Insurance Coverage for Abortions.  A health plan that provides coverage for maternity care or services must also provide substantially equivalent coverage to permit the voluntary abortion of a pregnancy.  The plan may not limit a woman's access to services related to the voluntary abortion of a pregnancy, except for generally applicable terms and conditions, including cost-sharing.  A health plan is not required to cover abortions that would be illegal under state law.

Student Health Plans.  Certain student health plans are exempt from most requirements applicable to other health plans, including requirements relating to abortion coverage.  To be exempt, a student health plan must be guaranteed renewable while the covered person is a student at an institution of higher education and must be approved by the Office of the Insurance Commissioner (OIC).

Objections Based on Conscience or Religion Under State Law.  No individual health care provider, religiously sponsored health carrier, or health care facility may be required by law or contract in any circumstances to participate in the provision of or payment for a specific service if they object to so doing for reasons of conscience or religion.  No person may be discriminated against in employment or professional privileges because of such objection.  No individual or organization with a religious or moral tenet opposed to a specific service may be required to purchase coverage for that service or services if they object to doing so for reasons of conscience or religion.  A health carrier must:

• provide enrollees written notice of the services the carrier refuses to cover for reasons of conscience or religion;
• provide written information describing how an enrollee may directly access services in an expeditious manner; and
• ensure that enrollees who are refused services have prompt access to information describing how they may directly access services in an expeditious manner.

The OIC must establish a mechanism to recognize the right of conscience while ensuring enrollees timely access to services and to ensure prompt payment to providers.  Under rules adopted by the OIC, all carriers are required to file a description of the process they will use to recognize an organization or individual's exercise of conscience when purchasing coverage.  The process may not affect a non-objecting enrollee's access to coverage for those services. 

A student health plan issued or renewed on or after January 1, 2022, is subject to the abortion requirements applicable to other health plans.  The student health plans to which this requirement applies include student health plans deemed by the Insurance Commissioner to have a short-term limited purpose or duration or to be guaranteed renewable while the covered person is enrolled as a regular full-time undergraduate or graduate student at an accredited higher education institution.