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Aid Access
Aid Access is a nonprofit organization that provides access to medication abortion by mail to the United States and worldwide. It was founded in 2018 by Dutch physician Rebecca Gomperts who describes its work as a harm reduction strategy designed to provide safe access to mifepristone and misoprostol for people who may not otherwise have access to abortion or miscarriage management services. Their online abortion pill service mails pills to people in all 50 U.S. states so they can manage their own abortion with remote access to a physician and a help-desk for any questions.
From its launch in 2018 until mid-2023, Aid Access prescriptions were filled by a pharmacy in India and mailed to U.S. patients. Since 2023, Aid Access has utilized Shield laws to partner with U.S.-licensed clinicians and pharmacies to provide domestic shipping within 1–5 days. Their online abortion pill service costs $150, but they also offer a sliding scale payment option for those who cannot afford the full price.
Gomperts, a physician based in the Netherlands, started Aid Access in March 2018, to provide access to medication abortion in countries like the United States where abortion is legal but may be hard to access. Aid Access was incorporated in Austria, where Gomperts is registered to practice medicine.
In 2019, Aid Access received a warning letter from the Food and Drug Administration (FDA) stating that they were not authorized to distribute generic mifepristone in the US. Aid Access in turn sued the FDA, stating that they were helping women exercise their constitutional right to abortion. The FDA pursued no further legal action, and the lawsuit ended. In 2021, the FDA made telemedicine abortion permanently legal.
In 2021, Aid Access started offering "advanced provision" pills, whereby someone can order the pills ahead of time in case they might need them in the future.
In October 2018, after six months of non-publicized operation, Gomperts stated that she had fulfilled about 600 requests for pills (an average of 3 per day). By February 2022, she said that she had served over 30,000 people in the US. In January 2023, she said that they receive about 4,000 requests per month. In 2024, she said that over 6,000 people each month receive pills from Aid Access in US states with abortion bans.
In 2022 a paper was published in the Columbia Law Review about ways in which US shield laws could protect medical practitioners providing abortion who treated patients in banned states. Following publication of the paper, several states passed shield laws for medical practitioners. As of July 2023[update] fifteen states had shield laws, and five had telemedicine provisions, specifically protecting a provider who prescribed and mailed medication abortion pills to a patient in a state where abortion was banned. Aid Access began serving patients throughout the US in June 2023 with providers licensed in the five states with telemedicine provisions. With no further need to ship packages from other countries, their delivery times decreased from 3–4 weeks down to 2–5 days.
By mid-2025, the list of U.S.-based telehealth abortion pills providers that utilize shield law protections to offer 1-5 day domestic shipping and prices of $150 or less had expanded to include The MAP, We Take Care of Us, Choices Rising, and A Safe Choice, and Abuzz, each of which also offer 1-5 day shipping times and prices of $150 or less.
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Aid Access
Aid Access is a nonprofit organization that provides access to medication abortion by mail to the United States and worldwide. It was founded in 2018 by Dutch physician Rebecca Gomperts who describes its work as a harm reduction strategy designed to provide safe access to mifepristone and misoprostol for people who may not otherwise have access to abortion or miscarriage management services. Their online abortion pill service mails pills to people in all 50 U.S. states so they can manage their own abortion with remote access to a physician and a help-desk for any questions.
From its launch in 2018 until mid-2023, Aid Access prescriptions were filled by a pharmacy in India and mailed to U.S. patients. Since 2023, Aid Access has utilized Shield laws to partner with U.S.-licensed clinicians and pharmacies to provide domestic shipping within 1–5 days. Their online abortion pill service costs $150, but they also offer a sliding scale payment option for those who cannot afford the full price.
Gomperts, a physician based in the Netherlands, started Aid Access in March 2018, to provide access to medication abortion in countries like the United States where abortion is legal but may be hard to access. Aid Access was incorporated in Austria, where Gomperts is registered to practice medicine.
In 2019, Aid Access received a warning letter from the Food and Drug Administration (FDA) stating that they were not authorized to distribute generic mifepristone in the US. Aid Access in turn sued the FDA, stating that they were helping women exercise their constitutional right to abortion. The FDA pursued no further legal action, and the lawsuit ended. In 2021, the FDA made telemedicine abortion permanently legal.
In 2021, Aid Access started offering "advanced provision" pills, whereby someone can order the pills ahead of time in case they might need them in the future.
In October 2018, after six months of non-publicized operation, Gomperts stated that she had fulfilled about 600 requests for pills (an average of 3 per day). By February 2022, she said that she had served over 30,000 people in the US. In January 2023, she said that they receive about 4,000 requests per month. In 2024, she said that over 6,000 people each month receive pills from Aid Access in US states with abortion bans.
In 2022 a paper was published in the Columbia Law Review about ways in which US shield laws could protect medical practitioners providing abortion who treated patients in banned states. Following publication of the paper, several states passed shield laws for medical practitioners. As of July 2023[update] fifteen states had shield laws, and five had telemedicine provisions, specifically protecting a provider who prescribed and mailed medication abortion pills to a patient in a state where abortion was banned. Aid Access began serving patients throughout the US in June 2023 with providers licensed in the five states with telemedicine provisions. With no further need to ship packages from other countries, their delivery times decreased from 3–4 weeks down to 2–5 days.
By mid-2025, the list of U.S.-based telehealth abortion pills providers that utilize shield law protections to offer 1-5 day domestic shipping and prices of $150 or less had expanded to include The MAP, We Take Care of Us, Choices Rising, and A Safe Choice, and Abuzz, each of which also offer 1-5 day shipping times and prices of $150 or less.