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Fourth Circuit Affirms West Virginia’s Restriction on Abortion Pill Mifepristone

The split decision found the FDA Amendments Act lacks clear preemption over state abortion limits, with GenBioPro signaling plans for additional appeals.

FILE - A patient prepares to take the first of two combination pills, mifepristone, for a medication abortion during a visit to a clinic in Kansas City, Kan., Oct. 12, 2022. (AP Photo/Charlie Riedel, File)
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Overview

  • A divided 2-1 panel held that the FDAAA of 2007 does not clearly override West Virginia’s Unborn Child Protection Act, which bans nearly all abortions including medication abortions with mifepristone.
  • Judge J. Harvie Wilkinson, joined by Judge Rossie Alston, wrote that states retain sovereign authority to regulate drug use absent explicit congressional intent.
  • In dissent, Judge DeAndrea Gist Benjamin warned that the ban erects barriers to life-saving healthcare and encroaches on the FDA’s role in ensuring medication safety.
  • Governor Patrick Morrisey hailed the ruling as a major victory for pro-life laws, while GenBioPro CEO Evan Masingill cautioned of a dangerous ripple effect on access to other FDA-approved medications.
  • GenBioPro has announced its intention to seek en banc review or Supreme Court review, setting the stage for further challenges to state restrictions on FDA-approved drugs.