, it's not necessarily a state issue. If you take an expansive view of the 9th and 10th Amendments, the right to privacy and to make medical decisions for yourself, could easily be one of those un-enumerated personal rights reserved to the people, rather than one of the powers devolved to the states.
It's worth recalling that states do not have 'rights' they have 'powers'. People have rights. Since the incorporation of the Bill of Rights and other constitutional rights to the states by the 14th Amendment, the federal government has both the power and the duty to defend individual rights against state powers.
If you want a Republican who will defend individuals against both state and federal overreach, you want +Gary Johnson