Introduction: The impact of current abortion legislation is of concern to many Ohioans and their health care providers. Abortion Regulation changed during the 132cd Ohio Congress. This project seeks to understand the themes regarding changes in abortion regulation in Ohio and the potential health impact on those seeking abortion as an important first step in developing an evidence based approach to patient care.

Methods: A literature review including a selective Legiscan search, two independent CINAHL searches and a Google Scholar search were analyzed for historical significance and identification of themes.

Results: Ohio legislation has been consistent with other states regarding regulation of abortion. Recent changes moved Ohio to a more restrictive regulatory approach. Impact of these legislative requirements is emerging. Themes related to the provision of health care include: social determinants, access, safety of woman and child, contraception, regulatory barriers, mental health, and stratified legitimacy.

Discussion: Abortion rates in Ohio have decreased since 2014. The cause of the decrease and the impact of recent legislation is unknown. Health literature identifies that negative emotional, financial and physical outcomes remain consistent in families who seek abortion in the face of prescriptive regulation.

Conclusion: Regulation of abortion has mental health, physical and financial consequences on the families of Ohio. Understanding the lived experience of women facing the decision of abortion is a next step in understanding the health related sequale secondary to that regulation.

Key words: (abortion, regulation, law, impact, health, consequences)