Restricts public funding of abortion unless the abortion is determined to be medically necessary.

Prohibits the secretary of the department of health from entering into contracts, distributing grants, or directing funds to an organization that provides elective abortions or is affiliated with an organization that provides elective abortions.

Prohibits the following organizations from providing elective abortions or purchasing services from an organization that provides elective abortions or is affiliated with an organization that provides elective abortions: (1) A health benefit plan offered to public employees and their covered dependents;

(2) A medical program defined in RCW 74.09.010 (public assistance); and

(3) The state health care authority with regard to funds under the federal family planning waiver program.