Sex, lies, and contradictions: This could have been the subtitle of Wednesday's Congressional hearing on the President's Emergency Plan for AIDS Relief (PEPFAR). The hearing, chaired by Congressman Chris Shays (R-CT) was called to review mounting evidence against one of the key restrictions under PEPFAR-a requirement (also known as an earmark) that one third of prevention funding go to abstinence-until-marriage programs-is undermining effective prevention programs on the ground because it is, in most cases, an "abstinence-only" program.