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Abortion access is a secondary issue in Alaska's 2026 congressional races, with candidates focusing more on affordability and economic concerns amid strong state legal protections for abortion. Republican incumbents Dan Sullivan and Nick Begich oppose abortion funding, while challengers Mary Peltola and Bill Hill support abortion rights, but the debate is overshadowed by other social issues and cost-of-living challenges in Alaska.

Planned Parenthood Great Northwest, Hawai’i, Alaska, Indiana, Kentucky has filed a lawsuit in Alaska’s Superior Court seeking to invalidate the state’s ban on providing medication abortion via telehealth, which requires abortions to be performed in a hospital or clinic. The lawsuit argues that the telehealth ban delays and denies Alaskans access to constitutionally protected abortion care, especially given the vast travel distances to clinics in Anchorage and Fairbanks.

Alaska lawmakers passed House Bill 195 allowing pharmacists to prescribe medications for basic ailments under collaborative agreements, despite opposition from anti-abortion groups claiming it would expand access to medication abortions. The bill was amended to restrict pharmacists from prescribing high-risk drugs like mifepristone, and the Alaska Department of Law confirmed it does not authorize pharmacists to prescribe abortion-inducing medications.

The Alaska Supreme Court is considering whether to reinstate a 1970 law requiring abortions to be performed only by licensed physicians, a restriction struck down by a lower court in 2022. The case highlights Alaska's unique healthcare challenges, as many rural residents must travel to urban centers for abortion services, and the state administration argues the physician-only rule does not significantly limit access despite Planned Parenthood's contention that it infringes on Alaskans' rights.