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Fourth Circuit Upholds West Virginia Ban on Mifepristone, Rejects GenBioPro Preemption Suit

Judges concluded that FDA rules do not clearly preempt state abortion restrictions without explicit congressional direction.

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)

Overview

  • On July 15, a three-judge panel of the Fourth Circuit affirmed a lower court’s ruling that West Virginia’s Unborn Child Protection Act overrides federal mifepristone regulations.
  • Judge J. Harvie Wilkinson III authored the majority opinion joined by Judge Alston, while Judge Benjamin issued a partial dissent urging broader federal authority.
  • The court based its decision on the absence of a clear congressional directive to displace states’ traditional power to regulate abortion following Dobbs.
  • GenBioPro, the sole U.S. manufacturer of generic mifepristone, is expected to seek en banc review and could appeal to the Supreme Court.
  • The ruling leaves unresolved how FDA-approved mifepristone, used in nearly two-thirds of U.S. abortions, can be accessed in states with strict bans.