This month voters in Ohio passed a ballot initiative, Issue 1, that enshrined reproductive rights in the Ohio Constitution — contraception, fertility treatment, abortion, and miscarriage care — restoring Roe v. Wade-era access in Ohio and protecting “the right to abortion up to the point of fetal viability.” Former President Donald Trump carried Ohio with 53% of the vote in 2020, but 56.6% of voters supported Issue 1. Ohio joins California, Michigan, and Vermont in amending their state constitutions to protect abortion, and this has anti-abortion activists concerned.