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ED 420 379 AUTHOR TITLE INSTITUTION SPONS AGENCY ISBN PUB DATE NOTE CONTRACT AVAILABLE FROM PUB TYPE EDRS PRICE DESCRIPTORS IDENTIFIERS ABSTRACT DOCUMENT RESUME PS 026 528 Kendell, Nicole Adolescent Health Issues: State Actions 1997. National Conference of State Legislatures, Denver, CO. Center for Chronic Disease Prevention and Health Promotion (DHHS/CDC), Atlanta, GA. Adolescent and School Health Div. ISBN-1-55516-760-8 1998-01-00 93p.; For 1996 edition, see ED 417 815. U87/CCU810205 National Conference of State Legislatures, 1560 Broadway, Suite 700, Denver, CO 80202 (Item No. 6667, $20). Information Analyses (070) Reports Descriptive (141) MF01/PC04 Plus Postage. Abortions; Acquired Immune Deficiency Syndrome; *Adolescents; Child Behavior; *Child Health; Community Health Services; Contraception; Early Parenthood; Family Planning; Health Insurance; Mental Health; Parent Education; Prevention; School Health Services; Sex Education; *State Legislation; Substance Abuse; Tobacco; Violence *Risk Taking Behavior Many adolescents need basic health care and other services that address risky behaviors such as sexual activity, violence, alcohol and drug abuse, and the consequences of these behaviors. This publication summarizes laws and resolutions on adolescent health issues passed in 1997 state and territory legislative sessions. No 1997 legislative session was held in Kentucky; therefore, adolescent health legislation from this state is not included. Nor was any legislation related to adolescent health passed in 1997 in American Samoa, the District of Columbia, Guam, New Mexico, the Northern Mariana Islands, Puerto Rico, the U.S. Virgin Islands, and Wyoming. Brief descriptions of laws are provided pertaining to the following topics: (1) abortions; (2) abstinence, sexuality education, and pregnancy prevention; (3) adolescent general health; (4) community health, including immunizations; (5) HIV/AIDS; (6) insurance; (7) Medicaid; (8) mental health; (9) pregnancy, parenting, contraception, and family planning; (10) school health and school-based health services; (11) sexual conduct; (12) sexually transmitted diseases; (13) substance abuse, including date rape drugs, drinking and driving, penalties, and prevention; (14) tattooing and body piercing; (15) tobacco; and (16) violence prevention. The summary indicates that during the 1997 legislative session teen pregnancy; school health programs, substance abuse, and tobacco were the top adolescent health issues addressed by state legislatures. The summary's appendices include a state-by-state summary of 1992-1996 health legislation, resource directory, and a list of state adolescent health coordinators/directors. (KB) ******************************************************************************** Reproductions supplied by EDRS are the best that can be made from the original document. ******************************************************************************** a\h M0 II elv (:) 44 O U i qr. **/17kI 1. e II* U S DEPARTMENT OF EDUCATION Office of Educational Research and Improvement EDUCATIONAL RESOURCES INFORMATION y, CENTER (ERIC) This document has been reproduced as received from the person or organization originating it Minor changes have been made to improve reproduction quality Points of view or opinions stated in this document do not necessarily represent official OERI position or policy :) 04. 4 1 PERMISSION TO REPRODUCE AND DISSEMINATE THIS MATERIAL HAS BEEN GRANTED BY TO THE EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) ADOLESCENT HEALTH ISSUES STATE ACTIONS 1997 BY NICOLE KENDELL PREVENTION PROJECTS PROGRAM NATIONAL CONFERENCE OF STATE LEGISLATURES WILLIAM T. POUND, EXECUTIVE DIRECTOR 1560 BROADWAY, SUITE 700 DENVER, COLORADO 80202 444 NORTH CAPITOL STREET, N.W., SUITE 515 WASHINGTON, D.C. 20001 JANUARY 1998 MI" The National Conference of State Legislatures serves the legislators and staffs of the nation's 50 states, its commonwealths and territories. NCSL is a bipartisan organization with three objectives: To improve the quality and effectiveness of state legislatures, To foster interstate communication and cooperation, and To ensure states a strong, cohesive voice in the federal system. The Conference has offices in Denver, Colorado, and Washington, D.C. s, a I, yaw The text of this report is printed on recycled paper. © 1998 by the National Conference of State Legislatures. All rights reserved. ISBN 1-55516-760-8 4 CONTENTS Acronyms and Abbreviations iv Acknowledgments Prevention Projects Program vi Executive Summary ix Introduction 1 Abortion 3 Abstinence/Sexuality Education/Pregnancy Prevention 5 Adolescent Health (Miscellaneous) 7 Community Health 9 Immunizations 10 HIV/AIDS 11 Insurance 13 Medicaid 16 Mental Health 18 Pregnancy/Parenting/Contraception/Family Planning 21 School Health/School-Based Health Services 24 Sexual Conduct 29 Sexually Transmitted Diseases 30 Substance Abuse (Miscellaneous) 31 Date Rape Drugs 31 Drinking and DrivingBlood Alcohol Content 33 Penalties 35 Prevention 35 Retail 37 Other Misused Substances 38 Tattooing/Body Piercing 40 Tobacco 41 Violence Prevention 45 Appendix A. State-by-State Summary: 1992 - 1997 47 Appendix B. Resource Directory 67 Appendix C. State Adolescent Health Coordinators/Directors 75 National Conference of State Legislatures iii 5 ACRONYMS AND ABBREVIATIONS AB Assembly bill ACR Assembly concurrent resolution AIDS Acquired immune deficiency syndrome ARKIDS First Program Arkansas Medicaid program BAC Blood alcohol content Badger Care Wisconsin health insurance program CHAP Children's health assistance program CHIP Children's health insurance program HB House bill HCR House concurrent resolution HIV Human immunodeficiency virus (the virus that causes AIDS) HJM House joint memorial FOR House joint resolution HMO Health maintenance organization HR House resolution HUSKY Connecticut health insurance program Kids First Arkansas Medicaid program Mass Health Massachusetts Medicaid program Medi-Cal California Medicaid program RAVE Private party where youth often congregate SB Senate bill SBHC School-based health clinic (or center) SCR Senate concurrent resolution SJR Senate joint resolution SR Senate resolution STD Sexually transmitted diseases TANF Temporary assistance to needy families iv Adolescent Health Issues: State Actions 1997 THIS PAGE INTENTIONALLY LEFT BLANK ACKNOWLEDGMENTS The National Conference of State Legislatures is indebted to many state legislative staff who identified relevant legislation and sent copies of acts. This publication also includes legislative summaries produced by Lee Sanchez and Jacob Herstek and other members of the Health Policy Tracking Service in NCSL's Washington, D.C. office. Thanks to those individuals and states. The following NCSL staff dedicated many hours to make this publication possible: Melissa Hough, Tracey Hooker and Louise Bauer edited the summary; Stephanie. Wilson created graphs for the executive summary; Joanne Stroud helped with formatting the summary; Marie Baca made numerous phone calls to states and formatted the summary; and Leann Stelzer proofread the summary. Special thanks to Ponnie Kendell, who made numerous calls to clarify appendix information. The internal illustrations are the creative works of students in grades 7 and 8 at Wood Middle School in Wilsonville, Oregon and Hazelwood Central High School in Florissant, Missouri. Special thanks to educator Ms. Geri Gates for organizing the artwork for our use. Thanks also to Bruce Holdeman of 601 Design Inc., for designing the cover. This publication is made possible through a cooperative agreement with the U.S. Centers for Disease Control and Prevention (CDC), Division of Adolescent and School Health (DASH) (U87/CCU810205). Please notify NCSL about mistakes or missing information. If you have questions or requests for further information, call NCSL's Prevention Projects Program in the Denver office at (303) 830-2200. ABOUT THE AUTHOR Nicole Kendell is a research analyst in NCSL's Prevention Projects Program. She holds a bachelor of arts degree in public affairs and sociology from the University of Denver. National Conference of State Legislatures 8 PREVENTION PROJECTS PROGRAM The National Conference of State Legislatures works in partnership with the Centers for Disease Control and Prevention to educate state legislators about the human immunodeficiency virus, prevention of sexually transmitted diseases and adolescent and school health issues. NCSL's Prevention Projects Program serves state legislatures as an information resource and as a forum for communicating with legislative colleagues, experts and government officials around the country. NCSL encourages legislators and legislative staff from the nation's 50 states, commonwealths and territories to request assistance from NCSL's Prevention Projects Program. These products and services are available at no cost to legislators and legislative staff: Information clearinghouse with extensive state and topic files and referral to state contacts and otherresources; Issue briefs, reports and legislative summaries; Testimony for legislative committees; Meetings for legislators and state health and education agency directors; Internet access to HIV, STD, school health and adolescent health state laws and information; and Database of school health funding in the 50 states, commonwealths and territories. The Health Policy Tracking Service at the National Conference of State Legislatures has a new public web site that provides information on the Internet concerning state policies and legislation on adolescent health, HIV/AIDS, Sexually Transmitted Diseases, welfare reform and immigrants, youth access to alcohol and underage drinking. The web site (StateServ.hpts.org) provides current, exclusive information on developments in state legislation, and policies and programs affecting these health and policy topics. Funding for this web site is provided by the U.S. Centers for Disease Control and Prevention (CDC), The Robert Wood Johnson Foundation and The Ford Foundation. Adolescent HealthA growing number of America's 30 million adolescents face high risks for substance abuse, violence and sexual activity leading to pregnancy and sexually transmitted diseases, including HIV infection. Many adolescent health problems are behavior-related and preventable. The project addresses a number of adolescent health issues including mental health, violence, and alcohol and drug abuse. In addition, the project provides legislators information on state issues and research related to coordinated school health programs. The coordinated school health programs model includes eight components: health education, physical education, health services, nutrition services, health promotion for staff, counseling and psychological services, healthy school environment, and parent and community involvement. Staff contacts: Louise Bauer (louise.bauer@ncsLorg) Phone: (303) 839-0205 Nicole Kendell (nicole.kendell @ncsl.org) Phone (303) 839-0286 Health Promotion Projectaddresses state tobacco issues as they relate to youth access. Youth smoking continues to increase and the state role in prevention and control is critical. The project also addresses physical activity and nutrition issues primarily aimed at state legislators. As elected leaders, state legislators can be effective public role models of healthy behavior. Staff contacts: Melissa Hough (melissa.hough @ncsl.org) Phone: (303) 839-0271 HIV/AIDSHIV/AIDS has surpassed accidents, cancer and heart disease as a leading killer of all Americans aged 25 to 44. While the spread of HIV appears to be leveling off, the epidemic is making disturbing inroads in women, adolescents and young gay and bisexual men. Increased knowledge and progress in prevention has stimulated themost recent state legislation. Advances in HIV/AIDS drug treatments compel legislatures to assess funding levels for AIDS drug assistance programs. Staff contacts: Lisa Speissegger (lisa.speissegger @ncsl.org) Phone: (303) 894-3199 Tracey Hooker (tracey.hooker @ncsl.org) Phone: (303) 894-3198 School Health Program Finance ProjectCollects and reports 50-state information on state and federal funding for school health programs. Staff contacts: Louise Bauer (louise.bauer @ncsl.org) Phone: (303) 839-0205 Stephanie Wilson (stephanie.wilson @ncsl.org) Phone: (303) 894-3192 vi Adolescent Health Issues: State Actions 1997 Prevention Projects Program Sexually Transmitted Diseases (STDs)are among the most prevalent infectious diseases in the United States, according to the National Institute of Allergy and Infectious Diseases. More than 50 infections and syndromes can be sexually transmitted. Among the most preventable diseases, they affect more than 13 million people throughout the nation annually. Although STDs infect people of every age, background and socioeconomic level, patients under age 25 account for nearly two-thirds of all reported STDs. Staff contacts: Lisa Speissegger (lisa.speissegger @ncsl.org) Phone: (303) 894-3199 Tracey Hooker (tracey.hooker@ncsl.org) Phone: (303) 894-3198 Teen Pregnancy ProjectEvery year in the United States, almost one million teenagers become pregnant. This project disseminates information on teen pregnancy prevention strategies, including legislation, state experiences, innovative pregnancy prevention programs and current research and evaluations. Staff contact: Nicole Kendell (nicole.kendell @ncsl.org) Phone (303) 839-0286 These activities are funded through a cooperative agreement with the U.S. Centers for Disease Control and Prevention. For further information call Tracey Hooker, director of the Prevention Projects Program, (303) 830-2200 or e-mail: (tracey.hooker@ncsl.org). NCSL's World Wide Web page, www.ncsl.org, contains a Prevention Projects Program page. National Conference of State Legislatures vii 10 ERRATA Adolescent Health Issues: State Actions 1997 Medicaid ND 1995 Sess. Laws, 406 (HB 1036) change to ND 1997 Sess. Laws, 406 (HB 1036) Mental Health ND 1995 Sess. Laws, 406 (HB 1036) change to ND 1997 Sess. Laws, 406 (HB 1036) Substance Abuse ND 1995 Sess. Laws, 123 (HB 2285) change to Date Rape Drugs ND 1997 Sess. Laws, 123 (HB 2285) Substance Abuse ND 1995 Sess. Laws, 334 (HB 1111) change to Drinking and Driving ND 1997 Sess. Laws, 334 (HB 1111) 3/9/98 11 EXECUTIVE SUMMARY The 10 worst influences from the viewpoint of teens aged 14 to 18 are drugs, peer pressure, sex and poor morals, violence, gangs, alcohol, crime, cigarettes, television, and unemployment. Improving the lives of adolescents continues to be a priority in state legislatures. During the 1997 legislative session teen pregnancy, school health programs, substance abuse and tobacco were the top adolescent health issues addressed by state legislatures. Ten Worst Influences Facing Youth (Rated by Youth, Aged 14 -18) 0 cR A 11, (. -la Source: Horatio Alger Association, 1997. Abstinence Education Although many teens are not sexually active, more teens today are having sex than in previous decades, according to the National Campaign to Prevent Teen Pregnancy. In the 1997 legislative session, nine states passed legislation regarding abstinence education programs for teens. Georgia provides funds to ensure the primary emphasis of teen pregnancy education is focused on abstinence. Iowa emphasizes abstinence during adolescent years as the only safe and effective means of avoiding pregnancy and sexually transmitted diseases. "Chastity Awareness 80 70 60 (tf 50 t 40 30 20 10 0 3 C Teenage Boys and Girls Who Reported Having Intercourse by Age 18 1968-1970 1974-1976 1980-1982 1986-1988 Source: National Campaign to Prevent Teen Pregnancy, 1997. 01996 ,1997 Teenage Boys Teenage Girls National Conference of State Legislatures 12 ix Executive Summary Week" was created in Pennsylvania, and Rhode Island created the Teen Pregnancy Prevention Partnership Act to integrate statewide involvement in a comprehensive abstinence education program. HIV/AIDS/STD§ A study by the MTV cable network and Yale University found that 53 percent of unmarried respondents said they did not use a condom the last time they had sex, yet 87 percent of young people do not believe they are vulnerable to the human immunodeficiency virus (HIV). According to the U.S. Centers for Disease Control and Prevention, HIV infection and AIDS is the sixth leading cause of death among young people between the ages of 15 and 24. Sixteen states passed HIV/AIDS legislation pertaining to adolescents during the 1997 legislative sessions. Illinois appropriated over $11 million for HIV/AIDS education, services, counseling, testing and referral. Tennessee mandates that prison inmates younger than age 21 must undergo HIV testing, unless previously tested, with or without giving consent. Michigan appropriated $3 million for AIDS education and outreach programs, ensuring that adolescents receive priority for prevention services. According to the American Social Health Association, approximately 12 million new cases of sexually transmitted diseases (STDs) are diagnosed each year in the United States, and 86 percent of those cases occurred in 15- to 29-year-olds. In the 1997 legislative session, six states passed legislation related to STDs and adolescents. Insurance In the 1997 legislative session, 19 states passed legislation concerning adolescents and insurance coverage. Pennsylvania, added an additional cigarette tax to be allocated to the Children's Health Insurance Program (CHIP). Colorado created the Dental Program Act of 1997 to provide a dental assistance program for youth under age 21who lack dental insurance and are ineligible for Medicaid. In the United States, more than 10 million children are uninsured. Percent of Uninsured Children by State Medicaid Below 10% For the past several years, state Medicaid 10% - 15% programs--which constitute the better part of Over 16% source: U.S. General Accounting Office, 1996. the nation's health care safety net for low- income populations--have been moving from traditional fee-for-service to capitated managed care in an effort to control costs. Both voluntary and mandatory enrollment efforts have focused on populations of younger women and children. Twelve states passed legislation concerning Medicaid and adolescents. Arkansas established the ARKids First program, which expands Medicaid eligibility to children 18 and younger whose families have incomes that do not exceed 200 percent of the federal poverty level and currently have no available health coverage. Florida expanded the categories of Medicaid-eligible children for whom a school district could receive reimbursement. Wisconsin created BadgerCare, a program for low-income families that lack employer-sponsored medical insurance. Mental Health As many as three million young people may have a serious emotional disturbance that impairs their ability to function appropriately, according to the U.S. Department of Health and Human Services. Nineteen states passed laws addressing mental health issues and youth. Idaho created the Children's Mental Health Services Act to provide mental health services that are individually planned to meet the unique needs of each child and family. Nebraska allows peace officers to take custody of juveniles for mental health reasons. Montana states that minors who are at least 16 years of age can consent to mental health services without the approval of their parents, and West Virginia expands services by enabling minors to benefit from early intervention. x Adolescent Health Issues: State Actions 1997 13 Executive Summary Pregnancy and Parenting According to the National Campaign to Prevent Teen Pregnancy, approximately four out of 10 girls become pregnant at least once before age 20. The teen birth rate in the United States is the highest of any industrialized nation. In 1997, 18 states passed legislation addressing teen pregnancy, parenting and contraception. Louisiana appointed a joint committee to study the feasibility of implementing the "Baby Think it Over Program." This program currently is being used by several states as a learning tool for young adults, allowing them to experience hands-on the responsibility of caring for an infant. In New York, $7 million is appropriated to the Department of Health for community health education and outreach to address the pregnancy needs of both adults and adolescents. 100 90 ,tu 80 I; 70 8 60 50 8- 40 30 g 20 Z 10 0 Pregnancy and Birth Rates in Industrialized Nations Pregnancies per 1000 Teens ages 15-19 (1988) CI Births per 1000 Teens, ages 15-19 . United Great Canada Norway Sweden Denmark Netherlands Japan States Britain (1993) (1993) (1993) (1992) (1993) (1992) (1995) (1992) Source: National Campaign to Prevent Teen Pregnancy, 1997. School Health/School-Based Health Services Schools are in a unique position to have a positive effect on the health of 13-to-17-year-olds. During the 1997 legislative session, 25 states passed legislation regarding school health issues. Connecticut Legislature appropriated $175,000 to the Department of Public Health for school-based health centers and school based dental clinics. Missouri appropriated approximately $5,368,764 for the purpose of funding school health grants and related expenses. The Making the Grade project at George Washington University estimates that, as of 1997, more than 1,000 school-based health centers were established in the United States. Substance Abuse At least 41 states passed legislation regarding adolescents and substance abuse in the 1997 legislative sessions. Idaho makes it a misdemeanor for anyone over age 18 under the influence of alcohol to transport a child in a vehicle; it is a felony if a child is injured or killed. California encourages parents, school teachers, administrators, law enforcement agencies and community leaders to continue their efforts to provide sober graduation activities. Pennsylvania establishes the Kids Interacting Drug-free Coalition and the Teen Anti-drug coalition and encourages schools to implement these models. Legislation pertaining to date rape drugs were passed in 16 states during the 1997 legislative session. Nevada increases the penalties for secretly administering date rape drugs with the intent of committing a violent crime, and New Jersey increases the penalties for sexual assault committed with the use of certain substances and criminalizes the sale and possession of "rape drugs." National Conference of State Legislatures xi 14 Executive Summary Tobacco It is estimated that 18 percent of youth aged 12 to 17 (4.1 million adolescents) were current smokers in 1996. Trends in cigarette use show that the younger the person starts smoking the more likely they are to continue smoking. In the 1997 legislative session, 27 states passed legislation relating to adolescents and tobacco. Iowa requires that a driver's license issued to those between the ages of 18 and 21 have the words "under 18" on the face of the minor's license in orderto prevent retailers from selling tobacco products to minors. North Carolina requires retail distributors to display a sign stating it is illegal for anyone under age 18 to purchase tobacco products. California created a resolution that would require R.). Reynolds to conduct 10 years of antismoking education for teenagers. Because vending machines are an anonymous, easily accessible source of cigarettes for adolescents, Arizona, Colorado, Florida, Iowa, Montana, South Dakota, Texas and Vermont have created laws in the 1997 legislative sessions that would limit a minor's access to vending machines. Violence Prevention According to the Division of Adolescent and School Health at the U. S. Centers for Disease Control and Prevention (CDC), arrest rates for homicide, rape, robbery, and aggravated assault are consistently and substantially higher for young people than for all other age groups. Eleven states created laws in the 1997 session that deal with adolescents and violence and, of those states, California created the most laws a total of eight on violence. One law created a program targeted to youth at-risk, and another requires school districts to develop safety plans for their schools and an assessment of school-based crimes and strategies for improving school safety. Oregon requires the Department of Education to establish a two-year pilot program targeted at disruptive students in schools, and Alaska authorizes enforcement of municipal curfew violations and sets punishments that include a fine of up to $250. Based on the 1997 Federal Bureau of Investigation's clearance data, 464.7 arrests were made for violent crimes for every 1,000 youth between the ages of ages 10 and 17. xii Adolescent Health Issues: State Actions 1997 15 INTRODUCTION Adolescent Health Issues: State Actions 1997 summarizes laws and resolutions on adolescent health issues. This publication is the fourth in a series of adolescent health summaries. To avoid duplication, certain adolescent health issues, including juvenile justice and adolescents with developmental disabilities, are not summarized in this publication. Additional information about access and reform, injury prevention, insurance and managedcare, Medicaid, preventive and primary care, providers, and adolescents with special health care needs appears in forthcoming: Health Care Legislation 1997. Information about child abuse and neglect, childcare and early childhood education, child health, child support enforcement, child welfare, custody and visitation/family support, family law, welfare reform and public assistance, juvenile justice, substance abuse and control, and youth-at-risk appears in forthcoming: Children, Youth and Family Issues: 1997 State Legislative Summary. Both reports will be available from the National Conference of State Legislatures (NCSL). Appendix A provides a list of adolescent health legislation from 1992 to 1997. The information contained in the appendix is compiled from this summary and the three previous legislative summaries completed by the Prevention Projects Program at NCSL. Appendix B lists a number of issue-related organizations for reference, and Appendix C provides a list of the adolescent health coordinators of the 50 states and the Commonwealth of Puerto Rico. In 1997, a legislative session was not held in Kentucky; therefore, adolescent health legislation from this state is not contained in this document. Legislation passed in 1997 related to adolescent health was not identified in American Samoa, the District of Columbia, Guam, New Mexico, the Northern Mariana Islands, Puerto Rico, the U.S. Virgin Islands and Wyoming. National Conference of State Legislatures 1 1G ABORTION AL 1997 Ala. Acts, Act 485 (SB 314) states that any physician or anyone who knowingly performs a partial-birth abortion within the state shall be guilty of a Class C felony. If the mother has not attained the age of 18 at the time of the procedure, the father and the maternal grandparents may in civil action obtain monetary punitive compensation for all injuries, including psychological and physical compensation. AK 1997 Alaska Sess. Laws, Chap. 14 (SB 24) amends the current parental consent requirement and makes consent mandatory for an unmarried unemancipated minor under the age of 17 to get an abortion. The minor must have the consent of a parent, guardian or custodian before an abortion will take place. Establishes the judicial bypass procedure where a minor may petition the court for the authorization of an abortion without the consent of a parent, guardian or custodian. GA 1997 Ga. Laws, p. 142 (SB 357) bans partial birth abortions and fines anyone who performs them up to $5,000 or five years in prison or both. This law does not apply to a partial birth abortion performed to save the life of the mother. At the time of the abortion, if the mother has not yet reached the age of 18, the father and the maternal grandparents may obtain appropriate relief in a civil action suit, including money for all injuries, psychological and physical relief, and statutory damages equal to three times the cost of the partial birth abortion. If the pregnancy resulted from the plaintiff's criminal misconduct or if the plaintiff consented to the abortion, the father and the maternal grandparents will not be able to obtain relief. IA 1997 Iowa Acts, Chap. 173 (HB 121) requires that a licensed physician shall not perform an abortion on a pregnant minor until prior notification of at least 48 hours is provided to the parent or a grandparent of the pregnant minor. A physician who performs an abortion must provide notification in person or by restricted certified mail. Describes the court system protocol for the hearing of a minor's petition to override the notification law. IL 1997 III. Laws, P.A. 90-560 (HB 382) states that if the mother has not turned 18 at the time of the abortion, the father of the fetus and the maternal grandparents, may in civil action attain appropriate relief. Exceptions will apply if the pregnancy resulted from the plaintiffs criminal conduct or if the plaintiff consented to the abortion. LA 1997 La. Acts, P.A. 933 (SB 1558) amends the law relative to the abortion procedure for minors and clarifies provisions regarding a minor's application for judicial authorization of an abortion. Makes provisions for hearings, delays, determinations, appellate supervisory power and expedition. Clarifies the provisions relating to evaluations, counseling sessions and court notification of parents. RI 1997 R.I. Pub. Laws, Chap. 76 (HB 5159) prohibits partial-birth abortions except to save the life of a mother. If the mother has not reached age 18 at the time of the partial-birth abortion, which is illegal under this section, the father of the fetus and the maternal grandparents can seek appropriate relief. This includes monetary damages for all injuries, psychological and physical relief, and statutory damages equal to three times the cost of the partial-birth abortion. SC 1997 S.C. Acts, Act 11 (HB 3502) adds a section to specify that the father, if married to the mother (under age 18) at the time she receives a partial-birth abortion, and the maternal grandparents of the fetus have a cause of action against the physician or other person unlawfully performing a partial-birth abortion. They may attain appropriate relief, unless the pregnancy resulted from the plaintiff's criminal conduct or the plaintiff consented to the abortion. Such relief includes, but is not limited to, actual damages, punitive damages, psychological and physical relief, reasonable costs and attorney's fees. SD 1997 S.D. Sess. Laws, Chap. 129 (HB 1088) states that, if the mother has not attained the age of 18 at the time of the partial-birth abortion, the father and the maternal grandparents of the human fetus or infant may file a civil action to attain appropriate relief from the physician or person that performed the abortion, unless the plaintiff consented to a partial-birth abortion or the plaintiff's criminal conduct caused the pregnancy. Civil relief includes monetary damages for all injuries and psychological or physical relief. National Conference of State Legislatures 3 17 Abortion SD 1997 S.D. Sess. Laws, Chap. 204 (HB 1087) requires the delivery of a written notice to the parents or guardian of an unemancipated minor. Mandates that no notice is required if any judge of a court of competent jurisdiction shall, upon petition or motion, authorize a physician to perform an abortion if the judge determines the pregnant female is mature and capable of giving informed consent to the proposed abortion. VA 1997 Va. Acts, Chap. 708 (SB 1148) grants the juvenile and family courts jurisdiction over a procedure requiring notice to a parent, a person standing in loco parentis, or a duly appointed guardian or custodian of an unemancipated minor prior to performing an abortion upon the minor. Exceptions are provided for suspected cases of abuse and neglect, medically necessary procedures to avert death or impairment of a major bodily function and cases where substantial injury could occur. A penalty provision of a Class 3 misdemeanor is included for performance of an abortion without notification, judicial approval or an exception. E STCLNI AND 10011 Branne Wills and Courtney Timm, Wood Middle School, Oregon 4 Adolescent Health Issues: State Actions 1997 18 ABSTINENCE/SEXUALITY EDUCATION/PREGNANCY PREVENTION AL 1997 Ala. Acts, Act 933 (SB 35) of the 1997 First Special Session appropriates $300,000 for abstinence education programs. AR 1997 Ark. Acts, Act 1159 (HB 2206) designates the Department of Health to coordinate interagency efforts for the Unwed Birth Teenage Pregnancy Prevention Program. This program provides ways to reduce unwed births and teenage pregnancies, including abstinence education initiatives, family planning services, a comprehensive media campaign, grants to local communities and program evaluations. State agencies that currently provide services will cooperate with the Department of Health in administering this program. GA 1997 Ga. Laws, HR 457 provides funds to ensure that the primary emphasis of teen pregnancy education is focused on abstinence. Ensures that teenagers are taught the social, psychological and health benefits of abstaining from sexual activity. Creates a prevention program that focuses on the importance of self- sufficiency before engaging in sexual activity. IA 1997 Iowa Acts, Chap. 208 (HB 715) appropriates $2,270,000 for community-based adolescent pregnancy prevention programs with the condition that family planning services are funded. Provides for a focus on preventing pregnancies during adolescent years by emphasizing abstinence as the only safe and effective means of avoiding pregnancy and sexually transmitted diseases. Provides information regarding contraceptive failure. OK 1997 Okla. Sess. Laws, Chap. 414 (HB 2170) provides that the Department of Human Services, in conjunction with the state Department of Health and any appropriate federal, state or local entity, will encourage teens in Oklahoma to abstain from sexual activity. OR 1997 Or. Laws, SJR 33 encourages the Department of Education to disseminate information about the Best Friends Program, which includes teaching abstinence, goal setting and career planning to girls in grades five - 12. Also provides for three teen pregnancy prevention pilot projects to be established. PA 1997 Pa. Laws, SR 33 & HR 122 proclaims April 20 - April 26, 1997, as "Chastity Awareness Week." States that abstaining from sexual activity is the only certain way to avoid out-of-wedlock pregnancy and sexually transmitted diseases. Also states that alcohol and drug use can increase vulnerability, to sexual advances and inhibits good decision making. PA 1997 Pa. Laws, SR 43 declares May 1997 as "Teenage Pregnancy Prevention Month" and designates Thursday May 1, 1997, as the kickoff date. The resolution declares that abstaining from sexual activity is the only way for teens to avoid pregnancy and sexually transmitted diseases. RI 1997 R.I. Pub. Laws, Chap. 176 (SB 771) & 0160 (HB 5961) creates the Teen Pregnancy Prevention Partnership Act by coordinating programs in the state of Rhode Island. Authorizes the directors of the departments of Human Services, Health, Children Youth and Families, and Education to develop a statewide plan for prevention of unintended pregnancies among adolescents. The state agencies are charged with developing a statewide plan to include reducing the number of pregnant adolescents, identifying funding sources for pregnancy prevention, developing comprehensive abstinence education, identifying health care services accessible to adolescents, securing educational involvement from state and local law enforcement officials, providing education for and identification of at-risk teens before they become sexually active, identifying financial resources for K -12 teacher training in the areas of family life and sexuality, securing community and local involvement, and fostering statewide planning and development of educational programs for adolescents. WA 1997 Wash. Laws, Chap. 58 (HB 3901) Sec. 601 provides that the Department of Health will work in cooperation with the superintendent of public instruction to reduce the rate of illegitimate births and abortions in the state. The Department of Health will contract with entities qualified to provide abstinence education and motivation programs in the state. National Conference of State Legislatures 5 19 Abstinence/Sexuality Education/Pregnancy Prevention WA 1997 Wash. Laws, Chap. 149 (SO 6062) states that $300,000 from the general fund appropriations is provided solely for abstinence education programs. Appropriates $400,000 from the general fund solely for abstinence education projects at the Office of the Superintendent of Public Instruction. Provides funding for programs centered around media campaigns promoting sexual abstinence. Addresses delaying sexual activity. Anonymous, Wood Middle School, Oregon 6 20 Adolescent Health Issues: State Actions 1997 ADOLESCENT HEALTH (MISCELLANEOUS) AL 1997 Ala. Acts, Act 933 (SB 35) of the 1997 First Special Session appropriates $23,281,804 for the children's health assistance program (CHAP). CA 1997 Cal. Stats., Chap. 430 (SB 707) requires California State University to be responsible for coordinating a standardized health assessment to detect any health problems of public school children. CT 1997 Conn. Acts, P.A. 46 (SB 597) extends the mandatory helmet law to bicyclists who are aged 12 - 15. Previously, only children under age 12 were required to wear helmets--meeting the minimum specifications of the American National Standards Institute and the Snell Memorial Foundation--whenever they operate a bicycle on the traveled portiori of any road. By law, failure to wear a helmet is not considered a violation or an offense and cannot be considered a contributory negligence by a parent or a child or be admissible in any civil action. CT 1997 Conn. Acts, P.A. 49 (HB 6554) requires minors under age 12 to wear life preservers while a water vessel is under way, except when they are below deck or in a cabin. FL 1997 Fla. Laws, Chap. 165 (HB 1529) prohibits the sale of alcohol in businesses licensed to sell alcoholic beverages for consumption when renting, leasing or allowing others to use their premises. This prohibition is intended to eliminate opportunities for licensed premises to be used for "raves," which are private parties where underage people congregate and often consume alcoholic beverages, smoke tobacco products and partake in illicit drug use. HI 1997 Hawaii Sess. Laws, Act 30 (HB 519) designates the first Sunday in October as "Children and Youth Day" and designates October as "Children and Youth Month" to honor Hawaii's children. KS 1997 Kan. Sess. Laws, Chap. 117 (HB 2255) requires the secretary of health and environment to reimburse the costs of food treatment for a family that has a child or youth under age 18 diagnosed with a PKU maple syrup urine disease. Individuals that meet the means test set in the 1997 amendments for any medically necessary food treatment products purchased for a child or youth will be reimbursed up to a maximum of $1,500 per year. LA 1997 La. Acts, P.A. 18 (HB 1) Sec. 1-114 assists teen parents through education and services on topics such as prenatal care and nutrition, child development, family planning and parenting skills. Provides for ongoing counseling and referral to existing health and social service agencies. NH 1997 N.H. Laws, Chap. 293 (HB 472) establishes the Council for Children and Adolescents with Chronic Health Conditions. The council is to analyze barriers for families of children and adolescents with chronic health care conditions. The council is to obtain appropriate and effective service information for children and adolescents. The council also should increase awareness in the public and private sectors about the medical, social, and educational arena which affect adolescents with chronic health conditions and their families. NY 1997 N.Y. Laws, Chap. 402 (SB 1373-a) clarifies language relating to the task force on school-community collaboration. Among other provisions, it provides for the promotion of the well-being of children and families by seeking to improve child health nutrition. NY 1997 N.Y. Laws, Chap. 434 (SB 5783) appropriates $180,000 for state grants for family planning service programs and school health programs provided by the general fund local assistance account appropriations. OR 1997 Or. Laws, Chap. 714 (SB 1129) establishes a youth suicide prevention coordinator within the health division. The division will provide recommendations addressing investigation, training, case selection and fatality review of child deaths, including, but not limited to, child abuse and youth suicide cases. TX 1997 Tex. Gen. Laws, Chap. 1124 (HB 2984) establishes a state policy regarding care of medically fragile children and requires the Texas Board of Health to establish a pilot program to study and research their needs and the needs of their families. A medically fragile child is anyone under 21 years of age who is chronically ill National Conference of State Legislatures 7 Adolescent Health (Miscellaneous) or disabled and requires indefinite skilled nursing care or medical devices to maintain existence in their home. The pilot program is authorized to provide up to $400,000 per fiscal year for the program's operation. WA 1997 Wash. Laws, Chap. 23 (SB 5132) provides that all school bus route stops are drug-free zones. tit w coog 1 Shawntae Lonergan, Wood Middle School, Oregon 8 Adolescent Health Issues: State Actions 1997 22 COMMUNITY HEALTH AR 1997 Ark. Acts, Act 722 (HB 1389) establishes that the Child Health and Family Life Institute will be administered under the Arkansas Children's Hospital. The KIDS First program will receive priority consideration above all other programs at the institute when funding decisions are made by the hospital. This program is a two-year pilot program to expand Medicaid eligibility to minors age 18 and under who have no health care coverage. CA 1997 Cal. Stats., ACR 37 designates April 13, 1997, as "School Psychology Week in California" and encourages all citizens to participate in appropriate activities held to commemorate its observance. CO 1997 Colo. Sess. HJR 1015 proclaims that the week of February 16 - 22, 1997, be designated as the "Parent Teacher Association's 100th Anniversary Week" in Colorado public schools. (The Parent Teacher Association (PTA) has participated in founding the public educational system, the nationwide school lunch program, dispensation of the Salk polio vaccine, and a national HIV/AIDS education program for parents.) DE Vol. 70 Del. SCR 12 congratulates and thanks the Parent Teacher Association (PTA) for its 100 years of service and dedication to our children, schools and communities. DE Vol. 70 Del. SCR 20 honors the Delaware Association for Children of Alcoholics upon its 10th anniversary for its many services, and recognizes its volunteers work with Delaware families affected by alcoholism. Urges Delaware citizens to support this organization's work in preventing family addictions. This association was founded in 1987; its goal has been to prevent and reduce the effects of alcoholism and other chemical dependents on children, through support, education and intervention. HI 1997 Hawaii Sess. Laws, HR 125 requests the Department of Health to establish and maintain accessible, community-based adolescent mental health services according to the needs and socio-economic profile of Hawaii's communities. ID 1997 Idaho Sess. Laws, Chap. 168 (HB 368) appropriates funding for the substance abuse program to discourage Hispanic youth from habitual use of tobacco, alcohol and other drugs by developing programs for schools, families and communities. IA 1997 Iowa Acts, Chap. 208 (HB 715) appropriates $2,270,000 for community-based adolescent pregnancy prevention programs with the condition that family planning services are funded. Provides for a focus on preventing pregnancies during adolescent years by emphasizing abstinence as the only safe and effective means of avoiding pregnancy and sexually transmitted diseases. Provides information regarding contraceptive failure. LA 1997 La. Acts, P.A. 18 (HB 1) Sec. 19-681 provides for student services, including the Home Study/Child Welfare Activity. The mission is to increase student achievement, eliminate violence and drug use, and coordinate efforts to reduce the incidence of HIV/AIDS infection and other communicable diseases among students. MA 1997 Mass. Acts, Chap. 88 (HB 4900) appropriates $35,000 for the Framingham Teen Parenting Program. Appropriates $1,290,063 for school and community-based teen health programs. MS 1997 Miss. Laws, Chap. 926 (SB 3241) allows the city of Tupelo, Miss., and the board of supervisors of Lee County, Miss., to levy additional court costs not to exceed $1 per case. The funds derived shall be paid to the National Council on Alcoholism and Drug Dependence of Northeast Mississippi Inc. The money will be used as operational funds to provide youth service programs for area adolescents and teens. NY 1997 N.Y. Laws, Chap. 53 (SB 705) appropriates $990,000 for an HIV/AIDS education program for the 1997- 98 school year. Appropriates $900,000 for services and expenses of the missing children education program. Appropriates $506,400 to establish parenting education programs for parents and children for the 1997-98 school year. Appropriates $525,000 for the comprehensive school health demonstration program. Appropriates $5,325,000 for services and expenses of the youth-at-risk/community partnership program for the 1997-98 school year. National Conference of State Legislatures 9 23 Community Health NY 1997 N.Y. Laws, Chap. 437 (SB 5792) appropriates $1 million to conduct teenage pregnancy prevention programs that expand the scope to men. The commissioner of health will issue a request for proposals to solicit applications from those who serve high need communities where adolescent pregnancies and homelessness are high. States that $7 million will be transferred to the Department of Health for community health education, outreach and community-based adolescent pregnancy prevention programs to address the needs of both adults and adolescents to prevent unintended pregnancies. TN 1997 Tenn. Pub. Acts, Chap. 21 (SB 415) mandates that prison inmates under age 21 must undergo HIV testing, with or without their consent, unless previously tested. Immunizations AR 1997 Ark. Acts, Act 871 (HB 1650) requires a child to be age-appropriately immunized before enrollment in a child care facility. Establishes oversight for immunization of kindergartners - 12th graders by the board of education. This law will not apply if a parent or a legal guardian of that child objects because of religious belief or if, in the past, a sibling had an adverse effect. CO 1997 Colo. Sess. Laws, Chap. 122 (SB 82) requires every student, except those exempted pursuant to law, to submit at the time of school registration an up-to-date certificate of immunization. If, at the time of school registration, the student presents an out-of-date certificate, the parent and guardian shall submit, within seven days of school registration, documentation that the immunization has been given or a state-approved plan has been written showing when the immunizations will occur. Eliminates the prior 60-day provisional period that allows transfer students to submit their immunization entry to school and requires them to also abide by the seven-day notice. HI 1997 Hawaii Sess. Laws, Act, 217 (HB 1831) states that a child may enter school provisionally upon submitting written proof from a licensed physician or an authorized representative of the Department of Health that immunizations are up to date. States that no more than three months, after a child enters school, should pass before a child starts their immunizations. OK 1997 Okla. Sess. Laws, Chap. 75 (SB 277) provides coverage for immunizations for dependents of insured individuals from birth through age 18 from health benefit plans delivered on or after January 1, 1998. TN 1997 Tenn. Pub. Acts, Chap. 6 (SB 980) designates the Department of Health to create a plan to protect young Tennessee residents against Hepatitis B by immunizations to prevent the spread of the disease. This act is known as the "Hepatitis B Protection by Immunization Act." By January 15, 1998, the Health Department shall add Hepatitis B to the schedule of immunizations for kindergarten entry for the 1999-2000 school year. TX 1997 Tex. Gen. Laws, Chap. 900 (HB 3054) provides for the creation of an immunization registry. The registry must contain information about the immunization history that is obtained by the Department of Health under this section of each person who is younger than 18 years of age. 10 24 Adolescent Health Issues: State Actions 1997 HIV/AIDS AL 1997 Ala. Acts, Act 687 (HB 94) appropriates $295,305 from the Education Trust Fund and $52,500 from the state general fund to the AIDS Task Force of Alabama. This money is to be disbursed to the various community-based HIV/AIDS prevention organizations. Provides for educational programs and services to help prevent the spread of HIV/AIDS. CO 1997 Colo. Sess. HJR 1015 proclaims that the week of February 16 - 22, 1997, be designated as the "Parent Teacher Association's 100th Anniversary Week" in Colorado public schools. (The Parent Teacher Association (PTA) has participated in founding the public educational system, the nationwide school lunch program, dispensation of the Salk polio vaccine, and a national HIV/AIDS education program for parents.) GA 1997 Ga. Laws, HR 315 establishes Tuesday, February 18, 1997, as "AIDS Awareness Day" to recognize that HIV/AIDS continues to touch the lives of thousands of people. GA 1997 Ga. Laws, p. 1101 (HB 204) appropriates $317,677 for education services relating to sexually transmitted diseases and $5,094,539 for HIV/AIDS education and services. Also appropriates $2,202,706 for adolescent health services. HI 1997 Hawaii Sess. Laws, HR 32 alters the content of required health classes in secondary schools due to the findings from the 1996 First Adolescent Health Summit. The summit found that most adolescents lack personal and life skills to be prepared for the 21st century. Preventive health issues need to be taught in Hawaii's curriculum, and health education should be culturally sensitive in the curriculum and to the health needs of the students. In providing a healthier future for adolescents, the state should focus on the prevention of negative influences of teen pregnancies, stress management, STDs and HIV, physical and mental abuse, drug abuse and individual priorities as determined by the schools. IL 1997 III. Laws, P.A. 90-3 (SB 143) Sec. 7. 1 appropriates $11,758,200 for HIV/AIDS education, services, counseling, testing, referral, partner notification and patient worker notification. Funds from the Ryan White Comprehensive Emergency Act increased the total to $11,400,000. IA 1997 Iowa Acts, Chap. 208 (HB 715) appropriates $2,270,000 for community-based adolescent pregnancy prevention programs with the condition that family planning services are funded. Provides a focus on preventing pregnancies during adolescent years by emphasizing abstinence as the only safe and effective means of avoiding pregnancy and sexually transmitted diseases. Provides information regarding contraceptive failure. KS 1997 Kan. Sess. Laws, Chap. 192 (HB 2576) provides $1,841,786 in federal money for HIV/AIDS project education and risk reduction and $733,596 in state funds for AIDS education. LA 1997 La. Acts, P.A. 18 (HB 1) Sec. 19-681 provides for student services, including the Home Study/Child Welfare Activity. Their mission is to increase student achievement, eliminate violence and drug use, and coordinate efforts to reduce the incidence of HIV/AIDS infection and other communicable diseases among students. LA 1997 La. Acts, SCR 28 designates May 1997 as "Teen Pregnancy Awareness and Prevention Month." Every day in Louisiana, 42 teen girls become pregnant, 35 teen girls give birth, 18 teens are treated for sexually transmitted diseases, four teens are treated for syphilis, 14 teens are treated for gonorrhea, and four teens contract the HIV virus. Therefore, the Legislature has created this act to bring awareness to teen pregnancy prevention. MA 1997 Mass. Acts, Chap. 43 (-113 4700) appropriates funds for HIV/AIDS and STD programs in Massachusetts. Appropriates a federal grant of $396,336 for HIV/STD/TB Risk Reduction. Appropriates approximately $300,000 to be administered by the Springfield Department of Health for operation of a comprehensive AIDS drug treatment pilot program, and appropriates a federal grant in the amount of $4,836,051 for the Ryan White Comprehensive AIDS Resources Program. National Conference of State Legislatures 11 25 HIV/AIDS MI 1997 Mich. Pub. Acts, Act 94 (HB 4306) appropriates $3,013,800 for AIDS education and outreach programs. Ensures that adolescents receive priority for prevention services. MO 1997 Mo. Laws, SB 347 revises the statute that makes it a crime for anyone with HIV to knowingly infect or expose another person to the disease. Makes it a Class C felony if the HIV infected person is 21 years of age and infects a person age 17 or younger. NJ 1997 N.J. Laws, Chap. 131 (AB 3000) appropriates 12,800,000 for HIV/AIDS prevention and education grants. NY 1997 N.Y. Laws, Chap. 53 (SB 705) appropriates $990,000 for an HIV/AIDS education program for the 1997- 98 school year. Appropriates $900,000 for services and expenses of the missing children education program. Appropriates $506,400 to establish parenting education programs for parents and children for the 1997-98 school year. Appropriates $525,000 for the comprehensive school health demonstration program. Appropriates $5,325,000 for services and expenses of the youth-at-risk/community partnership program for the 1997-98 school year. NC 1997 N.C. Sess. Laws, Chap. 443 (SB 352) allocates funds for HIV education, counseling and testing. PA 1997 Pa. Laws, Act 4 (HB 847) provides $2,269,000 in federal money for the AIDS Health Education administration and operation. Provides state appropriations of $6,528,000 for AIDS programs. Appropriates $4,480,000 in federal money for AIDS health education. TN 1997 Tenn. Pub. Acts, Chap. 21 (SB 415) mandates that prison inmates younger than 21 must undergo HIV testing, with or without their consent, unless previously tested. 12 26 Adolescent Health Issues: State Actions 1997 INSURANCE AL 1997 Ala. Acts, SJR 14 creates the Children's Health Insurance Program (CHIP) Commission. This commission will determine how to best meet the medical needs of children from low-income households who are not otherwise eligible for Medicaid. AR 1997 Ark. Acts, Act 407 (SB 348) establishes the ARKids First Program. ARKids is a two-year pilot program beginning in the 1997-1998 biennium. Expands Medicaid eligibility to children aged 18 and younger whose families have incomes that do not exceed 200 percent of the federal poverty level and currently have no available health coverage. CA 1997 Cal. Stats., Chap. 623 (AB 1126) establishes a new health insurance purchasing pool to extend coverage to low-income, uninsured children and makes eligibility changes in the Medi-Cal program. Establishes a "Healthy Families" program administered by the Managed Risk Medical Insurance Board that contracts with health plans to provide comprehensive health coverage to children between the ages of 6 and 18 with family incomes up to 200 percent of the federal poverty level. CA 1997 Cal. Stats., Chap. 624 (SB 903) changes eligibility criteria and creates the mail-in application process and outreach activities for the Medi-Cal program. Increases the Medi-Cal eligibility threshold to 100 percent of the federal poverty level for children ages 14 - 18, waives the asset test for children in the Medi-Cal program, provides one month of additional eligibility for families who lose eligibility for Medi-Cal due to income increases, and directs the Department of Health Services to design a simplified mail-in application, form for children applying for Medi-Cal. CO 1997 Colo. Sess. Laws, Chap. 217 (HB 1304) consolidates the state's existing child health program's funding streams and creates a new basic health plan to provide comprehensive health insurance coverage to children under age 18 whose gross family income does not exceed 185 percent of the federal poverty level. CO 1997 Colo. Sess. Laws, Chap. 221 (SB 208) creates the Colorado Dental Program Act of 1997. This dental assistance program is for youth under age 21 who lack dental insurance and are ineligible for Medicaid. Provides preventive, emergency, diagnostic, and limited restorative dental services to eligible youth. CT 1997 Conn. Acts, P.A. 1 (HB 8601) of the October 1997 Special Session establishes the HUSKY health insurance program in the 1997 special session. This program is for low-income uninsured children. The Department of Social Services must submit a plan describing HUSKY to the Health Care Financing Administration to secure federal funding. The Human Services, Public Health, Insurance, and Appropriations committees must approve the plan before it is submitted. By December 1, 1997, and before the plan is submitted to the Health Care Financing Administration, the Department of Social Services must submit portions concerning the HUSKY Plus programs to the committees for their approval. HUSKY Plus provides supplemental coverage for children with intensive physical health or behavioral health needs. HUSKY covers only eligible uninsured children, but the act allows the Department of Social Services commissioner to seek a federal waiver allowing entire families to participate. If the commissioner seeks a federal waiver, it must first be submitted to the legislature committees for approval. FL 1997 Fla. Laws, Chap. 168 (HB 1853) adds services relating to school-based centers that are part of the Medicaid certified school match program to increase school district participation and earning potential. Expands services eligible for federal Medicaid reimbursement to include, but not be limited to, physical, occupational, speech therapy, behavioral health, mental health, early periodic screening, diagnosis and treatment. Expands the categories of Medicaid-eligible children for whom a school district could receive reimbursement. It includes children eligible under the Individuals with Disabilities Education Act (IDEAS), the exceptional student program or who have an individualized educational plan. FL 1997 Fla. Laws, Chap. 263 (HB 1965) creates the Primary Care Children and Families Challenge Grant Program, to be administered by the Department of Health. The intent of this bill is to create a partnership between state and local governments to develop a coordinated primary health care delivery system for low- income Florida residents. Emphasis is placed on volunteerism, cooperation and broad-based participation by public and private health care providers. Children and families with incomes up to 150 percent of the National Conference of State Legislatures 13 2`7 Insurance federal poverty level are eligible. This bill also modifies Medicaid reimbursed school-based health services to place an emphasis on providing medically-related nursing services. IL 1997 III. Laws, P.A. 90 - 376 (HB 1565) states that, in order to attempt to address the needs of children in Illinois, a health maintenance organization (HMO) may provide or arrange to pay for or reimburse the cost of basic health care services such as outpatient services and preventive and primary health care services. Coverage will be limited to children who are 18 years of age or younger and, who have resided in the state for at least 30 days, and who do not qualify for medical assistance under the Illinois public aid code. IN 1997 Ind. Acts, P. L. 24 (HB 1921) expands Medicaid eligibility covering minors ages 6 - 18 in families with incomes at or below 100 percent of the federal poverty level. KS 1997 Kan. Sess. Laws, Chap. 190 (SB 204) requires any group health insurer that has dependent coverage to offer a special enrollment period of at least 30 days for dependents who are newly eligible by reason of marriage, birth or adoption by the covered group member. LA 1997 La. Acts, P.A. 974 (HB 1314) designates the "Louisiana Healthy Kids Corporation Act" to organize school children to facilitate the provision of preventive health care services and provide comprehensive health insurance coverage. MA 1997 Mass. Acts, Chap. 170 (SB 2015) expands eligibility through age 18 in families with incomes up to 200 percent of the federal poverty line for Mass Health benefits. ME 1997 Me. Laws, Chap. 530 (SB 671) specifies that, under Temporary Assistance to Needy Families (TANF), the state will provide transitional Medicaid to families. Adds provisions relating to funds for family planning services, permitting them to be used for an intensive peer education project to increase the use of family planning services to TANF recipients. The target population includes recipients who are minors at risk of becoming TANF recipients. ME 1997 Me. Laws, Chap. 560 (HB 1357) requires the Commission on Health Care to obtain the best and latest available data regarding children's health insurance in the state, including the number of children under age 18 who lack health insurance, and to make recommendations about decreasing the number of uninsured children. Establishes the Tobacco Prevention and Control Program to prevent youth from using tobacco or discontinue use by including a media campaign to educate minors. MD 1997 Md. Laws, Chap. 256 (HB 729) establishes eligibility of coverage for health care benefits for individuals under guardianship. Provides coverage for a minor (a minor in the custody of the insured as a result of guardianship) from the date guardianship was granted by the court. The minor must be a dependent and in the custody of the insured individual as a result of the guardianship. NC 1997 N.C. Sess. Laws, Chap. 433 (HB 301) adds that the court shall order the responsible party of a minor to maintain health insurance for the minor when it is available at a reasonable cost. OK 1997 Okla. Sess. Laws, Chap. 421 (SB 639) addresses Medicaid coverage for certain uninsured children. The Oklahoma Health Care Authority will cover all children age 6 or older whose family incomes do not exceed 185 percent of the federal poverty level. Establishes a cost-sharing option on a sliding fee scale to provide Medicaid coverage to certain low-income families. PA- 1997 Pa. Laws, Act 7 (HB 134) adds that beginning January 1, 1997, an additional 1 cent tax per cigarette pack of the currently collected 2 cents tax per pack be allocated to the Children's Health Insurance Program (CHIP) for health care for indigent children. TX 1997 Tex. Gen. Laws, Chap. 501 (SB 1165) requires the Health and Human Services Commission, in cooperation with the Texas Department of Health, to monitor and assess Medicaid services provided to children (under age 18) who have special health care needs. The commission is authorized to require children with special health care needs to enroll in a managed care plan or primary care case management program. TX 1997 Tex. Gen. Laws, Chap. 550 (HB 3) creates the Texas Healthy Kids Corporation and directs the corporation to establish a program to provide affordable health care benefits to children (anyone younger than 18) who do not have adequate health insurance coverage providing benefits for primary and preventive care. VA 1997 Va. Acts, SJR 298 resolves that the Joint Commission on Health Care, in conjunction with the Board of Health, the Department of Health, the Department of Medical Assistance Services, academic health centers and various governmental and private entities, study various issues regarding the provisions of health care to 14 0 Adolescent Health Issues: State Actions 1997 Insurance Virginia's indigent and uninsured populations. The joint commission will present a program to the 1998 session of the General Assembly which, if approved, will provide basic health insurance coverage for low- income, uninsured Virginia residents. VA 1997 Va. Acts, Chap. 679 (HB 2682) requires the Department of Medical Assistance Services to develop the Virginia Children's Medical Security Insurance plan to provide coverage for those up to age 18, who are in families with incomes at 200 percent of the poverty level or less and are not insured or are underinsured by any policy, plan or contract providing health benefits. WI 1997 Wis. Laws, Act 27 (AB 100) creates BadgerCare, a program of family health care coverage for low- income families who lack employer-sponsored medical insurance. The eligibility is expanded to all children and adults in uninsured families with an income below 185 percent of the federal poverty level. Once enrolled, families may remain in BadgerCare until family income exceeds 200 percent of the federal poverty level. BadgerCare extends coverage to: children aged 15 - 18 with family incomes below 100 percent of the federal poverty level; children aged 6 - 18 with family incomes between 100 percent and 185 percent of the federal poverty level; parents in families with incomes over welfare standards up to 185 percent of the federal poverty level; BadgerCare participants, whose family income increases above 185 percent of the federal poverty level until their income reaches 200 percent of the federal poverty level; and parents whose children are temporarily absent from the home as a result of child welfare actions during reunification efforts. BadgerCare maintains the Medicaid entitlement for all low-income families, pregnant women and children who are currently eligible for Medicaid under welfare and Healthy Start guidelines. National Conference of State Legislatures 15 29 MEDICAID AR 1997 Ark. Acts, Act 407 (SB 348) establishes the ARKids First Program a two-year pilot program beginning in the 1997-1998 biennium. Expands Medicaid eligibility to children aged 18 and younger whose families have incomes that do not exceed 200 percent of the federal poverty level and who currently have no available health coverage. AR 1997 Ark. Acts, Act 745 (HB 1595) reestablishes the Common Ground Program and establishes the Common Ground Program Committee. This organization will continue to serve as a bridge connecting and assisting government, communities and citizens to build a more responsive human educational and economic system where youth and families can thrive. CA 1997 Cal. Stats., Chap. 623 (AB 1126) establishes a new health insurance purchasing pool to extend coverage to low-income, uninsured children and makes eligibility streamlining changes in the Medi-Cal program. Establishes the "Healthy Families" program administered by the Managed Risk Medical Insurance Board to contract with health plans to provide comprehensive health coverage to children between the ages of 6 and 18 whose family incomes are between 100 percent and 200 percent of the federal poverty level. CA 1997 Cal. Stats., Chap. 624 (SB 903) changes eligibility criteria and creates the mail-in application process and outreach activities for the Medi-Cal program. Increases the Medi-Cal eligibility threshold to 100 percent of the federal poverty level for children aged 14 - 18, waives the asset test for children in the Medi-Cal program, provides one month of additional eligibility for families who lose eligibility for Medi-Cal due to income increases, and directs the Department of Health Services to design a simplified mail-in application form for children applying for Medi-Cal. CA 1997 Cal. Stats., Chap. 883 (AB 549) requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Establishes procedures for making that reimbursement, including the creation of a state mandates claim fund to pay the costs of mandates that do not exceed $1 million statewide and other procedures for claims with statewide costs that exceed $1 million. Currently, any school district, county office of education or a state special school is covered by Medi-Cal benefits. CO 1997 Colo. Sess. Laws, Chap. 221 (SB 208) creates the Colorado Dental Program Act of 1997. This dental assistance program is for youth under age 21 who lack dental insurance and are ineligible for Medicaid. Provides preventive, emergency, diagnostic, and limited restorative dental services to eligible youth. CT 1997 Conn. Acts, P.A. 2 (HB 8003) extends Medicaid benefits to children up to age 17 by July 1, 1997; up to age 18 by July 1, 1998; and, within available appropriations, up to age 19 by July 1, 1998. (A child's family may not earn more than 185 percent of the federal poverty level; no asset test is applied.) CT 1997 Conn. Acts, P.A. 239 (SB 627) establishes a pilot program to increase access to preventive dental care, particularly for children and the elderly receiving Medicaid or who are underinsured or uninsured. The pilot program ends September 30, 1999. It allows a hygienist with two years of experience to work without dental supervision in a community health center, mental health facility, group home, school setting and other health care facilities. Requires the Department of Public Health to report to the legislature, by January 1, 1999, on the pilot program's effect on access to preventive dental care. The report must make recommendations concerning whether the pilot program should continue. FL 1997 Fla. Laws, Chap. 168 (HB 1853) adds services relating to school-based centers that are part of the Medicaid certified school match program to increase school district participation and earning potential. Expands services eligible for federal Medicaid reimbursement to include, but not be limited to, physical, occupational and speech therapy, behavioral health, mental health, early periodic screening, diagnosis and treatment. Expands the categories of Medicaid-eligible children for whom a school district could receive reimbursement. It includes children eligible under the Individuals with Disabilities Education Act (IDEAS), the exceptional student program or those who have an individualized educational plan. FL 1997 Ha. Laws, Chap. 237 (HB 1357) creates the Florida Comprehensive Health Education and substance abuse Prevention Act to help school health services, boards of education, and school districts coordinate their services. Also adds counseling and pregnancy prevention to services provided under the Medicaid program. 16 Adolescent Health Issues: State Actions 1997 3© Medicaid FL 1997 Fla. Laws, Chap. 260 (HB 1837) states that the Agency for Health Care Administration shall apply for a federal Medicaid waver or other federal grants to allow for the receipt of Medicaid matching funds or other federal funds to be used in conjunction with state, local and private funds to expand the services provided by the Florida Healthy Kids Corporation. In the event that a Medicaid waver is used, it shall be limited to 118,725 children and it shall include a lifetime cap of 60 months for those children enrolled in the program after July 1, 1997. FL 1997 Fla. Laws, Chap. 263 (HB 1965) creates the Primary Care Children and Families Challenge Grant Program, to be administered by the Department of Health. The intent of this bill is to create a partnership between state and local governments to develop a coordinated primary health care delivery system for low- income Florida residents. Emphasis is placed on volunteerism, cooperation and broad-based participation by public and private health care providers. Children and families with incomes up to 150 percent of the federal poverty level are eligible. Modifies Medicaid reimbursed school-based health services to place an emphasis on providing medically-related nursing services. IN 1997 Ind. Acts, P. L. 24 (HB 1921) expands Medicaid eligibility to cover minors aged 6 - 18 in families with incomes at or below 100 percent of the federal poverty level. KS 1997 Kan. Sess. Laws, Chap. 123 (HB 2160) Sec. 58 provides $558,531 for teen pregnancy prevention activities with the highest priority given to welfare recipients and other Medicaid-eligible teens. Provides funding for teen pregnancy nutrition surveillance programs and provides federal funding of $1,711,651 for an AIDS project on education and risk reduction. ME 1997 Me. Laws, Chap. 530 (SB 671) specifies that, under the federal Temporary Assistance to Needy Families (TANF) program, the state will provide transitional Medicaid to families. Adds provisions relating to funds for family planning services, permitting them to be used for an intensive peer education project to increase the use of family planning services to TANF recipients. The target population includes recipients who are minors at risk of becoming TANF recipients. ND 1995 N.D. Sess. Laws, 406 (HB 1036) requires that out-of-home treatment programs are established for a Medicaid-eligible minor who has serious emotional disorders. The juvenile court will determine that placement is in the juvenile's best interest. OK 1997 Okla. Sess. Laws, Chap. 421 (SB 639) addresses Medicaid coverage for certain uninsured children. The Oklahoma Health Care Authority will cover all children age 6 or older whose family incomes do not exceed 185 percent of the federal poverty level. Establishes a cost-sharing option on a sliding fee scale for providing Medicaid coverage to certain low-income families. TX 1997 Tex. Gen. Laws, Chap. 501 (SB 1165) requires the Health and Human Services Commission, in cooperation with the Texas Department of Health, to monitor and assess Medicaid services provided to children (under age 18) who have special health care needs. The commission is authorized to require children with special health care needs to enroll in a managed care plan or primary care case management program. WI 1997 Wis. Laws, Act 27 (AB 100) creates BadgerCare, a program of family health care coverage for low- income families who lack employer-sponsored medical insurance. The eligibility is expanded to all children and adults in uninsured families with an income below 185 percent of the federal poverty level. Once enrolled, families may remain in BadgerCare until family income exceeds 200 percent of the federal poverty level. BadgerCare extends coverage to: children aged 15 - 18 with family incomes below 100 percent of the federal poverty level; children aged 6 - 18 with family incomes between 100 percent and 185 percent of the federal poverty level; parents in families with incomes over welfare standards up to 185 percent of the federal poverty level; BadgerCare participants, whose family income increases above 185 percent of the federal poverty level until their income reaches 200 percent of the federal poverty level; and parents whose children are temporarily absent from the home as a result of child welfare actions during reunification efforts. BadgerCare maintains the Medicaid entitlement for all low-income families, pregnant women and children who are currently eligible for Medicaid under welfare and Healthy Start guidelines. National Conference of State Legislatures 17 31 MENTAL HEALTH AL 1997 Ala. Acts, Act 421 (SB 157) redefines the current law to include any one individual under age 18 with a traumatic brain injury or developmental disability. These individuals now will be able to participate in current programs that provide individual and family support for people with developmental disabilities. AR 1997 Ark. Acts, HR 1032 requests the House interim committee on education to conduct a study to determine the feasibility of initiating a school-based counseling service. This counseling service will be developed jointly by the Division of Mental Health of the Department of Human Services and the Department of Education. Results of the study and any recommendations must be presented no later than September 1, 1998. CA 1997 Cal. Stats., ACR 37 designates April 13, 1997, as "School Psychology Week in California" and encourages all citizens to participate in appropriate activities held to commemorate its observance. CA 1997 Cal. Stats., Chap. 388 (SB 1295) allows a minor's mental health record to be inspected by a licensed physician, surgeon or licensed psychologist designated at the request of the patient. CA 1997 Cal. Stats., Chap. 654 (AB 2726) establishes procedures governing referrals of pupils to community mental health services. The pupil's educational and mental health treatment needs should be met in a cost- effective, appropriate manner in the least restrictive environment. CT 1997 Conn. Acts, P.A. 272 (HB 6006) clarifies and strengthens the Department of Children and Family's mental health mandate. The department coordinates mental health services to all youth who have relevant mental health needs, including youth who are not in the custody of the department. Some of these services include prevention and intervention, crisis, treatment and residential services. The department will ensure that youth who are emotionally disturbed have access to a comprehensive array of services that address physical, social and emotional services. GA 1997 Ga. Laws, p. 1578 (HB 211) amends current law relating to child molestation and authorizes the court to require defendants to undergo a psychiatric evaluation to determine whether medroxyprogesterone acetate chemical treatment or its equivalent would be effective to treat behavioral changes when the victim is 16 years old or younger. HI 1997 Hawaii Sess. Laws, Act 29 (HB 1839) appropriates $9,218,665 to prevent the reduction of services to emotionally disturbed children and adolescents. HI 1997 Hawaii Sess. Laws, HR 32 alters the content of required health classes in secondary schools due to the findings from the 1996 First Adolescent Health Summit.. The summit found that most adolescents lack personal and life skills to be prepared for the 21st century. Preventive health issues need to be taught in Hawaii's curriculum, and health education should be culturally sensitive in the curriculum and to the health needs of the students. In providing a healthier future for adolescents, the state should focus on the prevention of negative influences of teen pregnancies, stress management, STDs and HIV, physical and mental abuse, drug abuse and individual priorities as determined by the schools. HI 1997 Hawaii Sess. Laws, HR 79 requests the Department of Health to establish and maintain child and adolescent mental health services that are accessible, community-based, and sensitive to the needs of Hawaii's socio-economic profile. HI 1997 Hawaii Sess. Laws, HR 125 requests the Department of Health to establish and maintain accessible, community-based adolescent mental health services according to the needs and socio-economic profile of Hawaii's communities. ID 1997 Idaho Sess. Laws, Chap. 404 (HB 320) creates the Children's Mental Health Services Act. Requires the Department of Health and Welfare, the Department of Education, the Department of Juvenile Corrections, school districts, counties and other entities to cooperate and collaborate in planning, developing and providing services for children (younger than 18 and not emancipated by either marriage or legal 18 Adolescent Health Issues: State Actions 1997 32 Mental Health proceeding) with serious emotional disturbances. Provides that services be individually planned to meet the unique needs of each child and family. LA 1997 La. Acts, P.A. 166 (HB 1044) provides for a continuum of care for emotionally and behaviorally disturbed children and adults, including but not limited to, group homes, supportive housing services, programs and facilities. LA 1997 La. Acts, P.A. 985 (HB 1534) adds that minor patients admitted to a treatment facility have the right to an individualized treatment plan and periodic review every 30 days to determine their medical progress. Minor patients committed judicially shall have their cases reviewed every 120 days. A minor who is judicially committed as a result of mental illness may be conditionally discharged for a period of up to 120 days and may be required to report to outpatient treatment as a condition of discharge. MD 1997 Md. Laws, Chap. 130 (SB 80) authorizes the secretary of health and mental hygiene to use the current standards of the Joint Commission on Accreditation of Health Care Organizations when conducting inspections of residential treatment centers that provide overnight inpatient treatment for emotionally disturbed children or adolescents. MN 1997 Minn. Laws, Chap. 203 (SB 1908) amends qualifying requirements for the local children's mental health collaborative by expanding the list of entities that may be considered a local system of care. Requires that, by July 1, 1998, the local collaborative include one juvenile justice or corrections entity. MS 1997 Miss. Laws, Chap. 926 (SB 3241) allows the city of Tupelo, Miss., and the board of supervisors of Lee County Miss., to levy additional court costs not to exceed $1 per case. The funds derived shall be paid to the National Council on Alcoholism and Drug Dependence of Northeast Mississippi Inc. The money will be used as operational funds to provide youth service programs for area adolescents and teens. MT 1997 Mont. Laws, Chap. 490 (HB 502) allows a parent or guardian of a minor to consent to mental health services being rendered. Expands current law by allowing licensed mental health professionals to render mental health services to a minor voluntarily admitted for treatment. Allows a minor who is at least age 16 to consent to receive mental health services without the consent of a parent or a guardian. MT 1997 Mont. Laws, Chap. 550 (SB 48) revises statutes pertaining to the Youth Court Act. Allows assessment officers to provide initial intake and evaluation of youth who appears to be in need of intervention. The evaluation includes the use of tobacco products, gambling, running away from home or habitual truancy by minors. This law allows for family assessment, including chemical dependency and mental health evaluation. NE 1997 Neb. Laws, L. B. 622 allows peace officers to take custody of juveniles for mental health reasons and allows juveniles to be placed in emergency protective facilities. NE 1997 Neb. L.B. 788 adds that the Department of Health and Human services shall pay the treatment costs for the care of an adopted minor child if within two years the child is diagnosed with having a physical or mental illness. NY 1997 N.Y. Laws, Chap. 53 (SB 705) appropriates $990,000 for an HIV/AIDS education program for the 1997- 98 school year. Appropriates $900,000 for services and expenses of the missing children education program. Appropriates $506,400 to establish parenting education programs for parents and children for the 1997-98 school year. Appropriates $525,000 for the comprehensive school health demonstration program. Appropriates $5,325,000 for services and expenses of the youth-at-risk/community partnership program for the 1997-98 school year. ND 1995 N.D. Sess. Laws, 406 (HB 1036) requires that out-of-home treatment programs be established for a Medicaid-eligible minor with serious emotional disorders. The juvenile court will determine that placement is in the juvenile's best interest. OR 1997 Or. Laws, Chap. 714 (SB 1129) establishes a youth suicide prevention coordinator within the health division. The division will provide recommendations addressing investigation, training, case selection and fatality review of child deaths, including but not limited to, child abuse and youth suicide cases. RI 1997 R.I. Pub. Laws, Chap. 73 (SB 709) adds that the Department of Children, Youth and Families is responsible for the delivery of appropriate mental health services to seriously emotionally disturbed children. This definition, includes anyone younger than 18 or anyone younger than 21 who has continually received services from the department before reaching age 18. Requires the department to institute a comprehensive Nationl Conference of State Legislatures 19 33 Mental Health network of programs and to coordinate and develop efforts to deliver services to seriously emotionally disturbed children. WA 1997 Wash. Laws, Chap. 146 (SB 5578) establishes that a child (any unemancipated minor who is under age 18) may reside in a crisis residential center or may be placed by the department for counseling and treatment in an out-of-home placement for a period of time not to exceed 72 hours. WV 1997 W. Va. Acts, Chap. 52 (HB 2885) expands the services included under the definition of early intervention services to include assistive technology, audiology, vision, family therapy and orientation of mobility specialists to enable a minor to benefit from early intervention. Alix Rustrum, Wood Middle School, Oregon 20 Adolescent Health Issues: State Actions 1997 34 PREGNANCY/PARENTING/CONTRACEPTION/FAMILY PLANNING AR 1997 Ark. Acts, Act 1159 (HB 2206) designates the Department of Health to coordinate interagency efforts for the Unwed Birth Teenage Pregnancy Prevention Program. This program provides ways to reduce unwed births and teenage pregnancies, including abstinence education initiatives, family planning services, a comprehensive media campaign, grants to local communities and program evaluations. State agencies that currently provide services will cooperate with the Department of Health in administering this program. CT 1997 Conn. Special Act, 21 (HB 6702) appropriates $50,000 for the Teen Pregnancy Prevention Campaign. FL 1997 Fla. Laws, Chap. 237 (HB 1357) creates the Florida Comprehensive Health Education and Substance Abuse Prevention Act to help school health services, boards of education and school districts coordinate their services. Also adds counseling and pregnancy prevention to services provided under the Medicaid program. FL 1997 Fla. Laws, SR 2398 & HR 9089 declares the week of April 20 - May 1, 1997, "Teen Pregnancy Prevention Awareness Week." Florida will focus its attention on the prevention of teen pregnancy by building awareness of the causes and consequences of teen pregnancy. This resolution also builds linkages between local, state and national resources so communities can address teen pregnancy. GA 1997 Ga. Laws, HR 457 provides funds to ensure that the primary emphasis of teen pregnancy education is abstinence. The purpose of this resolution is to ensure that teenagers are taught the social, psychological and health gains to be realized from abstaining from sexual activity. It also creates a prevention program that focuses on the importance of self-sufficiency before engaging in sexual activity. HI 1997 Hawaii Sess. Laws, HR 32 alters the content of required health classes in secondary schools due to findings from the 1996 First Adolescent Health Summit. The summit found that most adolescents lack personal and life skills to be prepared for the 21st century. Preventive health issues need to be taught in Hawaii's curriculum, and health education should be culturally sensitive in the curriculum, and to the health needs of the students. In providing a healthier future for adolescents, the state should focus on the prevention of negative influences of teen pregnancies, stress management, STDs and HIV, physical and mental abuse, drug abuse and individual priorities as determined by the schools. IL 1997 III. Laws, P.A. 90-238 (HB 1294) establishes the Adolescent and Family Life Pilot Program in Cook County, designed for high-risk pregnant adolescents. Includes goals and objectives for reducing the incidence of high-risk pregnant adolescents. Defines a high-risk pregnant adolescent as someone at least 12 but not more than 18 years old who uses alcohol to excess, is addicted to controlled substances or habitually uses cannabis (marijuana) and is pregnant. IA 1997 Iowa Acts, Chap. 208 (HB 715) appropriates $2,270,000 for community-based adolescent pregnancy prevention programs with the condition that family planning services are funded. Focuses on preventing pregnancies during adolescent years by emphasizing abstinence as the only safe and effective means of avoiding pregnancy and sexually transmitted diseases. Provides information regarding contraceptive failure. KS 1997 Kan. Sess. Laws, Chap. 123 (HB 2160) Sec. 58 provides $558,531 for teen pregnancy prevention activities with the highest priority given to welfare recipients and other Medicaid-eligible teens. This law also provides funding for teen pregnancy nutrition surveillance programs and provides federal funding of $1,711,651 for an AIDS project on education and risk reduction. LA 1997 La. Acts, P.A. 18 (HB 1) Sec. 01-114 assists teen parents through education and services. Topics include prenatal care, nutrition, child development, family planning and parenting techniques. Also provides counseling and referrals to existing health and social service agencies. LA 1997 La. Acts, SCR 28 designates May 1997 as "Teen Pregnancy Awareness and Prevention Month." Every day in Louisiana, 42 teen girls become pregnant, 35 teen girls give birth, 18 teens are treated for sexually National Conference of State Legislatures 21 Pregnancy/Parenting/Contraception/Family Planning transmitted diseases, four teens are treated for syphilis, 14 teens are treated for gonorrhea, and four teens contract the HIV virus. Therefore, the Legislature has created this act to bring awareness to teen pregnancy prevention. LA 1997 La. Acts, HCR 205 requests both the House and the Senate committees on Health and Welfare to meet and function as a joint committee to study the feasibility of implementing the "Baby Think It Over" program in public high schools. This program currently is used by several states as a learning tool for young adults, allowing them to experience hands-on, the responsibility of caring for an infant. The goals of the program are to help teens learn that babies' demands are unpredictable and must be met promptly; second they demand a great deal of time and attention, and third, the responsibilities of parenting will change a teen's life profoundly and in many ways. LA 1997 La. Acts, P.A. 510 (HB 774) requires the Department of Social Services and the Department of Education to develop and implement an Incentive Award Program to provide a parish school system with a financial award for reducing its teen pregnancy rate. ME 1997 Me. Laws, Chap. 530 (SB 671) specifies that, under the federal Temporary Assistance to Needy Families (TANF) program, the state will provide transitional Medicaid to families. Adds provisions relating to funds for family planning services, permitting them to be used for an intensive peer education project to increase the use of family planning services to TANF recipients. The target population includes recipients who are minors at risk of becoming TANF recipients. MA 1997 Mass. Acts, Chap. 88 (HB 4900) appropriates $35,000 for the Framingham Teen Parenting Program. Appropriates $1,290,063 for school-and community-based teen health programs. MS 1997 Miss. Laws, Chap. 316 (HB 766) provides that one purpose of the Mississippi Temporary Assistance to Needy Families (TANF) is to prevent and reduce the incidence of out-of-wedlock pregnancies and establish annual numerical goals for preventing and reducing the incidences of these pregnancies. NV 1997 Nev. Stats., Chap. 93 (ACR 36) resolves that the Legislature supports the efforts of local and state agencies who work together to reduce teen pregnancy rates. Youth, parents and communities within the state of Nevada, as well as local and state agencies, are urged to support and assist community action teams in their efforts to prevent teenage pregnancy. NY 1997 N.Y. Laws, Chap. 53 (SB 705) appropriates $990,000 for an HIV/AIDS education program for the 1997- 98 school year. Appropriates $900,000 for services and expenses of the missing children education program. Appropriates $506,400 to establish parenting education programs for parents and children for the 1997-98 school year. Appropriates $525,000 for the comprehensive school health demonstration program. Appropriates $5,325,000 for services and expenses of the youth-at-risk/community partnership program for the 1997-98 school year. NY 1997 N.Y. Laws, Chap. 434 (SB 5783) appropriates $180,000 in state grants forfamily planning service programs and school health programs provided from the general fund local assistance account appropriations. NY 1997 N.Y. Laws, Chap. 437 (SB 5792) appropriates $1 million to conduct teenage pregnancy prevention programs that expand the scope to men. The commissioner of health will issue a request for proposals to solicit applications from those who serve high-need communities where adolescent pregnancies and homelessness are high. This law also states that $7 million will be transferred to the Department of Health for community health education, outreach and community-based adolescent pregnancy prevention programs to address the needs of both adults and adolescents to prevent unintended pregnancies. OR 1997 Or. Laws, SJR 33 encourages the Department of Education to disseminate information about the Best Friends Program, which includes teaching abstinence, goal setting and career planning to girls in grades five - 12. Also provides for three pilot projects to be established on teen pregnancy prevention. PA 1997 Pa. Laws, SR 33 & HR 122 proclaims April 20 - April 26, 1997, "Chastity Awareness Week." States that abstaining from sexual activity is the only certain way to avoid out-of-wedlock pregnancy and sexually transmitted diseases. It also states that alcohol and drug use increases vulnerability to sexual advances and inhibits good decision making. PA 1997 Pa. Laws, SR 43 declares May 1997 as "Teenage Pregnancy Prevention Month" and designates Thursday May 1, 1997, as the kickoff date. The resolution declares that abstaining from sexual activity is the only way for teens to avoid pregnancy and sexually transmitted diseases. 22 Adolescent Health Issues: State Actions 1997 36 Pregnancy/Parenting/Contraception/Family Planning RI 1997 R.I. Pub. Laws, Chap. 176 (SB 771) & 160 (HB 5961) creates the Teen Pregnancy Prevention Partnership Act by coordinating programs in Rhode Island. Authorizes the directors of the departments of Human Services, Health, Children Youth and Families, and Education to develop a statewide plan on the prevention of unintended pregnancies among adolescents. These state agencies are charged with developing a statewide plan to include: reducing the number of pregnant adolescents, identifying funding sources for pregnancy prevention, securing comprehensive abstinence education, identifying health care services accessible to adolescents, securing educational involvement from state and local law enforcement officials, educating and identifying at-risk teens before they become sexually active, identifying financial resources for K-12 teacher training in the areas of family life and sexuality, securing community and local involvement, and statewide planning and development of educational programs for adolescents. WA 1997 Wash. Laws, Chap. 58 (HB 3901) Sec. 501 amends regulations regarding permissible living situations for applicants under age 18 who are unmarried and are either pregnant or have dependent children. Refines the teen parent requirements. WA 1997 Wash. Laws, Chap. 58 (HB 3901) Sec. 504 mandates that, if a dependent child's parent is an unmarried minor parent or pregnant minor applicant, then the parent or parents of the minor also shall be deemed a parent or parents of the dependent child. However, liability for child support under this subsection exits only if the parent or parents of the unmarried minor parent or pregnant minor applicant are provided the opportunity for a hearing on their availability to provide support. Any child support order requiring such a parent or parents to provide support for the minor parent's child may be effective only until the minor parent reaches age 18. WA 1997 Wash. Laws, Chap. 58 (HB 3901) Sec. 601 requires the Department of Health to work in cooperation with the superintendent of public instruction to reduce the rate of illegitimate births and abortions in the state. The Department of Health will contract with entities qualified to provide abstinence education and motivation programs in the state. WA 1997 Wash. Laws, Chap. 149 (SB 6062) states that $300,000 from the general fund appropriations is provided solely for abstinence education programs. Appropriates $400,000 from the general fund solely for abstinence education projects at the office of the superintendent of public instruction. Provides a grant program for media campaigns promoting sexual abstinence. Addresses delaying sexual activity. National Conference of State Legislatures 23 37 SCHOOL HEALTH/SCHOOL- AHED DEALT[ SE V CES AZ 1997 Ariz. Sess. Laws, Chap. 209 (HB 2076) eliminates the luxury tax on marijuana and other drugs. Prohibits the court from reducing the Class 4 felony of possessing amphetamine for personal use to a Class 1 misdemeanor. If a defendant manufactures dangerous drugs in a drug-free school zone, the sentencing ranges are increased by one year and the defendant must serve the entire sentence imposed, with temporary release permitted only in a narrow set of circumstances. Eliminates the reward for information leading to seizure of money in drug arrests. AZ 1997 Ariz. Sess. Laws, Chap. 257 (SB 1388) allows the Department of Health Services to contract with public and nonprofit entities to provide primary health care services through mobile clinics to indigent or uninsured persons in rural areas or in medically underserved areas. The medical mobile clinic will provide community development activities to assist with collaboration among school health systems and other health partners. AR 1997 Ark. Acts, Act 871 (HB 1650) requires a child to be age-appropriately immunized before to enrollment in a child care facility. Establishes oversight for immunization of kindergartners 12th graders by the board of education. This law will not apply if a parent or a legal guardian of that child objects because of religious belief or if, in the past, a sibling had an adverse effect. AR 1997 Ark. Acts, HR 1032 requests the House interim committee on education to conduct a study to determine the feasibility of initiating a school-based counseling service. This counseling service will be developed jointly by the Division of Mental Health of the Department of Human Services and the Department of Education. Results of the study or recommendations must be presented no later than September 1, 1998. AR 1997 Ark. Acts, Act 1243 (HB 1732) requires school officials to report felonies or other crimes involving violence committed on school property. The superintendent or designee shall report the incident to the appropriate law enforcement agency for investigation. Anyone who fails to report as required by this act shall be guilty of a Class C misdemeanor. The state Board of Education, rather than the school district, must issue rules and regulations to ensure uniform compliance. CA 1997 Cal. Stats., ACR 37 designates April 13, 1997, as "School Psychology Week in California," and encourages all citizens to participate in appropriate activities held to commemorate its observance. CA 1997 Cal. Stats., ACR 55 encourages parents, school teachers, administrators, law enforcement agencies and community leaders to continue their efforts to provide sober graduation activities to a maximum number of high school graduates, their friends and school associates. CA 1997 Cal. Stats., Chap. 90 (SB 572) prohibits the sale or consumption of alcoholic beverages in a public schoolhouse or on its grounds. Exceptions apply to college stadiums with a capacity of more than 18,900 people. CA 1997 Cal. Stats., Chap. 286 (AB 1086) amends the requirements of the new Teaching Reading Instruction Development Program for teachers in kindergarten - third grade, and creates a similar reading training program for teachers in grades four six. CA 1997 Cal. Stats., Chap. 340 (SB 1095) creates the High-Risk Youth Education and Safety Program to target offenders aged 15 and under who are at risk of becoming chronic offenders. The 1997-98 budget includes $3.6 million for services, including case management, mentoring, after school programs, parenting education, school-linked substance abuse treatment, career services, and services that assist with making the transition to higher education. CA 1997 Cal. Stats., Chap. 430 (SB 707) requires California State University to be responsible for coordinating a standardized health assessment to detect any health problems of public school children. CA 1997 Cal. Stats., Chap. 589 (AB 1612) prohibits schools from hiring or retaining any individual who has been convicted of a serious or violent felony. Provides funds to the state Department of Justice to implement a statewide electronic fingerprinting system to speed pre-employment criminal background checks for school employees. 24 Adolescent Health Issues: State Actions 1997 38 School-Health/School-Based Health Services CA 1997 Cal. Stats., Chap. 736 (SB 187) requires school districts to be responsible for the overall development of safety plans for their schools. These plans must include an assessment of school-based crimes and strategies for improving school safety. CA 1997 Cal. Stats., Chap. 825 (AB 287) maintains that students in grades seven 12 which 35 percent or more of enrolled pupils are from families that receive money from a welfare program or any like program or who have limited English proficiency are eligible to receive free meals or reduced prices on meals. CA 1997 Cal. Stats., Chap. 883 (AB 549) requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Establishes procedures for making that reimbursement, including the creation of a state mandates claim fund to pay the costs of mandates that do not exceed $1 million statewide and other procedures for claims where the statewide costs exceed $1 million. Currently, any school district, county office of education or a state special school are covered by Medi-Cal benefits. CO 1997 Colo. Sess. Laws, Chap. 122 (SB 82) requires every student, except those exempted pursuant to law, to submit at the time of school registration an up-to-date certificate of immunization. If, at the time of school registration, the student presents an out-of-date certificate, the parent and guardian shall submit, within seven days of school registration, documentation that the immunization has been given or a state-approved plan has been written showing when the immunization will occur. Eliminates the prior 60-day provisional period that allows transfer students to submit their immunization entry to school and requires them to also abide by the seven-day notice. CO 1997 Colo. Sess. Laws, Chap. 222 (SB 101) authorizes school districts, boards of cooperative services, and state kindergarten - 12th grade educational institutions to contract with the state Department of Health Care Policy and Financing to receive federal matching funds. Local and state money is spent in providing health services to students who are Medicaid recipients. Through this law, up to $9.2 million in new funds may be infused into school health services. These contracts are voluntary and are subject to availability of state and federal funds. CO 1997 Colo. Sess. HJR 1015 proclaims that the week of February 16 - 22, 1997, be designated as the "Parent Teacher Association's 100th Anniversary Week" in Colorado public schools. (The Parent Teacher Association (PTA) has participated in founding of the public educational system, the nationwide school lunch program, dispensation of the Salk polio vaccine, and a national HIV/AIDS education program for parents.) CT 1997 Conn. Acts, P.A. 8 (HB 8007) of the June 1997 Special Session appropriates $175,000 to the Department of Public Health for school-based health centers and school-based dental clinics. CT 1997 Conn. Acts, P.A. 239 (SB 627) establishes a pilot program to increase access to preventive dental care, particularly for children and the elderly who receive Medicaid or who are underinsured or uninsured. The pilot program ends September 30, 1999. It allows a hygienist with two years of experience to work without dental supervision in a community health center, mental health facility, group home, school setting and other health care facilities. Requires the Department of Public Health to report to the legislature, by January 1, 1999, on the pilot program's effect on access to preventive dental care. The report must make recommendations concerning whether the pilot program should continue. DE Vol. 70 Del. SCR 12 congratulates and thanks the Parent Teacher Association (PTA) for its 100 years of service and dedication to our children, schools and communities. DE Vol. 70 Del. SCR 29 declares October as "Learning Disabilities Month." Learning disabilities can affect learning, reading, writing, speaking and math skills and, without early intervention, the results of the disability can be a lifelong problem. FL 1997 Fla. Laws, Chap. 152 (SB 2400) appropriates $1,100,000 to local governments for school health screenings and $17,021,881 to local governments for school health services. FL 1997 Fla. Laws, Chap. 168 (HB 1853) adds services relating to school-based centers provided to children under the Medicaid certified school match program to increase school district participation and earning potential. Expands services eligible for federal Medicaid reimbursement to include, but not be limited to, physical, occupational, speech therapy, behavioral health, mental health, early periodic screening, diagnosis and treatment. This bill also expands the categories of Medicaid-eligible children for whom a school district could receive reimbursement to include children eligible under the Individuals with Disabilities Education Act (IDEAS), the exceptional student program or an individualized educational plan. National Conference of State Legislatures 25 39 School-Health/School-Based Health Services FL 1997 Ha. Laws, Chap. 237 (HB 1357) creates the Florida Comprehensive Health Education and Substance Abuse Prevention Act to help school health services, boards of education, and school districts to coordinate their services. Also adds counseling and pregnancy prevention to services provided under the Medicaid program. FL 1997 Fla. Laws, Chap. 263 (HB 1965) creates the Primary Care Children and Families Challenge Grant Program, to be administered by the Department of Health. The intent of this bill is to create a partnership between state and local governments to develop a coordinated primary health care delivery system for low- income Florida residents. Emphasis is placed on volunteerism, cooperation and broad-based participation by public and private health care providers. Children and families with incomes up to 150 percent of the federal poverty level are eligible. Modifies Medicaid reimbursed school-based health services to place an emphasis on providing medically-related nursing services. HI 1997 Hawaii Sess. Laws, HR 32 alters the content of required health classes in secondary schools due to the findings from the 1996 First Adolescent Health Summit. The summit found that most adolescents lack personal and life skills to be prepared for the 21st century. Preventive health issues need to be taught in Hawaii's curriculum, and health education should be culturally sensitive in the curriculum, and to the health needs of the students. In providing a healthier future for adolescents, the state should focus on the prevention of negative influences of teen pregnancies, stress management, STDs and HIV, physical and mental abuse, drug abuse and individual priorities as determined by the schools. HI 1997 Hawaii Sess. Laws, Act, 217 (HB 1831) Sec. 321-242 permits a school health aide to assist a student by administering oral, topical, and other medications. HI 1997 Hawaii Sess. Laws, Act 117 (HB 1105) establishes a two-year demonstration project for schools in the County of Kauai. During the 1997-1998 and 1998-1999 school years, each child admitted to any school in the County of Kauai for the first time should submit a dental health certificate or certification from a licensed dentist stating that the child will undergo a dental examination and will have all the necessary treatment. ID 1997 Idaho Sess. Laws, Chap. 168 (HB 368) appropriates funding for the substance abuse program to discourage Hispanic youth from habitual use of tobacco, alcohol and other drugs by developing programs for schools, families and communities. ID 1997 Idaho Sess. Laws, Chap. 404 (NB 320) creates the Children's Mental Health Services Act. Requires the Department of Health and Welfare, the Department of Education, the Department of Juvenile Corrections, school districts, counties and other entities to cooperate and collaborate in planning, developing and providing services for children (younger than 18 and not emancipated by either marriage or legal proceeding) who have serious emotional disturbances. Provides that services be individually planned to meet the unique needs of each child and family. IA 1997 Iowa Acts, Chap. 126 (SB 515) amends the definition of "legal age" under the Alcoholic Beverage Control Act from 19 to 21 years of age. Underage people who make an attempt to purchase or who possess alcohol are guilty of a misdemeanor, punishable by a fine of $100. A second offense is a serious misdemeanor punishable by a $200 fine and suspension of the person's driving privileges for a period not to exceed one year. Peace officers are required to notify school officials of the school that a minor attends, if the peace officer discovers that a minor is in the possession of alcohol. The fine for alteration of a driver's license or nonoperator's identification card for purposes of illegally purchasing alcohol is raised to $100. School officials are to report the illegal drug or alcohol use on school premises to law enforcement. There is an exception if the reporting will jeopardize an at-risk student or a student assistance program. LA 1997 La. Acts, P.A. 18 (HB 1) Sec. 19-681 provides for student services including the Home Study/Child Welfare Activity. Its mission is to increase student achievement, eliminate violence and drug use and coordinate efforts to reduce the incidence of HIV/AIDS infection and other communicable diseases among students. LA 1997 La. Acts, P.A. 974 (HB 1314) known as the "Louisiana Healthy Kids Corporation Act," this law organizes school children to facilitate the provision of preventive health care services and provides comprehensive health insurance coverage. LA 1997 La. Acts, P.A. 1267 (SB 793) amends existing law to provide immunity--except for grossly negligent or intentional acts--for physicians, surgeons, dentists or hospitals and any employee of a physician, surgeon, dentist or hospital who graciously treats or provides services to a student in a public school health clinic without compensation or reimbursement from Medicaid or from any type of state or federal public assistance program. 26 0 Adolescent Health Issues: State Actions 1997 4 School-Health/School-Based Health Services MD 1997 Md. Laws, Chap. 258 (HB 746) amends current law to allow students to possess portable pagers on school property if the pagers are contained in vehicles and are not found to be connected with criminal activity. MD 1997 Md. Laws, Chap. 358 (SB 0452) & (HB 701) requires a health research design analyst designated by the Department of Health and Mental Hygiene or the Baltimore City Health Department to prepare specified reports on the status and the success of the School Health Pilot Program. This law renames the School Health Program and makes it permanent. MD 1997 Md. Laws, Chap. 504 (HB 971) provides that there are between 1.5 million to 2.5 million children in the United States under age 18 who have attention deficit hyperactivity disorder (ADHD). There has been a dramatic increase in the number of school-age children taking methylphenidate. Establishes a task force to study the uses of methylphenidate for ADHD and to study other drugs prescribed to school children for treatment of ADHD. The task force must submit a report of its findings and recommendations to the governor and the General Assembly before January 1, 1998. MA 1997 Mass. Acts, Chap. 88 (HB 4900) appropriates $35,000 for the Framingham teen parenting program and also appropriates $1,290,063 for school-and community-based teen health programs. MS 1997 Miss. Laws, Chap. 926 (SB 3241) allows the city of Tupelo, Miss., and the board of supervisors of Lee County, Miss. to levy additional court costs not to exceed one $1 per case. The funds derived shall be paid to the National Council on Alcoholism and Drug Dependence of Northeast Mississippi Inc. The money will be used as operational funds to provide youth service programs for area adolescents and teens. MO 1997 Mo. Laws, HB 20 appropriates approximately $5,368,764 from the Health Initiatives Fund to the Department of Health's Division of Maternal, Child and Family Health to fund school health grants and related expenses. MT 1997 Mont. Laws, Chap. 450 (HB 264) amends current law relating to drug-free and crime-free schools. Adds a new provision that requires youth court officials to report to school officials the identity of a youth attending their school who has admitted, more than once, drug use or is adjudicated as violating a statue. This law allows the school to enforce any disciplinary measure that was in effect at the time the youth admitted drug use or was adjudicated a drug user. NV 1997 Nev. Stats., Chap. 353 (AB 515) enhances the penalty for gross misdemeanors committed on public or private school property, at a school sponsored activity, on a school bus, or when a school bus is loading or unloading students. Anyone who commits a crime will be punished by imprisonment in the county jail for at least 15 days and be fined up to $2,000. NV 1997 Nev. Stats., Chap. 473 (SB 482) creates a nine-member council to establish academic standards for public schools. Standards in health and physical education are included in the second phase. This bill also requires collection of additional accountability data such as incidents at school involving alcohol and controlled substances and parental participation. This council may also review any other fiscal or policy concerns associated with public education in Nevada. NY 1997 N.Y. Laws, Chap. 53 (SB 705) appropriates $990,000 for an HIV/AIDS education program for the 1997- 98 school year. Appropriates $900,000 for services and expenses of the missing children education program. Appropriates $506,400 to establish parenting education programs for parents and children for the 1997-98 school year. Appropriates $525,000 for the comprehensive school health demonstration program. Appropriates $5,325,000 for services and expenses of the youth-at-risk/community partnership program for the 1997-98 school year. NY 1997 N.Y. Laws, Chap. 153 (AB 6780) expands to 21 years the maximum duration of certain projects providing improved and expanded school health services for preschool and school-age children. NY 1997 N.Y. Laws, Chap. 402 (SB 1373-a) clarifies language relating to the task force on school-community collaboration. Among other things, it provides for the promotion of the well being of children and families by seeking to improve child health nutrition. NY 1997 N.Y. Laws, Chap. 434 (SB 5783) appropriates $180,000 in state grants for family planning service programs and school health programs provided from the general fund local assistance account appropriations. OK 1997 Okla. Sess. Laws, Chap. 75 (SB 277) provides coverage for immunizations for dependents of insured individuals from birth through age 18 from health benefit plans delivered on or after January 1, 1998. National Conference of State Legislatures 27 41 School-Health/School-Based Health Services OR 1997 Or. Laws, Chap. 613 (HB 3544) requires the Department of Education to establish a two-year pilot program to address problems associated with disruptive students in schools. This includes students that violate school districts' rules regarding alcohol or drugs, arson, assault, firearms, extortion, harassment, intimidation or menacing, knives, reckless endangering, sexual harassment, theft, vandalism or weapons. PA 1997 PA. Laws, HR 52 proclaims that the Kids Interacting Drug-free Coalition and the Teen Anti-drug Coalition add dynamic youth empowerment models against alcohol, tobacco and other drugs. Encourages schools and school districts in the state to enter into planning and commitment stages to implement these models within the respective schools and school districts. RI 1997 R.I. Pub. Laws, Chap. 176 (SB 771) & 160 (HB 5961) creates the Teen Pregnancy Prevention Partnership Act by coordinating programs in the state of Rhode Island. Authorizes the directors of the departments of Human Services, Health, Children Youth and Families, and Education to develop a statewide plan for the prevention of unintended pregnancies among adolescents. These state agencies are charged with developing a statewide plan to include reducing in the number of pregnant adolescents, identifying funding sources for pregnancy prevention, comprehensive abstinence education programs, identifying health care services accessible to adolescents, securing educational involvement from state and local law enforcement officials, educating and identifying of at-risk teens before they become sexually active, identifying financial resources for K-12 teacher training in the areas of family life and sexuality, securing community and local involvement, and statewide planning and development of educational programs for adolescents. TN 1997 Tenn. Pub. Acts, Chap. 6 (SB 980) designates the Department of Health to create a plan to protect young Tennessee residents against Hepatitis B by immunizations to prevent the spread of the disease. This act is known as the "Hepatitis B Protection by Immunization Act." By January 15, 1998, the Health Department shall add Hepatitis B to the schedule of immunizations for kindergarten entry for the 1999-2000 school year. TX 1997 Tex. Gen. Laws, Chap. 1285 (SB 162) provides that the state Board of Education, in consultation with the Texas Department of Health and the Texas Diabetes Council, will develop a diabetes education program that a school district may use in its health curriculum. They also will develop and make available materials that provide information about diabetes to be distributed to students and the parents of students by health clinics at public, primary or secondary schools. VA 1997 Va. Acts, Chap. 784 (SB 862) provides an exception to the prohibition against drinking on school grounds for approved areas of a city-owned performing arts center located in Portsmouth, provided the organization operating the center has a license granted by the board. VA 1997 Va. Acts, Chap. 924 (HB 1600) states that it is the intent of the General Assembly that the superintendent of public instruction convene a planning/steering committee by July 15, 1997. The purpose shall be to develop a plan for an incentive fund to provide physical health care services in public elementary and secondary schools. The planning/steering committee shall work to ensure that collaborative, innovative and nontraditional approaches to school health service needs are considered. The committee will provide a plan no later than December 1, 1997. WA 1997 Wash. Laws, Chap. 9 (HB 1081) requires each school district board of directors to have a written policy mandating the prohibition of tobacco products on public school property. Students and school personnel must be notified by the posting of signs prohibiting the use of tobacco products. Students and school personnel who violate the policy will be subject to sanctions. WA 1997 Wash. Laws, Chap. 23 (SB 5132) provides that school bus route stops are drug-free zones. WA 1997 Wash. Laws, Chap. 149 (SB 6062) states that $300,000 of the general fund appropriation is provided solely for abstinence education programs. This law also states that $400,000 of the general fund appropriation is provided solely for abstinence education projects at the office of the superintendent of public instruction. This law also provides for a program that provides grants for media campaigns to promote sexual abstinence and to address delaying sexual activity. 28 Adolescent Health Issues: State Actions 1997 SEXUAL CONDUCT AL 1997 Ala. Acts, Act 486 (SB 476) prohibits solicitation by computer of a child (a person younger than 16 years of age) for purposes of committing a sexual act. Solicitation of a child by computer is a Class B felony. Makes it a crime to transmit obscene material to a child by computer. AZ 1997 Ariz. Sess. Laws, Chap. 179 (HB 2016) adds attempted first-degree murder to the list of offenses that are considered dangerous crimes against children in the first-degree. An offender must serve a sentence of 20 years if the victim is between the ages of 12 and 14. If the victim is younger than 12, the sentence for an adult (or a person tried as an adult) who is convicted of attempted first-degree murder, second-degree murder, sexual assault or sexual conduct may be increased to life imprisonment without the possibility of early release until 35 years have been served. Lifetime probation also is allowed for those guilty of attempted sexual crimes. NV 1997 Nev. Stats., Chap. 455 (AB 280) increases the penalties for sexual crimes committed against children under age 14. Offenders convicted of sexual assault or attempted sexual assault with no bodily harm to the victim may be sentenced to life imprisonment, with the possibility of parole after at least 20 years have been served. NV 1997 Nev. Stats., Chap. 529 (SB 122) prohibits anyone over age 21 who is employed in a position of authority by a school from engaging in sexual conduct with students. This bill defines persons of authority as teachers, administrators, coaches, teachers' aides and other nonprofessional employees who assist in the instruction of students. Anyone violating this law will be guilty of a Category C felony. National Conference of State Legislatures 43 29 SEXUALLY TRANSMIITTED aSEASES HI 1997 Hawaii Sess. Laws, HR 32 alters the content of required health classes in secondary schools due to the findings from the 1996 First Adolescent Health Summit. The summit found that most adolescents lack personal and life skills to be prepared for the 21st century. Preventive health issues need to be taught in Hawaii's curriculum and health education should be culturally sensitive in the curriculum, and to the health needs of the students. In providing a healthier future for adolescents, the state should focus on the prevention of negative influences of teen pregnancies, stress management, STDs and HIV, physical and mental abuse, drug abuse and individual priorities as determined by the schools. IA 1997 Iowa Acts, Chap. 208 (HB 715) appropriates $2,270,000 for community-based adolescent pregnancy prevention programs with the condition that family planning services are funded. Focuses on preventing pregnancies during adolescent years by emphasizing abstinence as the only safe and effective means of avoiding pregnancy and sexually transmitted diseases. Provides information regarding contraceptive failure. LA 1997 La. Acts, SCR 28 designates May 1997 as "Teen Pregnancy Awareness and Prevention Month." Every day in Louisiana, 42 teen girls become pregnant, 35 teen girls give birth, 18 teens are treated for sexually transmitted diseases, four teens are treated for syphilis, 14 teens are treated for gonorrhea and four teens contract the HIV virus. Therefore, the Legislature has created this act to bring awareness to teen pregnancy prevention. MA 1997 Mass. Acts, Chap. 43 (HB 4700) appropriates a federal grant $396,336 for HIV/STD/TB risk reduction. Appropriates approximately $300,000 to be administered by the Springfield Department of Health for the operation of a comprehensive AIDS drug treatment pilot program, and appropriates a federal grant of $4,836,051 for the Ryan White Comprehensive AIDS Resources Program. PA 1997 Pa. Laws, SR 33 & HR 122 proclaims April 20 April 26, 1997 "Chastity Awareness Week." States that abstaining from sexual activity is the only certain way to avoid out-of-wedlock pregnancy and sexually transmitted diseases. States that alcohol and drug use increase vulnerability to sexual advances and inhibits good decision making. PA 1997 Pa. Laws, SR 43 declares May 1997 as "Teenage Pregnancy Prevention Month" and designates Thursday, May 1, 1997, as the kickoff date. Declares that abstaining from sexual activity is the only way for teens to avoid pregnancy and sexually transmitted diseases. TN 1997 Tenn. Pub. Acts, Chap. 6 (SB 980) designates the Department of Health to create a plan to protect young Tennessee residents against Hepatitis B by immunizations to prevent the spread of the disease. This act is known as the "Hepatitis B Protection by Immunization Act." By January 15, 1998 the Health Department shall add hepatitis B to the schedule of immunizations for kindergarten entry for the 1999-2000 school year. 30 Adolescent Health Issues: State Actions 1997 44 SUBSTANCE ABUSE DE Vol. 70 Del. SCR 20 honors the Delaware Association for Children of Alcoholics upon its 10th anniversary for its many services, and recognizes the association's volunteers work with Delaware families affected by alcoholism. Urges all Delaware citizens to support this organization's work in preventing family addictions. This association, founded in 1987, has as its goal to prevent and reduce the effects of alcoholism and other chemical dependents on children, through support, education and intervention. ID 1997 Idaho Sess. Laws, Chap. 168 (HB 368) appropriates funding for the substance abuse program to discourage Hispanic youth from habitual use of tobacco, alcohol and other drugs by developing programs for schools, families and communities. LA 1997 La. Acts, P.A. 18 (HB 1) Sec. 19-681 provides for student services, including the Home Study/Child Welfare Activity. Its mission is to increase student achievement, eliminate violence and drug use, and coordinate efforts to reduce the incidence of HIV/AIDS infection and other communicable diseases among students. ME 1997 Me. Laws, Chap. 382 (HB 1262) amends existing law to read that a minor who has not attained 21 years of age may not transport drugs in a motor vehicle. Minors who violate this law will be subject to the loss of their driver's license and a fine. MT 1997 Mont. Laws, Chap. 450 (HB 264) amends current law relating to drug free and crime free schools. Adds a new provision that requires youth court officials to report to school officials the identity of a youth, attending their school, who has admitted, more than once, for drug use or is adjudicated as violating a statue. This law allows the school to enforce any disciplinary measure that was in effect at the time the youth admitted drug use or was adjudicated a drug user. MT 1997 Mont. Laws, Chap. 550 (SB 48) revises statutes pertaining to the Youth Court Act. Allows assessment officers to provide initial intake and evaluation of youth who appears to be in need of intervention. The evaluation includes the use of tobacco products, gambling, running away from home or habitual truancy by minors. This law allows for family assessment including chemical dependency and mental health evaluation. NY 1997 N.Y. Laws, Chap. 53 (SB 705) appropriates $990,000 for an HIV/AIDS education program for the 1997- 98 school year. Appropriates $900,000 for services and expenses of the missing children education program. Appropriates $506,400 to establish parenting education programs for parents and children for the 1997-98 school year. Appropriates $525,000 for the comprehensive school health demonstration program. Appropriates $5,325,000 for services and expenses of the youth-at-risk/community partnership program for the 1997-98 school year. TN 1997 Tenn. Pub. Acts, Chap. 326 (SB 1341) expands the list of prohibited substances. Students possessing prescription drugs or any other controlled substance may be expelled from school. Date Rape Drugs AK 1997 Alaska Sess. Laws, Chap. 16 (HB 69) designates flunitrazepam, also known as rohypnol, as a schedule IV A controlled substance. Anyone who violates this law in respect to flunitrazepam will be guilty of a Class C felony in the fourth degree. AK 1997 Alaska Sess. Laws, Chap. 105 (HB 163) designates gamma hydroxybutyrate (GHB) as a schedule IV A controlled substance. Anyone who violates this law in respect to gamma hydroxybutyrate will be guilty of a Class C felony in the fourth degree. FL 1997 Fla. Laws, Chap. 1 (HB 91) adds flunitrazepam, also known as rohypnol, to the list of schedule I controlled substances. Schedule I substances in Florida are the most strictly controlled. Schedule I drugs have a high potential for abuse and have no current accepted use in the United States. Anyone who knowingly sells, purchases, manufactures, delivers or brings into Florida 4 grams or more of flunitrazepam National Conference of State Legislatures 31 45 Substance Abuse commits a felony and is subject to sentencing and fines starting at $50,000. This bill also adds gamma hydroxybutyrate (GHB) to the list of schedule II drugs. A schedule II substance is easier to prescribe, but still has a high potential for abuse. GHB can cause an intense drowsiness, abrupt sedation and deep sleep. It has also been used in incidences of date rape. GA 1997 Ga. Laws, p. 40 (HB 111) states that anyone who purchases or possesses flunitrazepam, a schedule IV controlled substance, shall be charged with a felony and, upon conviction, shall be imprisoned for two to 15 years. Upon conviction for a second offense for purchasing or possessing flunitrazepam, the offender will be imprisoned for five to 30 years. Anyone who manufactures, delivers, distributes, sells, administers, possesses or dispenses flunitrazepam shall be guilty of a felony and, upon conviction, shall be imprisoned for five to 30 years. Upon conviction of a second or subsequent offense the individual shall be imprisoned for 10 to 40 years. IA 1997 Iowa Acts, Chap. 95 (SB 497) provides that unlawful possession or distribution of gamma hydroxybutyrate (GHB) is an aggravated misdemeanor. IA 1997 Iowa Acts, Chap. 78 (HB 449) prohibits sexual acts when one participant is prevented from consenting to sex because of a controlled substance. LA 1997 La. Acts, P.A. 1191 (SB 29) adds that anyone who abuses flunitrazepam shall be sentenced to hard labor for at least five years, but no more than 30 years, and pay a fine of not more than $50,000. Anyone who unknowingly or intentionally possesses flunitrazepam shall be sentenced to hard labor for no more than 10 years, and may be required to pay a fine of no more than $5,000. Adds that any person with the intention of committing a crime of violence against an individual by administering a controlled dangerous substance to someone who is unaware that the controlled substance has been administered to them, will be sentenced hard labor for at least five years, and not more than 40 years, and may be fined up to $100,000. ME 1997 Me. Laws, Chap. 487 (SB 603) adds flunitrazepam or its chemical equivalent to the list of schedule W drugs. If an individual knowingly traffics flunitrazepam, upon conviction they will be guilty of a Class B crime, imprisoned for up to 10 years and fined up to $20,000. A individual found guilty of unlawfully furnishing flunitrazepam, upon conviction will be guilty of a Class C crime imprisoned for up to five years and fined up to $5,000. A individual unlawfully possessing flunitrazepam upon conviction will be guilty of a Class D crime imprisoned for up to one year and fined up to $2,000. NV 1997 Nev. Stats., Chap. 256 (SB 131) increases the penalties for secretly administering "date rape" drugs to someone with the intent to commit a violent crime. Date rape drugs include, but are not limited to, flunitrazepam and gamma hydroxybutyrate. Those found guilty of such a crime are guilty of a Class B felony, which is punishable by imprisonment in the state prison for a minimum of one year and a maximum of 20 years. NJ 1997 N.J. Laws, Chap. 193 (SB 1772) adds ketamine hydrochloride (an animal tranquilizer that often is abused by people) to the list of schedule III controlled substances, making it a crime in the third degree punishable by three to five years in prison. NJ 1997 N.J. Laws, Chap. 194 (AB 2725) increases the penalties for sexual assault committed with the use of certain substances and criminalizes the sale and possession of "rape drugs." NY 1997 N.Y. Laws, Chap. 635 (SB 324) adds ketamine hydrochloride (an animal tranquilizer that often is abused by people) to the list of schedule III controlled substances. NC 1997 N.C. Sess. Laws, Chap. 501 (HB 1132) adds gamma hydroxybutric acid to the schedule IV list of controlled substances. Makes.it a criminal offense to possess, manufacture, sell, deliver, contaminate food or drink with any controlled substance that would render a person mentally incapacitated or physically helpless with the intent of committing a crime against that person. ND 1995 N.D. Sess. Laws, 123 (SB 2285) adds flunitrazepam to the list of depressants under the 1995 supplement to the North Dakota Century Code. This includes any material, compound, mixture or preparation that contains any quantity or substance having a depressant effect on the central nervous system. OH 1997 Ohio Laws, HB 32 increases criminal penalties for gross sexual imposition when the offender administers a controlled substance to a victim secretly or by force. Requires that the mandatory prison term for rape with the use of a controlled substance must be at least five years. PA 1997 Pa. Laws, Act 65 (HB 1125) adds penalties for administering drugs or other substances when involved in sexual assault crimes. When an individual impairs another's power to control their conduct, by administering 32 Adolescent Health Issues: State Actions 1997 46 Substance Abuse without their knowledge, drugs or other intoxicants they will be guilty of a third degree felony and imprisoned up to 10 years and fined up to $100,000. TN 1997 Tenn. Pub. Acts, Chap. 17 (HB 603) states that processing flunitrazepam is a Class C felony and may result in a fine up to $100,000. Possession of any other schedule IV controlled substances is a Class D felony and may result in a fine up to $50,000. VA 1997 Va. Acts, Chap. 595 (HB 1926) makes the drug flunitrazepam a schedule I controlled substance for the purposes of penalties of the Drug Control Act. Flunitrazepam, also known as rohypnol, has been used as a "date rape" drug. Enhances the penalties for knowingly manufacturing, selling, giving, distributing or possessing the drug flunitrazepam. Drinking and DrivingBlood Alcohol Content CO 1997 Colo. Sess. Laws, Chap. 174 (HB 1035) eliminates the current requirement that anyone under age 21 who is convicted of offenses relating to alcohol immediately surrenders her or his license to the court to begin revocation. Changes the current requirement and specifies that the period of revocation begins when the adolescent whose license is being revoked is given notice by the Department of Revenue. CO 1997 Colo. Sess. Laws, Chap. 256 (HB 1301) prohibits anyone under age 21 with a blood or breath alcohol content above .02 percent from driving a motor vehicle. Violation of this law will result in a Class A traffic violation subject to a $50 fine and four points on their driver's license. The Department of Revenue also will impose a revocation period, upon conviction, of three months for a first offense, six months for a second offense and one year for a third offense. Provides that people under age 21 who drive within the state have consented to a preliminary screening test of the alcohol on their breath. If they refuse the test the Department of Revenue can revoke their license for a period of one year. GA 1997 Ga. Laws, p. 760 (HB 681) strengthens Georgia's current DUI laws by establishing a graduated licensing system and requires anyone under age 18 to attend school in order to obtain and retain a driver's license. To receive an instruction permit or driver's license, anyone under age 18 must be enrolled in an approved educational program, possess a certificate of high school completion, or have permission of a parent or guardian to withdraw from school. A minor's license will be suspended if he or she has more than 10 consecutive unexcused absences or is suspended due to violence against school personnel or possession of weapons, drugs or alcohol on school property. This suspension will end on their 18th birthday. This law also states that anyone age 21 or younger convicted of a hit and run, driving recklessly, eluding a police officer or purchasing an alcoholic beverage may have his or her license revoked. If the driver has a blood alcohol content level of .08 percent or higher he or she will lose driving privileges for 12 months and must submit proof of completion of a DUI alcohol or drug-risk reduction program. HI 1997 Hawaii Sess. Laws, Act 102 (HB 116) prohibits anyone under age 21 with a measurable amount of alcohol in his or her system to drive, operate or assume control of any vehicle. This law defines the amount of alcohol to mean equal or greater than .02 percent but less than .08 grams of alcohol per 210 liters of breath. ID 1997 Idaho Sess. Laws, Chap. 101 (HB 5) makes it unlawful for any person under age 21 years of age who has an alcohol concentration of at least .02 percent to operate or be in actual physical control of a water vessel. Anyone found guilty of operating a water vessel with a blood alcohol content of .08 percent or above will be guilty of a misdemeanor and may be fined an amount not to exceed $1,000. They may also be imprisoned for a period not to exceed six months and will be required to attend and successfully complete a course in safe boating. ID 1997 Idaho Sess. Laws, Chap. 158 (SB 1081) makes it illegal for drivers under age 21 to have a blood alcohol content of more than .02 percent. ID 1997 Idaho Sess. Laws, Chap. 306 (SB 1073) makes it a misdemeanor for anyone over age 18 and under the influence of alcohol to transport a child in his or her vehicle. If a child is injured or killed it is a felony. LA 1997 La. Acts, P.A. 1296 (HB 520) makes the acceptable blood alcohol content .02 percent for drivers under age 21 of any motor vehicle, aircraft, watercraft or vessel. This law also provides the following penalties; for the first conviction the offender shall be fined not less than $100 and not more than $250, and imprisoned for not less than five days and not more than three months. For the second or subsequent convictions the offender shall be fined not less than $100 and not more than $500, and imprisoned for not less than 15 days, and not more than three months. This law allows community service activities to be included as part of sentencing. National Conference of State Legislatures 33 47 Substance Abuse MD 1997 Md. Laws, Chap. 451 (HB 505) requires the Motor Vehicle Administration to revoke or suspend the driving privileges of a child found by the juvenile court to have violated drug or drunk driving laws. MN 1997 Minn. Laws, Chap. 2 (SB 1) for the 1997 First Special Session provides that when anyone under age 19 is convicted of a second or subsequent DWI, the court must order the offender to participate in an electric alcohol monitoring program if equipment is available. MT 1997 Mont. Laws, Chap. 520 (HB 339) revises penalties for drivers under age 21 with a blood alcohol content higher then .02 percent. Upon the first conviction, the minor shall be punished by a fine of not less than $100 or more than $500. Upon a second conviction, the minor shall be punished by a fine of not less than $200 or more than $500. Drivers 18 years or older may be incarcerated for up to 10 days. Upon third conviction, the minor shall be punished by a fine of not less than $300 no more than $500. Drivers 18 or older, will be incarcerated for at least 24 consecutive hours and no more than 60 days. In addition, minors may be ordered to take a alcohol information course, enroll in a drug and alcohol treatment program, and also may have their license suspended. NV 1997 Nev. Stats., Chap. 226 (AB 176) suspends the driver's license of a child found guilty of criminal activity involving the purchase, consumption or possession of any alcoholic beverage. This law also requires the completion of an educational program on alcohol and substance abuse before he or she can be issued a driver's license. NV 1997 Nev. Stats., Chap. 605 (AB 584) provides for a 90-day license or permit suspension when anyone younger than 21 drives with .02 percent or more, but less than .10 percent of alcohol by weight in his or her blood. Requires a police officer to make an attempt to notify the parent, guardian, or custodian of the child when the child is directed to submit a alcohol test. NH 1997 N.H. Laws, Chap. 121 (HB 672) lowers the blood alcohol content from .04 percent to .02 percent for drivers under age 21 operating "off highway" recreational vehicles; this is effective January 1, 1998. NH 1997 N.H. Laws, Chap. 323 (HB 462) requires the Department of Safety to inform first-time New Hampshire driver's license applicants of the DWI laws. ND 1995 N.D. Sess. Laws, 334 (HB 1111) expands current law by making it illegal for anyone under 21 to operate a motor vehicle with an alcohol concentration of at least two one-hundredths (.02) of 1 percent by weight, commonly referred to as zero tolerance. PA 1997 Pa. Laws, SR 46 & HR 172 proclaims the week of May 11 through May 17, 1997, as "MADD Week" (Mothers Against Drunk Driving) in Pennsylvania. PA 1997 Pa. Laws, Act 49 (SB 55) prohibits anyone from operating or being in physical control of a watercraft while under the influence of alcohol or controlled substances. Makes it illegal for a minor to have a blood alcohol content of .02 percent or greater. TX 1997 Tex. Gen. Laws, Chap. 1013 (SB 35) amends the underage drinking consequences for minors by making it illegal for minors to drive while having any detectable amount of alcohol in their system. The first offense of the zero tolerance law is punishable by a fine up to $500, attendance at an alcohol awareness class, 20 hours to 40 hours of mandatory community service and 60 days' driver's license suspension. Consequences for the second offense are increased to a Class C misdemeanor, punishable by a fine up to $500, attendance at an alcohol awareness class at the judge's discretion, 40 hours to 60 hours of mandatory community service and 20 days' driver's license suspension. A third offense is not eligible for deferred adjudication. The minor's driver's license is suspended for 180 days and an occupational license may not be obtained for the entire suspension period. If the minor is 17 or older, the fine increases from $500 to $2,000, confinement in jail for up to 180 days, or both. Minors who purchase, attempt to purchase, possess or consume alcoholic beverages as well as minors who are publicly intoxicated or misrepresenting their age to obtain alcoholic beverages face the following consequences: Class C misdemeanor punishable by a fine up to $500; alcohol awareness class; eight hours to 40 hours of community service; and 30 days to 180 days' loss or denial of driver's license. If a minor is 17 or older and the violation is the third offense, the offense is punishable by a fine from $250 to $2,000, confinement in jail for up to 180 days, or both, as well as automatic driver's license suspension. Adults and minors who give alcohol to a minor or buy the alcohol for the minors also face a stiffer penalty. The punishment for making alcoholic beverages available to a minor has been increased from a Class C misdemeanor (fine of $0 to $500) to a Class B misdemeanor, punishable by a fine up to $2,000, confinement in jail for up to 180 days, or both. Sale to a minor is a Class A misdemeanor, punishable by a fine of up to $4,000, and confinement up to one year in jail, or both. 34 Adolescent Health Issues: State Actions 1997 48 Substance Abuse VT 1997 Vt. Acts, Act 57 (HB 7) increases the age and penalties for young people who drink and drive,or operate a boat or snowmobile. Anyone under age 21 who operates a motor vehicle with a blood alcohol concentration of .02 percent or more will be subject to a license suspension of six months for a first offense. For a second or subsequent offense, the minor's license will be suspended for one year, or until the minor reaches age 21, whichever is longer. Offenders must complete an alcohol and drug education program and an assessment for additional treatment. The minor being tested does not have a statutory right to counsel before to the administration to the test. Penalties AR 1997 Ark. Acts, Act 1210 (HB 2059) increases from $10 to $100 the minimum fine for a minor who purchases or possesses intoxicating liquor. GA 1997 Ga. Laws, p. 160 (HB 250) makes it illegal for anyone under age 21 to attempt to purchase alcohol. Any retailer who is given a false driver's license, a license that is not the purchaser's, or if the person is under age 21, the retailer is authorized to take the following steps: write down the minor's name and address, seize the license and summon a law enforcement officer to retain the individual. In addition, the driver's license of anyone convicted will be suspended for six months and, upon the second conviction, it will be seized for one year. ID 1997 Idaho Sess. Laws, Chap. 306 (SB 1073) makes it a misdemeanor for anyone over age 18 and under the influence of alcohol to transport a child in his or her vehicle. If a child is injured or killed, it is a felony. MD 1997 Md. Laws, Chap. 451 (HB 505) requires the Motor Vehicle Administration to revoke or suspend the driving privileges of a child found by the juvenile court to have violated drug or drunk driving laws. NV 1997 Nev. Stats., Chap. 226 (AB 176) suspends the driver's license of a child found guilty of criminal activity involving the purchase, consumption or possession of an alcoholic beverage. This law also requires a child to complete an educational program on the abuse of controlled substances and alcoholic beverages before a driver's license is issued. TN 1997 Tenn. Pub. Acts, Chap. 5 (SB 1822) provides that anyone purchasing alcoholic beverages for or on behalf of a person under age 21 commits a Class A misdemeanor punishable by up to 30 days of community service in addition to the penalties in the alcohol code. This law also increases the penalty for a minor who purchases or attempts to purchase alcohol with a fine of at least $50 and up to $250, at least 20 hours of community service, or both. Prevention CA 1997 Cal. Stats., ACR 55 encourages parents, school teachers, administrators, law enforcement agencies and community leaders to continue their efforts to provide sober graduation activities to a maximum number of high school graduates, their friends and school associates. CA 1997 Cal. Stats., Chap. 90 (SB 572) prohibits the sale or consumption of alcoholic beverages in a public school house or on its grounds. Exceptions apply to college stadiums that have a capacity ofmore than 18,900 people. CA 1997 Cal. Stats., Chap. 357 (SB 805) prohibits the sale and purchase of alcoholic beverages to anyone under age 21. Imposes a fine of $1,000 and 24 hours of community service for selling alcoholic beverages to a minor. All retail licensees are to post a notice that contains and describes the penalties and fines for the sale of alcoholic beverages to those under age 21. CT 1997 Conn. Acts, P.A. 201 (HB 6778) suspends the driver's licenses of those under age 21 for 150 days for the use of a false or altered identification card for the purpose of obtaining alcoholic beverages. Those convicted who have no driver's license will not be eligible to drive until 150 days after they have obtaineda driver's license. CT 1997 Conn. Acts, P.A. 248 (SB 1259) establishes the Connecticut Alcohol and Drug Policy Council for the purpose of substance abuse education and treatment programs. Authorizes the chief court administrator to establish a separate drug docket in all geographic areas, to include both criminal and juvenile cases who are drug dependent. People who are eligible for accelerated rehabilitation or youthful offender status can be transferred to a drug court. National Conference of State Legislatures 35 49 Substance Abuse FL 1997 Fla. Laws, Chap. 165 (HB 1529) prohibits the sale of alcohol in businesses licensed to sell alcoholic beverages for consumption when renting, leasing or allowing others to use their premises. This prohibition is intended to eliminate opportunities for licensed premises to be used for "raves," which are private parties where underage people congregate and often consume alcoholic beverages, smoke tobacco products and partake in illicit drug use. FL 1997 Fla. Laws, Chap. 213 (HB 725) transfers $10 million annually to the Children and Adolescents Substance Abuse Trust Fund for the purpose of funding programs to reduce and eliminate substance abuse problems among children and adolescents. HI 1997 Hawaii Sess. Laws, HR 32 alters the content of required health classes in secondary schools due to the findings from the 1996 First Adolescent Health Summit. The summit found that most adolescents lack personal and life skills to be prepared for the 21st century. Preventive health issues need to be taught in Hawaii's curriculum, and health education should be culturally sensitive in the curriculum, and to the health needs of the students. In providing a healthier future for adolescents, the state should focus on the prevention of negative influences of teen pregnancies, stress management, STDs and HIV, physical and mental abuse, drug abuse and individual priorities as determined by the schools. IL 1997 III. Laws, P.A. 90 - 238 (HB 1294) establishes the Adolescent and Family Life Pilot Program designed for high-risk pregnant adolescents. Currently, this pilot program is established only for Cook County. This law includes goals and objectives for reducing the incidence of high-risk pregnant adolescents. Defines a high-risk pregnant adolescent as someone at least 12 but not more than 18 years old who uses alcohol to excess, is addicted to controlled substances, or habitually uses cannabis and is pregnant. IA 1997 Iowa Acts, Chap. 126 (SB 515) amends the definition of "legal age" under the Alcoholic Beverage Control Act from 19 to 21 years of age. If underage people make an attempt to purchase or possesses alcohol, they are guilty of a misdemeanor, punishable by a fine of $100. A second offense is a serious misdemeanor, punishable by a $200 fine and suspension of the offender's driving privileges for a period not to exceed one year. Peace officers are required to notify school officials of the school that a minor attends, if the peace officer discovers that a minor is in the possession of alcohol. The fine for alteration of a driver's license or nonoperator's identification card for purposes of illegally purchasing alcohol is raised to $100. School officials are to report illegal drug or alcohol use on school premises to law enforcement. There is an exception if the reporting will jeopardize an at-risk student or a student assistance program. MS 1997 Miss. Laws, Chap. 926 (SB 3241) allows the city of Tupelo, Miss., and the board of supervisors of Lee County, Miss. to levy additional court costs not to $1 per case. The funds derived shall be paid to the National Council on Alcoholism and Drug Dependence of Northeast Mississippi Inc. The money will be used as operational funds to provide youth service programs for area adolescents and teens. MT 1997 Mont. Laws, Chap. 182 (HB 577) amends the law to make it illegal for anyone under age 21 to be intoxicated. Deletes the previous provision that anyone under 21 need not be consuming or in possession of an intoxicating substance at the time of arrest in order to be charged with possession of an intoxicating substance. PA 1997 PA. Laws, Act 53 (HB 679) authorizes parents and legal guardians of a minor to petition the court for commitment of the minor to involuntary drug or alcohol treatment services. PA 1997 PA. Laws, HR 52 proclaims that the Kids Interacting Drug-free Coalition and the Teen Anti-drug Coalition add dynamic youth empowerment models against alcohol, tobacco and other drugs. Encourages schools and school districts in the state to enter into planning and commitment stages to implement these models within the respective schools and school districts. PA 1997 Pa. Laws, Act 248 (SB 1259) requires the docket in geographical area courts to be available for 16-to-21 year olds who could benefit from placement in a substance abuse treatment program. TX 1997 Tex. Gen. Laws, SCR 54 makes April 1997 "Youth Alcohol Awareness Month." TX 1997 Tex. Gen. Laws, Chap. 1139 (HB 3441) states that minors do not commit an offense if they purchase an alcoholic beverage under the immediate supervision of a commissioned peace officer engaged in enforcing the provisions of this code. VA 1997 Va. Acts, HJR 613 requests the Department of Criminal Justice Services to undertake a study to review previous survey efforts measuring drug and alcohol use by young people across the Commonwealth. WA 1997 Wash. Laws, Chap. 23 (SB 5132) provides that school bus route stops are drug-free zones. 36 Adolescent Health Issues: State Actions 1997 50 Substance Abuse Retail CA 1997 Cal. Stats., Chap. 357 (SB 805) prohibits the sale and purchase of alcoholic beverages to any person under age 21. Imposes a fine of $1,000 and 24 hours of community service for selling alcoholic beverages to a minor. All retail licensees are to post a notice that contains and describes the penalties and fines for the sale of alcoholic beverages to those under age 21. CO 1997 Colo. Sess. Laws, Chap. 264 (HB 1077) amends the current law and adds that anyone providing alcoholic beverages to a minor or encouraging a minor to obtain alcoholic beverages may be prosecutefor contributing to the delinquency of a minor. GA 1997 Ga. Laws, p. 160 (HB 250) makes it illegal for anyone under age 21 to attempt to purchase alcohol. Any retailer who is given a false driver's license, a license that is not the purchaser's, or if the person is under age 21, the retailer is authorized to take the following steps: write down the minor's name and address, seize the license and summon a law enforcement officer to retain the individual. In addition, the driver's license of anyone convicted will be suspended for six months and, upon the second conviction, it will be seized for one year. ID 1997 Idaho Sess. Laws, Chap. 68 (SB 1029) adds that an individual who provides beer for anyone under age 21 shall be punished. Anyone under age 21 who purchases or attempts to purchase, consume or possess beer also will be punished. IL 1997 III. Laws, P.A. 90-355 (HB 155) amends the law to indicate that a licensee, officer, associate, member, representative, agent or employee cannot give or deliver alcohol to anyone under age 21 and are not allowed to authorize the sale, gift or delivery of alcohol to anyone under age 21. IL 1997 III. Laws, P.A. 90-432 (HB 679) provides that, if a licensee or officer, associate, member, representative, agent or employee of the licensee will be prosecuted for providing liquor for a person under age 21, minors also will be prosecuted under this law unless they were acting under the authority of the law. IN 1997 Ind. Acts, P. L. 77 (SB 179) provides that the alcoholic beverage commission will not issue a permit for premises to sell alcohol located within 200 feet of a wall of a school or church. There is an exception for one county under very specific circumstances. MO 1997 Mo. Laws, HB 63 provides that, in any place of business where at least half of the gross sales consist of products other than intoxicating liquor and nonintoxicating beer, individuals at least 18 years of age may stock, arrange displays, operate the cash register or scanner connected to a cash register, accept payment for and sack for carryout intoxicating liquor and nonintoxicating beer. Any licensee who employs anyone under age 21, shall have an employee 21 years of age or older on the licensed premises during all hours of operation. OK 1997 Okla. Sess. Laws, Chap. 364 (HB 1118) requires that a licensee or wholesale licensee of the Alcoholic Beverage Laws Enforcement (ABLE) Commission cannot employ anyone under age 18 to serve alcoholic beverages. A special event licensee, mixed beverage caterer and a beer and wine caterer may employ musical bands who have musicians under 21 years old. This law also requires that each musician is to be accompanied by a parent or legal guardian and be available for inspection on demand by any ABLE Commission officer. They must also provide a notarized affidavit from the parent or legal guardian giving the underage musician permission to perform at the designated bar or lounge area. TX 1997 Tex. Gen. Laws, Chap. 1138 (HB 3440) broadens the circumstances under which a retailer's license may be suspended by substituting the phrase "alcoholic beverage" for the word "beer" in the current law. Currently, a retailer's license may be suspended if it is found that the retailer sold, served or delivered beer to a minor; sold, served or delivered beer to an intoxicated person; or sold, served or delivered beer at a time when sales are prohibited. UT 1997 Utah Laws, Chap. 40 (HB 204) current law states that minors may not be employed by a restaurant to sell or dispense alcoholic beverages. This law allows a minor to enter the sale of alcoholic beverages into a cash register or other sales recording devices in a licensed restaurant. UT 1997 Utah Laws, Chap. 94 (SB 112) expands liability under the Dramshop Act to those in a noncommercial setting who are 21 years of age or older who provide an alcoholic beverage to anyone the individual knows, or should have known, is under age 21, which results in the intoxication and subsequent injury or death of a third party. This bill also changes the liability limit from $100,000 to $500,000 and from $300,000 to $1 million for all those injured as a result of the occurrence. National Conference of State Legislatures 37 51 Substance Abuse VA 1997 Va. Acts, Chap. 487 (HB 2130) establishes that no retail licensee whose licensed establishment is located in the Northern Virginia Planning District shall permit any employee under age 18 to sell, serve or dispense any alcoholic beverages. Currently, the sale of alcoholic beverages by those under age 18 is prohibited only for on-premises consumption; hardship exceptions are provided. This bill also requires the Alcoholic Beverage Control Board to study this issue. VA 1997 Va. Acts, Chap. 784 (SB 862) provides an exception to the prohibition against drinking on school grounds for approved areas of a city-owned performing arts center located in Portsmouth, provided the organization operating the center has a license granted by the board. Other Misused Substances AZ 1997 Ariz. Sess. Laws, Chap. 209 (HB 2076) eliminates the luxury tax on marijuana and other drugs. Prohibits the court from reducing the Class 4 felony of possessing amphetamine for personal use to a Class 1 misdemeanor. If a defendant manufactures dangerous drugs in a drug-free school zone, the sentencing ranges are increased by one year and the defendant must serve the entire sentence imposed, with temporary release permitted only in a narrow set of circumstances. Eliminates the reward for information leading to seizure of money in drug arrests. AR 1997 Ark. Acts, Act 355 (HB 1445) prohibits anyone from possessing nitrous oxide or amyl nitrate, commonly known as "laughing gas" or "poppers," with the intent to breathe, inhale or ingest it for the purpose of causing a condition of intoxication, elation, euphoria or dizziness. Anyone violating this shall be guilty of a Class A misdemeanor. The provisions of this act do not apply to medical, manufacturing, industrial or food preparation uses. AR 1997 Ark. Acts, Act 565 (SB 358) makes it a Class D felony to possess more than 5 grams of ephedrine, its salts, optical isomers and salts of optical isomers, unless otherwise authorized by law. IN 1997 Ind. Acts, P. L. 218 (SB 500) provides that anyone who knowingly or intentionally uses or distributes nitrous oxide (unless used for medical purposes) with an intent to cause a condition of intoxication, euphoria, excitement, exhilaration, stupefaction or dulling of the senses of another person commits a Class B misdemeanor. If the person has a prior unrelated conviction, it is a Class A misdemeanor. IA 1997 Iowa Acts, Chap. 39 (SB 457) make unlawful possession and distribution of nitrous oxide a serious misdemeanor. IA 1997 Iowa Acts, Chap. 77 (HB 384) adds ephedrine to the list of schedule V controlled substances. IA 1997 Iowa Acts, Chap. 125 (SB 503) provides for an additional five-year penalty if a methamphetamine is manufactured in the presence of a minor. LA 1997 La. Acts, P.A. 659 (SB 54) amends the current law relative to offenses affecting the health of minors and adds as a crime the abuse of toxic vapors. This is defined as smelling or inhaling fumes of any solvent, material, substance, chemical or combinations of chemicals to create the property of toxic vapors for the purpose of inducing certain symptoms. MD 1997 Md. Laws, Chap. 504 (HB 971) provides that there are between 1.5 million to 2.5 million children in the United States under age 18 who have attention deficit hyperactivity disorder (ADHD). There has been a dramatic increase in the number of school-age children taking methylphenidate. Establishes a task force to study the uses of methylphenidate for attention deficit hyperactivity disorder (ADHD) and to study other drugs prescribed to school children for treatment of ADHD. The task force must submit a report of its findings and recommendations to the governor and the General Assembly before January 1, 1998. MT 1997 Mont. Laws, Chap. 103 (SB 8) adds ephedrine to the list of stimulants under schedule IV drugs. PA 1997 Pa. Laws, Act 8 (HB 152) makes it a summary offense for anyone to knowingly sell or purchase ephedrine with the intent to sell it to someone younger than 18. A person violating this act may be sentenced to pay between $250 and $500 for the first violation and $500 for each subsequent violation. PA 1997 Pa. Laws, SR 25 resolves that the Senate is to urge retailers to be aware of the dangers of butane and similar products and limits their availability to young people. Nationally, 18 percent of high school seniors, 6 percent of eighth graders and 3.5 percent of sixth graders have intentionally inhaled or "huffed" fumes of common household products for the purpose of "getting high." Risks of inhalant abuse include permanent and severe brain 38 Adolescent Health Issues: State Actions 1997 52 Substance Abuse and liver damage, kidney and bone marrow damage. The Pennsylvania Senate recognizes this problem and resolves that March 16 - 23, 1997, will be designated as "Butane and Inhalants Awareness Week." Daniela Aparicio, Wood Middle School, Oregon National Conference of State Legislatures 39 53 TATTOOING/BODY 1E CONG CA 1997 Cal. Stats., Chap. 741 (AB 99) prohibits performing body piercing, other than on the ear of a minor, unless a parent is present and provides notarized permission. Violators could be fined up to $250. CA 1997 Cal. Stats., Chap. 742 (AB 186) directs the California Conference of Local Health Officers to establish standards for those in a tattooing, body piercing and permanent cosmetics business. Requires practitioners to make annual inspections. CA 1997 Cal. Stats., Chap. 907 (SB 526) provides that the Department of Youth Authority will purchase two medical devices that use a laser to remove a tattoo from a person's skin. A candidate that is eligible for tattoo removal may be required to complete 20 hours of supervised public service work in order to participate in this program. Parental consent is required before the tattoo of any person under age 18 is removed. By March 1, 2000, the Department of Youth Authority will report to the Legislature the number of tattoo removals performed and the success of the program in assisting individuals to join the work force. IN 1997 Ind. Acts, P. L. 181 (SB 13) provides that anyone who gives a tattoo to someone who is younger than 18 commits a Class A misdemeanor unless the parent or guardian of the minor receiving the tattoo is present and gives written permission for the minor to receive the tattoo. LA 1997 La. Acts, P.A. 684 (SB 940) states that it is unlawful for anyone to tattoo or body pierce any other person under age 18 without the consent of an accompanying parent or tutor of such person. Whoever is found guilty of violating the provisions of this section will be fined not less than $100 dollars and not more than $500, or be imprisoned for at least 30 days but not more than one year, or both. OH 1997 Ohio Laws, HB 25 requires businesses that offer tattooing or body piercing services to perform procedures according to standards approved by the State Board of Health. Prohibits anyone from performing tattooing or body piercing procedures on a minor without the consent of the minor's parent, guardian or custodian. OR 1997 Or. Laws, Chap. 690 (HB 5052) establishes fees for activities such as licensure and sanitation for individuals involved in the body piercing business. 40 Adolescent Health Issues: State Actions 1997 54 TOBACCO AL 1997 Ala. Acts, Act 423 (SB 300) establishes the Alabama Alcoholic Beverage Control Board as the state agency responsible for regulating and enforcing state and federal laws prohibiting the sale of tobacco or tobacco products to minors (under age 19) and allows the board to provide penalties for violations. Minors who are found using or possessing tobacco are to be issued a citation and fined between $10 and $50. AL 1997 Ala. Acts, Act 933 (SB 35) of the 1997 First Special Session appropriates $350,000 toward the regulation of children's access to tobacco. AZ 1997 Ariz. Sess. Laws, Chap. 156 (HB 2070) prohibits selling any material that is "harmful to minors" from vending machines in public places. Those found in violation will be charged with a Class 6 felony (presumptive one-year sentence). Requires customers to use access or identification cards or to use tokens to obtain the material. AR 1997 Ark. Acts, Act 779 (HB 1912) prohibits the use of tobacco products on school property, including school buses and any property owned or leased by a school district. A school district's board of directors may designate a smoking area to be used only by teachers, school personnel and visiting adults. Anyone in violation of this will be guilty of a misdemeanor and be punished by a fine of not less than $10 and not more than $100. CA 1997 Cal. Stats., ACR 4 concurs with the Federal Trade Commission to seek an order that would require R.J. Reynolds Tobacco Company to conduct 10 years of anti-smoking education for teenagers. Requires R.J. Reynolds to supply data regarding the brand of cigarettes used by teenagers and opposes the marketing or promotion of tobacco products to minors. CA 1997 Cal. Stats., Chap. 110 (SB 198) states that anyone who knowingly sells or gives an individual who is under age 18 any tobacco, cigarette or any other paraphernalia associated with tobacco is subject to criminal action. Individuals violating this law are subject to a fine of $200 for the first offense, $500 for the second offense and $1,000 for the third offense. CA 1997 Cal. Stats., Chap. 219 (AB 752) prohibits any person, firm, corporation or other organization from advertising tobacco products on an outdoor billboard located within 1,500 feet of any public or private elementary school or junior or senior high school. CO 1997 Colo. Sess. Laws, Chap. 161 (HB 1088) restricts the location of cigarette vending machines so that an adult employee can operate a device, preventing the dispensing of cigarettes to minors. FL 1997 Fla. Laws, Chap. 162 (HB 845) makes it illegal for anyone under age 18 to possess, purchase or misrepresent their age to acquire tobacco products. Tobacco products must be in the direct control of the cashier. Tobacco products may be in a vending machine if it is equipped with an operational device. This law mandates that anyone under age 18 who violates this law will have 16 hours of community service and/or a fine of $25 and/or attend a school-approved anti-tobacco program. Penalties and violations will increase for repeat offenders. HI 1997 Hawaii Sess. Laws, Act 296 (SB 1286) exempts individuals under age 18 from participating in a controlled purchase without parental authorization as part of a new law enforcement activity study. ID 1997 Idaho Sess. Laws, Chap. 168 (HB 368) appropriates funding for the substance abuse program to discourage Hispanic youth from habitual use of tobacco, alcohol and other drugs by developing programs for schools, families and communities. ID 1997 Idaho Sess. Laws, Chap. 278 (HB 185) makes it illegal for anyone to distribute or sell tobacco products to individuals under age 18; for individuals under age 18 to purchase, attempt to purchase, receive or attempt to receive, or possess a tobacco product or cigarette paper; for a minor to use or consume tobacco products; for anyone to falsely represent that a minor is 18 or older to sell or distribute tobacco products to a minor; and to place a vending machine containing tobacco or cigarette products or cigarette paper where they are accessible to minors. A violation of this provision is considered a misdemeanor and is punishable by jail time or a fine. National Conference of State Legislatures 41 -55 Tobacco IL 1997 III. Laws, P.A. 90-9 (SB 1101) amends the Liquor Control Act of 1934 to authorize the state commission to conduct unannounced investigations of tobacco vendors to determine compliance with federal laws 'regarding the illegal sale of cigarettes and smokeless tobacco to those under age 18. IN 1997 Ind. Acts, P. L. 256-1996 veto overridden (SB 106) regulates the sale of tobacco to comply with federal law. Allows a law enforcement agency to engage a person younger than 18 to purchase tobacco products as part of an enforcement action. Provides that anyone younger than 18 who possesses tobacco commits a Class C infraction. Prohibits a tobacco business from being operated and billboards advertising tobacco from being located within 200 feet of a public or private elementary or secondary school. IA 1997 Iowa Acts, Chap. 74 (SB 499) requires that drivers license's issued to those 18 to 21 years of age to have the words "under 18" displayed on the face of the license. This law also changes the penalty for smoking, using, possessing, purchasing or attempting to purchase tobacco and tobacco products by those younger than 18. Fines range from $25 to $100. IA 1997 Iowa Acts, Chap. 136 (SB 163) prohibits the sale of cigarettes or tobacco products through vending machines unless the vending machine is located in a place where the retailer ensures that a anyone younger than 18 is not present or permitted to enter at any time. LA 1997 La. Acts, P.A. 1010 (HB 76) amends current law relating to tobacco products and makes it illegal for minors to possess tobacco products. Exempts minors possessing tobacco when the minor under age 18 is accompanied by a parent, spouse or legal guardian who is 21 years or older; when a minor is in a private residence; when the tobacco product is received from an employer when it is required in the performance of the minor's work duties. LA 1997 La. Acts, P.A. 1370 (SB 1547) amends the existing "Prevention of Youth Access to Tobacco Law" so that those under age 18 shall either carry their own identification showing correct birth date or carry no identification. Anyone who carries identification shall show it on request to any seller of tobacco products. Prohibits the sale of tobacco products from vending machines unless the machine is located in an establishment where those under age 18 are denied access, or the owner of the establishment ensures that those under age 18 will not be present. The sale of tobacco products to anyone under age 18 by anyone in the tobacco industry is prohibited. Violators are eligible for suspension from the industry. ME 1997 Me. Laws, Chap. 305 (SB 133) forbids the sale of tobacco products to anyone who does not provide appropriate proof that he or she is at least 18 years of age. ME 1997 Me. Laws, Chap. 560 (HB 1357) establishes the Tobacco Prevention and Control Program to prevent youth from using tobacco and/or discontinue use by including a media campaign to educate minors. MN 1997 Minn. Laws, Chap. 227 (HB 117) requires local governments to license the retail sale of tobacco providing for mandatory penalties against license holders for sales to minors. Anyone person under age 18 using a driver's license, permit or Minnesota identification card to purchase or attempt to purchase tobacco will have his or her license suspended for 90 days. For a second or subsequent tobacco offense, the court may impose any of the following: revocation of the minor's driver's license or permit until the offender reaches age 18 or for a period of one year, whichever is longer. The court may suspend the driver's license or permit for up to 90 days, but may allow restricted driving privileges. If the minor does not have a driver's license or permit, the offender will not be granted driving privileges until he or she reaches age 18 or for a period of one year, whichever is longer. If a licensee or employee of a licensee sells tobacco to anyone under age 18, they will be charged a penalty. For a third violation at the same location within 24 months after the initial violation, the licensee's authority to sell tobacco will be suspended. MS 1997 Miss. Laws, Chap. 575 (HB 1389) creates the Mississippi Juvenile Tobacco Access and Prevention Act of 1997. Prohibits the sale or transfer of tobacco products to anyone under age 18. Makes it illegal for any person, retailer or wholesaler to sell, barter, deliver or give tobacco products to anyone under age 18. Prohibits anyone under age 18 from purchasing, possessing and consuming tobacco. Prohibits students from possessing tobacco on school property. Requires tobacco retailers to post warning signs that state the law prohibiting the sale of tobacco products to anyone under age 18. Provides penalties for those under 18 who attempt to misrepresent their age. Prohibits the sale of tobacco products through vending machines, except in businesses where people over age 18 are permitted. MT 1997 Mont. Laws, Chap. 518 (HB 331) amends the Youth Access to Tobacco Products Control Act and restricts the sale of tobacco through vending machines in a restaurant. Requires that tobacco vending machines must be located in places where alcoholic beverages are sold and consumed on the premises and where the vending machine is under the direct line of supervision of the owner or an employee of the establishment. 42 Adolescent Health Issues: State Actions 1997 Tobacco MT 1997 Mont. Laws, Chap. 550 (SB 48) revises statutes pertaining to the Youth Court Act. Allows assessment officers to provide initial intake and evaluation of youth who appear to be in need of intervention. Includes the use of tobacco products, gambling, running away from home or habitual truancy by minors. Allows for family assessment, chemical dependency and mental health evaluation. NH 1997 N.H. Laws, Chap. 338 (HB 599) adds to the "Youth Access to and Use of Tobacco Products," which regulates the sale of tobacco products to minors. This law is intended to protect the children of New Hampshire from the possibility of addiction, disability and death resulting from the use of tobacco products by ensuring that tobacco products will not be supplied to minors. Prohibits anyone under age 18 from purchasing, attempting to purchase, possessing or using tobacco products. Prohibits minors from misrepresenting their age for the purpose of buying tobacco. Includes penalties and fines for anyone who violates these provisions. Prohibits anyone from using tobacco products in any public school facility or on the grounds of any public educational facility. Prohibits anyone from furnishing minors, who have a note from an adult, with tobacco products. NY 1997 N.Y. Laws, Chap. 433 (SB 5773) provides funding for tobacco enforcement, education and related activities aimed at decreasing the incidence of smoking among minors. States that the commissioner shall develop, plan and implement a comprehensive program to reduce the prevalence of tobacco use, particularly among those younger than age 18. NC 1997 N.C. Sess. Laws, Chap. 434 (SB 143) prohibits the sale to or purchase of tobacco products by anyone under age 18. Requires retail distributors to prominently display a sign near the point of sale stating that it is illegal for anyone under age 18 to purchase tobacco products. Failure to post the sign is punishable by a $25 fine for the first offense and $75 for each succeeding offense. Requires the owner, licensee or employee to demand proof of age from anyone believed to be under age 18 when purchasing tobacco through a vending machine. OK 1997 Okla. Sess. Laws, Chap. 171 (SB 619) amends current law regulating the sale of tobacco products to individuals under age 18. Requires anyone selling or distributing tobacco products to demand proof of age from a purchaser if the purchaser is younger than 26. The fine for the first offense is a minimum of $25 to a maximum of $100. Increases the fine to $300 for subsequent offenses and can include the suspension of a store's license to sell tobacco products. Both the store owner and the employee can be held liable. PA 1997 PA. Laws, HR 52 proclaims that the Kids Interacting Drug-free Coalition and the Teen Anti-drug Coalition add dynamic youth empowerment models against alcohol, tobacco and other drugs. Encourages schools and school districts in the state to enter into planning and commitment stages to implement these models within their respective schools and school districts. PA 1997 Pa. Laws, Act 7 (HB 134) adds that, beginning January 1, 1997, an additional 1 cent tax per cigarette pack of the currently collected 2 cents tax per pack be allocated to the Children's Health Insurance Program (CHIP) for health care for indigent children. SD 1997 S.D. Sess. Laws, Chap. 206 (HB 1182) amends current law by revising the places where vending machines may be located that dispense tobacco products. TX 1997 Tex. Gen. Laws, Chap. 671 (SB 55) makes it illegal if anyone sells, gives or causes a cigarette or tobacco product to be sold to someone who the person knows is under age 18 or knows that the person receiving the cigarette or other tobacco product intends to deliver it to someone who is younger than age 18. A retailer may not install or maintain a vending machine containing cigarettes or tobacco products except in a facility or business that is not open to those younger than 18. Anyone younger than 18 may not use or possess a cigarette or tobacco product. Violators of this prohibition must attend a tobacco education program set up by the Texas Department of Health. The department also shall develop and implement a public awareness campaign in Texas designed to reduce tobacco use by minors. The department also will maintain statistics relating to violations to ascertain the extent to which the state has succeeded in reducing the availability of tobacco products to minors. UT 1997 Utah Laws, Chap. 279 (HB 27) increases the tax levied on cigarettes by 25 cents per pack and requires the Legislature to appropriate $250,000 from the revenue generated to a tobacco prevention and media campaign targeting children. National Conference of State Legislatures 57 43 Tobacco VT 1997 Vt. Acts, Act 58 (SB 156) prohibits the sale and furnishing of tobacco products to anyone under age 18. A violation may result in a civil penalty of $100 for the first offense and $500 for any subsequent offenses. Beginning August 28, 1997, vending machines that dispense tobacco products are prohibited, except for vending machines located in commercial establishments in which those under age 18 are legally prohibited from entering. Prohibits anyone under age 18 from possessing tobacco products. A violation may result in confiscation of the tobacco product or a penalty of $25 or both. Failure to pay the fine within 60 days may result in suspension of a driver's license for up to 90 days or, in the case of a minor who has not yet acquired a driver's license, delay for up to one year the minor's eligibility for a driver's license. VA 1997 Va. Acts, Chap. 812 (SB 1162) increases the civil penalty for the sale of tobacco to $100 for a first violation, $200 for a second violation and $500 for a third or subsequent violations. Clarifies the tobacco enforcement laws by allowing special agents of the Virginia Alcohol Beverage Board to enforce the prohibition against the sale of tobacco to minors. The penalty is $50 for a first offense by a minor, $100 for a second offense, and a third offense results in an order pursuant to a finding of delinquency. VA 1997 Va. Acts, Chap. 882 (HB 2530) amends tobacco enforcement laws by doubling the amount of civil penalties for anyone violating the law that prohibits the purchase or possession of tobacco products by minors. The first violation provides a $100 penalty, $200 for a second violation and $500 for a third or subsequent violations. The Alcoholic Beverage Commission (ABC) special agents are clearly authorized to enforce the prohibition against the sale of tobacco to minors. Requires the ABC board to report to the governor and the General Assembly in December 1997 and 1998 to state the additional fiscal and manpower needs to comply with this section. WA 1997 Wash. Laws, Chap. 9 (HB 1081) requires each school district board of directors to have a written policy mandating the prohibition of tobacco products on public school property. Students and school personnel must be notified by the posting of signs prohibiting the use of tobacco products. Students and school personnel who violate the policy will be subject to sanctions. Jason Bulva, Hazelwood Central High School, Missouri 44 Adolescent Health Issues: State Actions 1997 53 VIOLENCE PREVENTION AL 1997 Ala. Acts, Act 486 (SB 476) prohibits solicitation by computer of a child (anyone younger than 16) for purposes of committing a sexual act. Solicitation of a child by computer is a Class B felony. Makes it a crime to transmit obscene material to a child by computer. AK 1997 Alaska Sess. Laws, Chap. 72 (SB 3) authorizes enforcement of municipal curfew violation ordinances by trial in the district court. Sets punishment to a maximum fine of $250 and community service, if convicted. AR 1997 Ark. Acts, Act 332 (HB 1263) allows the names and photographs of juveniles to be released when a juvenile escapes from a detention, correctional or mental health facility. AR 1997 Ark. Acts, Act 745 (HB 1595) reestablishes the Common Ground Program and establishes the Common Ground Program Committee. This organization will continue to serve as a bridge connecting and assisting government, communities and citizens to build a more responsive human educational and economic system where youth and families can thrive. AR 1997 Ark. Acts, Act 1243 (HB 1732) requires school officials to report felonies or other crimes involving violence committed on school property. The superintendent or designee shall report the incident to the appropriate law enforcement agency for investigation. Anyone who fails to report as required by this act shall be guilty of a Class C misdemeanor. The state board of education, rather than the school district, must issue rules and regulations to ensure uniform compliance. CA 1997 Cal. Stats., Chap. 340 (SB 1095) creates the High-Risk Youth Education and Safety Program to target offenders aged 15 and younger who are at risk of becoming chronic offenders. The 1997-98 budget includes $3.6 million for services, including case management, mentoring, after school programs, parenting education, school-linked substance abuse treatment, career services, and services that assist with making the transition to higher education. CA 1997 Cal. Stats., Chap. 586 (SB 1302) requires employers to notify a minor's parent or guardian if the minor will be supervised or disciplined by an employee or volunteer who has been convicted of any sex crime or controlled-substance offense. The notification must be made at least 10 days before to the employee or volunteer begins his or her tasks. CA 1997 Cal. Stats., Chap. 588 (AB 1610) prohibits public and private schools from employing any individual until a criminal background check has been completed by the state Department of Justice. Requires the Department of Justice to complete background checks within 72 hours. CA 1997 Cal. Stats., Chap. 589 (AB 1612) prohibits schools from hiring or retaining anyone who has been convicted of a serious or violent felony. Provides funds to the state Department of Justice to implement a statewide electronic fingerprinting system to speed up pre-employment criminal background checks for school employees. CA 1997 Cal. Stats., Chap. 736 (SB 187) requires school districts to be responsible for the overall development of safety plans for their schools. These plans must include an assessment of school-based crimes and strategies for improving school safety. CA 1997 Cal. Stats., Chap. 885 (AB 963) requires the Department of Justice to administer the California Gang Crime Violence Prevention Partnership Program. CA 1997 Cal. Stats., Chap. 904 (AB 1223) authorizes local governments to conduct background checks on applicants for employment or volunteer positions who will have supervisory or disciplinary authority over a minor. CA 1997 Cal. Stats., Chap. 909 (SB 1050) authorizes counties to establish an early intervention program designed to assess and serve families with children who have chronic behavioral problems. The purpose of the program is to reduce out-of-home placement and to provide swift responses to behavioral problems. National Conference of State Legislatures 45 5 9 Violence Prevention CO 1997 Colo. Sess. Laws, Chap. 263 (HB 1125) requires that minors who deface public or private property without the consent of the owner will have their driver's licenses revoked. If they are under age 16, the minor's license will be revoked starting at their 16th birthday for the court-ordered time period. GA 1997 Ga. Laws, p. 760 (HB 681) strengthens Georgia's current DUI laws by establishing a graduated licensing system and requiring anyone under 18 to attend school to obtain and retain a driver's license. To receive an instruction permit or driver's license, anyone under age 18 must be enrolled in an approved educational program, posses a certificate of high school completion, or have permission of a parent or guardian to withdraw from school. A minor's license will be suspended if he or she has more than 10 consecutive unexcused absences or is suspended due to violence against school personnel or possession of weapons, drugs or alcohol on school property. This suspension will end on their 18th birthday. This law also states that anyone 21 or younger who is convicted of a hit and run, driving recklessly, eluding an officer or purchasing an alcoholic beverage may have his or her license revoked. If the driver has a blood alcohol content level of .08 percent or higher he or she will lose driving privileges for 12 months and must submit proof of completion of a DUI alcohol or drug-risk reduction program. IL 1997 III. Laws, P.A. 90-79 (HB 723) authorizes the Department of Corrections to establish a six-year pilot program for selected youthful offenders released to parole. The department will provide a risk needs assessment, comprehensive case management, family counseling, substance abuse treatment and other services. MD 1997 Md. Laws, Chap. 258 (HB 746) amends current law to allow students to possess portable pagers on school property if the pagers are contained in vehicles and are not found to be connected with criminal activity. MT 1997 Mont. Laws, Chap. 450 (HB 264) amends current law relating to drug-free and crime-free schools. Adds a new provision that requires youth court officials to report to school officials the identity of a youth attending their school who has admitted, more than once, drug use or is adjudicated as violating a statue. This law allows the school to enforce any disciplinary measure that was in effect at the time the youth admitted drug use or was adjudicated a drug user. MT 1997 Mont. Laws, Chap. 550 (SB 48) revises statutes pertaining to the Youth Court Act. Allows assessment officers to provide initial intake and evaluation of youth who appear to be in need of intervention. The evaluation includes the use of tobacco products, gambling, running away from home or habitual truancy by minors. This law allows for family assessment, including chemical dependency and mental health evaluation. NV 1997 Nev. Stats., Chap. 353 (AB 515) enhances the penalty for gross misdemeanors committed on public or private school property, at a school sponsored activity, on a school bus, or when a school bus is loading or unloading students. Anyone who commits a crime will be punished by imprisonment in the county jail for at least 15 days and be fined up to $2,000. NV 1997 Nev. Stats., Chap. 386 (AB 518) requires the court system to advise a school district if a pupil unlawfully caused or attempted to cause serious bodily injury to another person. The court must describe the injury sustained, any weapon used and any threats made against the other person. OR 1997 Or. Laws, Chap. 613 (HB 3544) requires the Department of Education to establish a two-year pilot program to address problems associated with disruptive students in schools. This includes students who violate school district rules regarding alcohol or drugs, arson, assault, firearms, extortion, harassment, intimidation or menacing, knives, reckless endangering, sexual harassment, theft, vandalism or weapons. 46 Adolescent Health Issues: State Actions 1997 60 APPENDIX A STATE-BY-STATE SUMMARY: 1992 1997 (1997 legislation is in boldface) American Samoa Substance AbusePenalties/School Policy Alabama Abortion Abstinence/Sexuality Education/Pregnancy Prevention Adolescent Health (Miscellaneous) HIV/AIDS Insurance Mental Health Pregnancy/Parenting Sexual Conduct Substance Abuse (Miscellaneous) Substance AbuseBlood Alcohol Concentration Substance AbusePenalties/School Policy Tobacco Violence Prevention relevant 1997 legislation was not identified 1996 American Samoa, P.L. 24-20 1997 Ala. Acts, 1997 Ala. Acts, Special Session 1992 Ala. Acts, 1997 Ala. Acts, Special Session 1997 Ala. Acts, 1997 Ala. Acts, 1997 Ala. Acts, 1992 Ala. Acts, 1997 Ala. Acts, 1995 Ala. Acts, 1995 Ala. Acts, 1992 Ala. Acts, 1996 Ala. Acts, 1996 Ala. Acts, 1997 Ala. Acts, 1997 Ala. Acts, Special Session 1997 Ala. Acts, 1996 Ala. Acts, Act 485 (SB 314) Act 933 (SB 35) of the 1997 First Act 590, Sec. 2 Act 933 (SB 35) of the 1997 First Act 687 (HB 94) SIR 14 Act 421 (SB 157) Act 590, Sec. 2 Act 486 (SB 476) Act 689 Act 766 Act 590, Sec. 3 Act 705 SJR 65 Act 423 (SB 300) Act 933 (SB 35) of the 1997 First Act 486 (SB 476) SJR 65 Alaska Abortion Abstinence/Sexuality Education Pregnancy/Parenting/Contraception/Family Planning Substance Abuse (Miscellaneous) Substance AbuseBlood Alcohol Concentration Substance AbuseDate Rape Drugs Substance AbusePublic Awareness Tobacco Violence Prevention 1997 Alaska Sess. Laws, 1996 Alaska Sess. Laws, 1996 Alaska Sess. Laws, 1996 Alaska Sess. Laws, 1995 Alaska Sess. Laws, 1995 Alaska Sess. Laws, 1995 Alaska Sess. Laws, 1995 Alaska Sess. Laws, 1995 Alaska Sess. Laws, 1992 Alaska Sess. Laws, 1996 Alaska Sess. Laws, 1997 Alaska Sess. Laws, 1997 Alaska Sess. Laws, 1996 Alaska Sess. Laws, 1995 Alaska Sess. Laws, 1992 Alaska Sess. Laws, 1997 Alaska Sess. Laws, Chap. 14 (SB 24) HCR 27 HCR 27 Chap. 70 Chap. 3 Chap. 9 Chap. 80 Chap. 81 Chap. 85 Chap. 38 Chap. 143 Chap. 16 (HB 69) Chap. 105 (HB 163) Chap. 12 Chap. 81 Chap. 113 Chap. 72 (SB 3) Arizona Abortion Abstinence/Sexuality Education Contraception/Family Planning HIV/AIDS Medicaid Pregnancy/Parenting School Health/School-Based Health Services Sexual Conduct Substance Abuse (Miscellaneous) Substance AbuseEducation 1996 Ariz. Sess. Laws, Chap. 90 1995 Ariz. Sess. Laws, Chap. 190 1994 Ariz. Sess. Laws, Chap. 319 1993 Ariz. Sess. Laws, Chap. 152 1995 Ariz. Sess. Laws, Chap. 46 1995 Ariz. Sess. Laws, Chap. 268 1993 Ariz. Sess. Laws, Chap. 152 1995 Ariz. Sess. Laws, Chap. 190 1994 Ariz. Sess. Laws, Chap. 368 1997 Ariz. Sess. Laws, Chap. 209 (HB 2076) 1997 Ariz. Sess. Laws, Chap. 257 (SB 1388) 1995 Ariz. Sess. Laws, Chap. 268 1997 Ariz. Sess. Laws, Chap. 179 (HB 2016) 1995 Ariz. Sess. Laws, Chap. 186 1995 Ariz. Sess. Laws, Chap. 268 1996 Ariz. Sess. Laws, Chap. 284 National Conference of State Legislatures 47 61 State-by-State Summary Arizona cont'd. Substance AbuseLicense Revocation/Suspension Substance AbuseOther Misused Substances Substance AbusePenalties/School Policy Substance AbusePrevention Substance AbuseTreatment Tobacco Violence Prevention 1996 Ariz. Sess. Laws, Chap. 313 1997 Ariz. Sess. Laws, Chap. 209 (HB 2076) 1996 Ariz. Sess. Laws, Chap. 76 1996 Ariz. Sess. Laws, Chap. 189 1996 Ariz. Sess. Laws, Chap. 189 1997 Ariz. Sess. Laws, Chap. 156 (HB 2070) 1995 Ariz. Sess. Laws, Chap. 275 1996 Ariz. Sess. Laws, Chap. 189 Arkansas Adolescent Health (Miscellaneous) Abstinence/Sexuality Education/Pregnancy Prevention Community Health Community HealthImmunizations Contraception/Family Planning Insurance Medicaid Mental Health Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services Sexually Transmitted Diseases Substance Abuse (Miscellaneous) Substance AbuseOther Misusd Substances Substance AbusePenalties Tobacco Violence Prevention 1995 Ark. Acts, Act 1146 1997 Ark. Acts, Act 1159 (HB 2206) 1993 Ark. Acts, Act 1173 1997 Ark. Acts, Act 0722 (HB 1389) 1997 Ark. Acts, Act 0871 (HB 1650) 1993 Ark. Acts, Act 1173, Sec. 36 1997 Ark. Acts, Act 407 (SB 348) 1995 Ark. Acts, Act 685 1997 Ark. Acts, Ad 407 (SB 348) 1997 Ark. Acts, Act 745 (HB 1595) 1997 Ark. Acts, HR 1032 1996 Ark. Acts, Act 765 and 809 1997 Ark. Acts, Act 1159 (HB 2206) 1993 Ark. Acts, Act 1173, Sec. 36 1997 Ark. Acts, Act 871 (HB 1650) 1997 Ark. Acts, HR 1032 1997 Ark. Acts, Act 1243 (HB 1732) 1993 Ark. Acts, Act 1173, Sec. 36 1993 Ark. Acts, Act 1173 1995 Ark. Acts, Act 446 1993 Ark. Acts, Act 890 1997 Ark. Acts, Act 355 (HB 1445) 1997 Ark. Acts, Act 565 (SB 0358) 1997 Ark. Acts, Act 1210 (HB 2059) 1997 Ark. Acts, Act 779 (HB 1912) 1997 Ark. Acts, Act 332 (HB 1263) 1997 Ark. Acts, Act 745 (HB 1595) 1997 Ark. Ads, Ad 1243 (HB 1732) California Abstinence/Sexuality Education Adolescent Health (Miscellaneous) Community Health Contraception/Family Planning HIV/AIDS Insurance Insurance and Medicaid Medicaid Mental Health 1995 Cal. Stats., Chap. 281 1995 Cal. Stats., Chap. 462 1993 Cal. Stats., Chap. 328 1997 Cal. Stats., Chap. 430 (SB 707) 1995 Cal. Stats., Chap. 269 1997 Cal. Stats., ACR 37 1995 Cal. Stats., Chap. 46 1994 Cal. Stats., Res. Chap. 32 1993 Cal. Stats., Chap. 294 1995 Cal. Stats., Chap. 281 1995 Cal. Stats., Chap. 462 1993 Cal. Stats., Chap. 328 1992 Cal. Stats., Chap. 789 1997 Cal. Stats., Chap. 623 (AB 1126) 1997 Cal. Stats., Chap. 624 (SB 903) 1996 Cal. Stats., Chap. 197 1997 Cal. Stats., Chap. 623 (AB 1126) 1997 Cal. Stats., Chap. 623 (AB 1126) 1997 Cal. Stats., Chap. 624 (SB 903) 1997 Cal. Stats., Chap. 883 (AB 549) 1995 Cal. Stats., Chap. 462 1992 Cal. Stats., Chap. 23 1997 Cal. Stats., ACR 37 1997 Cal. Stats., Chap. 388 (SB 1295) 1997 Cal. Stats., Chap. 654 (AB 2726) 1996 Cal. Stats., Chap. 654 1996 Cal. Stats., Chap. 733 1995 Cal. Stats., Res. Chap. 18 1995 Cal. Stats., Chap. 712 1992 Cal. Stats., Chap. 23 1992 Cal. Stats., Chap. 252 48 Adolescent Health Issues: State Actions 1997 62 State-by-State Summary California Pregnancy/Parenting cont'd. Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services Sexually Transmitted Diseases Substance Abuse (Miscellaneous) Substance AbuseOther Misused Substances Substance AbusePenalties/School Policy Substance AbusePrevention Substance AbusePublic Awareness Substance AbuseRetail Substance AbuseTreatment Tattooing/Body Piercing Tobacco TobaccoRetail/Penalties TobaccoSchool Policy Violence Prevention 1995 Cal. Stats., Res. Chap. 12 1995 Cal. Stats., Chap. 281 1995 Cal. Stats., Chap. 311 1993 Cal. Stats., SR 23 1992 Cal. Stats., Chap. 344 1992 Cal. Stats., Chap. 1065 1996 Cal. Stats., SCR 48 1996 Cal. Stats., Chap. 197 1996 Cal. Stats., Chap. 789 1997 Cal. Stats., ACR 37 1997 Cal. Stats., ACR 55 1997 Cal. Stats., Chap. 90 (SB 572) 1997 Cal. Stats., Chap. 286 (AB 1086) 1997 Cal. Stats., Chap. 340 (SB 1095) 1997 Cal. Stats., Chap. 430 (SB 707) 1997 Cal. Stats., Chap. 589 (AB 1612) 1997 Cal. Stats., Chap. 736 (SB 187) 1997 Cal. Stats., Chap. 825 (AB 287) 1997 Cal. Stats., Chap. 883 (AB 549) 1995 Cal. Stats., Chap. 1 1994 Cal. Stats., Chap. 172 1994 Cal. Stats., Chap. 195 1992 Cal. Stats., Chap. 23 1995 Cal. Stats., Chap. 281 1993 Cal. Stats., Chap. 294 .1995 Cal. Stats., Chap. 486 1995 Cal. Stats., Chap. 743 1994 Cal. Stats., Res. Chap. 39 1992 Cal. Stats., Chap. 344 1996 Cal. Stats., Chap. 846 1996 Cal. Stats., Chap. 846 1996 Cal. Stats., Chap. 871 1997 Cal. Stats., ACR 55 1997 Cal. Stats., Chap. 90 (SB 572) 1997 Cal. Stats., Chap. 357 (SB 805) 1996 Cal. Stats., ACR 94 1996 Cal. Stats., Chap. 733 1996 Cal. Stats., ACR 94 1997 Cal. Stats., Chap. 357 (SB 805) 1996 Cal. Stats., Chap. 656 1996 Cal. Stats., Chap. 733 1997 Cal. Stats., Chap. 741 (AB 099) 1997 Cal. Stats., Chap. 742 (AB 186) 1997 Cal. Stats., Chap. 907 (SB 526) 1997 Cal. Stats., ACR 4 1997 Cal. Stats., Chap. 110 (SB 198) 1997 Cal. Stats., Chap. 219 (AB 752) 1995 Cal. Stats., Chap. 823 1994 Cal. Stats., Chap. 195 1994 Cal. Stats., Chap. 1009 1996 Cal. Stats., Chap. 823 1996 Cal. Stats., Chap. 1166 1996 Cal. Stats., Chap. 199 1997 Cal. Stats., Chap. 340 (SB 1095) 1997 Cal. Stats., Chap. 586 (SB 1302) 1997 Cal. Stats., Chap. 588 (AB 1610) 1997 Cal. Stats., Chap. 589 (AB 1612) 1997 Cal. Stats., Chap. 736 (SB 187) 1997 Cal. Stats., Chap. 885 (AB 963) 1997 Cal. Stats., Chap. 904 (AB 1223) 1997 Cal. Stats., Chap. 909 (SB 1050) 1996 Cal. Stats., Chap. 200 Colorado Abstinence/Sexuality Education Community Health Community HealthImmunizations HIV/AIDS Insurance Medicaid 1992 Colo. Sess. Laws, S)R 12 1997 Colo. Sess. HJR 1015 1997 Colo. Sess. Laws, Chap. 122 (SB 82) 1997 Colo. Sess. HJR 1015 1992 Colo. Sess. Laws, SJR 12 1997 Colo. Sess. Laws, Chap. 217 (HB 1304) 1997 Colo. Sess. Laws, Chap. 221 (SB 208) 1997 Colo. Sess. Laws, Chap. 221 (SB 208) 1995 Colo. Sess. Laws, Chap. 162 National Conference of State Legislatures 63 49 State-by-State Summary Colorado Pregnancy/Parenting 1995 Colo. Sess. Laws, Chap. 162 cont'd. Pregnancy/Parenting/Contraception/Family Planning 1996 Cola Sess. Laws, Chap. 216 School Health/School-Based Health Services 1997 Colo. Sess. Laws, Chap. 22 (SB 82) 1997 Colo. Sess. Laws, Chap. 22 (SB 101) 1997 Colo. Sess. HJR 1015 Substance Abuse (Miscellaneous) 1995 Colo. Sess. Laws, Chap. 129, Sec. 6 Substance AbuseDrinking & Driving/Blood Alcohol Content 1997 Colo. Sess. Laws, Chap. 174 (HB 1035) 1997 Colo. Sess. Laws, Chap. 256 (HB 1301) Substance AbuseEducation 1996 Colo. Sess. Laws, Chap. 278 Substance AbuseRetail 1997 Colo. Sess. Laws, Chap. 264 (HB 1077) 1996 Colo. Sess. Laws, Chap. 68 Tobacco 1997 Colo. Sess. Laws, Chap. 161 (HB 1088) 1994 Colo. Sess. Laws, Chap. 25 Violence Prevention 1997 Colo. Sess. Laws, Chap. 263 (HB 1125) Connecticut Abstinence/Sexuality Education 1995 Conn. Acts, P.A. 227 Adolescent Health (Miscellaneous) 1997 Conn. Acts, P.A. 46 (SB 0597) 1997 Conn. Acts, P.A. 49 (HB 6554) 1996 Conn. Acts, P.A. 226 1995 Conn. Acts, P.A. 205 1992 Conn. Acts, P.A. 107 Community Health Services 1994 Conn. Acts, P.A. 3(May Special Session) 1993 Conn. Acts, P.A. 432 HIV/AIDS 1994 Conn. Acts, P.A. 105 1992 Conn. Acts, P.A. 107 1992 Conn. Acts, P.A. 119 HIV/AIDS and Sexually Transmitted Diseases 1996 Conn. Acts, P.A. 238, Sec. 24 Insurance 1997 Conn. Acts, P.A. 1 (HB 8601) of the October 1997 Special Session 1995 Conn. Acts, P.A. 205 Insurance and Medicaid 1996 Conn. Acts, P.A. 187 1996 Conn. Acts, P.A. 238, Sec. 24 Medicaid 1997 Conn. Acts, P.A. 2 (HB 8003) 1997 Conn. Acts, P.A. 239 (SB 627) Mental Health 1997 Conn. Acts, P.A. 272 (HB 6006) 1996 Conn. Acts, P.A. 155, Sec. 1, subdivision 34 1996 Conn. Acts, P.A. 238, Sec. 15 1995 Conn. Acts, P.A. 349 1994 Conn. Acts, P.A. 3 (May Special Session) 1993 Conn. Acts, P.A. 197 1992 Conn. Acts, P.A. 107 Pregnancy/Parenting/Contraception/Family Planning 1997 Conn. Special Act, 21 (HB 6702) 1995 Conn. Acts, P.A. 227 1994 Conn. Acts, P.A. 232 1993 Conn. Acts, P.A. 340 1993 Conn. Acts, P.A. 432 1992 Conn. Acts, P.A. 49 1992 Conn. Acts, P.A. 107 School Health/School-Based Health Services 1997 Conn. Acts, P.A. 8 (HB 8007) of the June 1997 Special Session 1997 Conn. Acts, P.A. 239 (SB 627) 1997 Conn. Acts, P.A. 239 (SB 627) Sexually Transmitted Diseases 1992 Conn. Acts, P.A. 107 Substance Abuse (Miscellaneous) 1992 Conn. Acts, P.A. 107 1994 Conn. Acts, P.A. 3 (May Special Session) 1994 Conn. Acts, P.A. 232 1995 Conn. Acts, P.A. 182 Substance AbuseLicense Revocation/Suspension 1996 Conn. Acts, P.A. 199 Substance AbusePrevention 1997 Conn. Acts, P.A. 201 (HB 6778) 1997 Conn. Acts, P.A. 248 (SB 1259) 1996 Conn. Acts, P.A. 229. 1994 Conn. Acts, P.A. 3 (May Special Session) 1992 Conn. Acts, P.A. 49 Substance AbuseTreatment 1996 Conn. Acts, P.A. 238, Sec. 15 Tobacco 1992 Conn. Acts, P.A. 66 TobaccoPrevention 1996 Conn. Acts, P.A. 240 TobaccoRetail/Penalties 1996 Conn. Acts, P.A. 240 50 Adolescent Health Issues: State Actions 1997 64 State-by-State Summary Delaware District of Columbia Florida Abortion Community Health Mental Health Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services Substance Abuse (Miscellaneous) Substance AbusePenalties/School Policy TObacco TobaccoEducation TobaccoRetail/Penalties Violence Prevention Medicaid Vol. 70 Del. Laws, Chap. 238 (1995) Vol. 70 Del. SCR 12 Vol. 70 Del. SCR 20 Vol. 70 Del. Laws, HR 18 (1996) Vol. 70 Del. Laws, Chap. 600 (1996) Vol. 70 Del. SCR 12 Vol. 70 Del. Laws, HCR 72 (1996) Vol. 70 Del. Laws, Chap. 215 (1995) Vol. 70 Del. SCR 20 Vol. 70 Del. Laws, Chap. 36 (1995) Vol. 70 Del. Laws, Chap. 123 (1995) Vol. 70 Del. Laws, Chap. 519 (1996) Vol. 69 Del. Laws, Chap. 287 (1994) Vol. 68 Del. Laws, Chap. 384 (1992) Vol. 70 Del. Laws, Slit 19 (1996) Vol. 70 Del. Laws, Chap. 318 (1996) Vol. 70 Del. Laws, Chap. 519 (1996) Abstinence/Sexuality Education Adolescent Health (Miscellaneous) HIV/AIDS and Sexually Transmitted Diseases Insurance Medicaid Pregnancy/Parenting Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services Substance Abuse (Miscellaneous) Substance AbuseDate Rape Drugs Substance AbuseEducation Substance AbusePrevention Substance AbuseTreatment Tobacco TobaccoRetail/Penalties TobaccoSchool Policy Violence Prevention relevant 1997 legislation was not identified 1995 D.C. Stat., Act 11-6 1996 Fla. Laws, Chap. 307 1995 Fla. Laws, Chap. 321 1997 Fla. Laws, Chap. 165 (HB 1529) 1995 Fla. Laws, Chap. 256 1995 Fla. Laws, Chap. 431 1996 Fla. Laws, Chap. 307 1997 Fla. Laws, Chap. 263 (HB 1965) 1997 Fla. Laws, Chap. 168 (HB 1853) 1997 Fla. Laws, Chap. 168 (HB 1853) 1997 Fla. Laws, Chap. 168 (HB 1853) 1997 Fla. Laws, Chap. 237 (HB 1357) 1997 Fla. Laws, Chap. 260 (HB 1837) 1997 Fla. Laws, Chap. 263 (HB 1965) 1995 Fla. Laws, Chap. 336 1995 Fla. Laws, Chap. 321 1997 Fla. Laws, Chap. 237 (HB 1357) 1997 Fla. Laws, SR 2398 & HR 9089 1996 Fla. Laws, Chap. 215 1996 Fla. Laws, Chap. 307 1996 Fla. Laws, Chap. 402 1996 Fla. Laws, Chap. 409 1996 Fla. Laws, HR 9163 and SR 3090 1997 Fla. Laws, Chap. 168 (HB 1853) 1997 Fla. Laws, Chap. 237 (HB 1357) 1997 Fla. Laws, Chap. 263 (HB 1965) 1997 Fla. Laws, Chap. 152 (SB 2400) 1996 Fla. Laws, Chap. 307 1995 Fla. Laws, Chap. 336 1995 Fla. Laws, Chap. 161 1995 Fla. Laws, Chap. 415 1997 Fla. Laws, Chap. 1 (HB 0091) 1996 Fla. Laws, Chap. 307 1997 Fla. Laws, Chap. 165 (HB 1529) 1997 Fla. Laws, Chap. 213 (HB 0725) 1996 Fla. Laws, Chap. 104 1996 Fla. Laws, Chap. 104 1997 Fla. Laws, Chap. 162 (HB 0845) 1992 Fla. Laws, Chap. 285 1996 Fla. Laws, Chap. 217 1996 Fla. Laws, Chap. 217 1996 Fla. Laws, Chap. 225 1996 Fla. Laws, Chap. 276 Georgia Abortion Abstinence/Sexuality Education/Pregnancy Prevention Adolescent Health (Miscellaneous) Contraception/Family Planning HIV/AIDS Mental Health 1997 Ga. Laws, p. 142 (SB 0357) 1997 Ga. Laws, HR 457 1996 Ga. Laws, p. 798 1993 Ga. Laws, p. 1969 1997 Ga. Laws, HR 315 1997 Ga. Laws, p. 1101 (HB 0204) 1994 Ga. Laws, p. 34 1997 Ga. Laws, p. 1578 (HB 0211) National Conference of State Legislatures 65 51 State-by-State Summary Georgia cont'd. Pregnancy/Parenting Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services Substance Abuse (Miscellaneous) Substance AbuseDate Rape Drugs Substance AbuseDrinking & Driving/Blood Alcohol Content Substance AbuseEducation Substance AbuseOther Misused Substances Substance AbusePenalties Substance AbusePenalties/School Policy Substance AbuseRetail Tobacco TobaccoRetail/Penalties TobaccoSchool Policy Violence Prevention 1993 Ga. Laws, p. 1969 1997 Ga. Laws, HR 457 1996 Ga. Laws, p. 876, Sec. 3 1996 Ga. Laws, p. 1038 1993 Ga. Laws, p. 979 1993 Ga. Laws, p. 979 1997 Ga. Laws, p. 40 (HB 0111) 1997 Ga. Laws, p. 760 (HB 0681) 1996 Ga. Laws, p. 1038 1996 Ga. Laws, p. 652, Sec. 8 1997 Ga. Laws, p. 160 (HB 250) 1996 Ga. Laws, p. 652, Sec. 8 1996 Ga. Laws, p. 1014 1996 Ga. Laws, p. 1020 1997 Ga. Laws, p. 160 (HB 250) 1993 Ga. Laws, p. 343 1996 Ga. Laws, p. 106 1996 Ga. Laws, p. 750 1996 Ga. Laws, p. 106 1997 Ga. Laws, p. 760 (HB 681) Guam relevant 1997 legislation was not identified Hawaii Abstinence/Sexuality Education/Pregnancy Prevention Adolescent Health (Miscellaneous) Community Health Contraception/Family Planning HIV/AIDS Insurance Mental Health Pregnancy/Parenting Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services Sexually Transmitted Diseases Substance Abuse (Miscellaneous) Substance AbuseDrinking & Driving/Blood Alcohol Content Substance AbusePenalties/School Policy Substance AbusePrevention Substance AbusePublic Awareness Substance AbuseRetail Substance AbuseTreatment Tobacco TobaccoPrevention TobaccoRetail/Penalties TobaccoSchool Policy Violence Prevention 1992 Hawaii Sess. Laws, HR 236 1997 Hawaii Sess. Laws, Act 30 (HB 0519) 1997 Hawaii Sess. Laws, HR 125 1997 Hawaii Sess. Laws, Act, 217 (HB 1831) 1996 Hawaii Sess. Laws, SR 5, HCR 24, and HR 28 1995 Hawaii Sess. Laws, SCR 193 1993 Hawaii Sess. Laws, Act 237 1993 Hawaii Sess. Laws, Act 365 1997 Hawaii Sess. Laws, HR 32 1993 Hawaii Sess. Laws, Act 365 1997 Hawaii Sess. Laws, Act 29 (11B 1839) 1997 Hawaii Sess. Laws, HR 32 1997 Hawaii Sess. Laws, HR 79 1997 Hawaii Sess. Laws, HR 125 1996 Hawaii Sess. Laws, SR 5, 11CR 24, and HR 28 1996 Hawaii Sess. Laws, Act 125 1995 Hawaii Sess. Laws, SCR 193 1993 Hawaii Sess. Laws, Act 365 1997 Hawaii Sess. Laws, HR 32 1996 Hawaii Sess. Laws, SR 83 1997 Hawaii Sess. Laws, HR 32 1997 Hawaii Sess. Laws, Acts 217, (HB 1831) Sec. 321-242 1996 Hawaii Sess. Laws, Act 287 1992 Hawaii Sess. Laws, Act 296 1997 Hawaii Sess. Laws, HR 32 1994 Hawaii Sess. Laws, Act 198 1997 Hawaii Sess. Laws, Act 102 (HB 116) 1996 Hawaii Sess. Laws, Act 90 1997 Hawaii Sess. Laws, HR 32 1996 Hawaii Sess. Laws, Act 90 1996 Hawaii Sess. Laws, HR 45 1996 Hawaii Sess. Laws, SR 185 and HCR 324 1996 Hawaii Sess. Laws, Act 101 1996 Hawaii Sess. Laws, Act 90 1997 Hawaii Sess. Laws, Act 296 (SB 1286) 1996 Hawaii Sess. Laws, SR 185 and HCR 324 1996 Hawaii Sess. Laws, Act 53 1996 Hawaii Sess. Laws, Act 313 1996 Hawaii Sess. Laws, Act 709 1996 Hawaii Sess. Laws, HR 243 1996 Hawaii Sess. Laws, Act 313 1996 Hawaii Sess. Laws, Act 90 1996 Hawaii Sess. Laws, SR 144 Idaho Community Health Mental Health School Health/School-Based Health Services 1997 Idaho Sess. Laws, Chap. 168 (HB 368) 1997 Idaho Sess. Laws, Chap. 404 (HB 320) 1996 Idaho Sess. Laws, Chap. 377 1997 Idaho Sess. Laws, Chap. 168 (HB 368) 1997 Idaho Sess. Laws, Chap. 404 (HB 320) 52 Adolescent Health Issues: State Actions 1997 66 State-by-State Summary Idaho cont'd. Substance Abuse (Miscellaneous) Substance AbuseDrinking & Driving/Blood Alcohol Content Substance AbusePenalties Substance AbusePenalties/School Policy Substance AbusePrevention Substance AbuseRetail Substance AbuseTreatment Tobacco Violence Prevention 1997 Idaho Sess. Laws, Chap. 168 (HB 368) 1995 Idaho Sess. Laws, Chap. 160 1995 Idaho Sess. Laws, Chap. 284 1995 Idaho Sess. Laws, Chap. 361 1995 Idaho Sess. Laws, Chap. 368 1994 Idaho Sess. Laws, Chap. 60 1994 Idaho Sess. Laws, Chap. 414 1993 Idaho Sess. Laws, Chap. 154 1992 Idaho Sess. Laws, Chap. 137 1997 Idaho Sess. Laws, Chap. 101 (HB 5) 1997 Idaho Sess. Laws, Chap. 158 (SB 1081) 1997 Idaho Sess. Laws, Chap. 306 (SB 1073) 1997 Idaho Sess. Laws, Chap. 306 (SB 1073) 1996 Idaho Sess. Laws, Chap. 379 1996 Idaho Sess. Laws, Chap. 718 1996 Idaho Sess. Laws, Chap. 379 1996 Idaho Sess. Laws, Chap. 718 1997 Idaho Sess. Laws, Chap. 68 (SB 1029) 1996 Idaho Sess. Laws, Chap. 379 1997 Idaho Sess. Laws, Chap. 168 (HB 368) 1997 Idaho Sess. Laws, Chap. 278 (HB 185) 1995 Idaho Sess. Laws, Chap. 368 1994 Idaho Sess. Laws, Chap. 133 1996 Idaho Sess. Laws, Chap. 377 Illinois Abortion HIV/AIDS Insurance Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services Sexually Transmitted Diseases Substance Abuse (Miscellaneous) Substance AbuseLicense Revocation/Suspension Substance AbuseEducation Substance AbuseOther Misused Substances Substance AbusePenalties/School Policy Substance AbusePrevention Substance AbuseRetail Tobacco TobaccoEducation Violence Prevention 1997 III. Laws, P.A. 90-560 (HB 382) 1995 III. Laws, P.A. 89-18 1997 III. Laws, P.A. 90-3 (SB 143) 1995 III. Laws, P.A. 89-363 1992 III. Laws, P.A. 87-1104 1997 III. Laws, P.A. 90-376 (HB 1565) 1997 III. Laws, P.A. 90-238 (HB 1294) 1995 III. Laws, P.A. 89-6 1996 III. Laws, P.A. 618, Sec. 27-5 1995 III. Laws, P.A. 89-363 1994 III. Laws, P.A. 88-654 1995 III. Laws, P.A. 89-362 1996 III. Laws, P.A. 626, Sec. 6-205d 1996 III. Laws, P.A. 621, Sec. 3-631 1996 III. Laws, P.A. 632 1996 III. Laws, P.A. 610, Sec. 10-22.6e 1996 III. Laws, P.A. 622 1996 III. Laws, P.A. 632 1997 III. Laws, P.A. 90-238 (HB 1294) 1997 III. Laws, P.A. 90-355 (HB 155) 1997 III. Laws, P.A. 90-432 (HB 679) 1997 III. Laws, P.A. 90-9 (SB 1101) 1995 III. Laws, P.A. 89-181 1996 III. Laws, P.A. HR 104 1997 III. Laws, P.A. 90-79 (HB 723) 1996 III. Laws, P.A. 498 1996 III. Laws, P.A. 610 1996 III. Laws, P.A. 622 Indiana Insurance Medicaid Mental Health Pregnancy/Parenting School Health/School-Based Health Services Substance Abuse (Miscellaneous) Substance AbuseBlood Alcohol Concentration Substance AbuseOther Misused Substances Substance AbusePenalties/School Policy Substance AbuseRetail Tattooing/Body Piercing Tobacco 1997 Ind. Acts, P.L. 24 (FIB 1921) 1997 Ind. Acts, P.L. 24 (HB 1921) 1994 Ind. Acts, P.L. 80 1996 Ind. Acts, SCR 39 1995 Ind. Acts, P.L. 6 1994 Ind. Acts, P.L. 40 1995 Ind. Acts, P.L. 46 1994 Ind. Acts, P.L. 80 1995 Ind. Acts ,P.L. 62 1996 Ind. Acts, P.L. 92 1997 Ind. Acts, P.L. 218 (SB 500) 1996 Ind. Acts, P.L. 65 1997 Ind. Acts, P.L. 77 (SB 179) 1997 Ind. Acts, P.L. 181 (SB 13) 1997 Ind. Acts, P.L. 256-1996 veto overridden (SB 0106) National Conference of State Legislatures 67 53 State-by-State Summary Iowa Abortion Abstinence/Sexuality Education/Pregnancy Prevention Community Health Contraception/Family Planning HIV/AIDS Mental Health Pregnancy/Parenting Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services Sexually Transmitted Diseases Substance Abuse (Miscellaneous) Substance AbuseDate Rape Drugs Substance AbuseEducation Substance AbuseLicense Revocation/Suspension Substance AbuseOther Misused Substances Substance AbusePenalties/School Policy Substance AbusePrevention Tobacco 1997 Iowa Acts, Chap. 173 (HB 121) 1996 Iowa Acts, Chap. 1011 1996 Iowa Acts, Chap. 1174 1997 Iowa Acts, Chap. 208 (HB 715) 1997 Iowa Acts, Chap. 208 (HB 715) 1996 Iowa Acts, Chap. 204 1992 Iowa Acts, Chap. 1241, Sec. 11 1995 Iowa Acts, Chap. 53 1997 Iowa Acts, Chap. 208 (HB 715) 1995 Iowa Acts, Chap. 82 1992 Iowa Acts, Chap. 1241, Sec. 11 1995 Iowa Acts, Chap. 53 1994 Iowa Acts, Chap. 1186 1997 Iowa Acts, Chap. 208 (HB 715) 1996 Iowa Acts, Chap. 109, Sec. 18 1996 Iowa Acts, Chap. 204, Sec. 41-47 1996 Iowa Acts, Chap. 1011 1996 Iowa Acts, Chap. 1174 1997 Iowa Acts, Chap. 126 (SB 515) 1997 Iowa Acts, Chap. 208 (HB 715) 1995 Iowa Acts, Chap. 6 1995 Iowa Acts, Chap. 48 1995 Iowa Acts, Chap. 143 1994 Iowa Acts, Chap. 1105 1997 Iowa Acts, Chap. 95 (SB 497) 1997 Iowa Acts, Chap. 78 (HB 449) 1996 Iowa Acts, Chap. 1216 1996 Iowa Acts, Chap. 38 1997 Iowa Acts, Chap. 39 (SB 457) 1997 Iowa Acts, Chap. 77 (HB 384) 1997 Iowa Acts, Chap. 125 (SB 503) 1996 Iowa Acts, Chap. 161 1996 Iowa Acts, Chap. 161 1997 Iowa Acts, Chap. 126 (SB 515) 1997 Iowa Acts, Chap. 74 (SB 499) 1997 Iowa Acts, Chap. 136 (SB 163) 1994 Iowa Acts, Chap. 1105 Kansas Adolescent Health (Miscellaneous) HIV/AIDS Insurance Medicaid Mental Health Pregnancy/Parenting Pregnancy/Parenting/Contraception/Family Planning Substance AbuseBlood Alcohol Concentration Substance AbuseLicense Revocation/Suspension Substance AbusePrevention TobaccoRetail/Penalties TobaccoSchool Policy 1997 Kan. Sess. Laws, Chap. 117 (HB 2255) 1997 Kan. Sess. Laws, Chap. 192 (HB 2576) 1997 Kan. Sess. Laws, Chap. 190 (SB 204) 1997 Kan. Sess. Laws, Chap. 123 (HB 2160) 1996 Kan. Sess. Laws, Chap. 60 1994 Kan. Sess. Laws, Chap. 265 1997 Kan. Sess. Laws, Chap. 123 (HB 2160) 1996 Kan. Sess. Laws, Chap. 216 1996 Kan. Sess. Laws, Chap. 216 1996 Kan. Sess. Laws, Chap. 219 1996 Kan. Sess. Laws, Chap. 229 1996 Kan. Sess. Laws, Chap. 214 1996 Kan. Sess. Laws, Chap. 214 Kentucky Abortion Adolescent Health (Miscellaneous) Medicaid School Health/School-Based Health Services Tobacco TobaccoPrevention TobaccoPrevention TobaccoRetail/Penalties Legislative session was not held in 1997 1994 Ky. Acts, Chap. 253 1994 Ky. Acts, Chap. 194 1994 Ky. Acts, Chap. 498 1994 Ky. Acts, Chap. 376 1994 Ky. Acts, Chap. 98 1994 Ky. Acts, Chap. 280 1994 Ky. Acts, Chap. 376 1992 Ky. Acts, Chap. 164 1994 Ky. Acts, Chap. 480 1996 Ky. Acts, Chap. 38 1996 Ky. Acts, SR 137 1996 Ky. Acts, Chap. 38 Louisiana Abortion Adolescent Health (Miscellaneous) Community Health 1997 La. Acts, P.A. 933 (SB 1558) 1995 La. Act 1254 1997 La. Acts, P.A. 18 (HB 1) 1995 La. Act 798 1995 La. Act 988 1995 La. Act 1101 1997 La. Acts, P.A. 18 (HB 1) 1996 La. Act, HCR 18 54 Adolescent Health Issues: State Actions 1997 66 State-by-State Summary Louisiana Contraception/Family Planning 1995 La. Act 1168 contd. HIV /AIDS 1997 La. Acts, P.A. 18 (HB 1) 1997 La. Acts, SCR 28 Insurance 1997 La. Acts, P.A. 974 (HB 1314) 1995 La. Act 236 1995 La. Act 707 Medicaid 1995 La. Act 998 1992 La. Act 790 Mental Health 1997 La. Acts, P.A. 166 (HB 1044) 1997 La. Acts, P.A. 985 (HB 1534) 1995 La. Act 1287 1994 La. Act, House Study Request 6, Third Extra Session Pregnancy/Parenting 1995 La. SCR 61 1993 La. Act 736 1992 La. Act 578 1992 La. Act 790 Pregnancy/Parenting/Contraception/Family Planning 1997 La. Acts, P.A. 18 (HB 1) 1997 La. Acts, SCR 28 1997 La. Acts, HCR 205 1997 La. Acts, P.A. 510 (HB 774) 1996 La. Act, SCR 23 School Health/School-Based Health Services 1997 La. Acts, P.A. 18 (HB 1) 1997 La. Ads, P.A. 974 (HB 1314) 1997 La. Acts, P.A. 1267 (SB 793) 1996 La. Act, HCR 18 1996 La. Act, P.A. 37, First Extraordinary Session 1996 La. Act, SCR 40 1995 La. Act 80 1995 La. HCR 191 1994 La. Act 27 Sexually Transmitted Diseases 1997 La. Acts, SCR 28 1995 La. HCR 191 Substance Abuse (Miscellaneous) 1997 La. Acts, P.A. 18 (HB 1) 1995 La. Act 80 1995 La. HR 100 1995 La. Act 520 1995 La. Act 639 1995 La. Act 1287 1994 La. Act 18, Third Extra Session 1994 La. Act 27 1994 La. Act HCR 3 1993 La. Act 736 Substance AbuseDate Rape Drugs 1997 La. Acts, P.A. 1191 (SB 29) Substance AbuseDrinking & Driving/Blood Alcohol Content 1997 La. Acts, P.A. 1296 (HB 520) Substance AbuseEducation 1996 La. Act, P.A. 48 Substance AbuseOther Misused Substances 1997 La. Acts, P.A. 659 (SB 54) 1996 La. Act, HCR 118 Substance AbusePrevention 1996 La. Act, P.A. 78 1996 La. Act, HCR 118 Tattooing/Body Piercing 1997 La. Acts, P.A. 684 (SB 940) Tobacco 1997 La. Acts, P.A. 1010 (11B 76) 1997 La. Acts, P.A. 370 (SB 1547) 1994 La. Act, P.A. 64, Third Extra Session TobaccoEducation 1996 La. Act, P.A. 48 TobaccoPrevention 1996 La. Act, P.A. 48 Maine Insurance 1997 Me. Laws, Chap. 530 (SB 671) 1997 Me. Laws, Chap. 560 (HB 1357) Medicaid 1997 Me. Laws, Chap. 530 (SB 671) Mental Health 1995 Me. Laws, Chap. 301 Pregnancy/Parenting 1995 Me. Laws, Chap. 418 Pregnancy/Parenting/Contraception/Family Planning 1997 Me. Laws, Chap. 530 (SB 671) School Health/School-Based Health Services 1995 Me. Laws, Chap. 338 Substance Abuse (Miscellaneous) 1997 Me. Laws, Chap. 382 (HB 1262) 1995 Me. Laws, Chap. 25 1995 Me. Laws, Chap. 26 Substance AbuseBlood Alcohol Concentration 1996 Me. Laws, Chap. 679 Substance AbuseDate Rape Drugs 1997 Me. Laws, Chap. 487 (SB 603) Tobacco 1997 Me. Laws, Chap. 305 (SB 133) 1997 Me. Laws, Chap. 560 (HB 1357) 1995 Me. Laws, Chap. 470 TobaccoRetail/Penalties 1996 Me. Laws, Chap. 593 National Conference of State Legislatures 69 55 State-by-State Summary Maryland Adolescent Health (Miscellaneous) 1995 Md. Laws, Chap. 473 Contraception/Family Planning 1995 Md. Laws, Chap. 473 1995 Md. Laws, Chap. 491 1994 Md. Laws, Chap. 440 Insurance 1997 Md. Laws, Chap. 256 (HB 729) Mental Health 1997 Md. Laws, Chap. 130 (SB 80) 1995 Md. Laws, Chap. 178 Pregnancy/Parenting 1995 Md. Laws, Chap. 473 1995 Md. Laws, Chap. 491 1993 Md. Laws, Chap. 432 School Health/School-Based Health Services 1997 Md. Laws, Chap. 258 (HB 746) 1997 Md. Laws, Chap. 358 (SB 452) & (HB 701) 1997 Md. Laws, Chap. 504 (HB 971) Sexually Transmitted Diseases 1995 Md. Laws, Chap. 473 Substance Abuse (Miscellaneous) 1995 Md. Laws, Chap. 381 1995 Md. Laws, Chap. 473 1994 Md. Laws, Chap. 175 1994 Md. Laws, Chap. 483 1992 Md. Laws, Chaps. 494 and 495 Substance AbuseDrinking & Driving/Blood Alcohol Content 1997 Md. Laws, Chap. 451 (HB 505) Substance AbuseLicense Revocation/Suspension 1996 Md. Laws, Chap. 372 1996 Md. Laws, Chap. 610 Substance AbuseOther Misused Substances 1997 Md. Laws, Chap. 504 (HB 971) 1996 Md. Laws, Chap. 22 Substance AbusePenalties 1997 Md. Laws, Chap. 451 (HB 505) Substance AbusePenalties/School Policy 1996 Md. Laws, Chap. 22 1996 Md. Laws, Chap. 441 Substance AbuseRetail 1996 Md. Laws, Chap. 128 1996 Md. Laws, Chap. 158 1996 Md. Laws, Chap. 217 Tobacco 1994 Md. Laws, Chap. 110 Violence Prevention 1997 Md. Laws, Chap. 258 (HB 746) Massachusetts Abstinence/Sexuality Education 1996 Mass. Acts, Chap. 291 Community Health 1997 Mass. Acts, Chap. 88 (HB 4900) 1997 Mass. Acts, Chap. 88 (HB 4900) 1996 Mass. Acts, Chap. 147 HIV/AIDS 1997 Mass. Acts, Chap. 43 (HB 4700) Insurance 1997 Mass. Acts, Chap. 170 (SB 2015) Insurance and Medicaid 1996 Mass. Acts, Chap. 203 Mental Health 1993 Mass. Acts, Chap. 71 Pregnancy/Parenting 1995 Mass. Acts, Chap. 5, Sec. 126 Pregnancy/Parenting/Contraception/Family Planning 1997 Mass. Acts, Chap. 88 (HB 4900) School Health/School-Based Health Services 1997 Mass. Acts, Chap. 88 (HB 4900) 1993 Mass. Acts, Chap. 71 Sexually Transmitted Diseases 1997 Mass. Acts, Chap. 43 (HB 4700) Substance Abuse (Miscellaneous) 1993 Mass. Acts, Chap. 71 1992 Mass. Acts, Chap. 110 Tobacco 1995 Mass. Acts, Chap. 245 1993 Mass. Acts, Chap. 71 1992 Mass. Acts, Chap. 254 Michigan Abortion 1996 Mich. Pub. Acts, Act 352, Sec. 1302 Abstinence/Sexuality Education 1996 Mich. Pub. Acts, Act 352, Sec. 1038 1993 Mich. Pub. Acts, Act 174, Sec. 1124 Adolescent Health (Miscellaneous) 1996 Mich. Pub. Acts, Act 223 1996 Mich. Pub. Acts, Act 228 1996 Mich. Pub. Acts, Act 304 1996 Mich. Pub. Acts, Act 412, Sec. 4d and 4e Community Health Services 1996 Mich. Pub. Acts, Act 352, Sec. 1038 1996 Mich. Pub. Acts, Act 399, Sec. 1177 Contraception/Family Planning 1993 Mich. Pub. Acts, Act 174, Sec. 1103 H IV/AIDS 1997 Mich. Pub. Acts, Act 94 (HB 4306) 1994 Mich. Pub. Acts, Act 201, Sec. 403 HIV/AIDS and Sexually Transmitted Diseases 1996 Mich. Pub. Acts, Act 352, Sec. 1038 Insurance and Medicaid 1996 Mich. Pub. Acts, Act 352, Sec. 1615 Pregnancy/Parenting 1993 Mich. Pub. Acts, Act 174, Sec. 1115 1993 Mich. Pub. Acts, Act 174, Sec. 1124 Pregnancy/Parenting/Contraception/Family Planning 1996 Mich. Pub. Acts, Act 352, Sec. 1038 56 Adolescent Health Issues: State Actions 1997 7 0 State-by-State Summary Michigan School Health/School-Based Health Services cont'd. Sexually Transmitted Diseases Substance Abuse-License Revocation/Suspension Substance Abuse-Public Awareness Tobacco Tobacco-Prevention 1996 Mich. Pub. Acts, Act 287 1996 Mich. Pub. Acts, Act 304 1996 Mich. Pub. Acts, Act 352, Sec. 1203 1996 Mich. Pub. Acts, Act 399, Sec. 1177 1993 Mich. Pub. Acts, Act 174, Sec. 1103 1993 Mich. Pub. Acts, Act 174, Sec. 1104 1995 Mich. Pub. Acts, Act 122 1993 Mich. Pub. Acts, Act 174, Sec. 1115 1996 Mich. Pub. Acts, Act 176 1996 Mich. Pub. Acts, HCR 247 1995 Mich. Pub. Acts, Act 121 1996 Mich. Pub. Acts, Act 352, Sec. 1209 Minnesota Mississippi Abstinence/Sexuality Education Adolescent Health (Miscellaneous) Community Health Services Insurance and Medicaid Mental Health Pregnancy/Parenting Pregnancy/Parenting/Contraception/Family Planning Sexually Transmitted Diseases Substance Abuse (Miscellaneous) Substance Abuse-Drinking & Driving/Blood Alcohol Content Substance Abuse-Education Substance Abuse-License Revocation/Suspension Tobacco Violence Prevention Abortion Community Health Mental Health 1995 Minn. Laws, Chap. 257, Art. 4, Sec. 1 1994 Minn. Laws, Chap. 647, Art. 8, Sec. 44 1995 Minn. Laws, Chap. 207, Art. 4, Sec. 2, Subd. 1 1996 Minn. Laws, Chap. 412 1995 Minn. Laws, Chap. 3, Art. 3, Sec. 4 1995 Minn. Laws, Chap. 3, Art. 16, Sec. 1-5 1995 Minn. Laws, Chap. 226, Art. 3, Sec. 44 1995 Minn. Laws, Chap. 226, Art. 4, Sec. 4 1996 Minn. Laws, Chap. 451 1997 Minn. Laws, Chap. 203 (SB 1908) First Special Session 1995 Minn. Laws, Chap. 207, Art. 8, Sec. 4 1995 Minn. Laws, Chap. 207, Art. 8, Sec. 8 1995 Minn. Laws, Chap. 207, Art. 8, Sec. 12 1994 Minn. Laws, Chap. 576, Sec. 4 1995 Minn. Laws, Chap. 178, Art. 2, Sec. 4 1995 Minn. Laws, Chap. 178, Art. 2, Sec. 12 1995 Minn. Laws, Chap. 257, Art. 4, Sec. 1 1994 Minn. Laws, Chap. 636, Art. 1, Sec. 10 1994 Minn. Laws, Chap. 647, Art. 8, Sec. 24 1993 Minn. Laws, Chap. 1, First Special Session 1996 Minn. Laws, Chap. 412 1993 Minn. Laws, Chap. 167 1994 Minn. Laws, Chap. 576, Sec.4 1994 Minn. Laws, Chap. 636, Art. 4, Sec. 29 1992 Minn. Laws, Chap. 499, Art. 7, Sec. 11 1997 Minn. Laws, Chap. 2 (SB 1) for the 1997 First Special Session 1996 Minn. Laws, Chap. 442 1996 Minn. Laws, Chap. 412 1996 Minn. Laws, Chap. 396 1996 Minn. Laws, Chap. 442 1997 Minn. Laws, Chap. 227 (FIB 117) 1994 Minn. Laws, Chap. 636, Art. 2, Sec. 44 1992 Minn. Laws, Chap. 576 1996 Minn. Laws, Chap. 412 Pregnancy/Parenting Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services Substance Abuse-Blood Alcohol Concentration Substance Abuse-Education Substance Abuse-Prevention Substance Abuse-Public Awareness Tobacco 1996 Miss. Laws, Chap. 442 1997 Miss. Laws, Chap. 926 (SB 3241) 1997 Miss. Laws, Chap. 926 (SB 3241) 1995 Miss. Laws, Chap. 528 1993 Miss. Laws, Chap. 388 1994 Miss. Laws, Chap. 582 1997 Miss. Laws, Chap. 316 (FIB 766) 1997 Miss. Laws, Chap. 926 (SB 3241) 1996 Miss. Laws, Chap. 440 1994 Miss. Laws, Chap. 632 1996 Miss. Laws, Chap. 527, Sec. 2, 10 and 12 1996 Miss. Laws, Chap. 905 1997 Miss. Laws, Chap. 926 (SB 3241) 1996 Miss. Laws, SCR 566 1997 Miss. Laws, Chap. 575 (HB 1389) 1994 Miss. Laws, Chap. 486 Missouri Abortion Abstinence/Sexuality Education Adolescent Health (Miscellaneous) Contraception/Family Planning HIV/AIDS Medicaid Mental Health 1995 Mo. Laws, SB 279 1994 Mo. Laws, HBs 1547 and 961 1995 Mo. Laws, HB 178 1993 Mo. Laws, HB 564 1997 Mo. Laws, SB 347 1993 Mo. Laws, HB 564 1995 Mo. Laws, HBs 174, 325, 326, Sec. 11 National Conference of State Legislatures 57 71 State-by-State Summary Missouri cont'd. Pregnancy/Parenting School Health/School-Based Health Services Substance Abuse (Miscellaneous) Substance AbuseBlood Alcohol Concentration Substance AbuseLicense Revocation/Suspension Substance AbusePrevention Substance AbuseRetail Violence Prevention 1995 Mo. Laws, SB 279 1994 Mo. Laws, HBs 1547 and 961 1997 Mo. Laws, HB 20 1994 Mo. Laws, HBs 1547 and 961 1993 Mo. Laws, HB 564 1995 Mo. Laws, HBs 174, 325 and 326 1996 Mo. Laws, p. 126 1996 Mo. Laws, p. 126 1996 Mo. Laws, p. 72 1997 Mo. Laws, HB 63 1996 Mo. Laws, p. 72 Montana Abstinence/Sexuality Education 1993 Mont. Laws, SJR 23 Abortion 1995 Mont. Laws, Chap. 174 1995 Mont. Laws, Chap. 321 1995 Mont. Laws, Chap. 469 1995 Mont. Laws, Chap. 566 Medicaid 1995 Mont. Laws, Chap. 544 Mental Health 1997 Mont. Laws, Chap. 490 (HB 502) 1997 Mont. Laws, Chap. 550 (SB 48) 1995 Mont. Laws, Chap. 436 Pregnancy/Parenting 1993 Mont. Laws, SIR 23 School Health/School-Based Health Services 1997 Mont. Laws, Chap. 450 (HB 264) Sexually Transmitted Diseases 1993 Mont. Laws, SJR 23 Substance Abuse (Miscellaneous) 1997 Mont. Laws, Chap. 450 (HB 264) 1997 Mont. Laws, Chap. 550 (SB 48) 1995 Mont. Laws, Chap. 386 1995 Mont. Laws, Chap. 481 Substance AbuseDrinking & Driving/Blood Alcohol Content 1997 Mont. Laws, Chap. 520 (HB 339) Substance AbuseOther Misused Substances 1997 Mont. Laws, Chap. 103 (SB 8) Substance AbusePrevention 1997 Mont. Laws, Chap. 182 (HB 577) Tobacco 1997 Mont. Laws, Chap. 518 (HB 331) 1997 Mont. Laws, Chap. 550 (SB 48) 1995 Mont. Laws, Chap. 376 Violence Prevention 1997 Mont. Laws, Chap. 450 (HB 264) 1997 Mont. Laws, Chap. 550 (SB 48) Nebraska HIV/AIDS Mental Health Pregnancy/Parenting School Health/School-Based Health Services Substance Abuse (Miscellaneous) 1994 Neb. Laws, L.B. 819 1997 Neb. Laws, L.B. 622 1997 Neb. Laws, L.B. 788 1994 Neb. Laws, L.B. 988 1995 Neb. Laws, L.B. 455 1994 Neb. Laws, L.B. 1224 1996 Neb. Laws, L.B. 1155, Sec. 31 1994 Neb. Laws, L.B. 988 1995 Neb. Laws, L.B. 371 Nevada Adolescent Health (Miscellaneous) 1995 Nev. Stats., Chap. 721 Community Health Services 1995 Nev. Stats., Chap. 721 Contraception/Family Planning 1995 Nev. Stats., Chap. 721 1993 Nev. ACR 37 Medicaid 1993 Nev. ACR 37 Mental Health 1995 Nev. Stats., Chap. 632 1995 Nev. Stats., Chap. 721 Pregnancy/Parenting 1995 Nev. Stats., Chap. 721 1993 Nev. Stats., Chap. 215 Pregnancy/Parenting/Contraception/Family Planning 1997 Nev. Stats., Chap. 93 (ACR 36) School Health/School-Based Health Services 1997 Nev. Stats., Chap. 353 (AB 515) 1997 Nev. Stats., Chap. 473 (SB 482) 1995 Nev. Stats., Chap. 304 Sexual Conduct 1997 Nev. Stats., Chap. 455 (AB 280) 1997 Nev. Stats., Chap. 529 (SB 122) Substance Abuse (Miscellaneous) 1995 Nev. Stats, ACR 2 1995 Nev. Stats., Chap. 258 1995 Nev. Stats., Chap. 555 1995 Nev. Stats., Chap. 504 Substance AbuseDrinking & Driving/Blood Alcohol Content 1997 Nev. Stats., Chap. 226 (AB 176) 1997 Nev. Stats., Chap. 605 (AB 584) Substance AbusePenalties 1997 Nev. Stats., Chap. 226 (AB 176) 58 Adolescent Health Issues: State Actions 1997 72 State-by-State Summary Nevada cont'd. New Hampshire Tobacco Violence Prevention Adolescent Health (Miscellaneous) HIV/AIDS and Sexually Transmitted Diseases Medicaid Pregnancy/Parenting School Health/School-Based Health Services Substance Abuse (Miscellaneous) Substance AbuseDrinking & Driving/Blood Alcohol Content Tobacco 1995 Nev. Stats., Chap. 682 1997 Nev. Stats., Chap. 353 (AB 515) 1997 Nev. Stats., Chap. 386 (AB 518) 1997 N.H. Laws, Chap. 293 (HB 472) 1995 N.H. Laws, Chap. 258 1996 N.H. Laws, Chap. 277 1994 N.H. Laws, Chap. 409 1994 N.H. Laws, Chap. 409 1996 N.H. Laws, Chap. 277 1995 N.H. Laws, Chap. 64 1994 N.H. Laws, Chap. 410 1997 N.H. Laws, Chap. 121 (HB 672) 1997 N.H. Laws, Chap. 323 (HB 462) 1997 N.H. Laws, Chap. 338 (HB 599) 1995 N.H. Laws, Chap. 258 New Jersey HIV/AIDS Insurance and Medicaid Mental Health Substance Abuse (Miscellaneous) Substance AbuseDate Rape Drugs Tobacco 1997 N.J. Laws, Chap. 131 (AB 3000) 1996 N.J. Laws, Chap. 42 1995 N.J. Laws, AJR 31 1995 N.J. Laws, Chap. 31 1993 N.J. Laws, Chap. 70 1997 N.J. Laws, Chap. 193 (SB 1772) 1997 N.J. Laws, Chap. 194 (AB 2725) 1995 N.J. Laws, Chap. 304 1995 N.J. Laws, Chap. 320 New Mexico Adolescent Health (Miscellaneous) Contraception/Family Planning Insurance and Medicaid Mental Health School Health/School-Based Health Services Substance Abuse (Miscellaneous) Tobacco relevant 1997 legislation was not identified 1995 N.M. Laws, Chap. 116 1995 N.M. Laws, Chap. 182 1994 N.M. Laws, Chap. 147 1996 N.M. Laws, HJM 2 1995 N.M. Laws, Chap. 207 1992 N.M. Laws, Chap. 60 1996 N.M. Laws, HJM 2 1996 N.M. Laws, Chap. 62 1995 N.M. Laws, Chap. 151 1993 N.M. Laws, Chap. 77, Sec. 48 1993 N.M. Laws, Chap. 244 New York Adolescent Health (Miscellaneous) Community Health HIV/AIDS Insurance Medicaid Mental Health Pregnancy/Parenting Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services 1997 N.Y. Laws, Chap. 402 (SB 1373-a) 1997 N.Y. Laws, Chap. 434 (SB 5783) 1996 N.Y. Laws, Chap. 16 1995 N.Y. Laws, Chap. 516 1997 N.Y. Laws, Chap. 53 (SB 705) 1997 N.Y. Laws, Chap. 437 (SB 5792) 1994 N.Y. Laws, Chap. 170 1993 N.Y. Laws, Chap. 723 1997 N.Y. Laws, Chap. 53 (SB 705) 1995 N.Y. Laws, Chap. 76 1994 N.Y. Laws, Chap. 170 1994 N.Y. Laws, Chap. 731 1992 N.Y. Laws, Chap. 337 1994 N.Y. Laws, Chap. 170 1997 N.Y. Laws, Chap. 53 (SB 705) 1995 N.Y. Laws, Chap. 516 1994 N.Y. Laws, Chap. 170 1994 N.Y. Laws, Chap. 461 1993 N.Y. Laws, Chap. 135 1993 N.Y. Laws, Chap. 723 1992 N.Y. Laws, Chap. 150 1994 N.Y. Laws, Chap. 645 1993 N.Y. Laws, Chap. 148 1997 N.Y. Laws, Chap. 53 (SB 705) 1997 N.Y. Laws, Chap. 434 (SB 5783) 1997 N.Y. Laws, Chap. 437 (SB 5792) 1996 N.Y. Laws, Chap. 974 1997 N.Y. Laws, Chap. 53 (SB 705) 1997 N.Y. Laws, Chap. 153 (AB 6780) 1997 N.Y. Laws, Chap. 402 (SB 1373-a) 1997 N.Y. Laws, Chap. 434 (SB 5783) 1994 N.Y. Laws, Chap. 170 1993 N.Y. Laws, Chap. 104 National Conference of State Legislatures 7 3 59 State-by-State Summary New York Substance Abuse (Miscellaneous) cont'd. Substance AbuseBlood Alcohol Concentration Substance AbuseDate Rape Drugs Substance AbusePrevention Tobacco 1997 N.Y. Laws, Chap. 53 (SB 705) 1994 N.Y. Laws, Chap. 230 1994 N.Y. Laws, Chap. 407 1992 N.Y. Laws, Chap. 356 1996 N.Y. Laws, Chap. 196 1997 N.Y. Laws, Chap. 635 (SB 324) 1996 N.Y. Laws, Chap. 356 1996 N.Y. Laws, Chap. 478 1997 N.Y. Laws, Chap. 433 (SB 5773) 1994 N.Y. Laws, Chap. 493 1994 N.Y. Laws, Chaps. 565 and 691 1992 N.Y. Laws, Chap. 799 North Carolina Abortion Abstinence/Sexuality Education Community Health Services Contraception/Family Planning HIV/AIDS Insurance Medicaid Mental Health Pregnancy/Parenting School Health/School-Based Health Services Sexually Transmitted Diseases Substance Abuse (Miscellaneous) Substance AbuseDate Rape Drugs Substance AbusePenalties/School Policy Tobacco 1995 N.C. Sess. Laws, Chap. 462 1995 N.C. Sess. Laws, Chap. 534 1995 N.C. Sess. Laws, Chap. 507, Sec. 26.5A 1995 N.C. Sess. Laws, Chap. 534 1994 N.C. Sess. Laws, Chap. 769 1995 N.C. Sess. Laws, Chap. 534 1997 N.C. Sess. Laws, Chap. 443 (SB 352) 1995 N.C. Sess. Laws, Chap. 534 1994 N.C. Sess. Laws, Chap. 769 1997 N.C. Sess. Laws, Chap.433 1995 N.C. Sess. Laws, Chap. 63 1994 N.C. Sess. Laws, Chap. 716 1992 N.C. Sess. Laws, Chap. 900, Secs. 143 and 145 1995 N.C. Sess. Laws, Chap. 249 1995 N.C. Sess. Laws, Chap. 336 1995 N.C. Sess. Laws, Chap. 534 1995 N.C. Sess. Laws, Chap. 534 1992 N.C. Sess. Laws, Chap. 900 1992 N.C. Sess. Laws, Chap. 900, Sec. 168 1992 N.C. Sess. Laws, Chap. 900, Secs. 143 and 145 1995 N.C. Sess. Laws, Chap. 534 1992 N.C. Sess. Laws, Chap. 900, Sec. 168 1995 N.C. Sess. Laws, Chap. 534 1995 N.C. Sess. Laws, Chap. 336 1993 N.C. Sess. Laws, Resolution 27 1997 N.C. Sess. Laws, Chap. 501 (HB 1132) 1996 N.C. Sess. Laws, Chap. 18 1997 N.C. Sess. Laws, Chap. 434 (SB 143) 1995 N.C. Sess. Laws, Chap. 241 North Dakota Adolescent Health (Miscellaneous) Insurance Medicaid Mental Health Substance Abuse (Miscellaneous) Substance AbuseBlood Alcohol Concentration Substance AbuseDate Rape Drugs Substance AbuseDrinking & Driving/Blood Alcohol Content Substance AbuseLicense Revocation/Suspension 1995 N.D. Sess. Laws, Chap. 255 1995 N.D. Sess. Laws, Chap. 246 1997 N.D. Sess. Laws, Chap. 406 (HB 1036) 1997 N.D. Sess. Laws, Chap. 406 (HB 1036) 1995 N.D. Sess. Laws, Chap. 152 1995 N.D. Sess. Laws, Chap. 300 1995 N.D. Sess. Laws, Chap. 299 1995 N.D. Sess. Laws, Chap. 299 1997 N.D. Sess. Laws, Chap. 123 (SB 2285) 1997 N.D. Sess. Laws, Chap. 334 (HB 1111) 1995 N.D. Sess. Laws, Chap. 299 Northern Mariana Islands Ohio Abortion Adolescent Health (Miscellaneous) Pregnancy/Parenting Substance Abuse (Miscellaneous) Substance AbuseDate Rape Drugs Substance AbusePenalties/School Policy Tattooing/Body Piercing relevant 1997 legislation was not identified Vol. 146, 1995 Ohio Laws, H. 135 Vol. 146, 1995 Ohio Laws, H. 167 Vol. 146, 1995 Ohio Laws, H. 167 Vol. 145, 1994 Ohio Laws, S. 209 Vol. 145, 1994 Ohio Laws, H. 391 1997 Ohio Laws, HB 32 Vol. 146, 1996 Ohio Laws, H. 162 1997 Ohio Laws, HB 25 Oklahoma Abstinence/Sexuality Education/Pregnancy Prevention Adolescent Health (Miscellaneous) Community HealthImmunizations HIV /AIDS Insurance 1997 Okla. Sess. Laws, Chap. 414 (HB 2170) 1996 Okla. Sess. Laws, Chap. 1045 1995 Okla. Sess. Laws, Chap. 298 1994 Okla. Sess. Laws, HJR 1078 1994 Okla. Sess. Laws, Chap. 170 1995 Okla. Sess. Laws, Chap. 137 1997 Okla. Sess. Laws, Chap. 75 (SB 277) 1994 Okla. Sess. Laws, HJR 1078 1997 Okla. Sess. Laws, Chap. 421 (SB 639) 60 Adolescent Health Issues: State Actions 1997 04 State-by-State Summary Oklahoma cont'd. Medicaid Mental Health Pregnancy/Parenting School Health/School-Based Health Services Sexually Transmitted Diseases Substance Abuse (Miscellaneous) Substance AbuseBlood Alcohol Concentration Substance AbuseLicense Revocation/Suspension Substance AbuseEducation Substance AbusePenalties/School Policy Substance AbusePrevention Substance AbuseRetail Tobacco TobaccoPrevention TobaccoRetail/Penalties Violence Prevention 1997 Okla. Sess. Laws, Chap. 421 (SB 639) 1995 Okla. Sess. Laws, Chap. 261 1993 Okla. Sess. Laws, HJR 1001 1995 Okla. Sess. Laws, Chap. 231 1993 Okla. Sess. Laws, HJR 1001 1995 Okla. Sess. Laws, Chap. 346 1994 Okla. Sess. Laws, Chap. 170 1997 Okla. Sess. Laws, Chap. 75 (SB 277) 1996 Okla. Sess. Laws, Chap. 1045 1995 Okla. Sess. Laws, Chap. 231 1994 Okla. Sess. Laws, Chap. 170 1995 Okla. Sess. Laws, Chap. 274 1995 Okla. Sess. Laws, Chap. 313 1993 Okla. Sess, Laws, HJR 1001 1992 Okla. Sess. Laws, Chap. 5 1996 Okla. Sess. Laws, Chap. 309 1996 Okla. Sess. Laws, Chap. 254 1996 Okla. Sess. Laws, Chap. 162 1996 Okla. Sess. Laws, Chap. 309 1996 Okla. Sess. Laws, Chap. 252 1996 Okla. Sess. Laws, Chap. 252 1997 Okla. Sess. Laws, Chap. 364 (HB 1118) 1997 Okla. Sess. Laws, Chap. 171 (SB 619) 1994 Okla. Sess. Laws, Chap. 137 1996 Okla. Sess. Laws, Chap. 144 1996 Okla. Sess. Laws, Chap. 144 1996 Okla. Sess. Laws, Chap. 252 1993 Or. Laws, Chap. 775 Oregon Abstinence/Sexuality Education Abstinence/Sexuality Education/Pregnancy Prevention Adolescent Health (Miscellaneous) Contraception/Family Planning Medicaid Mental Health Pregnancy/Parenting Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services Substance Abuse (Miscellaneous) Tattooing/Body Piercing Violence Prevention 1995 Or. Laws, SJR 22 1997 Or. Laws, SJR 33 1997 Or. Laws, Chap. 714 (SB 1129) 1993 Or. Laws, Chap. 775 1995 Or. Laws, Chap. 816 1997 Or. Laws, Chap. 714 (SB 1129) 1995 Or. Laws, Chap. 816 1997 Or. Laws, SJR 33 1997 Or. Laws, Chap. 613 (HB 3544) 1995 Or. Laws, Chap. 250 1995 Or. Laws, Chap. 756 1993 Or. Laws, Chap. 421 1997 Or. Laws, Chap. 690 (HB 5052) 1997 Or. Laws, Chap. 613 (HB 3544) Pennsylvania Abstinence/Sexuality Education/Pregnancy Prevention HIV/AIDS HIV/AIDS and Sexually Transmitted Diseases Insurance Pregnancy/Parenting Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services Sexually Transmitted Diseases Substance AbuseBlood Alcohol Concentration Substance AbuseDate Rape Drugs Substance AbuseDrinking & Driving/Blood Alcohol Content Substance AbuseOther Misused Substances Substance AbusePrevention Substance AbusePublic Awareness Substance AbuseRetail 1997 Pa. Laws, SR 33 & HR 122 1997 Pa. Laws, SR 43 1997 Pa. Laws, Act 0004 (HB 847) 1996 Pa. Laws, Act 15 1997 Pa. Laws, Act 7 (HB 134) 1995 Pa. Laws, HR 94 1997 Pa. Laws, SR 33 & HR 122 1997 Pa. Laws, SR 43 1996 Pa. Laws, Act 35 1996 Pa. Laws, SR 103 1997 Pa. Laws, HR 52 1996 Pa. Laws, Act 15 1997 Pa. Laws, SR 33 & HR 122 1997 Pa. Laws, SR 43 1996 Pa. Laws, Act 93 and Act 115 1996 Pa. Laws, Act 149, Sec. 3731 a.1ii 1997 Pa. Laws, Act 65 (HB 1125) 1997 Pa. Laws, SR 46 & HR 172 1997 Pa. Laws, Act 49 (SB 55) 1997 Pa. Laws, Act 8 (HB 152) 1997 Pa. Laws, SR 25 1997 Pa. Laws, Act 248 (SB 1259) 1997 Pa. Laws, Ad 53 (HB 679) 1997 Pa. Laws, Act 52 (HR 52) 1996 Pa. Laws, Act 199, Sec. 495 c-f 1996 Pa. Laws, SR 29 and HR 90 1996 Pa. Laws, SR 149 and HR 444 1996 Pa. Laws, Act 199, Sec. 495 c-f National Conference of State Legislatures 61 75 State-by-State Summary Pennsylvania Tobacco cont'd. TobaccoRetail/Penalties TobaccoSchool Policy Puerto Rico Adolescent Health (Miscellaneous) Substance Abuse (Miscellaneous) Substance AbusePenalties/School Policy Tobacco Rhode Island Abortion Abstinence/Sexuality Education/Pregnancy Prevention Adolescent Health (Miscellaneous) HIV/AIDS HIV/AIDS and Sexually Transmitted Diseases Mental Health Pregnancy/Parenting Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services Substance Abuse (Miscellaneous) Substance AbuseEducation Substance AbusePenalties/School Policy Substance AbusePublic Awareness Tobacco TobaccoPrevention TobaccoRetail/Penalties 1997 Pa. Laws, Ad 7 (HB 134) 1997 Pa. Laws, HR 52 1996 Pa. Laws, Act 145 1996 Pa. Laws, Act 145 relevant 1997 legislation was not identified 1994 Puerto Rico Laws, Act 86 1994 Puerto Rico Laws, Act 118 1993 Puerto Rico Laws, Act 128 1996 Puerto Rico Laws, PC 1603 1993 Puerto Rico Laws, Act 62 1993 Puerto Rico Laws, Act 128 1997 R.I. Pub. Laws, Chap. 76 (HB 5159) 1997 R.I. Pub. Laws, Chap. 176 (SB 771) & 160 (HB 5961) 1996 R.I. Pub. Laws, Chap. 400 1996 R.I. Pub. Laws, Chap. 163 1995 R.I. Pub. Laws, Chap. 105 1996 R.I. Pub. Laws, Chap. 400 1997 R.I. Pub. Laws, Chap. 73 (SB 709) 1995 R.I. Pub. Laws, Chap. 122 1993 R.I. Pub. Laws, Chap. 216 1997 R.I. Pub. Laws, Chap. 176 (SB 771) & 160 (HB 5961) 1997 R.I. Pub. Laws, Chap. 176 (SB 771) & 160 (HB 5961) 1996 R.I. Pub. Laws, Chap. 324 1995 R.I. Pub. Laws, Chap. 217 1993 R.I. Pub. Laws, Chap. 216 1996 R.I. Pub. Laws, SCR 31 1996 R.I. Pub. Laws, SCR 60 1996 R.I. Pub. Laws, Chap. 282 1996 R.I. Pub. Laws, SCR 31 1996 R.I. Pub. Laws, SCR 60 1995 R.I. Pub. Laws, Chap. 77 1996 R.I. Pub. Laws, Chap. 321 1996 R.I. Pub. Laws, Chap. 321 South Carolina Abortion Contraception/Family Planning Medicaid "Mental Health Pregnancy/Parenting School Health/School-Based Health Services Substance Abuse (Miscellaneous) Substance AbusePenalties/School Policy TobaccoEducation TobaccoRetail/Penalties TobaccoRetail/Penalties TobaccoSchool Policy 1997 S.C. Acts, Act 0011 (HB 3502) 1995 S.C. Acts, Act 102 1995 S.C. Acts, Act 102 1994 S.C. Acts, Act 471 1995 S.C. Acts, Act 102 1994 S.C. Acts, Act 570 1993 S.C. Acts, Act 39 1993 S.C. Acts, Act 165 1993 S.C. Acts, SJR 404 1995 S.C. Acts, Act 102 1994 S.C. Acts, Act 441 1994 S.C. Acts, Act 570 1995 S.C. Acts, Act 102 1996 S.C. Acts, Act 290 1996 S.C. Acts, Act 45 1996 S.C. Acts, Act 321 1996 S.C. Acts, Act 445 1996 S.C. Acts, Act 445 South Dakota Abortion Adolescent Health (Miscellaneous) Mental Health School Health/School-Based Health Services Substance AbusePenalties/School Policy Tobacco 1997 S.D. Sess. Laws, Chap. 129 (HB 1088) 1997 S.D. Sess. Laws, Chap. 204 (HB 1087) 1994 S.D. Sess. Laws, Chap. 293 1994 S.D. Sess. Laws, Chap. 225 1992 S.D. Sess. Laws, Chap. 195 1995 S.D. Sess. Laws, Chap. 87 1994 S.D. Sess. Laws, Chap. 293 1996 S.D. Sess. Laws, Chap. 120 1997 S.D. Sess. Laws, Chap. 206 (HB 1182) 1994 S.D. Sess. Laws, Chap. 280 Tennessee Abortion Adolescent Health (Miscellaneous) Community Health Community HealthImmunizations Contraception/Family Planning HIV/AIDS HIV/AIDS and Sexually Transmitted Diseases Medicaid 1995 Tenn. Pub. Acts, Chap. 458 1996 Tenn. Pub. Acts, Chap. 1079 1995 Tenn. Pub. Acts, HR 141 1997 Tenn. Pub. Acts, Chap. 21 (SB 415) 1997 Tenn. Pub. Acts, Chap. 6 (SB 980) 1993 Tenn. Pub. Acts, Chap. 255 1997 Tenn. Pub. Acts, Chap. 21 (SB 415) 1996 Tenn. Pub. Acts, FUR 431 1993 Tenn. Pub. Acts, Chap. 255 62 Adolescent Health Issues: State Actions 1997 7 6 State-by-State Summary Tennessee contd. Mental Health Pregnancy/Parenting Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services Sexually Transmitted Diseases Substance Abuse (Miscellaneous) Substance AbuseDate Rape Drugs Substance AbusePenalties Substance AbusePenalties/School Policy Substance AbusePrevention Substance AbuseTreatment Tobacco Violence Prevention 1996 Tenn. Pub. Acts, HJR 431 1996 Tenn. Pub. Acts, Chap. 1079 1995 Tenn. Pub. Acts, Chap. 411 1994 Tenn. Pub. Acts, Chap. 917 1993 Tenn. Pub. Acts, Chap. 283 1995 Tenn. Pub. Acts, Chap. 317 1995 Tenn. Pub. Acts, Chap. 516 1992 Tenn. Pub. Acts, Chap. 990 1996 Tenn. Pub. Acts, Chap. 842 1997 Tenn. Pub. Acts, Chap. 6 (SB 980) 1996 Tenn. Pub. Acts, Chap. 894 1996 Tenn. Pub. Acts, Chap. 979 1997 Tenn. Pub. Acts, Chap. 6 (SB 980) 1997 Tenn. Pub. Acts, Chap. 326 (SB 1341) 1995 Tenn. Pub. Acts, Chap. 123 1995 Tenn. Pub. Acts, Chap. 515 1995 Tenn. Pub. Acts, Chap. 515 1994 Tenn. Pub. Acts, Chap. 607 1994 Tenn. Pub. Acts, Chap. 783 1994 Tenn. Pub. Acts, Chap. 872 1993 Tenn. Pub. Acts, Chap. 280 1997 Tenn. Pub. Acts, Chap. 17 (HB 603) 1997 Tenn. Pub. Acts, Chap. 5 (SB 1822) 1996 Tenn. Pub. Acts, Chap. 888 1996 Tenn. Pub. Acts, HJR 431 1996 Tenn. Pub. Acts, Chap. 888 1996 Tenn. Pub. Acts, Chap. 1079 1995 Tenn. Pub. Acts, Chap. 455 1995 Tenn. Pub. Acts, Chap. 470 1992 Tenn. Pub. Acts, Chap. 700 1996 Tenn. Pub. Acts, Chap. 888 1996 Tenn. Pub. Acts, Chap. 891 1996 Tenn. Pub. Acts, Chap. 988 Texas Adolescent Health (Miscellaneous) Community HealthImmunizations Insurance Medicaid Mental Health Pregnancy/Parenting School Health/School-Based Health Services Substance Abuse (Miscellaneous) Substance AbuseDrinking & Driving/Blood Alcohol Content Substance AbusePrevention Substance AbusePrevention Substance AbuseRetail Tobacco 1997 Tex. Gen. Laws, Chap. 1124 (HB 2984) 1995 Tex. Gen. Laws, Chap. 386 1997 Tex. Gen. Laws, Chap. 900 (HB 3054) 1997 Tex. Gen. Laws, Chap. 501 (SB 1165) 1997 Tex. Gen. Laws, Chap. 550 (HB 3) 1995 Tex. Gen. Laws, Chap. 1919 1997 Tex. Gen. Laws, Chap. 501 (SB 1165) 1995 Tex. Gen. Laws, Chap. 191 1995 Tex. Gen. Laws, Chap. 393 1993 Tex. Gen. Laws, Chap. 573 1993 Tex. Gen. Laws, Chap. 705 1993 Tex. Gen. Laws, Chap. 830 1993 Tex. Gen. Laws, Chap. 907 1997 Tex. Gen. Laws, Chap. 1285 (SB 162) 1995 Tex. Gen. Laws, Chap. 615 1993 Tex. Gen. Laws, Chap. 705 1997 Tex. Gen. Laws, Chap. 1013 (SB 035) 1997 Tex. Gen. Laws, SCR 54 1997 Tex. Gen. Laws, Chap. 1139 (HB 3441) 1997 Tex. Gen. Laws, Chap. 1138 (HB 3440) 1997 Tex. Gen. Laws, Chap. 671 (SB 55) Utah Insurance Medicaid Mental Health Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services Substance Abuse (Miscellaneous) Substance AbuseLicense Revocation/Suspension Substance AbuseRetail Tobacco 1995 Utah Laws, Chap. 137 1994 Utah Laws, Chap. 314 1994 Utah Laws, Chap. 314 1996 Utah Laws, Chap. 234 1995 Utah Laws, Chap. 142 1996 Utah Laws, Chap. 185 1996 Utah Laws, Chap. 4 1996 Utah Laws, Chap. 229 1994 Utah Laws, Chap. 168 1996 Utah Laws, Chap. 188 1997 Utah Laws, Chap. 40 (HB 204) 1997 Utah Laws, Chap. 94 (SB 112) 1997 Utah Laws, Chap. 279 (HB 27) 1994 Utah Laws, Chap. 168 National Conference of State Legislatures 7 7 63 State-by-State Summary Vermont Mental Health Substance Abuse (Miscellaneous) Substance AbuseDrinking & Driving/Blood Alcohol Content Tobacco Virginia Abortion Community Health Services Insurance and Medicaid Mental Health Pregnancy/Parenting Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services Substance Abuse (Miscellaneous) Substance AbuseBlood Alcohol Concentration Substance Abuse Date Rape Drugs Substance AbuseLicense Revocation/Suspension Substance AbusePenalties/School Policy Substance AbusePrevention Substance AbuseRetail Tobacco TobaccoRetail/Penalties TobaccoRetail/Penalties Violence Prevention Virgin Islands Violence Prevention Washington Abstinence/Sexuality Education/Pregnancy Prevention Adolescent Health (Miscellaneous) Community Health Services Contraception/Family Planning Insurance Mental Health Pregnancy/Parenting Pregnancy/Parenting/Contraception/Family Planning 1996 Vt. Acts, Act 137 1994 Vt. Acts, Act 203 1994 Vt. Acts, Act 150 1997 Vt. Acts, Act 57 (HB 7) 1997 Vt. Acts, Act 58 (SB 156) 1995 Vt. Acts, Act 52 1997 Va. Acts, Chap. 708 (SB 1148) 1996 Va. Acts, Chap. 781 1996 Va. Acts, Chap. 864 1997 Va. Acts, SJR 298 1997 Va. Acts, Chap. 679 (HB 2682) 1996 Va. Acts, Chap. 864 1996 Va. Acts, Chap. 864 1996 Va. Acts, Chap. 967 1994 Va. Acts, HJR 235 1994 Va. Acts, Chap. 760 1994 Va. Acts, Chap. 761 1995 Va. Acts, Chap. 450 1995 Va. Acts, Chap. 852 1994 Va. Acts, Chap. 760 1994 Va. Acts, Chap. 761 1996 Va. Acts, Chap. 781 1997 Va. Acts, Chap. 784 (SB 862) 1997 Va. Acts, Chap. 924 (KB 1600) 1996 Va. Acts, Chap. 410 1996 Va. Acts, Chap. 864 1995 Va. Acts, Chap. 852 1994 Va. Acts, HJR 165 1995 Va. Acts, Chap. 31 1995 Va. Acts, Chap. 374 1995 Va. Acts, Chap. 675 1994 Va. Acts, Chap. 480 1994 Va. Acts, Chap. 760 1994 Va. Acts, Chap. 761 1994 Va. Acts, Chap. 844 1993 Va. Acts, Chaps. 819 and 856 1992 Va. Acts, Chap. 708 1996 Va. Acts, Chap. 631 1997 Va. Acts, Chap. 595 (HB 1926) 1996 Va. Acts, Chap. 509 1996 Va. Acts, Chap. 626 1996 Va. Acts, Chap. 190 1997 Va. Acts, HJR 613 1997 Va. Acts, Chap. 487 (HB 2130) 1997 Va. Acts, Chap. 784 (SB 862) 1997 Va. Acts, Chap. 812 (SB 1162) 1997 Va. Acts, Chap. 882 (HB 2530) 1995 Va. Acts, Chap. 675 1994 Va. Acts, Chap. 305 1993 Va. Acts, Chap. 631 1996 Va. Acts, Chap. 509 1996 Va. Acts, Chap. 517 1996 Va. Acts, Chap. 190 relevant 1997 legislation was not identified 1996 V.I. Laws, Act 6108 1997 Wash. Laws, Chap. 58 (HB 3901) 1997 Wash. Laws, Chap. 149 (SB 6062) 1994 Wash. Laws, Chap. 299 1993 Wash. Laws, Chap. 407 1997 Wash. Laws, Chap. 23 (SB 5132) 1995 Wash. Laws, Chap. 132 1993 Wash. Laws, Chap. 407 1994 Wash. Laws, Chap. 299 1993 Wash. Laws, Chap. 407 1994 Wash. Laws, Chap. 246 1997 Wash. Laws, Chap. 146 (SB 5578) 1996 Wash. Laws, Chap. 133 Sec. 5-6, 34 1994 Wash. Laws, Chap. 299 1993 Wash. Laws, Chap. 407 1997 Wash. Laws, Chap. 58 (HB 3901) 1997 Wash. Laws, Chap. 149 (SB 6062) 64 Adolescent Health Issues: State Actions 1997 State-by-State Summary Washington School Health/School-Based Health Services cont'd. Substance Abuse (Miscellaneous) Substance AbuseOther Misused Substances Substance AbusePenalties/School Policy Substance AbusePrevention Substance AbuseTreatment Tobacco West Virginia Medicaid Mental Health Pregnancy/Parenting/Contraception/Family Planning School Health/School-Based Health Services Substance Abuse (Miscellaneous) Substance AbusePenalties/School Policy Tobacco 1997 Wash. Laws, Chap. 9 (HB 1081) 1997 Wash. Laws, Chap. 23 (SB 5132) 1997 Wash. Laws, Chap. 149 (SB 6062) 1997 Wash. Laws, Chap. 149 (SB 6062) 1995 Wash. Laws, Chap. 100 1995 Wash. Laws, Chap. 312 1992 Wash. Laws, Chap. 205, Sec. 306 1996 Wash. Laws, Chap. 205 1996 Wash. Laws, Chap. 205 1997 Wash. Laws, Chap. 23 (SB 5132) 1996 Wash. Laws, Chap. 133, Sec. 5-6, 34 1997 Wash. Laws, Chap. 9 (HB 1081) 1994 Wash. Laws, Chap. 202 1992 W. Va. Acts, Chap. 57 1997 W. Va. Acts, Chap. 52 (HB 2885) 1996 W. Va. Acts, Chap. 9 1994 W. Va. Acts, Chap. 24 1992 W. Va. Acts, Chap. 57 1994 W. Va. Acts, Chap. 24 1996 W. Va. Acts, Chap. 17 1994 W. Va. Acts, Chap. 68 Wisconsin Abortion Adolescent Health (Miscellaneous) Insurance Medicaid Mental Health Pregnancy/Parenting Substance Abuse (Miscellaneous) Substance AbusePenalties/School Policy Tobacco 1996 Wis. Laws, 1996 Wis. Laws, 1997 Wis. Laws, 1997 Wis. Laws, 1995 Wis. Laws, 1994 Wis. Laws, 1993 Wis. Laws, 1995 Wis. Laws, 1993 Wis. Laws, 1995 Wis. Laws, 1994 Wis. Laws, 1992 Wis. Laws, 1996 Wis. Laws, 1994 Wis. Laws, Act 309 Act 169 Act 27 (AB 100) Act 27 (AB 100) Act 27 Act 446 Act 16, Secs. 868 and 869 Act 27 Act 16, Sec. 153 Act 27 Act 446 Act 171 Act 327 Act 210 Wyoming Pregnancy/Parenting Pregnancy/Parenting/Contraception/Family Planning Substance Abuse (Miscellaneous) relevant 1997 le 1995 Wyo. Sess. 1996 Wyo. Sess. 1995 Wyo. Sess. gislation was not identified Laws, Chap. 131 Laws, Chap. 111 Laws, Chap. 71 National Conference of State Legislatures 65 7 9 APPENDIX B RESOURCE DIRECTORY ABSTINENCE Americans for a Sound AIDS/HIV Policy P.O. Box 17433 Washington, D.C. 20041-0433 phone: (703) 471-7350 fax: (703) 471-8409 National Coalition for Abstinence Education P. 0. Box 536 Colorado Springs, Colorado 80901-0536 phone: (719) 531-3388 fax: (719) 531-3385 ADOLESCENT HEALTH Advocates for Youth (formerly Center for Population Options) 1025 Vermont Avenue, N.W., Suite 200 Washington, D.C. 20005 phone: (202) 347-5700 fax: (202) 347-2263 American Medical Association 515 North State Street Chicago, Illinois 60610 phone: (312) 464-5530 fax: (312) 464-5842 Association of Maternal and Child Health Programs 1220 19'h Street, N.W., Suite 801 Washington, D.C. 20036 phone: (202) 775-0436 fax: (202) 775-0061 Association of State and Territorial Health Officials 1275 K Street, N.W., Suite 800 Washington, D.C. 20005 phone: (202) 371-9090 fax: (202) 371-9797 Center for Continuing Education in Adolescent Health Division of Adolescent Medicine Children's Hospital Medical Center 3333 Burnet Avenue Cincinnati, Ohio 45229 phone: (513) 636-4681 fax: (513) 636-7844 Center on Budget and Policy Priorities 820 First Street, N.E., Suite 510 Washington, D.C. 20002 phone: (202) 408-1080 fax: (202) 408-1056 Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Adolescent and School Health (DASH) 4770 Buford Highway N.E., MS/K-31 Atlanta, Georgia 30341-3724 phone: (770) 488-3196 fax: (770) 488-3111 Children's Defense Fund 25 E Street, N.W. Washington, D.C. 20001 phone: (202) 628-8787 fax: (202) 662-3510 Family Health Council Inc. The Adolescent Resource Network 960 Penn Avenue Pittsburgh, Pennsylvania 15222 phone: (412) 288-2139 fax: (412) 288-9036 National Conference of State Legislatures 67 80 Resource Directory ADOLESCENT EALTH, CONTINUED Institute for Health Policy Studies 1388 Sutter Street, 11th Floor San Francisco, California 94109 phone: (415) 476-4921 fax: (415) 476-0705 Institute for Youth Development P. O. Box 16560 Washington, D.C. 20041 phone: (703) 471-8750 fax: (703) 471-8409 Maternal and Child Health Bureau Adolescent Health Branch Park lawn Building, Room 18A-39 5600 Fishers Lane Rockville, Maryland 20857 phone: (301) 443-4026 fax: (301) 443-1296 National Teen Pregnancy Prevention Resource Center Box 721 420 Delaware Street, S.E. Minneapolis, Minnesota 55455 phone: (612) 624-8644 fax: (612) 626-2134 National Coalition of Advocates for Youth 100 Boylston Street, Suite 737 Boston, Massachusetts 02116 phone: (617) 357-8507 fax: (617) 357-9549 National Governors' Association 444 North Capitol Street, Suite 267 Washington, D.C. 20001 -1 51 2 phone: (202) 624-5300 fax: (202) 624-5313 National Network for Youth 1319 F Street, N.W., Suite 401 Washington, D.C. 20004 phone: (202) 783-7949 fax: (202) 783-7955 nn4youth@aol.com COMMUNITY HEALTH National Association of Community Health Centers 1330 New Hampshire Avenue, N.W. Washington, D.C. 20036 phone: (202) 659-8008 fax: (202) 659-8519 Association of State and Territorial Health Officials 415 Second Street, N.E., Suite 200 Washington, D.C. 20002 phone: (202) 546-5400 fax: (202) 544-9349 FAMILY PLANNING The Alan Guttmacher Institute 120 Wall Street New York, New York 10005 phone: (212) 248-1111 fax: (212) 248-1951 Center for Health Training State Family Planning Administrators 1809 Seventh Avenue, Suite 400 Seattle, Washington 98101 phone: (206) 447-9538 fax: (206) 447-9539 The Center for Reproductive Law and Policy 120 Wall Street, 18th Floor New York, New York 10005 phone: (212) 514-5534 fax: (212) 514-5538 National Family Planning and Reproductive Health Association 122 C Street, N.W., Suite 380 Washington, D.C. 20001-2109 phone: (202) 628-3535 fax: (202) 737-2690 68 Adolescent Health Issues: State Actions 1997 81 Resource Directory FAMILY PLANNING, CONTINUED National Organization on Adolescent Pregnancy, Parenting and Prevention 1319 F Street, N.W., Suite 400 Washington, D.C. 20004 phone: (202) 783-5770 fax: (202) 783-5775 Office of Population Affairs Clearinghouse P.O. Box 30686 Bethesda, Maryland 20824-0686 phone: (301) 654-6190 fax: (301) 215-7731 Office of Population Affairs East-West Towers, Suite 200 West 4350 East-West Highway Bethesda, Maryland 20814 phone: (301) 594-4000 fax: (301) 594-5980 Planned Parenthood Federation of America 810 Seventh Avenue New York, New York 10019 phone: (212) 541-7800 fax: (212) 245-1845 GAY, LESBIAN, BISEXUAL AND TRANSGENDER YOUTH American Civil Liberties Union Foundation National Headquarters Lesbian and Gay Rights/AIDS Project 132 West 43rd Street New York, New York 10036 phone: (212) 944-9800 x545 fax: (212) 869-9061 American Psychological Association Lesbian and Gay Concerns 750 First Street, N.E. Washington, D.C. 20002-4242 phone: (202) 336-6037 fax: (202) 336-6040 National Advocacy Coalition on Youth and Sexual Orientation 1711 Connecticut Avenue, N.W., Suite 206 Washington, D.C. 20009 phone: (202) 319-7596 fax: (202) 319-7365 National Gay and Lesbian Task Force and Policy Institute 2320 17th Street, N.W., Washington, D.C. 20009 phone: (202) 332-6483 fax: (202) 332-0207 HIV/AIDS/STDs American Civil Liberties Union Foundation National Headquarters Lesbian and Gay Rights/AIDS Project 132 West 43rd Street New York, New York 10036 phone: (212) 944-9800 x545 fax: (212) 869-9061 American Academy of Pediatrics Department of Government Liaison Pediatric AIDS Coalition 601 13th Street, N.W., Suite 400 North North Washington, D.C. 20005 phone: (202) 347-8600 fax: (202) 393-6137 American Bar Association AIDS Coordinating Committee 740 15th Street, N.W. Washington, D.C. 20005 phone: (202) 662-1025 fax: (202) 662-1032 American Foundation for AIDS Research Public Policy Office 1828 L Street, N.W., Suite 802 Washington, D.C. 20036 phone: (202) 331-8600 fax: (202) 331-8606 National Conference of State Legislatures 69 82 Resource Directory HIWAIDS/STDs, CONTINUED American Institute for Teen AIDS Prevention P.O. Box 136116 Fort Worth, Texas 76136 phone: (817) 237-0230 fax: (817) 238-2048 American Red Cross, National Headquarters Office of HIV/AIDS Educational Development 8111 Gatehouse Road Falls Church, Virginia 22042 phone: (703) 206-7130 fax: (703) 206-7754 American Social Health Association 311 Massachusetts Avenue, N.E. Washington, D.C. 20002 phone: (202) 543-9129 fax: (202) 543-5327 National STD Hotline: (800) 227-8922 Centers for Disease Control and Prevention National AIDS Hotline confidential address phone: (800) 342-AIDS (2437) Spanish service: (SIDA) (800) 344-7432 Deaf service: (TDD) (800) 243-7889 Clearinghouse: (800) 458-5231 STD Hotline: (800) 227-8922 Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Adolescent and School Health 4770 Buford Highway N.E., MS-K33 Atlanta, Georgia 30341-3724 phone: (770) 488-3196 fax: (707) 488-3111 Centers for Disease Control and Prevention Division of Sexually Transmitted Disease and Prevention Mail Stop E-02 1600 Clifton Road, MS-E02 Atlanta, Georgia 30333 phone: (404) 639-8188 fax: (404) 639-8608 Center for Women Policy Studies National Resource Center on Women and AIDS 1211 Connecticut Avenue, N.W., Suite 312 Washington, D.C. 20036 phone: (202) 872-1770 fax: (202) 296-8962 Medical Institute for Sexual Health P. 0. box 162306 Austin, TX 78716-2306 phone: (800) 892-9484 or (512) 328-6268 fax: (512) 328-6269 National Alliance of State and Territorial AIDS Directors 444 North Capitol Street, N.W., Suite 339 Washington, D.C. 20001 phone: (202) 434-8090 fax: (202) 434-8092 National Coalition of STD Directors C/O Anne Meegan Chicago Department of Public Health 1306 South Michigan Avenue Chicago, Illinois 60605 phone: (312) 747-9867 fax: (312) 747-9663 National Native American AIDS Prevention Center 134 Linden Street Oakland, California 94607 phone: (510) 444-2051 fax: (510) 444-1593 MEDICAID American Public Welfare Association 810 First Street, N.E., Suite 500 Washington, D.C. 20002-4267 phone: (202) 682-0100 fax: (202) 289-6555 Medicaid Bureau Health Care Financing Administration 7500 Security Boulevard Baltimore, Maryland 21244-1850 phone: (410) 786-3000 fax: (410) 966-8060 70 Adolescent Health Issues: State Actions 1997 33 Resource Directory MENTAL HEALTH Brazelton Center for Mental Health Law 1101 15th Street, N.W., Suite 1212 Washington, D.C. 20005-5002 phone: (202) 467-5730 fax: (202) 223-0409 National Mental Health Association 1021 Prince Street Alexandria, Virginia 22314-2971 phone: (703) 684-7722 fax: (703) 684-5968 MINORITY HEALTH Asian and Pacific Islander, American Health Forum 116 New Montgomery Street, Suite 531 San Francisco, California 94105 phone: (415) 512-2710 fax: (415) 512-3881 Indian Health Service 5600 Fishers Lane, Room 6-05 Rockville, Maryland 20857 phone: (301) 443-1083 fax: (301) 443-4794 National Association for Equal Opportunity in Higher Education Lovejoy Building 400 12th Street, N.E. Washington, D.C. 20002 phone: (202) 543-9111 fax: (202) 543-9113 National Coalition of Hispanic Health and Human Services Organizations 1501 16th Street, N.W. Washington, D.C. 20036 phone: (202) 387-5000 fax: (202) 797-4353 National Council of La Raza 1111 19th Street, N.W., Suite 1000 Washington, D.C. 20036 phone: (202) 785-1670 fax: (202) 776-1792 National Indian Health Board 1385 South Colorado Boulevard Denver, Colorado 80222 phone: (303) 759-3075 fax: (303) 759-3674 Student National Medical Association 1012 10th Street, N.W. Washington, D.C. 20001 phone: (202) 371-1616 fax: (202) 371-5676 National Urban League Health Program 120 Wall Street, 8th Floor New York, New York 10005 phone: (212) 310-9000 fax: (212) 344-5332 Office of Minority Health Public Health Service 5515 Security. Lane, Suite 1000 Rockville, Maryland 20852 phone: (301) 443-5084 fax: (301) 594-0767 Office of Minority Health Resource Center P.O. Box 37337 Washington, D.C. 20013-7337 phone: (301) 587-1938 fax: (301) 589-0884 SCHOOL HEALTH American Association of School Administrators 1801 North Moore Street Arlington, Virginia 22209-1813 phone: (703) 528-0700 fax: (703) 841-1543 American Cancer Society 1599 Clifton Road, N.E. Atlanta, Georgia 30329 phone: (404) 329-7740 fax: (404) 329-7530 National Conference of State Legislatures 71 84 Resource Directory SCHOOL HEALTH, CONTINUED American Nurses Association 600 Maryland Avenue, S.W., Suite 100 West Washington, D.C. 20024-2571 phone: (202) 651-7000 fax: (202) 651-7001 American School Health Association 7263 State Route #43 Kent, Ohio 44240 phone: (330) 678-1601 fax: (330) 678-4526 American Association for Health Education 1900 Association Drive Reston, Virginia 20191 phone: (703) 476-3437 fax: (703) 476-6638 Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Adolescent and School Health 4770 Buford Highway, N.E., MS-K33 Atlanta, Georgia 30341-3724 phone: (770) 488-3196 fax: (770) 488-3111 Council of Chief State School Officers One Massachusetts Avenue, N.W., Suite 700 Washington, D.C. 20001 phone: (202) 408-5505 fax: (202) 408-8072 George Washington University Making the Grade: State and Local Partnerships to Estabkh School-Based Health Centers 1350 Connecticut Avenue, N.W., Suite 505 Washington, D.C. 20036 phone: (202) 466-3396 fax: (202) 466-3467 National Assembly on School-Based Health Care 1522 K Street, NW Ste. 600 Washington, D.C. 20005 phone: (202) 289-5400 fax: (202) 289-0776 National Association of State Boards of Education 1012 Cameron Street Alexandria, Virginia 22314 phone: (703) 684-4000 fax: (703) 836-2313 National Education Association Health Information Network 1201 16th Street, N.W., Suite 521 Washington, DC 20036 phone: (202) 822-7570 fax: (202) 822-7775 National Center for Health Education 72 Spring Street, Suite 208 New York, New York 10012 phone: (212) 334-9470 fax: (212) 334-9845 Institute for Educational Leadership 1001 Connecticut Avenue, N.W., Suite 310 Washington, D.C. 20036 phone: (202) 822-8405 fax: (202) 872-4050 National School Boards Association 1680 Duke Street Alexandria, Virginia 22314 phone: (703) 838-6722 fax: (703) 683-7590 Office of School Health University of Colorado, Health Sciences Center School of Nursing 4200 East Ninth Avenue Box C287 Denver, Colorado 80262 phone: (303) 315-7435 fax: (303) 315-3198 SEXUALITY EDUCATION Education Development Center 55 Chapel Street Newton, Massachusetts 02158 phone: (800) 225-4276 fax: (617) 969-5979 72 85 Adolescent Health Issues: State Actions 1997 Resource Directory SEXUALITY EDUCATION, CONTINUED Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Adolescent and School Health (DASH) Mail Stop K-31 4770 Buford Highway, N.E. Atlanta, Georgia 30341-3196 phone: (770) 488-3196 fax: (770) 488-3111 Sexuality Information and Education Council of the United States 130 West 42nd Street, Suite 350 New York, New York 10036 phone: (212) 819-9770 fax: (212) 819-9776 SUBSTANCE ABUSE National Association of Beverage Retailers 5101 River Road, Suite 108 Bethesda, MD 20816 phone: (301) 656-1494 fax: (301) 656-7539 Drug Strategies 2445 M Street, N.W., Suite 480 Washington, D.C. 20037 phone: (202) 663-6090 fax: (202) 663-6110 National Association of State Alcohol and Drug Abuse Directors 808 Seventeenth Street, N.W., Suite 410 Washington, D.C. 20006 phone: (202) 293-0090 fax: (202) 293-1250 National Clearinghouse for Alcohol and Drug Information P.O. Box 2345 Rockville, Maryland 20847-2345 phone: (800) 729-6686 fax: (301) 468-6433 SUICIDE American Association of Suicidology 4201 Connecticut Avenue, N.W., Suite 310 Washington, D.C. 20008 phone: (202) 237-2280 fax: (202) 237-2282 Death With Dignity National Center 520 South El Camino Real, Suite 710 San Mateo, California 94402 phone: (415) 344-6489 fax: (415) 344-8100 TOBACCO Americans for Nonsmokers Rights 2530 San Pablo Avenue, Suite J Berkeley, California 94702 phone: (510) 841-3032 fax: (510) 841-3071 American Lung Association 1726 M Street, N.W. Washington, D.C. 20036 phone: (202) 785-3355 fax: (202) 785-1805 Campaign for TobaccoFree Kids National Center for Tobacco-Free Kids 1707 L Street, N.W., Suite 800 Washington, D.C. 20036 phone: (202) 296-5469 fax: (202) 296-5427 Office on Smoking and Health Centers for Disease Control and Prevention 4770 Buford Highway, N.E., MS K50 Atlanta, Georgia 30341-3724 phone: (770) 488-5708 fax: (770) 488-5939 1-800 CDC 1311 Philip Morris 120 Park Avenue New York, NY 10017 phone: (212) 880-3082 fax: (212) 907-5565 National Conference of State Legislatures 73 86 Resource Directory TOBACCO, CONTINUED R.J. Reynolds Tobacco Company 401 N. Main Street Winston-Salem, NC 27101 Phone: (910) 741-7665 Fax: (910) 741-4401 Tobacco Institute 1875 I Street, N.W., Suite 800 Washington, D.C. 20006 phone: (202) 457-4800 fax: (202) 457-9350 Tobacco Product Liability Project Northeastern University 360 Huntington Avenue 117 Cushing Hall Boston, MA 02115 phone: (617) 373-2026 fax: (617)373-3672 United States Tobacco (UST) 100 West Putnam Avenue Greenwich, CT 06830 phone: (203) 622-3359 fax: (203) 863-7240 74 Adolescent Health Issues: State Actions 1997 87 APPENDIX C STATE ADOLESCENT HEALTH COORDINATORS/DIRECTORS ALABAMA Donna Lippold Director Child/Adolescent Health Branch Bureau of Family Health Services 434 Monroe Street Montgomery, Alabama 36130-3701 phone: (334) 242-8000 fax: (334) 269-4865 ALASKA Becky Judd Coordinator Adolescent Health Department of Health 1231 Gambell Street Anchorage, Alaska 99501-4627 phone: (907) 269-3424 fax: (907) 269-3432 ARIZONA Barbara Olson Consultant Adolescent Health Department of Health Services Office of Women and Children's Health 411 North 24th Street Phoenix, Arizona 85008 phone: (602) 220-6550 fax: (602) 222-6551 ARKANSAS Marilyn Dunavant Director Division of Child and Adolescent Health Department of Health 4815 West Markham, Slot #17 Little Rock, Arkansas 72201 phone: (501) 661-2055 CALIFORNIA Sharlyn Hansen Coordinator Adolescent Health Maternal and Child Health Branch Department of Health 714 P Street, Room 750 Sacramento, California 95814 phone: (916) 657-1372 fax: (916) 657-3069 COLORADO Barbara Ritchen Director Child/Adolescent School Health Program Department of Health/Public Environment 4300 Cherry Creek Drive South Denver, Colorado 80222-1530 phone: (303) 692-2328 fax: (303) 782-5576 CONNECTICUT Lynn Noyes Supervisor School and Adolescent Health Child and Adolescent Health Division Department of Public Health Services 410 Capitol Avenue, MS11PCR P.O. Box 34038 Hartford, Connecticut 06134-6105 phone: (860) 509-8057 fax: (860) 509-7720 or 7717 DELAWARE Gloria James, Ph.D. Director School-Based Health Centers Department of Health and Social Services P.O. Box 637 Dover, Delaware 19903 phone: (302) 739-4787 fax: (302) 739-6653 FLORIDA Sylvia Byrd R.N. Nursing Consultant Coordinator Family Health Services Department of Health and Rehabilitative Services 1317 Winewood Boulevard Tallahassee, Florida 32399-0700 mailstop: HSFH phone: (904) 488-2834 GEORGIA Michelle Ozumba Director, Teen Plus Division of Public Health Department of Human Resources 2 Peachtree Street, N.W., 8th Floor Atlanta, Georgia 30303 phone: (404) 657-2861 fax: (404) 657-7307 National Conference of State Legislatures 75 88 State Adolescent Health Coordinators/Directors GUAM Laurent Duenas MCH/CSHN Director Department of Public Health and Social Services Government of Guam P.O. Box 2816 Agana, GU 96910 HAWAII Candice Radner Planner Community Adolescent Program School Health Services Branch State Department of Health 741-A Sunset Avenue Honolulu, Hawaii 96816 phone: (808) 733-8339 fax: (808) 733-9078 IDAHO Laurel Patterson Consultant Child and Adolescent Health Bureau of Maternal and Child Health Department of Health and Welfare 450 West State Street, First Floor P.O. Box 83720 Boise, Idaho 83720-0036 phone: (208) 334-5957 fax: (208) 334-6573 ILLINOIS Judith Redick Coordinator Adolescent Health Department of Public Health 535 West Jefferson Street Springfield, Illinois 62761 phone: (217) 782-0554 fax: (217) 782-4890 INDIANA Sally Goss Coordinator Maternal and Child Health Services State Department of Health 2 North Meridian Street, Suite 7-B Indianapolis, Indiana 46204 phone: (317) 233-1374 fax: (317) 233-1299 IOWA Carol Hinton Coordinator Adolescent and School Health Division of Family and Community Health Department of Public Health Lucas State Office Building 321 East 12th Street Des Moines, Iowa 50319-0075 phone: (515) 281-6924 fax: (515) 242-6384 KANSAS Lorenda Naylor Consultant Adolescent Health. Children and Families Section Department of Health and Environment Land and State Office Building 900 S.W. Jackson, 10th Floor Topeka, Kansas 66612-1290 phone: (913) 296-1307 fax: (913) 296-4166 KENTUCKY Gregg Lawther Community Health Branch Manager Division of Adult and Child Health 275 East Main Street Frankfort, Kentucky 40621 phone: (502) 564-2154 fax: (502) 564-8389 LOUISIANA Sylvia Steme Director Adolescent School Health Department of Health and Hospitals 325 Loyola Avenue, Room 612 New Orleans, Louisiana 70112 phone: (504) 568-5073 fax: (504) 568-8162 MAINE DeEtte Hall Director Teen and Young Adult Health Program Division of Maternal and Child Health Department of Human Services 11 State House Station Augusta, Maine 04333-0011 phone: (207) 287-5361 fax: (207) 287-5355 MARYLAND Nira Bonner Office of Children's Health Department of Health and Mental Hygiene 201 West Preston Street, 4th Floor Baltimore, Maryland 21201 phone: (410) 225-6749 fax: (410) 333-7956 MASSACHUSETTS Diane Hagan Director Adolescent Health Department of Public Health 250 Washington Street, 4th Floor Boston, Massachusetts 02108 phone: (617) 624-5070 fax: (617) 624-5075 76 Adolescent Health Issues: State Actions 1997 89 State Adolescent Health Coordinators/Directors MICHIGAN Nell Pizzo Coordinator Adolescent Health Program Department of Public Health 3423 North M.L. King Jr. Boulevard P.O. Box 30195 Lansing, Michigan 48909 phone: (517) 335-8906 fax: (517) 335-9222 MINNESOTA Kristen Teipeo Coordinator Maternal and Child Health Section Department of Health 717 Delaware Street, S.E. P.O. Box 9441 Minneapolis, Minnesota 55440-9441 phone: (612) 623-5564 fax: (612) 623-5442 MISSISSIPPI Ernest Griffin State Department of Health P.O. Box 1700 Jackson, Mississippi 39215-1700 phone: (601) 960-7463 fax: (601) 354-6104 MISSOURI Nela Beetem Coordinator Child and Adolescent Health Department of Health 930 Wildwood Jefferson City, Missouri 65109-0570 phone: (573) 751-6267 fax: (573) 526-5347 MONTANA Public Health Nurse Consultant Department of Health and Environmental Sciences Cogswell Building 1400 Broadway Helena, Montana 59620 phone: (406) 444-0983 fax: (406) 444-2606 NEBRASKA Carol Iverson Coordinator School and Adolescent Health Family Health Division Department of Health 301 Centennial Mall South, P.O. Box 95044 Lincoln, Nebraska 68509-5044 phone: (402) 471-0160 fax: (402) 471-7049 doh5154@vmhost.cdp.state,ne.us NEVADA Heidi Sakelarios Child and Adolescent Service Coordinator Bureau Family Health Services 505 East King Street, Room 200 Carson City, Nevada 89701-4792 phone: (702) 687-4885 fax: (702) 687-1383 NEW HAMPSHIRE Charles Albano Supervisor Adolescent Health Bureau of Family and Child Health Department of Public Health Service 6 Hazen Drive Concord, New Hampshire 03301 phone: (603) 271-4520 fax: (603) 271-3827 NEW JERSEY Angela Mal i noski Public Health Nurse Consultant Department of Health and Social Services 50 East State Street, P. 0. Box 364 Trenton, New Jersey 08625-0364 phone: (609) 292-8104 fax: (609) 292-3580 NEW MEXICO Karen Gaylord Manager Adolescent Youth Development Program P.O. Box 26110 Santa Fe, New Mexico 87502-6110 phone: (505) 827-2356 fax: (505) 827-1697 NEW YORK Annette Johnson Director School Health Program State Department of Health Corning Tower, Empire State Plaza Albany, New York 12237 phone: (518) 486-4966 fax: (518) 474-5445 amj02@health.stateny.us NORTH CAROLINA Duncan Shaw Coordinator Adolescent Health Child and Youth Section Preventive Services Branch Division of Maternal and Child Health P.O. Box 29597 Raleigh, North Carolina 27611-7687 phone: (919) 715-3423 fax: (919) 715-3049 National Conference of State Legislatures 90 77 State Adolescent Health Coordinators/Directors NORTH DAKOTA Carolyn Lean Coordinator Adolescent Health and School Services State Department of Health 600 East Boulevard Avenue Bismarck, North Dakota 58505-0164 phone: (701) 328-4528 fax: (701) 328-1412 OHIO Angela Norton Supervisor, Special Programs Department of Health 246 North High Street, 6th Floor Columbus, Ohio 43266-0588 phone: (614) 466-6039 fax: (614) 644-9850 OKLAHOMA Marilyn Lanphier Director Adolescent Section Child Health and Guidance Service State Department of Health 1000 N.E. 10th Street Oklahoma City, Oklahoma 73117-1299 phone: (405) 271-4471 fax: (405) 271-6199 OREGON Tammy Alexander Coordinator Adolescent Health Health Division 800 N.E. Oregon Street, #21 Portland, Oregon 97232 phone: (503) 731-4584 fax: (503) 731-4083 PENNSYLVANIA Roxanne Lepore Nurse Consultant Child and Adolescent Health Section Department of Health Room 725, P.O. Box 90 Harrisburg, Pennsylvania 17108 phone: (717) 783-8451 fax: (717) 772-0323 PUERTO RICO Roberto Bare la Director Maternal and Child Health Department of Health P.O. Box 70184 San Juan, Puerto Rico 00936-8184 phone: (787) 274-5681 fax: (787) 274-5523 RHODE ISLAND Laurie Petrone Chief Maternal and Child Health Department of Health Room 302, Cannon Building Three Capitol Hill Providence, Rhode Island 02908-5097 phone: (401) 277-2312 fax: (401) 277-1442 SOUTH CAROLINA May Ellen Hatfield Consultant Nurse Program Department of Health and Environmental Control 2600 Bull Street Columbia, South Carolina 29201 phone: (803) 737-4085 fax: (803) 737-3255 SOUTH DAKOTA Denise White Adolescent Health Coordinator Department of Health 615 East Fourth Street do 500 East Capitol Pierre, South Dakota 57501-5070 phone: (605) 773-3737 fax: (605) 773-5509 TENNESSEE Deborah Johnson Director Child and Adolescent Health Family Health Services 5th Floor, Cordell Hall Building 425 5th Avenue North Nashville, Tennessee 37247-4701 phone: (615) 741-0357 fax: (615) 741-1063 TEXAS Linda Prentice Clinical Operations Director Children's Health and Safety Department of Health 1100 West 49th Street Austin, Texas 78756 phone: (512) 458-7700 fax: (512) 458-7350 UTAH Dawn Higley Manager Child and Adolescent School Health Program Department of Health Division of Family Health Services 288 North 1460 West, Box 144460 Salt Lake City, Utah 84114-4460 phone: (801) 538-9459 fax: (801) 538-9409 78 Adolescent Health Issues: State Actions 1997 91 State Adolescent Health Coordinators/Directors VERMONT Patricia Berry Director Community Public Health Department of Health 108 Cherry Street, P.O. Box 70 Burlington, Vermont 05402 phone: (802) 863-7347 fax: (802) 863-7229 VIRGINIA Steve Conley Consultant Adolescent Health Division of Child and Adolescent Health Department of Health 1500 East Main Street, Room 137 P.O. Box 2448 Richmond, Virginia 23218-2448 phone: (804) 786-7367 fax: (804) 371-6031 WASHINGTON Judy Schoder Coordinator Adolescent Health Parent-Child Health Services State Department of Health P.O. Box 47880 Olympia, Washington 98504-7880 phone: (360) 586-1255 fax: (360) 586-7868 WEST VIRGINIA J. Nelson Parker Program Manager Adolescent Health Initiative Bureau of Public Health 1411 Virginia Street, East Charleston, West Virginia 25301 phone: (304) 558-5388 fax: (304) 558-2183 WISCONSIN Sharon Lidberg Program Consultant Adolescent Health Division of Health 1414 East Washington Avenue, Room 167 Madison, Wisconsin 53703-3044 phone: (608) 267-2204 fax: (608) 267-3824 WYOMING John Harper Director Maternal/Child Health Program Division Public Health 462 Hathaway Building Cheyenne, Wyoming 82002 phone: (307) 777-6474 fax: (307) 777-5402 National Conference of State Legislatures 79 92 BEYOND BASIC HEALTH CARE, ADOLESCENTS BENEFIT FROM HEALTH SERVICES THAT ADDRESS RISKY BUT PREVENTABLE BEHAVIORS THESE BEHAVIORS INCLUDE SEXUAL ACTIVITY AND ABUSE OF ALCOHOL AND OTHER DRUGS Adolescent Health Issues State Actions 1997 IS A COMPILATION OF LAWS AND RESOLUTIONS AFFECTING ADOLESCENT HEALTH ISSUES THAT WERE PASSED IN THE 50 STATES IN THE 1997 LEGISLATIVE SESSION TOPIC AREAS INCLUDE ABORTION, ABSTINENCE, ADOLESCENT HEALTH ISSUES, COMMUNITY HEALTH ISSUES, HIV/AIDS, INSURANCE, MEDICAID, MENTAL HEALTH, PREGNANCY AND PARENTING, SCHOOL-BASED HEALTH SERVICES, SEXUAL CONDUCT, SEXUALLY TRANSMITTED DISEASES, SUBSTANCE ABUSE, TATTOOING AND BODY PIERCING, TOBACCO AND VIOLENCE PREVENTION ITEM #6667 PRICE: $20.00 1111111 NATIONAL CONFERENCE OF STATE LEGISLATURES ISBN 1-555-16-76o-8 STATE ACTIONS 93 U.S. DEPARTMENT OF EDUCATION Office of Educational Research and Improvement (OERI) Educational Resources Information Center (ERIC) NOTICE REPRODUCTION BASIS ERIC This document is covered by a signed "Reproduction Release (Blanket)" form (on file within the ERIC system), encompassing all or classes of documents from its source organization and, therefore, does not require a "Specific Document" Release form. This document is Federally-funded, or carries its own permission to reproduce, or is otherwise in the public domain and, therefore, may be reproduced by ERIC without a signed Reproduction Release form (either "Specific Document" or "Blanket"). (9/92) 0 6 ScD'Z