As required by Tennessee Code Annotated (TCA) 49-6- 1301, Family Life & Sexuality Education (FLSE) shall be taught in grades 7-12. FLSE is a comprehensive sexuality education program which promotes and encourages abstinence. However, the program shall also focus on providing students with knowledge regarding the male and female reproductive systems, pregnancy, HIV and other sexually transmitted infections/diseases (STIs/STDs), healthy and unhealthy relationships, self-esteem, and contraception as a means to protect against unwanted pregnancy and STIs/STDs. According to TCA 49-6- 1005, FLSE courses must be approved by the state and local boards of education. Approved courses can only be taught by qualified instructors as determined by the local education agency (LEA).