Americans will still be able to buy an abortion pill after the US Supreme Court threw out a bid by campaign groups to restrict access to it.
The decision was made by the same court that two years ago overturned Roe v Wade – which had previously given womenrights to terminate a pregnancy.
The drug – mifepristone – was first approved by the Food and Drug Administration (FDA) in September 2000 for medical termination up to seven weeks into pregnancy, extended to 10 weeks in 2016.
It was ruled the plaintiffs behind the lawsuit challenging mifepristone lacked the necessary legal standing to pursue the case, which required they show they have been harmed in a way that can be traced to the FDA.
The plaintiffs wanted an end to rules introduced in 2016 and 2021 that permitted medication abortions at up to 10 weeks of pregnancy instead of seven, and for mail delivery of the drug without a woman first seeing a doctor in-person.
The suit initially had sought to reverse FDA approval of mifepristone, but that aspect was thrown out by a lower court.
Mifepristone is taken with another drug called misoprostol to perform medication abortions – now the most common method of terminating pregnancies in the US.
The FDA said that after decades of use by millions of women in the US and around the world, mifepristone has proven “extremely safe” and that studies have demonstrated that “serious adverse events are exceedingly rare”.
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The plaintiffs, known as the Alliance for Hippocratic Medicine, argued the FDA acted contrary to its mandate to ensure medications are safe when it eased the restrictions on mifepristone.
They also accused the administration of violating a federal law governing the actions of regulatory agencies.
US District Judge Matthew Kacsmaryk broadly sided with them in a 2023 decision that would have effectively pulled the pill off the market.
Analysis: Abortion pill decision offers some respite from complicated patchwork of laws
By Sarah Gough, US producer
Pro-choice campaigners breathed a sigh of relief following the news the Supreme Court will not limit access to medication abortion.
The fight for mifepristone was one of the latest attempts by anti-abortion groups to restrict access to reproductive rights in America following the overturn of Roe v Wade in 2022.
The pill gives much-needed access to abortion care to those who do not yet need to undergo a procedure to terminate their pregnancy. This decision means mifepristone can still be accessed over the counter and through the post with a prescription.
The drug was approved by the FDA more than 20 years ago and has been considered safe ever since. The fact its safety was ever called into question was egregious to many doctors, and women who’d taken the drug, across the country.
It was a unanimous ruling to throw this case out. Unanimous decisions are not something we usually see at the Supreme Court, given the right-wing majority sitting on the bench. However, this was a ruling about how the case was brought, not a moral opinion on whether the abortion pill is necessary or not.
Despite the win for pro-choice groups, there is constant legal wrangling across the US when it comes to abortion care.
The next most consequential upcoming case in front of the Supreme Court concerns whether emergency abortion care can be obtained in spite of abortion bans. It’s being brought out of the state of Idaho, where abortion is entirely banned with limited exceptions, and where some women who go to the emergency room with pregnancy complications are having to be airlifted to nearby states to get the care they need.
Women in restrictive states often have to act via underground methods to obtain an abortion, and doctors live in fear of making hasty, illegal decisions when it comes to reproductive healthcare. What follows is a delay in care, often for the most vulnerable.
The protection of the abortion pill provides some brief respite from a complicated and fraught patchwork of laws.
However, after the FDA appealed, the New Orleans-based 5th US Circuit Court of Appeals did not go as far as Kacsmaryk but still ruled against its move to widen access to the pill.
This decision was placed on hold pending the Supreme Court’s review.
The plaintiffs said they had legal standing to sue because their member doctors would be forced to violate their consciences due to “often be called upon to treat abortion-drug complications” in emergency settings.
The Justice Department said these claims relied on an impermissibly speculative chain of events.
Following the decision, Joe Biden said in a statement: “Today’s decision does not change the fact that the fight for reproductive freedom continues.
“It does not change the fact that the Supreme Court overturned Roe v Wade two years ago, and women lost a fundamental freedom.
“It does not change the fact that the right for a woman to get the treatment she needs is imperiled if not impossible in many states.”
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Meanwhile, Mr Trump – speaking at a campaign event – acknowledged the issue had cost Republicans and that it is too important to ignore.
The presidential hopeful said it was his preference for the decision to be made by the people and individual states.
The mifepristone dispute is not the only abortion case the Supreme Court is due to decide during this presidential election year.
It also is expected to rule by the end of June on the legality of Idaho’s strict Republican-backed abortion ban that forbids terminating a pregnancy even if necessary to protect the health of a pregnant woman facing a medical emergency.
Mel Gibson says there is “nothing left” of his Hollywood home following the LA wildfires and “someone should answer” for the devastation.
The Braveheart star was with podcaster Joe Rogan when the flames engulfed his Malibu mansion and said he was a “little tense” while recording their discussion.
But he knew his family were “out of harm’s way” and a few “necessary things” such as passports were saved.
The loss of his home and others is “tragic”, however, and it “makes you really sad”, he added.
While describing lost items as “only things”, he said they included “works of art, photographs, [and] rare books”, some of them dating back to 1600.
Regarding the conduct of the authorities, he told Fox News: “Apparently, some people were asleep on the job, mainly our leaders.
“That’s something they have to live with. Kids are traumatised. Someone should answer for it.”
Asked if he had a message for California governor Gavin Newsom, or Karen Bass, the mayor of Los Angeles, he commented: “Spend less on hair gel.”
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1:29
Celebrities’ homes have burned down in the LA fires
At least 16 people have been killed in the blazes, with more than 100,000 asked to evacuate their homes.
The fires have affected multiple celebrities, ripping through exclusive suburbs in southern California, home to film stars and billionaires.
Legendary British actor Sir Anthony Hopkins has reportedly lost his home in the Pacific Palisades fire.
The star – perhaps best known for his performance as Hannibal Lecter in The Silence of the Lambs – posted a message on Instagram, in which he said: “As we all struggle to heal from the devastation of these fires, it’s important we remember that the only thing we take with us is the love we give.”
The mother of British child star Rory Sykes, 32, has confirmed her son died in the Pacific Palisades fire.
Sykes appeared in TV programme Kiddy Kapers in the 1990s.
Shelley Sykes said her “beautiful son” was “born blind with cerebral palsy and had difficulty walking” but had overcome “so much with surgeries and therapies to regain his sight and to be able to learn to walk”.
Paris Hilton, meanwhile, says her “heart shattered into a million pieces” after visiting the charred remains of her Malibu beach house.
Describing herself as “in complete shock”, the hotel heiress said seeing her family memories “reduced to ashes” was “devastating”.
Hilton, 43, said she watched her home burn to the ground on TV – and shared a video on social media from inside the gutted structure.
She said she was grateful to be safe along with her husband Carter Reum and their two children, Phoenix and London, but was still devastated.
She wrote on Instagram: “I’m standing here in what used to be our home, and the heartbreak is truly indescribable.
“When I first saw the news, I was in complete shock – I couldn’t process it. But now, standing here and seeing it with my own eyes, it feels like my heart has shattered into a million pieces.”
She has lived in the multi-million-pound property for three years.
Hilton added: “This house wasn’t just a place to live – it was where we dreamed, laughed, and created the most beautiful memories as a family.
“It was where [son] Phoenix’s little hands made art that I’ll cherish forever, where love and life filled every corner. To see it reduced to ashes… it’s devastating beyond words.
“What breaks my heart even more is knowing that this isn’t just my story. So many people have lost everything. It’s not just walls and roofs – it’s the memories that made those houses homes. It’s the photos, the keepsakes, the irreplaceable pieces of our lives.”
She described herself as “incredibly lucky”, adding: “My loved ones – my babies – and my pets are safe. That’s the most important thing”.
She thanked the firefighters, first responders and volunteers who she said were “all risking their lives” to help, adding: “Even in the ashes, there is still beauty in this world.”
Presenter Ricki Lake said she and her husband Ross had lost their “dream home” and their “heaven on earth”.
She said on Instagram: “We never took our heavenly spot on the bluff overlooking our beloved Malibu for granted, not even for one second.
“This loss is immeasurable. It’s the spot where we got married three years ago. I grieve along with all of those suffering during this apocalyptic event.”
The ancestral home of Big Lebowski actor Jeff Bridges is also understood to have been destroyed.
The four-bedroom home, which had been in the Bridges family for generations, was inherited by Bridges and his two siblings in 2018 according to the Los Angeles Times.
Tina Knowles, mother of singer Beyonce, has also lost a house she owned in Malibu to the fires.
She shared a short video of dolphins playing in the sea on Instagram, writing: “This is what I was looking at on my birthday this past weekend from my tiny little bungalow on the water in Malibu! It was my favourite place, my sanctuary, my sacred Happy Place. Now it is gone!!”
She went on to thank the fire department and first responders and offered condolences to others affected by the fires.
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Take That star Mark Owen and his family were evacuated from their home, his wife Emma Ferguson describing them waking to “helicopters, thick black smoke and winds howling”.
She said that while she was grateful her family was safe, it was “exhausting” to be “constantly looking online to see if your house is gone”.
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1:04
Steve Guttenberg: ‘I’ve seen such tragedy’
Actor Steve Guttenberg, best known for his role in the Police Academy film franchise, has called the fires “absolutely the worst” he has ever seen and has been doing what he can to help distressed residents.
Other stars to have lost their homes in the fires include Billy Crystal, Miles Teller, Diane Warren, Cary Elwes, Milo Ventimiglia, Anna Faris, Adam Brody and Leighton Meester, Spencer Pratt and Heidi Montag.
On Friday, the Recording Academy, which runs the Grammy Awards, and charity MusiCares pledged $1m (£813,000) to support music artists affected by the fires.
Actress Jamie Lee Curtis has pledged the same amount to fire relief efforts from her family foundation.
Mel Gibson says there is “nothing left” of his Hollywood home following the LA wildfires and “someone should answer” for the devastation.
The Braveheart star was with podcaster Joe Rogan when the flames engulfed his Malibu mansion and said he was a “little tense” while recording their discussion.
But he knew his family were “out of harm’s way” and a few “necessary things” such as passports had been saved.
But the loss of his home and others is “tragic” and it “makes you really sad”, he added.
While describing lost items as “only things”, he said they included “works of art, photographs, [and] rare books”, some of them dating back to 1600.
Regarding the conduct of the authorities, he told Fox News: “Apparently, some people were asleep on the job, mainly our leaders.
“That’s something they have to live with. Kids are traumatised. Someone should answer for it.”
Asked if he had a message for California governor Gavin Newsom, or Karen Bass, the mayor of Los Angeles, he commented: “Spend less on hair gel.”
Please use Chrome browser for a more accessible video player
1:29
Celebrities’ homes have burned down in the LA fires
At least 16 people have been killed in the blazes, with more than 100,000 asked to evacuate their homes.
The fires have affected multiple celebrities, ripping through exclusive suburbs in southern California, home to film stars and billionaires.
Legendary British actor Sir Anthony Hopkins has reportedly lost his home in the Pacific Palisades fire.
The star – perhaps best known for his performance as Hannibal Lecter in The Silence of the Lambs – posted a message on Instagram, in which he said: “As we all struggle to heal from the devastation of these fires, it’s important we remember that the only thing we take with us is the love we give.”
The mother of British child star Rory Sykes, 32, has confirmed her son died in the Pacific Palisades fire.
Sykes appeared in TV programme Kiddy Kapers in the 1990s.
Shelley Sykes said her “beautiful son” was “born blind with cerebral palsy and had difficulty walking” but had overcome “so much with surgeries and therapies to regain his sight and to be able to learn to walk”.
Paris Hilton, meanwhile, says her “heart shattered into a million pieces” after visiting the charred remains of her Malibu beach house.
Describing herself as “in complete shock”, the hotel heiress said seeing her family memories “reduced to ashes” was “devastating”.
Hilton, 43, said she watched her home burn to the ground on TV – and shared a video on social media from inside the gutted structure.
She said she was grateful to be safe along with her husband Carter Reum and their two children, Phoenix and London, but was still devastated.
She wrote on Instagram: “I’m standing here in what used to be our home, and the heartbreak is truly indescribable.
“When I first saw the news, I was in complete shock – I couldn’t process it. But now, standing here and seeing it with my own eyes, it feels like my heart has shattered into a million pieces.”
She has lived in the multi-million-pound property for three years.
Hilton added: “This house wasn’t just a place to live – it was where we dreamed, laughed, and created the most beautiful memories as a family.
“It was where [son] Phoenix’s little hands made art that I’ll cherish forever, where love and life filled every corner. To see it reduced to ashes… it’s devastating beyond words.
“What breaks my heart even more is knowing that this isn’t just my story. So many people have lost everything. It’s not just walls and roofs – it’s the memories that made those houses homes. It’s the photos, the keepsakes, the irreplaceable pieces of our lives.”
She described herself as “incredibly lucky”, adding: “My loved ones – my babies – and my pets are safe. That’s the most important thing”.
She thanked the firefighters, first responders and volunteers who she said were “all risking their lives” to help, adding: “Even in the ashes, there is still beauty in this world.”
Presenter Ricki Lake said she and her husband Ross had lost their “dream home” and their “heaven on earth”.
She said on Instagram: “We never took our heavenly spot on the bluff overlooking our beloved Malibu for granted, not even for one second.
“This loss is immeasurable. It’s the spot where we got married three years ago. I grieve along with all of those suffering during this apocalyptic event.”
The ancestral home of Big Lebowski actor Jeff Bridges is also understood to have been destroyed.
The four-bedroom home, which had been in the Bridges family for generations, was inherited by Bridges and his two siblings in 2018 according to the Los Angeles Times.
Tina Knowles, mother of singer Beyonce, has also lost a house she owned in Malibu to the fires.
She shared a short video of dolphins playing in the sea on Instagram, writing: “This is what I was looking at on my birthday this past weekend from my tiny little bungalow on the water in Malibu! It was my favourite place, my sanctuary, my sacred Happy Place. Now it is gone!!”
She went on to thank the fire department and first responders and offered condolences to others affected by the fires.
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Take That star Mark Owen and his family were evacuated from their home, his wife Emma Ferguson describing them waking to “helicopters, thick black smoke and winds howling”.
She said that while she was grateful her family was safe, it was “exhausting” to be “constantly looking online to see if your house is gone”.
Please use Chrome browser for a more accessible video player
1:04
Steve Guttenberg: ‘I’ve seen such tragedy’
Actor Steve Guttenberg, best known for his role in the Police Academy film franchise, has called the fires “absolutely the worst” he has ever seen and has been doing what he can to help distressed residents.
Other stars to have lost their homes in the fires include Billy Crystal, Miles Teller, Diane Warren, Cary Elwes, Milo Ventimiglia, Anna Faris, Adam Brody and Leighton Meester, Spencer Pratt and Heidi Montag.
On Friday, the Recording Academy, which runs the Grammy Awards, and charity MusiCares pledged $1m (£813,000) to support music artists affected by the fires.
Actress Jamie Lee Curtis has pledged the same amount to fire relief efforts from her family foundation.