Mifepristone: Who is Judge Matthew Kacsmaryk and why was the abortion pill case in his court?

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WASHINGTON – A major ruling Friday to halt the approval of a widely used abortion pill shifted attention to a federal judge in Texas even as it enlivened a debate over how plaintiffs pick courts they hope will be friendly to their point of view.

U.S. District Judge Matthew Kacsmaryk, nominated to the bench by former President Donald Trump, suspended the Food and Drug Administration's approval of the drug mifepristone – an approval that is decades old but has taken on added significance since the overturning of Roe v. Wade.

Kacsmaryk paused his own ruling for seven days to give the government time to appeal to the U.S. Court of Appeals for the 5th Circuit. The Justice Department said in a statement late Friday that it will appeal the decision.

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Even before Kacsmaryk opened a hearing in his Amarillo, Texas, courtroom last month, the case was rocked by reports that he sought to delay the announcement of its timing because of what he described as security threats. That move prompted a backlash from media outlets, including the publisher of USA TODAY, which asserted that the delay was unconstitutional.

What to know about Judge Kacsmaryk and the abortion pill case in his court

  • U.S. District Judge Matthew Kacsmaryk, sitting in the U.S. District Court for the Northern District of Texas, presided over more than four hours of argument in late March in Alliance for Hippocratic Medicine v. FDA. The plaintiffs in the case asked the court to temporarily suspend FDA approval of mifepristone.

  • Kacsmaryk, a Trump nominee, previously worked for First Liberty Institute, a conservative legal group that has shepherded many successful religious-based challenges through federal courts, including the Supreme Court.

  • In part because the case has drawn significant attention, it is inspiring a renewed debate over "judge shopping," when plaintiffs choose a court – and sometimes, indirectly, a judge – that they hope will be sympathetic to their position.

In this image from video from the Senate Judiciary Committee, Matthew Kacsmaryk listens during his confirmation hearing before the Senate Judiciary Committee on Capitol Hill in Washington, on Dec. 13, 2017.
In this image from video from the Senate Judiciary Committee, Matthew Kacsmaryk listens during his confirmation hearing before the Senate Judiciary Committee on Capitol Hill in Washington, on Dec. 13, 2017.

Who is Judge Matthew Kacsmaryk?

Kacsmaryk, a Florida native born in 1977, worked as a federal prosecutor in Texas before joining First Liberty Institute during the Obama administration. The conservative legal group has been involved with several major Supreme Court cases dealing with religion, including last year's decision in support of a high school football coach who lost his job after praying midfield following games.

Kacsmaryk was nominated by former President Donald Trump in 2017. His confirmation in 2019 was opposed by abortion rights groups and LGBTQ advocates, who noted that he once signed a letter that described being transgender as a "mental disorder." He was confirmed on a mostly party-line vote, with Sen. Susan Collins, R-Maine, joining Democrats in opposition.

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Kacsmaryk ruled against President Joe Biden's effort to end a Trump-era immigration policy that ordered asylum-seekers to remain in Mexico as they waited for their U.S. court hearings. The Supreme Court, in its final opinion of the term that ended in June, reversed course and ruled that the Biden administration could end the program.

On Tuesday, Jan. 3, 2023, the Food and Drug Administration finalized a rule change that allows women seeking abortion pills to get them through the mail, replacing a long-standing requirement that they pick up the medicine in person.
On Tuesday, Jan. 3, 2023, the Food and Drug Administration finalized a rule change that allows women seeking abortion pills to get them through the mail, replacing a long-standing requirement that they pick up the medicine in person.

What is 'judge shopping'?

Lawyers have long sought to file their cases with a judge they suspect will be receptive. But some legal experts argue repeat litigants are manipulating a system in which some federal courts have only one judge assigned to hear cases. Rather than having a judge assigned at random, they're often guaranteed to get the judge they want.

Kacsmaryk sits in one of those single-judge divisions.

"Choosing this particular court was no accident," said Lorie Chaiten, senior staff attorney at the ACLU's Reproductive Freedom Project.

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Whatever Kacsmaryk decides will almost certainly be appealed to the U.S. Court of Appeals for the 5th Circuit, arguably the most conservative appeals court in the nation. And then there's a good chance the case will move on to the Supreme Court, potentially on its emergency applications docket

"The general view is that it would be better if the rules would not depend on the forum and the outcome would not depend on the decisionmaker," said New York University School of Law professor Marcel Kahan.

But Kahan cautioned against reading too much into the impact of a first decision.

"These cases are subject to appeal," he said. "This judge is not going to decide the ultimate issue."

Why did Kacsmaryk want to delay publicizing the abortion pill hearing? 

Kacsmaryk wanted to delay publicizing the timing of the hearing, The Washington Post and other media have reported, because of the intense debate around the issue. The Post and others, citing unnamed sources, said Kacsmaryk was concerned about a "barrage" of death threats directed at the courthouse in Amarillo.

A number of media companies, including Gannett, which publishes USA TODAY, filed an objection with the court.

"Across the ideological spectrum, the public is intensely interested in this case," the letter read. "The court’s delayed docketing of notice of Wednesday's hearing, and its request to the parties and their counsel not to disclose the hearing schedule publicly, harm everyone, including those who support the plaintiffs’ position and those who support the defendants' position."

Hours later, Kacsmaryk issued an order disclosing the timing of hearing.  

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Contributing: Christine Fernando, Mabinty Quarshie

This article originally appeared on USA TODAY: Mifepristone: Judge Kacsmaryk and the abortion pill case