Background: The landmark School Health Education Study (SHES) project influenced by the conceptual approach to teaching and learning provides perspective on modern school health instruction. Conceptual education, the cornerstone of the SHES curriculum framework (CF), "Health Education: A Conceptual Approach to Curriculum Design," fosters a student's understanding of information that develops with experience. Methods: Data were collected through content analysis of the SHES CF and the "National Health Education Standards: Achieving Excellence" (NHES), 2nd edition. Similarity of essential framework elements was established. Inter-rater reliability was established. Results: Alignment of the SHES components with the NHES reveals parallel conceptual structures around which to develop curriculum. Conclusions: The conceptual approach to curriculum planning has enduring value. It provides a foundation for teaching and learning that is adaptable, flexible, and can maintain permanence in conjunction with emerging scientific evidence and cultural and political influences on health behavior.