Supreme Court Upholds Access to Mifepristone in Landmark Decision for Reproductive Rights

Washington D.C., District of Columbia United States of America
Access to reproductive healthcare may hinge on the outcome of the 2024 election
Mifepristone, a medication used in nearly two-thirds of all abortions in the US, accounts for 63% of all abortions
Supreme Court upholds access to mifepristone in landmark decision for reproductive rights
The court's decision was welcomed by abortion rights advocates and the Justice Department
Supreme Court Upholds Access to Mifepristone in Landmark Decision for Reproductive Rights

In a significant decision for reproductive rights, the Supreme Court unanimously ruled to preserve access to mifepristone, a medication used in nearly two-thirds of all abortions in the United States. The ruling came after a challenge from anti-abortion doctors who argued that the Food and Drug Administration (FDA) had overstepped its bounds when it approved the drug.

The case, which was closely watched by both sides of the abortion debate, hinged on whether the plaintiffs had standing to bring the challenge. In a concurring opinion, Justice Clarence Thomas questioned whether the court should revisit a 47-year-old ruling that allows associations to sue on behalf of their members.

The decision was welcomed by abortion rights advocates who had been preparing for contingencies in case access to mifepristone was restricted. The medication, which is one of two prescription drugs used for medication abortions, accounts for 63% of all abortions in the US.

Despite the court's decision, the fight over abortion rights is far from over. Access to reproductive healthcare may hinge on the outcome of the 2024 election, as a new administration could use federal laws to ban all abortion nationwide. More than 6 million people have used mifepristone since it was approved by the FDA nearly 25 years ago.

The Justice Department celebrated the Supreme Court's decision, with Attorney General Merrick Garland stating that the department would continue to 'protect and advance reproductive freedoms under federal law.'

Providers of abortion services had been stockpiling mifepristone and preparing alternative drug regimens in case it became unavailable. The court's decision means none of that is necessary, at least for now.



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  • Unique Points
    • The Supreme Court unanimously preserved access to mifepristone, a medication used in nearly two-thirds of all abortions in the U.S. last year.
    • Justice Brett Kavanaugh, a supporter of overturning Roe v. Wade, wrote that federal courts were the wrong forum for addressing the plaintiffs’ concerns about FDA actions.
    • Abortion rights advocates mainly breathed a sigh of relief after the decision, but echoed Biden about the impact of the decision two years ago.
    • In the end, this ruling is not a ‘win’ for abortion – it just maintains the status quo, which is a dire public health crisis in which 14 states have criminalized abortion.
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    No Contradictions at Time Of Publication
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  • Unique Points
    • Colorado became an abortion haven after the Dobbs decision allowed neighboring states to restrict access.
    • Much of the care in Colorado takes place via telehealth with providers prescribing medication.
    • Colorado Attorney General Phil Weiser stated that protecting access to medication abortion is crucial for upholding equality, bodily autonomy, and the well-being of those seeking reproductive healthcare.
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    No Contradictions at Time Of Publication
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  • Unique Points
    • Justice Clarence Thomas questioned whether the court should revisit a 47-year-old ruling, Hunt v. Washington State Apple Advertising Comm'n.
    • Thomas raised concerns about associational standing doctrine and its constitutional implications.
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    No Contradictions at Time Of Publication
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    None Found At Time Of Publication

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  • Unique Points
    • The Supreme Court unanimously decided to toss the challenge brought by anti-abortion doctors, maintaining the status quo for medication abortion.
    • Mifepristone, which was approved by FDA nearly 25 years ago, was used in nearly two-thirds of abortions nationwide last year.
    • Abortion access may hinge on the outcome of the 2024 election, as a new administration could use the 1873 Comstock Act to ban all abortion nationwide.
    • More than 6 million people have used mifepristone since 2000.
    • Abortion rights advocates had prepared for the contingency that the court would restrict access to pills and planned to continue offering medication abortion using different drug regimens.
  • Accuracy
    • Mifepristone is among the most studied medications prescribed in the United States, and its safety and efficacy are overwhelmingly supported by evidence.
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  • Unique Points
    • Abortion providers had been stockpiling mifepristone and preparing alternative drug regimens in case it became unavailable.
    • Mifepristone is one of two prescription drugs used for medication abortions, which account for 63% of all abortions in the US.
    • A group of doctors who oppose abortion filed a challenge to the FDA’s approval of mifepristone, winning victories in federal court but losing a unanimous decision at the Supreme Court.
    • The Justice Department celebrated the Supreme Court’s decision, with Attorney General Merrick Garland stating that the department would continue to ‘protect and advance reproductive freedoms under federal law.’
  • Accuracy
    • ]The Supreme Court unanimously preserved access to mifepristone[
    • About two-thirds of abortions in Colorado take place with medication.
    • Mifepristone blocks the hormone progesterone and primes the uterus to respond to the contraction-causing effect of a second drug, misoprostol.
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    None Found At Time Of Publication