Understanding Shield Laws for Telehealth Abortion Providers

A New York doctor was indicted for prescribing abortion medication online to a Louisiana patient, protected by NY shield law.
What are shield laws and how do they protect telehealth abortion providers?

Article Summary –

A New York doctor, Dr. Margaret Carpenter, has been indicted by a Louisiana grand jury for prescribing abortion medication online for a patient in Louisiana, despite abortion being illegal in Louisiana except for specific cases. New York’s shield laws protect Dr. Carpenter from extradition, emphasizing that states like New York do not recognize extradition demands if the medical provider was not physically present in the requesting state when the procedure occurred. The situation highlights the interstate legal conflict over reproductive rights, with Louisiana insisting on prosecution while New York laws aim to protect providers of reproductive health care from out-of-state legal actions.


The AP reported on Jan. 31 about a New York doctor’s indictment on felony charges for prescribing abortion medication online to a Louisiana patient.

The indictment came from Louisiana’s 18th Judicial District Court against Dr. Margaret Carpenter, her company Nightingale Medical, and the teen patient’s mother. Arrest warrants were issued on Jan. 31; the mother turned herself in that day.

Louisiana law bans abortion entirely, allowing exceptions only for the life and health of the pregnant individual.

District Attorney Tony Clayton told the AP, “We expect Dr. Carpenter to answer these charges in Louisiana.” However, New York’s shield law protects Carpenter from extradition, according to Rachel Rebouché, dean at Temple University Law School.

What are shield laws?

Eighteen states, including New York, have laws safeguarding medical providers from investigations and extradition demands from other states. New York’s law prevents recognizing such demands if the provider wasn’t physically in that state during the procedure.

In eight states — including California, Massachusetts, and New York — the laws specifically protect reproductive health care.

What happens when a state’s shield law is challenged?

Rebouché, working with legislators and advocates, said, “The long-term goal seems to be halting mailed medication abortion, approved by the FDA.”

“Providers face potential chilling effects,” Rebouché stated. “No one wants indictment or lawsuits, and Dr. Carpenter risks extradition if she visits states like Texas or Louisiana.”

Interstate conflicts allow each state to enact its laws. “States typically cooperate,” Rebouché noted, “but they also defend jurisdictional rights.”

“Maggie Carpenter is compliant with New York law,” Rebouché added. “Texas and New York can differ, but she isn’t breaking the law to offer reproductive health care.”

On Feb. 3, New York Gov. Kathy Hochul signed a law allowing doctors to request pharmacies print only their practice name on prescription labels.

“Shield laws aim to counter out-of-state attacks on providers through criminal, civil, and professional disciplines,” stated Rebouché.

Louisiana remains firm on prosecution. “Sending abortion pills here is illegal,” declared Attorney General Liz Murrill on X, emphasizing accountability.

Rebouché noted, “Louisiana can arrest her for alleged abortion ban violations, but must prove it in court. Pursuing everyone involved could have a chilling effect.”


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