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Students for Life Action, which opposes abortion, in a statement Thursday called the approval “a stain on the Trump presidency and another sign that the deep state at the FDA must go.”

Republican Sen. Josh Hawley of Missouri also criticized the move in a post on X, stating, “I have lost confidence in the leadership at FDA.”

A spokesperson for the agency said the FDA “has very limited discretion in deciding whether to approve a generic drug," and added that FDA officials do not “endorse any product.”

The criticism comes as Republican President Donald Trump’s top health officials, including Health Secretary , face growing pressure from abortion opponents to reevaluate mifepristone, which was approved 25 years ago and has repeatedly been deemed safe and effective by FDA scientists.

In a letter to Republican attorneys general last month, Kennedy and FDA Commissioner pledged to conduct a full review of the drug’s safety.

Under Makary and Kennedy, the FDA has repeatedly , ultimately for this year's COVID-19 shots. That type of political intervention was previously highly unusual at the FDA, where career scientists typically make such decisions.

The FDA approved the original version of mifepristone in 2000 and gradually eased access over time. That included approving the first generic pill, from drugmaker GenBioPro, in 2019.

In 2021, the FDA under Democratic President Joe Biden and mail-order delivery of the drug, greatly expanding access. Abortion opponents have been fighting the change ever since.

Approval of generic drugs is typically a rote process at the FDA, with multiple copycat versions usually approved after the patent on the original drug expires. In most cases, generic drugmakers only need to show that their drug matches the ingredients and formula used in the original medication.

“This is exactly how our system is supposed to work, and it has worked this way for decades," said Mini Timmaraju of Reproductive Freedom for All. “Career scientists and civil servants at the FDA did their jobs.”

The FDA typically approves such applications within 10 months. But filing documents posted to the FDA’s website show that Evita Solutions filed its application to market mifepristone four years ago.

On its website, Evita states that it “believes that all people should have access to safe, affordable, high-quality, effective, and compassionate abortion care.”

The company said in an email that the drug is expected to launch in January of next year.

Approval of a second generic is unlikely to affect , which is typically taken with another drug, misoprostol. The combination accounts for roughly two-thirds of all U.S. abortions. Mifepristone dilates the cervix and blocks the hormone progesterone, while misoprostol causes the uterus to cramp and contract.

Access to mifepristone is across large sections of the country because of state laws that ban abortion — including medication abortion — or impose separate restrictions on the drug’s use. Those laws are subject to a number of that are winding their way through

Restrictions on the pill are not supported by most major medical societies, including the American Medical Association.

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Associated Press writer Christine Fernando in Chicago contributed reporting.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.