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The decision indefinitely blocks an appeals court ruling that would have restricted availability of the drug, especially in states with strict anti-abortion laws.
Recent rulings have triggered a frenzy to redraw congressional maps even though justices previously admonished judges not to interfere in the voting process.
The decision sends litigation back to a lower court as the state races to adopt a map before the midterm elections that would more heavily favor Republicans.
The decision led liberal Justice Ketanji Brown Jackson to harshly criticize the court's conservative majority as Louisiana rushes to draw a new map for this year's election.
