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McKee, a Democrat, said he was proud to sign the bill into law and include related funding in his state budget proposal.

“Here in Rhode Island, we will always protect a woman’s right to choose and ensure equal access to these crucial health care services,” he said.

An identical version of the measure on April 27 by a 49-24 vote.

Democratic state Sen. Bridget Valverde, one of the bill’s sponsors, said that despite a vote by Rhode Island lawmakers four years ago to enshrine the right to safe, legal abortion in the state, the work to help guarantee access to abortions was unfinished.

“For so many the right has remained illusive,” she said. “That’s because a right to a health care service is useless if we intentionally prevent people’s health insurance from covering it.”

Medicaid patients and state workers deserve to have the same access to care as people enrolled in private health insurance plans, she said.

With the new law, doctors will no longer have to tell their low-income patients that their health insurance won't cover their abortion, she added.

Opponents said the state shouldn't require state taxpayers, including those with moral objections to the procedure, to cover the cost of abortions.

“For decades, the consensus has maintained that regardless of one's view on the legality or appropriateness of abortion, taxpayers should not be forced or encouraged to pay for abortions,” said Republican Sen. Jessica de la Cruz.

About a quarter of Rhode Islanders are covered by Medicaid, and another 30,000 are covered by state employee plans, backers of the new law said. They have had to pay out of pocket for the full cost of abortions.

In his for fiscal year 2024, McKee includes funding to add abortion coverage to Rhode Island’s Medicaid program and to the insurance coverage for state employees, at a projected cost of $622,000.

The legislation repeals a section of state law banning Rhode Island from including any provision that provides coverage for induced abortions in any health insurance contracts with state employees. The current law exempts instances when the life of the mother would be endangered if the fetus were carried to term, or when the pregnancy resulted from rape or incest.

Other critics, including Democratic House Labor Committee Chair Arthur Corvese, have said it’s one thing to end a pregnancy because of rape, incest or the health of the mother, and another to do so because it was unplanned.

The Rhode Island measure that has emerged during the first legislative sessions in most states since the U.S. Supreme Court overturned Roe v. Wade. Republicans are moving to make abortion restrictions tougher, while Democratic-dominated states are moving to protect access for their residents and residents of other states arriving for care.