It used to be that all 50 states required blood tests before getting a marriage license but that is no longer the case. Premarital blood tests have been done away with.
Blood tests are no longer required for obtaining a marriage license in the United States.
One by one, each state has removed the requirement of getting blood tests done before the wedding. Partners had to do a sickle cell anemia, rubella, or syphilis test before making their vows, but that is no longer required.
When did they stop doing blood tests for marriage? It goes back to the 1980s, 1990s, 2000s, and recently in 2019, Montana was the final state to remove its requirement.
What was the reason for requiring blood tests? It was to protect their spouse and future children from an undetected venereal disease or to protect their children from a genetic disorder.
Do I still need to do a blood test? Your health care provider or counselor may advise you and your partner to do certain tests before getting married but it is not a requirement. You and your partner can choose to do certain tests too for your own benefit, if you so desire.
List of states that do not require blood tests for obtaining a marriage license.
| State | Syphilis | Rubella | Sickle-cell anemia |
| Alabama | Not required | Not required | Not required |
| Alaska | Not required | Not required | Not required |
| Arizona | Not required | Not required | Not required |
| Arkansas | Not required | Not required | Not required |
| California | Not required | Not required | Not required |
| Colorado | Not required | Not required | Not required |
| Connecticut | Not required | Not required | Not required |
| Delaware | Not required | Not required | Not required |
| District of Columbia | Not required | Not required | Not required |
| Florida | Not required | Not required | Not required |
| Georgia | Not required | Not required | Not required |
| Hawaii | Not required | Not required | Not required |
| Idaho | Not required | Not required | Not required |
| Illinois | Not required | Not required | Not required |
| Indiana | Not required | Not required | Not required |
| Iowa | Not required | Not required | Not required |
| Kansas | Not required | Not required | Not required |
| Kentucky | Not required | Not required | Not required |
| Louisiana | Not required | Not required | Not required |
| Maine | Not required | Not required | Not required |
| Maryland | Not required | Not required | Not required |
| Massachusetts | Not required | Not required | Not required |
| Michigan | Not required | Not required | Not required |
| Minnesota | Not required | Not required | Not required |
| Mississippi | Not required | Not required | Not required |
| Missouri | Not required | Not required | Not required |
| Montana | Not required | Not required | Not required |
| Nebraska | Not required | Not required | Not required |
| Nevada | Not required | Not required | Not required |
| New Hampshire | Not required | Not required | Not required |
| New Jersey | Not required | Not required | Not required |
| New Mexico | Not required | Not required | Not required |
| New York | Not required | Not required | Not required |
| North Carolina | Not required | Not required | Not required |
| North Dakota | Not required | Not required | Not required |
| Ohio | Not required | Not required | Not required |
| Oklahoma | Not required | Not required | Not required |
| Oregon | Not required | Not required | Not required |
| Pennsylvania | Not required | Not required | Not required |
| Rhode Island | Not required | Not required | Not required |
| South Carolina | Not required | Not required | Not required |
| South Dakota | Not required | Not required | Not required |
| Tennessee | Not required | Not required | Not required |
| Texas | Not required | Not required | Not required |
| Utah | Not required | Not required | Not required |
| Vermont | Not required | Not required | Not required |
| Virginia | Not required | Not required | Not required |
| Washington | Not required | Not required | Not required |
| West Virginia | Not required | Not required | Not required |
| Wisconsin | Not required | Not required | Not required |
| Wyoming | Not required | Not required | Not required |