Alliance_for_Hippocratic_Medicine_v._FDA

<i>FDA v. Alliance for Hippocratic Medicine</i>

FDA v. Alliance for Hippocratic Medicine

Court case challenging the legality of medication abortion in the U.S.

U.S. Food and Drug Administration v. Alliance for Hippocratic Medicine is a pending United States Supreme Court case to challenge the U.S. Food and Drug Administration (FDA)'s approval of mifepristone, a drug frequently used in medical abortion procedures. The plaintiffs, led by the Alliance for Hippocratic Medicine (AHM), argue that the FDA did not properly approve the use of the drug mifepristone for pregnancy termination under Federal Food, Drug, and Cosmetic Act regulations and ask for an injunction to withdraw the drug's approval, thus removing it from the market. AHM's suit followed the Supreme Court's ruling in Dobbs v. Jackson Women's Health Organization in 2022, which reversed Roe v. Wade and asserted there was no constitutional right to abortion at the federal level, leading to conservative states and groups to further restrict abortion access.

Quick Facts FDA v. Alliance for Hippocratic Medicine, Argued March 26, 2024 ...

District Judge Matthew J. Kacsmaryk issued a preliminary injunction suspending the approval of mifepristone on April 7, 2023; on appeal by the government to the Fifth Circuit, the Fifth Circuit partially reverted Kacsmaryk's injunction, allowing the drug's 2000 approval to stand, but putting on hold changes to the FDA's distribution rules on the drug that were put in place in 2016, including distribution by mail. A separate Washington federal district judge also issued on April 7, 2023, a separate injunction forcing the FDA to maintain the distribution of mifepristone in 16 states and the District of Columbia. On April 13, that judge issued another order, purporting to force FDA to maintain approval regardless of the Texas or Fifth Circuit ruling.

The Supreme Court of the United States heard the case in March 2024, with the Fifth's modified order stayed until the Supreme Court issues its decision.

Background

Medication abortion, in which prescription medications are used to induce abortion of the embryo, typically occurs with a mixture of two different drugs—mifepristone and misoprostol.[1] Mifepristone was approved by the Food and Drug Administration (FDA) in September 2000.[2] Medication abortion accounts for over half of all abortions in the United States.[3]

Under the 2000 approval, mifepristone was approved by the FDA under Congressional regulations granted to them by Subpart H of the FDA's mandate. This included restricted distribution of mifepristone through hospitals and other medical facilities. With passage of the Food and Drug Administration Amendments Act of 2007, the Federal Food, Drug, and Cosmetic Act was amended to require the use of Risk Evaluation and Mitigation Strategies (REMS) to identify the benefits and risks of any approved drug and give the FDA more control over adjusting their approvals of drugs. By the time the FDA completed the REMS for mifepristone in 2011, it kept the same limits on access at hospitals and other medical facilities.[4]

In March 2016, the FDA loosened safety precautions present in the original approval, allowing medical practitioners to also prescribe the drug, and increased the time into the pregnancy term when the drug could be used.[5] In April 2021, in response to the lack of access to medical care caused by the COVID-19 pandemic, the FDA allowed mifepristone to be obtained by mail from certified medical businesses and practitioners, which greatly increased access to the drug.[6][7] Another REMS change was made in January 2023, allowing pharmacies approved by mifepristone manufacturers to also distribute the drug.[8]

In June 2022, the United States Supreme Court decided Dobbs v. Jackson Women's Health Organization, which overruled Roe v. Wade and held that there was no constitutional right to abortion, which enabled states to ban abortion.[3][9][10][11][12][13] In order to restrict abortions, several states also passed laws to prevent the sale of mifepristone.[14]

Lawsuit

Plaintiffs

The lead plaintiff, the Alliance for Hippocratic Medicine (AHM), describes itself as "uphold[ing] and promot[ing] the fundamental principles of Hippocratic medicine", which "include protecting the vulnerable at the beginning and end of life."[15] AHM was incorporated in August 2022 and is headquartered in Amarillo, Texas.[16][17] Other plaintiffs include three out-of-state anti-abortion groups—the American Association of Pro-Life Obstetricians and Gynecologists (AAPLOG), the American College of Pediatricians, and Christian Medical and Dental Associations—in addition to four doctors.[note 1] The plaintiffs argued that the FDA did not properly consider all evidence at the time of the 2000 approval of mifepristone, and sought relief by having the court revoke the FDA's approval.[18][19][20]

The plaintiffs are represented by the Christian legal advocacy group Alliance Defending Freedom (ADF).[18][16][21] The ADF drafted the law at issue in Dobbs, Mississippi's Gestational Age Act.[22]

Defendants

The original defendants are the FDA, Commissioner of Food and Drugs Dr. Robert Califf, Principal Deputy Commissioner Dr. Janet Woodcock, Director of the Center for Drug Evaluation and Research Dr. Patrizia Cavazzoni, the Department of Health and Human Services, and HHS Secretary Xavier Becerra. Later on in the lawsuit, Danco Laboratories, the manufacturer of brand-name mifepristone (Mifeprex), intervened in the case.[23]

Rulings

Texas District Court opinion and order

The case was filed in the United States District Court for the Northern District of Texas and heard by Judge Matthew J. Kacsmaryk. Ahead of an in-person hearing on the case, Kacsmaryk delayed entering the hearing on the court docket, citing concerns about potential protests over the hearing. After this information was leaked, the date was posted and the hearing took place as scheduled, on March 15, 2023.[24]

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On April 7, 2023, Kacsmaryk issued his opinion finding primarily in favor of the plaintiffs, and issued an order granting AHM's preliminary injunction, suspending the FDA's approval of the drug. He first concluded that the plaintiffs have standing to sue—the legal right to bring a case before a judge. He held that because mifepristone can cause serious complications to pregnant women and girls, they might need to go to a doctor for treatment; that abortionists generally do not treat such cases; that the associations bringing the case represented some doctors to whom the injured women and girls might turn; that this would harm the doctors who had to care for those patients; and that that harm to the doctors was "sufficiently imminent" and there was a "'substantial risk' that the harm will occur".[25] As the organizations were doctors' groups, he also ruled that they had organizational standing. Kacsmaryk then ruled that the Administrative Procedure Act's six-year statute of limitations—which would normally have started in 2016, when one of the plaintiff's review petitions was rejected—was "reopened" in 2016 and again in 2021, when the FDA increased access to the drug. He finally ruled that the approval of mifepristone was "otherwise not in accordance with law"—citing the Comstock Act's prohibition on interstate shipment of abortifacients—and ordered the FDA to suspend the drug's approval until a later date.[26] He then stayed his own order for seven days to allow the government time to appeal his decision.[27]

Kacsmaryk's opinion relied heavily on two scientific studies that had been published in the Sage Publishing journal Health Services Research and Managerial Epidemiology that claimed there was potential harm to the woman when taking milepristone. Sage retracted these two papers in February 2024 over two issues. First, they stated that their primary author, James Studnicki of the Charlotte Lozier Institute, itself the research branch of the Susan B. Anthony Pro-Life America organization, did not properly cite his potential conflict of interest in performing the studies. Second, Sage found from a second independent review of the works that there were "fundamental problems" with the studies' approach.[28]

Fifth Circuit emergency stay ruling

On April 10, 2023, the Department of Justice and Danco Laboratories filed an emergency motion for a stay with the United States Court of Appeals for the Fifth Circuit, asking the court to stay the district court's order.[29][30][note 2]

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Late on April 12, 2023, a three-judge panel of the Fifth Circuit—consisting of Catharina Haynes, Kurt D. Engelhardt, and Andrew Oldham—issued an order regarding the stay motion. In a 2–1 decision, it partially stayed Judge Kacsmaryk's order by allowing the FDA's original 2000 approval of mifepristone to stand, ruling that too much time had passed to challenge the ruling.[31] However, the order did not stay Kacsmaryk's order insofar as it struck down hold changes to the REMS for mifepristone issued by the FDA in 2016 that had made the drug easier to obtain, including through the mail, and extended the allowed use of the drug from seven to ten weeks of pregnancy. The opinion stated that "it would be difficult for [the FDA] to argue that" the 2016 changes to the REMS "were so critical to the public given that the Nation operated—and mifepristone was administered to millions of women—without them for sixteen years following the" original approval, and thus that that was no reason to put them on hold. Judge Haynes noted that she would grant an administrative stay of Kacsmaryk's order in full.[32]

Supreme Court emergency stay ruling

Both the Justice Department and Danco Laboratories appealed the restrictions on mifepristone to the Supreme Court on April 14, 2023.[33][note 3] Later that day, Supreme Court Justice Samuel Alito enacted a temporary administrative stay on the District Court's decision while the Supreme Court considered the case.[34] Alito originally set the stay to last until April 19, then later extended it to April 21.[35]

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On April 21, 2023, a majority of the Supreme Court, without comment, voted to stay the lower court decisions that would restrict access to mifepristone, pending the decision of the Fifth Circuit on the merits of the lawsuit, and a potential appeal of that decision.[36][37][38] How every justice voted was not detailed, but Justices Clarence Thomas and Alito publicly dissented, wanting to approve the restrictions.[37] Alito was the only justice to write a dissenting opinion, in which he argued that, even if the Supreme Court restricted access to mifepristone, the FDA could refuse to enforce that decision and continue allowing access to mifepristone while the lawsuit continued.[36][37] Alito also referred to previous lawsuits' criticisms of the 'shadow docket' (emergency rulings with no oral argument or significant record), stating: "I did not agree with these criticisms at the time, but if they were warranted in the cases in which they were made, they are emphatically true here" in this lawsuit.[39] Alito added that his dissent did not analyze the merits of the lawsuit.[39]

Fifth Circuit hearing

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The case was put on an accelerated schedule, with the Fifth Circuit holding oral arguments on May 17.[37][40] The Fifth Circuit panel, consisting of judges James C. Ho, Jennifer Walker Elrod, and Cory T. Wilson, ruled on August 16, 2023, to maintain the ban on mifepristone's availability that had come about from the 2016 FDA rule changes, ruling the FDA did not properly consider health factors in that decision. The ban remained on hold with the federal government appealing the decision to the United States Supreme Court.[41][42]

Supreme Court

Both the FDA and Danco petitioned to the Supreme Court to challenge the Fifth Circuit's ruling. The court certified both petitions, consolidated under the FDA's challenge, and limited the case to the question of standing, and of the appropriateness of the FDA rule changes in 2016, 2021, and, 2023. Oral arguments were held on March 26, 2024.[8] Court observers found the a majority of the justices appeared to support the FDA's assertion that the Alliance lacked standing to challenge the law, a view taken by the three more-Liberal justices Kagan, Sotomayor, and Jackson, joined by Gorsuch, Kavanaugh, and Barrett. Justices Alito and Thomas were seen to support that there was standing and asked questions related to the rationale for overriding the FDA. [43]

Reactions

The Texas lower court decision has been widely criticized by Democratic politicians, such as House minority leader Hakeem Jeffries (D–NY) and Democratic National Committee Chair Jaime Harrison.[44] Some, including Senator Ron Wyden (D–OR) and Congresswoman Alexandria Ocasio-Cortez (D–NY), called for the Biden administration to ignore the ruling and continue to distribute mifepristone, while others, such as Senators Chuck Schumer (D–NY) and Patty Murray (D–WA), cautioned that the government should allow the appeals process to proceed before taking any action to avoid risking the judicial process.[45][46] Some Republicans praised the decision, like Senator Cindy Hyde-Smith (R–MS), although there were not as many responses.[44]

Attention was drawn to Judge Kacsmaryk, who was nominated to the bench in 2017 by President Donald Trump. Kacsmaryk is a "devout Christian" and reliably conservative judge, who has struck down several Biden administration policies on issues of immigration, LGBT rights, and abortion.[47][48] AHM filed the case in Amarillo, Texas, which belongs to the Amarillo Division, where Kacsmaryk is the only judge, leading to accusations of "forum shopping", where plaintiffs select legal venues most likely to deliver favorable rulings.[47][49][50]

Media outlets noted that Kacsmaryk's opinion contained several instances of language employed by anti-abortion movements.[51][52] He deliberately chose to use the terms "unborn human" and "unborn child" in place of "fetus", stating: "Jurists often use the word 'fetus' to inaccurately identify unborn humans in unscientific ways."[51][52] In describing the action of the pill, he said that mifepristone is used to "to kill the unborn human" and that it "ultimately starves the unborn human until death."[51][53] Kacsmaryk also referred to doctors who provide abortion pills as "abortionists," and called medication abortion "chemical abortion."[53][54]

Axios wrote that Kacsmaryk's ruling "strays from offering accurate health information from some of the largest medical organizations in the nation".[52] The Washington Post described Kacsmaryk's ruling as repeatedly citing data collected from researchers affiliated with the anti-abortion Charlotte Lozier Institute, and also "cites research based on anonymous blog posts, cherry picks statistics that exaggerate the negative physical and psychological effects of mifepristone, and ignores hundreds of scientific studies attesting to the medication's safety."[55]

Kacsmaryk had written that women who went through abortions "often experience shame, regret, anxiety, depression, drug abuse, and suicidal thoughts because of the abortion", but did not cite any studies reporting the opposite.[51][56] One study highlighting mental issues stemming from abortion, as well as women receiving "insufficient information" on abortion, had its data collected from anonymous blog posts from abortionchangesyou.com, an anti-abortion website run by the Institute of Reproductive Grief Care.[55][56] Another study that was cited by Kacsmaryk regarding suicide after abortion had been criticized by the American Psychological Association for having incomplete data.[55] The American Psychological Association instead reported: "Large longitudinal and international studies have found that obtaining a wanted abortion does not increase risk for depression, anxiety, or suicidal thoughts."[52] Kacsmaryk did not discuss potential psychological effects for women who wanted an abortion and were denied one.[57]

In his ruling, Kacsmaryk cited a Finnish study that the "overall incidence of adverse events is 'fourfold higher' in chemical abortions when compared to surgical abortions", but one of the study's authors, gynecology professor Oskari Heikinheimo, disagreed with how Kacsmaryk portrayed the study; Heikinheimo stated that the same study showed that serious complications were remarkably low for both types of abortions, while most of the "adverse events" were uterine bleeding.[55]

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Within an hour of Kacsmaryk's ruling, Judge Thomas O. Rice of the Eastern District of Washington, ruled in a separate lawsuit that the FDA should refrain from any actions to reduce the availability of the drug in 16 states and the District of Columbia.[note 4] The Washington lawsuit had been raised due to changes in the REMS for mifepristone in January 2023, restricting the previously open access of the drug. The states argued that not only was the January 2023 REMS change too restrictive, but other parts of the current REMS were unnecessary and should be lifted.[58][59][60]

Following the Fifth Circuit's April 12 ruling, Judge Rice declared in a new order that the Fifth Circuit's stay decision does not override his order for D.C. and the 16 state-parties in his case.[61]

A separate lawsuit was filed by GenBioPro against the FDA shortly after the FDA had sought a stay on the Fifth Circuit's decision. GenBioPro, the manufacturers of the generic version of mifepristone, stated that, should the FDA be forced to remove mifepristone from the market, it would need to go through certain procedural requirements to reverse their prior approval of the drug, or otherwise GenBioPro's product would be mislabeled on the market. Legal experts were unclear how GenBioPro's lawsuit would interact with the two other suits.[62]

Impact

The original case, filed on the Northern District of Texas, was considered an example of judge shopping, filed within a specific division of the district as to have the case likely assigned to a specific judge from that division. On March 12, 2024, the Judicial Conference of the United States which establishes procedures for the federal courts, established a new rule that challenges to state or federal laws with national impacts filed within federal districts would be randomly assigned to a judge within the entire district, aiming to prevent aggressive judge shopping.[63][64]

Notes

  1. [N 1]
    Alliance for Hippocratic Medicine v. U.S. Food and Drug Administration, No. 2:22-cv-00223, ECF No. 1, at 1 (N.D. Texas April 7, 2023).
  2. [N 2]
    Alliance for Hippocratic Medicine v. U.S. Food and Drug Administration, No. 23-10362, ECF No. 20 (5th Cir. April 10, 2023).
  3. [N 3]
    Intervenor Danco Laboratories and the federal defendants filed separate appeals to the Supreme Court. The cases are Danco Laboratories, LLC v. Alliance for Hippocratic Medicine, No. 22A901 (U.S. filed April 14, 2023) and Food and Drug Administration v. Alliance for Hippocratic Medicine, No. 22A902 (U.S. filed April 14, 2023).
  4. [N 4]
    The state parties in the Washington case are Washington, Oregon, Arizona, Colorado, Connecticut, Delaware, Illinois, Nevada, New Mexico, Rhode Island, Vermont, D.C., Hawaii, Maine, Maryland, Minnesota, and Pennsylvania.

References

  1. [1]
    McCann, Allison; Walker, Amy Schoenfeld (March 2, 2023). "Where Restrictions on Abortion Pills Could Matter Most in the U.S." The New York Times. Archived from the original on March 2, 2023.
  2. [2]
    FDA Approval Memorandum re: Mifeprex (mifepristone). FDA. September 28, 2000.
  3. [3]
    Zettler, Patricia J.; Adashi, Eli Y.; Cohen, I. Glenn (March 9, 2023). "Alliance for Hippocratic Medicine v. FDA — Dobbs's Collateral Consequences for Pharmaceutical Regulation". New England Journal of Medicine. 388 (10): e29. doi:10.1056/NEJMp2301813. ISSN 0028-4793. PMID 36812454. S2CID 257099568.
  4. [4]
    Gordon, Mara; McCammon, Sarah (January 10, 2019). "A Drug That Eases Miscarriages Is Difficult For Women To Get". NPR.
  5. [5]
    Sobel, Laurie; Salganicoff, Alina; Felix, Mabel (March 13, 2023). "Legal Challenges to the FDA Approval of Medication Abortion Pills". KFF: Women's Health Policy.
  6. [6]
    McCammon, Sarah (May 27, 2020). "Medical Groups Ask FDA To Ease Access To Abortion Pill During The Pandemic". NPR.
  7. [7]
    Belluck, Pam (April 13, 2021). "F.D.A. Will Allow Abortion Pills by Mail During the Pandemic". The New York Times. Archived from the original on April 14, 2021.
  8. [8]
    Choi, Annette (March 25, 2024). "The Supreme Court will decide the future of the abortion pill. A timeline of how we got here | CNN Politics". CNN. Retrieved March 27, 2024.
  9. [9]
    Castronuovo, Celine; Lopez, Ian (February 10, 2023). "Abortion Providers Gear Up for Judge's Ruling Over Pill Approval". Bloomberg Law.
  10. [10]
    Shutt, Jennifer (March 1, 2023). "How the judge who could ban the abortion pill won confirmation in the U.S. Senate". Wisconsin Examiner.
  11. [11]
    Staman, Jennifer A. (February 14, 2023). "Medication Abortion: New Litigation May Affect Access". Congressional Research Service.
  12. [12]
    Kortsmith, Katherine; Nguyen, Antoinette T.; Mandel, Michele G.; Clark, Elizabeth; Hollier, Lisa M.; Rodenhizer, Jessica; Whiteman, Maura K. (2022). "Abortion Surveillance — United States, 2020". Morbidity and Mortality Weekly Report. 71 (10): 1–27. doi:10.15585/mmwr.ss7110a1. ISSN 1546-0738. PMC 9707346. PMID 36417304.
  13. [13]
    Luthra, Shefali (February 7, 2023). "A federal judge could soon block access to an abortion pill. Here's what that means". The 19th.
  14. [14]
    Tanner, Lindsey; Perrone, Matthew (March 15, 2023). "Medication abortions are under fire: Here's how they work". ABC News.
  15. [15]
    "Alliance for Hippocratic Medicine". Alliance for Hippocratic Medicine. Retrieved March 3, 2023.
  16. [16]
    Smith, Jordan (February 28, 2023). "The Shadow Medical Community Behind the Attempt to Ban Medication Abortion". The Intercept. Archived from the original on February 28, 2023.
  17. [17]
    Franchise Tax Account Status, Alliance for Hippocratic Medicine. Texas Office of the Comptroller. December 22, 2022.
  18. [18]
    Atkins, Chloe (February 10, 2023). "In Texas lawsuit seeking to reverse FDA approval of abortion pills, state attorneys general weigh in". NBC News.
  19. [19]
    Kimball, Spencer (January 24, 2023). "The FDA's power to approve drugs faces sweeping challenge in lawsuit seeking to pull abortion pill from U.S. market". CNBC.
  20. [20]
    Belluck, Pam (February 24, 2023). "12 States Sue F.D.A., Seeking Removal of Special Restrictions on Abortion Pill". The New York Times. Archived from the original on February 25, 2023.
  21. [21]
    Pierson, Brendan (January 17, 2023). "Reversing abortion drug's approval would harm public interest, U.S. FDA says". Reuters.
  22. [22]
    Perez, Andrew (February 6, 2023). "The Far Right Is Funding Evangelical Super Bowl Sunday Ads". Jacobin.
  23. [23]
    Cole, Devan (March 13, 2023). "What to know about the lawsuit aiming to ban medication abortion drug mifepristone". CNN.
  24. [24]
    Nowell, Cecilia (March 15, 2023). "Access to abortion pill in the balance as Texas judge hears mifepristone case". The Guardian.
  25. [25]
    Stern, Mark Joseph (April 7, 2023). "The Lawless Ruling Against the Abortion Pill Has Already Prompted a Constitutional Crisis". Slate.
  26. [26]
    Adler, Jonathan H. (April 8, 2023). "Two (Wrong) Mifepristone Court Rulings in One Day". The Volokh Conspiracy at Reason.
  27. [27]
    Weber, Paul J.; Perrone, Matthew; Lindsay, Whitehurst (April 8, 2023). "Access to abortion pill in limbo after competing rulings". Associated Press.
  28. [28]
    Weixel, Nathanial (February 6, 2024). "Journal publisher retracts abortion pill studies cited by Texas judge". The Hill. Retrieved February 6, 2024.
  29. [29]
    Belluck, Pam; Liptak, Adam (April 12, 2023). "Here's What Happens Next in the Abortion Pill Case". The New York Times. Archived from the original on April 12, 2023.
  30. [30]
    Mallin, Alexander; Cathey, Libby (April 10, 2023). "DOJ asks appeals court for emergency stay of abortion pill ruling". ABC News.
  31. [31]
    Belluck, Pam (April 13, 2023). "Court Says Abortion Pill Can Remain Available but Imposes Temporary Restrictions". The New York Times. Archived from the original on April 13, 2023.
  32. [32]
    Weber, Paul; Gresko, Jessica (April 13, 2023). "Appeals court preserves partial access to abortion pill, but with tighter rules". Associated Press. Retrieved April 13, 2023.
  33. [33]
    Kimball, Spencer (April 14, 2023). "Supreme Court asked to block ruling that threatens access to abortion pill mifepristone". CNBC. Retrieved April 22, 2022.
  34. [34]
    Dwyer, Devin (April 15, 2023). "Supreme Court Justice Alito issues administrative stay of abortion pill ruling". ABC News. Retrieved April 22, 2023.
  35. [35]
    Quinn, Melissa (April 19, 2022). "Supreme Court extends order preserving access to abortion pill mifepristone to Friday". CBS News. Retrieved April 22, 2023.
  36. [36]
    Kimball, Spencer (April 21, 2023). "Supreme Court says abortion pill mifepristone will remain broadly available during legal battle". CNBC. Retrieved April 22, 2023.
  37. [37]
    Sherman, Mark (April 22, 2023). "Supreme Court preserves access to abortion pill for now". Associated Press. Retrieved April 22, 2023.
  38. [38]
    Stein, Perry; Amber, Phillips; Ovalle, David (April 21, 2023). "Here's what the Supreme Court abortion pill ruling means and what's next". The Washington Post. Archived from the original on April 22, 2023. Retrieved April 22, 2023.
  39. [39]
    Schnonfield, Zach; Weixel, Nathaniel (April 21, 2023). "Supreme Court pauses abortion pill restrictions from taking effect during appeal". The Hill. Retrieved April 22, 2023.
  40. [40]
    Marimow, Ann E; Kitchener, Caroline; Stein, Perry (May 17, 2023). "Appeals court appears likely to restrict access to key abortion pill". The Washington Post. Retrieved May 22, 2023.
  41. [41]
    Kimball, Spencer (August 16, 2023). "Appeals court imposes restrictions on abortion pill, but drug will stay on the market for now". CNBC. Retrieved August 17, 2023.
  42. [42]
    Chung, Andrew (September 8, 2023). "Biden administration takes abortion-pill dispute to US Supreme Court". Reuters. Retrieved September 10, 2023.
  43. [43]
    Sherman, Mark (March 26, 2024). "Supreme Court seems likely to preserve access to the abortion medication mifepristone". AP News. Retrieved March 27, 2024.
  44. [44]
    Astor, Maggie; Chen, David W. (April 7, 2023). "Reaction to Texas Abortion Pill Ruling: Outrage, and Muted Praise". The New York Times. Archived from the original on April 8, 2023.
  45. [45]
    Ollstein, Alice Maranda (April 8, 2023). "Ignore the courts? Some Democrats say Texas abortion pill ruling demands it". Politico.
  46. [46]
    Brown, Elizabeth Nolan (April 10, 2023). "Dueling Decisions Leave Abortion Pill's Fate Uncertain". Reason.
  47. [47]
    Kitchener, Caroline; Marimow, Ann E. (February 25, 2023). "The Texas judge who could take down the abortion pill". The Washington Post.
  48. [48]
    Millhiser, Ian (December 17, 2022). "How an obscure Christian right activist became one of the most powerful men in America". Vox.
  49. [49]
    Quinn, Melissa (March 2, 2023). "Meet the federal judge set to rule in a case that could disrupt access to the abortion pill". CBS News.
  50. [50]
    Fattal, Isabel (February 8, 2023). "The Legal Decision That Could Rewrite the Abortion Battle—Again". The Atlantic. Archived from the original on February 9, 2023.
  51. [51]
    "'Unborn human': the anti-abortion rhetoric of Texas judge's ruling". The Guardian. April 8, 2023. Retrieved April 22, 2023.
  52. [52]
    Reed, Tina (April 10, 2023). "Ruling echoes anti-abortion rhetoric". Axios. Retrieved April 22, 2023.
  53. [53]
    Atkins, Chloe; Arkin, Daniel (April 11, 2023). "Judge's abortion pill decision embraces extreme language and ideology of anti-abortion movement, experts say". NBC News. Retrieved April 22, 2023.
  54. [54]
    Kitchener, Caroline (April 8, 2023). "Texas judge delivers on the hopes of his antiabortion world". The Washington Post. Archived from the original on April 8, 2023. Retrieved April 22, 2023.
  55. [55]
    Weber, Lauren; McGinley, Laurie; Ovalle, David; Sellers, Frances (April 13, 2023). "Unpacking the flawed science cited in the Texas abortion pill ruling". The Washington Post. Archived from the original on April 13, 2023. Retrieved April 22, 2023.
  56. [56]
    de Vogue, Ariane (April 12, 2023). "'Unborn human': the anti-abortion rhetoric of Texas judge's ruling". CNN. Retrieved April 22, 2023.
  57. [57]
    Bartlett, Jessica (April 11, 2023). "Texas judge's rationale on abortion misses the truth". The Boston Globe. Archived from the original on April 11, 2023. Retrieved April 22, 2023.
  58. [58]
    Sneed, Tierney (April 8, 2023). "Rival rulings on medication abortion hypercharge the post-Roe legal war". CNN.
  59. [59]
    Belluck, Pam (April 7, 2023). "Judge Invalidates F.D.A. Approval of the Abortion Pill Mifepristone". The New York Times. Archived from the original on April 7, 2023.
  60. [60]
    VanSickle, Abbie; Belluck, Pam (April 8, 2023). "With Dueling Rulings, Abortion Pill Cases Appear Headed to the Supreme Court". The New York Times.
  61. [61]
    Gonzalez, Oriana (April 13, 2023). "Federal court rules 17 states, D.C. are not impacted by Texas abortion pill ruling". Axios.
  62. [62]
    Snead, Tierney (April 19, 2023). "Generic abortion pill maker GenBioPro sues FDA over its response to orders halting drug's approval". CNN. Retrieved April 21, 2023.
  63. [63]
    Hurley, Lawrence (March 12, 2024). "Federal courts make it harder to 'judge-shop' as was done in abortion pill case". NBC News. Retrieved April 7, 2024.
  64. [64]
    Millhiser, Ian (March 12, 2024). "Republicans will no longer get to handpick their judges when they sue Biden". Vox. Retrieved April 7, 2024.

Further reading

  • Unikowsky, Adam (2023). "Mifepristone and the rule of law". Substack. Legal analysis of the Texas District Court initial opinion (part II) and the Fifth Circuit's emergency stay opinion (part III and part IV).
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