Is Alaska youth therapy consent the key to better mental health access for teens? A groundbreaking bill, SB 90, is making waves in the state legislature, potentially allowing 16- and 17-year-olds to start talk therapy without parental permission. Introduced on February 14, 2025, this measure has already cleared the Senate and is now under scrutiny in the House. With mental health challenges on the rise among young people, proponents argue this could be a game-changer for Alaska’s youth. The stakes are high as a final vote looms.
SB 90: A Bold Step for Teen Autonomy

In a near-unanimous decision, the Alaska Senate passed SB 90 on April 18, 2025, with a striking 28-1 vote. The bill, first introduced in mid-February, seeks to empower 16- and 17-year-olds by granting them the right to begin talk therapy without needing a parent’s sign-off. This marks a significant shift in how the state approaches adolescent mental health care, prioritizing access over traditional family oversight in specific circumstances.
What the Bill Allows—and What It Doesn’t

Under SB 90, Alaska youth therapy consent would apply strictly to talk therapy sessions. Teens aged 16 and 17 could initiate counseling independently, a move designed to lower barriers to mental health support. However, the bill draws a clear line: any medication-based treatment would still require parental approval. This distinction aims to balance teen autonomy with safeguards, ensuring that more intensive interventions remain under family supervision.
Timeline of Legislative Progress

The journey of SB 90 through Alaska’s legislative process has been swift. After its introduction on February 14, 2025, the bill gained overwhelming support in the Senate by mid-April. It moved to House hearings on May 6, where it continues to be debated. If the House approves the measure by the anticipated vote date of June 10, 2025, the law is set to take effect on January 1, 2026, potentially reshaping mental health access for teens statewide.
Potential Impact on School Counseling

Proponents of SB 90 highlight its potential to transform mental health outcomes for Alaska’s youth. They argue that allowing teens to seek therapy independently could reduce school-counseling dropout rates by as much as one-third. Many students currently abandon counseling due to parental objections or lack of permission, and this bill could keep more young people engaged in critical support systems during formative years.
Why This Matters for Alaska Teens

Mental health challenges among adolescents have surged across the U.S., and Alaska is no exception. Remote communities, long winters, and limited access to services often exacerbate these struggles. By enabling 16- and 17-year-olds to take charge of their mental well-being through talk therapy, SB 90 addresses a pressing gap. Supporters believe this could foster resilience and reduce stigma around seeking help in a state where resources are often stretched thin.
Broader Context of Youth Mental Health

The push for Alaska youth therapy consent aligns with national trends in 2025, as states grapple with rising rates of anxiety and depression among teens. According to data from the Centers for Disease Control and Prevention (CDC), mental health issues have become a leading concern for young Americans. Alaska’s initiative mirrors efforts in other regions to expand access, though few have gone as far as granting consent rights to minors for therapy.
Challenges and Criticisms on the Horizon

While SB 90 has garnered significant support, it’s not without contention. Some lawmakers and community members worry about undermining parental authority, arguing that families should remain central to such personal decisions. Others question whether teens are equipped to navigate therapy without guidance. As House hearings continue, these debates are likely to shape the bill’s final form before the critical June vote.
What Happens Next?

The clock is ticking for SB 90. With House hearings underway since May 6, 2025, all eyes are on the upcoming vote scheduled for June 10. If passed, the law won’t take effect until January 1, 2026, giving stakeholders time to prepare for implementation. Schools, counselors, and families across Alaska will need to adapt to a new landscape where teens have greater control over their mental health care options.
A National Conversation

Alaska’s move to redefine youth therapy consent could set a precedent for other states. As mental health remains a priority in 2025, policymakers nationwide are watching closely. Resources like the Pew Research Center highlight growing public support for teen mental health initiatives, suggesting that Alaska’s experiment with SB 90 might inspire broader reforms. For now, the state stands at the forefront of a critical debate about autonomy and care.