Attorney General Ken Paxton is suing an international abortion-by-mail operation he says is flooding Texas with illegal abortion drugs and openly advertising that it will ship pills into Houston, San Antonio, Dallas, Fort Worth, Austin, El Paso, “or anywhere else in the State of Texas.”
The lawsuit targets Aid Access and its leaders, accusing them of violating Texas’ near‑total abortion ban, practicing medicine without a license in the state, and placing women and unborn children at risk through anonymous online prescriptions sent across state lines.
In a new civil enforcement action, Paxton’s office names Aid Access GmbH, Aid Access B.V., and two doctors, Rebecca Gomperts and Remy Coeytaux, as defendants in a scheme that uses telehealth and mail‑order pharmacies to distribute abortion‑inducing drugs into Texas.
Aid Access says it works with U.S.‑based prescribers in “shield law” states and promises to send abortion pills “wherever you are,” including specifically listing Texas among the states it serves.
Aid Access’ own materials boast that the group has “facilitated over 200,000 online abortions” nationwide since its founding in 2018, including abortions in states that protect preborn children.
On its Texas landing page, the group advertises abortion pill “orders” for $150, promises shipping in one to five days with tracking numbers, and walks women through an online questionnaire before pills are mailed into the state.
Paxton’s lawsuit argues that Aid Access and its affiliated providers are brazenly violating multiple Texas laws that prohibit abortion and tightly regulate abortion‑inducing drugs.
Texas law already bans nearly all abortions from conception, except in narrow medical emergencies, and requires that any abortion‑inducing drug be dispensed in person by a physician who complies with strict safety and reporting rules.
By shipping drugs from out of state directly to Texas women’s homes, Paxton contends, Aid Access is evading those safeguards, practicing medicine in Texas without a license, and aiding and abetting illegal abortions.
The filing seeks injunctive relief to stop the group from sending pills into Texas, along with civil penalties and other remedies available under state law for repeated violations.
State officials say the dangers of anonymous abortion‑pill trafficking are not theoretical, pointing to recent Texas cases in which men allegedly used abortion drugs ordered online to secretly end their partners’ pregnancies.
In one widely reported incident, a North Texas man was charged with capital murder after investigators say he slipped “Plan C” abortion pills into his girlfriend’s drink, causing the death of their unborn child.
Paxton’s office argues that services like Aid Access make it easier for abusers to obtain powerful drugs outside normal medical channels, with no in‑person exam, no verification that the woman actually consents to the abortion, and no monitoring for complications.
Chemical abortions also carry risks of hemorrhage, infection, and incomplete abortion, especially when used without supervision or emergency backup care.
Paxton framed the case as part of his broader effort to enforce Texas’ protections for preborn children and stop out‑of‑state activists from undermining those laws through the mail. “Every unborn child is a life worth protecting, and Texas law reflects that fundamental truth,” he said in announcing the lawsuit, vowing that “radicals sending abortion‑inducing drugs into our state will be held accountable for ending innocent life.”
Texas Right to Life President John Seago praised Paxton’s suit, calling abortion pills “the biggest threat to innocent human life in #ProLife states.”
The attorney general has already brought similar enforcement actions against other mail‑order abortion pill operations, including a Delaware‑based nurse practitioner and providers linked to Plan C and an Aid Access affiliate.
Aid Access did not respond to Texas Scorecard’s request for comment before publication.
