Texas Attorney General Ken Paxton has filed a groundbreaking lawsuit against Dr. Margaret Daley Carpenter for prescribing abortion pills to a Texas woman via telemedicine. This lawsuit challenges inter-state medical practices and the effectiveness of New York's shield law designed to protect physicians in Democratic states. The case raises significant legal questions about state laws' reach over physicians in other states and the future of abortion access post-Roe v. Wade's reversal, especially as medication abortions account for over half of U.S. abortions.