A coalition of pro-life crisis pregnancy centers won a big victory on Monday against New York Attorney General Letitia James over her targeting of organizations that promote a protocol that can help a mother save her child if she regrets taking an abortion pill.
The U.S. Court of Appeals for the 2nd Circuit affirmed that the coalition has a First Amendment right to speak about the abortion pill reversal protocol, a process that is meant for women who want to counter the effects of taking an abortion-inducing drug. In 2024, James sued 11 faith-based pregnancy centers for their promotion of the protocol, claiming they were spreading false and misleading information.
“Many women regret their abortions, and some change their minds after taking the first abortion drug and want to try to save their unborn babies’ lives. They should be allowed to hear about this option and make that choice,” said Caroline Lindsay, a lawyer for Alliance Defending Freedom who represented the coalition in court.
The protocol is a method backed by a coalition of pro-life organizations and involves a woman taking a prescribed dose of bioidentical progesterone to potentially reverse the effects of Mifepristone and save an unborn child if she changes her mind at the last minute about going through with the abortion.
The coalition was composed of the National Institute of Family and Life Advocates, Gianna’s House, and Options Care Center. While James did not sue them over the abortion pill reversal protocol, they argued in court that her actions could infringe on their free speech rights. A district court agreed, granting the coalition an injunction against James. The appeals court on Monday upheld that decision.
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“The district court correctly determined that the speech at issue is noncommercial because, based on the uncontroverted evidence in the current record, the speech is religiously and morally motivated, the [National Institute of Family and Life Advocates] plaintiffs receive no remuneration or other financial benefit for engaging in it, and, as the NIFLA plaintiffs do not provide [Abortion Pill Reversal] themselves, the speech serves only to provide the public with information about [Abortion Pill Reversal] and access to third-party providers that can offer [Abortion Pill Reversal],” the judges wrote.
In May 2024, James announced a suit against Heartbeat International and 11 pregnancy center organizations for promoting the abortion pill reversal protocol. James claimed that the organization was “spreading dangerous misinformation by advertising ‘abortion reversals’ without any medical and scientific proof.”
Heartbeat International says that the lives of over 7,000 babies have been saved through the abortion pill reversal protocol. On Tuesday, the Supreme Court heard oral arguments on whether a Christian pregnancy center can challenge New Jersey over a wide-ranging subpoena it issued related to the protocol.

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