Missouri’s Attorney General is intensifying the state’s legal battle against the distribution of abortion pills, now focusing on a newly approved generic version of mifepristone. The core argument centers on patient safety, alleging that the drug carries significant risks and is being made available without adequate medical oversight.
The legal challenge directly confronts the Food and Drug Administration’s recent approval of the generic mifepristone produced by Evita Solutions. The state contends that mounting evidence demonstrates the drug’s potential for severe complications, a risk that is amplified by the increasing prevalence of mail-order distribution.
The lawsuit asserts that manufacturers are operating under diminished safety standards, originally intended to detect life-threatening conditions like ectopic pregnancies. These conditions, the filing emphasizes, can only be reliably identified through a direct, in-person medical examination.
Concerns are particularly acute regarding the rise of telehealth networks and distributors circumventing long-standing federal law prohibiting the mailing of abortion drugs. This system delivers pills across state lines, often bypassing essential medical screenings and follow-up care.
Missouri, alongside Kansas and Idaho, is seeking a court order to halt the new drug’s approval, reinstate stricter pre-2016 safety protocols requiring in-person evaluations, and ultimately prevent the nationwide mailing of abortion pills—a practice deemed a violation of federal law.
The Attorney General highlighted data included in the drug’s labeling, revealing that approximately one in twenty-five women taking chemical abortion drugs require emergency room treatment. Common complications include severe hemorrhaging, infection, and the need for surgical intervention.
The state argues that these risks are exacerbated when pills are obtained through the mail, lacking the crucial oversight of a medical professional. The claim that mifepristone is “as safe as Tylenol” is directly refuted, with officials stating it’s demonstrably false and ignores the documented reality of emergency room visits.
This legal action mirrors a broader, multi-state challenge questioning the FDA’s alleged weakening of safety protections surrounding mifepristone. Republican lawmakers are simultaneously pressing the FDA in Washington to reinforce oversight and restore previously established safety measures.
Senator Hawley has publicly urged the FDA to prioritize scientific evidence and reinstate safety protocols, while also raising concerns about the agency’s relationships with manufacturers like Evita Solutions. Senator Cassidy and other Republican senators have requested information from the FDA regarding the new drug’s approval, but have yet to receive a response.
The central message is a firm stance against what officials perceive as a dangerous trend: the increasing accessibility of abortion pills without the necessary medical safeguards, potentially jeopardizing the health and well-being of women.