The United States Department of Health and Human Services established two national goals to increase the proportion of adolescents who never have had sexual intercourse and to increase condom use among sexually active adolescents. Schools are an ideal setting in which to educate students about consequences of promiscuous and unprotected sexual behavior as well as implement sound policies, practices, and evidence-based programs that have potential to change adolescent sexual knowledge, skills, attitudes, and behaviors. The purpose of this study was to investigate the most recent data from the School Health Profile (SHP) related to the scope of Michigan schools' sexuality education policies and practices. A sample of 324 principals (80% response) and 318 lead health teachers (79% response) answered mailed surveys designed by the CDC, the 2004 School Health Profile School Principal Questionnaire (PQ, 10 items used) and the 2004 School Health Profile Lead Health Education Teacher Questionnaire (HETQ, 18 items used). Michigan's high response rates to these surveys allows for generalization to all public secondary schools in Michigan, including schools in Detroit. Analyses included use of descriptive statistics. Schools responding to the survey included middle schools (44.8%), high schools (37.3%), junior-senior high schools (10.8%), and 7.1% others. Data from the PQ indicated that 51.5% of schools in Michigan reported adopting a written policy that protects students and staff with HIV/AIDS. Schools adopting HIV policies have implemented a wide range of guidelines. On a scale of one through nine, the mean number of specific policies addressed were 7.86 (SD = 1.64), with about 25% of the schools in full compliance (addressing all nine recommendations). The specific policy most often excluded was related to providing confidential counseling for HIV infected students (32.1% adopting). High schools and junior-senior high schools were more likely to be fully compliant than middle schools; 62.5% and 68.8%, respectively. Selected HIV prevention data from the HETQ indicated that schools are more likely to teach abstinence as the most effective method to avoid infection and how HIV is transmitted (93% each). Schools are least likely to teach about condom efficacy (57%) or how to correctly use a condom (29%). Recommendations include encouraging school and community health educators to advocate for more extensive HIV/AIDS policies, especially for middle schools. Also, schools should address both national goals rather than focus only on abstinence.Keyword(s): health education K-12, high school issues, middle school issues