Tag: personhood bill

  • Ohio legislative leaders brush off concerns over Alabama IVF ruling’s impacts

    Ohio legislative leaders brush off concerns over Alabama IVF ruling’s impacts

    The Ohio Statehouse, Columbus, Ohio. (Photo by Graham Stokes for the Ohio Capital Journal. Republish photo only with original story.)

    BY:  Ohio Capital Journal

    After an Alabama Supreme Court decision that ruled frozen embryos housed outside of a human body were still considered children, states across the country are debating the implications of such a decision.

    Ohio legislative leaders are saying bills that would ban IVF are not being considered, but one lawmaker who has introduced a “personhood” bill in the past says it’s still “great policy” that’s being blocked by politics.

    National groups have said the Alabama decision will have impacts on the work that embryologists do, with the Society of Reproductive Biologists and Technologists saying the state’s supreme court ruling “stands in stark contrast to scientific understanding and the experiences of individuals navigating fertility treatments.”

    The concept of “fetal personhood” is not a new one for Ohio. Long before the Alabama decision threw into question the concept of in-vitro fertilization treatments in that state, legislators in the Buckeye state were considering a bill that would consider life’s beginning at conception, a theory conservatives and pro-life politicians have long pushed.

    Ohio House Bill 704 was introduced in 2022 by state Rep. Gary Click, R-Vickery, who claimed “one class of people has erroneously been denied their constitutional rights: the unborn.”

    “From the moment of fertilization, that zygote, embryo or whichever depersonalizing term you choose to use is not merely a potential human but rather (a) human with potential,” Click said in a statement announcing the legislation.

    The bill died as the General Assembly’s two-year session ended, but the fact that the idea was broached is still being brought up by Democrats and pro-choice groups around the state.

    Click himself didn’t rule out the idea of reintroducing his personhood legislation, saying in a Feb. 23 tweet that reintroducing it has “not been my plan at the moment.”

    “But plans do change,” the tweet went on.

     

    The legislator — who was also the creator of a successful bill that bans gender-affirming care for transgender minors, a controversial bill that succeeded with a veto-override in January — also told the Statehouse News Bureau in February that while he supported IVF if all embryos are used, he considered his personhood bill “great policy” blocked by politics.

    Since Click’s bill was introduced (and subsequently foiled by time limits), however, 57% of Ohio voters passed November’s Issue 1, which not only enshrined abortion rights into the Ohio Constitution, but also listed “fertility treatment” as one of the rights Ohio individuals have to “make and carry out one’s own reproductive decisions,” according to the amendment.

    IVF patients represented a group of people who spoke out in favor of Issue 1 as a protection against unnecessary regulation and uncertainty in the IVF process.

    But Republican legislators in particular have not seen this development as the roadblock to reproductive rights legislation one might expect, as policymakers at the Statehouse have continued to push anti-abortion legislation and bills that target the rights now protected under the state constitution.

    The state’s legal representatives are also still pushing against a lawsuit that seeks to eliminate a six-week abortion ban that became law in 2019 (and has been tied up in court ever since).

    Still, Ohio’s legislative leaders have said the Alabama decision has yet to spur any policy in the state at this point.

     Left, Ohio House Speaker Jason Stephens. Right, Ohio Senate President Matt Huffman. (Photos by Graham Stokes for the Ohio Capital Journal. Republish only with original article.) 

    House Speaker Jason Stephens, R-Kitts Hill, said the chamber is “monitoring any potential ramifications the Alabama decision may have in Ohio,” but also said, from his perspective, “IVF provides hope and is 100% pro-family.”

    “We look forward to advancing our values and continuing our pro-life legislative agenda,” Stephens told the OCJ in a statement.

    Senate President Matt Huffman said he has not heard of any legislation and there hasn’t been “any discussion by any member of my caucus or anybody else as far as in the state of Ohio as far as I know.”

    “We seem to be in this national culture that if some court in Alabama or some other state says something that we all should be reacting to it,” Huffman said.

    The senate leader acknowledged that “we have a constitutional amendment that affects some of this.”

    “But you know, with other things going on right now, it’s just not a discussion that’s taking place,” he said.

    A spokesperson for Gov. Mike DeWine said his office would “continue to monitor any bills in this policy area,” but they were not aware of any at the moment.

    DeWine’s office did not respond to questions as to whether or not the governor supported the consideration of frozen embryos as children.

    Megan Henry contributed to this story.

    _____________

    Susan Tebben
    SUSAN TEBBEN

    Susan Tebben is an award-winning journalist with a decade of experience covering Ohio news, including courts and crime, Appalachian social issues, government, education, diversity and culture. She has worked for The Newark Advocate, The Glasgow (KY) Daily Times, The Athens Messenger, and WOUB Public Media. She has also had work featured on National Public Radio.

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  • Access to expensive fertility treatment in Ohio varies but the Issue 1 amendment seeks to protect it

    Access to expensive fertility treatment in Ohio varies but the Issue 1 amendment seeks to protect it

    BY:  Ohio Capital Journal

    Editor’s Note: This article is part of a series looking at the language of Ohio Issue 1 and the reproductive rights it would impact. The full language of the amendment can be found here.

    When Roe v. Wade was overturned in June 2022, the physicians at Ohio Reproductive Medicine took to their website, hoping to reassure patients that their care would still be available.

    “It is truly hard to fathom that in 2022, our reproductive freedom, a fundamental human right, is now at risk,” the statement on the website read.

    Though the Columbus business said it strongly opposed the overturning of Roe as a whole, the focus of their statement was on those undergoing or considering fertility treatments.

    “We ardently stand alongside our current and past patients — as well as anyone who wishes to build a family in the future with the help of fertility treatments,” according to the statement.

    The effects that repealing nationwide abortion access would have on fertility treatments like in-vitro fertilization (IVF) weren’t clearly spelled out by the U.S. Supreme Court in its Dobbs decision, but physicians have worried about what various bans mean when it comes to fertilized embryos and the definition of the start of life.

    A hard-fought battle

    Infertility can happen for 10% to 15% of couples, according to the American Society for Reproductive Medicine, and CDC data found 1 in 5 women in the U.S. couldn’t get pregnant after a year of trying.

    For those who have insurance and/or can afford fertility treatments, the process is long, arduous, and often involves disappointment along the way if an implanted embryo fails to turn into a pregnancy, or becomes a medical complication.

    Ohioans have expressed worry that they won’t be able to utilize fertility treatments in the same way if abortion is banned in the state, whether that be at six-weeks under current law (though that law is held up in court and not currently being enforced), or if other regulations fall into place keeping physicians from treating life-threatening ectopic pregnancies or miscarriages, which are considered “spontaneous abortions” by the medical community.

    After the Dobbs v. Jackson Women’s Health Organization ruling from the U.S. Supreme Court overturning nationwide abortion rights, the fears regarding fertility treatments came closer to home, as state Rep. Gary Click, R-Vickery, introduced a bill that would have considered the start of “personhood” to be the moment of conception.

    That, physicians said, could include fertilized embryos sitting in cryogenic chambers at their facilities.

    The “life begins at conception” message has been used by anti-abortion groups nationwide for many years, though the medical community does not universally agree on the beginning of life, or if there’s one certain point when cardiac activity begins in a fetus.

    At a rally one year ago to support anti-abortion causes, state Rep. Jena Powell, R-Arcanum, spoke of ways to “abolish abortion” in the state, making the claim that the “science is crystal clear” that “life begins at conception.”

    Powell urged support for the “personhood” bill.

    “The shackles are no longer holding us back as state legislators, and we can and we must be a voice for the unborn child in Ohio,” Powell said at the time.

    The cost of access

    Fertility treatments and the freezing of embryos has become a common practice, but that doesn’t mean it’s available to everyone, because it’s a costly endeavor with complicated insurance regulations.

    The Center for Reproductive Rights says barriers to access include “limited information, restrictive laws and policies, stigma, high costs and more.”

    “Issues surrounding assisted reproduction implicate core human rights — including the rights to health, sexual and reproductive health, decision making about reproductive life (such as if and when to have children), benefit from scientific progress, equality and non-discrimination and informed consent,” the center said in a statement.

    The center’s research on infertility and IVF access in the United States showed that in 2020, clinical infertility impacted about 12% of women ages 15-44, but only 24% of people in the U.S. seeking care for infertility could access it.

    “The limited number of private insurance markets and public programs covering infertility services, combined with high out-of-pocket expenses, result in significant economic barriers to needed infertility treatment,” the CRR stated in the report.

    Self-pay packages at the University Hospitals Fertility Center in Northeast Ohio, for example, price IVF, including lab work and one embryo transfer at $12,775.

    An egg donor package runs $14,030 for self-pay patients, and a surrogate (also called a “gestational carrier”) is priced at more than $15,000.

    Ohio law mandates that private health insurance cover basic services, including “medically necessary” services that could fall under fertility treatment. The Ohio Revised Code includes “infertility services” under “preventative health care services.”

    Though this could include the diagnosis of infertility and treatment of reproductive system problems, other services involved in the process may not be included.

    “Many procedures fall into a gray zone, including IVF, which leaves much interpretation and denial of claims,” according to Ohio Reproductive Medicine.

    In 2021, Ohio added “reproductive health services” into the Ohio Administrative Code, allowing Medicaid-eligible individuals access to “pregnancy prevention services,” including “contraceptive management,” pregnancy testing and “fertility awareness.”

    What is not covered under Medicaid is infertility treatment, including IVF, “assisted reproductive technologies,” artificial insemination, or surgery to “promote or restore fertility.”

    Ohio is not alone in keeping Medicaid recipients out of the fertility treatment landscape, as very few states nationally extend those services through Medicaid.


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    Susan Tebben
    SUSAN TEBBEN

    Susan Tebben is an award-winning journalist with a decade of experience covering Ohio news, including courts and crime, Appalachian social issues, government, education, diversity and culture. She has worked for The Newark Advocate, The Glasgow (KY) Daily Times, The Athens Messenger, and WOUB Public Media. She has also had work featured on National Public Radio.

    MORE FROM AUTHOR