FDA, Device Industry Reach Agreement on MDUFA VI

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FDA and the medical device industry are nearing a final agreement on the next round of Medical Device User Fee Act (MDUFA VI) negotiations, according to a MedTech Dive report. Both sides have reached an “agreement in principle” on most elements of the deal and are now working to finalize a commitment letter that will be submitted to Congress for approval. The agreement will set user fee funding and performance goals for the agency’s device program from 2027 through 2032.

A central focus of the negotiations has been staffing at CDRH, which has faced resource constraints following broader workforce reductions at HHS. FDA says it plans to hire “substantial numbers” of additional review staff under the new agreement, building on hiring commitments made in the current MDUFA V program.

Industry stakeholders have pushed for assurances that staffing levels supported by prior user fees will be maintained, while the FDA has indicated that MDUFA VI will include incremental increases in staffing and operational funding.

The negotiations also address policy issues such as the use of real-world evidence and potential changes to annual establishment fees. Among the proposals is a plan to charge higher registration fees to foreign device manufacturers compared with domestic firms, reflecting what officials describe as an “America-first” approach to strengthening U.S. supply chains and innovation.

FDA says that, under the proposed framework, most companies could see lower overall fees by fiscal year 2028 due to adjustments in the statutory fee structure, including reduced submission and domestic registration fees, according to the report.

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