Pro-Life Group Urges Trump Administration To Stop Mail-Order Abortion Pills

A pro-life organization has dropped a fresh report demanding that the Trump administration act against mail-order abortion pills. The group argues federal law from 1873 gives officials the tools to stop these shipments right now.

In documents seen by Fox News Digital, the Restoration of America Foundation says shield laws passed by Democrat-controlled states are letting providers send mifepristone into red states without any face-to-face check or proof that a woman wants the procedure. These laws were designed to keep doctors safe from prosecution in blue areas after Republicans took over neighboring jurisdictions, but critics say they now enable cross-state shipping with zero oversight.

The report blames FDA decisions made during the pandemic for this shift. Officials suspended rules requiring an in-person visit before dispensing the drugs and then kept those changes permanent. That move opened the door to telehealth prescriptions sent straight through the mail. By June 2025, nearly 15,000 medication abortions were being provided each month under these shield laws. At the end of 2024, about 15 percent of all U.S. abortions involved pills mailed to women living in states that restrict or ban the procedure.

ROAF looked at insurance claims and found serious health issues followed 10.9 percent of drug-induced abortions between 2017 and 2023. That figure is roughly 22 times higher than what the FDA label says should happen. The rate climbed to 11.2 percent in 2023 as use of these drugs expanded across the country. The group estimates mail-order pills caused more than 300,000 abortions in 2025 alone.

This release comes just before the 110th birthday of Planned Parenthood. The nation's biggest abortion clinic plans to mark its founding on October 16, 1916, later this month. ROAF wants Attorney General Todd Blanche to step up and enforce the Comstock Act. This 1873 law makes it a crime to mail certain materials related to abortion.

"As we come up with this anniversary for Planned Parenthood, we think it's a good moment to release this paper," said Doug Truax, CEO of ROAF, speaking to Fox News Digital. "We really want to talk about the Comstock Act and the impact it could have on abortions going forward in this country."

Truax added that since the law says mailing these drugs is illegal, the administration should just start enforcing it. The push for action follows a major Supreme Court decision overturning Roe v. Wade, which handed abortion power back to individual states. In December 2022, the Justice Department's Office of Legal Counsel under President Biden wrote an opinion saying the Comstock Act does not ban mailing mifepristone or misoprostol if the sender has no intent for illegal use.

Blanche told his confirmation committee over the summer he would look at how the DOJ interprets that old law. ROAF wants him to pull back the Biden-era opinion, investigate those shipping the drugs, and enforce the 150-year-old statute. Doing so would effectively ban mailing abortion pills across the entire nation.

"We are asking the administration to take a step back and say, okay, when Roe was the law of the land, Comstock was unenforceable," Truax said during his interview. "But since Roe is out, Comstock is back on the table, and it is valid law, and it is illegal to put abortion drugs in the mail."

Thousands of people in blue states are currently mailing pills around the country. The group believes stopping this flow requires a clear return to federal authority under the original act passed more than a century ago.

Right now, this is creating a death toll that nobody wants to see," Truax stated. "We are looking at an illegal move on their part." He pressed for immediate action under Comstock laws, arguing that strict enforcement would prevent hundreds of thousands of future deaths.

CLICK HERE TO DOWNLOAD THE FOX NEWS APP

Truax also saw a political angle in the legislation. "This is a strong way to regain momentum for the pro-life movement," he said. Frankly, I believe President Trump and conservative leaders across the nation will welcome this shift as we move toward November 3. The impact could be even greater when the next election cycle begins.