
Before the enactment of the ACA, only five states had laws restricting insurance coverage of abortion: Idaho, Kentucky, Missouri, North Dakota and Oklahoma. The same Republican Tea Partiers who want to end Obamacare, saw creating new restrictions to abortion services (via the federally mandated health care exchanges) as the silver lining in their cloud.
Since 2010, Idaho, Missouri and Oklahoma passed additional laws and some states enacted new ones. (8) states forbid all private health insurance companies (as well as state healthcare exchanges) from covering abortion, while the rest limit the rule to just their state insurance exchanges.
Abortion-rights advocates say most health insurance today already covers elective abortion, and a Huffington Post review of the health insurance exchanges suggests that won’t change under Obamacare. However, it may increasingly prove that all abortion services will have to be covered via a rider, and comprehensive coverage will no longer include abortion services, thereby punishing women.