6142.8
AR
Administrative Regulation
Comprehensive Health Education
Content of Instruction
The district's health education program shall include instruction at the appropriate grade levels in the following content areas:
1. Alcohol, tobacco, and other drugs
2. Human growth, development, and sexual health
3. Injury prevention and safety
Instruction related to injury prevention and safety may include, but is not limited to, first aid, protective equipment such as helmets, violence prevention, topics related to bullying and harassment, emergency procedures, and Internet safety.
4. Mental, emotional, and social health
Health education courses offered to middle school students shall include mental health instruction that meets the requirements of Education Code 51925-51927, as specified in Administrative Regulation 6143 - Courses of Study.
5. Nutrition and physical activity
6. Personal and community health
Instruction in personal and community health may include, but is not limited to, oral health, personal hygiene, sun safety, vision and hearing protection, transmission of germs and communicable diseases, symptoms of common health problems and chronic diseases, and the effect of behavior on the environment.
Within each of the above content areas, instruction shall be designed to assist students in developing:
1. An understanding of essential concepts related to enhancing health
2. The ability to analyze internal and external influences that affect health
3. The ability to access and analyze health information, products, and services
4. The ability to use interpersonal communication skills, decision-making skills, and goal-setting skills to enhance health
5. The ability to practice behaviors that reduce risk and promote health
6. The ability to promote and support personal, family, and community health
Parent/Guardian Notification and Opt-Out
At the beginning of each school year or at the time of a student's enrollment, parents/guardians shall be notified that they may request in writing to opt their students out of participating in the following:
1. Anonymous, voluntary, and confidential tests, questionnaires, and surveys containing age-appropriate questions about students' attitudes concerning or practices relating to sex (Education Code 51938, 51939)
2. Any instruction in health that conflicts with the student's religious training and beliefs, including personal moral convictions (Education Code 51240)
3. Any instruction in sexual abuse and/or sexual assault awareness and prevention (Education Code 51900.6
4. Any instruction in comprehensive sexual health and human immunodeficiency virus (HIV) prevention (Education Code 51938, 51939)
5. Any other instruction as permitted by law
Additionally, the district shall not administer any exam, survey, or questionnaire that contains questions about the student's or the student's family's personal beliefs or practices in sex, family life, morality, or religion unless the student's parent/guardian has given written permission. (Education Code 51513)
Involvement of Health Professionals
Health care professionals, health care service plans, health care providers, and other entities participating in a voluntary initiative with the district are prohibited from communicating about a product or service in a way that is intended to encourage persons to purchase or use the product or service. However, the following activities may be allowed: (Education Code 51890)
1. Health care or health education information provided in a brochure or pamphlet that contains the logo or name of a health care service plan or health care organization, if provided in coordination with the voluntary initiative
2. Outreach, application assistance, and enrollment activities relating to federal, state, or county-sponsored health care insurance programs if the activities are conducted in compliance with the statutory, regulatory, and programmatic guidelines applicable to those programs
Legal & Management References
State
5 CCR 11800-11801 - District health education plan
Ed. Code 35183.5 - Sun protection
Ed. Code 49413 - First aid and cardiopulmonary resuscitation training
Ed. Code 49430-49434 - Pupil Nutrition, Health, and Achievement Act of 2001
Ed. Code 49490-49494 - School breakfast and lunch programs
Ed. Code 49500-49505 - School meals
Ed. Code 51202 - Instruction in personal and public health and safety
Ed. Code 51203 - Instruction on alcohol, narcotics and dangerous drugs
Ed. Code 51210 - Course of study for grades 1-6
Ed. Code 51210.8 - Health education curriculum
Ed. Code 51220.5 - Parenting skills; areas of instruction
Ed. Code 51225.36 - Instruction in sexual harassment and violence; districts that require health education for graduation
Ed. Code 51225.38 - Instruction in the dangers associated with fentanyl use
Ed. Code 51225.6 - Instruction in cardiopulmonary resuscitation; districts that require health education for graduation
Ed. Code 51240 - Excuse from instruction due to religious beliefs
Ed. Code 51260-51269 - Drug education
Ed. Code 51513 - Personal beliefs
Ed. Code 51880-51881.5 - Health education; legislative findings and intent
Ed. Code 51890-51891 - Comprehensive health education programs and community participation; definitions
Ed. Code 51900.6 - Sexual abuse and sexual assault awareness and prevention instruction
Ed. Code 51913 - District health education plan
Ed. Code 51920 - Inservice training; health education
Ed. Code 51925-51929 - Mandatory mental health education and in-service training
Ed. Code 51930-51939 - California Healthy Youth Act
Ed. Code 67386 - Student safety; affirmative consent standard
Ed. Code 8850.5 - Family relationships and parenting education
Federal
42 USC 1751-1769j - School Lunch Program
42 USC 1758b - Local wellness policy
42 USC 1771-1793 - Child Nutrition Act
Management Resources
California Department of Education Publication - Health Education Framework for California Public Schools: Kindergarten Through Grade Twelve, 2019
California Department of Education Publication - Health Education Content Standards for California Public Schools: Kindergarten Through Grade Twelve, 2008
Court Decision - Mahmoud v. Taylor (2025) 606 U.S. ____ (2025 WL 1773627)
CSBA Publication - Integrating Oral Health into School Health Programs and Policies, May 2010
CSBA Publication - Integrating Physical Activity into the School Day, April 2016
CSBA Publication - Preventing Catastrophic Health Illness, Governance Brief, July 2018
CSBA Publication - The Impact of Marijuana Legalization on K-12: The Effect of Marijuana on the Brain, November 2018
CSBA Publication - Why Schools Hold the Promise for Adolescent Mental Health, Governance Brief, May 2019
CSBA Publication - Sun Safety in Schools, Policy Brief, July 2006
CSBA Publication - Asthma Management in the Schools, Policy Brief, March 2008
CSBA Publication - Student Wellness: A Healthy Food and Physical Activity Policy Resource Guide, April 2006
CSBA Publication - Monitoring for Success: A Guide for Assessing and Strengthening Student Wellness Policies, rev. 2012
CSBA Publication - Promoting Oral Health for California's Students: New Roles, New Opportunities for Schools, Policy Brief, November 2008
CSBA Publication - Promoting Healthy Relationships for Adolescents: Board Policy Considerations, Governance Brief, August 2014
Human Rights Campaign Foundation Publication - California LGBTQ Youth Report, January 2019
Society of Health & Physical Educators Publication - National Health Education Standards: Achieving Excellence, rev. November 2012
US Department of Health and Human Services Pub. - Social Media and Youth Mental Health: The U.S. Surgeon General’s Advisory, 2023
US Dept of Health and Human Services Publication - Our Epidemic of Loneliness and Isolation: The U.S. Surgeon General’s Advisory on the Health Effects of Social Connection and the Community, 2023
Website - SHAPE America, Society of Health and Physical Educators
Website - CSBA District and County Office of Education Legal Services
Website - Human Rights Campaign Foundation
Website - U.S. Department of Health and Human Services
Website - American School Health Association
Website - California Association of School Health Educators
Website - California Department of Education, Health Education
Website - California Subject Matter Project, Physical Education-Health Project
Website - Center for Injury Prevention Policy and Practice
Website - National Center for Health Education
Website - National Hearing Conservation Association
Website - Centers for Disease Control and Prevention
Website - CSBA
Website - California Department of Public Health
Website - California Healthy Kids Resource Center
Cross References
0200 BP Goals For The School District
0415 AR Equity
0450 AR Comprehensive Safety Plan
1220 AR Citizen Advisory Committees
1240 AR Volunteer Assistance
1325 AR Advertising And Promotion
3513.3 AR Tobacco-Free Schools
3513.4 BP Drug And Alcohol Free Schools
3514 AR Environmental Safety
3554 AR Other Food Sales
4131 AR Staff Development
5030 BP Student Wellness
5131 BP Conduct
5131.2 AR Bullying
5131.6 AR Alcohol And Other Drugs
5131.62 AR Tobacco
5137 BP Positive School Climate
5141 AR Health Care And Emergencies
5141.22 AR Infectious Diseases
5141.23 AR Asthma Management
5141.3 AR Health Examinations
5141.31 AR Immunizations
5141.32 AR Health Screening For School Entry
5141.4 AR Child Abuse Prevention And Reporting
5141.5 BP Mental Health
5141.52 AR Suicide Prevention
5141.6 BP School Health Services
5142 AR Safety
5142.2 AR Safe Routes To School Program
5145.3 AR Nondiscrimination/Harassment
5145.6 BP Parent/Guardian Notifications
5145.6-E PDF(1) AR Parent/Guardian Notifications
5145.7 AR Sexual Harassment
5145.9 BP Hate-Motivated Behavior
6011 BP Academic Standards
6020 AR Parent Involvement
6142.5 BP Environmental Education
6142.7 AR Physical Education And Activity
6143 AR Courses Of Study
6144 AR Controversial Issues
6145.8 BP Assemblies And Special Events
6162.8 AR Research
6163.4 AR Student Use Of Technology
6163.4-E PDF(1) AR Student Use Of Technology
6164.2 BP Guidance/Counseling Services