Medicaid; term; funds for abortions; exceptions; effective date.

HB 3592 prohibits Oklahoma Medicaid (SoonerCare) funds from covering abortions at facilities primarily engaged in abortion services, except in two specific cases: pregnancies resulting from rape or incest, or when a woman faces a life-threatening physical condition caused by the pregnancy (as certified by a physician). This bill directly affects Medicaid recipients seeking abortions outside these exceptions and healthcare providers receiving Medicaid payments for abortion services. Key provisions define "abortion" per existing law and block Medicaid funding for non-exempt abortion care, effective November 1, 2026. The policy change restricts Medicaid coverage for abortions with narrow medical and legal exceptions.