State Profiles

Iowa’s Sex Education Snapshot

The State of Sex Education

Advocates have worked tirelessly to advance sex education in Iowa, their most recent efforts cumulating in the introduction of five bills that sought to improve sex education requirements during the 2022 legislative session. These bills include language to require instruction on topics such as consent, healthy relationships, sexual assault prevention, and LGBTQ+ health practices.  One such bill, House File 2448, was introduced and would require human growth and development instruction provided by school districts to include age-appropriate and research-based instruction inclusive of lesbian, gay, bisexual, and transgender health practices. 

While the introduction of this series of bills demonstrates a significant effort among advocates to further advance sex education, there have also been efforts to restrict sex education and, more generally, discussions of sexual orientation and gender identity in the classroom. Senate File 2024 was introduced by State Senator Jim Carlin, which prohibits instruction on gender identity in kindergarten and requires written parental consent prior to instruction on gender identity in grades one through six. Additionally, House File 2054 was introduced and seeks to allow for parents to review any instructional material related to sexual orientation or gender identity and requires schools to provide information on how to opt their children out from such instruction. 

In 2019, the legislature adopted a new health budget bill that prohibits Planned Parenthood of the Heartland from receiving two federal grants to facilitate their sex education programming. While the law had been temporarily blocked, advocates were able to appeal and have the law struck down as unconstitutional in district court. Advocates must still continue to monitor restrictive attempts to limit the implementation of comprehensive sex education in additon to monitoring efforts to further restrict access to abortion care. A critical part of comprehensive sex education is providing young people with the information they need to access the full range of sexual and reproductive health care services available to them. This includes instruction on abortion, along with all other potential pregnancy options.

While schools must teach sex education that is in accordance with state statute, districts are tasked with determining the quality of sex education that is taught in local schools. Local control over sex education presents unique challenges that have resulted in a glaring disparity regarding the quality of sex education that students receive. Advocates report that the FLASH curriculum along with Rights, Respect, Responsibility (3R’s) are most often used to teach sex education, although there is no current system to monitor what curricula are taught across the state.

Such discretion allows for the implementation of policies and curriculum that stigmatize marginalized youth, such as students of color and LGBTQ youth, and presents further challenges in ensuring that low income districts have access to resources to implement comprehensive sex education. While curriculum is not permitted to include bias based on race, ethnicity, sexual orientation, or gender identity, it is not required to include instruction on such topics or be culturally responsive to the needs of young people of color. Advocates report that the current requirements, a lack of funding and the tumultuous political climate in Iowa all impede access to more comprehensive sex education.

To support the implementation of advanced sex education, EyesOpenIowa provides a training program for professionals providing sex education and maintains a statewide program for young people to text their sexual health questions to a health educator. EyesOpenIowa also facilitates the Working to Institutionalize Sex Ed (WISE) Iowa Project to work with school district administration to implement advanced sex education.

Right now, advocates can take action to ensure young people in their community have access to quality sex education. After contacting their local school board, advocates can determine what topics are missing from sex education instruction, such as instruction on consent, sexual orientation and gender identity, and contraceptives. They can then vocalize the important need for advancing sex education requirements in their community. Advocates are encouraged to take action on pending legislation that seeks to advance or restrict the principles of comprehensive sex education. For a current overview of pending legislation, see table below. Additionally, reach out to EducateUs to get connected to local advocacy groups such as EyesOpenIowa to get involved with state and local efforts to advance sex education. Further, advocates can contact their representatives to discuss the critical need for advancing comprehensive sex education requirements. Actively addressing misinformation surrounding what’s included in comprehensive sex education also helps to destigmatize discussion of sexuality in communities and strengthens future potential for advancing sex education requirements. Advocates are encouraged to use the SIECUS Community Action Toolkit to guide local efforts to advance sex education.

State Sex Education Policies and Requirements at a Glance

  • Iowa schools are required to teach sex education.
    • Curriculum is not required to be comprehensive.
    • 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. This is referred to as an “opt-out” policy.
  • Sex education curriculum must be medically accurate.

State House Highlights

This section highlights sex education bills that were introduced during the 2021 state legislative session as well as bills that have been introduced thus far in 2022. These proposed bills ​provide a brief overview of both recent and current legislative action taken to advance or restrict sex education. For a more comprehensive look at relevant legislation concerning sex education and related topics such as reproductive health care, LGBTQ rights, racial equity and justice, parental rights, bullying and harassment, mental health, assault and violence prevention, and HIV/STIs as it impacts youth, continue reading on to the “State Legislative Activity” section of Iowa’s profile.

2022 Legislative Session

Senate File 2024 (pending): Prohibits instruction on gender identity in kindergarten and requires written parental consent prior to instruction on gender identity in grades one through six

House File 2449 (pending): Requires that human growth and development instruction provided by school districts include instruction on consent.

House File 2448 (pending): Requires that human growth and development instruction provided by school districts include age-appropriate and research-based instruction inclusive of lesbian, gay, bisexual, and transgender health practices.

House File 2183 (pending): Requires school boards to provide instruction on healthy and safe dating relationships and the meaning and operationalization of consent for sexual activity

House File 2098 (pending): Amends requirements for human growth and development instruction in kindergarten to include instruction on identifying parts of the body, and importance of empathy and respecting physical bodies and similarly in grades one through six in the health curriculum. Requires instruction in 7th and 8th grade to include age appropriate education on consent, healthy relationships, and assault prevention

Senate File 2071 (pending): Establishes age-appropriate and research-based health and human growth curriculum for kindergarten through eighth grade.

2021 Legislative Session 

House File 414 (formerly House File 192) (pending): Aims to require health education to include child sexual abuse and child sexual assault awareness.

House File 376 (pending): Aims to require sex education to be inclusive of LGBTQ health practices, self esteem, stress management, interpersonal relationships, domestic abuse, HPV and availability of the HPV vaccine, and AIDS. Further requires the standards for United States history, geography, economics, civics, and government to include the histories, contributions, and perspectives of Native Americans, people of African, Pacific Islander, Hispanic, Latino, Middle Eastern heritage, women, persons with disabilities, immigrants or refugees, and LGBTQ people.

Senate File 58 (pending): Aims to require sex education to include instruction on dating violence and affirmative consent.

Senate File 381 (pending): Aims to require schools to provide comprehensive sex education.

 

More on sex ed in Iowa…


State Law

Iowa Code 256.11 mandates that research-based, age-appropriate health education be taught in grades K–12, and the code details what must be covered in each grade. In grades 1–6, “the health curriculum shall include the characteristics of communicable diseases, including acquired immunodeficiency syndrome [AIDS].” In grades 7–8, health education must include “the characteristics of sexually transmitted diseases [STDs] … and AIDS.” In grades 9–12, students are required to take one unit of health instruction, which must include information on the “prevention and control of disease, including … [STDs] and [AIDS].” Additionally, health curricula must include information about human papillomavirus (HPV) and the HPV vaccine.

Iowa Code §§ 279.50 mandates that the curriculum use materials that are up-to-date, age-appropriate, and research-based/medically accurate. Furthermore, all information must be free of biases based on race, ethnicity, sexual orientation, or gender. School districts shall teach age-appropriate, science-based, sex education as part of the health curriculum, but they may also use abstinence-only materials so long as those materials fall within the parameters of the law.

Parents or guardians may remove their children from any part of health education courses if the course conflicts with the student’s religious beliefs. This is referred to as an “opt-out” policy.

State Standards

Iowa provides the Iowa Core: K-12 21st Century Skills as guidance for curricula development. The only mention of sexual health in the standards is for students to be able to “describe the interrelationships of the wellness dimensions: physical, emotional, intellectual, environmental, social, sexual, and spiritual wellness during adolescence.”

State Legislative Activity

State legislative activity related to sex education does not take place in isolation from the broader embroiled political and policy climate. Attacks on the rights of lesbian, gay, bisexual, transgender, queer, or questioning (LGBTQ) individuals, attempts to restrict or prohibit instruction on “divisive concepts” such as Critical Race Theory, and efforts to limit access to abortion care and other reproductive health care services prevent students from receiving comprehensive sex education and accessing sexual and reproductive health care services. Below are  highlights of current legislative activity related to these topics. The 2022 session convened on January 10, 2022.

TitleDescriptionStatusLegislative Topic
House File 620Prohibits school districts and charter schools from taking disciplinary action against teachers, admin, or students for not respecting name changes or pronounsIntroduced (2023)LGBTQIA+https://www.legis.iowa.gov/docs/publications/LGi/90/HF620.pdf
House File 623Prohibits gender transition procedures for minorsDead (2023)LGBTQIA+https://www.legis.iowa.gov/docs/publications/LGi/90/HF623.pdf
House File 361Prohibits dissemination of obscene materials in schools and creates actions to determine what is considered "obscene"Introduced (2023)"Sexually Explicit" and "Obscene" Materialshttps://www.legis.iowa.gov/docs/publications/LGi/90/HF361.pdf
Senate File 81Prohibits schools and higher ed institutions from instructing or promoting divisive conceptsIntroduced (2023)Racial Justice, Equity, and Inclusionhttps://www.legis.iowa.gov/docs/publications/LGi/90/SF81.pdf
Senate Fill 482"Requires schools to designate multiple occupancy restrooms/ changing areas fpr use by one sex and prohibits a persn from entering one if their sex does not correspond with the sex it is designated for. Allows schools to allow students to use a single-stall unisex bathroom/changing area with written parental consent"Enacted (2023)LGBTQIA+https://www.legis.iowa.gov/legislation/BillBook?ga=90&ba=SF482
Senate File 212Prohibits discrimination or legal action from the state regarding how a person guides, instructs, or raises a child, or intends to guide, instruct, or raise a child, based on or in a manner consistent with a sincerely held religious beliefIntroduced (2023)Foster Carehttps://legiscan.com/IA/text/SF212/2023
Senate File 496Requires parental permission for students to participate in YRBS. Prohibits any instruction or programming related to gender identity or sexual orientation in grades K-6th grade). Strikes the requirement for schools to teach about AIDS and HPV. Requires schools to develop a K-12 library program where it only contains "age appropriate materials" aligned with achievement goals of state. Defines age appropriate as not having any mention or referring to a "sex act". Requires curriculum transparence proceduresEnacted (2023)Sex Educationhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/SF496.html
House File 622Permits public schools to designate and allow the use of restrooms and changing facilities only by persons of the same sex.Failed (2023)LGBTQIA+ Rightshttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/HF622.html
Senate File 538Prohibits any individual from facilitating or causing hormonal or surgical gender transition for a minor.Enacted (2023)LGBTQIA+ Rightshttps://www.legis.iowa.gov/docs/publications/LGE/90/attachments/SF538.html
House File 486Establishes fundamental parental rightsIntroduced (2023)"Parental Rights" and Curriculum Censorshiphttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/HF486.html
House File 480Include instruction of inclusive human sexuality and effectiveness of contraceptive methods such as condoms, contraceptive implants, and IUDs to human growth and development curriculumIntroduced (2023)Sex Educationhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/HF480.html
House File 482Prohibits persons from using school restrooms not in accordance with their biological sexIntroduced (2023)Sexual Orientation and Gender Identityhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/HF482.html
House Study Bill 222Requires school libraries to have comprehensive list of all books that were removed from the library and for this list to be updated monthly, requires human growth and development to be age appropriate and research based, removes mention of AIDS and HPV, human sexuality instruction only in grades 4-12, no SOGI instruction in K-3, establishes parental rights in educationIntroduced (2023)Sex Educationhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/HSB222.html
House Study Bill 208Permits schools to develop policy restricting bathroom access by biological sex; creates private right of action for someone who encounters "member of opposite sex" in restroomIntroduced (2023)Sexual Orientation and Gender Identityhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/HSB208.html
House Study Bill 214Prohibits gender affirming care for minorsIntroduced (2023)Sexual Orientation and Gender Identityhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/HSB214.html
Senate Study Bill 119Prohibits gender affirming care for minorsIntroduced (2023)Sexual Orientation and Gender Identityhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/SSB1197.html
House File 348Prohibits instruction on gender identity and sexual orientation in grades K-6. Prohibits human growth and development instruction in K-6 from including any material or survey or program that related to SOGI; Amended to add protection and covering legal fees if schools face civil action suit for implementing thisPassed House (2023)Sexual Orientation and Gender Identityhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/HF348.html
Senate File 296Requires educators to be trained annually on evidence-based educator and student mental healthIntroduced (2023)Mental Healthhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/SF296.html
House File 367Prohibits schools from taking disciplinary action against students and employees who use "legal" name of other student or employee or refuse to use their preferred pronounsIntroduced (2023)Sexual Orientation and Gender Identityhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/HF367.html
Senate File 335Prohibits persons transgender students from using school restrooms in accordance with gender identityIntroduced (2023)Sexual Orientation and Gender Identityhttps://www.legis.iowa.gov/legislation/BillBook?ba=SF335&ga=90
Senate Study Bill 114Requires school libraries to have comprehensive list of all books that were removed from the library and for this list to be updated monthly, requires human growth and development to be age appropriate and research based, removes mention of AIDS and HPV, human sexuality instruction only in grades 4-12, no SOGI instruction in K-3, establishes parental rights in educationIntroduced (2023)Parental Rights, Curriculum Transparency, and Book Banshttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/SSB1145.html
Senate File 159Requires human growth and development instruction to be "age appropriate and research-based". This instruction will include information on human sexuality, self-esteem, stress management, interpersonal relationships, domestic abuse, HPV and the availability of a vaccine to prevent HPV, and acquired immune deficiency syndrome. Prohibits instruction and any surveys on SOGI in K-8Introduced (2023)Sex Educationhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/SF159.html
Senate File 129Provides civil penalties for provision of gender affirming care to minorsIntroduced (2023)Sexual Orientation and Gender Identityhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/SF129.html
Senate File 110Provides private right of action to minors who undergo gender transition procedures and basically prohibits state funding of gender affirming care, which will likely scare off doctorsIntroduced (2023)Sexual Orientation and Gender Identityhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/SF110.html
Senate File 83Prohibits instruction on gender identity from grades K-8Introduced (2023)Sexual Orientation and Gender Identityhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/SF83.html
Senate File 66Requires health education in K-6 to include identifying parts of the body, must be age-appropriate and research-based, must cover empathy and respecting boundaries. Requires health education in 7-12 to cover consent, sexual violence preventionIntroduced (2023)Sex Educationhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/SF66.html
House File 8This bill prohibits instruction related to gender identity and sexual orientation in school districts and charter schools in kindergarten through grade threeDead (2023)Sexual Orientation and Gender Identityhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/HF8.html
House File 180Prohibits school districts from facilitating any accommodation to affirm a student’s gender identity and prohibits encouraging a student to undergo any medication treatment or procedure to affirm their genderIntroduced (2023)Sexual Orientation and Gender Identityhttps://www.legis.iowa.gov/docs/publications/LGI/90/attachments/HF180.html

Youth Sexual Health Data

Young people are more than their health behaviors and outcomes. While data can be a powerful tool to demonstrate the sex education and sexual health care needs of young people, it is important to be mindful that these behaviors and outcomes are impacted by systemic inequities present in our society that affect an individual’s sexual health and well-being. To learn more about Iowa’s Youth Risk Behavior Survey (YRBS) results, click here.

Iowa School Health Profiles Data 

In 2019, the Centers for Disease Control and Prevention (CDC) released the School Health Profiles, which measure school health policies and practices and highlight which health topics were taught in schools across the country. Since the data were collected from self-administered questionnaires completed by schools’ principals and lead health education teachers, the CDC notes that one limitation of the School Health Profiles is bias toward the reporting of more positive policies and practices. In the School Health Profiles, the CDC identifies 20 sexual health education topics as critical for ensuring a young person’s sexual health. Below are key instruction highlights for secondary schools in Iowa as reported for the 2017–2018 school year.

Reported teaching all 20 critical sexual health education topics

  • 35.5% of Iowa secondary schools taught students all 20 critical sexual health education topics in a required course in any of grades 6, 7, or 8.
  • 35.5% of Iowa secondary schools taught students all 20 critical sexual health education topics in a required course in any of grades 9, 10, 11, or 12.

Reported teaching about the benefits of being sexually abstinent

  • 71.7% of Iowa secondary schools taught students about the benefits of being sexually abstinent in a required course in any of grades 6, 7, or 8.
  • 85.6% of Iowa secondary schools taught students about the benefits of being sexually abstinent in a required course in any of grades 9, 10, 11, or 12.

Reported teaching how to access valid and reliable information, products, and services related to HIV, other STDs, and pregnancy

  • 69.8% of Iowa secondary schools taught students how to access valid and reliable information, products, and services related to HIV, other STDs, and pregnancy in a required course in any of grades 6, 7, or 8.
  • 86.5% of Iowa secondary schools taught students how to access valid and reliable information, products, and services related to HIV, other STDs, and pregnancy in a required course in any of grades 9, 10, 11, or 12.

Reported teaching how to create and sustain healthy and respectful relationships

  • 72.9% of Iowa secondary schools taught students how to create and sustain healthy and respectful relationships in a required course in any of grades 6, 7, or 8.
  • 86.4% of Iowa secondary schools taught students how to create and sustain healthy and respectful relationships in a required course in any of grades 9, 10, 11, or 12.

Reported teaching about preventive care that is necessary to maintain reproductive and sexual health

  • 66.5% of Iowa secondary schools taught students about preventive care that is necessary to maintain reproductive and sexual health in a required course in any of grades 6, 7, or 8.
  • 85.5% of Iowa secondary schools taught students about preventive care that is necessary to maintain reproductive and sexual health in a required course in any of grades 9, 10, 11, or 12.

Reported teaching how to correctly use a condom

  • 45.7% of Iowa secondary schools taught students how to correctly use a condom in a required course in any of grades 6, 7, or 8.
  • 69.2% of Iowa secondary schools taught students how to correctly use a condom in a required course in any of grades 9, 10, 11, or 12.

Reported teaching about methods of contraception other than condoms

  • 56.7% of Iowa secondary schools taught students about methods of contraception other than condoms in a required course in any of grades 6, 7, or 8.
  • 81.6% of Iowa secondary schools taught students about methods of contraception other than condoms in a required course in any of grades 9, 10, 11, or 12.

Reported teaching about sexual orientation

  • 51.1% of Iowa secondary schools taught students about sexual orientation in a required course in any of grades 6, 7, or 8.
  • 70.3% of Iowa secondary schools taught students about sexual orientation in a required course in any of grades 9, 10, 11, or 12.

Reported teaching about gender roles, gender identity, or gender expression

  • 54.5% of Iowa secondary schools taught students about gender roles, gender identity, or gender expression in a required course in any of grades 6, 7, or 8.
  • 69.6% of Iowa secondary schools taught students about gender roles, gender identity, or gender expression in a required course in any of grades 9, 10, 11, or 12.

Reported providing curricula or supplementary materials relevant to lesbian, gay, bisexual, transgender, or questioning (LGBTQ) youth 

  • 45.9% of Iowa secondary schools provided students with curricula or supplementary materials that included HIV, STD, or pregnancy prevention information relevant to LGBTQ youth.

(Visit the CDC’s School Health Profiles report for additional information on school health policies and practices.)

***The quality of sex education taught often reflects funding available for sex education programs. To learn more about federal funding streams, click here.

Back to the SIECUS State Profiles

SIGN UP FOR EMAIL UPDATES

Interested in receiving the latest updates from SIECUS? Join our email list today.