Dear friends,
Four years ago today, the Trump-picked majority in the US Supreme Court ended the federal protection of abortion rights made possible by Roe v. Wade.
What happened next? What’s happening now? Let’s discuss the state of abortion access in Ohio, how we got here, and how your support has been so very critical at every step along the way.
Thank you for being with us on this journey.
For abortion, forever,
Kellie Copeland and the entire team at Abortion Forward
The end of Roe
The landmark 1973 Roe decision was deeply flawed but did provide a minimum level of assurance that abortion access would be available in some form. Roe was overturned when the Supreme Court issued the majority decision in Dobbs v. Jackson Women’s Health Organization on June 24, 2022. The national right to obtain an abortion was ended, and the decision-making power was given to each individual state.
In Ohio, that decision had already been made. In 2019, Gov. Mike DeWine signed a bill banning abortion in the sixth week of pregnancy, and the state Attorney General Dave Yost pushed for courts to immediately put that ban into effect on the same day Dobbs was published. Yost got his wish when a federal judge ruled that the six-week ban could go into effect that afternoon. For the next 82 days, Ohioans who needed abortion care, and who had the means, fled our state to get that care.
Moving the plan forward
The clinic shutdowns made it crystal clear to abortion rights advocates that they needed to take the question to the voters directly. We knew that the majority of Ohioans supported abortion rights, but the anti-abortion majority in Ohio state legislature was gerrymandered into place. There was no way we could ever count on them to represent the will of the voters – especially after they had passed more than 30 restrictions on reproductive health care over the previous decade.
We quickly saw other states vote on abortion related measures. Kansas led the way defeating an anti-abortion ballot measure that would have banned abortion in their state. In quick order, six other states followed, including Ohio’s northern neighbor Michigan, who protected abortion rights in their constitution in 2023 and Kentucky, who followed Kansas’ lead in defeating a measure to remove any constitutional protections for abortion.
Those wins confirmed what we already knew: winning in Ohio was possible.
Abortion-rights advocates in Ohio had been working on the problem for years. There had been a strong opposition to every bill attempting to ban or restrict abortion since the six-week ban was first introduced in 2011. A coalition was formed from nine organizations: Abortion Forward (formerly Pro-Choice Ohio), Abortion Fund of Ohio, ACLU of Ohio, New Voices for Reproductive Justice, Ohio Physicians for Reproductive Rights, Ohio Women’s Alliance, Planned Parenthood Advocates of Ohio, Preterm-Cleveland, and URGE: Unite for Reproductive and Gender Equity.
Together, they formed Ohioans United for Reproductive Rights.
The August Special Election
While the OURR coalition started collecting signatures to qualify a constitutional amendment for the November ballot, the anti-abortion state legislature was also hatching another plot. They put an August Special Election on the calendar with one question: should Ohio require that any constitutional amendment need 60% of the vote to pass. This was a threat to more than just abortion rights, and a massive swell of opposition to this special election came from Ohioans working in organized labor, education, environmentalists, healthcare advocates, supporters of voting rights, etc.
Together, they defeated the August ballot issue. That cleared the way for the big vote in November.
Winning on abortion in Ohio
Abortion opponents inside all three branches of Ohio government conspired to work against our campaign. Ohio Secretary of State Frank LaRose put intentionally misleading language on the ballot to try to confuse voters about how the constitutional amendment would protect reproductive freedom. The anti-abortion majority on the Supreme Court of Ohio upheld LaRose’s trickery. AG Yost stuck his nose back into the debate, misusing his office to publish a 13-page personal opinion on the abortion amendment. Gov. DeWine made TV commercials opposing the issue.
What the politicians in the Ohio Statehouse forgot was the simple fact that Ohioans want abortion to be legal and accessible.
The November vote was 57%-43% in favor of protect abortion rights! The Ohio Reproductive Freedom Amendment was added as Article 1, Section 22 of the Ohio Constitution.
Access today
Today, there are FOURTEEN abortion clinics serving patients across Ohio, with telemedicine options for patients who need it. Five abortion funds offer direct financial assistance or practical support for people who need a little help obtaining abortion care. The patients they serve mostly come from Ohio, but many people travel to the Buckeye State from other areas, especially if they live in one of the 13 states that currently bans or restricts abortion for them.
Winning in the courts
The Ohio Reproductive Freedom Amendment made all of that care possible, but it’s important to be clear about what the change Ohio Constitution does and does not do.
The amendment established an individual right to one’s own reproductive medical treatment, including but not limited to abortion. That opening line gives abortion rights advocates the ability to challenge any abortion restriction in court, backed by the full weight of the state constitution… but that’s not the same as instantly changing the law.
Each law restricting abortion must be challenged individually:
- The six-week abortion ban was already temporarily blocked by courts when the voters spoke in 2023, and the courts made an easy decision to keep the ban blocked.
- A law requiring a 24-hour waiting period on abortion care (essentially requiring patients to make often-costly second visits to clinics) was also blocked after a lawsuit was filed.
- At this time, four other lawsuits are actively seeking to overturn restrictions on abortion patients and providers. Most of these lawsuits are being brought by Ohio abortion clinics with legal support from ACLU of Ohio and Planned Parenthood.
Defense in the legislature
In the Ohio Senate and House of Representatives, unfortunately, opposition to abortion rights is a never-ending plague. Despite the protection in the state constitution, there are ELEVEN bills from politicians trying to find a way to restrict abortion today. These join a raft of other bills and budget amendments that have popped up to attack the transgender community, deny Ohioans full access to the ballot box, strip low-income people from Medicaid, and other horrid human rights violations.
With respect to abortion rights, the attacks come in four gross flavors of state legislation:
- Three bills would create legal frameworks to track pregnancies and give rights to embryos and fetuses to increase criminalization of pregnant individuals (HB 87, HB 370, HB 754).
- Three bills push taxpayer funded anti-abortion propaganda in schools (HB 485, SB 156, SB 310).
- One bill is an attempt to restrict contraceptive care (HB 410).
Leading the opposition in the halls of the Ohio Statehouse, Abortion Forward brings expert policy analysis, coordinates witnesses for committee hearings, and educates the media on the harm of restrictions and the benefits when everyone can get the care they need.
Storytellers are the key
The path to lasting victory is found in the work done to reduce and eliminate stigma around abortion. Opponents of abortion rights find themselves abandoned when more and more people see that abortion is healthcare. People who have had an abortion have been coming forward to talk about their experiences, and their stories have made all the difference in the world. The biggest impact in the debate happens when abortion patients speak to their families, to their communities, to policymakers, and even step up to the microphone and speak to the media. That is how we won in Ohio in 2023, and how we can continue to win in the future.
Projects like Patients to Advocates bring trainings and resources to storytellers to make this all possible.
Abortion is still on the ballot
Voting will always be important in protecting abortion rights. On the 2026 Ohio ballot, three key statewide races are critical to watch:
- We need a US Senator who respects abortion rights and will vote to block any future US Supreme Court nominations made by Donald Trump. We need votes in the Senate to remove members of the administration from office.
- Ohio needs a governor who will put a stop to the weaponization of state government that was started by John Kasich and continued by Mike DeWine. The Ohio Department of Health should never again be allowed to target abortion providers.
- The Supreme Court of Ohio is the final stop for many of the legal challenges we’ve described above. Two seats are up for grabs – we need justices on the court who will fully enforce the Ohio Reproductive Freedom Amendment, not those who would work to undermine it.
Threats from the Feds
Trump’s administration is packed with anti-abortion extremists, and the most visible attempt to interfere with abortion access has been seen in efforts by the FDA to stop Americans from accessing medication abortion through telemedicine and by mail.
Still reading?
See, I told you your support was critical. You’ve been standing with us at every step. Whether you’ve signed the petition in 2023 or even collected signatures; if you’ve attended a rally, emailed your lawmakers, or testified in person; if you’ve donated to make this work possible… every effort counts.
On behalf of every abortion patient relying on these legal protections to be able to access care, we’re so very grateful to you for your work.


