Changes in Obstetrics, and Gynecologic CareMedicaid Consent to Sterilization Forms Historical, Practical, Ethical, and Advocacy ConsiderationsBLOCK-ABRAHAM, DANA DO*; ARORA, KAVITA S. MD, MBE†; TATE, DANIELLE MD‡; GEE, REBEKAH E. MD, MPH§ Author Information *Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Maryland School of Medicine, Baltimore, Maryland †Departments of Reproductive Biology and Bioethics, MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio ‡Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, Tennessee §Departments of Obstetrics and Gynecology and Public Health, Schools of Public Health and Medicine, Louisiana State University School of Medicine, New Orleans, Louisiana D.B.-A. is a delegate to the American Medical Association (AMA) House of Delegates and volunteers on several committees for national organizations including the AMA, the American College/Congress of Obstetricians and Gynecologists (ACOG), the American Osteopathic Association, and the Society for Maternal-Fetal Medicine. K.S.A. is a delegate to the AMA House of Delegates and volunteers on a committee for ACOG. R.G. is the Medicaid Medical Director for the State of Louisiana. She is also on faculty at Louisiana State University. D.T. declares that there is nothing to disclose. Correspondence: Dana Block-Abraham, DO, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Maryland School of Medicine, Room N6W104K, Baltimore, MD. E-mail: [email protected] Clinical Obstetrics and Gynecology: June 2015 - Volume 58 - Issue 2 - p 409-417 doi: 10.1097/GRF.0000000000000110 Buy Metrics Abstract The US government developed a Medicaid Consent to Sterilization form in the mid-1970s to protect vulnerable populations from coerced sterilization. US health care practices have evolved significantly since that time. The form, however, has not changed, and may be preventing access to desired services for the same vulnerable populations it was originally created to protect. This paper discusses the relevant historical, practical use, ethical, and advocacy considerations of the Medicaid sterilization consent form and proposes changes to make the form more pertinent to today’s medical environment. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.