Legislature(1997 - 1998)

02/11/1997 08:10 AM House STA

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
txt
 HB 37 - PARENTAL CONSENT BEFORE MINOR'S ABORTION                            
                                                                               
 The next order of business to come before the House State Affairs             
 Standing Committee was HB 37, "An Act relating to a requirement               
 that a parent, guardian, or custodian consent before certain minors           
 receive an abortion; establishing a judicial bypass procedure by              
 which a minor may petition a court for authorization to consent to            
 an abortion without consent of a parent, guardian, or custodian;              
 amending the definition of `abortion`; and amending Rules 40 and              
 79, Alaska Rules of Civil Procedure; Rules 204, 210, 212, 213, 508,           
 and 512.5, Alaska Rules of Appellate Procedure; and Rule 9, Alaska            
 Administrative Rules."                                                        
                                                                               
 Number 0411                                                                   
                                                                               
 CHAIR JAMES explained the committee would take public testimony               
 today until 10:00 a.m.  The bill was also scheduled for Thursday              
 February 13, 1997.                                                            
                                                                               
 Number 0598                                                                   
                                                                               
 JUDITH KOEHLER, Senior Legislative Counsel, Americans United for              
 Life, was the first person to testify via teleconference in                   
 Chicago.  She explained Americans United for Life was a non-profit,           
 public interest law firm and educational organization.  It had been           
 involved in virtually all abortion litigation in the United States            
 Supreme Court, including Roe v. Wade, since 1972.  She was also a           
 former Illinois Legislator and state attorney, and had been                   
 involved in all 50 states in drafting and defending parental                  
 involvement statutes-both parental notice and parental consent.               
 Her testimony today would focus on the constitutionality of HB 37,            
 the interest of Alaska in passing such legislation, and the affect            
 upon teenage pregnancy, birth and abortion rates.                             
                                                                               
 MS. KOEHLER cited Roe v. Wade and Dole v. Bolton court cases.             
 These two cases, she explained, gave a woman the right to an                  
 abortion throughout all nine months of her pregnancy.  House Bill             
 37 did not touch those lines of cases.  Instead, it derived its               
 constitutionality from the Hodgson v. Minnesota case, Ohio case and         
 the Casey case.  These three cases were litigated in the U.S.               
 Supreme Court and it held that parental involvement laws were                 
 reasonably related to a state's interest in preserving parental               
 authority and protecting the health of minors without unduly                  
 burdening their right to choose an abortion.  House Bill 37 was               
 consistent with the laws that had been affirmed.  Therefore, it               
 could be successfully litigated and enforced.                                 
                                                                               
 MS. KOEHLER further cited 34 states had parental involvement                  
 legislation.  However, 7 of the 34 states were unenforceable                  
 because they did not include a judicial by-pass.   Moreover, the              
 public supported parental involvement laws.  A poll in Alaska last            
 year indicated that 78 percent of Alaskans supported parental                 
 consent laws for a girl 16 years of age and under.  She believed,             
 that same public support would be found for HB 37.  It was also               
 consistent with the favorable support in the states of Iowa, Texas,           
 and Colorado.                                                                 
                                                                               
 MS. KOEHLER further stated 1.5 million abortions were performed in            
 1992, of which, 27 percent were performed on teenagers-10 to 17               
 years of age.  Furthermore, 41 percent of teenagers aborted their             
 children, of which, only 45 percent told their parents and nearly             
 80 percent were performed in abortion clinics.  And, one study                
 found that less than one-half of the abortion clinics required                
 parental notice for those 15 years of age and younger.                        
                                                                               
 MS. KOEHLER further explained in Minnesota teenage pregnancy rates            
 were reduced by 25 percent after the parental notice law was                  
 passed, teenage birth rates were reduced by 12.5 percent, and                 
 teenage abortion rates were reduced by 27.4 percent.  In essence,             
 she stated, passing a parental involvement law was good public                
 policy because it changed teenage behavior.  That was the focus of            
 HB 37.  She also cited in Pennsylvania, there was a 22.4 percent              
 decrease in teenage abortions after its law went into effect.  In             
 Nebraska, there was a 23 percent reduction in abortions and teenage           
 birth rates after its law went into effect.  And, in Mississippi,             
 similar statistics were also generated.                                       
                                                                               
 MS. KOEHLER further explained that ectopic pregnancies increased              
 after a woman underwent an abortion.  There were also reports of              
 incompetent cervix complications, and the risk of breast cancer was           
 elevated by 30 percent.  A study in Seattle, Washington, indicated            
 that a teenager who aborted her first pregnancy elevated her risk             
 of breast cancer by 150 percent.  And, all of the participants who            
 had a family history of breast cancer, developed it by the age of             
 45.  Teenagers did not have a good sense of their family medical              
 history and only parental involvement in their decisions would be             
 able to bring the health and medical factors to bear on their                 
 decision.                                                                     
                                                                               
 MS. KOEHLER concluded by explaining a study in Finland that                   
 indicated within one year after an abortion a woman was six times             
 more likely to commit suicide than a woman who carried her child to           
 term.  In addition, she was three times more likely to commit                 
 suicide compared to the general population of her own age group.              
 Adults must help a minor with her decision.  "The medical                     
 implications, the social implications all bring to bear with                  
 respect to Alaska's interest in protecting a minor's health, in               
 protecting parental rights and fostering family unity."                       
                                                                               
 Number 1138                                                                   
                                                                               
 REPRESENTATIVE FRED DYSON asked Ms. Koehler if she would comment on           
 the position of the American Medical Association (AMA) with respect           
 to parental consent?                                                          
                                                                               
 Number 1152                                                                   
                                                                               
 MS. KOEHLER replied the American Association of Physicians and                
 Surgeons filed a brief that stated and recognized the importance of           
 the involvement of parents in medical treatments of minors,                   
 especially surgical procedures.  Abortion was the number one                  
 elected surgery performed on women in the United States.  The                 
 association was composed of obstetricians, gynecologists, family              
 practitioners, and pediatricians who routinely provided medical               
 services to minors.                                                           
                                                                               
 Number 1217                                                                   
                                                                               
 REPRESENTATIVE ETHAN BERKOWITZ asked Ms. Koehler if it was more               
 accurate to say that Roe v. Wade "acknowledged" the right's of              
 woman rather than "gave" them rights?                                         
                                                                               
 Number 1230                                                                   
                                                                               
 MS. KOEHLER replied, "That is correct.  It was possible to have an            
 abortion performed."                                                          
                                                                               
 Number 1235                                                                   
                                                                               
 REPRESENTATIVE BERKOWITZ asked Ms. Koehler if there were any                  
 circumstances where she would support a woman's right to choose?              
                                                                               
 Number 1242                                                                   
                                                                               
 MS. KOEHLER replied she was here to testify on HB 37.  She believed           
 the bill did not interfere with a woman's right to choose an                  
 abortion.  Furthermore, no parental consent law that had been                 
 successfully litigated in the United States Supreme Court unduly              
 burdened a woman's right to choose.  In Roe v. Wade she was given           
 the right to have an abortion, and in Dole v. Bolton she was given          
 the right to an abortion throughout all nine months of her                    
 pregnancy.  House Bill 37 did not interfere with that right.  It              
 derived from the successful litigation of laws in Minnesota, Ohio             
 and the Casey case that enabled a state to regulate the abortion            
 procedure on behalf of the health and welfare of its minors and               
 parental rights involved in a minor's decision.                               
                                                                               
 Number 1300                                                                   
                                                                               
 CHAIR JAMES reminded Representative Berkowitz to keep his question            
 to HB 37 and to not ask personal questions of the testifiers.  Ms.            
 Koehler was an expert witness here to talk about the facts and not            
 her beliefs.                                                                  
                                                                               
 Number 1312                                                                   
 REPRESENTATIVE BERKOWITZ replied if an expert witness was going to            
 testify the bias of the witness was important.                                
                                                                               
 Number 1317                                                                   
                                                                               
 CHAIR JAMES replied not in testimony in the legislative arena.                
                                                                               
 Number 1326                                                                   
                                                                               
 REPRESENTATIVE BERKOWITZ commented Minnesota bordered other states            
 unlike Alaska.  He asked Ms. Koehler if she knew how many pregnant            
 teenagers from Minnesota went to other states for an abortion?                
                                                                               
 Number 1341                                                                   
                                                                               
 MS. KOEHLER replied there was no indication from the information              
 because Minnesota was the first state to successfully litigate a              
 two-parent notice law with a judicial by-pass.  In Mississippi, a             
 study indicated that some girls and adult women migrated to                   
 surrounding states for an abortion, but those states also had                 
 parental involvement laws of which they were required to meet.  In            
 addition, in Minnesota, over a five year period, 3,573 girls filed            
 a petition for a judicial by-pass.  Of the 3,573 petitions, 3,558             
 were granted, 6 were withdrawn, 9 were denied, of which, 1 was                
 appealed and affirmed.                                                        
                                                                               
 Number 1464                                                                   
                                                                               
 REPRESENTATIVE BERKOWITZ asked Ms. Koehler if she knew how many               
 women died of an illegal abortion in Minnesota after the law was in           
 effect?                                                                       
                                                                               
 Number 1472                                                                   
                                                                               
 MS. KOEHLER replied he assumed that all illegal abortions were                
 lethal, and that all legal abortions were safe.  Statistics from              
 every state in the country indicated that women died of legal                 
 abortions as well as illegal abortions.                                       
                                                                               
 Number 1492                                                                   
                                                                               
 REPRESENTATIVE BERKOWITZ asked Ms. Koehler if she knew how many               
 people died from a legal abortion and how many died from an illegal           
 abortion in Minnesota?                                                        
                                                                               
 Number 1500                                                                   
                                                                               
 MS. KOEHLER replied she could not give him that information because           
 it was not part of the reporting that was available at this moment.           
                                                                               
 Number 1560                                                                   
                                                                               
 DR. JAN WHITEFIELD, Medical Director, Alaska Women's Health                   
 Services, was the next person to testify via teleconference in                
 Anchorage.  He stated he had counseled thousands of teens on                  
 abortions in accordance with the current state law.  The majority             
 had already consulted their parents, and in many cases their                  
 parents came with them to help them through this difficult time.              
 The teens that did not come in came from dysfunctional homes who              
 could not deal with their parents, and most would be absolutely               
 intimidated to revert to the judicial by-pass.  In addition, in the           
 time it would take them to deal with the judicial by-pass it would            
 delay their choice for an abortion and put them at a more advanced            
 gestations increasing their medical risk.                                     
                                                                               
 Number 1660                                                                   
                                                                               
 CHAIR JAMES commented testimony indicated that teenagers would be             
 intimidated by the judicial by-pass.  She asked Dr. Whitefield to             
 explain how a judicial by-pass was different than counselling?                
                                                                               
 Number 1676                                                                   
                                                                               
 DR. WHITEFIELD replied it was how they got into the legal system.             
 It was the same as those that chose not to pursue state support for           
 a pregnancy because they were intimidated by the application                  
 process.  The Alaska Women's Health Services had tried and observed           
 the judicial by-pass and found that it was intimidating.  There was           
 a lot of hesitancy surrounding the judicial by-pass option because            
 of the time involved.  At the clinic, it was a one-on-one situation           
 with a thought in mind and the various options were presented such            
 as, adoption and abortion.  He would like to link every unwed                 
 teenager with a prospective adoptive parent, but very few people              
 invoked the adoption process and there was hesitancy surrounding              
 the judicial by-pass.                                                         
                                                                               
 Number 1829                                                                   
                                                                               
 THELMA HARTMAN, Director of Client Services, Crisis Pregnancy                 
 Center, was the next person to testify via teleconference in                  
 Anchorage.  She supported HB 37.  A girl 14 years of age could not            
 legally smoke, drink, drive or vote.  Yet, she could have an                  
 abortion that could change her life.  She could experience                    
 emotional and physical problems, such as, guilt, remorse, low self-           
 esteem and regret.  "I have always been of the impression that the            
 laws were made to protect us.  Do you feel that this is a                     
 protective law, and who does it protect?"  The purpose was to                 
 protect the children, she answered.  They needed the help of their            
 parents.  This law would provide protection for them.  They were              
 not mature enough to make a decision of this magnitude on their               
 own.  In her experience, as a counsellor, she found that girls                
 regretted making such a decision in haste.  Moreover, she cited a             
 survey that indicated 74 percent of the women interviewed would not           
 have an abortion again.  Why would they say no?  she asked.  It was           
 because they experienced guilt, depression, regret, remorse and low           
 self-esteem.  She encouraged the committee members to pass the                
 bill.  It was a step in the right direction to protect the young              
 people.                                                                       
                                                                               
 Number 1960                                                                   
                                                                               
 SUE DOGGETT was the next person to testify via teleconference in              
 Anchorage.  She was opposed to HB 37.  The statistics from other              
 states indicated that this type of legislation would neither help             
 family communication nor reduce teenage abortions and pregnancies.            
 In Michigan, a similar law was passed, and the teenage pregnancy              
 rate actually rose by over 5 percent.  In Missouri, when a similar            
 law was passed, the girls went to Kansas to get an abortion.  The             
 abortion rate in Kansas rose 62 percent.  In Massachusetts, after             
 a similar law was passed, an average of 91 teenagers travelled to             
 other states per month.  And, in the states of New York, Missouri             
 and Minnesota there was a substantial increase in late abortions.             
 Moreover, the bill would create a cost burden and a case load                 
 burden on the courts.  She wondered what the overall fiscal impact            
 would be because the courts were already over burdened.  Was the              
 fiscal note was high enough?  She further wondered if this piece of           
 legislation would affect other people's rights to a speedy trial.             
 The legislation was unnecessary and time could be spent on other              
 important issues that affected the majority of Alaskans.  The                 
 majority of Alaskans already consulted their parents.  And, the               
 vast majority of girls who petitioned the courts were successful.             
 Therefore, the legislation appeared to be an attempt to get                   
 teenagers to talk to their parents.  This, she declared, should be            
 handled through good parenting skills that would include dialogue             
 about sex before marriage.  Moreover, the legislation placed the              
 entire burden of the episode directly of the minds and shoulders of           
 the girls and their families.  The males did not have to take any             
 responsibility for impregnating them.                                         
                                                                               
 Number 2094                                                                   
                                                                               
 CAROL BEECHER was the next person to testify via teleconference in            
 Cordova.  She strongly supported HB 37.  An abortion was a violent            
 procedure on the womb which had many proven health risks as well as           
 emotional impacts.  A young girl, therefore, should be required to            
 consult her parents due to her highly emotional state.  She                   
 believed the primary responsibility of a child belonged to the                
 parents and not to the state.  The parents were best suited to                
 advise their children.  Moreover, abortion was big business.  It              
 made sense that the abortion advocates would try to eliminate                 
 parental involvement because this bill could possibly reduce                  
 revenue.  She reiterated it was important for the parents to be               
 involved in a life-long decision such as an abortion.                         
                                                                               
 Number 2150                                                                   
                                                                               
 BARBARA RAWALT was the next person to testify via teleconference in           
 Delta Junction.  She was testifying today as a parent of two adult            
 sons and one granddaughter.  Parents had the right to know when a             
 crucial decision was about to be made.  Parental consent was needed           
 for school field trips, for example.  "Surely consent should be               
 needed for a surgical procedure, such as, an abortion."  The risk             
 to the baby was obvious and immediate.  And, as prior testimony               
 indicated, there were emotional and physical risks for the girl.              
 "For a parent to not be included in that decision makes absolutely            
 no sense to any thinking person."  She urged the committee members            
 to vote, "yes."                                                               
                                                                               
 Number 2205                                                                   
                                                                               
 PEGGY SEELEY was the next person to testify via teleconference in             
 Fairbanks.  She supported HB 37.  She wondered how many parents of            
 teenagers felt they were able to make a truly informed decision               
 about abortion on their own.  And, how many responsible parents               
 would want their children to undergo an invasive and possibly life            
 threatening procedure without their knowledge and/or consent.                 
 Currently, minors must have parental consent for any medical                  
 procedure, other than an abortion.  These laws were designed to               
 safeguard minors by involving their parents who cared the most                
 about them.  A young woman facing a crisis pregnancy needed all the           
 help and emotional support she could get.  She needed to know that            
 she was loved and supported by the most important people in her               
 life-usually her parents.  A poll indicated that 74 percent to 80             
 percent of adults supported parental involvement.  She reiterated             
 minors were not adults-legally, physically, emotionally or                    
 psychology.  "I urge you to protect the young women of Alaska and             
 to defend the rights of parents; to safeguard their under age                 
 daughters.  Please vote for House Bill 37."                                   
                                                                               
 Number 2264                                                                   
                                                                               
 RUTH EWIG was the next person to testify via teleconference in                
 Fairbanks.  She completely supported HB 37 and complimented                   
 Representative Pete Kelly and all the other pro-family legislators            
 in Juneau.  Her 16 year old son felt it was ridiculous that an                
 abortion was possible without parental consent or involvement.  She           
 called HB 37 a bill of compassion, love and protection for minors.            
 It was a shame that parents were required to give permission for a            
 minor to get her ear pierced, but not for an abortion.  She also              
 agreed with prior testimony surrounding post abortion syndrome.               
 She asked the committee members to vote, "yes" on HB 37.                      
                                                                               
 Number 2335                                                                   
                                                                               
 LINDA BELDEN was the next person to testify via teleconference in             
 Kenai.  She supported HB 37 and the benefit of a judicial by-pass.            
 She called it a common sense law that was crucial for the                     
 protection of minors.  A minor needed parental consent to get her             
 ear pierced, for school field trips and for medication from a                 
 school nurse.  Moreover, the nation was also concerned about                  
 teenagers smoking.  "Surely if we are concerned about our teens               
 lungs, we must also be just as concerned about all other aspects of           
 their health including the effects of an abortion on her future               
 well-being and health."  In regards to protecting a girl from                 
 potential abusive situations, she asked, "Do we in turn protect               
 teens from potentially abusive situations by not sending home bad             
 report cards, by not informing parents of discipline problems at              
 school, or by not notifying parents of a minor's speeding ticker,             
 or by not arresting teens and informing the parents of teens who              
 have broken the law."  She stated veterinarians were required to              
 get the permission and input from pet owners regarding the care of            
 their pet.  Yet, "our own children can undergo a potentially                  
 dangerous surgical procedure without the permission and input of              
 their parents.  Certainly, our minor children should have more                
 consideration than a beloved family pet."  Moreover, teenagers were           
 vulnerable to coercion and compromised decision making.  Teenagers            
 were well known for making impulsive, ill-considered, and risky               
 decisions.  Minors were called minors for a reason.  In the Planned          
 Parent Hood v. Stanford case of 1976, the Supreme Court stated that          
 an abortion was a great decision for a girl of tender years under             
 emotional stress and could be ill-equipped to make a decision                 
 without emotional support and advise.  "Please pass the law."                 
                                                                               
 Number 2455                                                                   
                                                                               
 ELSIE O'BRYAN was the next person to testify via teleconference in            
 Mat-Su.  She referred the committee members to page 4, line 27, and           
 called the language frivolous allegations against the parents.                
                                                                               
 TAPE 97-10, SIDE B                                                            
 Number 0001                                                                   
                                                                               
 MS. O'BRYAN further referred the committee members to page 5 and              
 cited AS Sec. 18.16.030 (c).  She was concerned that five days were           
 not realistic.  The courts were full as earlier testimony                     
 indicated.  Was it enough time for a court to make a decision? she            
 asked.  In addition, on page 5, line 10, she recommended changing             
 the language to include "denial" rather than "failure to act."                
                                                                               
 CHAIR JAMES announced to Ms. O'Bryan that the sponsor was here                
 today.  He would take her concerns into account.                              
                                                                               
 Number 0044                                                                   
                                                                               
 VIRGINIA PHILLIPS was the next person to testify via teleconference           
 in Sitka.  She served on various boards, but was here today                   
 testifying on behalf of herself.  In every case that she had worked           
 with she saw the family bond strengthen when a minor told her                 
 parents she was pregnant.  Most parents loved and cared for their             
 children.  Anything that weakened the bond between a parent and               
 child destroyed the family bond of trust.  She could not conceive             
 why anyone would want to weaken that bond by helping a minor sneak            
 behind her parent's back for an abortion.  "Remember, it is the               
 parents who are the ones that support their child's emotional and             
 physical problems after an abortion."  She cited the increased risk           
 of breast cancer after terminating a first pregnancy with an                  
 abortion.  "Please pass House Bill 37 and thank you."                         
                                                                               
 Number 0136                                                                   
                                                                               
 EVE GARTNER, Staff Attorney, Center for Reproductive Law and Policy           
 (CRLP), was the next person to testify via teleconference in                  
 Colorado.  She was opposed to HB 37.  Attorneys at the center had             
 been involved in nearly every major United States Supreme Court               
 case involving abortion.  It was currently challenging abortion               
 restrictions involving parental involvement laws, mandatory delays,           
 and numerous other governmental restrictions on access to abortion            
 across the country.  It represented the plaintiff in the Mat-Su              
 Coalition for Choice v. Valley Hospital court case in Alaska.  The           
 case was currently pending before the Alaska Supreme Court.                   
                                                                               
 MS. GARTNER further stated HB 37 would make it a criminal offense             
 for a physician to perform an abortion on a woman under the age of            
 18, unless one of her parents consented to the procedure, or it was           
 authorized by a Superior Court Judge.  Any person who failed to               
 comply with these requirements, faced imprisonment for up to five             
 years and a fine of up to $1,000.  The center believed this bill              
 would place numerous and onerous burdens on young women who sought            
 abortions, and on doctors who performed abortions.  House Bill 37             
 would undermine the rights of young women, particularly low-income            
 women, to make reproductive decisions.  It would also discourage              
 abortions.  Some doctors would even stop performing abortions due             
 to the threat of criminal penalties.  Defeat of this bill was                 
 necessary to ensure that young women would be able to continue to             
 obtain safe and legal medical care in Alaska.  Moreover, this bill            
 was bad public health policy and it was unconstitutional.  The                
 medical emergency exception was impermissible and narrow under                
 long-standing federal constitutional precedents.  The judicial by-            
 pass procedure also failed to meet well-settled federal                       
 constitutional standards.  More importantly, HB 37 in its entirety,           
 was unconstitutional under the Alaska State Constitution which                
 explicitly protected an individual's right to privacy.  The Alaska            
 Supreme Court had consistently held that this explicit privacy                
 guarantee provided more protection of individual rights than the              
 federal constitution.  It had held that it protected an                       
 individual's autonomy to make choices affecting his or her body and           
 personal life.  It had also recognized that the right to privacy              
 provided protection for personal decisions about child bearing.               
 In addition, federal courts had upheld the constitutionality of               
 parental consent laws as long as they had adequate exceptions for             
 medical emergencies and a proper judicial by-pass procedure, of               
 which, HB 37 did not.  It was very likely that the Alaska Supreme             
 Court would hold that HB 37 violated the state's constitutional               
 right to privacy because it interfered with the rights of young               
 women to make the private decision to terminate her pregnancy.                
 Furthermore, Alaska was one of only four states that had the free             
 standing right to privacy in its constitution.  In Florida, the               
 supreme court relied on its privacy provision to strike down a                
 parental consent abortion law similar to HB 37.  The state's                  
 interest in protecting immature minors and preserving the family              
 unit were not sufficiently compelling to override what the court              
 called, "the substantial invasion" of the young woman's privacy               
 right created by the parental consent requirement.  The center was            
 prepared to challenge this measure should it be enacted and,                  
 regardless of the outcome, litigation would be expensive.  In the             
 Mat-Su litigation the plaintiff's attorney had been awarded fees of           
 approximately $110,000 for just the Superior Court portion of the             
 case.  If the center prevailed at the Supreme Court level it would            
 probably be entitled to additional fees.  The center urged the                
 committee members to vote against HB 37.                                      
                                                                               
 Number 0363                                                                   
                                                                               
 DAVID ROGERS, Representative, Alaska Women's Lobby, was the first             
 person to testify in Juneau.  He read the following statement into            
 the record:                                                                   
                                                                               
 "The Alaska Women's Lobby is a statewide advocacy organization                
 working toward expanded opportunities, equal access, and enhanced             
 representation for women.  The Lobby is supported solely by                   
 contributions.  The Alaska Women's Lobby opposes House Bill 37.  We           
 wholeheartedly encourage open and honest communication between                
 parents and their children, and support efforts to prevent teenage            
 pregnancy.  However, we don't believe that HB 37 will accomplish              
 either of those goals.                                                        
                                                                               
 "Responsible parents should be involved when their young daughters            
 face crisis pregnancies.  It is the hope of every parent that a               
 child confronting this crisis will seek the advice and counsel of             
 those who care for her most and know her best.  In fact, most young           
 women do turn to their parents when they are considering an                   
 abortion.  Unfortunately, some women cannot or will not because               
 they come from homes where physical violence or emotional abuse are           
 prevalent or because their pregnancy is the result of incest or               
 rape.                                                                         
                                                                               
 "The government can't force healthy family communication where it             
 doesn't already exist.  Ironically, laws mandating parental notice            
 or consent can actually harm the young women they are trying to               
 protect by increasing illegal and self-induced abortion, family               
 violence, suicide, later abortions and unwanted childbirth.  These            
 concerns are shared by the American Medical Association and the               
 American Academy of Pediatrics.                                               
                                                                               
 "But, doesn't HB 37 solve these well recognized, documented                   
 problems by allowing teens to ask a judge for permission to                   
 terminate their pregnancy as an alternative to parental consent?              
 We don't think so.                                                            
                                                                               
 "For most adults, going to court for any purpose is difficult.  For           
 teens, it can be overwhelming and at times impossible, especially             
 under these circumstances.  Assuming they have reasonable access to           
 a court in the first place, some young women will not go or delay             
 going because they fear that the proceedings are not confidential             
 or that they will be recognized by people at the courthouse.  Many            
 will experience general fear and distress or will not want to                 
 reveal intimate details of their personal lives to strangers.                 
 Others won't be able to attend hearings because they are in school.           
 Still others, victims of rape or incest, will fear the consequences           
 of possibly having to identify the perpetrators who, under state              
 law, must then be reported to the proper authorities.                         
                                                                               
 "And if they do eventually find the courage to go to court, even              
 with the tight deadlines proposed in this bill, the time it takes             
 to schedule the proceeding and obtain a decision (not to mention              
 appeals) may result in delays that significantly increase the                 
 health risks of the procedure.                                                
                                                                               
 "We understand and sympathize with the goals of HB 37's sponsors              
 and supporters.  In a perfect world, all children should talk to              
 their parents before any decisions are made about a teenage                   
 pregnancy; and, in fact, most do.  But this is not a perfect world.           
 For a wide variety of reasons, many young women will not or cannot            
 talk to their parents or a judge about this unique, very personal             
 and very difficult decision.                                                  
                                                                               
 "Unfortunately, instead of transforming dysfunctional families into           
 stable ones HB 37 may force many teens-faced with two equally                 
 unacceptable options-to have their step-father's or rapist's                  
 children, to risk their lives by having illegal or self-induced               
 abortions or to suffer with the results of exacerbating an already            
 troubled or dangerous home life.  That is a pretty dear price to              
 pay for a message that may not be heard.                                      
                                                                               
 "For those reasons, the thousands of Alaskans represented by the              
 Alaska Women's Lobby oppose HB 37."                                           
                                                                               
 Number 0504                                                                   
                                                                               
 SANDY HARBANUK was the next person to testify in Juneau.  She was             
 uncomfortable testifying today because she was going to talk about            
 things that she had never talked to anybody else about before.  She           
 explained she grew up in an abusive family.  She was concerned                
 about the children having to prove there was a pattern of physical,           
 sexual or emotional abuse to the court.  She never told anybody               
 about her abuse at home; she never told her teacher, the school               
 nurse, or her husband of 18 years.  If she had faced a pregnancy as           
 a teenager, she would not have told her parents nor would she have            
 gone before a judge to convince him what her home life was like.              
 The judge would have been another authority figure to her.  "Once             
 you tell people things then there is a burden on their part.  What            
 are they going to do with that information."  She would have tried            
 to go to another state for an abortion, the self-induced method or            
 suicide.  Those would have been her only options.  She currently              
 worked as an historical researcher and was well aware that there              
 was nothing new that happened on the face of the earth.  There were           
 other girls in the same situation.  This bill would not give a girl           
 a good option for recourse.  It would place some girls in danger.             
 She urged the committee members to further consider the                       
 ramifications of this bill.                                                   
                                                                               
 Number 0672                                                                   
                                                                               
 DR. CYNTHIA BROOKE was the next person to testify via                         
 teleconference in Anchorage.  She was a practicing obstetrician and           
 gynecologist in Anchorage.  Obstetricians and gynecologists dealt             
 with private issues because of the nature of their business.  It              
 would be of little use if a patient could not confide private                 
 matters, such as, unwanted pregnancies.  Privacy was absolutely               
 essential to provide appropriate care, treatment and support of a             
 patient.  It was because of the privacy and confidentiality issues            
 that she spoke out against HB 37.  Teenagers deserved the same                
 level of confidentiality and professionalism as their parents.  She           
 encouraged teenagers to confide to their parents on their own                 
 terms.  And, it was unrealistic to expect teenagers to confide to             
 their parents in abusive situations.  It was inconceivable to think           
 that a teenager who could not tell her parents or family members              
 that she was pregnant, would be willing to go in front of a judge             
 and tell him or her of her dysfunctional situation.  She knew for             
 a fact that there were many teenagers who would rather die than               
 confront relatives, friends, parents or strangers who would                   
 disapprove of their situation.  From her experience, teenagers who            
 came from loving households eventually told their parents about the           
 unwanted pregnancy.  And, the parents usually wanted the teenager             
 to receive all the facts.  In fact, she was five times more likely            
 to die if she carried the pregnancy to term than if she had a legal           
 first-trimester abortion.  Therefore, it was important that the               
 teenager enter into the decision making.  In the opposite                     
 situation, it was not feasible for the parents to be involved in              
 the decision making process for the girls at risk.  She reiterated            
 doctors would be against this bill because it went against the oath           
 of confidentiality that they swore to uphold.                                 
                                                                               
 Number 0975                                                                   
                                                                               
 REPRESENTATIVE BERKOWITZ asked Dr. Brooke to contrast the health              
 and emotional effects of an abortion against the health and                   
 emotional effects of a pregnancy brought to term?                             
 Number 0990                                                                   
                                                                               
 DR. BROOKE replied a statement by the American Academy of                     
 Pediatrics indicated that it was a lack of involvement in the                 
 decision making process that caused the most psychological harm in            
 the case of carrying a pregnancy to term.  There was not a lot of             
 evidence, however, that a terminated pregnancy with consent of the            
 teenager caused psychological harm.                                           
                                                                               
 Number 1047                                                                   
                                                                               
 REPRESENTATIVE BERKOWITZ asked Dr. Brooke to comment on the link              
 between abortion and cancer.                                                  
                                                                               
 Number 1055                                                                   
                                                                               
 DR. BROOKE replied the link between cancer of an abortion was a               
 misstatement of the scientific evidence.  The more pregnancies a              
 woman had lowered her risk of certain kinds of cancer-uterine and             
 ovarian.  Birth control pills did the same thing; it was an                   
 hormonal effect.  The evidence was being extrapolated to mean that            
 a shortened pregnancy, such as an abortion, caused cancer.  "You              
 can't say that," she declared.  A shortened pregnancy did not cause           
 cancer, and whether or not it put a woman at a higher risk for                
 cancer, no studies indicated that was true.                                   
                                                                               
 Number 1117                                                                   
                                                                               
 KATHRYN CARSSOW was the next person to testify via teleconference             
 in Anchorage.  She was opposed to HB 37.  She explained twenty-nine           
 years ago in college she became pregnant.  She came from a very               
 functional family, but at that time an abortion was illegal.  She             
 felt if she told anybody that she was pregnant her options would              
 have been and the decision would no longer be hers.  Consequently,            
 she did not tell her parents.  She did not tell anybody except the            
 illegal abortionist.  She felt fortunate to be alive today.  Her              
 parents were dismayed afterwards.  She reiterated, however, if she            
 would have told people, she would have lost her choice.  Moreover,            
 "Laws can't make families work, but laws can get in the way of                
 families working.  You cannot get in between a young woman and her            
 body and her future."  She was also concerned if HB 37 passed an              
 illegal abortion industry would be created in Alaska.  "Please                
 don't let this law pass."                                                     
                                                                               
 Number 1287                                                                   
                                                                               
 JANET WALLACH was the next person to testify via teleconference in            
 Anchorage.  She had worked professionally with the youth for over             
 15 years.  She had also been a foster parent.  Every teenage parent           
 that she had seen suffered from low self-esteem, depression and               
 regret.  Moreover, the bill proposed a great deal of spending that            
 the state could not afford at this time.  There would be the cost             
 of litigation and the increased social cost of the health effects             
 for the parents and the children.  She also believed there should             
 be a lot less regulation of one's private life by the government.             
 And, HB 37 would add more regulations.  The state should be looking           
 at putting its time and money into preventative approaches.  This             
 bill was not the answer.                                                      
                                                                               
 Number 1403                                                                   
                                                                               
 SID HEIDERSDORF was the next person to testify in Juneau.  He                 
 supported HB 37.  He found it troubling to hear physicians say they           
 could provide better medical care without parental involvement.               
 The question of which was safer-abortion or child birth-flew in the           
 face of common sense, he stated.  State law should reflect broad,             
 general principles.  The principle here was to recognize that                 
 parents were responsible for their children.  "This is simply good            
 state policy," he declared.  A vast number of people did not even             
 know that it was legal to have an abortion without parental                   
 consent.  "It's such a logical thing."  The counsellors and the               
 abortionist knew it was legal so he view the bill as a great                  
 protection of the teenage mother.  The people opposed said a young            
 girl would go to her parents anyway and others would not go under             
 any circumstances.  He believed, however, there was a third group-a           
 marginal group.  "These girls need the direction and guidance that            
 the law gives them.  The law is in fact a teacher.  The law says              
 you must consult with your parents."  This was the group that HB 37           
 would serve best.  He asked the committee members to support and              
 pass the bill to recognize the well-established values that already           
 existed in society.  "Parents love their children and will do                 
 what's best for them."  In the cases where that was not the case,             
 the judicial by-pass was provided.  Moreover, it was important to             
 look at the other states to determine the effects of the bill.  He            
 reiterated that parents should have the responsibility for the                
 health care of their children.  In addition, counselling in the               
 abortion clinics was a sham.  There might be some good ones, but              
 just talk to the individuals who had obtained an abortion.  The               
 country was full of abortion clinics.  He wondered why it was                 
 necessary to have organizations that handled the post abortion                
 syndrome.  The country was full of girls that had mental and                  
 psychological problems as the result of an abortion.  He reiterated           
 he supported HB 37.                                                           
                                                                               
 Number 1685                                                                   
                                                                               
 BETTY HALL, Member, Black Americans for Life, was the next person             
 to testify in Juneau.  The prior testimony covered just about                 
 everything that she wanted to say.  She cited a case in New York              
 where a woman helped a young girl obtain an abortion to help the              
 father of the child-her son.  The mother and the son were both                
 sentenced to prison.  The mother of the daughter said had she known           
 about the pregnancy they would have worked it out.  "We parents               
 need to have a chance, at least, to know about this and talk about            
 it."  She shared with the committee members her daughter got                  
 pregnant in college.  They worked it out together.  Her daughter              
 kept the child and was very healthy and happy.  "Please consider              
 passing this bill because this can happen to any one of you in here           
 who has an under age daughter."                                               
                                                                               
 Number 1765                                                                   
                                                                               
 DR. BRUCE CHANDLER was the next person to testify via                         
 teleconference in Anchorage.  He strongly supported parental                  
 notification when there was a suitable parent to listen and                   
 understand.  He was worried about the ones that would be forced to            
 talk to their parents that did not come from supportive families.             
 He routinely tried to get the teenager and the parents to talk.               
 But, there were situations where it would put the teenager in                 
 greater risk.  Moreover, he had little concern about judicial by-             
 pass and felt that it might drive teenagers away from health care.            
                                                                               
 Number 1920                                                                   
                                                                               
 EILEEN BECKER, Executive Director, Homer Crisis Pregnancy Center,             
 was the next person to testify via teleconference in Homer.  She              
 stated was working on a case now, whereby, if the law existed now             
 the girl would have considered other options.  Furthermore, she               
 felt there would be litigation, but that was the chance any new law           
 took.  "We dare not take parental rights away from parents."  There           
 were bad parents and there were parents who really did care.                  
 Children did not always make the right choices.  It was obvious in            
 the fact that they were pregnant.  They needed somebody to help               
 with their decisions.  She cited the post-abortion counselling was            
 the fasted growing entity in the nation today because of the                  
 devastation of abortion.  She was also amazed that the medical                
 profession would consider this a good choice because it would not             
 do anything without parental consent.  But, it would perform an               
 abortion.  "It's just amazing," she declared.  Moreover, the cost             
 of the average abortion was $450.  And, everyday in America 4,000             
 plus abortions were performed.  There was more at stake here than             
 just parental consent.  "Please, please, pass House Bill 37."                 
                                                                               
 Number 2139                                                                   
                                                                               
 HUGH FLEISCHER was the next person to testify via teleconference in           
 Anchorage.  He urged the committee members not to pass HB 37.  It             
 was difficult to understand adolescent teenagers, as any parent               
 knew.  That was the problem here.  Parental consent sounded                   
 reasonable.  However, a lot of those home environments were                   
 dysfunctional.  He was concerned about the intimidation of a court            
 process for a young child.  The doctors indicated in earlier                  
 testimony that the vast majority were not willing to go to court.             
 "I frankly think this is a terrible bill.  It's endangering                   
 children and you should not pass it."                                         
                                                                               
 Number 2346                                                                   
                                                                               
 BRANT MCGEE, Head, Office of Public Advocacy, was the next person             
 to testify via teleconference in Anchorage.  The Office of Public             
 Advocacy would be the agency that supported girls who were pregnant           
 and who sought judicial by-pass.  It estimated there would be 112             
 cases per year at a cost of $1,500 a piece.  The total cost per               
 year would be $168,000.  That was a conservative estimate                     
 associated with the Office of Public Advocacy only.  It did not               
 factor in litigation associated with the questions of                         
 constitutionality.  The figure did not include witness or                     
 investigation costs association with this type of litigation                  
 either.  The bill required that the lawyer prove by clear and                 
 convincing evidence that the minor was either mature enough to make           
 an informed decision, or that she had suffered abuse at the hands             
 of her parents.  Clear and convincing evidence....                            
                                                                               
 TAPE 97-11, SIDE A                                                            
 Number 0001                                                                   
                                                                               
 MR. MCGEE next questioned the ability to maintain confidentiality             
 of these proceedings, specially in the one or two court house                 
 communities that dominated Alaska.  These court houses were full of           
 clerks and other workers that lived in the community.  It was                 
 inevitable that in many of these instances the proceedings would              
 not remain confidential.  Moreover, he had been unable to find any            
 evidence to suggest that more parents would be consulted as a                 
 result of the passage of these laws.  In 1991 a survey indicated              
 that 61 percent of pregnant minors consulted their parents.  That             
 meant 39 percent did not consult their parents.  The survey was               
 conducted in states that did not have a parental notice law, such             
 as, Alaska.  In Minnesota, the number of children who pursued                 
 judicial by-pass was 43 percent, an insignificant difference, he              
 stated.                                                                       
                                                                               
 Number 0143                                                                   
                                                                               
 CHAIR JAMES referenced Mr. McGee's testimony regarding                        
 confidentiality and asked him if he stated that the people could             
 not trust the court employees?                                               
                                                                               
 Number 0174                                                                   
                                                                               
 MR. MCGEE replied when clerks and other court employees saw a minor           
 in a court house, questions would be presented about her presence.            
 It was a notable event for a youngster to show up in a court house.           
 It was inevitable that the purpose of the proceeding would be                 
 discovered.  He spoke from personal experience as 20 years as a               
 lawyer.                                                                       
                                                                               
 Number 0227                                                                   
                                                                               
 CHAIR JAMES stated she did not share the same concerns of Mr.                 
 McGee.                                                                        
                                                                               
 REPRESENTATIVE BERKOWITZ declared a conflict of interest because              
 Ms. Salerno, the next witness, and he boarded at the same                     
 residence.                                                                    
                                                                               
 CHAIR JAMES stated that was not a concern.                                    
                                                                               
 Number 0291                                                                   
                                                                               
 ANGELA SALERNO, Executive Director, National Association of Social            
 Workers Alaska Chapter (NASW), was the next person to testify in              
 Juneau.  She brought to the debate the perspective of service                 
 providers.  The association did not take a position on the morality           
 of abortion.  Abortion was controversial because it reflected                 
 different value systems in a pluralistic society, therefore,                  
 toleration was necessary.                                                     
                                                                               
 MS. SALERNO further stated that 97 percent of women who obtained an           
 abortion had no complications.  Teenage girls were 24 times more              
 likely to die in child birth than in a first-trimester legal                  
 abortion.  The American Academy of Pediatrics reported that                   
 legislation mandating parental involvement increased the risk of              
 pregnancy by delaying access.  The AMA reported that complication             
 rates increased for abortions performed between the 13th and 24th             
 week of pregnancy.  "The longer we wait to allow women to have an             
 abortion, the grater the risk to their health."  Furthermore, the             
 most reliable studies showed there was no increased risk of breast            
 cancer due to an abortion.  The entire body of research was called            
 inconclusive by the National Cancer Institute and the American                
 Cancer Society.  Moreover, in refute to the long-term health                  
 effects of abortion, many organizations did not recognize their               
 existence.  The most prominent emotional response was relief from             
 a first-trimester abortion.  Another study showed that a group of             
 black teenagers who had an abortion were more likely to graduate              
 from high school, they showed no greater level of stress, and had             
 no greater rate of psychological problems two years after the                 
 abortion.  The American Journal of Psychiatry reported up to 98               
 percent of women who had an abortion had no regrets and would make            
 the same choice again.  In 1987 Surgeon General C. Everett Koop               
 could not form a conclusion on abortion because there was no                  
 evidence.  In 1988, he indicated that the risk of significant                 
 emotional problems following an abortion was "minuscule."  In 1989,           
 a panel of experts assembled by the American Psychological                    
 Association concluded-unanimously-that legal abortions did not                
 create psychological hazards.                                                 
                                                                               
 MS. SALERNO stated, in conclusion, the community and the                      
 legislature was asking that teenagers become more responsible                 
 through legislation.  When in fact, this piece of legislation did             
 just the opposite by asking them to take less responsibility for              
 themselves.  That was a clear contradiction in public policy.  The            
 association supported the idea of strong families and believed that           
 parents had a profound interest in the well being of their                    
 children.  But, in the case of a pregnancy, it was the teenager's             
 right that must be paramount.  The courts had found that teenagers            
 who wanted to keep their pregnancy a secret almost always had a               
 good reason for doing that.  When there was reason to expect an               
 abusive parental reaction to an unplanned pregnancy, her right to             
 privacy must be first.  She was in the best position to know if she           
 was in danger or not.  A legislature that was unfamiliar with a               
 young woman's situation was not in a position to force her to                 
 involve her parents.  "When abortion is concerned, privacy can be             
 a life or death matter for teenagers."                                        
                                                                               
 Number 0706                                                                   
                                                                               
 PAULINE UTTER, Representative, Abortion Rights Project, was the               
 next person to testify via teleconference in Anchorage.  The                  
 legislature could not mandate a teenager to talk to her parents.              
 "You might want to, but you can't."  Moreover, choice was legal in            
 the United States today, and this bill was trying to remove a                 
 woman's right to choose.  She urged the committee members to vote             
 against HB 37.                                                                
                                                                               
 Number 0808                                                                   
                                                                               
 JOHN MONAGLE, Representative, Alaskans For Life, was the next                 
 person to testify in Juneau.  Alaskans For Life was an autonomous             
 group representing 1,200 people in Juneau.  The testimony indicated           
 that parents should take responsibility for their children.  Yet,             
 doctors and attorneys indicated that they were in a better position           
 to decide for the parents.  In addition, this was a multi-million             
 dollar industry, and doctors were driven by the dollar.  Alaskans             
 For Life supported HB 37 and it urged the committee members to pass           
 the bill.                                                                     
                                                                               
 Number 0875                                                                   
                                                                               
 JANET MITSON was the next person to testify via teleconference in             
 Anchorage.  She was the mother of a 16 year old daughter.  She was            
 opposed to HB 37.  This was a poor bill that did little credit to             
 its sponsor.  Why?, she asked, because it was cowardly, unjust and            
 disrespectful.  The root issue was legal abortion and the desire to           
 ban it.  But having failed at that, the sponsor took what he could,           
 gnawing away at the rights of young women in Alaska.  This bill was           
 really about the desire to sponsor and limit choices for young                
 women, restrict their independent judgement, and control their                
 actions and bodies.  Her daughter did not need her parents or a               
 judge to do her thinking or make her decisions for her.  She and              
 her peers could do that for themselves.  What they cannot do,                 
 however, was vote.  Therefore, some legislators thought they could            
 be an easy target to control.  There were thousands of older men              
 and women who felt, as she did, and stood ready to defend young               
 women for those who seek to diminish their rights.  "We are                   
 watching, we will hold legislators accountable to the act to                  
 restrict the rights of young women who by age alone have less                 
 political voice and power.  And, we do vote."  She urged the                  
 committee members to do what was right, just, and respectful for              
 all young women in Alaska by opposing HB 37.                                  
                                                                               
 Number 1053                                                                   
                                                                               
 THEDA PITTMAN was the next person to testify via teleconference in            
 Anchorage.  She had not heard any testimony to indicate that                  
 doctors and attorneys were in a better position to choose than the            
 pregnant young woman.  She did not hear any counsellors indicate              
 that they were in a better position to choose either.  She heard              
 talk about urging young women to talk to their parents and helping            
 them to make a decision based upon the full range of legal options            
 available to them.  Moreover, treatment for a sexually transmitted            
 disease did not require parental consent.  "Thank goodness for it,"           
 she declared.  At some stage, the people recognized that there were           
 some things so intimate and so personal that it was more important            
 to get the treatment than it was to get a piece of paper from their           
 parents.  It was also true that a teenage mother could okay                   
 treatment for her baby, or put it up for adoption without her                 
 parental consent.  "This is a sad bill.  I urge you to defeat it."            
                                                                               

Document Name Date/Time Subjects