States With Abortion Bans Move to Criminalize Mailed Abortion Pills as New Data Show Telehealth Use Surging

An Associated Press report details how Republican‑led states that already ban abortion are now targeting abortion pills mailed from out‑of‑state providers, amid new data showing telehealth has become the dominant workaround. South Dakota Gov. Larry Rhoden recently signed a law making it a felony to advertise, distribute or sell abortion pills, while similar bills to block mailed pills or otherwise tighten access have advanced in Mississippi, Arizona, Indiana and South Carolina; at least three states — Florida, Oklahoma and Texas — already explicitly bar providers from mailing the drugs, and Louisiana has classified mifepristone as a controlled dangerous substance. A Guttmacher Institute survey released Tuesday estimates that in 2025, for the first time, more women in the 13 states with total abortion bans obtained abortions using pills prescribed via telehealth from shield‑law states than by traveling to states such as Colorado, Illinois, Kansas or New Mexico, even as overall cross‑border travel appears to have dipped. At the same time, multiple coalitions of states including Louisiana, Florida, Texas, Idaho, Kansas and Missouri are suing in federal courts to roll back FDA rules that allow mifepristone to be prescribed via telehealth, a change that would make it harder for out‑of‑state clinicians to reach patients in ban states. The convergence of new state felonies, controlled‑substance reclassifications, and coordinated litigation shows how post‑Roe battles are shifting from brick‑and‑mortar clinics to the mail system and telehealth platforms, with direct implications for interstate medical practice, patient privacy and federal‑state conflicts over drug regulation.