Thanks to an Obamacare regulation that took effect on Aug. 1, health care plans in Oregon will now be required to provide free sterilizations to 15- year-old girls even if the parents of those girls do not consent to the procedure.

Health and Human Services Secretary Kathleen Sebelius finalized the regulation earlier this year.

It says that all health care plans in the United States–except those provided by actual houses of worship organized under the section of the Internal Revenue Code reserved for churches per se–must provide coverage, without cost-sharing, for sterilizations and all Food and Drug Administration-approved contraceptives to “all women with reproductive capacity.”

In practical terms, “all women with reproductive capacity” means girls as young as about 12. That, according to the National Institutes of Health, is when girls usually start menstruating.

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