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HHS and FDA Open Review of Mifepristone’s Safety and Dispensing

The decision follows pressure from Republican attorneys general, prompting fears of new limits on telehealth access.

Overview

  • Kennedy and FDA Commissioner Marty Makary told 22 Republican attorneys general the FDA will conduct its own assessment of safety, efficacy and dispensing conditions for mifepristone.
  • Officials said potential changes to Risk Evaluation and Mitigation Strategy requirements are under consideration, though no regulatory actions have been announced.
  • Kennedy told senators the safety review is underway with new data being collected and alleged the prior administration downplayed a safety signal without offering specifics.
  • The agencies cited recent research including an EPPC analysis that reported roughly 11% serious adverse events, a non–peer-reviewed finding that conflicts with clinical literature and FDA figures near 0.5%.
  • Medication abortion now accounts for a majority of U.S. abortions, with advocates warning that curbs on telehealth or mailing could sharply reduce access as some states, such as Texas, pursue enforcement against shipment of the drugs.