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Second Circuit Upholds Injunction Protecting Speech About "Abortion Pill Reversal"

The Second Circuit ruled pregnancy centers' abortion pill reversal speech is likely noncommercial and protected under the First Amendment, blocking New York's enforcement efforts.

  • A federal appeals panel on Monday held that New York cannot regulate faith-based pregnancy centers’ abortion pill reversal speech, affirming a preliminary injunction against Attorney General Letitia James.
  • Because the plaintiffs receive no remuneration and do not provide APR themselves, the court concluded their APR statements are religiously motivated and likely noncommercial, triggering strict scrutiny.
  • Medically, the protocol attempts to overwhelm mifepristone's effect by raising progesterone levels, but the American College of Obstetricians and Gynecologists says claims lack scientific support and a 2019 study ended after only 12 women enrolled.
  • Judge Joseph Bianco wrote the injunction secures the NIFLA plaintiffs' First Amendment rights, but the ruling does not resolve New York's enforcement constitutionality and further briefing remains.
  • Amid post‑Dobbs litigation, the court cautioned that treating such speech as commercial could subject nonprofits like reproductive rights groups and LGBT advocacy groups to regulation.
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The New York Sun broke the news in New York, United States on Monday, December 1, 2025.
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