This analysis applies a variant of organization theory, the governance approach, to the 1982 formulation by the U.S. Department of Health and Human Services of the parental notification rule covering adolescents who receive prescription contraceptives from federally funded family planning clinics. Uncertainties about and controversies over policy goals and technologies shaped and reflected the policy debate and the structures developed for finalizing the rule. By highlighting the role of formal and informal structure in influencing decision process and outcome, governance theory provides a conceptual language for discussing how organizations do and should cope with uncertainty and conflict, and broadens the range of possible decision structures that might be adopted.
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