FDA, Industry Agree on MDUFA 5 Reauthorization

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FDA and representatives of the medical device industry have reached an agreement on provisions to send to Congress to reauthorize MDUFA. An FDA announcement says that under the agreement, the agency would be authorized to collect at least $1.78 billion in user fees over five years, plus additional funding, for a total of up to $1.9 billion to further improve performance if specified goals are met.

An overview of the MDUFA 5 performance goals and procedures for FY 2023-2027 includes: 

  •          shared outcome goals with process improvements that should reduce the average total time to decision for PMAs and 510(k) submissions;
  •          publication of a MUDFA 5-year fiscal plan by the end of the second quarter of FY 2023;
  •          minimum hiring goals of 144 hires in FY 2023, 42 hires in FY 24, and 24 hires in FY 25;
  •          incorporation of an interactive review process for, and encouragement of, informal communication between FDA and applicants to facilitate timely completion of the review process based on accurate and complete information; and
  •          continued support for the third-party review program working to eliminate routine re-review by FDA of third-party reviews.

A MDUFA 5 public meeting will be held on 4/19 for the public to learn more about and comment on the proposed recommendations. The final recommendations are scheduled to be delivered to Congress in April after the agency considers public input on the proposals and revises them as necessary.

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