The facts
Mifepristone was approved by the FDA in 2000 and is now used in more than 60% of U.S. abortions, according to the Guttmacher Institute's 2023 data.
On July 24, 2026, a federal judge in Virginia struck down a Biden-era rule requiring special certification for doctors and pharmacies to prescribe mifepristone.
In June 2024, the U.S. Supreme Court unanimously rejected a challenge to the FDA's expanded access rules for mifepristone in FDA v. Alliance for Hippocratic Medicine.
The FDA in 2021 permanently lifted the in-person dispensing requirement, allowing mifepristone to be sent by mail after a telehealth visit.
Mifepristone has a serious adverse event rate of less than 0.32%, according to FDA safety data cited in the 2024 Supreme Court briefing.
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