The incidence of teen and unintended pregnancies in the United States has been rapidly declining since the 1990s, but this improvement has not been felt equally across the board. American Indian/Alaska Native teens have seen the least amount of improvement in unintended pregnancy rates and are disproportionately disadvantaged in regard to access to birth control methods and education. Despite the initiative and support of public health groups across the state, lawmakers in Alaska have shot down attempts to improve birth control access in rural Alaska communities.