Authorized by Congress through the Affordable Care Act, PREP was designed to reduce teen pregnancies and their negative consequences. State PREP grantees had discretion to design their programs, but were expected to be evidence-based, provide education on both abstinence and contraceptive use, and educate youth on at least three of six adulthood preparation topics. States are also encouraged to target their programming to high-risk populations. This report illustrates states’ program decisions, using data gathered through telephone interviews with state grantee officials. Learn more (PDF, 92 pages).