Texas Attorney General Ken Paxton has filed a lawsuit against an international network that ships abortion-inducing drugs to major Texas cities, including Houston, Dallas, and Austin.
The lawsuit targets Aid Access GmbH, Aid Access B.V., Remy Coeytaux, and Rebecca Gomperts for operating what Paxton calls an illegal abortion-by-mail enterprise.
The legal action represents Texas’s latest effort to enforce its abortion laws following the Supreme Court’s 2022 decision overturning Roe v. Wade. Aid Access claims to have facilitated over 200,000 abortions nationwide since 2018.
According to its website, Aid Access openly advertises that it “provide[s] abortion services to all 50 U.S. states including Texas.” The organization ships drugs to “Houston, San Antonio, Dallas, Fort Worth, Austin, El Paso, or anywhere else in the State of Texas.”
The company works with abortion providers in “shield law” states — where the states protect providers against legal action.
Paxton cited a 2025 Nueces County case where a man allegedly used out-of-state abortion drugs to secretly poison his girlfriend. The incident resulted in the death of their unborn child.
“Every unborn child is a life worth protecting, and Texas law reflects that fundamental truth. Radicals sending abortion-inducing drugs into our state will be held accountable for ending innocent life,” Paxton said. “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 attorney general announced a similar lawsuit in January 2026 against a Delaware-based nurse practitioner. That case also involved allegations of illegally shipping abortion medications to Texas residents.
Aid Access continues marketing and distributing abortion drugs to Texas residents despite state prohibitions.