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5th Circuit Halts FDA’s Mifepristone REMS Over Safety Gaps

5/4/2026

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Story summary
  • The U.S. 5th Circuit Court of Appeals suspended the FDA’s 2023 REMS, ending mifepristone prescriptions because the agency stopped safety reporting and treated data gap as proof of safety.
  • Louisiana’s 2025 lawsuit claimed the FDA acted arbitrarily, citing 1,000 abortions and $92,000 in Medicaid costs.
  • The FDA said it has not studied prescribing, began a 2025 review with no completion date, and that medication abortions exceed 60 percent of U.S. abortions.