The Council of Chief State School Officers (CCSSO) created the State Collaborative on Assessment and Student Standards (SCASS) in 1991 to encourage and assist states in working collaboratively on assessment design and development across curriculum. The Health Education Assessment Project (HEAP) began in 1993 with the goal of developing effective health education resources to improve students' health literacy. Through alignment of standards-based instruction, curriculum, and assessment, the products developed by HEAP revolutionized the way health education is taught in classrooms.
HEAP has developed a bank of Assessment Items and other resources designed to promote professional development in assessment for school health education. HEAP Assessment Items are used to improve accountability at the state, district, and local levels.