Puerto Rico does not have a law that expressly allows minors to consent to receive sexually transmitted infection services, placing the island alongside South Carolina as one of only two such jurisdictions in the United States.^[1] As of December 31, 2024, forty-nine states and the District of Columbia have enacted laws permitting minors to access these health services without parental permission, creating a distinct legal gap for residents of Puerto Rico.^[1] The read here is that this legislative absence may limit access to critical sexual health care for young people on the island compared to their peers in the other 49 states and DC.^[1]