Court ruling fuels new push to restrict abortion pills by mail

But the medication in question are not used exclusively for abortion. Doctors routinely prescribe them for miscarriage management, endometriosis, fibroids, complications from Cushing’s disease and other serious reproductive health conditions, where they can prevent infection or reduce severe pain.

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Enforcement is unlikely to involve inspecting packages. Instead, it would likely focus on providers, telehealth services and pharmacy records, which raises concerns about how far states can go in accessing sensitive medical information. While protections under the Health Insurance Portability and Accountability Act limit how patient data is shared, those safeguards are not absolute when legal action is involved.

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