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.
Image: Anti-abortion activists outside the Supreme Court in April 2023. Pic: Reuters
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.
Volodymyr Zelenskyy has thanked Ukraine’s allies for condemning Russian strikes after one of the deadliest days for civilians in his country so far this year.
Ukraine’s president described the attacks as a “vile and inhumane intimidation tactic” by Russia.
While a warning by Donald Trump to Vladimir Putin to stop “pounding” Ukraine or else, appears to have fallen on deaf ears.
The US has been piling pressure on President Zelenskyy’s government to cooperate in convening peace talks with Russia.
American aerospace company Maxar Technologies said on Friday it had disabled access to its satellite imagery for Kyiv. Its ability to strike inside Russia and defend itself from bombardment is very much diminished without such images.
At least 22 people were killed in multiple Russian attacks, including 11 in the frontline town of Dobropilla in Ukraine’s embattled eastern Donetsk region.
More on Ukraine
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0:31
Russian strike kills at least 11 in Ukraine
Russiafired two ballistic missiles into the town centre, then launched a strike targeting rescuers who responded, according to Mr Zelenskyy. Forty-seven people, including seven children, were injured in the attack.
“It is a vile and inhumane intimidation tactic to which the Russians often resort,” he said.
The president added: “It was one of the most brutal strikes, a combined one. The strike was deliberately calculated to cause maximum damage. Missiles, along with a Shahed drone, targeted the central part of the town.
“Nine residential buildings were hit. Also, the shopping centre and stores were struck.”
Image: People stand at the site of an apartment building hit by a Russian missile strike in Dobropillia. Pic: Reuters
Another seven people were killed in four towns close to the frontline where Russian troops have been making steady advances, said regional governor Vadym Filashkin.
Three others died when a Russian drone hit a civilian workshop in the northeastern Kharkiv region, emergency services reported. And one man was killed by shelling in the region.
The UN Human Rights Monitoring Mission in Ukraine said it was one of 2025’s deadliest attacks for Ukrainian civilians.
Image: Pic: Reuters
Some 24 hours earlier, Russia struck Ukrainian energy facilities using dozens of missiles and drones.
The attacks hampered Ukraine’s ability to supply power to its citizens and run weapons factories vital to its defences.
When asked on Friday if Russian President Vladimir Putin was taking advantage of the US pause on intelligence-sharing to attack Ukraine, Mr Trump responded: “I think he’s doing what anybody else would.”
Mr Zelenskyy did not mention intelligence-sharing on Saturday, but said he welcomed Mr Trump’s proposal to bring in banking sanctions and tariffs on Russia until a ceasefire and final peace settlement is reached.
Mr Zelenskyy also said: “I am grateful to all the leaders, all those diplomats of our partner countries, all public figures who support Ukraine, who have condemned these Russian strikes and who call all things by their proper names.
“And it is essential that we continue coordinating all our efforts with our partners to ensure that our defence works effectively and that we do everything to bring peace closer.”
Mr Zelenskyy has said he and other senior Ukrainian officials will go to Saudi Arabia next week to discuss proposals aimed at ending the war.
In a post on X, he wrote he was set to meet Saudi Arabia’s Crown Prince Mohammed bin Salman on Monday, and his team would remain in the country to have talks with US officials.
This was the response of a Ukrainian soldier in a frontline combat regiment directly affected by Donald Trump’s decision to pause US military support to Ukraine.
Serhii, 45, maintains a unit of US-supplied Bradley infantry fighting vehicles that are defending an area of eastern Ukraine from attacking Russian forces.
The halt to American military aid – if sustained – means there will be no new ammunition and no ability to repair any of the vehicles when they are damaged – a constant risk.
On a recent mission by the 425th Storming Regiment “Skala”, three Bradleys went into battle towards the direction of the city of Pokrovsk, an area of heavy clashes.
Only two returned after the other was hit by the Russian side.
Image: Troops said it would be for Ukraine to defend their land without US military support
“It’s going to be very hard,” Serhii said, standing next to a large Bradley, covered by a camouflage net and tucked under a line of trees in the Donetsk region.
“These vehicles are really good. You can fight back with them. And not just defend, you can even advance. It’s a shame we didn’t have this equipment two or three years ago.”
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0:43
Trump pauses military aid to Ukraine – what now?
The regiment has been using Bradleys for a number of months. Serhii is the lead mechanic.
The tracked vehicles, armed with a chain gun that can fire 200 rounds per minute, were first developed in the 1980s but have been fitted with modern reactive armour that means they can survive drone strikes, rocket attacks and the shrapnel from artillery rounds.
“The vehicle’s protection… is fantastic,” Serhii said, with clear admiration for the equipment compared with Soviet-era fighting vehicles that many Ukrainian troops have to use.
Image: Soliders said the Bradley infantry vehicles are good for advancing, not just defence
He said the crew of one of his Bradleys was hit by two rocket-propelled grenades but was able to continue driving and was unharmed.
Serhii, who comes from the Donetsk region, said he felt betrayed by Mr Trump’s decision to halt such crucial support.
The US president ordered the move as he attempts to put pressure on Ukrainian President Volodymyr Zelenskyy to negotiate a ceasefire deal with Russia.
“Although I’m not a politician, it’s a betrayal for us, for the guys who are defending Ukraine,” the soldier said.
Image: Inside a US-supplied Bradley vehicle
Asked how he felt when he heard the news about the US president’s decision, Serhii said: “The latest news cuts my heart, I can answer you that way. It cuts my heart… If politicians solve issues this way, just by halting weapons supply in one move, that’s criminal.”
He signalled it would be harder for Ukrainian troops to defend their land without the US military support – but they would still fight.
“Even without this weapon, we believe we will move forward,” he said.
“They [the Russians] have to retreat, no matter what. The guys didn’t take up arms here for nothing, and they stand together. Together, all of us, as one, will defeat this enemy.”
As for whether he had a message for Mr Trump, the soldier said: “Don’t stop military aid. Politics is politics, but the people, I believe, are the most important.
“It will be very hard for us without such equipment. This equipment is good; it allows us to show results. And we will keep showing them. We’ve shown them before and we will keep showing them. That’s how it is. Thank you.”
Fighting ‘for my motherland’
Image: Soldier Sedoi said he is ‘tired’ of the war
Sky News watched as two crews prepared their fighting vehicles for a potential mission on Thursday evening.
Sedoi, 41, commands one of the Bradleys and operates the gun.
He said the American-supplied vehicle gives him confidence when he goes into battle – and was also likely a scary prospect for Russian troops to have to encounter.
“We make a lot of noise. Everything catches fire and burns… It’s a good vehicle,” he said.
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2:39
Will Kyiv fall without US support?
Sedoi said he did not have a reaction to the news about the halt to American military support, saying: “I don’t get involved in their politics.”
However, he signalled he did want an end to the war – even if it meant Russia keeping some of the land it has seized.
“Let it end, so people stop dying. Because a lot of people have died,” he said.
Recently recovered from a shrapnel wound, Sedoi said he volunteered to fight after Vladimir Putin launched his full-scale war more than three years ago because of Russia’s brutality.
“I’ve heard what they do when they enter villages, what they do with children and women… I don’t want them to go any further… That’s why I’m here.
“But, to be honest, I’m getting tired of it.”
Yet still he and his fellow soldiers battle on. Asked why he was fighting, the soldier said: “For my motherland.”
A warning by Donald Trump to Vladimir Putin to stop “pounding” Ukraine or else, appears to have fallen on deaf ears after another night of devastating Russian strikes.
The persistent pummelling of Ukrainian towns and cities also follows a decision by the US president to stop sharing American intelligence and weapons with Kyiv – a move that is directly hampering the Ukrainian military’s ability to defend their skies from the Russian onslaught.
In the deadliest attack overnight, at least 11 people were killed and 30 wounded, including five children, in the town of Dobropillia, about 15 miles from the frontline in the Donestsk region of eastern Ukraine.
The Ukrainian police service said a Russian ballistic missile, rockets and attack drones hit eight multi-storey buildings as well as a shopping centre and dozens of cars.
Image: Firefighters work at the site of the strike. Pic: Reuters/State Emergency Service of Ukraine
Image: Pic: Reuters/State Emergency Service of Ukraine
“Some buildings were burnt down almost completely,” the national police of Ukraine said in a post on its Telegram social media channel.
Another three civilians were killed and seven injured in a drone attack on the Kharkiv region in the northeast of the country, according to a separate post by the interior ministry.
Just hours earlier, the US president posted a warning to the Kremlin on social media.
“Based on the fact that Russia is absolutely ‘pounding’ Ukraine on the battlefield right now, I am strongly considering large-scale banking sanctions, sanctions, and tariffs on Russia until a cease fire and FINAL SETTLEMENT AGREEMENT ON PEACE IS REACHED,” he wrote.
“To Russia and Ukraine, get to the table right now, before it is too late. Thank you!!!”
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0:52
Trump: ‘Ukraine difficult to deal with’
Kyiv will be watching closely to see whether Moscow’s continuing attacks will prompt Mr Trump to carry out his threat.
Ukrainian President Volodymyr Zelenskyy has been in crisis mode ever since Mr Trump returned to office and started attacking his record on the war, falsely calling him a dictator and even claiming – again erroneously – that Ukraine was to blame for Russia’s invasion.
Sky News on the ground in Dobropillia 24hrs before strike
A Sky News team was in Dobropillia 24 hours before the attack – stopping off to grab food at a pizza restaurant that was close to the site of at least two of the incoming strikes.
The restaurant is on a road of shops, including a clothes store and a small grocery outlet.
The town, which used to be home to 28,000 residents before Russia’s full-scale war, feels far more battle-hardened than areas further away from the frontline.
Fighting has been raging for months between invading Russian forces and Ukrainian troops, just over a dozen miles away, around the city of Pokrovsk.
Despite the closeness of the war, however, many civilians, including children, still live in Dobropillia.
In the most significant blow, Washington has paused the sharing on intelligence with its Ukrainian partners, instantly making it far harder for Ukraine to have a clear picture on the movement of Russian forces and weapons, while also hampering the ability of the Ukrainian armed forces to effectively conduct targeting attacks against Russian positions.
A decision to stop the flow of military support to Ukraine will also have a huge impact on the country’s ability to keep defending itself.
The US has been Kyiv’s largest and most important supplier of arms, including the Patriot air defence system – the only piece of equipment in Ukraine’s arsenal that has the ability to take down ballistic missiles.