HB 173: "An Act defining 'medically necessary abortion' for purposes of making payments under the state Medicaid program."
00 HOUSE BILL NO. 173 01 "An Act defining 'medically necessary abortion' for purposes of making payments 02 under the state Medicaid program." 03 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 04 * Section 1. AS 47.07 is amended by adding a new section to read: 05 Sec. 47.07.068. Payment for abortions. (a) The department may not pay for 06 abortion services under this chapter unless the abortion services are for a medically 07 necessary abortion or the pregnancy was the result of rape or incest. Payment may not 08 be made for an elective abortion. 09 (b) In this section, 10 (1) "abortion" has the meaning given in AS 18.16.090; 11 (2) "elective abortion" means an abortion that is not a medically 12 necessary abortion; 13 (3) "medically necessary abortion" means that, in a physician's 14 objective and reasonable professional judgment after considering medically relevant
01 factors, an abortion must be performed to avoid a threat of serious risk to the life or 02 physical health of a woman from continuation of the woman's pregnancy; 03 (4) "serious risk to the life or physical health" includes, but is not 04 limited to, a serious risk to the pregnant woman of 05 (A) death; or 06 (B) impairment of a major bodily function because of 07 (i) diabetes with acute metabolic derangement or severe 08 end organ damage; 09 (ii) renal disease that requires dialysis treatment; 10 (iii) severe pre-eclampsia; 11 (iv) eclampsia; 12 (v) convulsions; 13 (vi) status epilepticus; 14 (vii) sickle cell anemia; 15 (viii) severe congenital or acquired heart disease, class 16 IV; 17 (ix) pulmonary hypertension; 18 (x) malignancy if pregnancy would prevent or limit 19 treatment; 20 (xi) kidney infection; 21 (xii) congestive heart failure; 22 (xiii) epilepsy; 23 (xiv) seizures; 24 (xv) coma; 25 (xvi) severe infection exacerbated by pregnancy; 26 (xvii) rupture of amniotic membranes; 27 (xviii) advanced cervical dilation of more than six 28 centimeters at less than 22 weeks gestation; 29 (xix) cervical or cesarean section scar ectopic 30 implantation; 31 (xx) any pregnancy not implanted in the uterine cavity;
01 (xxi) amniotic fluid embolus; or 02 (xxii) another physical disorder, physical injury, or 03 physical illness, including a life-endangering physical condition caused 04 by or arising from the pregnancy that places the woman in danger of 05 death or major bodily impairment if an abortion is not performed.