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Louisiana Attorney General Liz Murrill announced federal lawsuits against New York, California, and Massachusetts for enabling mail-order abortions by refusing to extradite abortionists charged with sending abortion pills into Louisiana, where elective abortion is banned. The state argues that these 'shield' laws violate Louisiana's sovereignty and criminal laws, citing cases where mailed abortion drugs resulted in the deaths of babies and harm to women, and is also challenging the FDA's 2023 policy allowing telehealth prescribing and mail delivery of abortion pills in federal court.

Arkansas, Louisiana, and Alabama have filed an original action before the U.S. Supreme Court and a federal lawsuit against New York, California, and Massachusetts to challenge pro-abortion 'shield laws' that protect abortionists mailing abortion drugs to pro-life states.

The Fifth Circuit Court of Appeals recently heard oral arguments in State of Louisiana v. FDA, a case challenging the FDA's policy allowing chemical abortion drugs to be mailed without an in-person medical exam, a policy initiated during the Covid-19 pandemic and continued by both the Biden and Trump administrations.

Alliance Defending Freedom is challenging the FDA's policy that allows abortion drugs like mifepristone to be mailed, arguing it undermines state laws that prohibit abortion and can lead to coercion, as in the case of Rosalie Markezich in Louisiana. Pro-life organizations, including Family Council, have filed legal briefs and are urging the federal government to reverse the FDA's mail-order abortion drug policy, citing health risks and the need for in-person medical oversight.