Last week, as they awaited word from the high court about the fate of telehealth abortions, anti-abortion activists secured a closed-door meeting with Justice Department officials. There, they pushed the agency to revive a long dormant policy that could cut off virtually all access to both mifepristone and misoprostol — an 1800s-era anti-vice law known as the Comstock Act that bars mail delivery of any medication or instrument used to terminate a pregnancy. Conservatives have seized on the law, which Trump disavowed on the 2024 campaign trail, as a silver bullet that could ban both at-home medication abortions and those performed at a doctor’s office, since every procedure requires the use of something delivered by mail.
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