Case Timelines and Updates
March 22, 2024: Attorneys at Democracy Forward author an SMFM blog , "What's at Stake in the U.S. Supreme Court in FDA v. Alliance for Hippocratic Medicine?"December 13, 2023: The Supreme Court of the United States agrees to take up Alliance for Hippocratic Medicine v. U.S. Food and Drug Administration, a case concerning the FDA's approval of mifepristone.
September 8, 2023: In the case Danco Laboratories, LLC v. Alliance for Hippocratic Medicine et al. , Danco Laboratories petitioned the Supreme Court to reverse the 5th Circuit's ruling to restrict access to mifepristone.August 16, 2023: The 5th Circuit Court of Appeals dismissed a lower court’s ruling to
overturn mifepristone's original FDA approval but upheld the injunction
on the 2016 and 2021 changes that have increased access. However, until
the U.S. Supreme Court acts, no changes to the status of mifepristone
approval are expected. April 21, 2023 : The Supreme Court froze the lower
court’s ruling in full pending appeal. This means there will be no change in the access to
or availability of mifepristone in the short-term. April 19, 2023: Justice Alito issued a further administrative stay of Judge Kacsmaryk's mifepristone ruling until 11:59 pm ET on April 21, 2023 Separately, GenBioPro, the manufacturer of generic
mifepristone filed a legal challenge against the U.S. Food and Drug
Administration (FDA) in the Maryland federal district
court where the agency is headquartered, seeking to compel FDA to preserve
availability to mifepristone in accordance with the federal Food, Drug, and
Cosmetic Act, the agency’s own regulations, and protections provided
to companies by the fifth amendment of the United States Constitution. April 14, 2023: In Alliance for Hippocratic Medicine v. U.S. Food and Drug Administration ,
the Department of Justice filed an emergency application to the Supreme
Court requesting the justices pause parts of the Fifth Circuit's ruling
that reverted back to the 2016 approval and protocol for mifepristone.
This would allow mifepristone to remain available as is while the
government pursues an appeal. Later in the Day, Justice Alito issued an
administrative stay of Judge Kacsmaryk's ruling until 11:59pm ET on
April 19, 2023. SMFM joined partnering organizations in an amicus brief to the Supreme Court, supporting the Department of Justice's request to issue a complete stay of Judge Kacsmaryk's ruling. April 13, 2023: The Department of Justice announced they will be seeking emergency relief from the Supreme Court in Alliance for Hippocratic Medicine v. U.S. Food and Drug Administration . Together with ACOG, SMFM issued a public statement urging
the Supreme Court to reverse the Fifth Circuit's April 7, 2023,
decision in its entirety and restore access to mifepristone. April 12, 2023 : Late in the night, the Fifth Circuit both granted in part AND denied in part the defendants' motion to stay the district court's order in Alliance for Hippocratic Medicine v. U.S. Food and Drug Administration .
In a 2-1 vote, they ruled that the plaintiffs' challenge to the FDA's
approval in 2000 are not timely, as they are not within the six-year
statute of limitations. However, the Fifth Circuit also ruled the
plaintiffs' alternative argument regarding the FDA's actions in 2016 to
expand mifepristone's approval, as well as all subsequent changes, are
in fact timely. Pending additional appeals to the Supreme Court,
mifepristone's approval will revert back to the pre-2016 7-week
approval starting Saturday, April 15, while the full case is heard on
merits. April 10, 2023: The U.S. government appealed Judge Kacsmaryk's ruling to stay the FDA's approval of mifepristone in Alliance for Hippocratic Medicine v. U.S. Food and Drug Administration . After
filing with the Fifth Circuit Court of Appeals, the Department of
Justice, along with Danco Laboratories, requested a response by 12pm ET
on April 13. April 7, 2023: In Alliance for Hippocratic Medicine v. U.S. Food and Drug Administration, Judge Kacsmaryk partially granted the plaintiff's motion for preliminary injunction and stayed the FDA approval of mifepristone , siding with the coalition of anti-abortion advocates who challenged the FDA's authority to approve mifepristone. Shortly after this decision was released, Judge Thomas Rice also partially granted the Plaintiff's motion for a preliminary injunction in the case State of Washington et al. v. U.S. Food and Drug Administration et. al .,
requiring the FDA to maintain the status quo and not make any changes
that would restrict access to mifepristone in the plaintiff states. The
FDA is now under two contradictory court orders, though the Department
of Justice has already announced its plan to appeal Judge Kacsmaryk's
ruling. Learn more about the implications of these two conflicting rulings from our partners at KFF . February 23, 2023: 17 states and
Washington, D.C. filed a federal lawsuit in a Washington district court
challenging the FDA's Risk Evaluation and Mitigation Strategies
(REMS) restrictions on mifepristone. They also filed a motion for
preliminary injunction. November 18, 2022 : The Alliance
Defending Freedom (ADF), a conservative legal group, filed a federal
lawsuit on behalf of the Alliance for Hippocratic Medicine in a Texas
district court challenging the FDA's approval of mifepristone. They also
filed a motion for preliminary injunction to remove the approval while
the full case is heard. SMFM joined partnering organizations in an amicus brief detailing the safety and efficacy of mifepristone.
SMFM Advocacy for Mifepristone and Medication Abortion
March 22, 2024: Clinicians Urge the Supreme Court to Protect Access to Mifepristone January 30, 2024 : In the case Danco Laboratories, LLC v. Alliance for Hippocratic Medicine et al., SMFM joined partnering organizations in an amicus brief urging the Supreme Court to take up the challenge to the 5th Circuit Court decision to reimpose unnecessary restrictions on mifepristone.October 17, 2023: SMFM joined partnering organizations in an amicus brief urging the Supreme Court to preserve access to mifepristone in the case Danco Laboratories, LLC v. Alliance for Hippocratic Medicine et al. July 27, 2023: SMFM joined more than 100 organizations in a letter to Congressional leaders opposing efforts to restrict mifepristone access through the FY 2024 federal appropriations process.April 14, 2023: SMFM joined partnering organizations in an amicus brief to the Supreme Court in the case Alliance for Hippocratic Medicine v. U.S. Food and Drug Administration .
The brief supports the Department of Justice's request for the Supreme
Court to issue a complete stay of Judge Kacsmaryk's ruling. April 11, 2023: SMFM joined partnering organizations in an amicus brief to the U.S. 5th Circuit Court of Appeals in the case Alliance for Hippocratic Medicine v. U.S. Food and Drug Administration. The
brief supports the Department of Justice's request for the 5th Circuit
to put the District's Court ruling to stay the FDA's approval of
mifepristone on hold. March 24, 2023: SMFM joined partnering organizations in an amicus brief to the U.S. District Court for the Eastern District of Washington in the case of State of Washington et al. v. U.S. Food and Drug Administration et. al .,
which is challenging the FDA's Risk Evaluation and Mitigation
Strategies (REMS) restrictions
on mifepristone. This brief supports the plaintiff's position and
details that mifepristone is extremely safe and effective, and that the
REMS restrictions are medically unnecessary. March 6, 2023: SMFM joined our partners at SFP and ACOG in a letter urging the FDA to communicate their
plans to address interference with their approval of mifepristone and encouraging
them to preserve and enhance access to mifepristone. February 10, 2023: SMFM joined partnering organizations in an amicus brief to the U.S. District Court for the Northern District of Texas, Amarillo Division, in the case of Alliance for Hippocratic Medicine v. U.S. Food and Drug Administration ,
which is challenging the FDA's approval of mifepristone. The brief
supports the defendant's position and details that mifepristone is not
only safe and effective, but also a critical component to obstetric and
gynecological care. January 3, 2023 : The FDA took action
to permanently remove the in-person dispensing requirements for
mifepristone and add a new pharmacy certification process for retail
pharmacies to dispense the medication. October 4, 2022 : SMFM joined ACOG and 47 other organizations in filing a Citizen Petition asking the FDA to add miscarriage management as an indication for mifepristone. The FDA denied the petition on January 3, 2023. April 12, 2021 : In a letter to SMFM and ACOG, the FDA lifted the in-person dispending requirements for Mifepristone for the remainder of the COVID-19 public health emergency. SMFM wrote to the FDA to thank them for removing this barrier to care on May 7, 2021. March 1, 2021 : SMFM signed on to a letter to President Biden and Vice President Harris, urging that they lift the in-person dispensing requirement for mifepristone during the COVID-19 pandemic. February 12, 2021 : SMFM joined partnering organizations in an amicus brief urging the FDA to lift the in-person dispensing requirement for mifepristone during the COVID-19 pandemic. April 20, 2020 :
SMFM and ACOG wrote to the FDA urging them to expand its recent policy
to apply to the REMS and Elements to Assure Safe Use requirements for
certain drugs requiring in-person dispensation, especially mifepristone .