Texas Sues Aid Access Over Mailing Abortion Pills to Residents

State seeks to block international organization from shipping abortion-inducing drugs into Texas

Published on Feb. 24, 2026

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The State of Texas has filed a lawsuit against the European-based organization Aid Access and its founders, alleging the group is violating state law by mailing abortion-inducing pills to Texas residents. The lawsuit seeks to block all shipments and the group's practice of medicine in the state.

Why it matters

Texas has enacted a near-total ban on abortion, with limited exceptions, and is now taking legal action to enforce its restrictions beyond state borders against providers operating under 'shield laws' in other jurisdictions.

The details

The lawsuit, filed in Galveston County, accuses Aid Access of operating an international abortion-by-mail company that illegally ships abortion-inducing drugs like mifepristone and misoprostol into Texas, in violation of the state's Human Life Protection Act. The state alleges Aid Access has facilitated over 200,000 abortions nationwide since 2018, including more than 118,000 medication abortion pill packs shipped into states with near-total abortion bans.

  • The lawsuit was filed on February 24, 2026.
  • Between July 1, 2023, and September 30, 2024, Aid Access allegedly provided more than 118,000 medication abortion pill packs nationwide.

The players

Aid Access

A European-based organization that claims to have facilitated over 200,000 abortions nationwide since 2018 by mailing abortion-inducing drugs to residents, including in Texas.

Dr. Remy Coeytaux

A founder of Aid Access.

Dr. Rebecca Gomperts

A founder of Aid Access.

Ken Paxton

The Texas Attorney General who announced the lawsuit against Aid Access.

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What they’re saying

“Every unborn child is a life worth protecting, and Texas law reflects that fundamental truth. Radicals sending abortion-inducing drugs into our state will be held accountable for ending innocent life.”

— Ken Paxton, Texas Attorney General (Texas Attorney General's Office)

What’s next

The lawsuit seeks a temporary restraining order and temporary and permanent injunction barring Aid Access from mailing abortion-inducing drugs into Texas or practicing medicine in the state without a license.

The takeaway

Texas is aggressively enforcing its near-total abortion ban by taking legal action against international organizations like Aid Access that are attempting to provide abortion access to residents, even across state lines, in defiance of the state's restrictive laws.