Arizona

Arizona has comprehensive statutory protections for parental rights to direct their children’s mental health care. These laws are found primarily in the Arizona Revised Statutes and establish clear frameworks for parental authority over minors’ medical and mental health decisions.

Primary Statutory Protections

Arizona Revised Statutes § 1-601 – Parents’ Rights Protected

Link: https://www.azleg.gov/ars/1/00601.htm

This foundational statute establishes that “the liberty of parents to direct the upbringing, education, health care and mental health of their children is a fundamental right”. The law requires that any governmental entity demonstrate “a compelling governmental interest…of the highest order, is narrowly tailored and is not otherwise served by a less restrictive means” before infringing on these rights.[1][2]

Arizona Revised Statutes § 1-602 – Parents’ Bill of Rights

Link: https://www.azleg.gov/ars/1/00602.htm

This comprehensive statute reserves “all parental rights exclusively to a parent of a minor child without obstruction or interference” and specifically includes:[3]

  • The right to make all health care decisions for the minor child, including rights under sections 36-2271 and 36-2272[3]
  • The right to access and review all medical records of the minor child[3]
  • The right to direct the upbringing of the minor child[3]

The law also provides parents with a private right of action to sue governmental entities that violate these rights.[3]

Arizona Revised Statutes § 36-2272 – Consent Required for Mental Health Services

Link: https://www.azleg.gov/ars/36/02272.htm

This statute specifically addresses mental health services and requires that “no person, corporation, association, organization or state-supported institution…may procure, solicit to perform, arrange for the performance of or perform mental health screening in a nonclinical setting or mental health treatment on a minor without first obtaining the written or oral consent of a parent or a legal custodian”. Violations constitute a class 1 misdemeanor.[4]

The only exception is “when an emergency exists that requires a person to perform mental health screening or provide mental health treatment to prevent serious injury to or save the life of a minor child”.[4]

Supporting Medical Consent Laws

Arizona Revised Statutes § 36-2271 – Surgical Consent Requirements

Link: https://www.azleg.gov/ars/36/02271.htm

This law requires written parental consent before any surgical procedures on minors, with exceptions only for medical emergencies. This reinforces the broader framework of parental medical decision-making authority.[5]

Arizona Revised Statutes § 15-873 – Immunization Exemptions

Link: https://www.azleg.gov/ars/15/00873.htm

This statute allows parents to exempt their children from school immunization requirements based on personal beliefs, further supporting parental authority over children’s medical decisions.[6]

Limited Minor Consent Exceptions

Arizona Revised Statutes § 44-133.01 – Substance Abuse Treatment

Link: https://www.azleg.gov/ars/44/00133-01.htm

This law allows minors 12 years and older to consent to emergency treatment for substance abuse without parental consent. However, it explicitly states that “the consent of the parent, parents or legal guardian…is not necessary…except that the consent is equally valid if obtained”, indicating that parental consent remains preferred.[7]

Constitutional and Legal Framework

Arizona’s parental rights laws are grounded in established constitutional principles. The U.S. Supreme Court has repeatedly recognized parents’ “fundamental right” to “direct the upbringing and education of their children”. Arizona’s statutory framework builds on this foundation to create robust legal protections.[8]

The laws establish a strict standard requiring the government to prove both that interference with parental rights is “essential to accomplish a compelling government interest of the highest order” and that the method used is “narrowly tailored and is not otherwise served by a less restrictive means” before overriding parental authority.[3]

Enforcement Mechanisms

Arizona law provides several enforcement mechanisms for parental rights violations:

  • Private civil lawsuits against governmental entities[3]
  • Criminal penalties for violations of consent requirements[4]
  • Administrative disciplinary actions for employees who attempt to coerce children to withhold information from parents[3]
  • Court orders for appropriate relief including declaratory judgment, injunctive relief, compensatory damages, and attorney fees[3]

These statutes collectively establish Arizona as having comprehensive legal protections for parental rights to direct their children’s mental health care, with limited exceptions only for genuine medical emergencies or specific circumstances involving substance abuse treatment.

  1. http://az.elaws.us/ars/title36_chapter22
  2. https://www.azleg.gov/ars/1/00601.htm
  3. http://az.elaws.us/ars/1-602        
  4. https://www.azleg.gov/ars/36/02272.htm  
  5. https://www.azleg.gov/ars/36/02271.htm
  6. https://www.azleg.gov/ars/15/00873.htm
  7. https://www.azleg.gov/ars/44/00133-01.htm
  8. https://www.azpolicy.org/policy-page/parental-rights-under-arizona-law-new/
  9. https://www.healthyazyouth.org/wp-content/uploads/2022/09/AZ-Adolescent-Confidentiality-Laws-Spark-Training.pdf
  10. https://www.azpolicy.org/2017/08/04/parents-rights-under-arizona-law/
  11. https://www.azfamilylawattorneys.com/managing-custody-and-support-when-one-parent-is-suffering-from-mental-health-issues/
  12. https://eoss.asu.edu/sites/g/files/litvpz141/files/2024-07/U18 Consent Packet FY25 (002).pdf
  13. https://www.cohenfamilylaw.com/2022/08/16/how-are-child-custody-cases-affected-for-parents-with-mental-illness/
  14. https://www.azleg.gov/ars/1/00602.htm
  15. https://youthlaw.org/sites/default/files/2024-10/NCYLMinorConsentCompendium2024-Arizona.pdf
  16. https://heyannette.com/parents-mental-health-records-and-custody-actions/
  17. https://www.azed.gov/sites/default/files/2023/08/Parent_Rights_Handbook_Public_District_Schools_2023_Final.pdf
  18. https://www.icanotes.com/2022/12/23/age-of-consent-mental-health-treatment/
  19. https://www.childwelfare.gov/resources/grounds-involuntary-termination-parental-rights-arizona/
  20. https://disabilityrightsaz.org/resource/identifying-the-parent-in-parental-consent-to-improve-outcomes-for-foster-youth-in-special-education/
  21. https://worldpopulationreview.com/state-rankings/age-of-consent-for-mental-health-treatment-by-state
  22. https://www.azleg.gov/legtext/56leg/2R/summary/S.2183HHS.DOCX.htm
  23. https://woodnicklaw.com/arizona-parents-bill-of-rights/
  24. https://dcs.az.gov/parents/parents-rights
  25. https://legiscan.com/AZ/supplement/HB2161/id/254863/Arizona-2022-HB2161-SENATE_FACT_SHEET_03-04-2022_ED.pdf
  26. https://azcriminalandfamilylaw.com/mental-health-illness-affect-a-divorce/
  27. https://www.azed.gov/sites/default/files/2023/08/Parental Rights Handbook_Public Charter Schools__2023_Final.pdf
  28. https://www.azahcccs.gov/AHCCCS/Initiatives/BehavioralHealthServices/
  29. https://legiscan.com/AZ/text/SB1309/id/493964
  30. https://www.azleg.gov/arsDetail/?title=36
  31. https://ballotpedia.org/Arizona_”ParentsBill_of_Rights%22_Amendment(2024)
  32. https://www.azleg.gov/legtext/55leg/2r/bills/hb2161h.htm
  33. https://law.justia.com/codes/arizona/title-1/section-1-601/
  34. https://legiscan.com/AZ/text/HB2281/id/2477969
  35. https://legiscan.com/AZ/text/SB1363/id/3088002
  36. https://www.congress.gov/bill/118th-congress/house-bill/5/text
  37. https://www.peoriaunified.org/page/parent-rights
  38. https://www.azleg.gov/arsDetail/?title=1
  39. https://www.law.cornell.edu/regulations/arizona/Ariz-Admin-Code-SS-R9-6-706
  40. https://www.wesdschools.org/Page/117
  41. https://www.azleg.gov/arsDetail/?title=44
  42. https://www.kyrene.org/family-student-resources/health-services/immunizations
  43. https://library.oconnorinstitute.org/legislation/act-authorizing-automatic-consent-certain-minors-treatm-1971/
  44. https://www.azleg.gov/legtext/57leg/1R/summary/S.2126HHS.DOCX.htm
  45. https://www.azdhs.gov/documents/preparedness/epidemiology-disease-control/immunization/school-childcare/nofollow/school-childcare-immunization-guide.pdf
  46. https://law.justia.com/codes/arizona/title-44/
  47. https://www.justia.com/education/school-immunization-exemption-laws-50-state-survey/
  48. https://az-shrm.org/images/meeting/062422/microsoft_powerpoint___consent_issues_with_minors_with_disclosure.azshrm_2022__2____consent_issues_handout.pdf
  49. https://law.justia.com/codes/arizona/title-36/
  50. https://www.azleg.gov/arsDetail/?title=15
  51. https://www.azleg.gov/legtext/54leg/1R/summary/H.HB2122_04-16-19_SENATEENGROSSED.DOCX.htm
  52. https://www.azleg.gov/legtext/48leg/1r/bills/sb1100s.pdf
  53. https://www.azleg.gov/legtext/56leg/2R/summary/H.HB2183_040424_VETOED.DOCX.htm
  54. https://www.azleg.gov/Caucus Packet/57LEG/1R/House/CAUCUS PACKET 5.PDF
  55. https://www.azleg.gov/legtext/57leg/1R/summary/H.HB2126_021025_CAUCUSCOW.DOCX.htm
  56. https://www.azleg.gov/legtext/55leg/2R/summary/H.SB1138_030922_CAUCUSCOW.DOCX.htm
  57. https://www.azleg.gov/alisPDFs/council/2021_Annual_Report_on_Defects.pdf
  58. https://www.providentlawyers.com/how-arizona-parenting-laws-have-changed-what-parents-need-to-know/
  59. https://www.azleg.gov/legtext/55leg/2R/summary/H.SB1138_030222_JUD.pdf
  60. https://www.azleg.gov/alisPDFs/council/Annual Report on Defects 2010.pdf
  61. https://www.azleg.gov/Caucus Packet/56LEG/2R/House/CAUCUS PACKET 2.PDF
  62. https://pmc.ncbi.nlm.nih.gov/articles/PMC4393016/