In this photo illustration, packages of Mifepristone tablets are displayed at a family planning clinic on April 13, 2023 in Rockville, Maryland. A Massachusetts appeals court temporarily blocked a Texas-based federal judge’s ruling that suspended the FDA’s approval of the abortion drug Mifepristone, which is part of a two-drug regimen to induce an abortion in the first trimester of pregnancy in combination with the drug Misoprostol. (Photo illustration by Anna Moneymaker | Getty Images)
A federal judge in Virginia will likely stay – or pause – a case regarding medical providers and mifepristone, a drug commonly used as part of chemical abortions, because of similar challenges in Texas and Washington.
Groups from Virginia, Montana and Kansas had filed the suit in the Charlottesville division of Virginia and asked Judge Robert S. Ballou to order the Food and Drug Administration to drop requirements of reporting adverse effects of the drug as well as limiting which providers can prescribe it. The plaintiffs, a group of women’s health providers and clinics, had said an April ruling by a federal judge in Texas would have curtailed their ability to prescribe the drug via telehealth.
However, Ballou pointed out that the Texas case, as well as a different one in Washington state, focus on the FDA, mifepristone and what prescription guidelines should be in place. Those issues are winding their way through other federal courts and will likely land at the U.S. Supreme Court. Ballou said for those reasons, and because most of the legal actions surrounding medical providers’ ability to prescribe mifepristone have been temporarily paused because of the ongoing court action, it was in the best interest to wait or pause the Virginia case until the matter was decided, possibly by the nation’s highest court.
Originally, medical providers pointed to the remarkable track record of safety for the drug, noting that its risk of death was much smaller than some over-the-counter medications, including ibuprofen. However, the organizations bristled at more restrictions being implemented by the FDA without corresponding scientific data. They said that the additional measures were burdensome and limited healthcare for women who were considering an abortion.
“Plaintiffs have offered no evidence that FDA intends to take action to change any of mifepristone’s (tracking and prescribing requirements) or to restrict the access of the drug in Virginia, Kansas or Montana,” Ballou said in a memorandum opinion. “Indeed the FDA has been enjoined from changing (them) at this time in 17 states and the District of Columbia by the Washington court. “
Ballou did point out, though, that the issue may again become ready to litigate in court after a decision by the Supreme Court or an appeals court.
“I agree that the outcome of the (Texas) case could have an impact on plaintiffs, but it is neither necessary nor appropriate to issue a preliminary injunction in anticipation or because of a ruling from another court,” Ballou said.
He ordered all parties to set up a conference to make sure the record in the court case is complete before issuing any final order.
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