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.
The man convicted of the murder of British student Meredith Kercher has been charged with sexual assault against an ex-girlfriend.
Rudy Guede, 38, was the only person who was definitively convicted of the murder of 21-year-old Ms Kercher in Perugia, Italy, back in 2007.
He will be standing trial again in November after an ex-girlfriend filed a police report in the summer of 2023 accusing Guede of mistreatment, personal injury and sexual violence.
Guede, from the Ivory Coast, was released from prison for the murder of Leeds University student Ms Kercher in 2021, after having served about 13 years of a 16-year sentence.
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Since last year – when this investigation was still ongoing – Guede has been under a “special surveillance” regime, Sky News understands, meaning he was banned from having any contact with the woman behind the sexual assault allegations, including via social media, and had to inform police any time he left his city of residence, Viterbo, as ruled by a Rome court.
Guede has been serving a restraining order and fitted with an electronic ankle tag.
The Kercher murder case, in the university city of Perugia, was the subject of international attention.
Ms Kercher, a 21-year-old British exchange student, was found murdered in the flat she shared with her American roommate, Amanda Knox.
The Briton’s throat had been cut and she had been stabbed 47 times.
Image: (L-R) Raffaele Sollecito, Meredith Kercher and Amanda Knox. File pic: AP
Ms Knox and her then-boyfriend, Raffaele Sollecito, were placed under suspicion.
Both were initially convicted of murder, but Italy’s highest court overturned their convictions, acquitting them in 2015.
The Israeli military says it missed its intended target after Gaza officials said 10 Palestinians – including six children – were killed in a strike at a water collection point.
Another 17 people were wounded in the strike on a water distribution point in Nuseirat refugee camp, said Ahmed Abu Saifan, an emergency physician at Al Awda Hospital.
The Israel Defence Forces (IDF) said it had intended to hit an Islamic Jihad militant but a “technical error with the munition” had caused the missile to fall “dozens of metres from the target”.
The IDF said the incident is under review, adding that it “works to mitigate harm to uninvolved civilians as much as possible” and “regrets any harm to uninvolved civilians”.
Image: A wounded child is treated after the strike on the water collection point. Pic: Reuters
Officials at Al Awda Hospital said it received 10 bodies after the Israeli strike on the water collection point and six children were among the dead.
Ramadan Nassar, who lives in the area, said around 20 children and 14 adults were lined up Sunday morning to fill up water.
When the strike occurred, everyone ran and some, including those who were severely injured, fell to the ground, he said.
Image: Blood stains are seen on containers at the water collection point. Pic: Reuters
In total, 19 people were killed in Israeli strikes in the Gaza Strip on Sunday, local health officials said.
Two women and three children were among nine killed after an Israeli strike on a home in the central town of Zawaida, officials at Al Aqsa Martyrs Hospital said.
Israel has claimed it hit more than 150 targets in the besieged enclave in the past day.
The latest strikes come after the Israel military opened fire near an aid centre in Rafah on Saturday. The Red Cross said 31 people were killed.
The IDF has said it fired “warning shots” near the aid distribution site but it was “not aware of injured individuals” as a result.
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Palestinians shot while seeking aid, says paramedic
The war in Gaza started in response to Hamas’s attack on Israel on 7 October 2023, which killed 1,200 people and saw about 250 taken hostage.
More than 58,000 Palestinians have since been killed, with more than half being women and children, according to Gaza’s health ministry, which does not distinguish between civilians and combatants in its count.
US President Donald Trump has said he is closing in on another ceasefire agreement that would see more hostages released and potentially wind down the war.
But after two days of talks this week with Israeli Prime Minister Benjamin Netanyahu, there were no signs of a breakthrough, as a new sticking point emerged over the deployment of Israeli troops during the truce.
Hamas still holds 50 hostages, with fewer than half of them believed to be alive, after most of the rest were released in ceasefire agreements or other deals.
At least 59 Palestinians have reportedly been killed after the Israeli military opened fire near an aid centre in Gaza and carried out strikes across the territory.
The Red Cross, which operates a field hospital in Rafah, said 25 people were “declared dead upon arrival” and “six more died after admittance” following gunfire near an aid distribution centre in the southern Gazan city.
The humanitarian organisation added that it also received 132 patients “suffering from weapon-related injuries” after the incident.
The Red Cross said: “The overwhelming majority of these patients sustained gunshot wounds, and all responsive individuals reported they were attempting to access food distribution sites.”
The organisation said the number of deaths marks the hospital’s “largest influx of fatalities” since it began operations in May last year.
The IDF has said it fired “warning shots” near the aid distribution site but it was “not aware of injured individuals” as a result.
It said in a statement: “Earlier today, several suspects were identified approaching IDF troops operating in the Rafah area, posing a threat to the troops, hundreds of metres from the aid distribution site.
“IDF troops operated in order to prevent the suspects from approaching them and fired warning shots.”
Image: Palestinians mourn a loved one following the incident near the aid centre. Pic: Reuters
Mother’s despair over shooting
Somia Alshaar told Sky News her 17-year-old son Nasir was shot dead while visiting the aid centre after she told him not to go.
She said: “He went to get us tahini so we could eat.
“He went to get flour. He told me ‘mama, we don’t have tahini. Today I’ll bring you flour. Even if it kills me, I will get you flour’.
“He left the house and didn’t return. They told me at the hospital: your son…’Oh God, oh Lord’.”
Asked where her son was shot, she replied: “In the chest. Yes, in the chest.”
Image: Somia Alshaar, pictured with her daughter, says her son was shot dead. Pic: Reuters
‘A policy of mass murder’
Hassan Omran, a paramedic with Gaza’s ministry of health, told Sky News after the incident that humanitarian aid centres in Gaza are now “centres of mass death”.
Speaking in Khan Younis, he said: “Today, there were more than 150 injuries and more than 20 martyrs at the aid distribution centres… the Israeli occupation deliberately kills and commits genocide. The Israeli occupation is carrying out a policy of mass murder.
“They call people to come get their daily food, and then, when citizens arrive at these centres, they are killed in cold blood.
“All the victims have gunshot wounds to the head and chest, meaning the enemy is committing these crimes deliberately.”
Israel has rejected genocide accusations and denies targeting civilians.
Image: Two boys mourn their brother at Nasser Hospital in Khan Younis. Pic: Reuters
‘Lies being peddled’
The Gaza Humanitarian Foundation (GHF), the controversial US and Israeli-backed group which operates the distribution centre near Rafah, said: “Hamas is claiming there was violence at our aid distribution sites today. False.
“Once again, there were no incidents at or in the immediate vicinity of our sites.
“But that’s not stopping some from spreading the lies being peddled by ‘officials’ at the Hamas-controlled Nasser Hospital.”
The Red Cross said its field hospital in Rafah has recorded more than 250 fatalities and treated more than 3,400 “weapon-wounded patients” since new food distribution sites were set up in Gaza on 27 May.
Image: Palestinians inspect the wreckage after an Israeli airstrike in Deir al Balah. Pic: AP
It comes after four children and two women were among at least 13 people who died in Deir al Balah, in central Gaza, after Israeli strikes pounded the area starting late on Friday, officials in Al Aqsa Martyrs hospital in the territory said.
Fifteen others died in Israeli airstrikes in Khan Younis, in southern Gaza, according to Nasser Hospital.
The Israel Defense Forces (IDF) has not responded to a request for comment on the reported deaths.
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Israeli has been carrying out attacks in Gaza since Hamas-led militants killed some 1,200 people and took 251 hostages on 7 October 2023.
Hamas still holds 50 hostages, with fewer than half of them believed to be alive, after most of the rest were released in ceasefire agreements or other deals.
Israel’s offensive in Gaza has killed more than 57,000 Palestinians, more than half of them women and children, according to Gaza’s health ministry, which does not distinguish between civilians and combatants in its count.
US President Donald Trump has said he is closing in on another ceasefire agreement that would see more hostages released and potentially wind down the war.
But after two days of talks this week with Israeli Prime Minister Benjamin Netanyahu, there were no signs of a breakthrough.
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The latest fatalities in Gaza comes as a 20-year-old Palestinian-American man was beaten to death by settlers in the Israeli-occupied West Bank on Friday, the Palestinian Health ministry said.
Sayafollah Musallet, also known as Saif, was killed during a confrontation between Palestinians and settlers in Sinjil, north of Ramallah, the ministry said.
A second man, Hussein Al-Shalabi, 23, died after being shot in the chest.
Mr Musallet’s family, from Tampa Florida, has called on the US State Department to lead an “immediate investigation”.
A State Department spokesperson said it was aware of the incident but it had no further comment “out of respect for the privacy of the family and loved ones” of the reported victim.
The Israeli military said the confrontation broke out after Palestinians threw rocks at Israelis, lightly injuring them.