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       lite.cnn.com - on gopher - inofficial
       
       
       ARTICLE VIEW: 
       
       Conservative states kick off new fight to limit access to abortion pill
       mifepristone despite Supreme Court decision
       
       By John Fritze, CNN
       
       Updated: 
       
       6:18 PM EDT, Wed October 16, 2024
       
       Source: CNN
       
       Four months after the Supreme Court tossed out a high-profile challenge
       to the , and as abortion access is a major flashpoint in the
       presidential election, three conservative states are following through
       on a promise to bring the issue back to the forefront with a new
       lawsuit.
       
       The states – Missouri, Kansas and Idaho – filed an amended suit in
       a federal court in Texas asking US District Judge Matthew Kacsmaryk to
       rollback efforts the Food and Drug Administration has taken over the
       past eight years to ease access to the drug, such as allowing it to be
       dispensed through the mail.
       
       The suit may thrust the issue of mifepristone access back on track for
       Supreme Court review in the next presidential administration, once
       again threatening the widespread availability of the drug even in
       states where abortion is legal and at a time when roughly half of
       states have imposed severe restrictions on in-clinic abortions.
       
       “These dangerous drugs are now flooding states like Missouri and
       Idaho and sending women in these states to the emergency room,” the
       states argued in the new lawsuit.
       
       The claim that mifepristone is unsafe has been widely refuted by
       mainstream medical organizations. Medication abortions account for
       nearly two-thirds of all abortions in the US.
       
       The new lawsuit was filed Friday. In addition to the ability to
       dispense the drug through the mail, the states are also challenging the
       FDA’s approval of a generic version of the drug and the elimination
       of requirements for follow-up doctor visits and that prescribers be
       physicians.
       
       The new litigation has landed in a conservative federal courtroom as
       abortion has become a central issue in next month’s contest between
       former President Donald Trump and Vice President Kamala Harris. During
       the  in late June, Trump pointed to the Supreme Court’s ruling and
       said he agreed with it.
       
       “The Supreme Court just approved the abortion pill, and I agree with
       their decision to have done that and I will not block it,” Trump said
       at the time. But during a news conference later this summer, Trump 
       access to the drug. How the FDA regulates mifepristone impacts abortion
       access nationwide, including in states where abortion is legal.
       
       Harris has been more clear that she would support the FDA’s approval
       and subsequent actions to ease access to the drug. And she has
       repeatedly accused her opponent of planning to reduce access to the
       drug.
       
       “This ruling is not going to change the fact that Trump’s allies
       have a plan that if all else fails to eliminate medication abortion
       through executive action, so we must remain clear eyed about the
       threats to reproductive freedom in America and we must remain
       vigilant,” she  after the Supreme Court ruling this year – and
       before she became a presidential candidate.
       
       A final decision in the case could have wide ramifications at a time
       when the nation is still grappling with the fallout from the Supreme
       Court’s decision in 2022 to overturn Roe v. Wade, the 1973 case that
       established a constitutional right to abortion. The high court’s
       controversial ruling prompted many red states to impose bans or
       limitations on the procedure, which made access to abortion pills a
       target for conservatives and a key concern for reproductive rights
       groups.
       
       Fight over standing
       
       The attempt at a legal do-over is a result of the technical ruling the
       Supreme Court handed down earlier this year. A unanimous court ruled in
       June that the  who had filed the original lawsuit were not injured by
       the greater access to the drug the FDA’s changes allowed and so they
       did not have standing to sue.
       
       The states, which had intervened in an earlier stage of the case, were
       barred from doing so at the Supreme Court. They vowed at the time to
       amend the initial lawsuit and try again. It’s not at all clear if the
       states will even be allowed to bring the suit before Kacsmaryk, given
       that the Supreme Court reversed lower courts in the underlying case.
       
       Led by Missouri’s Attorney General Andrew Bailey, a Republican, the
       states claim they have standing to sue because the FDA’s actions
       facilitate violations of state abortion laws “by enabling an
       out-of-state abortion drug distribution network.” The states also
       claimed the FDA’s moves displaced state laws controlling abortions
       for girls in foster care.
       
       The states raised many of the same claims anti-abortion groups tried
       previously, including that sending the drugs through the mail violates
       a 150-year-old federal law that bans shipping contraceptives and lewd
       materials through the US Postal Service.
       
       The anti-abortion doctors and medical organizations who challenged the
       FDA rules initially sought to pull mifepristone off the market
       entirely. Kacsmaryk, a Trump appointee, previously moved to invalidate
       the FDA’s , a sweeping decision that would have removed the drug
       from the market entirely, though that ruling never took effect.
       
       The conservative 5th US Circuit Court of Appeals let stand the drug’s
       two-decade-old underlying approval. But the appeals court sided with
       the doctors who challenged subsequent decisions by the agency that
       expanded access to the drug, including the ability to dispense it
       through the mail. Those lower court rulings never went into effect
       because the Supreme Court intervened and ordered that the status quo
       remain in place until the justices reviewed the case.
       
       Justice Brett Kavanaugh, a Trump nominee, wrote for a unanimous Supreme
       Court in ruling against the anti-abortion groups.
       
       “We recognize that many citizens, including the plaintiff doctors
       here, have sincere concerns about and objections to others using
       mifepristone and obtaining abortions,” Kavanaugh wrote. “But
       citizens and doctors do not have standing to sue simply because others
       are allowed to engage in certain activities – at least without the
       plaintiffs demonstrating how they would be injured by the
       government’s alleged under-regulation of others.”
       
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