Women's Med Dayton v. Vanderhoff

Ohio Court of Appeals·Decided August 21, 2026·No. C-250549·Published

Opinion

IN THE COURT OF APPEALS

FIRST APPELLATE DISTRICT OF OHIO HAMILTON COUNTY, OHIO

WOMEN’S MEDICAL GROUP : APPEAL NO. C-250549 PROFESSIONAL CORPORATION, TRIAL NO. A-2200704 d.b.a. WOMEN’S MED DAYTON, :

and :

JUDGMENT ENTRY

PLANNED PARENTHOOD : SOUTHWEST OHIO REGION, :

Plaintiffs-Appellees, :

vs.

:

BRUCE VANDERHOFF, Director, ODH, :

and : OHIO DEPARTMENT OF HEALTH, :

Defendants-Appellants. :

This cause was heard upon the appeal, the record, and the briefs.

For the reasons set forth in the Opinion filed this date, the judgment of the trial court is affirmed as modified.

Further, the court holds that there were reasonable grounds for this appeal, allows no penalty, and orders that costs be taxed under App.R. 24.

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 8/21/2026.

Pursuant to App.R. 30, the clerk is directed to send all parties, or their counsel if represented, a copy of the court’s judgment and note such action on the docket.

By:_______________________ Administrative Judge

IN THE COURT OF APPEALS

FIRST APPELLATE DISTRICT OF OHIO HAMILTON COUNTY, OHIO

WOMEN’S MEDICAL GROUP : APPEAL NO. C-250549 PROFESSIONAL CORPORATION, TRIAL NO. A-2200704 d.b.a. WOMEN’S MED DAYTON, :

and :

OPINION

PLANNED PARENTHOOD : SOUTHWEST OHIO REGION, :

Plaintiffs-Appellees, :

vs.

:

BRUCE VANDERHOFF, Director, ODH, :

and : OHIO DEPARTMENT OF HEALTH, :

Defendants-Appellants. :

Civil Appeal From: Hamilton County Court of Common Pleas Judgment Appealed From Is: Affirmed as Modified Date of Judgment Entry on Appeal: August 21, 2026

ACLU of Ohio, B. Jessie Hill, Freda J. Levenson, Rebecca Kendis, Maggie Scotece, and Amy Gilbert; American Civil Liberties Union Foundation and Rachel Reeves; and The Cochran Firm and Fanon A. Rucker, for Plaintiff-Appellee Women’s Medical Group Professional Corporation,

Planned Parenthood Federation of America, Kyla Eastling, Emily Nestler and Melissa Shube, and The Cochran Firm and Fanon A. Rucker, for Plaintiff-Appellee Planned Parenthood Southwest Ohio Region,

Dave Yost, Attorney General of Ohio, and Amanda L. Narog, Assistant Attorney General, for Defendants-Appellants.

CROUSE, Presiding Judge.

{¶1} Ohio statutes vest Ohio’s director of health (“the director”) with broad discretion to enforce or dispense with licensure requirements for “ambulatory surgical facilities.” Plaintiffs sued to enjoin the Ohio Department of Health (“ODH”) and the director (collectively, “the State”) from using that discretion to unconstitutionally discriminate against ambulatory surgical facilities that, like plaintiffs, provide abortions. During discovery, ODH representatives testified in depositions that the director had sole discretion to grant or deny variances, and that only the director could say why any particular variance request was approved. So plaintiffs sought to depose the director, and the trial court agreed.

{¶2} The State now appeals the order compelling the director’s deposition.

For the reasons set forth below, we conclude that contrary to plaintiffs’ contentions, we have jurisdiction to hear the State’s appeal, and contrary to the State’s assertions, the trial court had subject-matter jurisdiction to hear the plaintiffs’ claims for prospective, injunctive relief. We further hold that this is the exceptional case in which deposing a high-ranking State official is warranted. We therefore affirm the trial court’s order compelling the deposition, with certain limits.

I. BACKGROUND

A. Statutory Backdrop

{¶3} To explain the backdrop of this case, we must begin by explaining the statutory scheme at issue.

{¶4} Ohio law regulates “ambulatory surgical facilities,” which are those facilities “in which surgical services are provided to patients who do not require hospitalization for inpatient care.” R.C. 3702.30(A)(1). Included in this definition are facilities that provide procedural abortions on an outpatient basis, like the facilities

operated by plaintiffs-appellees Women’s Medical Group Professional Corporation (“Women’s Med”) and Planned Parenthood Southwest Ohio Region (“Planned Parenthood”) (collectively, “plaintiffs”).

{¶5} Ambulatory surgical facilities must obtain a license from ODH. R.C.

3702.30(E)(1). To do so, they must generally have a “written transfer agreement” with a hospital within 30 miles. R.C. 3702.303(A) and 3702.3010. If they cannot obtain a written transfer agreement, the facility can apply to the director for a variance. R.C. 3702.303(C)(2). The director’s variance decisions are discretionary and “final.” R.C. 3702.304(A)(1) and (C). To qualify for a variance, the statute states that a facility must show, inter alia, that it has agreements with at least one “consulting physician” who holds admitting privileges at a local hospital. R.C. 3702.304(B)(2) and (3). If a facility applies for a variance and the director denies it, the facility’s license “is automatically suspended.” R.C. 3702.309(A).

{¶6} Public hospitals (including hospitals at state universities and medical colleges) are prohibited from entering into written transfer agreements with any ambulatory surgical facilities that perform “nontherapeutic abortions.” R.C. 3727.60(B)(1). Public hospitals are further prohibited from authorizing those on their staff to serve as “consulting physicians” for any ambulatory surgical facilities that provide “nontherapeutic abortions.” R.C. 3727.60(B)(2). The General Assembly further tightened these restrictions in 2022 by prohibiting any “consulting physician” named in a variance application from teaching at or receiving compensation from a state medical school, state hospital, or any “other public institution.” See 2021 Sub.S.B. No. 157, at 5-6 (“S.B. 157”), enacting R.C. 3702.305.

B. Plaintiffs’ Factual Allegations

{¶7} According to the allegations in the complaint, Planned Parenthood was

denied a variance in 2015, when ODH began to require applicants to list four consulting physicians in their application, and Planned Parenthood had listed only three. Planned Parenthood submitted a new variance application listing four doctors, and was approved.

{¶8} Around the same time, Women’s Med was denied a variance for similar reasons and sought judicial review. Ultimately, Women’s Med lost because the trial court and the Second District concluded (1) that the director’s variance decision was not judicially reviewable and (2) that the lack of a variance was a sufficient ground on which to deny an ambulatory-surgical-facility license. Women’s Med Ctr. of Dayton v. Dept. of Health, 2019-Ohio-1146 (2d Dist.) (“Women’s Med I”).

{¶9} Women’s Med then submitted a new variance application with four backup doctors, as well as a new license application. Sixty days after filing the variance application, Women’s Med was approved for a new license (although that license would not be issued for another week, and Women’s Med would not be notified about it for another two).

{¶10} Planned Parenthood was granted another variance in August 2021, which came with a letter stating that, moving forward, all four consulting physicians would need to be credentialed as obstetricians/gynecologists (“OB-GYNs”), and would need both admitting privileges at a nearby hospital and full, active-staff voting privileges at that hospital. At around this same time, Women’s Med was denied a variance, on the ground that one of its consulting physicians was not an OB-GYN and that another lacked “staff voting privileges.” At least one of these physicians had been listed on Women’s Med’s approved 2019 variance request. The State then proposed to revoke Women’s Med’s license.

{¶11} In November 2021, Women’s Med submitted a new application that

listed four consulting OB-GYNs with staff voting privileges.

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