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Lock, Comstock and Barrel: In effort to strip abortion pill approval, Republican lawmakers brush off 150-year-old anti-vice law

Republicans cite the Comstock Act from 1873 as evidence the FDA should backpedal on its longstanding approval of the abortion drug mifepristone. Experts warn the anti-abortion movement is testing the legal waters for more draconian restrictions.

WASHINGTON (CN) — A morality law from 1873 is back on the legal forefront this week, as congressional Republicans argue the federal government overstepped its authority in allowing an abortion drug to remain on pharmacy shelves.

Lawmakers have downplayed the significance of that law — the Comstock Act — in the high court’s potential judgment. Regardless, experts warn that if the Supreme Court recommends enforcing the Comstock Act and its related state and federal statutes, it could have rippling consequences that extend beyond even abortion rights.

The justices next week will consider whether the Food and Drug Administration erred in its 2000 decision to approve mifepristone, one of a pair of drugs used in medication abortions. The hearing comes after both a Texas federal court and the Fifth Circuit ruled last year that the FDA did not adequately consider what they called mifepristone’s harmful side effects.

Claims about mifepristone’s dangers are heavily disputed by the FDA, the Justice Department and leading medical groups. Despite that, a group of 145 Republican lawmakers from both the House and Senate say they agree with the lower court’s interpretation, telling the justices in an amicus brief this week that the FDA’s approval of mifepristone “has endangered patient health and safety.”

In addition to these purported health concerns, the Republicans also took aim at the FDA’s 2021 decision to approve mifepristone for mail-order deliveries — a move that they argued “violates longstanding federal laws.” Before 2021, patients hoping to obtain the abortion drug in some states were required to pick it up in person.

To back up these claims, lawmakers pointed to a group of bills known as the Comstock laws, the first of which — the Comstock Act itself — was enacted in 1873.

With these laws, they wrote, Congress “barred the abortion industry from using the United States Postal Service to mail abortion-inducing drugs, including the chemical abortion regimen of mifepristone and misoprostol.” They argued that mailing abortifacients through other courier services is similarly prohibited.

“Congress has never removed the prohibition on mailing chemical abortion drugs,” the Republicans added.

When it first became law, the 1873 Comstock Act clamped down on both abortion rights and contraception, making it illegal for Americans to mail items “designed or intended for the prevention of conception or procuring of abortion.”

 Subsequent court cases throughout the 20th century pared down the definition of the act and its later iterations to apply only to illegal contraception and abortion aids. Congress removed the law’s restriction on contraception altogether in 1971.

The feds has largely refused to enforce the Comstock acts for the better part of a century. Following the Supreme Court’s 2022 ruling in Dobbs v. Jackson Women’s Health Organization, which ended the national right to abortion, anti-abortion activists have once again begun citing the morality laws.

Abortion rights protesters marched down Congress Avenue in Austin, Texas, to voice their opposition to the Supreme Court's overruling of Roe v. Wade, on June 24, 2022. (Kirk McDaniel/Courthouse News)

“It’s been sort of front and center in the anti-abortion movement more recently, and off-and-on again since Dobbs,” said Mary Ziegler, a professor at the University of California Davis School of Law who specializes in reproductive law.

While the Comstock acts don’t form the backbone of the arguments against mifepristone that the Supreme Court is now considering, Ziegler said she wasn’t surprised to see the archaic laws referenced by Republican lawmakers. Many of those lawmakers, she noted, are affiliated with the anti-abortion movement.

Still, Ziegler thought it was notable to see members of Congress going to bat for the law. “There are members of Congress defending it,” she said. “Not just saying ‘yes, it’s the law,’ but saying that it’s a good law.”

If the Supreme Court were to recommend that Congress enforce the Comstock acts, it would likely trigger debate among lawmakers about what exactly the laws prohibit. After all, Ziegler noted, the laws restrict the distribution of not just abortifacients but also pornography or other “indecent or immoral” items.

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“What does that mean about sex toys?” she asked. “What does that mean about Viagra? The implications are not just for abortion.”

Despite the possibility that Congress could soon face these difficult conversations, some of the Republicans who signed onto this week’s amicus brief appeared to brush off the laws’ significance in their push against mifepristone.

“The court doesn’t need to breach the Comstock question at all,” Missouri Senator Josh Hawley told Courthouse News on Thursday. “To me, this issue is really about whether the voters in the states are going to be able to decide these issues or not.”

Hawley acknowledged the Supreme Court could consider the Comstock laws but said he would be “shocked” if the high court made them part of its ruling — even though the laws feature prominently in the Republicans’ amicus brief. 

Instead, the lawmaker argued the case was about pushing back on the Biden administration, which he accused of trying “to make chemical abortions available on demand no matter what.”

Ziegler contended that the Missouri Republican was “burying the lede” on the Comstock argument. 

Top conservative strategists, she noted, have said that they would angle to use the century-old laws to enforce bans on medication abortions if former President Trump prevails in November’s presidential election. The idea that the anti-abortion movement “wouldn’t want what they are saying is a national ban” or would “just want to focus on mifepristone,” is “just not credible at all," she said.

Anti-abortion signs line the street outside the Women's Reproductive Clinic in Santa Teresa, New Mexico. (Stephen Paulsen/Courthouse News)

On the other side of the aisle, Democrats could introduce legislation to repeal the Comstock laws, effectively offering an end-run around their future use against abortion medication and providers. So far, though, Democrats have yet to undertake such an effort. 

Instead, they were largely mum this week about their colleagues’ invocation of the Comstock Act, which was passed before the invention of the incandescent light bulb in 1879.

It “seems like a pretty long reach into ancient history,” Rhode Island Senator Sheldon Whitehouse, a senior member of the upper chamber’s Judiciary Committee, told Courthouse News Thursday. He said he had not read the Republican amicus brief.

Connecticut Senator Richard Blumenthal also said Thursday that he had not reviewed the brief but that he didn’t think much of the Comstock argument.

“We don’t think it has real impact or even relevance,” he said.

The Comstock laws “go way back in history,” Senate Majority Whip Dick Durbin told Courthouse News on Wednesday. “It was a different time in America.”

Even still, “a lot of us were told to let the case go forward [and to not] get involved on a congressional level,” Durbin added. “That’s an admonition I follow.”

In its filings in the case, the Justice Department has likewise largely avoided the topic of Comstock, Ziegler said — suggesting that both Democrats and the government want to avoid a ruling that recommends their enforcement.

“There’s nothing good for Democrats that comes out of the court talking about Comstock,” she added.

Despite concerns that the Supreme Court could use the mifepristone case to issue a broader decree about the antiquated Comstock laws, Ziegler predicted the justices would not make any definitive statements this time around.

“I’m not expecting them to talk about Comstock in this case,” she said, adding that the court might want to steer clear of controversial quagmires like Comstock during the ongoing election season. Still, she opined that one of the conservative justices — possibly Justice Clarence Thomas or Justice Samuel Alito — might touch on the Comstock argument.

Ziegler argued that Republicans and the anti-abortion movement were instead using the forthcoming mifepristone case as a blueprint for a future ruling on the enforceability of Comstock laws.

“There’s no downside for the plaintiffs and their Republican allies here,” she said. “You’re laying the groundwork for something in the future, and you’re also testing the waters and seeing if you can get some of the conservative justices to show their hand on Comstock.”

In the meantime, mifepristone is still available to consumers thanks to a Supreme Court action that placed a temporary hold on the lower courts’ rulings against the drug. The high court is scheduled to hear arguments in the case on Tuesday, March 26.

Follow @BenjaminSWeiss
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