Tim O'Brien has more.
TIM O'BRIEN: Protecting children is one of society's most challenging responsibilities. Every state has laws requiring health care providers to report the suspected abuse of children. But the attorney general in Kansas, Phill Kline, has given a new interpretation to that state's law, requiring providers to start reporting a wide range of sexual activity, not just intercourse, even when it's consensual between young people of the same age
PHILL KLINE (Attorney General, Kansas): If it is two age-mates engaging in sexual exploration and there's no force, we do not prosecute. But let us know so that we can figure out the truth. That's what the law says; that's the position of our office. O'BRIEN: That's an expansive view of the Kansas law which has infuriated health care professionals. They say the requirements violate the privacy rights of children, compromise the professional responsibilities of caregivers, and in the end will do more harm than good.
Dr. ROBERT BLUM (Chair, Department of Population Family Health Sciences, Johns Hopkins Bloomberg School of Public Health): The harm is there because it will keep people, young people, from getting services that they need. You, as a 15-year-old, have now been advised that anything you tell me about your sexual behavior will be reported to Child Protection Services or the equivalent in the state. Are you going to tell me much of anything? Am I going to be able to understand what your sexual behaviors are that might put you at risk for pregnancy or STDs or HIV?
O'BRIEN: Dr. Robert Blum is a pediatrician who chairs the family health sciences department at Johns Hopkins University. Called as an expert witness by health care professionals, Blum testified the law is so vague it leaves social workers in a quandary over what to report.Dr. BLUM: There's really a very wide range.
O'BRIEN (To Dr. Blum): What about making out in the back seat of a car?
Dr. BLUM: Well, that's very questionable of whether that would be included as well. Most likely it would fall under the state law for mandatory reporting, yes.
Dr. BETH HARTMAN MCGILLEY (Psychologist): It could definitely be implied. And that's been our position all along, is that you are implicating normative, healthy, natural sexual behavior between consensual age-mates.
O'BRIEN: Beth McGilley, who specializes in adolescent psychology, also testified against the Kansas reporting requirements, telling the court that she and most therapists already tend to over-report possible abuse, not under-report it.
Dr. MCGILLEY: If you are in a quandary, if it seems ambiguous, which side do you err on? Always on the side of reporting, because I would rather be wrong and have to undo whatever damage might be done. And I'm here to tell you that when you make reports, it does sometimes threaten, if not sever, the therapeutic relationship.O'BRIEN: McGilley and Blum both insist that what constitutes sex abuse should be left to the judgment of health care professionals rather than to politicians drawing arbitrary age distinctions.
Dr. BLUM: The reality is people develop at different ages, and the risk and harm to a person is far more dependent on their maturation and the contexts than on the age that they are in.



BONNIE SCOTT JONES (Attorney, Center for Reproductive Rights): They're intruding on privacy rights, amassing the information, and then not doing anything with it. So they're not serving a state interest. They're not protecting minors. They're not protecting public health. In fact, they're doing the exact opposite.
Dr. ELIZABETH SHADIGIAN (Clinical Associate Professor, University of Michigan): That is theoretical. It has not been proven. And with child abuse laws, we still see children and their parents going to pediatricians' offices, getting reported, and still getting medical care.
Children do need protection, and even the sharpest critics of the Kansas system say reporting suspected abuse is essential in many cases.