Abstract: This publication is designed to provide background for hearings of the Committee on Labor and Human Resources on the general subject of adolescent pregnancy prevention. Research findings that have relevance for policy makers and administrators who are concerned about teenage pregnancy are summarized. Major program and solution strategies (sexuality education programs, contraception interventions, school based clinics, and the values based adolescent family life programs), their basic assumptions, and evidence of their effectiveness are discussed. The conclusion emphasizes the continuing failure of the major interventions, the need for broader based approaches that address more specifically the dynamics of the problem, and the potential of the value based programs. Comments by the staff of the committee majority on the report are included.