Supreme Court Extends Order Allowing Abortion Pill Access by Mail

A federal judge previously ruled a state lawsuit against mifepristone may not move forward until federal regulators complete their review of the drug.
Published: 5/14/2026, 6:21:11 PM EDT
Supreme Court Extends Order Allowing Abortion Pill Access by Mail
Mifepristone tablets seen in a Planned Parenthood clinic in Ames, Iowa, on July 18, 2024. (Charlie Neibergall/AP Photo)

The U.S. Supreme Court on May 14 extended its order allowing a popular abortion pill to continue to be sent in the mail, after a federal appeals court ruling blocked the practice.

The new ruling states that the order allowing access to the pill by mail will remain in effect until an appeal is completed in the appeals court.

Justices Clarence Thomas and Samuel Alito dissented.

On May 4, Justice Samuel Alito temporarily restored access to the drug mifepristone after the U.S. Court of Appeals for the Fifth Circuit halted its mailing. Alito extended his stay of the Fifth Circuit ruling on May 11, saying his order would expire at 5 p.m. on May 14.

The new ruling came after the maker of the brand-name version of the drug, Danco Laboratories, and the maker of the generic version, GenBioPro, asked the Supreme Court to block the Fifth Circuit ruling.

A federal court previously paused the underlying lawsuit by Louisiana against the abortion pill to give federal regulators time to review its safety and effectiveness.

Whether mifepristone remains widely available depends on the ongoing Food and Drug Administration review of the Biden administration’s 2023 decision to drop the requirement of an in-person doctor visit before the pill is dispensed, as well as Louisiana’s lawsuit and legislation pending in Congress.

Louisiana, along with pro-life activists and lawmakers, argues that the no-doctor policy puts women’s health at risk and is illegal because it was enacted without proper consideration of safety risks.

Trump administration officials have said that abortion issues should be decided by the states.

This is a developing story and will be updated.