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SB202 Alabama 2011 Session

Updated Feb 27, 2026
High Interest

Summary

Session
Regular Session 2011
Title
Health, abortion coverage by exchange participating health plans, State of Alabama opts out of authorizing, Federal Abortion Mandate Opt Out Act
Summary

The bill would opt Alabama out of allowing abortion coverage in health plans on the state's ACA exchange and would ban such coverage in exchange plans, with limited exceptions.

What This Bill Does

If enacted, the bill would prevent qualified health plans offered through Alabama's ACA exchange from providing abortion coverage. Abortion coverage would be banned in these exchange plans, except when the mother's life is endangered or the pregnancy results from rape or incest. It also states that the act does not create a right to abortion and would take effect a few months after the governor signs it into law.

Who It Affects
  • Alabama residents who buy health insurance through the state exchange; their exchange plan would not include abortion coverage (except in the allowed exceptions).
  • Health insurers and plans participating in Alabama's ACA exchange; they would be required to avoid providing abortion coverage in exchange plans.
Key Provisions
  • Section 2: The Legislature affirms Alabama's opt-out from allowing abortion coverage by exchange-participating health plans.
  • Section 3(a): No abortion coverage may be provided by a qualified health plan offered through an exchange created pursuant to the Affordable Care Act within Alabama.
  • Section 3(b): The prohibition does not apply when the life of the mother is endangered or the pregnancy is the result of rape or incest.
  • Section 4: The act does not create a right to abortion and does not intend to legalize abortion.
  • Section 5: The act becomes effective on the first day of the third month after its passage and approval by the Governor.
AI-generated summary using openai/gpt-5-nano on Feb 25, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects
Health

Bill Actions

Pending third reading on day 28 Favorable from Health

Read for the second time and placed on the calendar

Read for the first time and referred to the House of Representatives committee on Health

Motion to Read a Third Time and Pass adopted Roll Call 643

Motion to Adopt lost Roll Call 642

Coleman Amendment Offered

Rules Petition to Cease Debate adopted Roll Call 641.

Third Reading Passed

Reed request to Carry Over to the Call of the Chair Granted

Third Reading Carried Over to Call of the Chair

Read for the second time and placed on the calendar

Read for the first time and referred to the Senate committee on Health

Bill Text

Votes

Rules Petition to Cease Debate

May 24, 2011 Senate Passed
Yes 21
No 6
Absent 8

Motion to Read a Third Time and Pass

May 24, 2011 Senate Passed
Yes 25
No 7
Absent 3

Documents

Source: Alabama Legislature