{"id":651,"date":"2026-05-09T23:23:03","date_gmt":"2026-05-09T23:23:03","guid":{"rendered":"https:\/\/uscnews.org\/?p=651"},"modified":"2026-05-09T23:23:03","modified_gmt":"2026-05-09T23:23:03","slug":"supreme-court-restores-access-to-abortion-pill-mifepristone-through-telehealth-mail-and-pharmacies","status":"publish","type":"post","link":"https:\/\/uscnews.org\/?p=651","title":{"rendered":"Supreme Court restores access to abortion pill mifepristone through telehealth, mail and pharmacies"},"content":{"rendered":"<p><img decoding=\"async\" src=\"https:\/\/dims.apnews.com\/dims4\/default\/409c7c9\/2147483647\/strip\/true\/crop\/8251x5498+0+2\/resize\/980x653!\/quality\/90\/?url=https%3A%2F%2Fassets.apnews.com%2F8e%2Fa6%2Fe35a9d28b243dc4c4b987ab6eb34%2F9b818d1aa7d14113b4376498db91ca9c\" width=\"100%\" \/><small>Mifepristone tablets sit on a table at a Planned Parenthood clinic in Ames, Iowa, July 18, 2024. (AP Photo\/Charlie Neibergall, File)<\/small><\/p>\n<p>2026-05-04T14:54:00Z<\/p>\n<p>WASHINGTON (AP) \u2014 <span><a data-gtm-enhancement-style=\"LinkEnhancementA\" href=\"https:\/\/apnews.com\/hub\/us-supreme-court\">The Supreme Court<\/a><\/span> on Monday restored broad access to the abortion pill mifepristone, blocking a lower-court ruling that had threatened to upend one of the main ways abortions are provided across the nation.<\/p>\n<p>The order signed by Justice Samuel Alito temporarily allows women seeking abortions to obtain the pill at pharmacies or through the mail, without an in-person visit to a doctor.<\/p>\n<p>Those practices had been permitted for several years until <span><a data-gtm-enhancement-style=\"LinkEnhancementA\" href=\"https:\/\/apnews.com\/article\/abortion-pills-mail-louisiana-ruling-40d60a9bf6212480e527480757b603c3\">a federal appeals court imposed new restrictions<\/a><\/span> last week.<\/p>\n<p>    <a><\/a><\/p>\n<p>The latest order will remain in effect for another week while both sides respond and the high court considers the issue more fully.<\/p>\n<h2>Most abortions use pills rather than procedures<\/h2>\n<p>The majority of abortions in the U.S. are obtained through medications. Some Democratic-led states have laws that seek to give legal protection to those who prescribe the drugs via telehealth to patients in states with bans.<\/p>\n<p>Those prescriptions have blunted the impact of abortion bans that most Republican-led states have sought to enforce since the 2022 Supreme Court ruling that overturned Roe v. Wade. <span><a data-gtm-enhancement-style=\"LinkEnhancementA\" href=\"https:\/\/apnews.com\/article\/abortion-states-roe-mifepristone-ban-wyoming-6f5eb4c3c63aeca189551e09c3b67843\">One recent report<\/a><\/span> suggested that in the 13 states where abortion is banned at all stages of pregnancy, more women obtained abortions with pills prescribed by telehealth last year than by traveling to other states.<\/p>\n<p>Louisiana sued to roll back the Food and Drug Administration\u2019s rules on how mifepristone can be prescribed, asserting that the policy undermines the ban there. The case also questioned the safety of the drug, which was approved 25 years ago and has repeatedly been deemed safe and effective by FDA scientists.<\/p>\n<p>That lawsuit is the furthest along of <span><a data-gtm-enhancement-style=\"LinkEnhancementA\" href=\"https:\/\/apnews.com\/article\/abortion-pills-lawsuit-texas-new-york-carpenter-e1d6d561c098084258575fb9f647ac1b\">several efforts by abortion opponents<\/a><\/span> to curtail access to mifepristone.<\/p>\n<p>    <a><\/a><\/p>\n<p>    <!-- AP \"Read More\" embed (place mid-article) --><\/p>\n<p>  <button type=\"button\" aria-expanded=\"false\"><br \/>\n    Read More <span aria-hidden=\"true\"><\/span><br \/>\n  <\/button><\/p>\n<h2>Restrictions would not end telehealth abortions<\/h2>\n<p>Mifepristone is usually taken with a second drug, misoprostol, for abortions. According to the FDA label on mifepristone, the combination completes medical abortion 97.4% of the time.<\/p>\n<p>Misoprostol can also be used alone for terminating pregnancies, with some studies putting its effectiveness at around 80% or higher.<\/p>\n<p>In countries where mifepristone is banned or unavailable, misoprostol is frequently used alone.<\/p>\n<p>Unlike mifepristone, misoprostol has never been formally approved by the FDA for abortion. The drug is most commonly used to treat stomach ulcers, but it has been adapted by doctors for use in medication abortions. Because the FDA never cleared the drug for ending pregnancies, it has faced far less scrutiny from anti-abortion groups.<\/p>\n<p>Several groups that prescribe abortion pills by telehealth made the switch over the weekend to misoprostol only, a regimen that can cause longer-lasting side effects.<\/p>\n<p>Dr. Angel Foster, founder of The Massachusetts Abortion Access Project, said her organization was prepared to send misoprostol only on Monday afternoon but was able to switch back to the two-drug combination.<\/p>\n<p>\u201cRegardless of what happens with this regulatory issue, we and other groups will continue to provide high-quality abortion care to patients in all 50 states,\u201d she said.<\/p>\n<h2>Rapid rulings have created confusion<\/h2>\n<p>Foster said her organization spent the weekend guiding different groups of patients: those who were sent mifepristone but had not received it yet; those who had been approved for the drugs but had not paid or been sent them; and those who reached out with initial requests.<\/p>\n<p>For now, she said, they are asking patients to approve being sent pills with or without mifepristone \u2014 in case of another change.<\/p>\n<p>Monday\u2019s ruling offers more time to figure out a course of action in case mifepristone prescriptions are curtailed again.<\/p>\n<p>\u201cWe have a little bit more time to navigate this new landscape with the stay,\u201d said Julie Burkhart, the founder of Wellspring Health Access, a Wyoming abortion clinic that provides roughly 100 abortions a year through pills prescribed by telehealth.<\/p>\n<p>Elizabeth Ling, associate director of legal services at If\/When\/How, which provides legal guidance for people considering abortion, said that wherever the legal battle goes next, there\u2019s one thing women need to understand: \u201cThe outcome is not going to make it a crime for people to access care.\u201d<\/p>\n<p>None of the state laws currently include any punishment for women who obtain abortions.<\/p>\n<h2>The court fight continues<\/h2>\n<p>Anti-abortion groups vowed to continue the legal battle.<\/p>\n<p>Monday\u2019s ruling \u201cis a temporary procedural step that leaves unresolved the very real concerns about the safety of these drugs and the decision under the Biden administration\u2019s FDA to recklessly remove longstanding safeguards,\u201d Carol Tobias, president of National Right to Life, said in a statement.<\/p>\n<p>Louisiana Attorney General Liz Murrill, who filed the lawsuit against the FDA along with a woman who says her boyfriend coerced her into taking abortion pills to end a pregnancy, criticized drug companies for their role in the case.<\/p>\n<p>\u201cBig abortion pharma claims they need an emergency stay because they will lose massive amounts of money if they can\u2019t kill more babies quickly and efficiently by mail without medical oversight,\u201d Murrill said in a statement. \u201cThe administrative stay is temporary, and I am confident life and the law will win in the end.\u201d<\/p>\n<p>___<\/p>\n<p>Mulvihill reported from Haddonfield, New Jersey. Associated Press Writer Matthew Perrone contributed to this article.<\/p>\n<p>___<\/p>\n<p>A previous version of this story had a typo in a quote from Dr. Angel Foster.<\/p>\n<p>___<\/p>\n<p>Follow the AP\u2019s coverage of the U.S. Supreme Court at <span><a data-gtm-enhancement-style=\"LinkEnhancementA\" href=\"https:\/\/apnews.com\/hub\/us-supreme-court\">https:\/\/apnews.com\/hub\/us-supreme-court<\/a><\/span>.<\/p>\n<p>        <a href=\"https:\/\/apnews.com\/author\/mark-sherman\"><\/a><\/p>\n<p><img decoding=\"async\" alt=\"MARK SHERMAN\" width=\"100\" height=\"100\" src=\"https:\/\/dims.apnews.com\/dims4\/default\/6cff201\/2147483647\/strip\/true\/crop\/3057x3057+441+0\/resize\/100x100!\/quality\/90\/?url=https%3A%2F%2Fassets.apnews.com%2Fff%2Fde%2F00e86ca64843a74f1b1f1f967020%2Fhi-res-02-mark-sherman.jpg\" loading=\"lazy\" \/><\/p>\n<p>        <\/p>\n<p>                <a href=\"https:\/\/apnews.com\/author\/mark-sherman\">MARK SHERMAN<\/a><\/p>\n<p>                Sherman has covered the Supreme Court for The Associated Press since 2006. His journalism career spans five decades. He is based in Washington, D.C., and previously lived in New York, Paris and Atlanta.<\/p>\n<p>                        <a rel=\"noreferrer\" href=\"https:\/\/twitter.com\/shermancourt\" target=\"_blank\" data-social-service=\"twitter\"><\/a><\/p>\n<p>        <svg><\/svg><\/p>\n<p>        <\/p>\n<p>    <span><br \/>\n        twitter<br \/>\n    <\/span><br \/>\n<\/p>\n<p>                        <a rel=\"noreferrer\" href=\"https:\/\/apnews.com\/cdn-cgi\/l\/email-protection#48253b202d3a25292608293866273a2f\" target=\"_blank\" data-social-service=\"mailto\"><\/a><\/p>\n<p>        <svg><\/svg><\/p>\n<p>        <\/p>\n<p>    <span><br \/>\n        mailto<br \/>\n    <\/span><br \/>\n<\/p>\n<p>        <a href=\"https:\/\/apnews.com\/author\/geoff-mulvihill\"><\/a><\/p>\n<p><img decoding=\"async\" alt=\"GEOFF MULVIHILL\" width=\"100\" height=\"100\" src=\"https:\/\/dims.apnews.com\/dims4\/default\/d7937f4\/2147483647\/strip\/true\/crop\/1158x1158+0+216\/resize\/100x100!\/quality\/90\/?url=https%3A%2F%2Fassets.apnews.com%2F23%2F48%2F51b9c6e34084b0eb9c667e70d921%2Fimg-6793-geoff-mulvihill.jpg\" loading=\"lazy\" \/><\/p>\n<p>        <\/p>\n<p>                <a href=\"https:\/\/apnews.com\/author\/geoff-mulvihill\">GEOFF MULVIHILL<\/a><\/p>\n<p>                Mulvihill covers topics on the agendas of state governments across the country. He has focused on abortion, gender issues and opioid litigation.<\/p>\n<p>                        <a rel=\"noreferrer\" href=\"https:\/\/twitter.com\/geoffmulvihill\" target=\"_blank\" data-social-service=\"twitter\"><\/a><\/p>\n<p>        <svg><\/svg><\/p>\n<p>        <\/p>\n<p>    <span><br \/>\n        twitter<br \/>\n    <\/span><br \/>\n<\/p>\n<p>                        <a rel=\"noreferrer\" href=\"https:\/\/apnews.com\/cdn-cgi\/l\/email-protection#91f6fce4fde7f8f9f8fdfdd1f0e1bffee3f6\" target=\"_blank\" data-social-service=\"mailto\"><\/a><\/p>\n<p>        <svg><\/svg><\/p>\n<p>        <\/p>\n<p>    <span><br \/>\n        mailto<br \/>\n    <\/span><br \/>\n<\/p>\n<p><\/p>\n<hr \/>\n<div>\u83b7\u53d6\u66f4\u591aRSS\uff1a<br \/><a href=\"https:\/\/feedx.net\/\" target=\"_blank\">https:\/\/feedx.net<\/a> <br \/><a href=\"https:\/\/feedx.site\/\" target=\"_blank\">https:\/\/feedx.site<\/a><\/div>","protected":false},"excerpt":{"rendered":"<p>Mifepristone tablets sit on a table at a Planned Parenthood clinic in Ames, Iowa, July 18, 2024. (AP Photo\/Charlie Neibergall, File) 2026-05-04T14:54:00Z WASHINGTON (AP) \u2014 The Supreme Court on Monday restored broad access to the abortion pill mifepristone, blocking a lower-court ruling that had threatened to upend one of the main ways abortions are provided&hellip;&nbsp;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","neve_meta_reading_time":"","_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-651","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/uscnews.org\/index.php?rest_route=\/wp\/v2\/posts\/651","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/uscnews.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/uscnews.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/uscnews.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/uscnews.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=651"}],"version-history":[{"count":0,"href":"https:\/\/uscnews.org\/index.php?rest_route=\/wp\/v2\/posts\/651\/revisions"}],"wp:attachment":[{"href":"https:\/\/uscnews.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=651"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/uscnews.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=651"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/uscnews.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=651"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}