In January, the Republican Texas Attorney General's office sued an out-of-state nurse practitioner (NP) for allegedly prescribing and shipping abortion drugs to a pregnant patient in Texas. Texas is one of 13 states with strict restrictions on abortion. The article discusses the question of whether the provision of nursing services across national borders constitutes patient advocacy or dereliction of duty. This is the case of an out-of-state nurse who acted on behalf of a Texas patient. This incident highlights the legal risks associated with telemedicine and cross-border care. State law in Texas prohibits independent practice by NPs without a license in the state. The case highlights the tension between patient advocacy and compliance with state regulations.