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Wyoming's Only Abortion Clinic Forced To Stop Administering Abortions Due To New State Law
Source: Natalie Behring / Getty

INDIANAPOLIS — The Indiana Senate moved to tighten the state’s strict abortion laws Tuesday afternoon, passing a bill aimed at stopping the illegal distribution of abortion-inducing drugs by mail. Senate Bill 236, authored by Senator Tyler Johnson, cleared the chamber with a 35-10 vote and now heads to the House for consideration.

The legislation targets the growing “gray market” of medication abortions, which advocacy groups claim has surged since Indiana’s near-total abortion ban took effect in 2022.

According to Indiana Right to Life (IRTL), thousands of abortion pills are estimated to be illegally shipped into the state annually. SB 236 aims to curb this by equipping private citizens with the power to sue those involved in the distribution chain.

Key provisions of the bill include:

Civil Liability: Grants individuals the legal standing to bring civil action against anyone illegally mailing or trafficking abortion pills within state lines.
Wrongful Death Suits: Specifically allows the mother or the father of the unborn child to sue for damages if injuries or death occur due to trafficked pills.

“These abortion enthusiasts exploit loopholes in Indiana law and are currently unaccountable for ending the lives of unborn babies,” said IRTL President Mike Fichter in a statement following the vote. “SB 236 is policy that truly protects women from abortion-pill trafficking.”

Rising Complications and “Shadow” Markets

The push for the bill comes alongside data suggesting a shift in how abortions are performed in the state. IRTL reports that since 2022, there have been 332 reported incidents of abortion complications in Indiana, with 70% of those cases attributed to abortion drugs.

National data cited by supporters indicates that medication abortions now account for nearly two-thirds of all U.S. abortions. In Indiana, where mailing these pills is illegal, proponents of the bill argue that online sources often bypass age verification and medical oversight, leaving women vulnerable to coercion from abusers or traffickers.

“To truly love them both – pregnant moms and their unborn babies – Indiana must protect them from the harm of abortion-pill traffickers,” Fichter added.

While supporters cite insurance data suggesting up to 1 in 10 women experience complications such as hemorrhage or sepsis, medical organizations like the American College of Obstetricians and Gynecologists (ACOG) have historically maintained that mifepristone and misoprostol are safe and effective when used correctly.

Opponents of the bill argue that further restricting access to these pills—even those sourced through “shield laws” in other states—will lead to more self-managed abortions without medical support, potentially increasing the risk of the very complications the bill aims to prevent.

Having cleared the Senate by a wide margin, SB 236 moves to the Indiana House. If passed and signed by the Governor, Indiana would become one of the most aggressive states in the nation in pursuing civil litigation against out-of-state providers and independent traffickers who ship medication across its borders.