State Profiles

Tennessee’s Sex Education Snapshot

In 2012 the Tennessee legislature passed Senate Bill 3310, a restrictive measure known as the “Gateway Law.” Under this legislation, family life education programs and sex education courses are prohibited from including instruction on “gateway sexual activity” that encourages youth to engage in “non-abstinent behavior.” Educators who fail to comply could face punitive measures, including a $500 fine. Sex education advocates have routinely pushed back against this restrictive legislation and have attempted to, instead, pass requirements for comprehensive sex education. In 2017, Senator Becky Duncan Massey passed Senate Bill 1510, legislation that requires sexual abuse education in schools. Despite this success, similar efforts have been largely unsuccessful. Collaborative efforts are underway to ensure a comprehensive sex education bill is introduced in the future, although increased grassroots action is critical to its passage. Advocates note that incremental efforts to build a strong base of support are essential to ensure future success. Organizations such as Girls, Inc. of Chattanooga are working to identify political allies and local champions to advance a comprehensive sex education platform.

In light of the coronavirus pandemic beginning in 2020, the shortened legislative session significantly limited the ability to conduct successful advocacy with lawmakers to advance sex education legislation. Advocates suspect that sex education was likely one of the first educational programs to be eliminated in the shift towards virtual learning. While advocates have begun the process of developing an awareness campaign to advance sex education requirements, the implementation has been halted as the impact of the virus has continued into 2021.

In addition to coordinated efforts to pass advanced sex education requirements statewide, advocates note that much needs to be done at the local level as well. Because Tennessee schools are not required to provide sex education to students, school districts are left to decide what type of sex education–if any at all–they teach young people. Due to the state’s restrictive mandate, schools in Tennessee can only provide abstinence-centered curriculum, which is often called “sexual risk avoidance” programming.  There is also a prominent fear of discussing restricted topics that remains prevalent among educators in the state. Students report that educators often use shame-based, stigmatizing educational tools that target young women and LGBTQ students. These approaches create unsafe and hostile environments for young people. Curriculum has also been reported to lack critical topics such as contraceptive methods, STI prevention, and consent. While all young people in Tennessee are adversely impacted by restrictive sex education curriculum, Black youth in particular are put at a significant disadvantage. SisterReach, a reproductive justice organization based in Memphis, released a report in 2015 detailing the unique barriers that Black young people face in accessing comprehensive sex education and found that 90 percent of youth surveyed reported that they received inadequate information and felt unable to make informed decisions about their own bodies and sexual choices.

Advocates in Knoxville have been increasing efforts to ensure effective educators are delivering sex education by removing harmful educators that provide restrictive instruction. They believe this is a necessary first step before advancing new sex education requirements. In response to the discriminatory sex education they received, students in Knox County have formed Just Educate, a sex education resource, to uplift the testimony of students and demand that the Knox County Board of Education take action to ensure young people receive affirming sex education instruction.

In an effort to address these gaps in access, Youth and Family Development Centers and youth-serving organizations across the state have implemented after school sex education programs. Planned Parenthood of Tennessee and North Mississippi have provided similar programming in Knoxville, Memphis, Nashville, and the surrounding areas. Despite these efforts, advocates from the Women’s Fund of Chattanooga report that it is critical that those who support advancing sex education continue to strategize effective ways to provide comprehensive sex education to youth.

Right now, advocates can take action to ensure young people in their community have access to quality sex education. Advocates can also identify what sex education requirements are currently in place in their district and advocate for the inclusion of specific elements of comprehensive sex education, such as requiring curriculum to be culturally responsive to youth of color and LGBTQ youth. Chattanooga community members report a recent, steady increase in local support for improving sex education. Individuals across the state may find that parents and community members are willing to collaborate and advocate for inclusive sex education curriculum. 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

  • Tennessee schools are not required to teach sex education. However, schools are required to teach a family life education program if their county pregnancy rate exceeds 19.5 pregnancies per every 1,000 females ages 15-17.
  • Curriculum is not required to be comprehensive.
  • Curriculum must stress abstinence.
  • Tennessee statute does not require curriculum to include instruction on sexual orientation or gender identity.
  • Curriculum must include instruction on the age of consent.
  • Parents and guardians are able to remove their children from sex education instruction upon written request. This is referred to as an “opt-out” policy.
  • Curriculum must be medically accurate.

State House Highlights

This section highlights sex education bills that were introduced during the 2020 state legislative session as well as bills that have been introduced thus far in 2021. 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, and HIV/AIDS, continue reading on to the “State Legislative Activity” section of Tennessee’s profile.

2021 Legislative Session 

House Bill 529 (pending): Aims to require each school to notify parents at least 30 days prior to providing instruction on sexual orientation and gender identity in sex education or any other program. Allows parents to review the curriculum and submit a written request if they wish to remove their children from instruction.

House Bill 577 (pending): Aims to prohibit providing minors with information that promotes any “gateway sexual activity” or health messages that encourages students to experiment with non-heterosexual sex. Further prohibits providing or distributing material on school grounds that condones, encourages, or promotes sexual activity among unmarried minors, displaying or conducting demonstrations with devices manufactured for sexual stimulation, or distributing contraception on school property. In order to receive contraceptives from a health care professional, parental consent must be obtained. An identical, companion bill was introduced in the Senate.

House Bill 1307 (pending): Requires youth development centers to provide sex education. An identical, companion bill was introduced in the Senate.

Senate Bill 125 (pending): Aims to require all schools to provide family life education. Prohibits any person person on school property or present at any school sponsored activity or program from making abortion referrals or advocating or encouraging abortion.

Senate Bill 646 (pending): Requires schools to teach medically accurate, age appropriate sex education that includes instruction on abstinence, contraception, consent, and healthy relationships. Curriculum must be appropriate for students regardless of their gender, race, disability status, or sexual orientation.

2020 Legislative Session

House Bill 2135 (failed): Sought to prohibit any individual on school grounds from making abortion referrals or “advocating or encouraging” abortion and adjusts data considerations that determine if a school district must teach sex education.

House Bill 2434 (failed): Sought to no longer require schools to follow the Sexual Risk Avoidance curriculum. Information would have to be medically accurate and age-appropriate. Curricula would still prioritize abstinence, but teaching how to use protection to prevent the spread of STIs and HIV, consent, how to talk to parents about sex, and healthy relationships would be required as well. An identical companion bill was introduced in the Senate.

House Bill 2567 (failed): Sought to establish the Parents’ Bill of Rights, which would permit parents and guardians to withhold their children from any aspect of their education that they have a moral or religious objection to.

Senate Bill 2583 (failed): Sought to require schools to teach sex education that is medically accurate and age appropriate and includes instruction on abstinence, contraceptives, consent and healthy relationships. Curriculum must  be appropriate for all students regardless of gender, sexual orientation, race, or disability status. At least 30 days prior to instruction, each school must notify parents and guardians and outline their right to review the instructional materials and remove their children from instruction.

Senate Bill 2089 (failed): Sought to prohibit public schools and other Local Education Agencies from making referrals to and/or endorsing abortion in any class or at any school-related event. An identical companion bill was introduced in the House.


More on sex ed in Tennessee…


State Law

Tennessee law (§ 49-6-1302, 49-6-1304, and 49-6-1305) requires local education agencies in counties whose pregnancy rate exceeds 19.5 pregnancies per 1,000 females ages 15–17 to develop and implement a family life education program. These programs must promote “sexual risk avoidance” as their primary goal, and instruction that promotes “gateway sexual activity” is prohibited. Statute § 49-6-1304 was recently amended to include “provid[ing] instruction on the detection, intervention, prevention, and treatment of child sexual abuse, including such abuse that may occur in the home” as a required topic in family life curricula.

If such family life education programs are provided, they must:

  1. Emphatically promote sexual risk avoidance through abstinence, regardless of a student’s current or prior sexual experience;
  2. Encourage sexual health by helping students understand how sexual activity affects the whole person, including the physical, social, emotional, psychological, economic, and educational consequences of non-marital sexual activity;
  3. Teach the positive results of avoiding sexual activity, the skills needed to make healthy decisions, the advantages of and skills for student success in pursuing educational and life goals, the components of healthy relationships, and the social science research supporting the benefits of reserving the expression of human sexual activity for marriage;
  4. Provide factually and medically accurate information;
  5. Teach students how to form pro-social habits that enable students to develop healthy relationships, create strong marriages, and form safe and stable future families;
  6. Encourage students to communicate with a parent, guardian, or other trusted adult about sex or other risk behaviors;
  7. Assist students in learning and practicing refusal skills that will help them resist sexual activity;
  8. Address the benefits of raising children within the context of a marital relationship and the unique challenges that single teen parents encounter in relation to educational, psychological, physical, social, legal, and financial factors;
  9. Discuss the interrelationship between teen sexual activity and exposure to other risk behaviors such as smoking, underage drinking, drug use, criminal activity, dating violence, and sexual aggression;
  10. Educate students on the age of consent, puberty, pregnancy, childbirth, sexually transmitted diseases [STDs], including but not limited to human immunodeficiency virus [HIV]/acquired immunodeficiency syndrome [AIDS], and the financial and emotional responsibility of raising a child;
  11. Teach students how to identify and form healthy relationships, and how to identify and avoid unhealthy relationships;
  12. Inform students, in all [schools], concerning the process of adoption and its benefits; and
  13. Provide instruction on the detection, intervention, prevention, and treatment of child sexual abuse, including such abuse that may occur in the home.

Tennessee Code allows students to be removed from sex education classes upon written request from their parent or guardian. This is referred to as an “opt-out” policy.

State Standards

The Tennessee Health Education Standards include instruction on sexually transmitted infections (STIs), including HIV/AIDS, beginning in grade 3. Beginning in grade 6, the standards include the expectation that students will learn to “identify abstinence from sexual activity as the responsible and preferred choice for adolescents.” The Tennessee Lifetime Wellness Curriculum Standards , which students must complete in order to graduate high school, mandate a section on sexuality and relationships. The standards describe abstinence as a “positive choice” but also include instruction on contraception.

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, 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. Tennessee’s 2021 session convened on January 12, 2021. 

TitleDescriptionStatusLegislative Topic
House Bill 1411Requires written parental consent prior to any survey or questionnaireIntroduced (2023)Health Disparities & Menstrual Equityhttps://www.capitol.tn.gov/Bills/113/Bill/HB1411.pdf
House Bill 1378Prohibits gender affirming careIntroduced (2023)Sexual Orientation and Gender Identity https://www.capitol.tn.gov/Bills/113/Bill/HB1378.pdf
Senate Bill 1237Allows for private schools to create policy regulating student participation in sports based upon biological sexIntroduced (2023)Sexual Orientation and Gender Identity https://www.capitol.tn.gov/Bills/113/Bill/SB1237.pdf
House Bill 1414Establishes fundamental parental rights, increase parental involvement in public school system, requires prior written consent for sex ed and any SOGI instruction, forced outing and misgenderingIntroduced (2023)Parental Rights, Curriculum Transparency, and Book Banshttps://www.capitol.tn.gov/Bills/113/Bill/HB1414.pdf
House Bill 306Authorizes a private school to create a policy to regulate a student's participation in the school's athletic activities or events based upon a student's biological sexIntroduced (2023)Sexual Orientation and Gender Identity https://www.capitol.tn.gov/Bills/113/Bill/HB0306.pdf
House Bill 1269States that teachers are not required to use students preferred pronouns and are not civilly liable for choosing not to do soIntroduced (2023)Sexual Orientation and Gender Identity https://www.capitol.tn.gov/Bills/113/Bill/HB1269.pdf
House Bill 1293Amends FLE requirements by allowing for schools to revise FLE curriculum to include instruction on contraceptives, consent, pregnancy, abortion, and certain relationship and communication skills and states that by doing so an individual or organization is not endorsing "non abstinence" which is currently prohibited by lawIntroduced (2023)Sex Educationhttps://www.capitol.tn.gov/Bills/113/Bill/HB1293.pdf
Senate Bill 1204Amends FLE requirements by allowing for schools to revise FLE curriculum to include instruction on contraceptives, consent, pregnancy, abortion, and certain relationship and communication skills and states that by doing so an individual or organization is not endorsing "non abstinence" which is currently prohibited by lawIntroduced (2023)Sex Educationhttps://www.capitol.tn.gov/Bills/113/Bill/SB1204.pdf
House Bill 643FLE will be limited to 6th-12th grade and must cover benefits of adoptionIntroduced (2023)Sex Educationhttps://www.capitol.tn.gov/Bills/113/Bill/HB0643.pdf
House Bill 839Enacts the "Wholesome Public School Learning Environment Act" which prohibits teachers or other school employees from discussing sexual preferences or drug use with a student during school instruction or a school activityIntroduced (2023)Sexual Orientation and Gender Identity https://www.capitol.tn.gov/Bills/113/Bill/HB0839.pdf
House Bill 841Removes exception for education justification for carrying 'obscene material" on school propertyIntroduced (2023)Sexually Explicit Materialshttps://www.capitol.tn.gov/Bills/113/Bill/HB0841.pdf
House Bill 1090Removes exception for education justification for carrying 'obscene material" on school propertyIntroduced (2023)Sexually Explicit Materialshttps://www.capitol.tn.gov/Bills/113/Bill/HB1090.pdf
Senate Bill 620A Parental Bill of RightsIntroduced (2023)Parental Rights, Curriculum Transparency, and Book Banshttps://www.capitol.tn.gov/Bills/113/Bill/SB0620.pdf
Senate Bill 466States that teachers are not required to use students preferred pronouns and are not civilly liable for choosing not to do soIntroduced (2023)Sexual Orientation and Gender Identity https://www.capitol.tn.gov/Bills/113/Bill/SB0466.pdf
House Bill 122Beginning 2029 (?) family life education can only be taught between 6-12th grade, inform students in K-12 of benefits and process of adoptionDied in Committee (2023)Sex Educationhttps://www.capitol.tn.gov/Bills/113/Bill/HB0122.pdf
Senate Bill 0005Prohibits medical providers from providing gender affirming healthcareIntroduced (2023)Sexual Orientation and Gender Identity https://www.capitol.tn.gov/Bills/113/Bill/SB0005.pdf
House Bill 0001Prohibits medical providers from providing gender affirming healthcareIntroduced (2023)Sexual Orientation and Gender Identity https://www.capitol.tn.gov/Bills/113/Bill/HB0001.pdf
Senate Bill 0001Prohibits medical providers from providing gender affirming healthcareEnacted (2023)Sexual Orientation and Gender Identity https://www.capitol.tn.gov/Bills/113/Bill/SB0001.pdf

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 Tennessee’s Youth Risk Behavior Survey (YRBS) results, click here.

Tennessee 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 Tennessee as reported for the 2017–2018 school year.

Reported teaching all 20 critical sexual health education topics

  • 9.8% of Tennessee secondary schools taught students all 20 critical sexual health education topics in a required course in any of grades 6, 7, or 8.
  • 32.2% of Tennessee 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

  • 40.1% of Tennessee secondary schools taught students about the benefits of being sexually abstinent in a required course in any of grades 6, 7, or 8.
  • 92.5% of Tennessee 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

  • 34.4% of Tennessee 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.
  • 88.1 % of Tennessee 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

  • 43.5% of Tennessee 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.
  • 90.3% of Tennessee 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

  • 27.0% of Tennessee 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.
  • 83.6% of Tennessee 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

  • 11.0% of Tennessee secondary schools taught students how to correctly use a condom in a required course in any of grades 6, 7, or 8.
  • 41.2% of Tennessee 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

  • 19.9% of Tennessee secondary schools taught students about methods of contraception other than condoms in a required course in any of grades 6, 7, or 8.
  • 62.6% of Tennessee 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

  • 12.7% of Tennessee secondary schools taught students about sexual orientation in a required course in any of grades 6, 7, or 8.
  • 54.1% of Tennessee 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

  • 16.4% of Tennessee secondary schools taught students about gender roles, gender identity, or gender expression in a required course in any of grades 6, 7, or 8.
  • 55.6% of Tennessee 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

  • 27.7% of Tennessee 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.

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