On May 14, 2026, the Supreme Court issued a ruling preserving access to Mifepristone via telehealth while the case attempting to block access, Louisiana v. FDA, continues to be litigated in lower courts.
The Court’s ruling was in response to a 5th Circuit Court of Appeals ruling that reinstated in-person dispensing requirements for Mifepristone as they heard Louisiana v. FDA. In this case, Louisiana is attempting to block access to Mifepristone via telehealth for people nationwide.
Here’s the most important thing to know right now, as of May 2026: You can still access abortion pills, including Mifepristone, via telehealth. Even in Texas!
"We will always find innovative ways to ensure our communities across race, place, and financial resources can access abortion.”
What Should My Community Know?
Make sure everyone in your life knows that abortion pills can be mailed to every state, including Texas — even though in-clinic abortion is banned. You can also order pills before you need them, which is called “advanced provision.”
Visit ineedana.com for more information and resources.
Additionally, Know Your Rights when it comes to abortion:
As a helper, you have the right to:
A. Provide information about how to obtain an abortion outside of Texas
B. Share information about medication abortion and abortion funds
C. Drive someone out of state for an abortion in a state where it is legal
As a patient, you have the right to:
A. Travel out of state to get an abortion
B. Access miscarriage management. (Doctors provide treatment based on symptoms, and you do not have to share any information with them that you do not want to.)
C. Access pre- and post-abortion care in Texas, which may include ultrasounds, pain management, etc.
D. Access an abortion in Texas if you have a life-threatening physical condition caused by or arising from pregnancy complications.
If/When/How is a great resource if you have questions about your own legal protections when accessing abortion, or if you encounter any legal issues surrounding your abortion care.
While medication abortion typically involves both Mifepristone and Misoprostol, your community should know that Misoprostol-only medication abortion is a safe and effective option as well!
The “miso-only” regimen typically involves a higher dose of Misoprostol. You can learn more about it here!
Are Attempts to Block Access to Mifepristone via Telehealth Over?
In short: No.
Louisiana v. FDA now returns to the 5th Circuit Court of Appeals for further litigation. The Supreme Court just chose to allow access to Mifepristone via telehealth/mail to remain unchanged while the case plays out.
This case reminds us yet again that our fight for a Texas and nation that governs with reproductive justice at the center is a marathon, not a sprint.
We know that regardless of this case’s outcome, anti-abortion extremists won’t stop their attempts to control our bodies.
Since the fall of Roe in 2022, abortion rates have continued to rise. People are seeking abortion care via telehealth at higher rates than in-clinic abortion care — even in most states without total abortion bans.
It’s estimated that telehealth and medication abortion account for 63% of abortions nationwide.
Mifepristone is safe and well-researched. Its availability by mail is a vital form of abortion care. This case should’ve been thrown out as soon as it was filed.
All abortion bans, including bans on medication abortion, are rooted in racism, cruelty, and misinformation. Not science.
Just last year in Texas, our legislature passed a law, HB 7, banning the mailing of abortion pills into Texas. Under HB 7, private citizens — including those living outside of Texas — have the ability to sue anyone who distributes, transports, manufactures, or mails abortion pills into Texas, even if the defendant resides or is based in a state or country where these actions are not prohibited.
However, abortion pill providers are technically outside of the state’s jurisdiction. Under HB 7, abortion seekers cannot be prosecuted.
Texas is the Case Study and the Resistance
From abortion bans to racist redistricting, Texas is the case study for authoritarian policy.
What happens in Texas never stays in Texas — including the resistance.
Long before the fall of Roe or even SB 8, Texas’ six-week abortion ban, Texans have faced undue burdens to access abortion care and fought against Draconian laws. From banning insurance coverage on abortion to requiring clinics to meet the standards of ambulatory surgical centers and essentially be “mini-hospitals,” we’ve seen it all.
Still, abortion advocates and providers have found innovative, safe, and legal ways to ensure people can get abortions, no matter their zip code.
So, yes, you can get abortion pills by mail — for now. But our movement’s work to secure permanent access to medication abortion can’t stop.