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 government is warning people not to travel to Israel under any circumstances, as the country’s missile exchange with Iran shows no sign of abating.
On Friday, the Foreign Office warned against “all but essential travel” to most of Israel.
The areas around Gaza, the West Bank and the Golan Heights were already classed as red zones, with warnings to avoid travel to these areas.
But the government has now updated the warning for the remainder of the country to red.
This puts Israel on the same level as Iran, and the change of advice is also likely to impact travel insurance.
However, with Israel’s airspace closed, it is unlikely many people will be attempting the journey, and Israel’s national airline El Al has announced it is cancelling flights to and from many European cities, as well as Tokyo and Moscow, until 23 June.
The change in travel advice comes after a second night of ballistic missile barrages from Iran following Israel’s attack in the early hours of Friday morning.
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An eight-storey residential building in Tel Aviv was hit by a missile last night.
On Sunday morning, Israel’s health ministry said 12 people had been killed over the past day, taking the total since Friday to 15. It also said 385 people had arrived at hospital with injuries overnight.
Iran has not provided a total number of deaths or overall casualties, but has claimed dozens have been killed.
Iran’s health minister has said most of those injured and killed in Israeli strikes were civilians. According to comments carried by news agency IRNA, he said the majority were women and children.
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The chancellor said UK forces could “potentially” be used to help defend Israel.
The UK government is sending military assets, including fighter jets, to the Middle East.
While the prime minister would not confirm to reporters that UK forces could be used to defend Israel from future Iranian attacks, the chancellor told Sky News earlier that the government is “not ruling anything out”.
Speaking to Sky’s Sunday Morning With Trevor Phillips, Rachel Reeves said sending military assets to the Middle East “does not mean that we are at war”, and emphasised that “we have not been involved in these strikes or this conflict”.
“But we do have important assets in the region,” she continued. “And it is right that we send jets to protect them. And that’s what we’ve done. It’s a precautionary move, and at the same time, we are urging de-escalation.”
Pushed on the question of what the UK would do if Israel asked for support with its operations, the chancellor replied: “I’m not going to rule anything out at this stage. It’s a fast-moving situation, a very volatile situation. But we don’t want to see escalation.”
A helicopter carrying Hindu pilgrims has crashed in India, killing seven people on board.
The accident happened within minutes of the helicopter taking off, officials said, on what should have been a 10-minute flight.
The helicopter was flying to Guptkashi, a prominent Hindu pilgrimage site in the Himalayas, from Kedarnath temple town in the northern Indian state of Uttarakhand.
It comes three days after an Air India flight crashed less than a minute after taking off from Ahmedabad airport in northwestern India, killing at least 270 people.
The helicopter, which was operated by private helicopter service Aryan Aviation, went down in a forested area several miles from the Kedarnath pilgrimage route at around 5.30am local time.
Officials said the crash was believed to have been caused by poor weather conditions.
Authorities say they have launched a search and rescue operation and are expected to review operational protocols for flights in the region.
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The dead include the pilot and pilgrims from the neighbouring state of Uttar Pradesh and western states of Maharashtra and Gujarat, according to officials. The bodies were badly burned in a fire that followed the crash, they said.
Image: Smoke and debris at the site. Pic: Reuters
Tens of thousands of pilgrims visit Kedarnath, which is home to one of the four most sacred Hindu temple shrines, each summer. Many use helicopter services due to the difficult mountainous terrain.
Helicopter mishaps are not uncommon in the region, where sudden weather changes and high-altitude flying conditions can pose risks.
Earlier this month, a helicopter operating in the Kedarnath Valley made an emergency landing shortly after taking off on a highway due to a technical fault. The pilot was injured but all five passengers on board were unharmed.
In May, a helicopter crashed in Uttarkashi district, killing six people, including the pilot. One person survived.
An Irish politician who was detained in Egypt trying to cross into Gaza says the police were violent towards the group after seizing his phone.
People Before Profit-Solidarity TD (MP) Paul Murphy was part of a large demonstration attempting to march to the Rafah crossing in a bid to get aid into the region.
The opposition politician said his phone and passport were confiscated on Friday before he was put on a bus to Cairo airport for deportation.
Footage of the seconds before his phone was seized shows authorities forcibly dragging protesters away from the sit-down demonstration.
Ireland’s deputy premier said several Irish citizens who were detained have now been released. Mr Murphy confirmed he was among the released protesters, posting a photo on his Facebook page saying he was back in Cairo and “meeting shortly to decide next steps”.
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In a message from Mr Murphy after he was detained, posted online by his social media team, he said: “I’m ok, but they still have my phone.
“Egyptian police say we’re going to airport but this isn’t the road we came on because there are 1000s of marchers on the streets. They’re taking us south past a lake, then west towards Cairo.
“Violence got worse after they seized my phone.
“One American woman in my group was badly kicked & beaten, and had her hijab torn off.”
Sky News has contacted Egypt’s police regarding Mr Murphy’s claims of violence towards the group.
Mr Murphy previously said other Irish citizen were among those who had been stopped from entering Gaza.
“The world has watched a horrific genocide for the past 20 months. Since March, a total attempt of starvation,” he added.
“And that this is a peaceful march to demand that it be ended and demand that western governments stop their complicity.”
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Mr Murphy’s partner, Councillor Jess Spear, had previously appealed to Ireland’s Foreign Affairs Minister and deputy premier Simon Harris to make a public statement on Mr Murphy’s detention.
She expressed “relief” that the group had been released from detention.
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The deadly road to Gaza aid point
She said: “However, they still want to reach Rafah to try and get humanitarian aid into Gaza. That has been the sole purpose of being in Egypt.
“Paul has appealed to Tanaiste Simon Harris to put pressure on the Egyptian authorities to let the marchers reach Rafah. The situation of the people of Gaza worsens by the day as they suffer starvation imposed by Israel.”