EXCLUSIVE: A pro-life group has released a new report marking the anniversary of the Supreme Court’s 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.

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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 – “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. 

“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. 

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 — Alabama, Arkansas, Florida, Kentucky, Louisiana, Mississippi, South Carolina, South Dakota and Texas — 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 attempted to pursue legal action 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 report concluded that out-of-state abortion providers send nearly 15,000 chemical abortion pills per month to states with abortion restrictions. (Allen G. Breed/AP Photo)

“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. 

It 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.

“While the success of state attempts in escalating court cases is uncertain, Trump Administration officials can act now to prevent online providers from sending dangerous abortion pills into every state,” the report reads.

Truax even 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 across the country.

“President Trump has said repeatedly he’s going to be the most pro-life president ever. Well, that’s in serious jeopardy right now. We have got a situation where the number of abortions is going up, up, up. And on this trend line, if nothing changes, he’s going to go out as the most pro-death president we’ve ever had because of the way this is trending. So we’re trying to help [the administration] understand this and say we’ve got to make some changes,” he said.

“We’re all about no more abortions. But if you get to a place where it’s back to the states, at least the red states have got the ability now going forward to do what they want and do what the people in their state want their state to do, but that’s not what’s happening. So it’s creating constitutional disorder. We have to say, what’s the point of a state law if it’s not enforced in any way? Some other state can basically just come in and just be completely lawless and do whatever they want in your state, even though you’ve got the state law that says they can’t do that, but they’re still doing it and nobody’s stopping them,” Truax added.

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ROAF CEO Doug Truax stressed that President Donald Trump could end up as the “most pro-death president” if he fails to make changes to stop the flow of abortion pills. (Andrew Harnik/Getty Images)

The report says 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.

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In 2025, #WeCount identified 169,000 abortions provided under shield laws to states with restrictive laws.

“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. For the sake of our constitutional order, to say nothing of the women and babies in peril, Trump Administration officials must act swiftly and decisively to end interstate mail-order abortion,” the report concludes.