English A, Simmons P S
Center for Adolescent Health & the Law, Chapel Hill, North Carolina 27514, USA.
Adolesc Med. 1999 Jun;10(2):181-94, v.
Adolescents need reproductive and sexuality-related health care. State and federal laws affect consent, confidentiality, and payment for services. State minor consent laws allow minors to consent based on the minor's status or the services sought. State and federal laws affect confidentiality of health information generally as well as programs for specific services, such as family planning or drug and alcohol abuse treatment. Medicaid, the new State Children's Health Insurance Program, and categorical funding programs are important funding sources. Adolescents' ability to use these sources for confidential reproductive and sexuality-related services is evolving. However, possible changes in federal law and the transition to managed care in both public and private insurance present significant challenges they may face in the future.
青少年需要与生殖和性健康相关的医疗保健。州和联邦法律影响着医疗服务的同意权、保密规定以及费用支付。州未成年人同意法允许未成年人根据自身状况或所寻求的服务自行同意接受治疗。州和联邦法律通常会影响健康信息的保密性，以及诸如计划生育或药物和酒精滥用治疗等特定服务项目的保密性。医疗补助计划、新的州儿童健康保险计划以及专项拨款计划都是重要的资金来源。青少年利用这些资金来源获取与生殖和性健康相关的保密服务的能力正在不断发展。然而，联邦法律可能发生的变化以及公共和私人保险向管理式医疗的转变，给他们未来可能面临的挑战带来了重大影响。
