House File 438 H-1046 Amend House File 438 as follows: 1 1. Page 1, before line 1 by inserting: 2 < Section 1. Section 256.11, subsection 4, Code 2021, is 3 amended to read as follows: 4 4. The following shall be taught in grades seven and 5 eight: English-language arts; social studies; mathematics; 6 science; health; age-appropriate and research-based human 7 growth and development; career exploration and development; 8 physical education; music; and visual art. Computer science 9 instruction incorporating the standards established under 10 section 256.7, subsection 26 , paragraph “a” , subparagraph (4), 11 shall be offered in at least one grade level commencing with 12 the school year beginning July 1, 2023. Career exploration 13 and development shall be designed so that students are 14 appropriately prepared to create an individual career 15 and academic plan pursuant to section 279.61 , incorporate 16 foundational career and technical education concepts aligned 17 with the six career and technical education service areas 18 as defined in subsection 5 , paragraph “h” , and incorporate 19 relevant twenty-first century skills. The health curriculum 20 shall include age-appropriate and research-based information 21 regarding the National Childhood Vaccine Injury Act of 1986, 22 42 U.S.C. §300aa-1 to 300aa-34, the occurrence of medical 23 errors, the practices of medical informed consent, the rights 24 and responsibilities of patients under the law, and the 25 characteristics of sexually transmitted diseases, including HPV 26 and the availability of a vaccine to prevent HPV, and acquired 27 immune deficiency syndrome. The state board as part of 28 accreditation standards shall adopt curriculum definitions for 29 implementing the program in grades seven and eight. However, 30 this subsection shall not apply to the teaching of career 31 exploration and development in nonpublic schools. For purposes 32 of this section , “age-appropriate” , “HPV” , and “research-based” 33 mean the same as defined in section 279.50 . 34 Sec. ___. Section 256.11, subsection 5, paragraph j, 35 -1- HF438.410 (2) 89 md/jh 1/ 3 #1.

subparagraph (1), Code 2021, is amended to read as follows: 1 (1) One unit of health education which shall include 2 personal health; food and nutrition; environmental health; 3 safety and survival skills; consumer health; family life; 4 age-appropriate and research-based human growth and 5 development; substance abuse and nonuse; emotional and social 6 health; health resources including but not limited to the 7 National Childhood Vaccine Injury Act of 1986, 42 U.S.C. 8 §300aa-1 to 300aa-34, materials relating to the occurrence of 9 medical errors, the practices of medical informed consent, 10 and information regarding the rights and responsibilities of 11 patients under the law ; and prevention and control of disease, 12 including age-appropriate and research-based information 13 regarding sexually transmitted diseases , including HPV and the 14 availability of a vaccine to prevent HPV, and acquired immune 15 deficiency syndrome. > 16 2. Page 5, after line 3 by inserting: 17 < Sec. ___. Section 279.50, subsection 2, Code 2021, is 18 amended to read as follows: 19 2. Each school board shall provide age-appropriate and 20 research-based instruction in human growth and development 21 including instruction regarding human sexuality, self-esteem, 22 stress management, interpersonal relationships, domestic 23 abuse, HPV and the availability of a vaccine to prevent HPV, 24 and acquired immune deficiency syndrome as required in section 25 256.11 , in grades one through twelve. 26 Sec. ___. Section 279.50, subsection 9, paragraph c, Code 27 2021, is amended by striking the paragraph. 28 Sec. ___. NEW SECTION . 280.31 Pharmaceutical product 29 advertisements prohibited. 30 1. For purposes of this section: 31 a. “Advertisement” means an attempt by dissemination, 32 solicitation, or circulation of any written, electronic, or 33 printed communication to create an interest in or induce 34 directly or indirectly a student to purchase or acquire a 35 -2- HF438.410 (2) 89 md/jh 2/ 3 #2.

pharmaceutical product. 1 b. “Pharmaceutical product” means any product that under 2 federal or state law shall not be dispensed except pursuant to 3 a prescription order written by a licensed medical professional 4 and dispensed by a pharmacy as defined in section 155A.3. 5 2. The board of directors of each school district and the 6 authorities in charge of each accredited nonpublic school 7 shall prohibit within a school attendance center and on school 8 grounds any advertisement for a pharmaceutical product. > 9 3. Title page, line 1, by striking < by > by inserting < and 10 programs by modifying certain health curriculum and advertising 11 standards, > 12 4. By renumbering as necessary. 13 ______________________________ SHIPLEY of Van Buren -3- HF438.410 (2) 89 md/jh 3/ 3 #3. #4.