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Access to drugs like mifepristone, that are approved federally are being handled differently now that Roe was overturned, so some states like TX have gone hyper-hysterical about that (and similar drugs) coming into the state, even if prescribed by an out-of-state physician.

Overturning Obergefell could be done with caveats of no longer requiring states to issue "new" same-sex marriage licenses, but being required to grandfather any existing ones. It may not be dealt with this soon, but like Obergefell himself is concerned about, it's coming.

They might not accept that loon Kim Davis' case but others will most certainly try, and may push stronger First Amendment/"religious objection" excuses.