States Must Act Now to Protect Teenagers' Reproductive Healthcare

that 75 percent abortion patients live at or near the federal poverty line, and more than half are people of color. Teenagers will also be especially impacted byTeenagers already face additional hurdles to accessing abortion care. In addition to coping with practical difficulties such as finding transportation to an abortion provider, paying for the services and obtaining time off from school, adolescents must also navigate laws mandating parental involvement with abortion care.

Even in jurisdictions sympathetic to abortion rights, the notion of parental involvement with abortion for teenagers remains quite popular because the law generally requires parental consent for a minor’s medical care. However, this general rule is misleading because states typically exempt other similarly sensitive medical care from parental involvement.

Failure to protect physician-patient confidentiality in this sensitive area will only hurt the teenagers we all seek to help.by comparing laws requiring parental consent for abortion to laws requiring parental consent for ear piercing, visiting a tanning salon or obtaining aspirin from a school nurse.

Decades of public health research on the efficacy of parental involvement laws and the judicial bypass process demonstrate that these laws threaten adolescent health. In particular,most teens do involve parents or other trusted adults in abortion decisions—but minors who feel they cannot safely inform their parents about a pregnancy end up delaying abortion care and face greater medical risks as a result.

In addition, teenagers are more likely to be late in discovering their pregnancy and delayed access to care may prevent them from obtaining abortion care entirely. The

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