JUNE 24, 2026
Pro-life group reports 330,000 abortion pills shipped to restriction states since 2023, calls on Trump administration to act
A pro-life organization called the Restoration of America Foundation (ROAF) released a report finding that more than 328,000 abortion pills were shipped into states with abortion restrictions between July 2023 and December 2025, citing data from the Society of Family Planning's #WeCount project. The report found that monthly shipments nearly tripled over that period, rising from approximately 5,400 pills in July 2023 to about 14,870 in December 2025. The findings were released around the third anniversary of the Supreme Court's June 2022 Dobbs decision, which overturned Roe v. Wade and returned abortion regulation to individual states.
The ROAF report attributes the continued flow of abortion pills into restriction states primarily to two policy developments: Biden-era FDA rule changes that allowed mifepristone to be prescribed via telehealth and delivered by mail, and shield laws enacted by states such as California and New York that protect out-of-state providers from prosecution by states with abortion bans. According to the report, 22 states and Washington, D.C., have adopted some form of abortion shield law, with eight specifically protecting telehealth prescribers sending pills into restriction states.
The report, obtained exclusively by Fox News Digital, found that nine states with abortion restrictions — Alabama, Arkansas, Florida, Kentucky, Louisiana, Mississippi, South Carolina, South Dakota, and Texas — recorded more monthly abortions in 2025 than they did before the Dobbs decision in 2022. In 2025 alone, the #WeCount project identified 169,000 abortions provided under shield laws to patients in states with restrictive policies.
ROAF CEO Doug Truax, speaking with Fox News Digital, argued that the combination of federal regulatory changes and state shield laws has created what he described as "constitutional disorder," with out-of-state providers operating beyond the reach of restriction-state enforcement. He called on the Trump administration to reverse Biden-era FDA regulations and said the Justice Department should rescind a Biden-era memorandum on the Comstock Act and enforce existing federal laws governing the mailing of abortion drugs. Truax also stated that if the trend continues, President Trump's record on abortion could be judged negatively by pro-life advocates.