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Published 13:54 8 Jul 2021 BST
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Equality Ohio, an LGBT+ organisation based in the state, described the legislation as a "license to discriminate".
The group's public policy strategist Dominic Detwiler said said that the amendment was added in last minute as "they couldn't pass this on its merits as a standalone bill, because literally no one is asking for this to be passed."
Alphonso David, the president of Human Rights Campaign, said that the provision could jeopardise the "medical well-being of more than 380,000 LGBTQ people in Ohio."
Governor DeWine defended the provision and said that it is "not a problem".
He said: "If there's other things that maybe a doctor has a problem with, it's worked out. Someone else does those things."
Activists have noted that the fact that a quarter of Ohio's population live in rural areas may mean that this referral system may not work for everyone, and some LGBT+ patients may be unable to seek the treatment they need.The thrilling new Irish novel you won’t be able to put down
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