{"data":{"id":"us-ok/okla.-stat.-tit.-63-63-1-741.3","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 63, § 63-1-741.3","heading":"Patient Protection and Affordable Care Act - Qualified","body":"insurance plans - Elective abortion prohibited.\n\nA. Pursuant to the Patient Protection and Affordable Care Act,\n\nP.L. 111-148, all qualified health plans offered through an Exchange\n\nestablished in the state are prohibited from including elective\n\nabortion coverage. Nothing in this section shall be construed as\n\npreventing anyone from purchasing optional supplemental coverage for\n\nelective abortions for which there must be paid a separate premium\n\nin accordance with subsection D of this section in the health\n\ninsurance market outside of the Exchange.\n\nB. No health plan, including health insurance contracts, plans\n\nor policies, offered outside of an Exchange, but within the state,\n\nshall provide coverage for elective abortions except by optional\n\nseparate supplemental coverage for abortion for which there must be\n\npaid a separate premium in accordance with subsection D of this\n\nsection.\n\nC. For purposes of this section, “elective abortion” means an\n\nabortion for any reason other than to prevent the death of the\n\nmother upon whom the abortion is performed; provided, however, that\n\nan abortion may not be deemed one to prevent the death of the mother\n\nbased on a claim or diagnosis that she will engage in conduct which\n\nwill result in her death.\n\nD. The issuer of any health plan providing elective abortion\n\ncoverage shall:\n\n1. Calculate the premium for such coverage so that it fully\n\ncovers the estimated cost of covering elective abortions per\n\nenrollee as determined on an average actuarial basis. In\n\ncalculating such premium, the issuer of the plan shall not take into\n\naccount any cost reduction in any health plan covering an enrollee\n\nestimated to result from the provision of abortion coverage,\n\nincluding prenatal care, delivery or postnatal care;\n\n2. If the enrollee is enrolling in a health plan providing any\n\nother coverage at the same time as the enrollee is enrolling in a\n\nplan providing elective abortion coverage, require a separate\n\nsignature, distinct from that to enroll in the health plan providing\n\nother coverage, in order to enroll in the separate supplemental plan\n\nproviding elective abortion coverage; and\n\n3. Provide a notice to enrollees at the time of enrollment\n\nthat:\n\na. specifically states the cost of the separate premium\n\nfor coverage of elective abortions distinct and apart\n\nfrom the cost of the premium for any health plan\n\nproviding any other coverage in any health plan\n\ncovering an enrollee,\n\nb. states that enrollment in elective abortion coverage\n\nis optional, and\n\nc. if the enrollee is enrolling in a health plan\n\nproviding any other coverage at the same time as the\n\nenrollee is enrolling in a plan providing elective\n\nabortion coverage, states that the enrollee may choose\n\nto enroll in the plan providing other coverage without\n\nenrolling in the plan providing elective abortion\n\ncoverage.\n\nE. The issuer of any health plan providing any coverage other\n\nthan elective abortion shall not discount or reduce the premium for\n\nsuch coverage on the basis that an enrollee has elective abortion\n\ncoverage.\n\nF. Any employer who offers employees a health plan providing\n\nelective abortion coverage shall, at the time of beginning\n\nemployment and at least once in each calendar year thereafter,\n\nprovide each employee the option to choose or reject the separate\n\nsupplemental elective abortion coverage.\n\nG. Any entity offering a group health plan providing separate\n\nsupplemental elective abortion coverage, other than employers\n\noffering such a plan to their employees, shall, at the time each\n\ngroup member begins coverage and at least once in each calendar year\n\nthereafter, provide each group member the option to choose or reject\n\nthe separate supplemental elective abortion coverage.\n\nH. Nothing in this section shall be construed to apply in\n\ncircumstances in which federal law preempts state health insurance\n\nregulation.","path":["OK Code","Title 63"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os63.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"68856e0f7c6e23d5c0f72929dce5cad6af4893a60c123c450ef6d6e15c4a3624","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-63-63-1-741.12","next":"us-ok/okla.-stat.-tit.-63-63-1-742"},"notice":"GroundRules: Original legal text. Not legal advice."}