EXCLUSIVE: A pro-life group has released a new report marking the anniversary of the decision overturning Roe v. Wade, finding 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, which the report says enabled abortion numbers in several conservative states to remain at or above pre-Dobbs levels.
In the report obtained by Fox News Digital, the Restoration of America Foundation (ROAF) said more than 328,000 abortion pills have been sent into states with abortion restrictions from out-of-state between July 2023 and December 2025, citing the Society of Family Planning’s #WeCount data project. According to the report, 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.
The report concluded that 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 Fox News Digital, 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.
“Years ago, the pro-death Biden administration and the pro-death Democrat Party writ large ⦠they knew what we knew: that Roe was bad law, and it was going to go,” he said. “And so they started thinking ahead of what they’re going to do here.”
Truax accused the Biden administration of loosening safety standards around Mifepristone â “the abortion pill.”
“It used to be that you had to go see a doctor to get it. They took that off and said you could just get it through the mail,” Truax said.Â
“The second thing was the pro-death blue states started implementing the shield laws, which is the focus of the paper that we’ve got out now, which are basically the laws that prevent people in red states from going after the people in the blue states that are sending the abortion pills into the red states,” Truax said.Â
He argued that the U.S. is “worse off than we were from a numbers standpoint.”
“So they’ve set up an apparatus here that enables them to keep pushing more and more abortions on everybody around the country in spite of it … It’s just created this basically constitutional disorder with all these states doing whatever they want and being able to get away with it because of the shield laws.”
Despite Roe v. Wade being overturned four years ago, nine states with abortion restrictions â Alabama, Arkansas, Florida, Kentucky, Louisiana, Mississippi, South Carolina, South Dakota and Texas â recorded more monthly abortions in 2025 than they did in 2022 before the court’s decision.
Republican leaders in states such as Texas and Louisiana have against out-of-state abortion providers, although efforts to extradite providers have been unsuccessful after governors in states like California and New York stepped in.
“The data now shows that mail-order abortion is overwhelming the ability of states to protect unborn life,” the ROAF report reads.
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 by reversing Biden-era changes to FDA regulations that allowed abortion pills to be prescribed through telehealth and delivered by mail.Â
It also calls on the Justice Department to rescind the Biden-era memorandum on the Comstock Act and enforce existing federal laws g
