Briefing

Is the Comstock Act back from the dead?

How a 19th-century law may end access to the abortion pill

The Comstock Act is back. The 19th-century law — signed by President Ulysses Grant in 1873 — is at the heart of a federal judge's ruling that strikes down FDA approval of the abortion drug mifepristone, The Associated Press reports. The federal law was "dormant for a half-century," but anti-abortion groups "have seized on Comstock to try and shut off the flow of abortion drugs" after the Supreme Court overturned Roe v. Wade in 2022. 

The new ruling is an "open invitation" for anti-abortion groups "to seek a nationwide federal ban on all abortions," Mary Ziegler writes at The Atlantic. The act prohibits mailing "every article or thing designed, adapted, or intended for producing abortion." The FDA had followed a long-held rule that abortion drugs can be mailed "when the seller does not intend them to be used unlawfully." Judge Matthew J. Kacsmaryk ruled that the law's text holds that there is no scenario under which the drugs can be mailed.

While Congress amended the Comstock Act several times over the past 150 years, "lawmakers left the abortion aspects of the law" alone, the Texas Tribune reports. And the Supreme Court has never considered a case involving the law "because it was unenforced and thus unchallenged for so long." Now the case is almost certainly headed to the nation's highest court — "a significant step toward bringing this zombie law back to life."

What are the commentators saying?

Until recently the Comstock Act "seemed a relic," Michelle Goldberg writes at the New York Times. Its sudden revival is a sign of how quickly the landscape on abortion has shifted — only a year ago "the idea of a judge using the Comstock Act to halt medication abortion nationwide would have seemed hysterical." But it's no accident the revival of "Comstockery" has come after years of widening social and sexual freedoms like gay marriage and legalized marijuana: "There's a dialectic relationship between freedom and reaction." The revival of the Comstock Act is not a good thing: "A lot of people are going to suffer from its rebirth."

"Of course, the Biden administration wouldn't enforce that law against the U.S. Postal Service," opines the Los Angeles Times editorial board. But the law isn't really the point: The real intent is to "intimidate pharmaceutical companies into not selling abortion pills through mail-order and healthcare providers." It's unfortunate that anti-abortion activists are trying "to weaponize a 150-year-old law that shouldn't even be on the books."

But that law is on the books, The Heritage Foundation — a right-wing think tank — points out in its explainer on the topic. "Federal law has prohibited mailing abortion drugs for more than 100 years." The Biden administration has stretched its interpretation of the law "to invent a version of the Comstock Act that would not hinder abortion access." The problem: It can't just do that. "Congress has repeatedly chosen to maintain the Comstock Act's plain language, which clearly prohibits mailing abortion drugs." Legally, federal authorities can't ignore the "clear and unqualified language" of the law. 

Still, some anti-abortion activists are worried that the federal courts will be seen as having overstepped. "For a federal judge in Texas to be seen as having found a kind of legal cheat code to prevent access to abortion medication nationwide will inspire new levels of backlash," Patrick T. Brown, a fellow at the conservative Ethics and Public Policy Center, writes in The Atlantic. The real challenge, he writes, is convincing most Americans "that abortion is not only immoral but unnecessary."

What's next?

On to higher courts. Politico points out that the Department of Justice is appealing Kacsmaryk's ruling — and a second ruling by a federal judge in Washington, upholding the FDA's approval of mifepristone, means that the Supreme Court is probably going to resolve the contrary opinions. In the meantime, the Texas ruling "will take effect across the country in a week unless a higher court issues a stay."

Abortion providers are already making backup plans if the courts force the drug off the market, the Associated Press reports. Mifepristone is usually taken in combination with a second drug, misoprostol. Doctors and clinics could switch to only using the second drug, an approach "widely used in countries where mifepristone is illegal or unavailable."

Since Kacsmaryk ruled that mailing any abortion drug is illegal under Comstock, there is a chance that any provider who mails misoprostol could also be prosecuted, Mark Joseph Stern writes at Slate. But that is up to the Supreme Court. A year after Roe v. Wade was struck down, abortion is once again going to be center stage: "This is a moment of truth for the justices."

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