A New York doctor has been indicted for prescribing the abortion pill in Louisiana. The state recently reclassified both mifepristone and misoprostol as “controlled dangerous substances.”

The case appears to be the first instance of criminal charges against a doctor accused of sending abortion pills to another state, at least since the U.S. Supreme Court overturned Roe v. Wade in 2022 and opened the door for states to have strict anti-abortion laws.

Carpenter was also sued by the Texas attorney general in December under similar allegations of sending pills to that state. That case did not involve criminal charges.

Pills have become the most common means of abortion in the U.S., accounting for nearly two-thirds of them by 2023. They’re also at the center of political and legal action over abortion. In January, one judge let three states continue to challenge federal government approvals for how one of the drugs usually involved can be prescribed.