Ohio Section 66 East Lynn Street Columbus, Ohio 43215 (614) 621-2000 December 9, 2016 The Honorable John Kasich, Governor State of Ohio 77 South High Street, 30th Floor Columbus, Ohio 43215 Re: SB127 - Prohibit abortion-gestational age 20 weeks or more Dear Governor Kasich: On behalf of the Ohio Section of the American Congress of Obstetricians and Gynecologists (ACOG), which represents over 1500 obstetricians and gynecologists who practice in Ohio and the women they serve, we write to share concerns regarding SB127 to prohibit abortiongestational age 20 weeks or more. ACOG recognizes that the abortion issue debate comes from profound moral conviction from all perspectives. While we respect the need of our members to determine their own personal values and beliefs, we believe termination of pregnancy is a medical matter between the patient and her physician, subject to the physician’s clinical judgment and the patient’s informed consent. ACOG is committed to ensuring optimal women’s health and is opposed to legislative proposals that limit women’s access to medical care. ACOG supports women’s access to all legal medical care, including family planning, contraception, and pregnancy outcome determinations. It is critical for government to refrain from regulations that come between a patient and her physician. The provision of medical care, whether involving physical conditions or mental illness, must be a matter determined by the patient and her physician; interference in the physicianpatient relationship should not be taken lightly. Medical situations are never one-size fits all; every woman’s circumstance is unique, so her physician needs to be able to provide guidance that is relevant, appropriate and in their best medical judgment; and the patient needs to be able to trust that her physician is providing appropriate counsel. A great number of pregnancy terminations beyond 20 weeks are due to identification of serious and fatal birth defects in otherwise highly desired pregnancies. Continuation of these pregnancies would result in certain death of the baby and expose the newborn to needless pain. Meanwhile the mother is forced to carry the fetus to term and may be exposed to a myriad of medical and reproductive risks. Finally, SB127 places physicians in a precarious situation by criminalizing a medical procedure recognized by ACOG as “standard of care” for women found to have medical indication for termination of pregnancy. By not providing the “standard of care,” physicians are vulnerable to civil litigation from patients; however, if they are to provide said care, they are open to criminal prosecution from the State. Ohio physicians should be able to practice medicine as their training and experience dictate; health care providers have a professional and ethical obligation to provide care that is evidence-based, safe, individualized, and medically-appropriate. We appreciate the opportunity to share our concerns with you and if you have any questions or concerns, please do not hesitate to contact us. Sincerely, Sincerely, Wayne Trout, MD Chair, Ohio Section Amy Burkett, MD Vice & Legislative Chair, Ohio Section cc: Members of the Ohio General Assembly Dee Smith, Pappas & Associates