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Public Health On Call

The Legal Challenges Facing Mifepristone

Public Health On Call

The Johns Hopkins Bloomberg School of Public Health

News, Health & Fitness, Medicine

4.6 • 644 Ratings

🗓️ 1 June 2026

⏱️ 20 minutes

🧾️ Download transcript

Summary

About this episode:

In May, the Supreme Court issued an order preserving access to the abortion medication mifepristone by telemedicine—for now. In this episode: a breakdown of Louisiana v. FDA and other cases involving mifepristone as legal and political battles continue after the overturning of Roe v. Wade.

Guest:

Joanne Rosen, JD, MA, is an expert in public health law and a co-director of the Center for Law and the Public's Health at the Johns Hopkins Bloomberg School of Public Health.

Host:

Dr. Josh Sharfstein is distinguished professor of the practice in Health Policy and Management, a pediatrician, and former secretary of Maryland's Health Department. He served as the Baltimore City Commissioner of Health from 2005 to 2009.

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Transcript

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0:00.0

Welcome to Public Health On Call, a podcast from the Johns Hopkins Bloomberg School of Public Health,

0:05.9

where we bring evidence, experience, and perspective to make sense of today's leading health challenges.

0:16.3

If you have questions or ideas for us, please send an email to public health question at jhh.edu.

0:23.8

That's public health question at jhhu.edu for future podcast episodes.

0:31.2

Hey listeners, it's Lindsay Smith-Rogers. Today, the Supreme Court has issued a ruling on Miffa-Pristone

0:37.3

that keeps the abortion medication

0:39.0

available without a requirement that patients receive it in person.

0:43.7

Johns Hopkins Professor Joanne Rosen is a lawyer who closely tracks litigation related to access to

0:49.0

reproductive health services. She joins Dr. Josh Sharfstein to talk about what happened in this particular case and the

0:56.2

broader context, an ongoing legal battle about what the end of Roe v. Wade really means. Let's listen.

1:03.9

Joanne Rosen, thank you so much for joining me again here on Public Health on Call. There's been another

1:08.5

high-profile Miffitt-Pristone court decision,

1:12.2

and I wanted to call you up and see what you think about it.

1:16.2

Great. So I assume that the impetus for the call is the decision that the Supreme Court

1:21.9

issued on May 14th. And that is all around a case that the state of Louisiana initiated against the FDA

1:31.0

back in October, where they were challenging a decision that the FDA made about Mifipristone

1:37.8

in 2023. And in that 2023 decision, the FDA decided on the basis of extensive evidence of safety and

1:48.0

effectiveness that they would remove what had been a longstanding requirement that Mithopristone

1:54.6

could only be obtained in person. So they removed that requirement. And that allowed Mithopristone to be made available

2:03.1

through the mail, and including following a telehealth appointment that a person could have with

2:07.5

their physician and get the prescription via telehealth, and then mailed to them. Louisiana then brought

2:14.0

this challenge, and they brought it, they filed it in a federal trial court in

...

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