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North Dakota state Rep. Eric Murphy, a Republican, faces a contested primary after introducing a bill to expand abortion access up to 15 weeks and for medical necessity, challenging the state's near-total abortion ban. His bill failed, and the state Supreme Court reinstated the original ban, while Murphy lost key party endorsements to challengers supporting stricter abortion restrictions.

North Dakota Attorney General Drew Wrigley ordered the Prairie Abortion Fund to remove links from its website that promote abortion pill providers selling unapproved medication without prescriptions or doctor oversight. The order cites violations of state consumer protection laws and North Dakota's Abortion Control Act, which requires doctors to be physically present when abortion medications are administered.

The North Dakota Supreme Court upheld the state's 2023 abortion ban in a split 3-2 decision, with four votes needed to overturn the law but only three justices finding it unconstitutional due to vagueness. The law bans abortions after six weeks except in cases of rape, incest, or serious physical health threats, and includes penalties of up to five years in prison and a $10,000 fine.