The pro-life group Restoration of America Foundation (ROAF) has released a new report marking the anniversary of the Supreme Court's decision overturning Roe v. Wade. The report found that nearly 330,000 abortion pills have been shipped to states with abortion restrictions since the summer of 2023 under the protection of blue state shield laws.
The report, which cited data from the Society of Family Planning's #WeCount project, revealed that more than 328,000 abortion pills have been sent into states with abortion restrictions from out-of-state between July 2023 and December 2025. Monthly shipments of chemical abortion pills into pro-life states nearly tripled during that period, jumping from 5,400 pills sent in July 2023 to 14,870 in December 2025.
According to the report, out-of-state abortion providers send nearly 15,000 chemical abortion pills per month to states with abortion restrictions. This comes after the nation's highest court overturned the landmark 1973 case Roe v. Wade on June 24, 2022, returning the power to make laws on abortion access back to the states.
In an interview with a news outlet, ROAF CEO Doug Truax said the Biden administration eased safety standards for abortion medication and "pro-death" Democrats adopted shield laws to protect providers in blue states from being prosecuted by red state governments. Truax accused the Biden administration of loosening safety standards around Mifepristone, the abortion pill, and allowing it to be prescribed through telehealth and delivered by mail.
Truax argued that the U.S. is "worse off than we were from a numbers standpoint" due to the increased shipments of abortion pills into conservative states. He also stressed that President Donald Trump, who has claimed to be the most pro-life president in U.S. history, could end up as the "most pro-death president" if he fails to make changes to stop the flow of abortion pills to conservative states.
The report argues that while Republican state officials have struggled in efforts to pursue abortion providers in other states, the Trump administration can take immediate federal action to reduce the shipments of abortion pills into states with abortion restrictions. The report also calls on the Justice Department to rescind the Biden-era memorandum on the Comstock Act and enforce existing federal laws governing the mailing of abortion drugs.
The report concludes that 22 states and Washington, D.C., have adopted some form of abortion shield law, including eight states explicitly protecting providers who prescribe abortion medication through telehealth to patients in states with abortion restrictions. In 2025, #WeCount identified 169,000 abortions provided under shield laws to states with restrictive laws.
The ROAF report warns that if pro-life states have no power to protect their women and babies from rogue abortionists thousands of miles away, the situation they find themselves in is not better than before the Dobbs decision—it's worse. The report calls on Trump Administration officials to act swiftly and decisively to end interstate mail-order abortion.
