APP Programs

There are at least ten federal programs that fund adolescent pregnancy prevention. All of them are funded through the U.S. Department of Health and Human Services (HHS).

Three of them fall under the Office of the Assistant Secretary for Health (OASH), Office of Population Affairs (OPA). These include:

· Teen Pregnancy Prevention (TPP) Tier 1 Replication of Evidence-Based Programs

· Teen Pregnancy Prevention (TPP) Tier 2 Rigorous Impact Cooperative Agreements

· Teen Pregnancy Prevention (TPP) Tier 2 Adolescent Sexual Health Innovation Hubs

The other seven fall under the Administration for Children and Families (ACF), Family and Youth Services Bureau (FYSB). These include three programs that fall under the Sexual Risk Avoidance Education (SRAE) rubric, which funds projects that educate youth on (a) how to voluntarily refrain from non-marital sexual activity and (b) the benefits associated with other positive activities; and four programs that fall under the Personal Responsibility Education Program (PREP) rubric, which funds projects that educate youth on both abstinence and contraception.

Sexual Risk Avoidance Education (SRAE) rubric

· General Departmental Sexual Risk Avoidance Education Program (GD-SRAE). This goes directly to nonprofits throughout the US. For additional details see our SRAE page here. For info on the SRAE 2024 funding, click here.) There were 31 awards for the three-year 2024–2027 cycle, totaling about $15 million/year.

· Title V State Sexual Risk Avoidance Education Program (Title V State SRAE). This goes to states and territories that choose to apply (which in the FY 2024–2026 cycle included Alabama, Arizona, Arkansas, Colorado, Massachusetts, Florida, Federated States of Micronesia, Georgia, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, South Carolina, Tennessee, Texas, Utah, Virginia, West Virginia, and Wisconsin). The money (about $49 million for the three-year FY 2024–2026 cycle, or about $16 million/year) is then distributed by a state agency to entities within the state.

· Title V Competitive Sexual Risk Avoidance Education Program (Title V Competitive SRAE). This goes directly to the entities within the remaining states and territories that choose not to apply for Title V State SRAE (which in 2025 included Alaska, California, Connecticut, District of Columbia, Idaho, Maine, New Mexico, North Dakota, South Dakota, Vermont, Washington, Wyoming, American Samoa, Marshall Islands, Northern Mariana Islands, and Palau). There is typically about $4 million in odd years and $9 million (much of it going to California) in even years.

Personal Responsibility Education Program (PREP) rubric

· State Personal Responsibility Education Program (State PREP)

· Competitive Personal Responsibility Education Program (Competitive PREP)

· Tribal Personal Responsibility Education Program (Tribal PREP)

· Personal Responsibility Education Program – Innovative Strategies (PREIS)