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Axios
Axios
Health

Supreme Court seems unlikely to restrict access to abortion pill

The Supreme Court on Tuesday seemed unlikely to broadly restrict access to medication abortion in the court's biggest abortion-related case since overturning Roe v. Wade two years ago.

The big picture: The justices heard oral arguments in a challenge to mifepristone — one of the drugs used in medication-induced abortions, which account for about two-thirds of all abortions.


  • It wasn't clear from those arguments exactly how the court is likely to rule.
  • But multiple conservative justices took issue with parts of the case against mifepristone. There did not seem to be five justices who were inclined to hand down a broad ruling that would undercut the FDA's regulations of the drug.
  • Two conservatives would need to join with the court's three liberals to uphold the FDA's rules on mifepristone.

Catch up quick: The suit was filed by a group of doctors who object to abortion.

  • They're suing the FDA, challenging two specific sets of regulatory decisions that made the drug easier to access.

What they're saying: The federal government argued that these doctors didn't have the legal standing to bring this case.

  • They don't prescribe mifepristone, and they certainly don't take it. So they haven't suffered any real injury from the FDA's regulatory decisions, Solicitor General Elizabeth Prelogar argued.
  • The doctors say the injury is the time spent in the emergency room treating women who have taken mifepristone.

Driving the news: Several conservative justices either picked up on standing concerns or expressed skepticism about overturning the FDA's decisions.

  • "This case seems like a prime example of turning what could be a small lawsuit into a nationwide legislative assembly," Justice Neil Gorsuch said.
  • Justice Amy Coney Barrett questioned whether the physicians who brought this case had really suffered much of an injury, and suggested that re-enforcing their individual rights not to participate in providing an abortion might be enough to resolve this dispute.

A ruling is expected by June.

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