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The Brief

The most important stories for you to know today
  • Some hotels got contracts, despite violations
    A man with long hair and beard sits on his bed. He's looking to the upper left of the image.
    Tommy Lachenmyer, 36, has lived at Las Palmas Hotel since a fire ripped through a Hollywood encampment near where he slept.

    Topline:

    A city law sought to prevent low-cost housing from turning into hotels, but some landlords rented to tourists anyway. That didn’t stop them from receiving city funds for a new temporary shelter program.

    The backstory: Las Palmas is one of eight residential hotels that have received contracts over the past year to house homeless people through the new Inside Safe program, a Capital & Main and ProPublica investigation found. Of those, five hotels including Las Palmas have collected city funding despite seemingly violating the housing ordinance by offering rooms to tourists.

    Read more ... for an examination behind how Las Palmas and other hotels got here.

    This story was produced by the nonprofit journalism publication Capital & Main in partnership with ProPublica’s Local Reporting Network.  It is co-published with permission. Read part one and part two of the investigation into L.A.’s residential hotels.

    As part of Mayor Karen Bass’ signature homelessness initiative called Inside Safe, the city of Los Angeles awarded Las Palmas Hotel a contract potentially worth about $2 million to temporarily shelter people living on the streets.

    But the 62-unit hotel in Hollywood was already supposed to be providing housing for people who couldn’t afford to live anywhere else under a 2008 city law meant to ease a “housing emergency” that has grown more severe in the past 15 years.

    Inside Safe participants now fill most of Las Palmas’ rooms at nightly rates of up to $140, according to the hotel’s contract with the city — more than double the amount Las Palmas would likely earn if long-term residents rented the rooms as that law requires.

    Las Palmas is one of eight residential hotels that have received contracts over the past year to house homeless people through the new Inside Safe program, a Capital & Main and ProPublica investigation found. Of those, five hotels including Las Palmas have collected city funding despite seemingly violating the housing ordinance by offering rooms to tourists.

    L.A.’s struggle to preserve low-income housing while simultaneously trying to shelter the growing number of people living on the streets represents an increasingly common national problem as city leaders wrestle with the competing needs of different populations amid a limited housing supply.

    Residential hotels, which offer basic single rooms sometimes with shared bathrooms, have long been a kind of last-resort housing for low-income, older and disabled people. The 2008 law bars landlords from turning their buildings into condos or tourist hotels unless they build new units or pay an equivalent fee to the city’s Affordable Housing Trust Fund.

    Altogether, at least 18 residential hotels have turned into interim shelters through various homeless services programs since 2016, according to a review of the Los Angeles Housing Department’s residential hotel list, Inside Safe contracts, state awards for housing construction and a Los Angeles Homeless Services Authority database of interim housing sites.

    Now, that number is set to grow as dozens more residential hotels could become temporary shelters. On Nov. 1, citing a “desperate need for interim housing,” Bass issued an executive order that allows Inside Safe or similar programs to use the city’s 16,000 residential hotel rooms in 300 buildings during the city’s declared homelessness emergency as long as the rooms are unoccupied.

    Turning such permanent housing into temporary shelters only makes the city’s housing problems worse, said Barbara Schultz, director of housing justice at the Legal Aid Foundation of Los Angeles.

    “It is inconceivable to me that the city would reduce the number of permanent units affordable to low-income people when we are in the middle of this ginormous housing crisis,” Schultz said.

    Bass’ press secretary Clara Karger said in an email that the mayor’s office decided that temporary housing is a better use of the rooms given LA’s housing crisis.

    “It is troubling that residential hotels were being misused for daily rates and short-term vacation rentals,” she wrote. “Now, many of those rooms are being used to urgently bring people inside and save lives, and the mayor has directed the Housing Department to address enforcement and to conduct a comprehensive review of all residential hotels.”

    This summer, Capital & Main and ProPublica reported that the Housing Department had done little to enforce the residential hotel law as 21 properties openly offered rooms to tourists on travel websites. Following a request by the mayor’s office, Housing Department managers investigated and issued citations to the owners of 17 hotels, including Las Palmas.

    Pankaj Naik, CEO of Shivay Hospitality, which operates the hotel, declined to comment or answer questions. Las Palmas has appealed its citation and joined other hotels in a federal lawsuit against the city, alleging that residential hotel enforcement violates their constitutional protection against unreasonable searches. The owners also argue the city has given them tacit approval for short-term rentals by accepting nightly hotel tax payments. The lawsuit is ongoing.

    The Housing Department told the mayor that with additional resources, the agency could “stop rogue property owners from violating the Residential Hotel Ordinance and undermining the availability of affordable housing stock.”

    But now Bass’ office has removed hundreds of those same residential hotel rooms from the permanent housing market. And the Housing Department’s enforcement hasn’t stopped the city from giving the hotels hundreds of thousands of dollars in taxpayer money. Las Palmas’ Inside Safe contract expires in mid-November, but it provides for a six-month extension.

    An older white woman with light skin sits next to the keys of a piano, looking at the camera.
    Patricia Harrold, an 80-year-old pianist at Miceli’s, a landmark Hollywood restaurant, has lived at Las Palmas for 29 years.
    (
    Barbara Davidson
    /
    ProPublica
    )

    Under Inside Safe, which Bass launched shortly after taking office in December, city staffers target tent cities under bridges or on sidewalks. Outreach workers offer motel rooms while buses stand by to ferry those who accept the offers to their temporary dwellings. Once the encampment residents are gone, sanitation workers break up the camps, toss trash and hose down sidewalks.

    The pressure on city leaders to bring people inside from street encampments is “immense,” said Gregg Colburn, a University of Washington real estate professor who studies homelessness. Currently, 46,000 Angelenos live in cars, tents and makeshift shelters, and Bass promised to find housing for 17,000 of them in her first year.

    “The problem with that strategy,” Colburn said, “is it doesn’t end homelessness. It recharacterizes it from unsheltered into sheltered, which is why I and many others argue we need a lot more permanent housing.”

    Housing enforcement, then lucrative contracts

    The Housing Department is supposed to approve any conversion of residential hotel buildings from permanent housing, but department records for 10 of the hotels obtained by Capital & Main and ProPublica didn’t show that permission was obtained to turn the hotels into temporary shelters.

    The Housing Department did not provide all the hotel files that the newsrooms requested. It also didn’t respond to an interview request or answer emailed questions about whether it had cleared the hotels and what procedures they have for Inside Safe. Instead, the agency said it would handle the queries as a public records request.

    Housing Department records revealed that inspectors had cited two of the Inside Safe properties for residential hotel violations in recent years. Hotel booking websites showed three others were openly renting rooms to tourists against Housing Department rules shortly before signing contracts with the city.

    Las Palmas is a prime example. The hotel for years advertised its central location for travelers visiting Hollywood, capitalizing on its fame as the site of the final scene in the movie Pretty Woman.

    A fire escape sits on the side of a white building.
    The final scene in the movie “Pretty Woman” was filmed on Las Palmas’ fire escape.
    (
    Barbara Davidson
    /
    ProPublica
    )

    The Housing Department had designated Las Palmas as a residential hotel in 2011. It based its decision, in the Las Palmas case and others, on the state’s legal definition of a residential hotel: a building of six or more units that are the primary residences of their guests. During the period analyzed in 2005, hotel tax records showed that 93% of its occupants were permanent residents.

    But as tenants moved away or died, the struggling actors, writers and celebrity impersonators who called Las Palmas home watched as their landlord turned more and more of the units into tourist rooms. The hotel’s website features a photo of the lobby with a mural of “Pretty Woman” stars Richard Gere and Julia Roberts reuniting on the building’s fire escape. The website promises visitors a “wonderful holiday” and a “blissful stay.”

    Today, only about a dozen permanent residents remain, according to residents and the latest rent registry filed with the Housing Department.

    As rents have soared, Las Palmas is the only housing most can afford, said writer John Bucher, 72. He got his third-floor room at the hotel 12 years ago “when there was still a payphone in the lobby.” Bucher has driven for Uber and DoorDash to supplement his income and can count on his adult kids to help him in an emergency. But for his neighbors, the hotel “is their safety net,” he said. “They’ll die here.”

    An older man with long grey hair and dressed in black stands outside of the glass windows to an entrance. He is looking at the camera.
    John Bucher, a 72-year-old writer, has lived at Las Palmas for 12 years. Over time, more and more rooms have been rented to tourists as residents have moved away or died.
    (
    Barbara Davidson
    /
    ProPublica
    )

    As Las Palmas turned into a tourist hotel, it did little to hide its marketing efforts. Outside was a large sign offering “DAILY” and “WEEKLY” rentals. A housing inspector even snapped a photo of it in 2019, potential evidence that the hotel was violating the residential hotel law. But there’s no indication the inspector asked about the sign or followed up to ensure the hotel wasn’t being rented to tourists. And Las Palmas wasn’t cited under the ordinance until this summer, a few months after receiving the Inside Safe contract.

    That wasn’t the case for two other hotels that similarly landed Inside Safe agreements: the Top Hat Motel and the Central Inn in South Los Angeles. The Housing Department cited both hotels in recent years for advertising to tourists in violation of the residential hotel law.

    But in both cases, the hotels’ attorney wouldn’t allow inspectors to reenter without administrative warrants. Housing Department enforcement records show no evidence that inspectors obtained warrants, and no further enforcement action was taken.

    Yet even that knowledge of violations didn’t prevent the city from awarding them Inside Safe contracts.

    Neither of the owners of the Top Hat or the Central Inn returned phone calls seeking comment, and the Top Hat’s owners didn’t respond to an email. One of the Top Hat’s owners, Dipakkumar Patel, said at an appeal hearing that he would lose “everything” if he were unable to continue short-term rentals at the hotel. The hotel also joined the civil rights lawsuit against the city.

    The Top Hat brought in nearly a half million dollars between late March and the beginning of October through Inside Safe, while the Central Inn earned more than $200,000 from May to September, according to invoices the motels submitted to the city’s administrative officer.

    Stealing permanent housing

    By turning residential hotels into temporary shelters, Bass may be working against her ultimate goal of transitioning people to permanent homes, housing experts said.

    While Bass reported in September that about 17,000 people had moved to motels, traditional shelters or tiny home villages since she took office, only 2,235 had found permanent homes. For Inside Safe, just 190 of the nearly 1,700 participants had landed a permanent place to live as of mid-October. The city’s administrative officer, Matt Szabo, has told the City Council that there is not enough staff to help people find housing and also a shortage of affordable housing.

    Inside Safe isn’t the first time the city has allowed residential hotels to be turned into temporary shelters. It’s unclear whether prioritizing getting people off the streets over preserving permanent housing was a deliberate policy choice or simple bureaucratic oversight: the result of well-intentioned housing policies from different eras colliding.

    Eight other residential buildings have been pressed into service as temporary housing since 2016 through Los Angeles County or U.S. Veterans Affairs programs for emergency shelter or mental health and drug and alcohol treatment, or as part of the COVID-19 public health response.

    Additionally, the state Housing and Community Development agency granted Los Angeles County and two nonprofit groups $19.3 million in Project Homekey funds to acquire and remodel two other residential hotel buildings to use as interim housing.

    Schultz, the legal aid attorney, said it is a “mind-bogglingly terrible strategy” to use residential hotels as temporary housing because the ordinance provides such strong legal protection for their preservation — at least on paper. Residential hotels are the city’s only housing that can’t legally be demolished or converted to another use unless the housing is replaced, Schultz said.

    The 72-room Highland Gardens, a midcentury modern hotel in Hollywood, highlights the tension between the city’s need for temporary shelter and its equally pressing need for permanent housing. Formerly known as the Landmark Motor Hotel, it is best known as the place where singer Janis Joplin died of a heroin overdose more than 50 years ago.

    Highland Gardens had been designated as a residential hotel in 2009 but for years had also advertised its rooms to tourists. Then when local officials needed temporary housing to stop the spread of COVID-19 in homeless shelters, the hotel received a contract under Project Roomkey, paid for with federal pandemic relief funds.

    Highland Gardens’ owner didn’t return phone messages left at the hotel.

    By the time the program ended in December 2022, few participants had found permanent homes, and City Councilmember Nithya Raman pushed to keep Highland Gardens open as an interim housing site. She said she didn’t know it was a residential hotel.

    “That’s part of the problem with the city is that we have such an ad hoc process for finding interim housing,” Raman said. Before Bass took office, Raman said, council offices took the lead in finding sites. “I personally would speak to the owner of this facility to tell them about the program and convince them that there would be benefits for them,” she said.

    Raman’s colleagues backed her request, and now a $6 million contract, in effect until mid-2025, includes nearly $4 million to rent the hotel’s rooms and about $2 million for social services for people who had been living on the street. At just $50 per room per night, it’s a more favorable deal for the city than the Inside Safe hotels have negotiated.

    Raman said she doesn’t think using the Highland Gardens for temporary housing is a mistake, given the urgent need for shelter. “It has saved lives,” she said.

    Tommy Lachenmyer, 36, who moved into Las Palmas through Inside Safe after a fire ripped through a Hollywood encampment near where he slept this year, said the temporary housing has been “a blessing.” But while he’s found a job at Pizza Hut and is studying at a local film school for a career in music production, his quest for stable housing may be harder.

    A white man with a long beard and greyish hair dressed in jeans and a greenish shirt over a black shirt is sitting down on a concrete sidewalk, looking at the camera.
    Lachenmyer revisits the location where he once lived in a tent on Vista Del Mar Avenue in Los Angeles.
    (
    Barbara Davidson
    /
    ProPublica
    )

    Lachenmyer said he filled out an application for permanent housing when he moved in about six months ago. He’s still waiting for approval before he can begin his housing search and said he holds out hope that his stay at the hotel will lead to permanent housing. As for the long wait, Lachenmyer said, “I’m OK with it. People have waited for years.”

    But longtime resident Bucher said he is not as optimistic that his new Inside Safe neighbors will find permanent housing.

    “All they’re doing is warehousing people,” he said. “Nobody thinks about anything but getting them off the streets.”

  • Advocates aren't happy with LA's plans
    A large stadium is seen from across Lake Park in Inglewood, a sign that says "SoFi Stadium" can be seen in front of the stadium.
    The Los Angeles will host eight FIFA World Cup matches at SoFi Stadium in Inglewood this summer.

    Topline:

    Advocates had pushed L.A.’s World Cup host committee, an arm of the Los Angeles Sports & Entertainment Commission, to produce its human rights plan. But now that it's out, they're not satisfied.

    What's in the plan? It includes a list of online resources including where to file complaints with various local and state level agencies and a summary of local, state and federal laws protecting human and civil rights. The committee is also touting a partnership with L.A. County in which people can call 211 to report a concern during the tournament.

    How are activists responding? "Los Angeles is weeks away from hosting one of the largest sporting events in the world, and yet what has been posted is not a plan,” Stephanie Richard, director of the Sunita Jain Anti‑ at Loyola Law School, said in a statement. “It is a list of laws and hotline numbers."

    Read on…for concerns about ICE and other issues dropped in the human rights guidance.

    The Los Angeles World Cup host committee has quietly posted its guidance on human rights after months of speculation over where the plan was and when it would be published.

    Advocates had pushed the committee, an arm of the Los Angeles Sports & Entertainment Commission, to produce its plan. But now that it's out, they're not satisfied with what they're seeing.

    The human rights guidance is required by FIFA and outlined on the host committee's website. It includes a list of online resources including where to file complaints with various local and state level agencies and a summary of local, state and federal laws protecting human and civil rights. The committee is also touting a partnership with L.A. County in which people can call 211 to report a concern during the tournament.

    "Los Angeles is weeks away from hosting one of the largest sporting events in the world, and yet what has been posted is not a plan,” Stephanie Richard, director of the Sunita Jain Anti‑Trafficking Initiative at Loyola Law School, said in a statement. “It is a list of laws and hotline numbers."

    The human rights document also skirts fears around ICE and its potential presence at the tournament and surrounding celebrations. Todd Lyons, the agency's head, said earlier this year that ICE's investigatory branch will play a key role in security for the tournament.

    But ICE and immigration enforcement aren't mentioned on the host committee's web page on human rights or in its outline of its approach to human rights. "Immigration status" only gets a mention in the list of existing anti-discrimination laws.

    "It certainly could have been much stronger," Angelica Salas, executive director of the Coalition for Humane Immigrant Rights in Los Angeles, said of the plan. She added that her organization participated in a roundtable on the plan, and she was disappointed ICE and recent immigration sweeps weren't mentioned in the resulting document.

    "In order for all of this to happen, immigrant workers are part of it," she said of the World Cup. "Your hotel workers, your service workers, stadium workers, drivers." 

    What other host committees are saying about ICE

    There have been some recent signs that other host committees aren't concerned that ICE will disrupt the tournament.

    • The head of the Miami host committee recently told The Athletic that Secretary of State Marco Rubio personally assured him that ICE would not be at World Cup stadiums.
    • The head of security for Houston's host committee told Axios that plans with the federal government had never included immigration enforcement.

    LAist reached out to spokespeople for the host committee for comment via email, phone and text, but did not hear back in time for publication. FIFA's press team also did not respond to an email from LAist.

    According to the host committee's website, the human rights plan is the result of coordination with the city and county of Los Angeles, the city of Inglewood, and 14 roundtable discussions held in the fall of 2025.

    "As a non-profit organization, the Host Committee’s role is primarily and necessarily focused on aligning and collaborating with governmental and non-governmental organizations," the document sums up the committee's approach.

    The plan also promises more actions, including "Know Your Rights" training for L.A. residents and visitors and "Know Your Responsibilities" training for businesses and vendors. The committee also says it will develop a "rapid response" strategy to respond to potential problems at the tournament.

    Available details on those plans were scant. And with the tournament just 30 days away, labor unions and community groups are continuing to voice concerns about potential ICE presence at SoFi Stadium and other potential consequences of the tournament coming to town.

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  • Eileen Wang accused of acting as 'illegal agent'
    A city of Arcadia web page has a photo of an Asian woman on the page for mayor and a note that Eileen Wang had resigned as of May 11.
    The City of Arcadia posted notice Monday on its website that Mayor Eileen Wang had resigned.

    Topline:

    The mayor of Arcadia has agreed to plead guilty to a charge she acted as an agent for China, federal prosecutors announced Monday. She has resigned from her position with the city.

    The charges: Eileen Wang, 58, faces one count of acting as an illegal agent of a foreign government, according to the U.S. Attorney’s Office. The charge carries a potential sentence of up to 10 years in federal prison. According to the U.S. Attorney’s Office, Wang and Yaoning “Mike” Sun of Chino Hills, worked at the direction of the Chinese government and with individuals based in the U.S. to promote pro-People’s Republic of China propaganda in the United States. Those actions occurred between 2020 and 2022, prosecutors said.

    What's next: Wang, who was elected to the City Council in November 2022, was expected to make her first appearance in U.S. District Court Monday afternoon. Citing a plea agreement, prosecutors said she's expected to enter the guilty plea within the next few weeks.

    Read on... for more on the charges and allegations.

    The mayor of Arcadia has agreed to plead guilty to a charge she acted as an agent for China, federal prosecutors announced Monday. She has resigned from her position with the city.

    Eileen Wang, 58, faces one count of acting as an illegal agent of a foreign government, according to the U.S. Attorney’s Office. The charge carries a potential sentence of up to 10 years in federal prison.

    What we know about the criminal case

    According to the U.S. Attorney’s Office, Wang and Yaoning “Mike” Sun of Chino Hills worked at the direction of the Chinese government and with individuals based in the U.S. to promote pro-People’s Republic of China propaganda in the United States. Those actions occurred between 2020 and 2022, prosecutors said.

    According to federal prosecutors, Wang and Sun operated a website — known as U.S. News Center — billed as a news source for the local Chinese American community in Los Angeles County. They posted content on the site, described as "pre-written articles," based on directives from Chinese government officials.

    Sun, 65, pleaded guilty in October 2025 in federal court to acting as an illegal agent of a foreign government. He is serving a four-year federal prison sentence.

    Prosecutors also said Wang communicated with John Chen, whom they described as “a high-level member of the [Chinese government] intelligence apparatus,” in November 2021, and asked him to post an article from her website.

    In a group chat, Wang referenced the article and wrote: “This is what the Ministry of Foreign Affairs wants to send,” according to the U.S. Attorney’s Office.

    Chen pleaded guilty in New York to acting as an illegal agent of the People’s Republic of China and conspiracy to bribe a public official. In 2024, he was sentenced to 20 months in federal prison.

    What's next

    Wang, who was elected to the City Council in November 2022, was expected to make her first appearance in U.S. District Court Monday afternoon.

    Citing a plea agreement, prosecutors said she's expected to enter the guilty plea within the next few weeks.

    Arcadia's mayor is selected from the elected council members. A post on the city's website announced that Wang had resigned her position as of Monday and that a new mayor would be picked from the remaining council members at the next meeting.

    Next Arcadia City Council meeting

    Date: Tuesday, May 19, 2026
    Location: Council Chambers, 240 West Huntington Drive, Arcadia
    Time: 7 p.m.
    Watch: Live stream or via live broadcast on lon the Arcadia Community Television Channel (AT&T channel 99, Spectrum digital channel 3). Daily replays at 10 a.m. and 7 p.m.

  • CA launches new program for newborns
    A closeup of newborn baby feet in a maternity ward.
    The state is partnering with Baby2Baby to send 400 free diapers home with families when they’re discharged from the hospital.

    Topline:

    Starting next month, families in California will get hundreds of free diapers for their newborns in a new state initiative.

    What’s new: The state is partnering with Baby2Baby, a Los Angeles-based nonprofit, to send 400 free diapers home with families when they’re discharged from the hospital. Any baby born in a participating hospital would be eligible, regardless of income.

    Which hospitals? State officials say the program will be first prioritized in hospitals that serve a large number of Medi-Cal patients, but said there isn’t a current list of participating hospitals. A spokesperson for the state’s Department of Health Care Access and Information said once hospitals begin to opt-in, a list will be available on Baby2Baby’s website.

    Why now: Gov. Gavin Newsom’s office said the program is aimed at easing the financial strain of raising a family. Newborns can need up to 12 diapers a day — and families spend about $1,000 on diapers in the first year of a baby’s life, according to the American Academy of Pediatrics.

  • SCOTUS takes more time to consider national ban

    Topline:

    The Supreme Court on Monday gave itself more time to consider a national ban on telemedicine access to the abortion pill mifepristone. Rules for prescribing mifepristone online or through the mail remain in effect through Thursday at a minimum.

    The backstory: The tumult over the future of telemedicine access to mifipristone started on May 1 with a ruling from the U.S. 5th Circuit Court of Appeals. That ruling re-instituted prescribing rules from before the pandemic that required patients to receive mifepristone in person in a doctor's office or clinic. The Food and Drug Administration determined that the rule was medically unnecessary in 2021. The state of Louisiana sued last fall, arguing that telemedicine access undermines the state's abortion ban.

    What is telemedicine abortion: The telemedicine abortion process starts with a patient connecting with a healthcare provider on the phone or online. If the patient is eligible, that provider can prescribe two medications — mifepristone and another pill called misoprostol. Patients can pick up the medicine at a local pharmacy, or providers can mail the drugs to a patient's home. Now, most abortions in the U.S. use this combination of medications, and one quarter happen via telemedicine. After the 5th Circuit ruling, some providers said they would continue offering telemedicine access to abortion medication using a different protocol that involves higher doses of misoprostol and no mifepristone.

    Read on... for more on what's at stake.

    The Supreme Court on Monday gave itself more time to consider a national ban on telemedicine access to the abortion pill mifepristone.

    Justice Samuel Alito extended an earlier order he issued by three more days, so rules for prescribing mifepristone online or through the mail remain in effect through Thursday at a minimum.

    The case at issue

    The tumult over the future of telemedicine access to mifipristone started on May 1 with a ruling from the U.S. 5th Circuit Court of Appeals. That ruling re-instituted prescribing rules from before the pandemic that required patients to receive mifepristone in person in a doctor's office or clinic.

    The Food and Drug Administration determined that the rule was medically unnecessary in 2021. The state of Louisiana sued last fall, arguing that telemedicine access undermines the state's abortion ban.

    What is telemedicine abortion?

    The telemedicine abortion process starts with a patient connecting with a healthcare provider on the phone or online. If the patient is eligible, that provider can prescribe two medications — mifepristone and another pill called misoprostol. Patients can pick up the medicine at a local pharmacy, or providers can mail the drugs to a patient's home.

    That access is a big part of the reason why the number of abortions nationally has actually increased since the Supreme Court overturned the constitutional right to abortion in 2022. Now, most abortions in the U.S. use this combination of medications, and one quarter happen via telemedicine.

    After the 5th Circuit ruling, some providers said they would continue offering telemedicine access to abortion medication using a different protocol that involves higher doses of misoprostol and no mifepristone.

    Researchers say that method is just as safe and effective, but tends to cause more pain for patients and more side effects, like nausea and diarrhea. Misoprostol has other medical uses, such as treating gastric ulcers and hemorrhage, and has been on the market longer than mifepristone. It is likely to remain fully accessible, even if mifepristone is restricted.

    Since the FDA's prescribing rules for medications apply to the whole country, a change to the rules about how mifepristone can be accessed has national impact. That means it affects states with constitutionally-protected access to abortion, states with criminal bans, like Louisiana, and all states in between.

    States' rights

    Nearly two dozen Democratic-led states submitted an amicus brief in this case, writing that the appeals court decision put the policy choices of states with bans above the choices of states "that have made the different but equally sovereign determinations to promote access to abortion care."

    There are also stakes related to the power of FDA and other expert agencies to set rules. While the Trump administration's FDA did not respond to the Supreme Court's request for briefs, a group of former leaders of the agency, who served under mainly Democratic and some Republican presidents, wrote about this in an amicus brief.

    They defended the FDA's process in approving the medication and modifying the rules for prescribing it, and say the appeals court decision "would upend FDA's gold-standard, science-based drug approval system."

    Copyright 2026 NPR