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.

A Texas judge on Thursday ordered a New York doctor to pay more than $100,000 in penalties for prescribing abortion pills to a woman near Dallas, a ruling that could test “shield laws” in Democratic-controlled states where abortion is legal.