The Next Phase of the Abortion Wars: Targeting Pills, Helpers and Patients

The first year of Trump’s second term marked major blows for reproductive healthcare. Medicaid funding cuts forced about 50 Planned Parenthood clinics to close throughout the U.S. and blocked 1.1 million Planned Parenthood patients on Medicaid from using their insurance to pay for reproductive healthcare. Twenty-three independent abortion clinics throughout the country also shut down in 2025.

Now, at the start of 2026, there are only nine states where it is possible to get a legal abortion with no restrictions.

Four years after the Supreme Court’s Dobbs decision overturned Roe, here are some of the key ways states are pushing harder than ever to end any access to abortion.

Doctors Say Texas’ Abortion Laws Cost a 37-Year-Old Mother Her Life, After 90 Doctors and Months of Crisis

Tierra Walker was just 37 years old when her son JJ, 14, found her lying facedown and unresponsive on her bed. As he desperately called 911, he cried, “I need you, I need you,” and tried his best to bring her back to life with CPR, following the instructions of the emergency operator. It was too late. He lost his mother and best friend on his birthday.

Walker died at 20 weeks pregnant after multiple ER trips and hospitalizations. She had been examined by 90 doctors, including 21 OB-GYNs, during the previous months. Yet not one of those 90 medical experts Walker met with ever suggested that she do the only thing that could have definitively saved her life—undergo an abortion to end the pregnancy.

One doctor interviewed for this story sums up the chilling stakes Walker faced as she pleaded with dozens of doctors for care as her condition spiraled. “It’s unfortunate she didn’t come upon a physician who was willing to stick their neck out,” despite the legal risks. In Texas, that’s exactly what it takes to keep a patient like Tierra Walker alive.

Louisiana Court Pauses Lawsuit Demanding Nationwide Telehealth Abortion Ban

On April 7, Judge David Joseph of the U.S. District Court for the Western District of Louisiana granted the Department of Justice’s motion to stay Louisiana’s case attempting to restrict access to the medication mifepristone while the Food and Drug Administration conducts its own review of the medication based on discredited antiabortion propaganda.

The court denied Louisiana’s motion for a preliminary injunction to bar patients nationwide from obtaining mifepristone by mail via telehealth or at pharmacies, instead requiring them to pick up the medication in person from a medical provider.

As a result of Joseph’s ruling, mifepristone access will not change across the country.

“Putting this baseless case on hold is certainly a better outcome than what Louisiana asked for: severe and immediate restrictions on mifepristone that would upend abortion and miscarriage care across the country,” said Julia Kaye, senior staff attorney for the Reproductive Freedom Project of the American Civil Liberties Union (ACLU). “But it is small comfort that the Trump administration now holds the baton in this ongoing attack on medication abortion when we can see the administration teeing up the same harmful restrictions that abortion opponents are trying to win in court. 

Many observers believe that the Trump administration wants to delay restrictions on mifepristone until after the November elections because early abortion with pills is broadly popular across the political spectrum.  

‘Devastating’: Texas A&M Eliminates Women’s and Gender Studies Degree Program

Texas A&M University announced it is eliminating its women’s and gender studies degree program. University leaders made the announcement alongside the results of a campus-wide course review launched after a video of a student confronting a professor over gender identity content went viral last fall and sparked political backlash.

“Limiting what can be taught in a university classroom is not education,” said Amy Reid, program director for Freedom to Learn at PEN America. “It’s ideological control.”

The canceled courses the university announced Friday were spread across the Bush School of Government and Public Service and the colleges of Arts and Sciences, Agriculture and Life Sciences, and Education and Human Development. The university later identified canceled courses as “Introduction to Race and Ethnicity”; “Religions of the World”; “Ethics in Public Policy”; “Diversity in Sport Organizations”; “Cultural Leadership and Exploration for Society”; and “Diversity, Equity and Inclusion in Youth Development Organizations.”

Texas A&M has made similar cuts in recent years. In 2024, regents voted to eliminate dozens of low-enrollment minors and certificates, including an LGBTQ+ studies minor, a decision faculty said was made in response to conservative criticism and with limited faculty input.

War on Women Report: Meta Removes Abortion-Related Accounts; Louisiana Tries to Extradite California Abortion Provider; Fatal ICE Shootings

MAGA Republicans are back in the White House, and Project 2025 is their guide—the right-wing plan to turn back the clock on women’s rights, remove abortion access, and force women into roles as wives and mothers in the “ideal, natural family structure.” We know an empowered female electorate is essential to democracy. That’s why day after day, we stay vigilant in our goals to dismantle patriarchy at every turn. We are watching, and we refuse to go back. This is the War on Women Report.

Since our last report:
—Kentucky Attorney General Russell Coleman has tried to remove pro-abortion ads from Mayday Health, an organization that shares information about abortion pills, birth control and gender-affirming care.
—The FDA withdrew a rule requiring cosmetics companies to test their products made with talc for asbestos, alarming public health advocates.
—Two Pennsylvania hospitals told the state they may not provide emergency contraception to sexual assault survivors because of religious objections.
—Some good news out of Wyoming: The state’s supreme court started the new year by striking down Wyoming’s two abortion bans.

… and more.

I’m a Texan. But I Don’t Know if I Can Be a Texas OB-GYN.

Mary (not her real name) tells her story to Bonnie Fuller:

“Texans don’t give up easily, and I’m a Texan. I’m in my second year of medical school in Texas, and I’m studying to be an OB-GYN.

“I grew up in Texas, and I’m open-minded about staying in the state to practice obstetrics and gynecology after I graduate, despite the laws that ban most abortions from conception. A lot of the people that I love are in Texas, and there’s this big draw to stay here because it’s my community. I really want to care for other women.

“But what worries me most about practicing here is that I won’t be able to provide certain types of care because of the laws. I worry about the moral distress I’ll feel if I’m unable to act in particular cases—especially in emergency situations when a woman might need a termination and the law says that you can’t do one.”

Disrupting Intimidation: How Texas Hotel Workers Are Shaking Up the Industry 

The hotel had become a place where women endured hellish conditions and were expected to stay silent.

They decided to break that silence.

***

More than 70 percent of hotel housekeepers in the United States are women. Their labor is the backbone of an industry that markets comfort but often denies dignity to those who create it. At Sonesta Select Austin North, the women who knew every hallway, every cart and every stain were treated as if they were disposable. What they experienced is a common issue when those doing the hardest work have the least power.

(This essay is part of a collection presented by Ms. and the Groundswell Fund highlighting the work of Groundswell partners advancing inclusive democracy.)

A Very Bad Year for Women’s Health

When I started writing for The Contrarian, a funny-not-funny inside joke was whether there would be enough fodder for a weekly democracy column that overtly centers gender. I think you already know the punchline. Suffice it to say, I did not miss a single Wednesday in all of 2025.

For my final entry of the year, we thought it worthwhile to offer a snapshot—a year’s worth of reporting on the depth of damage this administration has wreaked on women’s health, with real-time Contrarian reporting noted.

Texas and Florida Sue FDA in New Bid to Block Abortion Pill Access

Texas launched a lawsuit against the U.S. Food and Drug Administration last week over the agency’s approval of mifepristone, marking the state’s latest effort to crack down on access to abortion pills.

Joined by Florida, Texas Attorney General Ken Paxton filed the case on Dec. 9 in federal court in Wichita Falls. The two states argued in a 120-page complaint that the FDA did not properly evaluate mifepristone’s safety and effectiveness when approving the drug in 2000 and its subsequent generic versions. They also challenged the agency’s moves that expanded access to the pills, including the ability to dispense them by mail.

Abortion access advocates have blasted the lawsuit.

“If they succeed in restricting access to mifepristone, abortion access will be devastated across the country, even in states where abortion remains legal,” Shellie Hayes-McMahon, executive director of Planned Parenthood Advocates of Texas. “This lawsuit is not about safety or healthcare; it is about control. And nothing short of full control over our bodies will satisfy them.”