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Abortion pill maker seeks Supreme Court review on Mifepristone restrictions.

The Fight Over⁤ Access to Abortion Pill Reaches Supreme Court

The manufacturer of an abortion pill⁢ has petitioned the U.S. Supreme Court ​to examine whether a​ federal appeals‍ court erred in‍ upholding a preliminary injunction that would curtail mail-order‍ access to the drug.

In a⁤ submission made on⁤ Friday, Danco Laboratories, the‍ producer⁤ of ⁣the abortion pill mifepristone, requested⁢ the⁣ Supreme Court to ⁣review‌ a ​Fifth Circuit Court of Appeals ruling that could potentially limit access to the drug.

Mifepristone received ⁢approval from the Food and Drug Administration​ (FDA) in 2000. The drug is used in the first⁤ 10 weeks of⁤ pregnancies as part of a chemical abortion procedure to kill unborn children. It is often used in conjunction with‍ another drug, misoprostol,‌ that helps ⁤to ⁢induce ‍labor to expel the remains. It is⁤ also sometimes prescribed for miscarriages.

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Danco contends that federal judges should not scrutinize the FDA’s approval of ⁣mifepristone or⁣ the conditions governing​ its distribution. Danco is‌ challenging whether courts have the authority to “disregard constitutional and statutory limits ‍on judicial‌ review of executive action⁤ in ‌order to overrule an agency⁤ decision they dislike.”

In this instance, the‍ Fifth Circuit Court‍ of Appeals, ⁢based ⁢in New Orleans, issued a decision ​that‌ impacted the regulations established by the FDA for Mifeprex, the brand name for mifepristone.

Lawyers for Danco ⁢assert that the‌ appellate‌ court’s ruling‍ was at the behest of plaintiffs⁤ who, in⁤ their view, neither “prescribe or use the ⁢drug and whose real disagreement with FDA is that they oppose all forms⁢ of⁣ abortion.”

The federal appellate court’s August ruling would revoke approval for mailing the drug ​and reduce ‌the window during which mifepristone could be ‍used in pregnancy from 10 weeks to seven weeks.

As a result ​of this decision, the FDA’s initial 2000 approval of mifepristone remained intact. However, regulatory ​changes made by the agency⁢ in⁣ 2016 and 2021,⁤ which expanded access to the drug, were reversed.

In April, the Supreme Court ⁢intervened in ​that ⁤case, keeping‍ mifepristone broadly accessible, but‍ with more restrictions, while the case ‌plays out. Women will be required to make multiple in-person ‍visits to the doctor before they can ⁤obtain the ‌abortion pill.

Mifepristone (Mifeprex) ⁢and Misoprostol, the ⁤two drugs used in a chemical abortion, are seen at the⁢ Women’s ‍Reproductive Clinic, in Santa Teresa,⁣ N.M., on June 17, 2022. (Robyn Beck/AFP/Getty Images)

Justices‍ Clarence Thomas and Samuel Alito, ⁤both conservative, publicly dissented from this decision, with Justice Alito writing ⁢in ⁣a‍ brief opinion ‍that‌ the administration and Danco “are not entitled to a stay because they have not shown that they are likely to suffer irreparable harm ⁣in the interim.” No other justices ‌commented.

In⁢ their recent⁢ filing, Danco’s legal team ‍implored the ⁣Supreme Court to review the appellate court’s ruling on‍ the ⁣grounds that the case is “of indisputable importance” for⁣ women⁣ and ​the drug‌ industry.

“For the women and teenage girls, health​ care providers, and States that ⁣depend on FDA’s actions to ensure ⁤safe and effective ‌reproductive health care⁤ is available, this case​ matters tremendously,” the court filing⁢ reads (pdf). ‌”And​ for ⁢the pharmaceutical and ⁣biotechnology industry, permitting judicial second-guessing of FDA’s scientific evaluations of ⁢data will have a wildly destabilizing⁢ effect.”

The case is the⁤ latest development ⁣in a legal battle launched in November 2022 ​challenging the FDA’s approval of mifepristone back in ‌2000. The Alliance for Hippocratic Medicine and four doctors alleged the approval was flawed and unlawful because it did not adequately review the drug’s safety.



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