GYN to stop sending abortion pills to patients in Texas and to pay a $100,000 fine for sending the medications to a woman in the state, setting up a legal battle that could change the landscape of abortion access in the U.

It is the first ruling in a case challenging “shield laws” intended to protect doctors in states that support abortion rights who send abortion pills to states with bans.

Texas Attorney General Ken Paxton sought to bar the doctor from treating other Texas patients when he sued her in December, alleging she violated the state’s abortion ban.