(a) The department may not pay for abortion services under this chapter unless the abortion services are for a medically necessary abortion or the pregnancy was the result of rape or incest. Payment may not be made for an elective abortion.

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(b) In this section,

(1) “abortion” has the meaning given in Alaska Stat. § 18.16.090;
(2) “elective abortion” means an abortion that is not a medically necessary abortion;
(3) “medically necessary abortion” means that, in a physician’s objective and reasonable professional judgment after considering medically relevant factors, an abortion must be performed to avoid a threat of serious risk to the life or physical health of a woman from continuation of the woman’s pregnancy;
(4) “serious risk to the life or physical health” includes, but is not limited to, a serious risk to the pregnant woman of

(A) death; or
(B) impairment of a major bodily function because of

(i) diabetes with acute metabolic derangement or severe end organ damage;
(ii) renal disease that requires dialysis treatment;
(iii) severe pre-eclampsia;
(iv) eclampsia;
(v) convulsions;
(vi) status epilepticus;
(vii) sickle cell anemia;
(viii) severe congenital or acquired heart disease, class IV;
(ix) pulmonary hypertension;
(x) malignancy if pregnancy would prevent or limit treatment;
(xi) kidney infection;
(xii) congestive heart failure;
(xiii) epilepsy;
(xiv) seizures;
(xv) coma;
(xvi) severe infection exacerbated by pregnancy;
(xvii) rupture of amniotic membranes;
(xviii) advanced cervical dilation of more than six centimeters at less than 22 weeks gestation;
(xix) cervical or cesarean section scar ectopic implantation;
(xx) any pregnancy not implanted in the uterine cavity;
(xxi) amniotic fluid embolus; or
(xxii) another physical disorder, physical injury, or physical illness, including a life-endangering physical condition caused by or arising from the pregnancy that places the woman in danger of death or major bodily impairment if an abortion is not performed.