[3] 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.

[1] 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).

[8][9] In a statement three days later, the National Women's Health Network stated that this was a politicized attack against medical abortion, rather than a broader attempt to curb online drug sales.

[9] In September 2019, on behalf of Aid Access, Gomperts sued the FDA, Alex Azar (then secretary for the Department of Health and Human Services) as well as other federal officials for seizing several packages containing medications and blocking transfer of some payments to Aid Access.

In 2021, the FDA made it permanently legal for abortion pills to be sold following an online consultation.

[4] Data from Aid Access has been used in several studies because they had been the sole online abortion telemedicine service in the United States until April 2021, when the FDA (due to COVID-19) temporarily legalized delivery of medication abortion by telemedicine and mail (the FDA in December 2021 made it permanently legal).

[15] In a third study covering the period between October 1, 2020, and December 31, 2021, Aid Access received 45,908 requests from across all 50 USA states.

[18] The practice of advanced provision involves providing abortion pills to individuals before they are pregnant, so that they may have them readily available for use should they need them in the future.

[22] From 18 June 2023 Aid Access served patients throughout the US with providers licensed in the five states with telemedicine provisions, with no need to ship from other countries, reducing the delivery time from three or four weeks to between two and five days.

[2][3] If a woman needs care after a self-administered medication abortion, Gomperts stated that the woman should say she had a miscarriage since the symptoms and treatment are exactly the same, and that no traces of the abortion pills remain if taken orally (recommended); though traces of the pills can last as long as 4 days if administered vaginally.