Mifepristone: Joe Biden to fight judge’s ruling to halt approval of major abortion pill
US approval of the abortion medication mifepristone has been revoked, in a decision that could further disrupt reproductive healthcare for millions of people.
District Judge Matthew J Kacsmaryk, a Trump administration appointee in Amarillo, Texas, signed an injunction directing the Food and Drug Administration (FDA) to halt its approval while a lawsuit challenging its safety continues.
He sided, in part, with a conservative Christian group, Alliance Defending Freedom, who brought a lawsuit alleging the drug was not being regulated properly.
He did not go as far as the plaintiffs wanted, but he put a “stay” or hold on approval of the drug.
The judge’s decision does not come into effect for seven days. Meanwhile, the Department of Justice has announced it will appeal the ruling.
In a statement, President Joe Biden said: “My Administration will fight this ruling…
“Let’s be clear – the only way to stop those who are committed to taking away women’s rights and freedoms in every state is to elect a Congress who will pass a law restoring Roe versus Wade.
“Vice President Harris and I will continue to lead the fight to protect a woman’s right to an abortion, and to make her own decisions about her own health.”
Mifepristone blocks the hormone needed to maintain a pregnancy and has been approved in the US since 2000 for medical abortion and miscarriage management.
It is used safely in more than 60 countries worldwide and when taken together with the drug misoprostol, accounts for more than half of abortions in America.
Some abortion providers have said they will wait for guidance from the FDA before implementing the ban on mifepristone.
In a separate ruling in Washington state on Friday night, a judge said the FDA must keep medication abortion drugs available in at least 12 liberal states, creating a legal stand-off on the drug, which is likely to escalate to the Supreme Court.
‘Ludicrous’ to question drug ‘safer than ibuprofen’
The American College of Obstetricians and Gynaecologists say the Texas lawsuit disregards “decades of data” that support the efficacy of mifepristone, and is “exacerbating the current abortion care crisis in the US”.
Dr Razel Remen, an abortion provider in Michigan, told Sky News: “Mifepristone is literally one of the safest medications on the market – safer than ibuprofen, safer than Tylenol.
“People are more likely to have an adverse event happen to them driving in their car, or going through childbirth… The fact that it’s even being put into question is absolutely ludicrous.”
Angel, who is 24 and lives in Texas, had an abortion using the drug in February.
She was already a mother of three, and decided to terminate her recent pregnancy because she did not want any more children.
Angel says this attempted ban on mifepristone is “another attack on a woman’s right to choose”.
“You can do it at home… it’s convenient, it’s easy, it’s safe… I just don’t understand how something could be right for so many years. And then one day, all of a sudden, be wrong.”
Pills have become the new frontier in the battle for abortion access since the Supreme Court overturned Roe v Wade – the constitutional right to abortion – last June.
Many people trying to access abortion in severely restricted states are ordering pills in the post, or travelling across state lines to pick them up.
As abortion clinics have already been shuttered in Texas, Angel had to acquire the pills through underground methods.
“It’s nearly impossible to get an abortion here,” she said. “You can’t go to the pharmacy. You can’t go to a Planned Parenthood. No clinics… nothing… If you find it, it’s like a blessing.”
Read more:
Could abortion really be banned in the UK?
What’s changed since Roe v Wade was overturned?
‘Outrageous injustice’
Now, with mifepristone access in jeopardy, pro-choice campaigners fear that getting an abortion in America has become even harder to navigate.
“What’s clear is that we need all forms of abortion in this country, and we need them all to be legal,” Elisa Wells, co-founder of the organisation Plan C, tells us.
Her organisation provides information and support to women searching for abortion access in every state.
“This injustice is being done by manipulating the court system to try and ban this medication… It’s really outrageous,” Ms Wells said.
“We are a modern democracy, and we need access to basic medical care in every part of our country, legally and without restriction – and that includes abortion.”
There are alternatives to mifepristone for those still trying to access medical abortion.
Some doctors have been anticipating the ruling, and plan to move to a misoprostol-only option. They say that method is still safe, but it has the potential for more side effects and increased discomfort.
This decision marks yet another controversial legal battle over abortion access in America, which has the potential to wind up back in the Supreme Court.
World
Bodies of two more Israeli hostages handed over by Hamas – but uncertainty over missing remains
The bodies of two more Israeli hostages have been handed over to the Red Cross by Hamas – but uncertainty still hangs over the fate of the missing remains of others.
Under the ceasefire agreement, all remaining 48 hostages, dead and alive, were supposed to be returned by this Monday.
So far, only the 20 living hostages have been returned, as well as seven dead hostages, according to Israel’s count, with two further bodies still being verified.
Just hours after today’s handover, the Israeli military said a tenth body previously turned over was not that of a hostage – and the confusion added to tensions over the fragile truce that has paused the two-year war.
What has Hamas said?
Hamas has previously said recovering the remaining bodies could take time, as not all burial sites are known.
Its armed wing put out a statement on Wednesday, saying it has returned all the bodies it could reasonably recover, but would require special equipment to hand over the remaining ones.
Meanwhile, the Gaza Health Ministry said it received 45 more bodies of Palestinians from Israel, another step in the implementation of the ceasefire agreement.
Red Cross vehicles escort a truck transporting the bodies of Palestinian hostages. Pic: Reuters.
That brings to 90 the total number of bodies returned to Gaza for burial. The forensics team examining the remains claimed they showed signs of mistreatment.
Trump issues warning
The return of all the hostages is a key pillar of the deal agreed to by Israel and Hamas, heralded by US President Donald Trump as having brought “peace in the Middle East”.
Israel – which has freed around 2,000 Palestinian prisoners and detainees as part of the peace deal – had already threatened to keep the Rafah crossing between Gaza and Egypt closed on Wednesday, and limit aid entering Gaza, due to Hamas not returning all of the dead.
And in an interview with CNN on Wednesday, Mr Trump warned that Israel could resume the war if he feels Hamas is not upholding its end of the agreement.
“Israel will return to those streets as soon as I say the word,” he said.
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Trump: ‘If Hamas doesn’t disarm, we will disarm them’
From our experts:
Will Trump stay the course over Gaza?
Analysis: There is a catch to Trump’s Gaza peace deal
Since the October 7 Hamas attacks on Israel in 2023 – in which around 1,200 people were killed and 251 taken hostage – the two sides have been at war.
Nearly 68,000 Palestinians have been killed since Israel’s subsequent offensive, according to the Health Ministry, which is part of the Hamas-run government in Gaza.
The ministry maintains detailed casualty records that are seen as generally reliable by UN agencies and independent experts – though the ministry does not say how many of those killed are combatants.
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Middle East correspondent Adam Parsons explains why tensions may begin to bubble
Similar incident in previous ceasefire
This is not the first time Hamas has returned a wrong body to Israel.
During a previous ceasefire, the group said it handed over the bodies of Shiri Bibas and her two sons, but testing in February 2025 showed that one of the bodies returned was identified as a Palestinian woman. Ms Bibas’ body was returned a day later.
Meanwhile, Hamas spokesperson Hazem Kassem accused Israel of violating the deal with shootings on Tuesday in eastern Gaza City and the southern city of Rafah.
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Israel’s defence minister, Israel Katz, said the military is operating along the deployment lines troops withdrew to under the deal, and he warned that anyone approaching the lines will be targeted, as happened on Tuesday with several militants.
Aid trickling in
The World Food Programme said its trucks began arriving in Gaza after the entrance of humanitarian aid was paused for two days due to the exchange on Monday and a Jewish holiday on Tuesday.
The timing of the scaled-up deliveries – which are also part of the ceasefire deal – had been called into question after Israel said on Tuesday that it would cut the number of trucks allowed into Gaza, saying Hamas was too slow to return the hostages’ bodies.
Trucks carrying humanitarian aid and fuel enter Khan Yunis, a city in the southern Gaza Strip. Pic: AP
Abeer Etefa, spokesperson for the World Food Programme, lauded the trucks’ passage but said the situation remained unpredictable.
“We’re hopeful that access will improve in the coming days,” she said.
The Egyptian Red Crescent said 400 trucks carrying food, fuel and medical supplies were bound for Gaza on Wednesday.
Fifteen UK charities have launched a fresh appeal for donations to Gaza to address “catastrophic levels of need” in the devastated region.
The charities make up the Disasters Emergency Committee (DEC), which has been raising millions for Gaza – where tens of thousands have been killed over the past two years of war – and the wider Middle East.
After the initial stage of a much-sought ceasefire deal aimed at ending the conflict in Gaza was agreed on by Israel and Hamas, aid has begun to trickle into the devastated region again.
According to the DEC, its charities and local partners have been scaling up their work in the Gaza Strip since the agreement took effect last week.
Palestinians walk past the rubble of destroyed buildings in Gaza City. Pic: Reuters
It said lorries carrying food and other aid began to enter Gaza on Sunday, with the British Red Cross and Plan International UK among those confirming supplies had made it in.
After raising more than £50m since the Middle East Humanitarian Appeal was launched last October, the DEC is renewing calls for donations, saying £10 could provide blankets for two people, while £50 could provide emergency food for five families for one week.
Read more:
Trump warned plan for Gaza ‘doesn’t make sense’
Israel says no match for body handed over by Hamas
As goods are returning to Gaza’s markets, the DEC said, they are increasing cash assistance to help people buy essentials as they become more affordable.
They’re also distributing clean water, medicine, food, and nutrition support.
On its website, the DEC pointed to how famine was declared in Gaza City in August as it appealed for funds saying: “Your support can save lives.”
You can donate to the Middle East Humanitarian Appeal at dec.org.uk.
Donald Trump has refused to say if the CIA has the authority to assassinate Venezuela’s president, after approving covert operations in the country to tackle alleged drug trafficking.
The classified decision, first revealed by The New York Times, marks a significant escalation in efforts to pressure President Nicolas Maduro‘s regime.
Mr Trump said large amounts of drugs were entering the US from Venezuela, much of it trafficked by sea.
“We are looking at land now, because we’ve got the sea very well under control,” he said.
When asked why the coastguard wasn’t asked to intercept suspected drug trafficking boats, which has been a longstanding US practice, Mr Trump said the approach had been ineffective.
“I think Venezuela is feeling heat,” he said.
He declined to answer whether the CIA has the authority to execute Mr Maduro.
The US has offered a $50m (£37m) reward for information leading to his arrest, accusing him of connections to drug trafficking and criminal organisations – claims he denies.
President Nicolas Maduro. Pic: Reuters
Donald Trump at the White House on Wednesday evening. Pic: Reuters
US targets ‘drug boats’
Mr Trump also alleged Venezuela had sent a significant number of prisoners, including individuals from mental health facilities, into the US, though he did not specify the border through which they reportedly entered.
On Tuesday, he announced America had targeted a small boat suspected of drug trafficking in waters off the Venezuelan coast, resulting in the deaths of six people.
According to the president’s post on social media, all those killed were aboard the vessel.
Read more from Sky News:
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Venezuela opposition leader wins Nobel Peace Prize
Footage of the strike was released by Donald Trump on social media. Pic: Truth Social
The incident marked the fifth such fatal strike in the Caribbean, as the Trump administration continues to classify suspected drug traffickers as unlawful combatants to be confronted with military force.
War secretary Pete Hegseth authorised the strike, according to Mr Trump, who released a video of the operation.
The black-and-white footage showed a small boat seemingly stationary on the water. It is struck by a projectile from above and explodes, then drifts while burning for several seconds.
Mr Trump said the “lethal kinetic strike” was in international waters and targeted a boat travelling along a well-known smuggling route.
There has also been a significant increase in US military presence in the southern Caribbean, with at least eight warships, a submarine, and F-35 jets stationed in Puerto Rico.
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