In the state of Pennsylvania, there exists the concept of “open adoption.” The term itself sounds a little strange since the purpose of adoption is for the child to become part of a new family that is better able to meet the child’s needs. Why would an adoption be open? The answer is: for a variety of reasons.

One of the main reasons why the Pennsylvania legislature enacted the Act 101 Notice statute (the statute creating open adoptions) was to allow adoptees and adoptive families to have access to the adoptee’s family medical history. 23 Pa. C.S. §2503 specifically states that upon the entry of an order terminating a parent’s parental rights, the court shall advise the parent, in writing, of his/her continuing right to place and update both personal and medical history with the court and the Department of Public Welfare. Being able to obtain an adoptee’s medical history is incredibly beneficial, however, the primary issue with this statute is that it requires the biological parents to provide and update their medical information, which generally does not happen.