Attorney General Ken Paxton (R) has filed a lawsuit against Aid Access GmbH, Aid Access B.V., Remy Coeytaux, and Rebecca Gomperts, alleging the defendants operate an international abortion-by-mail enterprise that illegally ships abortion-inducing drugs into Texas in violation of state law.
According to the lawsuit, Aid Access advertises on its website that it "provides abortion services to all 50 U.S. States, including Texas," and ships abortion-inducing drugs to "Houston, San Antonio, Dallas, Fort Worth, Austin, El Paso, or anywhere else in the State of Texas." The organization further claims it has facilitated more than 200,000 abortions nationwide since 2018.
The attorney general's office contends that the shipments arenot merely theoretical violations but have had real-world consequences.
In 2025, a Nueces County man allegedly obtained abortion-inducing drugs from an out-of-state provider and used them to secretly poison his girlfriend, resulting in the death of their unborn child. Despite such incidents, the lawsuit alleges that Aid Access continues to market and distribute abortion drugs to Texas residents.
"Every unborn child is a life worth protecting, and Texas law reflects that fundamental truth," said Paxton in a statement. "Radicals sending abortion-inducing drugs into our state will be held accountable for ending innocent life. My office will defend the lives of the unborn and relentlessly enforce our state's pro-life laws against Aid Access and other radicals like it."
The legal action follows a similar lawsuit announced by Paxton in January 2026 against a Delaware-based nurse practitioner accused of providing abortion-related services to Texas residents.
The case marks another escalation in Texas's enforcement of its abortion laws, particularly regarding the distribution of medication across state lines. As the lawsuit moves forward, it could test the reach of Texas law over international and out-of-state providers.
