This report examines the long-standing debate over whether teenagers should have confidential access to reproductive health services or require parental involvement, a discussion that has continued since the 1970s. It traces the evolution of public policy that allows minors confidential access to contraceptives and abortion services, while noting that these rights remain contested. Research presented in the report shows that confidentiality is critical for teens seeking necessary health care and that mandatory parental involvement can discourage access, leading to negative health outcomes. It also reviews public opinion, professional health organisation positions, and recent legislative efforts that may restrict confidential care for adolescents