Preterm-Cleveland v. Yost

2026 Ohio 23
CourtOhio Court of Appeals
DecidedJanuary 7, 2026
DocketC-240668
StatusPublished

This text of 2026 Ohio 23 (Preterm-Cleveland v. Yost) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Preterm-Cleveland v. Yost, 2026 Ohio 23 (Ohio Ct. App. 2026).

Opinion

[Cite as Preterm-Cleveland v. Yost, 2026-Ohio-23.]

IN THE COURT OF APPEALS FIRST APPELLATE DISTRICT OF OHIO HAMILTON COUNTY, OHIO

PRETERM-CLEVELAND, : APPEAL NO. C-240668 TRIAL NO. A-2203203 PLANNED PARENTHOOD : SOUTHWEST OHIO REGION, : SHARON LINER, M.D., JUDGMENT ENTRY : PLANNED PARENTHOOD GREATER OHIO, :

WOMEN’S MED GROUP : PROFESSIONAL CORPORATION, : and : NORTHEAST OHIO WOMEN’S CENTER, LLC, d.b.a. TOLEDO : WOMEN’S CENTER, : Plaintiffs-Appellees, : vs. : DAVID YOST, ATTORNEY GENERAL OF OHIO, :

BRUCE T. VANDERHOFF, M.D., MBA, : DIRECTOR, OHIO DEPARTMENT OF HEALTH, :

KIM G. ROTHERMEL, M.D., : SECRETARY, STATE MEDICAL BOARD OF OHIO, :

and :

BRUCE R. SAFERIN, D.P.M., : SUPERVISING MEMBER, STATE MEDICAL BOARD OF OHIO, :

Defendants-Appellants, : OHIO FIRST DISTRICT COURT OF APPEALS

and : MICHAEL C. O’MALLEY, CUYAHOGA COUNTY PROSECUTOR, : et al., : Defendants. :

This cause was heard upon the appeal, the record, the briefs, and arguments. For the reasons set forth in the Opinion filed this date, the judgment of the trial court is affirmed in part and reversed in part, and the cause is remanded. Further, the court holds that there were reasonable grounds for this appeal, allows no penalty, and orders that costs be taxed 50% to appellants and 50% to appellees. The court further orders that (1) a copy of this Judgment with a copy of the Opinion attached constitutes the mandate, and (2) the mandate be sent to the trial court for execution under App.R. 27.

To the clerk: Enter upon the journal of the court on 1/7/2026 per order of the court.

By:_______________________ Administrative Judge [Cite as Preterm-Cleveland v. Yost, 2026-Ohio-23.]

IN THE COURT OF APPEALS FIRST APPELLATE DISTRICT OF OHIO HAMILTON COUNTY, OHIO

PRETERM-CLEVELAND, : APPEAL NO. C-240668 TRIAL NO. A-2203203 PLANNED PARENTHOOD : SOUTHWEST OHIO REGION, : SHARON LINER, M.D., OPINION : PLANNED PARENTHOOD GREATER OHIO, :

WOMEN’S MED GROUP : PROFESSIONAL CORPORATION, : and : NORTHEAST OHIO WOMEN’S CENTER, LLC, d.b.a. TOLEDO : WOMEN’S CENTER, : Plaintiffs-Appellees, : vs. : DAVID YOST, ATTORNEY GENERAL OF OHIO, :

BRUCE T. VANDERHOFF, M.D., MBA, : DIRECTOR, OHIO DEPARTMENT OF HEALTH, :

KIM G. ROTHERMEL, M.D., : SECRETARY, STATE MEDICAL BOARD OF OHIO, :

BRUCE R. SAFERIN, D.P.M., : SUPERVISING MEMBER, STATE MEDICAL BOARD OF OHIO, :

Defendants-Appellants, : OHIO FIRST DISTRICT COURT OF APPEALS

and : MICHAEL C. O’MALLEY, CUYAHOGA COUNTY PROSECUTOR, : et al., : Defendants. :

Civil Appeal From: Hamilton County Court of Common Pleas

Judgment Appealed From Is: Affirmed in Part, Reversed in Part, and Cause Remanded

Date of Judgment Entry on Appeal: January 7, 2026

ACLU of Ohio Foundation, B. Jessie Hill, Freda J. Levenson, and Rebecca Kendis; Wilmer Cutler Pickering Hale and Dorr LLP, Michelle Nicole Diamond, Peter Neiman, Alan E. Schoenfeld, and Cassandra Mitchell; and American Civil Liberties Union and Meagan Burrows, for Plaintiffs-Appellees,1

Dave Yost, Attorney General of Ohio, Mathura J. Sridharan, Solicitor General,2 Stephen P. Carney, Deputy Solicitor General, and Amanda L. Narog, Assistant Attorney General, for Defendants-Appellants.

1 Appellees’ brief also lists C. Peyton Humphreville and Vanessa Pai-Thompson of Planned Parenthood Federation of America as counsel, pending their admission pro hac vice. But neither Thompson nor Humphreville has moved for permission to appear pro hac vice in this court, so neither has been granted leave to practice before it. See Loc.R. 3.2(D). Thompson and Humphreville have not formally signed any of the papers and did not argue the case, however, so we simply disregard their designation on Appellees’ brief and omit their names here. 2 On August 6, 2025, Solicitor General Mathura J. Sridharan was substituted for former Solicitor

General T. Elliott Glaiser as counsel of record pursuant to Loc.R. 3.2(E)(3)(b). [Cite as Preterm-Cleveland v. Yost, 2026-Ohio-23.]

CROUSE, Judge.

{¶1} This case concerns the enforceability of R.C. 2919.195, which the parties

variously describe as Ohio’s “six-week ban” or the “heartbeat ban.” R.C. 2919.195 was

enacted as part of 2019 Sub.S.B. No. 23 (“S.B. 23”) and prohibits abortions after the

detection of fetal cardiac activity.

{¶2} But this particular appeal is less about abortion, and more about civil

procedure and the equitable authority of Ohio’s courts. The court below issued a

permanent injunction for plaintiffs-appellees, a group of reproductive healthcare

organizations and one physician who provides abortion procedures (collectively,

“Preterm”). That injunction prohibited defendants-appellants, including the Ohio

Attorney General and several other state officials (collectively, “the State”), from

enforcing not only R.C. 2919.195’s prohibition, but many other provisions enacted or

amended by S.B. 23 as well. The State concedes that R.C. 2919.195 is unconstitutional,

but contends that the injunction is overbroad.

{¶3} For the reasons set forth below, we hold that the trial court erred by

ruling on the constitutionality of provisions Preterm never alleged to be

unconstitutional and misapplied a severability analysis. Accordingly, we reverse the

trial court’s injunction prohibiting the State from enforcing most of S.B. 23’s

provisions, leave in place the unchallenged portion restraining enforcement of

R.C. 2919.195, and remand the cause for further proceedings.

I. BACKGROUND

{¶4} In 2019, the Ohio General Assembly passed S.B. 23. The central

provision of S.B. 23 was the newly-enacted R.C. 2919.195, which made it a crime to

intentionally “perform or induce an abortion” after the detection of fetal or embryonic

cardiac activity, unless doing so was necessary to prevent the pregnant individual’s OHIO FIRST DISTRICT COURT OF APPEALS

death or serious bodily injury. See also R.C. 2919.19(A)(4) (defining “fetal heartbeat”).

{¶5} But S.B. 23 enacted or amended numerous other code provisions as

well. It amended and augmented provisions requiring providers to check for and

inform patients about fetal or embryonic cardiac activity, and made it a crime to

perform or induce an abortion without having done so. See R.C. 2919.192 to 2919.194.

The bill also added or amended provisions requiring providers to document and report

certain information about abortion services they provided. See R.C. 2919.171(A) and

2919.196. To enforce these various duties and prohibitions, the bill added new civil

and administrative enforcement mechanisms. See R.C. 2919.199, 2919.1912, and

4731.22(B).

{¶6} In addition, S.B. 23 enacted or amended various auxiliary provisions,

including a series of provisos, R.C. 2919.191, 2919.197, and 2929.198; several statutory

definitions, R.C. 2919.19(A)(1), (2), (3), (8), and (13); fallback provisions, should parts

of the bill be deemed unenforceable, R.C. 2919.19(B); and a provision naming most

(but not all3) of S.B. 23’s provisions the “Human Rights and Heartbeat Protection Act,”

R.C. 2919.1913. Finally, the bill added or altered several less-directly-related code

provisions, including R.C. 2317.56(C)(2), 2919.1910, and 5103.11, which are not

relevant to this appeal.

{¶7} S.B. 23’s passage prompted a years-long series of lawsuits and

injunctions. Preterm’s share of this litigation is ably summarized by the opinion of the

court below. Preterm-Cleveland v. Yost, Hamilton C.P. No. A-2203203, 2024 Ohio

Misc. LEXIS 1477, *7-18 (Oct. 24, 2024) (“Preterm VI”). We briefly reiterate the

3 R.C.

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Bluebook (online)
2026 Ohio 23, Counsel Stack Legal Research, https://law.counselstack.com/opinion/preterm-cleveland-v-yost-ohioctapp-2026.