Abortion Policy API Insurance Coverage API

openapi: 3.1.0
info:
  title: Abortion Policy Gestational Limits Insurance Coverage API
  description: 'The Abortion Policy API provides up-to-date information on state abortion policies that can be integrated into online abortion resources. The API consolidates abortion laws into one database across four data tables: gestational limits, insurance coverage, minors restrictions, and waiting periods. Data is accessible by US state name or zip code. Authentication requires an API key provided upon request.'
  version: 1.0.0
  contact:
    url: https://www.abortionpolicyapi.com/contact
  license:
    name: API License Agreement
    url: https://www.abortionpolicyapi.com/terms
  x-generated-from: documentation
servers:
- url: https://api.abortionpolicyapi.com/v1
  description: Production server
tags:
- name: Insurance Coverage
  description: Endpoints for retrieving abortion insurance coverage restrictions by state or zip code.
paths:
  /insurance_coverage/states:
    get:
      operationId: getInsuranceCoverageAllStates
      summary: Abortion Policy API Get Insurance Coverage for All States
      description: Returns abortion insurance coverage restrictions for all US states, covering Medicaid, private insurance, and ACA exchange plans.
      tags:
      - Insurance Coverage
      security:
      - ApiKeyAuth: []
      responses:
        '200':
          description: Successful response with insurance coverage policies for all states
          content:
            application/json:
              schema:
                type: object
                additionalProperties:
                  $ref: '#/components/schemas/InsuranceCoverage'
              examples:
                GetInsuranceCoverageAllStates200Example:
                  summary: Default getInsuranceCoverageAllStates 200 response
                  x-microcks-default: true
                  value:
                    California:
                      requires_coverage: true
                      private_coverage_no_restrictions: true
                      medicaid_coverage_provider_patient_decision: true
                      medicaid_exception_life: true
                      Last Updated: '2025-01-15'
        '401':
          description: Unauthorized - invalid or missing API key
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Error'
      x-microcks-operation:
        delay: 0
        dispatcher: FALLBACK
  /insurance_coverage/states/{state}:
    get:
      operationId: getInsuranceCoverageByState
      summary: Abortion Policy API Get Insurance Coverage by State
      description: Returns abortion insurance coverage restrictions for a specific US state, covering Medicaid, private insurance, and ACA exchange plans.
      tags:
      - Insurance Coverage
      security:
      - ApiKeyAuth: []
      parameters:
      - name: state
        in: path
        required: true
        description: The state name (e.g., California, Texas, New York)
        schema:
          type: string
          example: California
      responses:
        '200':
          description: Successful response with insurance coverage policy for the specified state
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/InsuranceCoverage'
              examples:
                GetInsuranceCoverageByState200Example:
                  summary: Default getInsuranceCoverageByState 200 response
                  x-microcks-default: true
                  value:
                    requires_coverage: true
                    private_coverage_no_restrictions: true
                    medicaid_coverage_provider_patient_decision: true
                    medicaid_exception_life: true
                    Last Updated: '2025-01-15'
        '401':
          description: Unauthorized - invalid or missing API key
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Error'
        '404':
          description: State not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Error'
      x-microcks-operation:
        delay: 0
        dispatcher: FALLBACK
  /insurance_coverage/zips/{zip}:
    get:
      operationId: getInsuranceCoverageByZip
      summary: Abortion Policy API Get Insurance Coverage by Zip Code
      description: Returns abortion insurance coverage restrictions for a specific zip code.
      tags:
      - Insurance Coverage
      security:
      - ApiKeyAuth: []
      parameters:
      - name: zip
        in: path
        required: true
        description: The 5-digit US zip code
        schema:
          type: string
          example: '90210'
      responses:
        '200':
          description: Successful response with insurance coverage policy for the specified zip code
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/InsuranceCoverage'
              examples:
                GetInsuranceCoverageByZip200Example:
                  summary: Default getInsuranceCoverageByZip 200 response
                  x-microcks-default: true
                  value:
                    requires_coverage: true
                    private_coverage_no_restrictions: true
                    medicaid_coverage_provider_patient_decision: true
                    medicaid_exception_life: true
                    Last Updated: '2025-01-15'
        '401':
          description: Unauthorized - invalid or missing API key
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Error'
        '404':
          description: Zip code not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Error'
      x-microcks-operation:
        delay: 0
        dispatcher: FALLBACK
components:
  schemas:
    InsuranceCoverage:
      title: InsuranceCoverage
      description: Abortion insurance coverage restrictions covering Medicaid, private insurance, and ACA exchange plans for a US state.
      type: object
      properties:
        requires_coverage:
          type: boolean
          description: If true, state requires private health plans to cover abortion.
          example: false
        private_coverage_no_restrictions:
          type: boolean
          description: If true, private insurance may cover abortion without restrictions.
          example: true
        private_exception_life:
          type: boolean
          description: If true, private insurance coverage allowed when abortion is necessary to save pregnant person's life.
          example: true
        private_exception_health:
          type: string
          nullable: true
          description: Private insurance coverage allowed for serious health conditions described by this field.
          example: Major Bodily Function
        private_exception_fetal:
          type: string
          nullable: true
          description: Private insurance coverage allowed for described fetal anomaly types.
          example: Lethal fetal anomaly
        private_exception_rape_or_incest:
          type: boolean
          description: If true, private insurance coverage allowed in cases of rape or incest.
          example: true
        exchange_coverage_no_restrictions:
          type: boolean
          description: If true, state has not restricted abortion coverage in ACA exchange plans.
          example: true
        exchange_exception_life:
          type: boolean
          description: If true, exchange plan coverage allowed when abortion is necessary to save pregnant person's life.
          example: true
        exchange_exception_health:
          type: string
          nullable: true
          description: Exchange plan coverage allowed for health conditions described by this field.
          example: Physical
        exchange_exception_fetal:
          type: string
          nullable: true
          description: Exchange plan coverage allowed for described fetal anomaly types.
          example: Lethal fetal anomaly
        exchange_exception_rape_or_incest:
          type: boolean
          description: If true, exchange plan coverage allowed in cases of rape or incest.
          example: true
        exchange_forbids_coverage:
          type: boolean
          description: If true, state prohibits all exchange insurance coverage for abortion.
          example: false
        medicaid_coverage_provider_patient_decision:
          type: boolean
          description: If true, state uses Medicaid funds for medically necessary abortion determined by patient/provider.
          example: true
        medicaid_exception_life:
          type: boolean
          description: If true, Medicaid covers abortion necessary to save pregnant person's life (required by Hyde Amendment).
          example: true
        medicaid_exception_health:
          type: string
          nullable: true
          description: Medicaid coverage for health conditions described by this field.
          example: Physical
        medicaid_exception_fetal:
          type: string
          nullable: true
          description: Medicaid coverage for described fetal anomaly types.
          example: Serious fetal anomaly
        medicaid_exception_rape_or_incest:
          type: boolean
          description: If true, Medicaid covers abortion in cases of rape or incest (required by Hyde Amendment).
          example: true
        Last Updated:
          type: string
          description: Date this policy record was last updated.
          example: '2025-01-15'
    Error:
      title: Error
      description: Error response returned when a request fails.
      type: object
      properties:
        error:
          type: string
          description: Error message describing what went wrong.
          example: Unauthorized - invalid API key
        status:
          type: integer
          description: HTTP status code.
          example: 401
  securitySchemes:
    ApiKeyAuth:
      type: apiKey
      in: header
      name: token
      description: API key for authentication. Request access at https://www.abortionpolicyapi.com/request-access