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Countries should invest now to meet adolescents’ future contraceptive use
As of March 1, 2019 State Laws and Policies

Minors’ Access to Contraceptive Services

Background

Over the past 30 years, states have expanded minors’ authority to consent to health care, including care related to sexual activity. This trend reflects U.S. Supreme Court rulings extending the constitutional right to privacy to a minor’s decision to obtain contraceptives and concluding that rights do not “come into being magically only when one attains the state-defined age of majority.” It also reflects the recognition that while parental involvement is desirable, many minors will remain sexually active but not seek services if they have to tell their parents. As a result, confidentiality is vital to ensuring minors’ access to contraceptive services. Even when a state has no relevant policy or case law or an explicit limitation, physicians may commonly provide medical care to a mature minor without parental consent, particularly if the state allows a minor to consent to related health services.

Highlights

  • 21 states and the District of Columbia explicitly allow all minors to consent to contraceptive services.
  • 25 states explicitly permit minors to consent to contraceptive services in one or more circumstances.
    • 3 states allow minors to consent to contraceptive services if a physician determines that the minor would face a health hazard if she is not provided with contraceptive services.
    • 21 states allow a married minor to consent to contraceptive services.
    • 6 states allow a minor who is a parent to consent.
    • 6 states allow a minor who is or has ever been pregnant to consent to services.
    • 11 states allow a minor to consent if the minor meets other requirements, including being a high school graduate, reaching a minimum age, demonstrating maturity or receiving a referral from a specified professional, such as a physician or member of the clergy.
  • 4 states have no explicit policy on minors’ authority to consent to contraceptive services.
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For more information

Topic

United States

Geography

Tags

confidentiality

Minors' Access to Contraceptive Services

STATE

EXPLICITLY ALLOWS ALL MINORS TO CONSENT TO SERVICESξ​

EXPLICITLY AFFIRMS CERTAIN MINORS MAY CONSENT TO SERVICES_

NO EXPLICIT POLICYξ

Health

Married

Parent

Pregnant or Ever Pregnant

Other

Alabama

 

 

X*

X*

X*

HS graduate* or 14 years*

 

Alaska

X

 

 

 

 

 

 

Arizona

X

 

 

 

 

 

 

Arkansas

X

 

 

 

 

 

 

California

X

 

 

 

 

 

 

Colorado

X

 

 

 

 

 

 

Connecticut

 

 

X†

 

 

 

 

Delaware

 

 

 

 

 

12 years‡​

 

Dist. of Columbia

X

 

 

 

 

 

 

Florida

 

X

X

X

X

 

 

Georgia

X

 

 

 

 

 

 

Hawaii

 

 

 

 

 

14 years‡

 

Idaho

X

 

 

 

 

 

 

Illinois

 

X

X

X

X

Referral

 

Indiana

 

 

X†​

 

 

 

 

Iowa

X

 

 

 

 

 

 

Kansas

 

 

 

 

 

Mature minor

 

Kentucky

X‡​

 

 

 

 

 

 

Louisiana

 

 

X†​

 

 

 

 

Maine

 

X

X

X

 

 

 

Maryland

X‡​

 

 

 

 

 

 

Massachusetts

XΩ​

 

 

 

 

 

 

Michigan

 

 

X†​

 

 

 

 

Minnesota

X‡​

 

 

 

 

 

 

Mississippi

 

 

X

X

 

Referral

 

Missouri

 

 

X†

 

 

 

 

Montana

X‡​

 

 

 

 

 

 

Nebraska

 

 

X†

 

 

 

 

Nevada

 

 

X†​

X*

 

Mature minor*

 

New Hampshire

 

 

 

 

 

Mature minor*

 

New Jersey

 

 

X*

 

X*

 

 

New Mexico

X

 

 

 

 

 

 

New York

XΩ​

 

 

 

 

 

 

North Carolina

X

 

 

 

 

 

 

North Dakota

 

 

 

 

 

 

X

Ohio

 

 

 

 

 

 

X

Oklahoma

 

 

X‡

 

X‡​

 

 

Oregon

X‡​

 

 

 

 

 

 

Pennsylvania

 

 

X*

 

X*

HS graduate* or 14 years*

 

Rhode Island

 

 

 

 

 

 

X

South Carolina

 

 

X†​

 

 

16 years or Mature minor

 

South Dakota

 

 

X†​

 

 

 

 

Tennessee

X

 

 

 

 

 

 

Texas

 

 

X†​

 

 

Φ

 

Utah

 

 

X†

 

 

Φ

 

Vermont

 

 

X†​

 

 

 

 

Virginia

X

 

 

 

 

 

 

Washington

X

 

 

 

 

 

 

West Virginia

 

 

X†​

 

 

Mature Minor

 

Wisconsin

 

 

 

 

 

 

X

Wyoming

XΩ​

 

 

 

 

 

 

TOTAL

21 + DC

3

21

6

6

11

4

ξ    US Supreme Court rulings have extended privacy rights to include a minor's decision to obtain contraceptives.
*    State policy does not specifically address contraceptive services but applies to medical care in general.
†   State law confers the rights and responsibilities of adulthood to minors who are married.
‡    Physician may, but is not required to, inform the minor's parents.
Ω   The state funds a statewide program that gives minors access to confidential contraceptive care.
Φ   State funds may not be used to provide minors with confidential contraceptive services.

 

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