Alaska Senate Bill 90, introduced by Senator Cathy Giessel of Anchorage, represents a dangerous overreach that undermines the fundamental rights of parents to guide their children’s healthcare decisions. While proponents may claim this bill helps teens access needed mental health services, it actually creates a system where minors can receive ongoing treatment behind their parents’ backs – with potentially devastating consequences.
What SB 90 Actually Does
Under this bill, 16 and 17-year-olds could consent to up to five mental health treatment sessions without any parental knowledge or approval. But the problems don’t stop there. After those initial sessions, a mental health provider could continue treating the minor indefinitely – still without involving parents – if the provider decides three things: that the teen wouldn’t get treatment if parents knew, that telling parents would harm the child’s wellbeing, and that the minor is “mature” enough to make these decisions alone.
This gives mental health providers extraordinary power to override parental authority based entirely on their own judgment.
Real-World Dangers
Consider the risks this creates. A gender clinic could use these provisions to begin socially transitioning a child through mental health counseling – all without parental involvement. From there, the provider could recommend irreversible transition drugs and even surgeries without parental guidance or even knowledge.
Think this isn’t happening? Think again.
In just the past few days, attorneys have discovered “irrefutable evidence that the [California Department of Education] covertly moved…unconstitutional gender secrecy directives inside a password-protected training hidden away from public view, and distributed them to school districts statewide.” Public school counselors, teachers and other taxpayer-funded school officials were actively deceiving parents and, as it turns out, a federal judge. The attorney noted “This is one of the most egregious attempts I’ve seen – if not the most – to mislead a court, and it warrants severe sanctions.”
We have plenty of evidence that these kinds of manipulative, secretive “transitions” are happening all over the country in public schools, including right here in Alaska. Giessel’s bill would put even more parents in the dark.
SB 90 also raises grave concerns for parents whose children may be considering an abortion. By allowing older minors to seek mental health counseling in secret and giving providers broad discretion to withhold information from parents, the bill creates a pathway for a teen to receive abortion-related counseling – or referrals – without any parental knowledge. Mental health providers could determine that involving parents would be “harmful,” and therefore continue counseling the minor about pregnancy, options, and next steps without ever notifying the family.
This undermines long-standing parental-consent and parental-notification expectations that exist precisely because decisions surrounding pregnancy and abortion carry profound medical, emotional, and moral consequences. SB 90 risks cutting parents out at the very moment when their guidance, support, and protection are most essential.
These aren’t hypothetical concerns. SB 90 is a roadmap that makes these choices frighteningly easy to follow.
Why Parents Must Be Involved
The U.S. Supreme Court has repeatedly recognized that parents’ interest in directing the care and upbringing of their children is among our most fundamental constitutional rights. There’s a good reason for this protection.
When we distinguish between children and adults in the law, we do so because children lack the maturity, experience, and judgment needed for life’s difficult decisions. As the Supreme Court noted in Parham v. J.R., parents “possess what a child lacks” in making these complex choices. This is especially true for mental healthcare, where decisions can have lifelong consequences.
Parents know their children’s full medical history, their struggles, and their needs in ways no provider meeting them for the first time ever could. The constitutional right to direct children’s care – including medical and mental healthcare – belongs to parents for this very reason.
Who Really Knows What’s Best?
Parents love their children in ways that no mental health provider or government bureaucrat can match. When a child faces mental or emotional challenges, parents are best positioned to guide them through those difficulties with compassion and wisdom gained from years of knowing their child intimately.
That’s exactly why parents must be informed immediately when such issues arise. Hiding information about a child’s mental health from parents doesn’t protect the child – it cuts off the very people most equipped and motivated to help them.
The Bottom Line
Mental health providers should never hide information about a child’s wellbeing from parents. Before any treatment of a minor’s mental or emotional health begins, the provider should obtain prior written consent from parents who can contribute crucial context from their child’s complete medical history.
SB 90 gets this exactly backward. Instead of supporting families, it enables providers to exclude them. Instead of protecting children, it exposes them to potentially harmful decisions made without the guidance of those who know and love them best.
Alaska’s parents have both a constitutional right and a moral responsibility to direct their children’s healthcare. SB 90 violates that right and should be rejected.
Tell Senator Giessel to Respect Parental Rights
The best way to put an end to this egregious violation of parental rights is to let Senator Cathy Giessel now how concerned we are. Most legislators don’t see the light until they feel the heat. Let’s let her know how hot we are about this piece of legislation that so blatantly disrespects the God-given, fundamental right of Alaskan parents to guide their children’s lives and to responsibly direct every aspect of their education and care – including mental health care.
Taking Action
CLICK HERE to email Senator Giessel or call her office today at 907-269-0181 and tell her you oppose SB 90.
The views expressed here are those of the author.



9 Comments
Transitioning isn’t the only risk. Providers could get the minor addicted to antipsychotics without the parents’ knowledge.
The very people who claimed ‘it takes a village’ are now trying to exclude the family, got it. I’m going to go brush up on the definitions of the word irony and hypocrisy.
HEY MR MINNERY, CANT YOU SEE THE HANDSHAKE GEISEL HAS MADE WITH DUNLEAVY? YOU DONT HAVE TO STRAIN YOUR EYES TO SEE IT! SIMPLY LOOK AT DUNLEAVYS DEPARTMENT OF HEALTH AND HUMAN SERVICES! MUTILATING CHILDREN PAID FOR BY OUR TAX DOLLARS, OVERSEEN BY DUNLEAVY HIMSELF!
Cathy Giessel she Can’t be trusted.
With Giessel, if she has enough donation from particular sources for her war chest, she’ll use her influence, whatever it is. She takes most of her money from donations through her husband’s influential friends and they are from the oil patch. She has a masters in nursing and uses those influences to her advantage personally and thru friends. She is one of the most negative of the Republicans in the legislative body. Don’t expect anything good coming out of her works.
I don’t know what rock Cathy Giessel crawled from under, but she needs to just stop. I am sick of hearing about her trying to undermine our families.
Your a pos Cathy.
This was mailed to my MI friend in 2023 about her children from a Pediatric and adolescent clinic:
“Due to changes in state/federal laws, to include MIchigan confidentiality/minor consent law in Michigan you will now need to have a signed proxy consent on file in order to receive protected health (mental health, sexual health, substance use treatment) care information regarding your child, ages 11-17.”
Dump Her!