Members of Ohio Academy of Family Physicians want all patients to know that everyone is welcome in our practices. We want all patients to have access to appropriate care, and we will advocate for all patients so that they have that access.
Ohio has long balanced protection of the rights of medical practitioners to express conscience objections with the need for clinicians to fulfill their obligations to patients and care for them to the best of their ability. The Medical Practitioners Conscience Clause, recently enacted by the Ohio General Assembly, upsets this balance and compromises the care of the citizens of Ohio.
This clause now allows health care practitioners, health care facilities, and insurance providers to refuse to provide or pay for a medical service based upon conscience or moral belief. Essentially making discrimination against patients legal, these provisions could have an immense impact on the health and safety of Ohioans. For example, LGBTQ patients may find it more difficult to access the medical care they need and desire.
The enacted language imposes an obligation to transfer the care of a patient to another willing provider only when “possible” and when the objecting provider is “willing.” The words “possible” and “willing” are key and have the potential to create a scenario where patients could be without necessary care of any practitioner due to the objection of the original practitioner.
Further, these provisions would allow insurance companies to render reimbursement decisions related to procedures after a procedure has been completed. A patient could have a procedure recommended by their doctor anticipating that it is covered under their insurance plan; only to, after the fact, discover their insurance company has declined coverage due to “moral objection.”
Not only is the clause unacceptable, the process in which the clause was adopted is objectionable. While there are no budget implications to the clause, the Medical Practitioners Conscience Clause was inserted into the state budget bill at the eleventh hour without the opportunity for any public input through the committee hearing process.
The Ohio Academy of Family Physicians, a statewide organization with more than 5,200 members, released a statement on July 16 expressing concern with the Medical Practitioners Conscience Clause recently enacted by the Ohio General Assembly. Dr Sevilla is president of the organization and Dr. Sams is the public policy committee chairwoman.