By Trista Bowser / Broadcast version by Mary Schuermann reporting for the Kent State-Ohio News Connection Collaboration.

After the Supreme Court overturned Roe v. Wade in June, an Ohio law that bans abortion after six weeks of pregnancy was allowed to take effect.

A federal judge dissolved an injunction of the state's "heartbeat" bill, on hold since 2019, after Ohio Attorney General Dave Yost (R) filed a motion for emergency relief on June 24, the day of the Supreme Court's decision in Dobbs v. Jackson. The law bans abortions after the detection of fetal cardiac activity, typically around six weeks of pregnancy and before many women know they're pregnant.

The Heartbeat Bill is now the law. pic.twitter.com/ipO9fMQ4H0

— Attorney General Dave Yost (@DaveYostOH) June 24, 2022

The "heartbeat" bill was created to outlaw abortions as soon as a doctor can detect fetal cardiac activity during a pregnancy. With the bill in effect, the only way an abortion after that date is allowed is if the mother is having complications to her health. The doctor has to show proof that the pregnancy is at risk of harming the mother.



If an illegal abortion is performed, the law makes the doctor criminally liable.



A majority of women don't realize that they are pregnant until their first missed period, by which time they are already around four weeks pregnant. People with irregular periods may not know until days to weeks later. With the heartbeat bill now in effect, most women will have two weeks or less in which they can get an abortion in Ohio.



Women seeking an abortion after that time will now have to travel outside state lines to a location where the procedure is legal.



State legislatures in Kentucky and West Virginia have outlawed abortion, though Kentucky's ban is currently blocked by the courts. Abortion is still legal in Michigan up to 19.6 weeks into pregnancy, in Indiana up to 22 weeks and in Pennsylvania up to 24 weeks.







Prior to the Supreme Court's decision in Dobbs vs. Jackson, Jessie Hill, associate dean for research and faculty development at Case Western Reserve University School of Law, explained that it will be difficult for Ohio women seeking abortions to go out of state.



"The problem with Ohio is that Ohio borders a lot of states where there's not great access either, like Kentucky, Indiana, West Virginia, places like that," she said.



Legislators in the Ohio statehouse were working to limit abortion access in the year leading up to the Dobbs decision.



In December 2021, Gov. DeWine signed Senate Bill 157, which banned Ohio physicians who work for the state in some capacity from undertaking contracts with abortion clinics. The law was blocked in March, but could be allowed to take effect with Roe v. Wade overturned.



Prior to the ruling, Ohio legislators were also working on HB 598, which would almost completely ban abortion. To qualify for an exception due to complications to the mother's health, doctors would be required to complete intensive paperwork to prove to the Ohio legislators that it was absolutely necessary. The bill contains no exemptions for pregnancy as a result of rape or incest.



Hill said many women are concerned about what they would do if they became pregnant due to sexual assault. "Being forced to carry it and not wanting a pregnancy to term is just sort of a retraumatization for some people," stated Hill.



Rep. Gary Click (R-Vickery), a co-sponsor of HB 598, said via email that he hopes the Ohio Legislature will call a special session "to align Ohio's laws to reflect the right that every child deserves."



"This is a bright day for the future of the unborn and we should not delay in delivering the American dream to our most vulnerable population one moment longer than necessary," he wrote.



State legislators may continue to pursue further restrictions on abortion in the coming months. On July 11, for instance, Click introduced a bill that would recognize constitutional rights beginning at conception, likely outlawing abortion in Ohio entirely.



As of this writing, there are nine clinics in Ohio still offering abortions up to six weeks, according to Pro-Choice Ohio. Planned Parenthood of Greater Ohio is still offering abortion services.



"We will keep fighting for legal abortion in Ohio," states a large graphic at the top of Planned Parenthood of Greater Ohio's website. "We will do everything in our power to ensure every person's right to bodily autonomy is upheld. Our health centers have and will remain trusted health care partners for patients across Ohio."



This collaboration is produced in association with Media in the Public Interest and funded in part by the George Gund Foundation.


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Illinois serves as a crucial access point for abortion services and sees the most out-of-state patients in the country.

Since Roe v. Wade was overturned in June 2022, Planned Parenthood of Illinois has seen the largest increase in abortion services than any other state. About 25% of its patients are from out-of-state.

Julie Uhal, program manager of strategic initiatives and impact measurement for Planned Parenthood of Illinois, said they planned for an initial surge but sustained high patient volume has strained their resources. She explained they saw up to a dozen out-of-state patients per month before Roe was overturned.

"We're seeing 800, 900, 1,000 out-of-state patients every single month," Uhal reported. "That hasn't changed. That's remained constant for three years now because abortion bans don't stop the need for abortion care. They just make it more difficult for people to access."

Uhal pointed out many out-of-state patients are uninsured or have insurance in other states which cannot be used in Illinois. Combined with rising health care costs, lower reimbursement rates and threats to Medicaid, she said Planned Parenthood faces financial difficulties, which have already forced them to close four clinics this year.

Planned Parenthood is the largest provider of sexual and reproductive health care in the state. More than 40% of local patients use Medicaid to cover the cost of services, which in addition to abortion care includes birth control, cancer screenings, STI treatment and prenatal and gender-affirming care. Without Medicaid funding, Planned Parenthood of Illinois said it would need about $16 million a year to continue providing services at its current rate.

"A lot of people don't realize that many Planned Parenthood clinics are in areas that are otherwise health care provider deserts for access," Uhal emphasized. "For a lot of people, going in for a birth control appointment might be the only time they see a doctor that year."

Uhal stressed the burden of accessing common health care continues to be placed on the patient since states banned abortion services. The recent Supreme Court ruling which set a precedent to allow states to exclude Planned Parenthood from Medicaid will only worsen the burden. She added helping patients to navigate emotional and logistic barriers to care has been just as important as providing them with care.

"One in four people that can get pregnant will have an abortion at some point in their lifetime," Uhal explained. "So it's really important for people to know that they're not alone. There shouldn't be as much shame and stigma surrounding this as there is."

Planned Parenthood of Illinois opened the Carbondale Health Center in 2023 to help meet the increased demand for services, particularly for patients traveling from the South. About 90% of patients there come from out-of-state.


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Abortion rights advocates in Kentucky are concerned as the Department of Health and Human Services has revoked a policy requiring hospitals to provide abortion care in emergency situations.

Known as the Emergency Medical Treatment and Labor Act, the rule offered federal protection for the procedure, particularly in Kentucky and other red states with near total abortion bans.

Tamarra Wieder, Kentucky state director for Planned Parenthood Alliance Advocates, said stripping away protection will be catastrophic for women in rural counties who already face barriers to care.

"We know in a state like Kentucky that people have already turned up at emergency rooms because of our abortion restrictions," Wieder pointed out. "Doctors have been forced to wait until patients were at life-threatening situations, sepsis, hemorrhage, before they are able to provide care."

According to the National Institutes of Health, pregnancy complications are the fifth-most common reason women of reproductive age visit the emergency room.

Weider added rural communities across the Commonwealth suffer the nation's worst family planning and sexual health outcomes and continue to struggle with access to safe and convenient obstetric and reproductive health care.

"I think it's really important to note that 57% of Kentucky's rural hospitals no longer offer obstetric services, 57%," Weider emphasized.

Kentucky's Human Life Protection Act, passed by lawmakers in 2019, banned all abortions except to save the life of the mother and it went into effect immediately after the Supreme Court overturned Roe v. Wade in 2022. The same year, voters in the Commonwealth rejected a ballot measure which would have amended the state constitution to explicitly deny the right to an abortion.

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Arizona doctors have filed a lawsuit to overturn a set of restrictions which they argue interfere with access to abortion care. Arizona voters last year passed Proposition 139 which enshrined the fundamental right to an abortion, up until fetal viability, in the state's constitution.

Gail Deady, senior attorney, Center for Reproductive Rights, which is representing some of the plaintiffs in the case, explained that the abortion rights that were secured because of the measure do not go into effect automatically, and existing laws that limit access must be challenged before they can be struck down under Prop 139.

"This lawsuit is intended to honor the will of the voters and it looks to strike down the most onerous abortion restrictions that are currently on the books in Arizona," she said. "The theory behind this case is that these restrictions do not have any medical basis, they do not make abortions safer."

Deady explained that some of the restrictions include forcing doctors to turn away patients if they suspect a fetal genetic diagnosis is the reason for a patient seeking care, requiring patients to wait at least 24 hours before obtaining abortion care, and banning the use of telehealth for abortion. Mailing abortion pills - like mifepristone - is also prohibited. Conservative, anti-abortion advocates have expressed support for the restrictions, its's unclear if they'll oppose the lawsuit.

Deady argues many Arizonans are facing negative consequences as a result of the laws. She adds that it also means a delay in receiving the care most Arizonans supported last year, and added that Arizona has what she calls a "two-trip" law which requires patients make two separate visits to a clinic.

"Just to hear mandatory, state-scripted information about abortion that often is not medically correct, it spreads misinformation and is designed to make people feel ashamed of the decision that they've made which has now been recognized as a constitutional right in Arizona," she explained.

Deady said her organization is currently advocating for the restrictions to be blocked during litigation. The state attorney generals' office is currently examining the complaint.

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