Missouri Can't Use GOP Maps & Attack on Abortion Pill

11 Sep 2026 · 38 min · 14 chapters

Ask about this episode

Ask anything about it. ChatGPT or Claude reads this page and answers with the times it was said.

Connect VO and ask about every podcast you hear, including the moments you saved. Add to ChatGPT · Add to Claude

In short

Episode topic: U.S. election-law litigation and abortion drug access. It covers (1) the Supreme Court blocking Missouri’s GOP congressional map and (2) a separate emergency fight over USPS mail-ballot rules, plus (3) Louisiana’s attempt to restrict mifepristone (abortion pill) nationwide via the FDA.

Guest backgrounds

Jonathan Diaz is Director of Voting Advocacy and Partnerships at the Campaign Legal Center; he discusses voting-rights litigation and election administration. Mary Ziegler is a UC Davis Law professor specializing in reproductive rights and FDA/abortion policy.

Key claims

Missouri must revert to its 2022 congressional map for the November general election; the new GOP map was ruled unlawful under Missouri’s constitution. USPS mail-ballot regulations are being challenged as exceeding statutory authority and risking disenfranchisement; the Supreme Court decision is expected on an emergency stay. Louisiana seeks a Fifth Circuit stay to block FDA’s nationwide mail/telehealth mifepristone access, focusing heavily on standing.

Notable examples

Missouri’s shift from a 6-2 to 7-1 district split (eliminating a majority-Black district held by Rep. Emanuel Cleaver). Mail ballots already sent in North Carolina, Wisconsin, and Alabama; military/overseas ballots due Sept. 19. Arizona’s 80% mail-vote rate.

Written by AI. May contain mistakes. Listen to the episode to check what was said.

Chapters

Tap a time to open that second in VO

Supreme Court Decision on Missouri's Congressional Map

1:50 to 2:24

Discussion of the Supreme Court's ruling regarding Missouri's congressional district map.

“This is Bloomberg Law with June Grosso from Bloomberg Radio.”

Legal Fight Over Gerrymandering

2:24 to 4:21

Overview of the legal battles concerning Missouri's congressional map and its implications.

“No Supreme Court justice publicly dissented from the brief order, which didn't detail the court's legal reasoning, which is typical in emergency appeals.”

Primary vs General Election Maps

4:21 to 5:48

Examining the implications of the different maps used in Missouri's elections.

“And the Supreme Court today said basically, you know, enough is enough.”

Mail Ballot Regulations and Litigation

5:48 to 7:26

Discussion on the new USPS mail ballot regulations and the ongoing litigation surrounding them.

“The first time, you know, Justice Kavanaugh, who is the circuit justice for the circuit that covers Missouri, on his own, denied the secretary's request to stay the Missouri Supreme Court's decision.”

Challenges to USPS Regulations

7:26 to 10:41

Exploration of the challenges against USPS regulations regarding mail-in ballots.

“They deliver ballot mail just like they deliver all the other mail.”

Supreme Court's Role in Election Law

10:41 to 14:02

Analysis of the Supreme Court's involvement and the Purcell principle in election-related cases.

“They stayed the previous injunction on that jurisdictional ground, on ripeness, but now they're faced with a very different question.”

Supreme Court and Mail-In Ballots

14:02 to 16:27

Discussion on the Supreme Court's handling of mail-in ballot litigation.

“administration less than two months out.”

Federal Involvement in Elections

17:13 to 24:54

Analysis of the federal government's role and potential interference in elections.

“So let's turn to what may happen during the elections, Because the Justice Department has been deploying election monitors in the primary season.”

Louisiana's Abortion Pill Challenge

24:54 to 25:54

Introduction to Louisiana's legal efforts to restrict access to abortion pills.

“That's Jonathan Diaz, Director of Voting Advocacy and Partnerships at the Campaign Legal Center.”

Mifepristone Case Before the Courts

26:02 to 28:00

Discussion on the ongoing case regarding mifepristone and its implications.

“It was an assassination-style killing, and everybody saw it.”
Show all 14 chapters

Legal Challenges to Mifepristone Access

28:00 to 35:16

Explore the ongoing legal battles regarding access to Mifepristone in Louisiana and the implications of court decisions.

“that Louisiana will get the relief it's seeking.”

Future Implications of Abortion Legislation

35:16 to 42:00

Discuss the potential impact of Mifepristone rulings on abortion laws and the political landscape.

“I mean, is there a danger that the FDA might reverse itself during the Trump administration?”

Discussion on Abortion Politics

42:00 to 42:19

Explore the unresolved nature of abortion as a political issue.

“national limit on abortion that would be the responsibility of Republicans, right, which was not true in 2024.”

Discussion on Abortion Politics

42:56 to 43:13

Explore the unresolved nature of abortion as a political issue.

“Connect with senior decision makers, gain actionable insights, and be part of the conversations driving business forward.”
Hear the part that matters, and keep it.Open this episode in VO. Double tap your headphones to save a moment as you listen.
Get VO free

Transcript

Automatic transcript. May contain errors.

0:00Some people treat ChatGPT like some kind of smart search engine, and some use it to get work done. ChatGPT Work is a new way of working in ChatGPT that can take action across your apps and files, stay with a project for hours if needed, and turn a goal into finished work. It's designed to help you move from a chaotic starting point to a reviewable first version. So all the source materials, briefs, and scattered information that you have to grind through to turn into something useful can just become something useful. Put ChatGPT to work on your most ambitious ideas and projects. Get started at ChatGPT.com by selecting Work Mode, available on Plus and Pro plans.

0:42If you listen to financial news, you know a lot of time to spend thinking about what's next. The next opportunity. The next investment. The next move. But sometimes what matters most is being ready for what you never saw coming. For more than 75 years, Cincinnati Insurance has worked with independent agents to help protect businesses, homes, valuables, and more. Because planning for the future isn't only about knowing what's next. It's about making sure you're ready for what you can't predict. Let Cincinnati Insurance make your bad day better. Find an independent agent at CINFIN.com. This is Alexis Christopoulos for Bloomberg Surveillance.

1:21Most companies have tried AI. Most aren't seeing results. Not because AI doesn't work. It's because AI hasn't reached the workflows yet. That's the gap Asana is built to close. Asana is the operating system for human agent teams. Ready-to-go AI teammates pre-built for marketing, ops, and IT. No prompt engineering. No setup. They show up where the work is happening, already onboarded in your workflows, ready to deliver. Asana, where humans and agents workflow together. Try it at asana.com. That's A-S-A-N-A dot com. This is Bloomberg Law with June Grosso from Bloomberg Radio. Today, for the second time this week, the Supreme Court blocked Missouri from using a congressional map designed by Republican legislators to give the party control of seven of the state's eight congressional districts.

2:15It's a defining moment in the legal fight over the state's map that has spanned more than a year and spawned confusion for voters. The decision means that the state will have to use its congressional map from 2022, which will likely produce six Republican districts and two Democratic districts, a loss for Republicans trying to maintain control of the House in the midterm elections. No Supreme Court justice publicly dissented from the brief order, which didn't detail the court's legal reasoning, which is typical in emergency appeals. My guest is Jonathan Diaz, Director of Voting Advocacy and Partnerships at the Campaign Legal Center.

2:58Jonathan, the legal fight over Missouri's congressional map has been going on for about a year. It reached the Supreme Court twice. Tell us about the sort of tortuous litigation. So, I mean, I think this is a perfect example of why mid-decade redistricting, especially during an election year, is such a problem and creates such a huge headache for voters and for election administrators. Because we are now, you know, less than 60 days out from Election Day. And until this morning, it was not clear what district map Missouri was going to use for their congressional elections. So, you know, there's been a lot of court maneuvering over the last few days, including multiple attempts to go up to the Supreme Court.

3:42But the bottom line is that Missouri's state Supreme Court ruled that the gerrymander that was imposed by the legislature earlier this year that shifted Missouri from a map with six Republican -leaning districts and two Democratic-leaning districts to a new map that was seven Republican-leaning districts and one Democratic-leaning district, that that map was unlawful. that violates the Missouri Constitution. And therefore, you know, the Missouri Supreme Court ordered the state election officials to revert to the previous map, the 6-2 map. Secretary of State didn't like that. You know, it is very last minute.

4:18He tried to go to federal court to, you know, reverse that decision. And the Supreme Court today said basically, you know, enough is enough. The state Supreme Court issued an order based on state law that you have to use the previous map. And the U.S. Supreme Court said we're not going to disturb that order and we're not going to allow lower federal courts to intervene at this point. So Missouri will use their previous congressional map this November. It'll go back to that kind of 6-2 split. That's where we are now, you know, 54 days out from Election Day. What map did they use for the primaries?

4:53So the primary was conducted using the 7-1 map, the new map. And so now the general will be held using the previous map. Isn't it going to cause a problem or at least a lot of confusion? Because the districts of candidates who won the primary could change shape now. I mean, I think the primary winners will remain on the ballot. It's just the district lines are different. So it will be all the same candidates who are elected in the primaries just, you know, using their old maps. And what they did with the new gerrymander was functionally eliminate a majority black district that's currently held by Congressman Emanuel Cleaver.

5:28And so, So, you know, he was still running for reelection, just on a much less favorable map. My understanding is that it is all the same candidates who won the primaries. They're just, you know, using the old district lines now. And this is it. The final from the Supreme Court. They can't go back to the Supreme Court anymore. Well, there's nowhere else for them to go. So this is it. They've gone up to the Supreme Court twice. The first time, you know, Justice Kavanaugh, who is the circuit justice for the circuit that covers Missouri, on his own, denied the secretary's request to stay the Missouri Supreme Court's decision.

5:59And then this time, the full Supreme Court, with no noted dissents, did stay the federal court decision that tried to bring us back to the new map again. So it's been a real seesaw back and forth between, you know, the old map, the new map, the old map, the new map. But at least for Missouri, this has been settled for these midterm elections. Let's turn now to the confusion over mail ballots, where there's litigation in several different federal courts. and we're waiting for a Supreme Court decision on whether the post office can enforce new rules for mail-in ballots? That is right. What's the state of play right now?

6:39Well, it has been a long and rather complicated saga around these new USPS regulations that the Postal Service formally published only a few weeks ago, but that have been kind of percolating since March. So to take us all the way back, you know, in March, 2026, President Trump issued an executive order that focused primarily on mail voting. That order directed the U.S. Postal Service to issue regulations that, you know, would mandate certain envelope requirements, certain barcode requirements, and new procedures that state and local election officials would have to follow in order for USPS to deliver ballots to voters in those states.

7:22There is no statutory authorization for any of this. The Postal Service is not, they're not election administrators. They deliver ballot mail just like they deliver all the other mail. And so this executive order and the regulations that USPS created to enforce it, you know, represent a huge shift in the way that mail voting would work in this country and would give USPS the authority to decline to deliver ballots to voters if the states or the counties who are sending those ballots don't meet every single new technical specification in these USPS regulations. There's been a flurry of litigation challenging both the executive order and the USPS regulations.

8:04Earlier this year, a district court in Massachusetts issued an injunction that found that the executive order was unconstitutional and enjoined USPS from issuing regulations to give effect to that order. That injunction was appealed. And a couple of months ago, the Supreme Court said that the injunction was issued too soon. They said that the issues were not yet ripe because the Postal Service hadn't actually issued any regulations. And so there was nothing really to challenge. And the district court acted too soon when it granted relief to the plaintiffs. But in that order, the Supreme Court said, if and when there is a final regulation that's in place, that might change things.

8:42So about two days after that Supreme Court order came down, USPS published their final regulation, and we all rushed back to court and started the process all over again. Judge Talwani in Massachusetts again issued an injunction blocking the USPS regulations from taking effect. She found that the regulations themselves are unlawful. They exceed the post office's statutory authority. They derive from an unconstitutional executive order. And critically, there is just no time to make these kind of huge changes before the midterm elections without disenfranchising millions of voters. And that, I think, is the really critical piece here.

9:21You know, state and local election officials from across the country, from red and blue and purple jurisdictions, have all told the courts, We cannot do this. You know, ballot envelopes have already been purchased. Barcodes have been placed on them. There is no time to redesign ballot mail in all of the 10 ,000 election jurisdictions across the country. And there's no money to do it. The vendors can't work fast enough. The counties have no more budget left. They've already spent the money that was appropriated to them to buy, you know, ballot mail and ballot paper and all of that. You know, in a state like Arizona, where 80 % of voters voted by mail in 2024, you know, if they don't get their ballots, that's a huge logistical and operational problem for election officials, you know, across the state and across the country who are in very similar situations.

10:09So the government has sought a stay of this injunction from the District Court of Massachusetts. Kind of unusually, they simultaneously asked both the First Circuit Court of Appeals and the Supreme Court to stay the district court order. Normally, you would go to the circuit court first, and then if they say no, then go to SCOTUS. But DOJ decided not to wait. Just mere minutes ago, as we're recording this, the First Circuit denied the government's request for a stay, leaving that injunction in place. And so now we await a decision from the US Supreme Court. They stayed the previous injunction on that jurisdictional ground, on ripeness, but now they're faced with a very different question.

10:47They have to address the merits of the government's position. The government says that these regulations are lawful, that they do have the authority to do this. The lower courts have disagreed so far. But I think that the Supreme Court really also has to consider the equities of the situation right now and how disruptive an attempt to implement these new regulations 54 days out from election day would be in a situation where mail ballots have already gone out in some states. North Carolina, Wisconsin, Alabama have all already started sending ballots to voters. Every state has to send mail ballots at least to military and overseas voters by September 19th.

11:26And throughout all of this, USPS and the federal government have been unable to clearly say whether even they are ready to implement these rules, whether the portal that they're building is complete, whether they have the staff and the time and the functionality to do all the things that the regulations require them to do. So at At this stage of the election cycle, to even be contemplating a change on this scale is crazy, which is, I think, why we have seen kind of an unusually broad coalition of election officials, you know, Democrats and Republicans, secretaries of state, county clerks, all going to the court and saying, you know, even if they don't address the legality of the issue, you know, practically speaking, the implementation of a rule like this in September of an election year would be just unbelievably disruptive to the process of elections and would almost certainly result in voters not getting their ballots.

12:26So you would expect that the Supreme Court would listen to what the election officials are telling them. They don't have to make a decision on the merits, right? They can just rely on the fact that it's too late to make these changes. Right. This is an emergency stay request. So we're in a kind of emergency posture on the shadow docket. There won't be, you know, oral argument. They don't have to do, you know, a full kind of opinion and everything. All they have to do is either, you know, grant or deny this government's stay request. And how much reasoning they want to give us is unfortunately kind of up to them.

13:02I hope that they do some explanation of the decision to kind of, you know, give some guidance to the lower courts on these questions. But listeners may be familiar with the Purcell principle, which comes up in election litigation a lot. you know, this kind of judicial doctrine that federal courts should be mindful of the administrative chaos that their decisions can have late in an election cycle, and that they should be cautious when issuing orders to do so in a way that minimizes voter confusion and strain on the election system. And if ever there were a case where the Purcell doctrine should apply, it's this one, where the federal government is trying to impose new regulations and new procedures on election processes nationwide at the 11th hour.

13:50And the states are saying we simply can't do it. And so, you know, I am hopeful. I'm fairly confident that the court will see both the legal and practical realities here and not toss a bomb into election administration less than two months out. But we won't know until they tell us. As you discussed, the Supreme Court took an off-ramp, relying on procedure, on standing, so they wouldn't have to make a decision on the merits. The last time this mail-in ballot question came to them, they must have known that this was coming right back to them. So all this litigation and confusion since then is because they avoided making a decision on the merits in a case where the law seems pretty clear.

14:37And it's going to end up right there. Well, and they sat on it the first time around. You know, the stay request of the original PI before the regulations were finalized, the Supreme Court didn't act on it for almost three weeks. And so, you know, this is a crisis, I think, in part of their own making, because they knew it was going to come back. But, you know, I imagine this time around, they will move more quickly, given, you know, where we are in the calendar. At least I hope so. But the legal issues are, I think, pretty straightforward here. You know, the Constitution very clearly assigns the responsibility to legislate the time, place, and manner of federal elections to the states, subject only to preemption by Congress.

15:18And it does not give the executive branch any authority, you know, whether it's coming from the White House or the U.S. Postal Service, to regulate elections absent clear authorization from Congress, which they don't have here. Congress has never passed a statute giving the Postal Service the power to reject, you know, mail ballots if they don't meet their own internal technical requirements. Congress has very specifically identified a handful of categories of non-mailable materials that USPS can reject, and ballots are not one of them. Some people treat ChachiPT like some kind of smart search engine, and some use it to get work done.

15:58ChatGPT Work is a new way of working in ChatGPT that can take action across your apps and files, stay with a project for hours if needed, and turn a goal into finished work. It's designed to help you move from a chaotic starting point to a reviewable first version. So all the source materials, briefs, and scattered information that you have to grind through to turn into something useful can just become something useful. Put ChatGPT to work on your most ambitious ideas and projects. Get started at ChachiPT.com by selecting Work Mode, available on Plus and Pro plans. Early morning on a Manhattan sidewalk, a shooting caught on surveillance video.

16:40It was an assassination-style killing, and everybody saw it. Now, as Luigi Mangione prepares to stand trial for the murder of UnitedHealthcare CEO Brian Thompson, which he denies, A new podcast series from ABC Audio and 2020 goes inside this captivating case. I'm ABC News legal analyst Brian Buckmeyer. Listen to Burden of Proof, Luigi Mangione, wherever you get your podcasts. I've been talking to Jonathan Diaz of the Campaign Legal Center. So let's turn to what may happen during the elections, Because the Justice Department has been deploying election monitors in the primary season. Trump told The Times that he regretted not seizing voting machines after the 2020 election.

17:31His administration is exploring criminal charges against election officials for different reasons. And Safeguarding Democracy Project at UCLA has issued what it calls guidance for judges on potential requests for subpoenas to seize election materials like ballots and voting machines. What could happen? Could we have intimidation at the polls, seizing of voting machines afterwards, seizing of ballots? There's a whole range of things that could happen. It is true, and I think not particularly controversial to say that, you know, the federal government's posture in this election cycle is unlike anything we have seen, you know, certainly for decades, maybe, you know, in any of our lifetimes, where, you know, the entire federal government apparatus has seemingly been reoriented around the president's views on how elections should run and the president's grievances for his past election losses.

18:34We have people who are now in charge at the Department of Justice and the Department of Homeland Security who are fully bought into the conspiracies and falsehoods around the 2020 election and who have, you know, weaponized the federal government's law enforcement authorities in pursuit of those theories. You know, there are some things that they are doing that under a different administration will be totally normal. Like DOJ has sent election monitors out into the states to check for compliance with certain federal laws for decades. And that is, you know, under most circumstances, a totally normal thing that shouldn't cause any alarm.

19:11But when you have that program being run by somebody like Hermit Dillon, who is at the same time, sending threats of criminal prosecution to election officials and, you know, demanding that election officials turn over their unredacted voter files to the federal government, which is something that the federal government just doesn't do. They don't do voter registration. You know, it does create an atmosphere that I think is designed to cause confusion, to generate fear and to reduce the public's trust in the election system. You know, there are still many federal laws that prohibit a lot of the things that, you know, people are worried about.

19:51It is unlawful for armed federal agents to be deployed to the polls. It is unlawful for the military or the National Guard to be deployed to the polls. Voter intimidation laws exist in all 50 states and D.C. and Puerto Rico. And there is a federal voter intimidation law that is, you know, privately enforceable. And so, you know, a lot of these things, I think, are unlikely to succeed, but they don't have to succeed if they scare people out of voting. You know, that is just as much a problem as if they, you know, actually go in and physically disrupt the conduct of elections. And so, you know, our message to voters has been don't let the federal government or anyone else scare you out of exercising your right to vote.

20:36And there is a robust national nonpartisan election protection infrastructure that is designed to make sure that every eligible American is able to cast a ballot and that those ballots are counted. You know, we may see attempts by DOJ or DHS to skirt those legal lines, to try and station their agents near the polls, if not at the polls, to scare people. Or we may see subpoenas from DOJ seeking, you know, to take custody of ballots or election materials, which is why I think, you know, the UCLA Safeguarding Democracy Project is sending guidance out for judges to, you know, about what they should be considering.

21:14because there are different equities involved when you're thinking about a live election and chain of custody of ballots that, you know, the kinds of things that wouldn't normally factor in when you're considering, you know, a search warrant or a criminal subpoena or something like that. But, you know, I think fortunately or unfortunately, I don't know, the government has not been particularly quiet about their views on elections or what they, you know, are considering doing. And so I don't think it will come as a surprise if they do try and disrupt the conduct of the midterm elections, but I am confident that they will fail because they have no basis for any of this.

21:46And, you know, the last time that Donald Trump led an effort to overturn election results in 2020, it was a spectacular failure because there is simply no evidence to back up any of the false claims that they're making about how our elections work. And, you know, our elections are run by dedicated civil servants of, you know, both parties, of neither party across the country. You have Democrats and Republicans, Secretary of State, county clerks who are just trying to do their jobs. And I understand why people might be anxious about the federal government's attempts to enlarge its role in the conduct of our elections.

22:22But so far, they have been entirely unable to do that. And the courts have continued to check their efforts to insert themselves into the election process. There are election deniers in some state and county election offices. Is there a fear that there may be election interference on a state or county level? I mean, that's that is an issue that we have unfortunately faced for the last several election cycles. You know, in 2024 and 2022, we had county officials who tried to refuse to certify election results if they didn't like them or, you know, who have, you know, attempted to unlawfully purge voters from the rolls at the last minute.

23:04But, you know, we have legal tools to respond to those things, to compel certification of election results, to ensure that voters are not unlawfully removed from the rolls if they're eligible. So I'm less concerned about kind of state and local level interference because we have a well documented kind of judicial and legal playbook for those kinds of things. we've never really faced this kind of direct interference attempt from the federal government before that is new and although the federal government has no you know explicit legal authority when it comes to elections other than what is specifically granted to them by certain federal statutes they have a lot of general law enforcement authority and police powers that i think this administration has shown a willingness to abuse and go beyond and so you know, there are legal remedies for those kinds of things, too.

23:57But if we are in the middle of a live election, and, you know, ballots are still being counted, you know, disruption of that process could be really serious. And so that's why, you know, I think it is incumbent on state and local officials who have a role in the election process to be prepared for, you know, attempts at potential federal interference and to know how to respond. I think it's, you know, partially in the hands of voters to make sure that they have a plan for getting to the polls and a backup plan if, you know, something doesn't work out to make sure that they get their ballot in and have, you know, their voice counted.

24:29And that's why we have, you know, civil society groups like, you know, like Campaign Legal Center and, you know, our many partners across the country who have been preparing for these midterm elections for years at this point to make sure that we do everything in our power to have a safe and secure election where the results match the votes. And we'll wait to see what the Supreme Court decides on mail ballots. Thanks so much, Jonathan. A pleasure having you on. That's Jonathan Diaz, Director of Voting Advocacy and Partnerships at the Campaign Legal Center. Coming up next on the Bloomberg Law Show, Louisiana is one of the red states trying to stop the abortion pill from being available by mail, even in states where abortion is legal.

25:15I'm June Grosso, and you're listening to Bloomberg. Some people treat ChatGPT like some kind of smart search engine, and some use it to get work done. ChatGPT Work is a new way of working in ChatGPT that can take action across your apps and files, stay with a project for hours if needed, and turn a goal into finished work. It's designed to help you move from a chaotic starting point to a reviewable first version. So all the source materials, briefs, and scattered information that you have to grind through to turn into something useful can just become something useful. Put ChatGPT to work on your most ambitious ideas and projects.

25:54Get started at ChatGPT.com by selecting Work Mode, available on Plus and Pro plans. Early morning on a Manhattan sidewalk, a shooting caught on surveillance video. It was an assassination-style killing, and everybody saw it. Now, as Luigi Mangione prepares to stand trial for the murder of UnitedHealthcare CEO Brian Thompson, which he denies, a new podcast series from ABC Audio and 2020 goes inside this captivating case. I'm ABC News legal analyst Brian Buckmeyer. Listen to Burden of Proof, Luigi Mangione, wherever you get your podcasts.

26:37Louisiana is one of at least five red states trying to restrict abortion access outside its borders, in blue states where abortion is legal. Just four years after the Supreme Court ruled that individual states should decide whether to allow abortion, Medication abortion with the drug Mifeprestone now accounts for a majority of abortions in the U.S. And nearly 30 percent of those are conducted by telehealth. Louisiana, which has banned most abortions since 2022, is trying to block providers in states where abortion is legal from sending drugs for medication abortions, challenging a 2023 FDA policy that permanently loosened requirements on in-person dispensing of the drug.

27:27In a case before the Fifth Circuit Court of Appeals, Louisiana is seeking a stay to prevent the FDA from allowing online and mail availability of the abortion drug mifepristone nationwide, even where it's legal. Joining me is Mary Ziegler, a professor at UC Davis Law School and an expert in reproductive rights. Mary, what's Louisiana asking the Fifth Circuit to do? Louisiana already has reason to think that this case will work out in their favor because the district court earlier had ruled that eventually it seems pretty likely that Louisiana will get the relief it's seeking. But the district court was going to give the Trump administration a chance to do its review of Mifepristone first.

Read the full transcript

28:12and the U.S. Supreme Court last spring allowed current access to mifepristone to remain in place while that process continues. So what Louisiana is looking for here is an immediate change in access to mifepristone while all these procedures continue. What's interesting is Louisiana acknowledges, right, that it's already in a pretty good position and yet is still impatient for its demands to be met. During the oral arguments, did they discuss the merits or was it mostly about procedural matters like standing? It was largely about standing. There were lots of questions to the lawyer representing the FDA about whether and how the FDA had reviewed adverse event data, and the attorney representing the FDA consistently refused to take a position on those issues.

29:00So there was certainly some sign that the members of the Fifth Circuit were concerned about adverse event data, which makes sense given that their ruling last spring, turned pretty heavily on that. But there also seemed to be a lot of skepticism among the panel members about standing and also concern about the timing of this, given that the Supreme Court had preserved existing access to mifepristone in the present and whether that had any effect on or limit on what the Fifth Circuit could do now. Well, I mean, Judge Higginson said, there are two questions. Do we have authority to reimpose the stay?

29:40The Supreme Court has already said we can't. And second of all, if we can, is that self-defeating with your claim of irreparable harm? So, I mean, he's basically saying that they can't reimpose the stay. Exactly. And Louisiana's answer in some ways was that what the Supreme Court did before was a shadow docket ruling. So it's not really clear how the Supreme Court was thinking about these issues and the equities and standing. And while that's true, I think the panel was aware that whatever the Supreme Court concluded, it was not ultimately in Louisiana's favor. And so I think that the panel judges at least signal that they might not be able to give Louisiana their relief at once because of the Supreme Court's order.

30:24And in that Supreme Court case, it was based on standing that anti-abortion doctors didn't have standing? Yeah, so there are actually two things that the panel discussed. There was both a 2024 Supreme Court decision involving another challenge to Mifepristone filed by a group of anti-abortion doctors called the Alliance for Hippocratic Medicine. And then there was an order, a shadow docket order issued by the Supreme Court last year. So one question was whether the standing arguments made by Louisiana were pretty much an exact match for standing arguments the court had already rejected in that 2024 case, Alliance for Hippocratic Medicine.

31:08Another question was, given that the Supreme Court had frozen in place access to mifepristone in response to a request by the drugs manufacturer, Danko, last spring, did the Fifth Circuit actually have the ability to ignore that and still give Louisiana an order immediately blocking access to mifepristone? So there's two different questions. And Louisiana tried to argue that it had a better argument for standing than the Doctors for Alliance and Hippocratic Medicine had. And they tried to argue independently that the Supreme Court's order last spring was simply just too vague to have that binding effect on the Fifth Circuit because no one knows exactly who voted or what they were thinking or what their reasoning was.

31:55But the panel seemed leery of both of those arguments. And I mean, Louisiana is claiming that it's being harmed through Medicaid costs for treating complications. Are there Medicaid costs? I mean, exactly. So Louisiana has a couple of different standing arguments. One of them is essentially that it's being harmed because patients suffering complications from Mifepristone are going to hospitals and some of those patients are relying on state Medicaid programs. They're arguing that Mifepristone rules impede Louisiana's power as a sovereign and its ability to enforce its criminal abortion laws. And they also argue in a kind of novel claim that the FDA was targeting Louisiana by permitting telehealth access to abortion, essentially seeking deliberately to undermine Louisiana's abortion laws.

32:49So those are some of the theories of standing that the Fifth Circuit was considering. Has a court ever second guessed the FDA's approval of drugs? Judges had not second guessed the approval of other drugs. There has, I mean, obviously prior to the final resolution of the Alliance for Hippocratic Medicine case, there has been a previous effort to regulate FDA's approval and regulation of mifepristone. that's really been an outlier. And I think that was something that emerged in the argument yesterday, right? So when the Fifth Circuit was discussing the merits and adverse event reporting, an attorney for Danko made the point that the concerns that were raised about adverse event reporting and mifepristone could easily be applied to the approval of a lot of other drugs.

33:39So one of the other things lurking in the background here is whether the courts in general or the Fifth Circuit in particular, will be setting a precedent for challenging all kinds of drug approvals if it goes down the road of allowing Louisiana to challenge Mipopristone in this way. And the Justice Department was in a strange posture. They were trying to oppose this on procedural grounds without really giving the court enough information about what was happening at the FDA? That's right. So the FDA's attorney was clearly in a very awkward spot and had been instructed to not say anything about the merits, no matter what the judges on the Fifth Circuit asked, and would pretty much just repeat arguments about standing and ask the court to allow the FDA to continue its review of mifepristone without judicial intervention.

34:32This did lead to some kind of weird and awkward moments where, you know, the attorney for the FDA was refusing to answer questions about the FDA's statutory authority and other things that, you know, would easily come within the expertise of the FDA. So it was another, I think, reminder that the Trump administration has been in a kind of political bind when it comes to Mifepristone, because clearly the administration doesn't want anything changing with respect to Mifepristone before the midterm, because that could cause political backlash, but also doesn't want to take any position defending the current rules on Mifepristone either.

35:10So that kind of rock-in-a-hard-place reality was on full display at the argument. I mean, is there a danger that the FDA might reverse itself during the Trump administration? Absolutely. I don't think there's much of a danger of that happening prior to the midterm. The Trump administration has actually said as much. But I think there's a danger both because the Trump administration has been under pressure from abortion opponents to change the rules on Mifepristone for some time. And also because, frankly, the courts are putting a lot of pressure on the Trump administration. So the district court in Louisiana has said that as litigation in this case continues, that court is leaning toward granting Louisiana the relief it seeks if the Trump administration doesn't give Louisiana what it wants.

35:57So the Trump administration is facing both political pressure and judicial pressure. So while I don't think it's likely we're going to see anything change before November, after the midterm, I think, is a very different story. Let's say this appellate panel, which leans moderate at least, a Biden appointee, an Obama appointee, and a George W. Bush appointee, say they deny the stay to Louisiana. What happens then? Well, so my understanding is that this is still seeking a stay, right, more like temporary relief as the litigation continues. So the District Court independently has given the Trump administration an October deadline to report on its progress in this study.

36:48And while this is a merits panel for the Fifth Circuit, what the Fifth Circuit is deciding is just whether to block access to Mifepristone during the litigation. This isn't the only question that'll be before the courts. So there's still ongoing action in the district court as the Fifth Circuit is confronting this question. So one way or another, this case will end up back at the U.S. Supreme Court on the merits eventually. If Louisiana doesn't get the relief it wants from the Fifth Circuit, it could appeal that to the U.S. Supreme Court. But there's the independent question of what the district court is going to do as the case moves forward.

37:26And that's one of the reasons this is sort of a weird case. And what the Fifth Circuit was asking is, you know, you're asking us to temporarily block access to Mifepristone. while the case continues. And the Supreme Court already seems to have said no to that. So it's kind of a strange case in the sense that Louisiana seems to be back asking the Fifth Circuit for something the Supreme Court already refused, as opposed to the case just continuing in its logical order toward a conclusion. This is a little confusing. Has the district court held a trial yet? What had happened was that the FDA had asked for a pause to review safety data involving mifepristone.

38:07And the judge granted that request and asked the Trump administration for an update in October about how the study was going and said, essentially, if there weren't enough signs of progress for the judge's satisfaction, that they may then grant Louisiana's request to immediately ban telehealth prescriptions. So what is coming next is that we're expecting some kind of update from the FDA in October pursuant to that Judge David Joseph's request. And then we'll see what the district court does with that and what the FDA actually says. So there would eventually be a trial unless the Trump administration makes one unnecessary.

38:51But where we are at the district court at the moment is that the district court is giving the Trump administration that time to complete the study. What do you think will happen if or when this goes back to the Supreme Court, you know, on the merits. It depends on what comes back to the Supreme Court. I mean, I think if the exact same questions the Supreme Court ruled on last spring or pretty close to the exact same questions come to the court again, we're likely to see the same result, right, which is the court is going to let access to Mifif of Pristone stay in place while the case continues.

39:22What happens when the case comes back to the court again later in the litigation is anybody's guess, right? We have no idea what motivated the court's decision last spring because it was a shadow docket ruling. And we don't know if the court would rule differently if the FDA study, for example, was actually completed. One possibility is that the court agreed with the district judge and thought it would be better to let the FDA process play out before intervening. So it's not clear what the Supreme Court will do. I think it's unlikely that either the Fifth Circuit or the Supreme Court would grant Louisiana what it wants right now.

40:00But that doesn't mean Louisiana won't have better odds later. I think they have very good chance in the district court if the Trump administration doesn't put limits on Miffer-Pristone telehealth access. I think that's probably true depending on the panel in the Fifth Circuit. It may be true in the U.S. Supreme Court too. So I think at the moment, Louisiana is probably not going to get anywhere, but that's not forever in this case. That's just because Louisiana is kind of asking for a do-over in terms of immediately blocking Mifepristone as opposed to down the line. And it's your guess that the Trump administration will do something to change the rules on Mifepristone.

40:39There's not really, I think in my mind, that much of a question that the Trump administration will eventually do something on Mifepristone. I think the question, they may not have a choice because of the courts. And I think the question just is what and how much they actually put effort into enforcing new limits. And do you see a way for the blue states to get around this practically? Well, I think blue states are going to, if the Trump administration does this, try to make political hay out of it. This would be a deeply unpopular move. And of course, as we've already seen from the Trump administration, it would make abortion into a major election issue in 2028, because whoever is in the White House would reshape what the FDA is doing.

41:21It seems pretty clear that what the FDA is doing here is politically motivated. The Trump administration has been responding to a pretty steady drumbeat of pressure from pro-life groups, Republican lawmakers and the like. So I think most likely you would not see an immediate change, although there would be a lot of pressure on the Trump FDA not to put a lot of resources into enforcing new limits on Mitfipristone. I think there would also be a pretty big effort from blue state lawmakers and Democratic presidential candidates to make abortion into a major election issue in 2028. And I think that would probably work in a way it hadn't in 2024.

41:59Because if the Trump administration does this, there would be a new national limit on abortion that would be the responsibility of Republicans, right, which was not true in 2024. It's an issue that never seems to be resolved. Thanks so much for the discussion, Mary. That's Professor Mary Ziegler of UC Davis Law School. And that's it for this edition of the Bloomberg Law Show. Remember, you can always get the latest legal news on our Bloomberg Law Podcast. You can find them on Apple Podcasts, Spotify, and at www.bloomberg.com slash podcast slash law. And remember to tune into the Bloomberg Law Show every weeknight at 10 p.m.

42:38Wall Street time. I'm June Grosso, and you're listening to Bloomberg.

42:47Join Bloomberg for the Canadian Finance Conference, proudly sponsored by National Bank of Canada Capital Markets, on September 29th in New York. Hear from influential corporate and government leaders as they discuss the strategies shaping Canada's economic future. Connect with senior decision makers, gain actionable insights, and be part of the conversations driving business forward. Register at bloomberglive.com slash Canadian Finance. That's bloomberglive.com slash Canadian Finance.

From the publisher

Jonathan Diaz, Director of Voting Advocacy and Partnerships at the Campaign Legal Center, discusses the Supreme Court ruling that Missouri cannot use the congressional map drawn by Republicans to give them an advantage in the midterms.  Then Mary Ziegler, a professor at UC Davis Law School and an expert in reproductive rights, discusses Louisiana trying to obstruct access to abortion medication in states that allow abortion.  June Grasso hosts.

See omnystudio.com/listener for privacy information.

More from Bloomberg Law

All 284 episodes
Missouri Can't Use GOP Maps & Attack on Abortion PillBloomberg Law · 38 min
Listen in VO