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Affordable Care Act (ACA) Personal Responsibility Education Program

Program Information

Popular name

PREP

Program Number

93.092

Program objective

The purpose of this program is to support projects that educate youth between 10 and 19 years of age and pregnant and parenting youth under age 21 on abstinence and contraception for the prevention of pregnancy and sexually transmitted infections (STIs), including human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS). Funds will support the implementation of projects that replicate evidence-based, effective programs, or substantially incorporate elements of effective programs that have been proven, on the basis of rigorous scientific research to change behavior, which means delaying sexual activity, increasing condom or contraceptive use for sexually active youth, or reducing pregnancy among youth. Projects are further required to incorporate at least three of six adulthood preparation subjects, to include healthy life skills, adolescent development, parent-child communication, financial literacy, educational and career success, and healthy relationships. The overall goal of the Competitive PREP program is to educate adolescents on both abstinence and contraception for the prevention of pregnancy and STIs, including HIV/AIDS. The following are objectives of the Competitive PREP program: 1. Replicate evidence-based effective programs or incorporate elements of effective programs that are proven to change behaviors, including delaying sexual activity, increasing condom and contraceptive use for sexually active youth, or reducing pregnancy among youth; 2. Implement curricula that includes medically accurate information (referenced in peer-reviewed publications by educational, scientific, governmental, or health organizations) and is age-appropriate, culturally appropriate, and inclusive; 3. Promote successful and healthy transition to adulthood through the implementation of at least three of six adulthood preparation subjects; and 4. Target prevention education to youth between the ages of 10 and 19, or pregnant and parenting youth under 21 years of age, who are at high-risk for becoming pregnant or who have special circumstances.

Program expenditures, by FY (2023 - 2025)

This chart shows obligations for the program by fiscal year. All data for this chart was provided by the administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.

For more information on each of these data sources, please see the About the data page.

Additional program information

  1. 2016

    It is anticipated that 93 grants will be awarded. Ninety three (93) grants were awarded.

  2. 2017

    It is anticipated that 92 grants will be awarded

  3. 2018

    In FY 2018, there were 92 formula and discretionary grant awards.

  4. 2019

    There were 51 formula and 42 discretionary grant awards.

  5. 2020

    There were 51 formula awards and 41 discretionary awards.

  6. 2022

    In FY2022, there were 51 formula awards and 45 new discretionary awards.

  7. 2024

    Fiscal Year 2024: There were 51 formula awards and 47 discretionary awards. In FY2023, there were 50 formula awards and 45 new discretionary awards.

Single Audit Applies (2 CFR Part 200 Subpart F):

For additional information on single audit requirements for this program, review the current Compliance Supplement.

OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.

No regulations have been developed at this time. Governing authorities shall be the legislative language and the terms and conditions of the grant and cooperative agreement awards as described in the NOFO.

  1. PREP is authorized and funded by Section 513 of the Social Security Act, Public Law 115-123, (42 U.S.C. § 713), as amended by Section 50503 of the Bipartisan Budget Act of 2018 (Pub. L. No. 115-123) extended by Division CC, Title III, Section 302 of the Consolidated Appropriations Act, 2021 (Pub. L. No. 116-260).