FDA Preparing for Drug User Fee Negotiations

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FDA is preparing to begin negotiation sessions in September to reauthorize the Prescription Drug User Fee Act (PDUFA), which expires 9/2027. A new notice is seeking public stakeholders — patient and consumer advocacy groups, healthcare professionals, and scientific and academic experts — to participate in periodic consultation meetings. The agency is initiating the reauthorization process by holding a public meeting on July 14, 2025, where stakeholders and other members of the public will be given an opportunity to present their views on the reauthorization, according to the notice.

The Federal Food, Drug, and Cosmetic Act mandates that FDA consult with a range of stakeholders in developing recommendations for the next PDUFA program. It also requires that the agency hold discussions (at least every month) with patient and consumer advocacy groups during FDA’s negotiations with regulated industry.

After recent reduction-in-force cuts at FDA eliminated most of the staff who worked on PDUFA, the agency has begun rehiring some of the personnel to help prepare for the upcoming work. This behind-the-scenes notice is also a positive sign from the Trump administration and their likely intent to extend the program beyond 2027. Previously, HHS secretary Robert F. Kennedy, Jr. repeatedly questioned the program because HE it makes the agency beholden to the drug industry.

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