Recent rule changes have increased access to abortion pills through the mail, using telehealth services. As many U.S. states gear up to restrict abortion access in anticipation of the Supreme Court possibly overturning Roe v. Wade, the medical professionals behind these services are preparing for an even bigger surge in demand. Groups that provide abortion pills are also preparing to face significant new obstacles, as anti-abortion states push back against expanded online access. Both patients and clinicians are testing the boundaries of this service that is fully legal in many states — but operates in a legal gray area in others.