A federal court ruling Tuesday could make it nearly impossible for Texas government judge rules teens to access birth control without parental permission.

US District Judge Matthew Kacsmaryk ruled that Title X, the federal program that provides free, confidential contraception to anyone regardless of age, income, or immigration status, violates parental rights and violates state and federal laws.

Birth control pills rest on a counter in Centreville, Maryland, on July 6, 2022.
(JIM WATSON/AFP via Getty Images)

Kacsmaryk did not grant an injunction, which would have immediately prohibited Title X clinics from providing contraception to minors without parental consent.

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Previously, he has worked on litigation to overturn contraceptive protection. Mitchell also brought a successful lawsuit to challenge Obamacare’s rule that requires insurers and employers to cover HIV prevention drugs.

An illustration picture shows a woman holding a birth control pill at her home in Texas. 

An illustration picture shows a woman holding a birth control pill at her home in Texas.
(Copyright Reuters 2016)

Mitchell represented a father, Alex Deanda, who said he was “raising each of his daughters in accordance with Christian teaching on matters of sexuality, which requires unmarried children to practice abstinence and refrain from sexual intercourse until marriage.”

In the complaint, Deanda argued the Title X program interferes with the ability of parents to raise their children in accordance with their own religious values.

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Deanda said he “wishes to be informed if any of his children are accessing or attempting to access prescription contraception and other family-planning services. And he does not want his children to obtain or use these drugs or services unless he consents.”

Kacsmaryk agreed, ruling Tuesday that Title X violates Deanda’s rights under the Texas Family Code and the Due Process Clause of the 14th Amendment, denying him the “fundamental right to control and direct the upbringing of his minor children.”

A Plan B One-Step emergency contraceptive box is seen in New York.

(REUTERS/Shannon Stapleton)

Title X is the only federal program that provides money to family planning service providers that serve low-income people.

Clare Coleman, president and CEO of the National Family Planning and Reproductive Health Association, said in a statement that Kacsmaryk’s ruling ignores “decades of legal precedent.”

“In a family planning setting, it is critical that adolescents have access to high-quality, confidential care from a provider who supports and respects their values,” Coleman said.

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Texas government judge rules have 176 Title X clinics statewide and served more than 180,000 clients in the fiscal year 2020. The vast majority of Title X clients in Texas are below the poverty line and do not have health insurance. About 5% were under the age of 18.

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