deprivation of medical care.

          (c)  For all families, all adults who are not specifically exempt shall be required to participate in work activities for at least the minimum average number of hours per week specified by federal law or regulation, not fewer than twenty (20) hours per week (thirty-five (35) hours per week for two-parent families) of which are attributable to the following allowable work activities:

              (i)  Unsubsidized employment;

              (ii)  Subsidized private employment;

              (iii)  Subsidized public employment;

              (iv)  Work experience (including work associated with the refurbishing of publicly assisted housing), if sufficient private employment is not available;

              (v)  On-the-job training;

              (vi)  Job search and job readiness assistance consistent with federal TANF regulations;

              (vii)  Community service programs;

              (viii)  Vocational educational training (not to exceed twelve (12) months with respect to any individual);

               (ix)  The provision of child care services to an individual who is participating in a community service program;

              (x)  Satisfactory attendance at high school or in a course of study leading to a high school equivalency certificate, for heads of household under age twenty (20) who have not completed high school or received such certificate;

              (xi)  Education directly related to employment, for heads of household under age twenty (20) who have not completed high school or received such equivalency certificate.

          (d)  The following are allowable work activities which may be attributable to hours in excess of the minimum specified in paragraph (c) of this subsection:

              (i)  Job skills training directly related to employment;

              (ii)  Education directly related to employment for individuals who have not completed high school or received a high school equivalency certificate;

              (iii)  Satisfactory attendance at high school or in a course of study leading to a high school equivalency, for individuals who have not completed high school or received such equivalency certificate;

              (iv)  Job search and job readiness assistance consistent with federal TANF regulations.

          (e)  If any adult or caretaker relative refuses to participate in allowable work activity as required under this subsection (6), the following full family TANF benefit penalty will apply, subject to due process to include notification, conciliation and a hearing if requested by the recipient:

              (i)  For the first violation, the department shall terminate the TANF assistance otherwise payable to the family for a two-month period or until the person has complied with the required work activity, whichever is longer;

              (ii)  For the second violation, the department shall terminate the TANF assistance otherwise payable to the family for a six-month period or until the person has complied with the required work activity, whichever is longer;

              (iii)  For the third violation, the department shall terminate the TANF assistance otherwise payable to the family for a twelve-month period or until the person has complied with the required work activity, whichever is longer;

              (iv)  For the fourth violation, the person shall be permanently disqualified.

     For a two-parent family, unless prohibited by state or federal law, Medicaid assistance shall be terminated only for the person whose failure to participate in allowable work activity caused the family's TANF assistance to be sanctioned under this paragraph (e), unless an individual is pregnant, but shall not be terminated for any other person in the family who is meeting that person's applicable work requirement or who is not required to work.  Minor children shall continue to be eligible for Medicaid benefits regardless of the disqualification of their parent or caretaker relative for TANF assistance under this subsection (6), unless prohibited by state or federal law.

          (f)  Any person enrolled in a two-year or four-year college program who meets the eligibility requirements to receive TANF benefits, and who is meeting the applicable work requirements and all other applicable requirements of the TANF program, shall continue to be eligible for TANF benefits while enrolled in the college program for as long as the person meets the requirements of the TANF program, unless prohibited by federal law.

          (g)  No adult in a work activity required under this subsection (6) shall be employed or assigned (i) when any other individual is on layoff from the same or any substantially equivalent job within six (6) months before the date of the TANF recipient's employment or assignment; or (ii) if the employer has terminated the employment of any regular employee or otherwise caused an involuntary reduction of its workforce in order to fill the vacancy so created with an adult receiving TANF assistance.  The Mississippi Department of Employment Security, established under Section 71-5-101, shall appoint one or more impartial hearing officers to hear and decide claims by employees of violations of this paragraph (g).  The hearing officer shall hear all the evidence with respect to any claim made hereunder and such additional evidence as he may require and shall make a determination and the reason therefor.  The claimant shall be promptly notified of the decision of the hearing officer and the reason therefor.  Within ten (10) days after the decision of the hearing officer has become final, any party aggrieved thereby may secure judicial review thereof by commencing an action, in the circuit court of the county in which the claimant resides, against the department for the review of such decision, in which action any other party to the proceeding before the hearing officer shall be made a defendant.  Any such appeal shall be on the record which shall be certified to the court by the department in the manner provided in Section 71-5-531, and the jurisdiction of the court shall be confined to questions of law which shall render its decision as provided in that section.

     (7)  The Department of Human Services may provide child care for eligible participants who require such care so that they may accept employment or remain employed.  The department may also provide child care for those participating in the TANF program when it is determined that they are satisfactorily involved in education, training or other allowable work activities.  The department may contract with Head Start agencies to provide child care services to TANF recipients.  The department may also arrange for child care by use of contract or vouchers, provide vouchers in advance to a caretaker relative, reimburse a child care provider, or use any other arrangement deemed appropriate by the department, and may establish different reimbursement rates for child care services depending on the category of the facility or home.  Any center-based or group home child care facility under this subsection shall be licensed by the State Department of Health pursuant to law.  When child care is being provided in the child's own home, in the home of a relative of the child, or in any other unlicensed setting, the provision of such child care may be monitored on a random basis by the Department of Human Services or the State Department of Health.  Transitional child care assistance may be continued if it is necessary for parents to maintain employment once support has ended, unless prohibited under state or federal law.  Transitional child care assistance may be provided for up to twenty-four (24) months after the last month during which the family was eligible for TANF assistance, if federal funds are available for such child care assistance.

     (8)  The Department of Human Services may provide transportation or provide reasonable reimbursement for transportation expenses that are necessary for individuals to be able to participate in allowable work activity under the TANF program.

     (9)  Medicaid assistance shall be provided to a family of TANF program participants for up to twenty-four (24) consecutive calendar months following the month in which the participating family would be ineligible for TANF benefits because of increased income, expiration of earned income disregards, or increased hours of employment of the caretaker relative; however, Medicaid assistance for more than twelve (12) months may be provided only if a federal waiver is obtained to provide such assistance for more than twelve (12) months and federal and state funds are available to provide such assistance.

     (10)  The department shall require applicants for and recipients of public assistance from the department to sign a personal responsibility contract that will require the applicant or recipient to acknowledge his or her responsibilities to the state.

     (11)  The department shall enter into an agreement with the State Personnel Board and other state agencies that will allow those TANF participants who qualify for vacant jobs within state agencies to be placed in state jobs.  State agencies participating in the TANF work program shall receive any and all benefits received by employers in the private sector for hiring TANF recipients.  This subsection (11) shall be effective only if the state obtains any necessary federal waiver or approval and if federal funds are available therefor.  Not later than September 1, 2021, the department shall prepare a report, which shall be provided to the Chairmen of the House and Senate Public Health Committees and to any other member of the Legislature upon request, on the history, status, outcomes and effectiveness of the agreements required under this subsection.

     (12)  Any unspent TANF funds remaining from the prior fiscal year may be expended for any TANF allowable activities.  However, unspent TANF funds first shall be expended to pay for the education-related expenses of persons who are enrolled in nursing education courses as part of workforce training and pay for the child care expenses of those persons while they are taking the nursing education courses.

     (13)  The Mississippi Department of Human Services shall provide TANF applicants and children from the ages of thirteen (13) through twenty (20) years of age for which TANF benefits are granted with information and referral to programs that provide information about birth control, prenatal health care, abstinence education, marriage education, parenting skills, family preservation and fatherhood.  Children from the ages of thirteen (13) through twenty (20) years of age for which TANF benefits are granted shall be required to participate in programs as described in Section 3 of this act.  After the identity of the father of a child of a TANF recipient from the age of thirteen (13) through twenty (20) years of age has been legally determined, the father shall be required to participate in those programs.  Not later than September 1, 2021, the department shall prepare a report, which shall be provided to the Chairmen of the House and Senate Public Health Committees and to any other member of the Legislature upon request, on the history, status, outcomes and effectiveness of the information and referral requirements under this subsection.

     (14)  No new TANF program requirement or restriction affecting a person's eligibility for TANF assistance, or allowable work activity, which is not mandated by federal law or regulation may be implemented by the Department of Human Services after July 1, 2004, unless such is specifically authorized by an amendment to this section by the Legislature.

     SECTION 2.  The Division of Medicaid shall provide Medicaid recipients who are from the ages of thirteen (13) through twenty (20) years of age with information and referral to programs that provide information about birth control, prenatal health care, abstinence education, marriage education, parenting skills, family preservation and fatherhood, and those Medicaid recipients shall be required to participate in those programs.  After the identity of the father of a child of any of those Medicaid recipients has been legally determined, the father shall be required to participate in those programs.

     SECTION 3.  (1)  All children from the ages of thirteen (13) through twenty (20) years of age for which TANF benefits are granted must participate in an educational activity that emphasizes that abstinence is the expected norm in that abstinence from sexual activity or behavior is the only protection that is one hundred percent (100%) effective against unwanted teenage pregnancy, sexually transmitted infections and HIV when transmitted sexually.  This educational activity shall be age and developmentally appropriate.

     (2)  (a)  For the purposes of this subsection: 

              (i)  "Factual information" includes, without limitation, medical, psychiatric, psychological, empirical and statistical statements.

              (ii)  "Medically accurate" means verified or supported by research conducted in compliance with scientific methods, published in peer-review journals, where appropriate, and recognized as accurate and objective by professional organizations and agencies with expertise in the relevant field.

          (b)  All sex education courses that discuss sexual activity or behavior must satisfy the following criteria:

              (i)  Factual information presented in course material and instruction shall be medically accurate and objective;

              (ii)  All course material and instruction shall be age and developmentally appropriate;

              (iii)  Course material and instruction shall include a discussion of sexual abstinence as a method to prevent unintended pregnancy and sexually transmitted infections, including HIV;

              (iv)  Course material and instruction shall present the latest medically factual information regarding both the possible side effects and health benefits of all forms of contraception, including the success and failure rates for the prevention of pregnancy and sexually transmitted infections, including HIV;

              (v)  Course material and instruction shall include a discussion of the possible consequences of unintended pregnancy and sexually transmitted infections, including HIV;

              (vi)  Course material and instruction shall stress that sexually transmitted infections are serious possible hazards of sexual activity or behavior.  Students shall be provided with statistics based on the latest medical information citing the failure and success rates of all contraceptive methods in preventing unintended pregnancies and HIV and other sexually transmitted infections;

              (vii)  Course material and instruction shall advise students of the laws pertaining to their financial responsibility to children born in and out of wedlock;

              (viii)  Course material and instruction shall advise students that it is unlawful for males or females of any age to engage in sexual conduct or have sexual relations with a minor under a certain age;

              (ix)  Course material and instruction shall discuss and provide for the development of positive communication skills to maintain healthy relationships and avoid unwanted sexual activity;

              (x)  Course material and instruction shall emphasize that the student has the power to control personal behavior.  Students shall be encouraged to base their actions on reasoning, self-discipline, sense of responsibility, self-control, and ethical considerations, such as respect for oneself and others;

              (xi)  Course material and instruction shall teach students to refrain from making unwanted physical and verbal sexual advances and how to reject unwanted sexual advances and shall include information about verbal, physical, and visual sexual harassment, including, without limitation, nonconsensual sexual advances, nonconsensual physical sexual contact, and rape by an acquaintance.  The course material and instruction shall contain methods of preventing sexual assault by an acquaintance, including exercising good judgment and avoiding behavior that impairs one's judgment.  The course material and instruction shall emphasize personal accountability and respect for others and shall also encourage youth to resist negative peer pressure.  The course material and instruction shall inform students of the potential legal consequences of sexual assault by an acquaintance;

              (xii)  Course material and instruction shall teach male students about male accountability for sexual violence and shall teach female students about reducing vulnerability for sexual violence;

              (xiii)  Course material and instruction shall teach students about counseling, medical, and legal resources available to survivors of sexual abuse and sexual assault, including resources for escaping violent relationships;

              (xiv)  Course material and instruction shall teach students that it is wrong to take advantage of or to exploit another person; and

              (xv)  Course material and instruction shall be free of racial, ethnic, gender, religious or sexual orientation biases.

          (c)  An opportunity shall be afforded to parents or guardians to examine the instructional materials to be used in the class or course.

     (3)  Nothing in this section shall be construed to conflict with or repeal the provisions of laws relating to abstinence education and its components under Section 37-13-171.

     SECTION 4.  This act shall take effect and be in force from and after July 1, 2022.