SB 309: Enact the Abortion Pill Provider Liability Education (APPLE) Act
This bill requires healthcare providers to inform pregnant women about potential complications of abortion-inducing drugs and obtain their written certification before prescribing the medication. The certification must include information about known complications and a statement warning the woman of potential financial liability. The healthcare provider must also retain a copy of the certification for at least seven years. The bill imposes civil liability on healthcare providers who fail to comply with these requirements. If a woman dies or suffers complications due to the abortion, her family members may also seek damages. The bill also allows the state to assess civil penalties against healthcare providers who violate the requirements, which may include statutory interest and costs.
| Oct. 29, 2025 | Referred to committee: Health |
| Oct. 28, 2025 | Introduced |
As Introduced
136th General Assembly
Regular Session
S. B. No. 309
2025-2026
Senator Koehler
Cosponsors: Senators Cirino, Huffman, Manchester, Roegner
To enact section 2317.57 of the Revised Code to ..... 1
enact the Abortion Pill Provider Liability ..... 2
Education (APPLE) Act. ..... 3
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
4
Section 1. That section 2317.57 of the Revised Code be ..... 45
enacted to read as follows: ..... 56
Sec. 2317.57. (A) As used in this section: ..... 67
(1) "Abortion-inducing drug" means the drug RU-486 ..... 78
(mifepristone) when taken for the purpose of terminating a ..... 89
clinically diagnosable pregnancy. ..... 910
(2)"Health care provider" means any provider authorized to ..... 1011
prescribe an abortion-inducing drug in accordance with state and ..... 1112
federal law. ..... 1213
(B) Except in the case of a medical emergency, as defined ..... 1314
in section 2919.16 of the Revised Code, a health care provider ..... 1415
shall ensure that the following conditions are met before ..... 1516
prescribing an abortion-inducing drug for the purpose of ..... 1617
terminating a pregnancy: ..... 1718
(1) The health care provider or the health care provider's ..... 1819
agent provides the pregnant woman with written instructions and information on the abortion-inducing drug. The information shall include all known complications associated with the use of the abortion-inducing drug and the following statement:"If you decide to take an abortion-inducing drug to end your pregnancy, the state of Ohio wants you to be aware that you and your family may hold the manufacturer, distributor, your health care provider, and the health care facility financially accountable if you die, suffer injury, complication, or any debilitating side effects, including infection, excessive bleeding, and the rupture of a previously undiscovered ectopic pregnancy, if the provider fails to address the side effects of the abortion-inducing drug, or if the medication fails to terminate the pregnancy which results in a failed abortion or requires surgical intervention. You and your family also may hold the health care provider, the health care provider's agent, and the health care facility accountable for failing to inform you of complications. If you experience complications from the abortion-inducing drug and are in need of medical attention, you have the right to tell the health care provider treating the complications that you have had a chemical abortion. Providing this information will not result in any criminal or civil penalty and may help save your life."
20
(2) The pregnant woman certifies in writing that the information described in division (B) (1) of this section has been provided to her and that she has had the opportunity to review it.21
(3) The health care provider or health care provider's agent receives a copy of the certification described in division22
(B) (2) of this section.23
(C) The health care provider or health care provider's ..... 5024
agent shall retain a copy of the written certification described ..... 5125
in division (B) (3) of this section. The health care provider or ..... 5226
health care provider's agent shall keep the certification in the ..... 5327
pregnant woman's medical file for a period of at least seven ..... 5428
years or, in the case of a pregnant minor, for a period of at ..... 5529
least seven years or at least five years after the minor reaches ..... 5630
the age of majority, whichever is longer.31
(D) (1) Any health care provider, health care provider's ..... 5832
agent, or health care facility that prescribes an abortion- ..... 5933
inducing drug to a pregnant woman before meeting the conditions ..... 6034
described in division (B) of this section is liable in a civil ..... 6135
action brought by any of the following:36
(a) The woman who was prescribed the abortion-inducing ..... 6337
drug:38
(b) The father of the unborn child, if the father is ..... 6539
married to the woman at the time the abortion-inducing drug was ..... 6640
prescribed:41
(c) The maternal grandparents of the unborn child, if the ..... 6842
woman was a minor when she was prescribed the abortion-inducing ..... 6943
drug or she has died due to the abortion or a complication ..... 7044
related to the abortion:45
(d) The woman's next of kin, if she has died due to the ..... 7246
abortion or a complication related to the abortion.47
(2) No damages shall be awarded to a plaintiff if the ..... 7448
pregnancy was caused by the plaintiff's criminal conduct.49
(3) In the event the claimant prevails in an action ..... 7650
brought under this section, the court shall award both of the ..... 7751
following:52
(a) Damages for injuries and loss resulting to the ..... 7953
claimant by reason of the prescription of the abortion-inducing ..... 8054
drug:55
(b) Statutory damages equal to three times the cost of the ..... 8256
abortion-inducing drug.57
(E) (1) The attorney general or a prosecutor with ..... 8458
appropriate jurisdiction may conduct an investigation of an ..... 8559
alleged violation of division (B) of this section and initiate a ..... 8660
civil action on behalf of the state to assess civil penalties ..... 8761
against the health care provider, health care provider's agent, ..... 8862
and the health care facility. Prior to asserting a cause of ..... 8963
action, the attorney general or the prosecutor shall provide the ..... 9064
health care provider, health care provider's agent, or health ..... 9165
care facility where the abortion-inducing drug was prescribed ..... 9266
with a period of not less than thirty days to comply with the ..... 9367
requirements of division (B) of this section.68
(2) Any health care provider, health care provider's ..... 9569
agent, or health care facility that violates division (B) of ..... 9670
this section may be liable for a civil penalty, to be assessed ..... 9771
by the court, of not more than five thousand dollars for each ..... 9872
day of violation.73
(3) The court may impose an additional civil penalty that ..... 10074
shall not exceed ten thousand dollars for each violation of ..... 10175
division (B) of this section against any health care provider or ..... 10276
health care facility found by the court to have knowingly ..... 10377
violated division (B) of this section.78
(4) Each violation may be treated as a separate violation ..... 10579
or may be combined into one violation at the option of the ..... 10680
attorney general or the prosecutor.81
(5) Civil penalties assessed under divisions (E) (2) and ..... 10882
(3) of this section shall include statutory interest as defined ..... 10983
in section 1343.03 of the Revised Code from the date that the ..... 11084
penalty is assessed by the court to the date that the penalty is ..... 11185
paid in full and shall be used to fund entities that meet the ..... 11286
conditions set forth in division (B) of section 5101.804 of the ..... 11387
Revised Code.88
(6) Any commercial entity that violates this section may ..... 11589
be liable to the attorney general or a prosecutor with ..... 11690
appropriate jurisdiction for all costs, expenses, and fees ..... 11791
related to investigations and proceedings associated with the ..... 11892
violation, including attorney's fees.93
(F) The department of health shall create a form for ..... 12094
health care providers to use to provide the information required ..... 12195
by division (B) (1) of this section, including the certification ..... 12296
described in division (B) (2) of this section. The department ..... 12397
shall make the form available to health care providers.98
(G) A woman who is prescribed an abortion-inducing drug is ..... 12599
not liable under this section.100
Section 2. This act shall be known as the Abortion Pill ..... 127101
Provider Liability Education (APPLE) Act. ..... 128