Supreme court allows mail orders of abortion pill to continue

The U.S. Supreme Court on Thursday issued an emergency order permitting the mail distribution of the abortion drug mifepristone to continue nationwide. The unsigned ruling temporarily blocked a federal appeals court decision that had struck down a Biden-era policy allowing online prescriptions and shipments.

The order provided no legal explanation. Justices Samuel Alito and Clarence Thomas dissented, with Alito writing that the decision perpetuates a scheme undermining the Dobbs ruling and Thomas describing the mail system as a criminal enterprise from which applicants cannot claim harm based on lost profits.

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Dramatic courtroom scene of Fifth Circuit judges issuing nationwide block on telehealth mifepristone prescribing and mailing.
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Fifth Circuit temporarily blocks telehealth prescribing and mailing of mifepristone nationwide

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A unanimous three-judge panel of the U.S. Court of Appeals for the Fifth Circuit on Friday issued a temporary nationwide order that freezes federal rules allowing mifepristone to be prescribed via telemedicine and sent by mail, siding with Louisiana in a lawsuit challenging the FDA’s 2023 changes.

The U.S. Department of Justice filed a motion on Friday to halt or dismiss a lawsuit by Missouri and other Republican-led states challenging the FDA's policy allowing mifepristone to be shipped through the mail. The filing argues that proceeding with the case would interfere with an ongoing FDA safety review of the drug initiated by the Trump administration. Pro-life advocates have criticized the move, urging stricter regulations on medication abortion.

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A study published April 6, 2026, in JAMA Internal Medicine found that people seeking medication abortion often reached the same eligibility conclusions as clinicians when using prototype “over-the-counter-style” packaging and a drug facts label. Researchers and outside experts said the results add to evidence that self-screening could work, though any move to over-the-counter sales would face major regulatory and political hurdles.

The U.S. Supreme Court issued an order on Monday allowing its April 29 decision in Louisiana v. Callais to take immediate effect, bypassing the usual 32-day waiting period. This enables Louisiana to cancel its congressional primaries and redraw maps before the 2026 midterms. The move sparked a sharp exchange between Justice Samuel Alito's concurrence and Justice Ketanji Brown Jackson's dissent.

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A new bill in Tennessee proposes treating abortion as murder under state law, extending equal protection rights to unborn children. Sponsored by Rep. Jody Barrett and Sen. Mark Pody, the legislation aims to address the influx of abortion pills into the state. It would criminalize involvement by anyone, including the woman seeking the procedure.

The Supreme Court has denied Vice President Sara Duterte's request for a temporary restraining order to halt impeachment proceedings against her. The court consolidated the petitions and ordered the House Committee on Justice to comment within 10 days. Hearings will proceed on April 14 without the TRO.

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The US Supreme Court heard oral arguments on March 23 in Watson v. Republican National Committee, weighing whether states can count mail-in ballots postmarked by Election Day but received later. The case challenges a Mississippi law allowing a five-day grace period, with similar rules in over 30 states. Conservative justices expressed concerns over fraud risks, while liberals defended state authority.

 

 

 

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