November 2023 Ohio Issue 1

The 2023 Ohio reproductive rights initiative,[1] officially titled "The Right to Reproductive Freedom with Protections for Health and Safety", and listed on the ballot as Issue 1,[2] is a citizen-initiated constitutional amendment that will appear on the ballot on November 7, 2023. If a for vote passes, the initiative would codify reproductive rights in the Ohio Constitution, including contraception, fertility treatment, whether to continue one's own pregnancy, and miscarriage care. It would restore Roe v. Wade-era access in Ohio, protecting "the right to abortion up to the point of fetal viability" while permitting restrictions after.[lower-alpha 1][3]

Issue 1

November 7, 2023 (2023-11-07)

Right to Reproductive Freedom with Protections for Health and Safety

In 2019, the Ohio legislature passed a near-total ban on abortion, without exceptions for the health of the mother, rape, incest, or minors. This current statue became briefly active after Dobbs v. Jackson Women's Health Organization. During the time it was in place, multiple children fled the state for abortions after being raped.[4] One of these cases involved a ten-year-old girl from Columbus, Ohio who traveled to Indiana to get the procedure, generating nationwide attention and becoming a central issue in the campaign.[4] A state court put the ban on hold while a challenge alleging it violates the Ohio Constitution is heard.[5] In late August 2023, former President Donald Trump condemned six-week abortion bans, including Ohio's, as going "too far" and a "terrible thing and terrible mistake".[6][7] The referendum is widely seen as determining whether Ohio's statue will remain in place; several members of the "against" campaign called for bans on forms of birth control that prevent the implantation of a fertilized egg and in vitro fertilization if the referendum fails.[8][9]

The "yes" campaign has drawn support from Ohio medical organizations,[10] doctors,[10] economists,[11] trade unions,[12] editorial boards,[12] reproductive rights groups,[12] and several religious organizations.[13] They have argued that a "yes" vote would further what they see as limited government, protect bodily autonomy and religious liberty, while preventing interference with patient-physician privacy.[9] It has run as an ideological big-tent, with "the main force behind the ballot initiative" being physicians.[9][10] The American College of Obstetricians and Gynecology, alongside other professional associations of doctors, has campaigned for Issue 1.[9][14]

The "no" campaign has mainly drawn support from fundamentalist Protestants.[lower-alpha 2][13] In August 2023, the campaign suffered controversy after Ohio Right To Life's communications director Lizzie Marbach, an evangelical and self-described Christian nationalist, called for restrictions or bans on birth control, statements that the Veneration of Mary in Catholicism is "idolatry", and implied that non-Christians would go to hell.[16][17] Marbach also controversially described the "against" campaign as a way to enact fundamentalist Protestant supremacy in law.[18] Former Vice President Mike Pence is expected to campaign against the measure.

Text

Be it Resolved by the People of the State of Ohio that Article I of the Ohio Constitution is amended to add the following Section:

Article I, Section 22. The Right to Reproductive Freedom with Protections for Health and Safety

A. Every individual has a right to make and carry out one’s own reproductive decisions, including but not limited to decisions on:

  1. contraception;
  2. fertility treatment;
  3. continuing one’s own pregnancy;
  4. miscarriage care; and
  5. abortion

B. The State shall not, directly or indirectly, burden, penalize, prohibit, interfere with, or discriminate against either:

  1. An individual’s voluntary exercise of this right or
  2. A person or entity that assists an individual exercising this right

unless the State demonstrates that it is using the least restrictive means to advance the individual’s health in accordance with widely accepted and evidence-based standards of care.

However, abortion may be prohibited after fetal viability. But in no case may such an abortion be prohibited if in the professional judgment of the pregnant patient’s treating physician it is necessary to protect the pregnant patient’s life or health.

C. As used in this Section:

  1. “Fetal viability” means “the point in a pregnancy when, in the professional judgment of the pregnant patient’s treating physician, the fetus has a significant likelihood of survival outside the uterus with reasonable measures. This is determined on a case-by-case basis.”
  2. “State” includes any governmental entity and any political subdivision.

D. This Section is self-executing.

Background

Former Vice President and current Republican candidate Mike Pence (2017-2021) is expected to campaign against the ballot measure.
The number of abortion clinics in Ohio has substantially decreased.

2022 Ohio child-rape and Indiana abortion case

In 2019, the Ohio legislature passed a near-total ban on abortion, without exceptions for the health of the mother, rape, incest, or minors.

This current statue became briefly active after Dobbs v. Jackson Women's Health Organization. During the time it was in place, at least multiple children fled the state for abortions after being raped.[4] The most notable case involved a ten-year-old girl from Columbus, Ohio, United States, traveled to Indiana on On June 30, 2022 to get an abortion because current statutory law in Ohio does not provide an exception those who became pregnant because of rape. Her case drew national attention and commentary from public figures, due in part to its proximity to the June 24, 2022, decision of the Supreme Court of the United States in Dobbs v. Jackson Women's Health Organization, which overturned Roe v. Wade and allowed states, including Ohio, to impose unlimited limitations on abortion access.[5][19][20][21]

Her rapist was arrested by July 13. Before this arrest was made public, Ohio politicians who oppose legal abortion access called the story a hoax; Ohio's attorney general Dave Yost said, "Every day that goes by, the more likely that this is a fabrication."[22] After news of the arrest validated the Star's story, these sources did not apologize for claiming the story was a hoax.[23] Jim Bopp, the general counsel for the National Right to Life Committee, said in an interview that the girl should have been forced to bear the child under law, and that "She would have had the baby, and as many women who have had babies as a result of rape, we would hope that she would understand the reason and ultimately the benefit of having the child."[24] In September 2022, shortly after Ohio's 6-week abortion ban went into effect, a woman made national news when she almost bled to death after an Ohio hospital refused to treat her miscarriage.[25] Presently, "a state court put the ban on hold again while a challenge alleging it violates the state constitution plays out".[5]

Ballot measure submission

On February 21, 2023, Ohioans for Reproductive Freedom, the group leading support for the initiative, filed the amendment's language with the office of Ohio Attorney General, Dave Yost,[26] who certified it on March 2, sending it to the Ohio Ballot Board,[27] who further certified the proposed amendment on March 13, permitting supporters to begin collecting signatures.[3] On July 5, supporters filed 709,786 signatures, nearly 300,000 more than the minimum number required. Ohio Secretary of State, Frank LaRose, certified the petition on July 25, 2023, after certifying 495,938 valid signatures, more than the approximately 410,000 required.[28]

Attempt to change threshold

The Ohio Republican Party tried to thwart this constitutional amendment by attempting to change the rules so as to increase to 60% the threshold required for referendum passage in an August 8 special election, known as August 2023 Ohio Issue 1. The voters of Ohio rejected this change 57%-43%, keeping the threshold for passage at 50%+1.[29]

Ballot challenge rejected

On August 11, the Ohio Supreme Court unanimously rejected a lawsuit filed July 28 that would keep the initiative off the ballot.[30][31]

Campaign

The "for" campaign drew support from Ohio scientific and medical communities,[32][33] economists,[11] trade unions,[12] editorial boards,[12] human rights,[12] and many religious organizations. They have argued that a "yes" vote would limit government, protect bodily autonomy and religious liberty, and prevent interference with personal medical decisions, including another situation similar to the aforementioned abortion case.[9] The American College of Obstetricians and Gynecology, alongside other professional associations of physicians, will prominently campaign for the citizen-initiated constitutional amendment.[9] "The main force behind the ballot initiative" has been physicians and other groups in medicine.[10]

While several Ohio's Catholic dioceses condemned the measure, many Catholic voters are expected to vote for "yes", along with several dissenting groups, including Catholics for Choice.[34]

Comments by Ohio Right to Life activist Lizzie Marbach

Lizzie Marbach Twitter
@LizzieMarbach

"King of kings" has always been a political statement. We just took that for granted in the western world and bought into the silly myth of neutrality in the public square.

August 23, 2023

Lizzie Marbach Twitter
@LizzieMarbach

The use of birth control, IVF, & other unnatural means of "family planning" has brainwashed us into believing that WE are the authors of when life begins. This belief has caused so much evil and ultimately led to the death of over 60 million babies due to abortion.

September 11, 2023

The "against" campaign has suffered from intense infighting after comments made by Lizzie Marbach.[16] A fundamentalist Protestant who was communications director for Ohio Right To Life, she labeled a depiction of Our Lady of Guadalupe in a Catholic Church as "idolatry", implied that non-Christians would go to hell, and repeatedly called for an end to the separation of church and state.[16] Marbach has since proceeded to describe the "against" campaign as a means of enacting fundamentalist Protestant supremacy in law,[18] and called for restrictions or bans on birth control and in vitro fertilization if the referendum fails. After comments described as anti-Jewish and anti-Catholic, she was fired in mid-August 2023.[16] Jewish Republican congressmen Max Miller (OH-7) responded to Marbach on Twitter that "this is one of the most bigoted tweets I have ever seen" and to "delete it, Lizzie." The conversation continued with Miller stating that "God says that Jewish people are the chosen ones, but yet you say we have no hope. Thanks for your pearl of wisdom today" and that "religious freedom in the United States applies to every religion".[17] Several Catholic anti-abortion activists urged opponents of the measure to not cast a ballot, or, cast one intentionally spoiled as a protest vote in the wake of the controversy, stating that the "against" campaign was furthering anti-Catholicism.[16]

Ballot wording and misleading campaign advertisements

Proponents of the amendment initially suggested that the amendment appear in full on voters' ballots in November. However, the Ohio Ballot Board substituted its own summary wording to appear before voters. The summary, written by Ohio Secretary of State and Republican Senate candidate Frank LaRose and approved by the Ballot Board's Republican majority, received criticism for its allegedly biased language, including substituting the word "unborn child" for the medically accurate term "fetus" and omitting reference to other rights the proposed amendment would protect, including contraception, miscarriage care, and fertility treatment. Abortion rights groups sued to have the full text of the amendment presented on the ballot, but the Republican majority on the Ohio Supreme Court sided with the Ballot Board, allowing the contentious language to appear in the ballot summary.[35]

The Ballot Board's summary received criticism from medical groups as well as some voices opposed to legal abortion access, who have described it as deliberately deceiving voters to vote "no" under false pretexts.[36] National conservative columnist Jude Russo wrote that "[we] have failed to persuade the American people. Simply put: Lawyerly tricks (and tricky lawyers) are losers. Asking the commons to cede power voluntarily is a loser"[37] and that "a rush of [intentionally] badly-worded state referenda is not a program."[38] The American College of Obstetricians and Gynecology stated: "The language used to discuss abortion has a profound impact on how people form their opinions about reproductive health care, and the emotionally charged language that will now be presented to voters is neither clinically nor legally sound."[36]

Advertisements from the "against" campaign falsely claiming that the referendum would take away parental rights and force transgender surgery on children has received widespread criticism from legal experts who described it as misleading and baseless.[39] Constitutional law expert Jonathan Entin writes:[39]

The opponents are saying, "Well, but there's this language that says 'including but not limited to'..." But that's bogus.

and:[39]

If you drink too much alcohol, if you ingest certain drugs, if you drive too fast — all of those things could have shorter or longer term implications for your ability to reproduce... That doesn't mean that speed limits and drug laws and alcohol regulations are somehow going to be affected by this amendment if it's adopted.

Anti-abortion Catholic columnist Mary Pezzulo criticized the advertisements: "They’re claiming that the constitutional amendment will somehow lead to children being allowed to get gender transition surgery without their parents knowing or being able to stop it. Again, this is nonsense. Children can’t get elective medical procedures without a parent’s consent. And the proposed amendment says absolutely nothing about gender transition." and that "they’re lying to get people to vote against Issue One."[40] She went on to state:[40]

Opposing abortion is supposed to be all about the personhood of the unborn baby. Why are we [lying] about parents’ rights [being taken away]?

Endorsements

Yes
U.S. Executive Branch officials
U.S. Senators
U.S. Representatives
Statewide officials
  • Marc Dann, 47th Attorney General of Ohio (2007–2008) (Democrat)[44]
State Senators
State House members
Local officials
Individuals
Organizations
No
U.S. Executive Branch officials
U.S. Senators
U.S. Representatives
Statewide officials
  • Mike DeWine, 70th Governor of Ohio (2019–present), 50th Attorney General of Ohio (2011–2019), former U.S. Senator from Ohio (1995–2007), 59th Lieutenant Governor of Ohio (1991–1994), and former U.S. Representative from OH-7 (1983–1991) (Republican)[60]
  • Keith Faber, 33rd Auditor of Ohio (2019–present) (Republican)[60]
  • Jon Husted, 66th Lieutenant Governor of Ohio (2019–present) and 53rd Secretary of State of Ohio (2011–2019) (Republican)[60]
  • Frank LaRose, 51st Secretary of State of Ohio (2019–present) (Republican)[61]
  • Dave Yost, 51st Attorney General of Ohio (2019–present) and 32nd Auditor of Ohio (2011–2019) (Republican)[60]
State Senators
State House members
  • Adam Bird, state representative from the 63rd district (2023–present) and the 66th district (2021–2022) (Republican)[46]
  • Gary Click, state representative from the 88th district (2021–present) (Republican)[65]
  • Melanie Miller, state representative from the 67th district (2023–present) (Republican)[63]
  • Jason Stephens, 106th Speaker of the Ohio House of Representatives (2023–present) and state representative from the 93rd district (2019–present) (Republican)[66]
Individuals
Organizations
Newspapers
Declined to endorse

Polling

Poll source Date(s)
administered
Sample
size[lower-alpha 3]
Margin
of error
For Against Undecided
Baldwin Wallace University Community Research Institute October 9–11, 2023 569 (RV) ± 4.5% 58% 34% 8%
Fallon Research & Communications, Inc. August 22–25, 2023 501 (RV) ± 4.37% 55% 35% 10%
Ohio Northern University July 17–26, 2023 675 (LV) ± 3.7% 54% 30% 16%
USA Today/Suffolk University July 9–12, 2023 500 (LV) ± 4.4% 58% 32% 10%
Scripps News/YouGov June 20–22, 2023 500 (LV) ± 5.95% 58% 23% 20%
Baldwin Wallace University Community Research Institute September 30–October 3, 2022 856 (RV) ± 2.8% 59% 27% 14%
  1. The referendum would allow an abortion ban after fetal viability, with the narrow exceptions of "the pregnant patient’s life or health".
  2. Several Catholic dioceses in Ohio have also opposed the referendum. However, along with several dissenting Catholic organizations, many Catholic voters are expected to support Issue 1.[15]
  3. Key:
    A – all adults
    RV – registered voters
    LV – likely voters
    V – unclear

See also

References

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