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Supreme Court

Is This the Supreme Court's Next Big Abortion Case?

Plus: An impressive book by a Supreme Court justice.

Damon Root | 8.26.2025 7:00 AM

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A pro-choice protestor holding a sign that says "I will fight for Planned Parenthood" in front of the Supreme Court | Illustration: Eddie Marshall | Andrew Leyden | ZUMAPRESS | Newscom
(Illustration: Eddie Marshall | Andrew Leyden | ZUMAPRESS | Newscom)

Last year, the U.S. Supreme Court unanimously rejected an effort by anti-abortion activists to rescind the Food and Drug Administration's (FDA) approval of the abortion drug mifepristone, holding that the activists lacked legal standing to challenge the determination made by federal regulators that the pill was safe and effective for use.

Now, a group of Republican-led states is seeking to revive the case, claiming that their respective state bans on abortion are being undermined by the nationwide mail-order availability of the abortion pill. If these states can convince the lower courts that they possess the requisite legal standing to sue, their case against mifepristone could easily end up back before the Supreme Court.

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The case is Missouri v. FDA. After the Supreme Court's 2024 ruling in FDA v. Alliance for Hippocratic Medicine, which said that anti-abortion groups and activists "do not have standing to sue simply because others are allowed to engage in certain activities," the states of Missouri, Kansas, and Idaho crafted their own updated legal challenge, which focused on the alleged harms suffered by the states themselves. This strategy was concocted for the purpose of passing muster under the rationale of the Court's 2024 decision.

Last week, Florida and Texas filed a motion seeking to join that lawsuit. In addition to repeating the types of arguments first made by the anti-abortion Alliance for Hippocratic Medicine—such as the assertion that the FDA's original approval of mifepristone "did not rest on a good faith analysis of the drug's anticipated effect on public health"—Florida and Texas argue that the FDA has enabled a "mail-order abortion economy in all 50 states" that has forced anti-abortion states "to divert resources to address the explosion of abortion drugs mailed to their residents" from out of state. In other words, Florida and Texas want the federal courts to impose a uniform national standard that eliminates access to abortion pills in all 50 states in order to keep those pills from reaching Florida and Texas.

Since the Supreme Court never actually ruled on the merits of whether or not the FDA's original authorization of mifepristone was proper, this state-led lawsuit could provide the Court with a more acceptable vehicle for doing so, assuming that the case manages to move sufficiently forward in the lower courts. On the other hand, if the Supreme Court is truly serious about leaving the matter of abortion up to the states, it will, when the time comes, reject this obvious effort by anti-abortion states to control what happens inside of states where abortion remains legal.

Missouri v. FDA is still in its early stages at this point, but it's definitely a case to watch. Depending on how things shake out in the months ahead, it could become the Supreme Court's next big abortion battle.


Odds & Ends: An Impressive Book by a Supreme Court Justice

The recent news that Supreme Court Justice Amy Coney Barrett will be publishing a book this fall, titled Listening to the Law: Reflections on the Court and the Constitution, got me thinking about some of my favorite entries in the niche literary genre of books written by SCOTUS members. To my surprise, the first book that sprang to mind, and then actually maintained something of a lead even after further reflection, was Stephen Breyer's slim 2021 volume The Authority of the Court and the Peril of Politics.

Thinking of Breyer's book first surprised me because I am not exactly Breyer's biggest fan. However, as I noted in my review of what I called his "timely and important" book, the liberal justice offered an eloquent and learned argument against court packing that was all the more effective because it was directed against his "side" of the political divide. "The 83-year-old Supreme Court justice is well aware that many modern liberals want President Joe Biden to pack the Court with new members for the express purpose of creating a new liberal supermajority," I wrote. "Breyer thinks those court packers are being both dimwitted and shortsighted."

Breyer took a lot of flack at the time from liberal activists over his anti-court packing position. His commitment to principle over partisanship impressed me then, and still impresses me now.

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NEXT: Photo: A Tiny Monument to Eminent Domain Resistance in New York City

Damon Root is a senior editor at Reason and the author of A Glorious Liberty: Frederick Douglass and the Fight for an Antislavery Constitution (Potomac Books).

Supreme CourtAbortionConstitutionLaw & GovernmentFDARegulation
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  1. Randy Sax   4 hours ago

    Is This the Supreme Court's Next Big Abortion Case?

    Not a fan of the clickbait-esque title.

    Log in to Reply
    1. Quo Usque Tandem   3 hours ago

      Yeah, quite unlikely but the title will certainly stir up the crowd and provide grist for their pols.

      Log in to Reply
  2. Chumby   4 hours ago

    Some nations won’t let foreigners enter if the guest intends to promote the act pf killing unborn children. Kudos to them for keep dealthcult garbage out.

    Log in to Reply
    1. SQRLSY   4 hours ago

      Kudos to Chumpy-Chump-Chimp for Worshitting the Sacred Fartilized Egg Smells and the fartuses!

      I do wonder, though, if the fartilized egg smells of chimps, gorillas, whales, cats, dogs, rabbits, rats, and mice are also unborn children? We are all God's Children, right? Who gets to decide these things, and how? Other than by making self-righteous noises and grabbing the Sacred Power To Punish the "wrong people", who apparently just don't matter, HOW do The Pervfected Ones decide?

      Log in to Reply
      1. Don't look at me! ( Is the war over yet?)   2 hours ago

        Unread

        Log in to Reply
  3. Old Smokin' Egg   3 hours ago

    The Florida-Texas case puts me in mind of the failed suit by Nebraska and Oklahoma against Colorado, on the grounds that Colorado's legalization of marijuana made it more difficult for the other two states to enforce their prohibitions on the stuff. The Supreme Court shot that one down 6–2 (with Thomas and Alito dissenting). This one has a similar feel: FL and TX are arguing that the federal government shouldn't allow any conduct that might make it difficult for a state to enforce one of its strictest laws.

    Log in to Reply
    1. Social Justice is neither   2 hours ago

      I don't see why these states can't ban the OTC or internet sale of this product and be done with it. Sure you could open a PO box in a border town but just because people can break the law doesn't mean you get to decide for other states.

      Log in to Reply
  4. Quo Usque Tandem   3 hours ago

    "...both dimwitted and shortsighted."

    In this instance, I concur with the late Justice.

    Log in to Reply
  5. MollyGodiva   2 hours ago

    Mifepristone is safe and effective. It has much lower complications than pregnancy. Mifepristone is even more needed in red states who have partially criminalized medical care for pregnant women. The US has a higher infant/mother mortality rate than our peer countries. This ban would make it worse.

    MAGA is a death cult.

    Log in to Reply
    1. SQRLSY   2 hours ago

      "Mifepristone is safe and effective."

      Agreed! However, the medical "experts" (actually self-regarded experts about EVERYTHING) on the SCROTUS will now be given a chance to over-rule doctors and the FDA! Why do we even have an FDA if it is mere window dressing for the TRUE Experts on the SCROTUS?

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    2. Stupid Government Tricks   1 hour ago

      Typical short-sighted partisan response. The argument against Mifepristone is that it is "safe and effective" at killing fetuses. It's like a gunnie arguing against gun control on the grounds that guns are "safe and effective" which is exactly the gun control argument.

      Log in to Reply
    3. Chumby   14 minutes ago

      Retard and racist.

      Log in to Reply
  6. Wizzle Bizzle   1 hour ago

    I don't disagree with Root's reasoning about the chances of a national ban of milfepristone. I do take umbrage at his repeated use of "anti-abortion activists" to describe one side.

    That's fine, but you better describe the other side as "pro-abortion activists" and not "natal care advocates" or whatever the fuck euphemism the baby killers are trying to use this week.

    Log in to Reply
    1. Moderation4ever   40 minutes ago

      What are missing is the dimensions of the argument. For the antiabortionist there is one dimension and that is no abortions. For the other side there are two dimensions have a baby or terminate the pregnancy. Hence the name "pro choice".

      Log in to Reply
      1. Wizzle Bizzle   19 minutes ago

        I could just as easily call one side "pro baby" since they support the baby's life. And considering how many people just want to limit abortions to the first trimester or life of the mother, anti-abortion isn't even accurate.

        All of this is intentional framing by the left, and I'm tired of it. It's not gender-affirming care, it's child mutilation. It's not persons experiencing homelessnessness, it's junkies. Perhaps you haven't noticed, but the left's stranglehold on the framing of the debate was aborted last year. Good riddance.

        Log in to Reply
  7. Moderation4ever   33 minutes ago

    I find the FL and TX argument that they are forced "to divert resources to address the explosion of abortion drugs mailed to their residents", absurd. The fact is there is little if any resources either state is forced to divert. The complication rate for medical abortions that would require a hospital visit is less than 1%. In the comparison to the resources states expend it is likely not even noticeable.

    Log in to Reply
  8. TJJ2000   31 minutes ago

    Nothing says LIMITED Gov Republicans better than demanding MORE Government in Medicine! /s

    Pro-Life is a 'Left' activist movement at its origins and it shows.

    Why can't you people just donate your organs to save the helpless 'poor'? /s
    I dunno... Maybe because the helpless don't have any rights to my organs?

    Log in to Reply
  9. AT   16 minutes ago

    In other words, Florida and Texas want the federal courts to impose a uniform national standard that eliminates access to abortion pills in all 50 states in order to keep those pills from reaching Florida and Texas.

    Honestly, if that's the goal, we should just be pushing Congress to Schedule I or II it under the CSA.

    But let me ask you a serious question about Florida and Texas: why shouldn't they? Do Florida and Texas not have a reasonable request? I'm not saying SCOTUS is necessarily the place to hash it out, and they didn't seem inclined to take up the issue when it was Nebraska complaining about Colorado's interstate marijuana trafficking (although Clarence was not too happy about them turning their original jurisdiction into discretionary jurisdiction).

    But at the end of the day, we ARE talking about interstate trafficking of lethal drugs. Not just any drugs that might be abused recreationally - we're talking about drugs that are intentionally designed and intended specifically to kill people. Similar to Nebraska/Colorado, Illinois (specifically Chicago) likes to point the finger at Ohio and Indiana when it comes to the importing of firearms that have been explicitly banned/restricted there - and the left would love to see something done about that because of their potential for harm to Chicagoans.

    Ohio and Indiana (and Colorado) might rightfully be able to counter that and say, "Whoa, hey, we can't control it if they make their way there, but it's not like we're trying to kill anyone."

    The same is not true for mifepristone. That is in fact its singular intent. The "we can't help it if something legal in our state harms someone in yours" argument is gone - because Florida and Texas have a legitimate interest in protecting its citizenry against a knowingly lethal drug whose only purpose is to cause the intentional termination of a human.

    And that might be precisely WHY the Supremes decide to take it up this time around.

    Finally, from the libertarian angle, why is their request unreasonable? Why is it unreasonable that if State A says "We'll allow it," and State B says "We will not" that a person who wants something should have to go to State A to get it - even if they then personally traffic it back to State B for their own personal use?

    Think of it like, hilariously, lottery tickets. If you're in Florida and you want to play the Georgia lottery - you have to go to Georgia to get your tickets. Not only is it unreasonable (and an entitlement mentality) to think they should be mailed to you, it's illegal to do so.

    Why should this be any different?

    Log in to Reply
    1. Liberty_Belle   2 minutes ago

      But you realize these are the same people who tried to make it illegal for state residents to leave to get an abortion in a state where it's legal.

      Log in to Reply

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