In 1994, the Public Education Network (PEN) entered into a cooperative agreement with the Centers for Disease Control and Prevention, Division of Adolescent and School Health (CDC/DASH) to integrate comprehensive school health programs (CSHP) into a larger, systemic school reform effort at the local and national levels. Under this agreement, PEN worked with and provided funds to six local education funds (LEFs) to implement local projects that would establish, enhance, and/or institutionalize school health programs within their districts -- and in the case of one LEF, throughout the state. This case study documents the experiences of these LEFs and their partners in the second year of the implementation of this project, which focused on activities reforming the health education curriculum reform. PEN was able to explore and delineate the issues surrounding comprehensive services through its first federal grant from the CDC. Through the Comprehensive School Health Initiative (CSHI), PEN, along with its partner LEFs, aims to link school health and school reform by approaching the issue of school and adolescent health, including HIV prevention, with public engagement as a major component. This report looks at the challenges LEFs faced as they engaged a wide array of entities in examining health education curriculum and reform efforts to make it more comprehensive, age-appropriate and developmental.