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The U.S. Supreme Court temporarily reinstated a federal rule allowing the abortion pill mifepristone to be prescribed via telemedicine and dispensed by mail, affecting states like North Dakota with restrictive abortion laws. Despite North Dakota's abortion ban except in limited cases, the Red River Women’s Clinic in Moorhead continues to provide medication abortions with in-person administration of mifepristone, while mail delivery remains a critical access option for rural patients.

North Dakota's Safe Haven Law, enacted 25 years ago, allows parents to surrender unharmed infants up to one year old at approved locations or by calling 911, the longest time allowed in the U.S. Last year, the law was expanded to include surrendering infants less than 60 days old via a newborn safety device, making North Dakota the only state in compliance with a national recommendation to allow infant surrender up to a year after birth.

North Dakota doctors are now required to complete a state-mandated training on abortion laws, including the near-total abortion ban and other restrictions, to maintain compliance except in medical emergencies. The course, developed by University of North Dakota experts and approved by the Attorney General, aims to clarify legal requirements following a 2025 legislative mandate under House Bill 1511.

North Dakota Attorney General Drew Wrigley ordered the Fargo-based Prairie Abortion Fund to stop promoting and facilitating the unlawful sale of abortion pills in North Dakota, citing violations of state consumer fraud law and health risks to pregnant women. The cease-and-desist order follows the organization's promotion of unapproved abortion medications without prescriptions or physician supervision, and includes notice of a civil penalty and the right to request a hearing.