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    Four States Ask F.D.A. to Lift Special Restrictions on Abortion Pill

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    The states consider it a move to force the F.D.A. to review and acknowledge extensive research showing the pill’s safety.In a strategy aimed at countering efforts to further restrict the abortion pill mifepristone, attorneys general of four states that support abortion rights on Thursday asked the Food and Drug Administration to do the opposite and lift the most stringent remaining restrictions on the pill.The petition filed by Massachusetts, New York, California and New Jersey might seem surprising given the opposition to abortion expressed by Trump administration officials. But the attorneys general consider it a move that would require the F.D.A. to acknowledge extensive scientific research that has consistently found mifepristone safe and effective, said an official with the Massachusetts attorney general’s office who worked on the filing and asked not to be named in order to share background information. It would also prevent the F.D.A. from changing mifepristone regulations while the petition is pending.The petition notes that at a May senate hearing, Robert F. Kennedy Jr., the health and human services secretary, responded to questions by Senator Josh Hawley, Republican of Missouri, who opposes abortion, by saying he had ordered the F.D.A. to do a “complete review” of mifepristone.“We want to make sure that when F.D.A. is making these decisions that they have all the data in front of them, all of the really powerful data that show that mifepristone is safe” the Massachusetts official said.The F.D.A. is required to respond within 180 days by granting or denying the request, or saying it needs more time. In its responses, the agency must document its position, which could be useful in lawsuits, including one that the four states could file if their petition is denied.Mifepristone, which blocks a hormone necessary for pregnancy development, was approved for abortion in America in 2000. The F.D.A. imposed an additional regulatory framework called Risk Evaluation and Mitigation Strategy, or REMS, on mifepristone. That framework has been used for only about 300 drugs, currently covering only about 60 medications.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Étienne-Émile Baulieu, Father of the Abortion Pill, Is Dead at 98

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      Étienne-Émile Baulieu, the French biochemist and physician who was often called the father of the abortion pill — and who was also known for his pioneering studies on the role of steroid hormones in human reproduction and aging — died on Friday at his home in Paris. He was 98.His wife, Simone Harari Baulieu, confirmed the death on social media.Dr. Baulieu’s early research focused on hormones, notably DHEA, one of the key hormones in the adrenal gland, as well as groundbreaking work on estrogen and progesterone. But it was his development in the early 1980s of the synthetic steroid RU-486, or mifepristone, that thrust him onto the public stage.Unlike the morning-after pill, which is used after sex to delay ovulation, RU-486 works as a kind of “anti-hormone,” in Dr. Baulieu’s words, by blocking the uterus from receiving progesterone, thereby preventing a fertilized egg from implanting.Taking the drug with misoprostol, a drug that causes uterine contractions, essentially triggers a miscarriage, enabling women to terminate early pregnancies without surgery.The two-dose treatment has been proved safe and highly effective — with a success rate of about 95 percent — and is commonly used in many countries; in the United States, medication abortions accounted for more than 50 percent of all abortions in 2020. After the 2022 Supreme Court decision overturning Roe v. Wade, demand for the pills surged, and abortion opponents began seeking ways to ban the drug nationwide.Controversy over RU-486 began as soon as its release in the 1980s. Dr. Baulieu developed the drug in partnership with the French drug company Roussel-Uclaf, where he was an independent consultant.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      New York Court Blocks Texas From Filing Summons Against Doctor Over Abortion Pills

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      The showdown catapults the interstate abortion wars to a new level.A New York state court on Thursday blocked Texas from filing a legal action against a New York doctor for prescribing and sending abortion pills to a Texas woman.The unprecedented move catapults the interstate abortion wars to a new level, setting the stage for a high-stakes legal battle between states that ban abortion and states that support abortion rights.The dispute is widely expected to reach the Supreme Court, pitting Texas, which has a near-total abortion ban, against New York, which has a shield law that is intended to protect abortion providers who send medications to patients in other states.New York is one of eight states that have enacted “telemedicine abortion shield laws” after the Supreme Court overturned the national right to an abortion in 2022. The laws prevent officials from extraditing abortion providers to other states or from responding to subpoenas and other legal actions — a stark departure from typical interstate practices of cooperating in such cases.The action by the New York court is the first time that an abortion shield law has been used.This case involves Dr. Margaret Daley Carpenter of New Paltz, N.Y., who works with telemedicine abortion organizations to provide abortion pills to patients across the country. In December, the Texas attorney general, Ken Paxton, sued Dr. Carpenter, who is not licensed in Texas, accusing her of sending abortion pills to a Texas woman, in violation of the state’s ban.Dr. Carpenter and her lawyers did not respond to the lawsuit and did not show up for a court hearing last month in Texas. Judge Bryan Gantt of Collin County District Court issued a default judgment, ordering Dr. Carpenter to pay a penalty of $113,000 and to stop sending abortion medication to Texas.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Wyoming’s Abortion Bans Are Unconstitutional, Judge Rules

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      The ruling found that two state laws — one barring use of abortion pills, and one banning all forms of abortion — violated the state Constitution’s “fundamental right to make health care decisions.” A Wyoming judge ruled on Monday that two state abortion bans — including the first state law specifically banning the use of pills for abortion — violated the Wyoming Constitution and could not be enforced.Judge Melissa Owens of Teton County District Court wrote in her ruling that both the ban on medication abortion and a broader ban against all methods of abortion “impede the fundamental right to make health care decisions for an entire class of people, pregnant women.” She added, “The abortion statutes suspend a woman’s right to make her own health care decisions during the entire term of a pregnancy and are not reasonable or necessary to protect the health and general welfare of the people.”Enforcement of the two abortion bans, passed last year, had been temporarily halted by Judge Owens while the court case proceeded. Her decision on Monday blocks the laws permanently, although the state is expected to appeal. Efforts to reach the state attorney general’s office and the governor’s office were unsuccessful on Monday night.The suit to block the bans was filed by a group of plaintiffs that included two abortion providers in Wyoming; an obstetrician-gynecologist who often treats high-risk pregnancies; an emergency-room nurse; a fund that gives financing to abortion patients; and a woman who said her Jewish faith required access to abortion if a pregnant woman’s physical or mental health or life was in danger.An amendment to the Wyoming Constitution, approved by an overwhelming majority of the state’s voters in 2012, guarantees adults the right to make their own health care decisions.In court last year, the state, represented by Jay Jerde, a special assistant attorney general for Wyoming, argued that even though doctors and other health providers must be involved in abortions, there were many instances in which abortion was not “health care” because “it’s not restoring the woman’s body from pain, physical disease or sickness.”Mr. Jerde also argued that the constitutional amendment allowing people to make decisions about their own health care did not apply to abortion because terminating a pregnancy affected not just the woman making the decision, but the fetus as well.Judge Owens rejected both of those arguments. She wrote: “The uncontested facts establish that the abortion statutes fail to accomplish any of the asserted interests by the state. The state did not present any evidence refuting or challenging the extensive medical testimony presented by the plaintiffs.”Dr. Giovannina Anthony, an obstetrician-gynecologist and abortion provider who was one of the plaintiffs in the case, said on Monday night that she was “grateful and relieved that the judge agreed that abortion is health care and that abortion bans violate the rights of pregnant women.”Dr. Anthony said she expected the state to appeal. “This is not the end of the fight in Wyoming, but for now we can continue to provide evidence-based care without fear of a prison sentence.” More

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      Texas Man Drops Suit Against Women Who Helped Ex-Wife Get Abortion Pills

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      The suit had accused the three women of wrongful death. It was part of a heated battle over the use of such pills in states with abortion bans.A Texas man has dropped his lawsuit against three women who helped his ex-wife obtain abortion pills, a case widely seen as designed to discourage private citizens from aiding women in using the pills in states where abortion is all but banned.The move on Thursday by the plaintiff, Marcus Silva, was part of a settlement with the defendants, Jackie Noyola, Amy Carpenter and Aracely Garcia. The exact details of the settlement were not made public, but they did not involve any financial terms, according to lawyers for both sides. Ms. Noyola and Ms. Carpenter also dropped counterclaims they had filed.Mr. Silva filed his suit shortly after the Supreme Court’s reversal of Roe v. Wade and one year after Texas essentially banned most abortions with a law that also deputized private individuals to sue anyone who “aids or abets” a woman seeking an abortion.One of Mr. Silva’s lawyers is Jonathan Mitchell, a former solicitor general of Texas. The architect of the state abortion ban, he is considered a pioneer in using private lawsuits to deter the procedure. Abortion rights groups accuse him of filing the suits to attract publicity and intimidate people.Elizabeth Myers, a lawyer for Ms. Noyola and Ms. Carpenter, said the fact that Mr. Mitchell and Mr. Silva did not want to move forward with the case was “very telling.”“They live on the creation of fear,” she said. “They need the fear to ultimately lead to something real and it didn’t.” We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      One Week That Revealed the Struggles of the Anti-Abortion Movement

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      The movement looks for a path forward: “Is the goal the absolute abolition of abortion in our nation?”The Southern Baptist Convention voted to condemn in vitro fertilization at its annual meeting in Indianapolis this week, over the objections of some members.Conservative lawyers pushing to sharply restrict medication abortion lost a major case at the Supreme Court, after pursuing a strategy that many of their allies thought was an overreach.Former president Donald J. Trump told Republicans in a closed-door meeting to stop talking about abortion bans limiting the procedure at certain numbers of weeks. In one chaotic week, the anti-abortion movement showed how major players are pulling in various directions and struggling to find a clear path forward two years after their victory of overturning Roe v. Wade.The divisions start at the most fundamental level of whether to even keep pushing to end abortion or to move on to other areas of reproductive health, like fertility treatments. A movement that once marched nearly in lock step finds itself mired in infighting and unable to settle on a basic agenda.In some cases, hard-liners are seizing the reins, rejecting the incremental strategy that made their movement successful in overturning Roe. Other abortion opponents are backing away, sensing the political volatility of the moment.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      What Is Mifepristone and How Is It Used?

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      Mifepristone is one of two drugs used in a medication abortion. It is combined with a second drug, misoprostol, to end a pregnancy.Mifepristone blocks a hormone called progesterone that is necessary for a pregnancy to continue. Misoprostol brings on uterine contractions, causing the body to expel the pregnancy as in a miscarriage.In U.S. studies, the combination of these pills causes a complete abortion in more than 99 percent of patients, and is as safe as an abortion procedure administered by a doctor in a clinic. A variety of research has found that medication abortion has low rates of adverse events, and a study published in The Lancet in 2022 found that patients are generally satisfied with it.Growing evidence from outside the United States suggests that abortion pills are safe even among women who do not have a doctor to advise them.While the only F.D.A.-approved method in the United States is to use both pills, misoprostol can also end a pregnancy when used alone, and its availability was not affected by the ruling on mifepristone. Misoprostol — which is around 80 percent effective on its own, although it sometimes has to be taken more than once — is also prescribed to treat ulcers, and is available over the counter in many countries, including Mexico.The Food and Drug Administration has approved medication abortion for up to 10 weeks of pregnancy, while World Health Organization guidelines say it can be used up to 12 weeks at home and after 12 weeks in a medical office. The vast majority of abortions occur before 12 weeks.More than half of people who get legal abortions in the United States — and three-quarters in Europe — use medication abortion. During the Covid-19 pandemic, it became more common because patients wanted to avoid going to clinics in person, and a change in federal regulation made it easier for them to get prescriptions via telemedicine and to fill them in a pharmacy.Since nearly two dozen states banned or restricted abortion following the Supreme Court’s Dobbs ruling, some women in those states have turned to mail-order abortion pills instead. Clinicians in several states have mailed pills into states with bans, protected by so-called shield laws. And foreign nonprofit groups and entrepreneurs have shipped some women pills from overseas.The court’s decision does not influence the availability of the overseas pills, which operate outside the bounds of the legal U.S. health care system. More

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      Abortion Pills May Become Controlled Substances in Louisiana

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      A bill that is expected to pass would impose prison time and thousands of dollars in fines on people possessing the pills without a prescription.Louisiana could become the first state to classify abortion pills as dangerous controlled substances, making possession of the pills without a prescription a crime subject to jail time and fines.A bill that would designate the abortion pills mifepristone and misoprostol as Schedule IV drugs — a category of medicines with the potential for abuse or dependence — passed the state’s Republican-controlled House of Representatives on Tuesday by a vote of 63 to 29. Should the Senate follow suit, Gov. Jeff Landry, a Republican and a vocal opponent of abortion, is likely to sign the legislation into law.The measure — which would put abortion pills in the same category as Xanax, Ambien and Valium — contradicts the way the federal government classifies mifepristone and misoprostol. The federal Food and Drug Administration does not consider abortion pills to be drugs with the potential for dependence or abuse, and decades of medical studies have found both to be overwhelmingly safe.Under the legislation, possession of mifepristone or misoprostol without a prescription in Louisiana could be punishable with thousands of dollars in fines and up to five years in jail. Pregnant women would be exempt from those penalties; most abortion bans and restrictions do not punish pregnant women because most voters oppose doing so.“These drugs are increasingly being shipped from outside our state and country to women and girls in our state,” Attorney General Liz Murrill, a Republican, said in a statement on social media. “This legislation does NOT prohibit these drugs from being prescribed and dispensed in Louisiana for legal and legitimate reasons.”Louisiana already bans most abortions, except when women’s lives or health are in danger or fetuses have some fatal conditions. As a result, abortion rights advocates and legal scholars said that in practice, the measure might not prevent many abortions among Louisiana women. Since the state imposed its strict abortion ban after the Supreme Court overturned Roe v. Wade, many patients have traveled to states where abortion is legal or have obtained pills under shield laws from doctors or nurses in other states who prescribe and mail the medications to Louisiana. Such circumstances would not be affected by the new bill, experts say.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Woman Who Was Charged With Murder After Abortion Sues Texas Prosecutor

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      Lizelle Gonzalez was arrested after using an abortion pill in 2022, and her charge was since dropped. Now she is seeking $1 million in damages. A woman in Texas who was falsely charged with murder over a self-induced abortion in 2022 has filed a lawsuit against the local prosecutor’s office and its leaders, seeking more than $1 million in damages. Lizelle Gonzalez was arrested in April 2022 in Starr County, near the southeastern border with Mexico, and charged with murder after using the drug misoprostol to self-induce an abortion, 19 weeks into her pregnancy. She spent two nights in jail before the charge was dropped. Self-induced abortions can refer to those performed outside of professional medical care, including the use of abortion pills. Under Texas law at the time, abortions after six weeks were illegal, but pregnant women are exempt from criminal prosecution. (Health care professionals who provide abortion procedures and medication, and others who help someone get an abortion, can still be liable.) Ms. Gonzalez, who was known as Lizelle Herrera and 26 at the time of her arrest, filed a complaint on Thursday against Starr County, along with its district attorney, Gocha Ramirez, and assistant district attorney, Alexandria Lynn Barrera. She argues that the arrest and charge resulted in her suffering reputational harm and distress, and seeks to “vindicate her rights but also to hold accountable the government officials who violated them,” according to her lawsuit.Ms. Gonzalez and her lawyers were not immediately available for comment on Saturday.Mr. Ramirez and Ms. Barrera also did not immediately respond to requests for comment on the lawsuit. A month ago, the state bar of Texas found that Mr. Ramirez had unlawfully prosecuted Ms. Gonzalez without probable cause and fined him $1,250. His law license will also be held in probated suspension for a year, which means he must comply with specific requirements but can practice law during that time. That period starts April 1. According to the complaint, Ms. Gonzalez took the abortion medication in January 2022 and went to the hospital for an examination. Doctors found a positive heartbeat for the baby and no contractions, so she was discharged the next day. But later that day, she returned to the hospital with complaints of vaginal bleeding, and doctors performed a C-section to deliver a stillborn child.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More