I recently cared for a woman, Shanna, who had health insurance through Ohio’s state employee health plan. Ohio employees only have abortion coverage in instances of rape, incest, and life is endangerment. Shanna and her husband were eager to become parents. She underwent routine screening for genetic abnormalities. The tests showed that her fetus had significant and serious abnormalities, and Shanna and her husband were devastated. They had multiple consultations with numerous specialists to determine the severity of the conditions, undergoing MRIs and amniocentesis. She and her husband decided that she could not continue the pregnancy. Although her insurance would cover the prenatal testing, it would not cover abortion. Shanna had to pay $13,000 to get the care she needed—a huge financial burden for her and her husband on top of their deep sorrow and disappointment.