Influencing knowledge to establish healthy habits and behaviors in our youth is the cornerstone to the necessity of health education as a skill set. Research has shown that adequate K-12 health education can reduce risk behaviors in adolescents (Freudenberg & Ruglis, 2007). Health teachers desire specific training in particular health education domains and professional development improves teaching knowledge and skills (Summerfield, 2001). The School Health Profiles is a collection of bi-annual surveys measuring school health policies and practices in state and educational systems. The profiles collect data on the status of the school’s health education requirements and content; school health coordination; school health policies (HIV/AIDs, tobacco, nutrition, etc.); asthma management policies; physical education and physical activity; and family and community participation in school health programs. State survey sample was from randomly selected secondary schools (grades 6 – 12) within a school district, territory, or tribal government. Health profile data were retrieved from self-administered questionnaires of principals and lead health education teachers (CDC DASH 2012)