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Research indicates that youth in out-of-home care are at high risk of engaging in early, unprotected sexual activity, yet these youth often lack access to information on sexuality and family planning services. States were surveyed on their policies regarding the provision of sexuality education and family planning for youth in out-of-home care; the provision of sexuality education training for caseworkers and foster parents; statistics on the number of girls who become pregnant while in care or come into care pregnant; and the prevalence of adolescent pregnancy for youth in care. The work contains the survey results and concludes with recommendations for health assessments, data collection, programs, and policies.