Telehealth Abortions Surged Among Texans in 2025
In 2025, 42,000 Texans obtained abortion medication through out-of-state telehealth providers.
Updated on Oct. 5, 2026 in Pregnancy

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In 2025, 42,000 Texans accessed abortion medication via out-of-state telehealth services, a notable rise from 12,400 such cases in 2023. This increase occurred amidst strict state-level restrictions on abortion access.
Why it matters
The shift toward telehealth highlights how Texans navigate restrictive reproductive healthcare laws that prohibit almost all abortions except in medical emergencies. Patients now rely on out-of-state providers for remote care as an alternative to traveling or seeking local options.
A reported 42,000 Texans received abortion medication via telehealth in 2025, compared to 12,400 individuals in 2023. While these figures document the rise in remote access, the long-term clinical outcomes for this population remain under investigation.
The players
Texas Legislature
The state lawmaking body responsible for enacting the six-week abortion ban and the Life of the Mother Act.
Texas Medical Board
The state regulatory agency that established new training requirements for physicians regarding abortion exceptions.
U.S. Supreme Court
The highest federal judicial body, which ruled to overturn Roe v. Wade in 2022.
The details
Out-of-state telehealth providers prescribe and mail abortion medication to patients residing in Texas, where state law prohibits most abortions. Under current Texas law, private citizens are permitted to sue those who distribute or prescribe these abortion pills to individuals within the state. Medical exceptions remain limited to cases of medical emergencies as defined by state statutes and recent legislative acts.
Timeline
Texas enacted a six-week abortion ban in 2021.
The U.S. Supreme Court overturned Roe v. Wade in 2022.
In 2023, 34,000 Texans traveled out of state for abortion care.
In 2025, 42,000 Texans received abortions via telehealth.
Health Landscape
The rise in telehealth use reflects an adaptation to state-level restrictions, including the Life of the Mother Act. This trend sits within a broader landscape where patients increasingly bypass local facilities in favor of remote, out-of-state options.
Individuals managing reproductive health must understand that Texas law prohibits almost all abortions and permits private civil action against pill distributors. These findings are worth discussing with your physician to understand the legal and medical realities of accessing care.
The takeaway
Patients increasingly utilize remote care channels when local clinical access is restricted. Discuss any specific reproductive health concerns with a medical professional to ensure your decisions align with your current health status and local regulations.
Further reading
For more information on reproductive healthcare trends, visit the Pregnancy section.
Source note: This article includes information reported by Fort Worth Star-Telegram.
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