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Despite historic indictment, doctors will keep mailing abortion pills across state lines

  • On January 31, 2025, a physician from New York was the first in the United States to face criminal charges for sending abortion pills across state lines to Louisiana.
  • This indictment followed the 2022 Dobbs decision, which overturned Roe v. Wade and led 12 states to enact near-total abortion bans and triggered new protective shield laws in eight states.
  • Telemedicine abortion providers in shield-law states mailed mifepristone and misoprostol to about 7,700 patients monthly in banned states, with 80% of one clinic's patients from Texas or the Southeast, where restrictions are severe.
  • New York refused extradition to Louisiana under its shield law designed to protect doctors, but legal experts warn this conflict challenges U.S. interstate reciprocity and could reach the Supreme Court.
  • Despite fears from the indictment, providers plan to continue mailing abortion pills, underscoring a legal battle that affects thousands relying on telemedicine for abortion access in restrictive states.
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Despite historic indictment, doctors will keep mailing abortion pills across state lines

When the news broke on Jan. 31 that a New York physician had been indicted for shipping abortion medications to a woman in Louisiana, it stoked fear across the network of doctors and medical clinics who engage in similar work.

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kffhealthnews.org broke the news in on Tuesday, May 6, 2025.
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