Medication Abortion: A Federal-State Legal Tug-of-War

Overview

In response to the Supreme Court decision overturning Roe vs Wade, some states have taken substantial steps to inhibit medication abortion access while the Biden administration has implemented measures to expand it. The resulting federal-state “tug-of-war” has created confusion about the legality and availability of medication abortion. This fact sheet analyzes ongoing federal-state conflicts over medication abortion accessibility and public health ramifications.