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Sen. Hawley Opens Mifepristone Probe, Moves to Revoke FDA Approval

Sen. Josh Hawley, R‑Mo., as chair of the Senate Judiciary Subcommittee on Crime and Counterterrorism, has opened investigations into mifepristone manufacturers Danco Laboratories and GenBioPro, accusing them of profiting from an abortion drug he says poses "grave risks" to women. In letters obtained by Fox News and dated this week, Hawley demands by April 24 all adverse-event reports, internal databases and other records related to safety, hemorrhage, infection, sepsis and complications from the drug. The move accompanies Hawley’s introduction of the Safeguarding Women from Chemical Abortion Act, which would withdraw FDA approval of mifepristone, ban its use for abortion and create a federal cause of action allowing women to sue manufacturers. The bill builds on earlier Hawley proposals to tighten FDA safeguards and expand liability to telehealth providers and pharmacies, and directly targets a medication used in an estimated 63% of U.S. abortions in 2023, according to Guttmacher Institute data. Abortion-rights advocates and many medical groups argue existing data show mifepristone is comparatively safe, so this investigation sets up another clash between Republican lawmakers and federal regulators over how drug safety is assessed and who controls access to abortion medication.

Abortion Policy and FDA Oversight U.S. Congress

📌 Key Facts

  • Sen. Josh Hawley notified Danco Laboratories and GenBioPro that he is opening an investigation via the Senate Judiciary Subcommittee on Crime and Counterterrorism.
  • The letters demand extensive safety documentation on mifepristone, including all adverse event reports and relevant internal databases, by April 24.
  • Hawley has introduced the Safeguarding Women from Chemical Abortion Act to withdraw FDA approval of mifepristone, ban its use for abortion, and allow women to sue manufacturers.
  • Mifepristone was used in 63% of all U.S. abortions in 2023, according to the Guttmacher Institute.

📊 Relevant Data

The overall complication rate of medication abortion, including mifepristone, is 5.2% based on a large study following appropriate in-person evaluation.

Risks of and Indications for Mifepristone for Medication Abortion — American Academy of Family Physicians

As of December 2022, the FDA reports 32 deaths out of approximately 5.9 million people who have taken mifepristone for medication abortion.

Analysis of medication abortion risk and the FDA report — ANSIRH

In 2022, abortion rates were 4.3 times higher among Black women compared to White women, and abortion ratios were 4.0 times higher among Black women compared to White women.

Abortion Surveillance — United States, 2022 — CDC

As of 2021, the abortion rate was 28.6 per 1,000 women among Black women, compared to 12.3 per 1,000 among Hispanic women, and 6.4 per 1,000 among White women.

What are the Implications of the Dobbs Ruling for Racial Disparities? — KFF

Pregnancy-related mortality rates among Black women are over three times higher than among White women in the US.

Racial Disparities in Maternal and Infant Health — KFF

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