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Committee approves raising age of medical consent from 14 to 16 with exceptions; substitute adopted

3098249 · April 23, 2025
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Summary

Senate Bill 101, which would raise the age at which a minor can consent to general medical care from 14 to 16, was advanced by the House Health Committee after adoption of a substitute negotiated with medical and mental-health groups; specified exceptions remain in the bill.

House Health Committee members approved Senate Bill 101, a measure to raise the default age of consent for general medical care from 14 to 16, after adopting a negotiated substitute April 23.

What the bill would do Presenters said the age of medical-consent for general health care in Alabama has been 14 since 1972; SB 101 would raise that threshold to 16 for most routine medical decisions while preserving exceptions. The substitute presented to the committee provides that parents would have access to their minor child's medical records and keeps long-standing exceptions allowing minors to consent to care in specific categories.

Exceptions and safeguards The committee was told the bill includes exceptions in which minors retain sole decision-making authority: if a minor is divorced, pregnant, emancipated, or in other enumerated circumstances. The substitute also preserves minor consent for determining the presence and treatment of sexually transmitted diseases, pregnancy, and alcohol-related care. Emergency services remain available without parental consent in imminent-threat situations, suspected abuse or neglect, and other immediate needs.

Support and compromise The presenter said the substitute is the product of negotiations with the Medical Association (MASA), mental-health organizations and individual clinicians; the presenter characterized the substitute as a compromise that is an improvement over the current law.

Committee action Committee members adopted the substitute by voice vote and then advanced the bill with a favorable report; the transcript records "Aye" votes and a favorable report but does not include a roll-call tally in the excerpt.

Clarifying details - Current law: Testimony stated the age of consent for general medical care had been 14 since 1972 and that only three states have a general-health age-of-consent below 18. - Substitute provisions: The substitute was said to provide parental access to medical records of minors under the new age threshold while retaining enumerated exceptions (STDs, pregnancy, emancipation, divorce, and emergency care).

Ending note With committee approval of the substitute and a favorable report, SB 101 will proceed to subsequent legislative steps; proponents described the substitute as a negotiated compromise with medical and mental-health stakeholders.