1.1                          A bill for an act 
  1.2             relating to health; establishing MN ENABL, a program 
  1.3             to postpone sexual involvement in an effort to reduce 
  1.4             adolescent pregnancy; appropriating money; proposing 
  1.5             coding for new law in Minnesota Statutes, chapter 145. 
  1.6   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.7      Section 1.  [145.9255] [MN ENABL, MINNESOTA EDUCATION NOW 
  1.8   AND BABIES LATER.] 
  1.9      Subdivision 1.  [ESTABLISHMENT.] The commissioner of the 
  1.10  department of health, in consultation with a representative from 
  1.11  Minnesota planning and the commissioner of the department of 
  1.12  education, shall develop and implement the Minnesota education 
  1.13  now and babies later (MN ENABL) program, targeted to adolescents 
  1.14  ages 12 to 14, with the goal of reducing the incidence of 
  1.15  adolescent pregnancy in the state.  The program must provide a 
  1.16  multifaceted, primary prevention, community health promotion 
  1.17  approach to educating and supporting adolescents in the decision 
  1.18  to postpone sexual involvement modeled after the ENABL program 
  1.19  in California.  The commissioner of health shall consult with 
  1.20  the chief of the health education section of the California 
  1.21  department of health services for general guidance in developing 
  1.22  and implementing the program. 
  1.23     Subd. 1a.  [DEFINITION.] "Community-based local contractor" 
  1.24  or "contractor" includes boards of health under section 145A.02, 
  1.25  nonprofit organizations, or school districts.  The 
  2.1   community-based local contractors may provide the education 
  2.2   component of MN ENABL in a variety of settings including, but 
  2.3   not limited to, schools, religious establishments, local 
  2.4   community centers, and youth camps. 
  2.5      Subd. 2.  [DUTIES OF THE COMMISSIONER OF THE DEPARTMENT OF 
  2.6   HEALTH.] The commissioner shall: 
  2.7      (1) manage the grant process, including awarding and 
  2.8   monitoring grants to community-based local contractors, and may 
  2.9   contract with community-based local contractors that can 
  2.10  demonstrate at least a 25 percent local match and agree to 
  2.11  participate in the four MN ENABL program components under 
  2.12  subdivision 3; 
  2.13     (2) provide technical assistance to the community-based 
  2.14  local contractors as necessary under subdivision 3; 
  2.15     (3) develop and implement the evaluation component, and 
  2.16  provide centralized coordination at the state level of the 
  2.17  evaluation process; and 
  2.18     (4) explore and pursue the federal funding possibilities 
  2.19  and specifically request funding from the United States 
  2.20  Department of Health and Human Services to supplement the 
  2.21  development and implementation of the program. 
  2.22     Subd. 3.  [PROGRAM COMPONENTS.] The program must include 
  2.23  the following four major components. 
  2.24     (a) A community organization component in which the 
  2.25  community-based local contractors shall include: 
  2.26     (1) use of a postponing sexual involvement education 
  2.27  curriculum targeted to boys and girls ages 12 to 14 in schools 
  2.28  and/or community settings; 
  2.29     (2) planning and implementing community organization 
  2.30  strategies to convey and reinforce the MN ENABL message of 
  2.31  postponing sexual involvement, including activities promoting 
  2.32  awareness and involvement of parents and other primary 
  2.33  caregivers/significant adults, schools, and community; and 
  2.34     (3) develop local media linkages.  
  2.35     (b) A statewide, comprehensive media and public relations 
  2.36  campaign to promote changes in sexual attitudes and behaviors, 
  3.1   and reinforce the message of postponing adolescent sexual 
  3.2   involvement. 
  3.3      The commissioner of health, in consultation with the 
  3.4   commissioner of the department of education, shall contract with 
  3.5   the attorney general's office to develop and implement the media 
  3.6   and public relations campaign.  In developing the campaign, the 
  3.7   attorney general's office shall coordinate and consult with 
  3.8   representatives from ethnic and local communities to maximize 
  3.9   effectiveness of the social marketing approach to health 
  3.10  promotion among the culturally diverse population of the state.  
  3.11  The development and implementation of the campaign is subject to 
  3.12  input and approval by the commissioner of health. 
  3.13     The local community-based contractors shall collaborate and 
  3.14  coordinate efforts with other community organizations and 
  3.15  interested persons to provide school and community-wide 
  3.16  promotional activities that support and reinforce the message of 
  3.17  the MN ENABL curriculum. 
  3.18     (c) An evaluation component which evaluates the process and 
  3.19  the impact of the program. 
  3.20     The "process evaluation" must provide information to the 
  3.21  state on the breadth and scope of the program.  The evaluation 
  3.22  must identify program areas that might need modification and 
  3.23  identify local MN ENABL contractor strategies and procedures 
  3.24  which are particularly effective.  Contractors must keep 
  3.25  complete records on the demographics of clients served, number 
  3.26  of direct education sessions delivered and other appropriate 
  3.27  statistics, and must document exactly how the program was 
  3.28  implemented.  The commissioner may select contractor sites for 
  3.29  more in-depth case studies. 
  3.30     The "impact evaluation" must provide information to the 
  3.31  state on the impact of the different components of the MN ENABL 
  3.32  program and an assessment of the impact of the program on 
  3.33  adolescent's related sexual knowledge, attitudes, and 
  3.34  risk-taking behavior. 
  3.35     The commissioner shall compare the MN ENABL evaluation 
  3.36  information and data with similar evaluation data from other 
  4.1   states pursuing a similar adolescent pregnancy prevention 
  4.2   program modeled after ENABL, and use the information to improve 
  4.3   MN ENABL, and build on aspects of the program that have 
  4.4   demonstrated a delay in adolescent sexual involvement. 
  4.5      (d) A training component requiring the commissioner of the 
  4.6   department of health, in consultation with the commissioner of 
  4.7   the department of education to provide comprehensive uniform 
  4.8   training to the local MN ENABL community-based local contractors 
  4.9   and the direct education program staff.  
  4.10     The local community-based contractors may use adolescent 
  4.11  leaders slightly older than the adolescents in the program to 
  4.12  impart the message to postpone sexual involvement provided: 
  4.13     (1) the contractor follows a protocol for adult 
  4.14  mentors/leaders and older adolescent leaders established by the 
  4.15  commissioner of health; 
  4.16     (2) the older adolescent leader is accompanied by an adult 
  4.17  leader; and 
  4.18     (3) the contractor uses the curriculum as directed and 
  4.19  required by the commissioner of the department of health to 
  4.20  implement this part of the program.  The commissioner of health 
  4.21  shall provide technical assistance to community-based local 
  4.22  contractors. 
  4.23     Sec. 2.  [APPROPRIATION.] 
  4.24     $....... is appropriated from the general fund to the 
  4.25  department of health for purposes of developing and implementing 
  4.26  the program in section 1, and is available for the biennium.