In October 2019, the Hillsboro school board in Washington County unanimously adopted a comprehensive sexuality education curriculum.

While the vote had no dissenters, the topic was anything but uncontroversial. The curriculum was approved at the conclusion of a more-than-three-hour meeting that drew hundreds of attendees. Some who addressed the board during the meeting expressed strong support for the curriculum. Others implored the school board not to support it, citing "explicit" and "inappropriate" course materials and lesson plans.