State opt-out option for abortion coverage


Section 1303 of the PPACA allows states to pass laws prohibiting abortion coverage in health plans offered through the state Health Insurance Exchange. Five states have passed such legislation. Those states are Louisiana, Arizona, Mississippi, Tennessee, and Missouri.

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Other States' Documents

  • Arizona SB 1305 pdf PDF
    Legislation passed in Arizona prohibiting health plans in the state health insurance exchange from providing abortion coverage except as a separate rider requiring an additional premium.

  • Louisiana Act 941 pdf PDF
    Louisiana legislation prohibiting health plans offered in the state health exchange from providing abortion coverage

  • Mississippi SB 3214 pdf PDF
    Legislation passed in Mississippi prohibiting health plans offered through the state health insurance exchange from providing abortion coverage

  • Missouri SB 793 web

  • Oklahoma HB 3290 PDF PDF
    Legislation introduced in Oklahoma to prohibit all health plans in the state health insurance exchange from covering elective abortion services. The measure, however, was vetoed by Governor Brad Henry.

  • Tennessee HB 2681 and SB 2686 pdf PDF
    Legislation passed in Tennessee prohibiting health plans in the state health insurance exchange from offering coverage for abortion services