Can I get a medication abortion? How a Texas lawsuit could change access

Judge Matthew Kacsmaryk could upend FDA approval of mifepristone, a key abortion drug, when he rules on a federal lawsuit in Texas

Franz Theard watches a patient from Texas take mifepristone, the first medication in a medical abortion, with medical assistant Elizabeth Hernandez, at his clinic, Women’s Reproductive Clinic of New Mexico in Santa Teresa on Jan. 13. (Evelyn Hockstein/Reuters)
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A federal judge in Texas will hold a hearing Wednesday in a case that could halt distribution of a key abortion drug — a decision that would have sweeping implications for abortion access across the country, including in Democratic-led states where abortion rights are protected.

The lawsuit, filed by several antiabortion groups and doctors against the U.S. Food and Drug Administration, aims to undo the decades-old government approval of mifepristone, one of the two drugs used in medication abortions.

Abortion rights advocates say that the implications would be “catastrophic” if the judge in the case, Matthew Kacsmaryk of the Northern District of Texas, sides with antiabortion groups. Such a ruling could trigger the furthest-reaching limit on abortion access since the Supreme Court overturned Roe v. Wade in June.

Here’s a look at medication abortions and how the case could shape abortion care nationwide:

Roe v. Wade and abortion access in America

In June 2022 the Supreme Court struck down Roe v. Wade, which for nearly 50 years has protected the right to abortion. Read the full decision here.

What happens now? The legality of abortion is left to individual states. The Post is tracking states where abortion is banned or under threat, as well as Democratic-dominated states that moved to protect abortion rights enshrined in Roe v. Wade.

Abortion pills: Abortion advocates are concerned a Texas judge’s upcoming abortion pill ruling could halt over half the legal abortions carried out nationwide. Here’s how the ruling could impact access to the abortion pill mifepristone.

Post-Roe America: With Roe overturned, women who had secret abortions before Roe v. Wade felt compelled to speak out. Other women, who were and seeking abortions while living in states with strict abortion bans shared also shared their experience with The Post through calls, text messages and other documentation that supported their accounts. Here are photos and stories from across America since the reversal of Roe v. Wade.