Due to school district budget cuts, teacher staffing shortages and a lack of state and federal mandates, comprehensive health curriculums in schools have been eliminated in most cities and towns. 

Since 2008, public high schools in the State of Florida no longer have health education classes due to a change in the graduation requirements. Consequently, the Miami-Dade County School District no longer has health education classes, only physical education classes, offered in its high schools.

In instances where health mandates still exist, the curriculum is often outdated and lacking in innovative teching techniques.

Additionally, most health teachers are not properly trained, leaving students to rely primarily on lecture models and textbook work as a means of health education. Most states do not require that districts or schools use one standard, comprehensive health education curriculum. States vary tremendously on how much money is allotted towards health education. Due to these inconsistencies, some children receive health instruction in only one grade; others get a fragmented "crisis-driven" approach that focuses on only one problem, such as drug abuse or HIV infection.

Additionally, there is a disconnect between health education and health access. 

Too often, students do not know where to go to find health resources in their schools and in their communities.