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 Supreme Court is addressing challenges to medication abortion rules.

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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 Supreme Court is set to issue rulings in nearly two dozen cases over the next few weeks, including several high-stakes matters involving immigration and presidential authority.

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The Supreme Court is preparing to issue major rulings in the coming weeks on issues including birthright citizenship and executive power.

The Department of Justice failed to secure a stay of a lower court order blocking its policy requiring advance notice for visits to immigration detention facilities. The unanimous ruling from the D.C. Circuit came on Friday after judges found the government had not demonstrated sufficient harm from unannounced congressional oversight. U.S. Circuit Judge Neomi Rao, in a concurring opinion, agreed that the administration fell short despite her view that the government is likely to prevail on appeal.

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