H.R. 4273 (119th)Bill Overview

Over-the-Counter Monograph Drug User Fee Amendments

Health|Congressional oversightDrug safety, medical device, and laboratory regulation
Cosponsors
Support
Bipartisan
Introduced
Jul 2, 2025
Discussions
Bill Text
Current stageCommittee

Placed on the Union Calendar, Calendar No. 254.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

This bill amends the Federal Food, Drug, and Cosmetic Act to revise and extend the user-fee program that funds Food and Drug Administration (FDA) activities for over-the-counter (OTC) monograph drugs. It changes definitions, updates the periods and due dates for assessing facility and order-request fees, specifies revenue targets and several annual adjustments for fiscal years 2026–2030 (including certain fixed dollar additions for FY2026–FY2028), authorizes a one-time facility-fee workload adjustment under specified conditions, and requires annual fee-setting and publication in the Federal Register.

Why people may split

Regulatory funding vs. regulatory expansion: Liberals/centrists emphasize improved FDA oversight and transparency; conservatives emphasize added regulatory burden and federal expansion.

Watch point

Relative to its intended legislative type, this bill is a well-specified statutory modification of the OTC monograph drug user-fee program that provides detailed mechanisms, timelines, and integration with existing law.

This bill amends the Federal Food, Drug, and Cosmetic Act to revise and extend the user-fee program that funds Food and Drug Administration (FDA) activities for over-the-counter (OTC) monograph drugs.

It changes definitions, updates the periods and due dates for assessing facility and order-request fees, specifies revenue targets and several annual adjustments for fiscal years 2026–2030 (including certain fixed dollar additions for FY2026–FY2028), authorizes a one-time facility-fee workload adjustment under specified conditions, and requires annual fee-setting and publication in the Federal Register.

The bill recognizes voluntary consensus standards for pharmaceutical quality when adding or modifying testing procedures, makes limited technical corrections to provisions on development advice for certain nonprescription drugs, and sets an effective date for fee assessment (October 1, 2025) and statutory sunsets for the authorization (October 1, 2030) and reporting (January 31, 2031).

Passage70/100

Content is technical, narrowly focused, and designed to continue an existing user-fee funding mechanism with sunsets and reporting—features that historically make such bills relatively likely to be enacted. The presence of modest fee increases and procedural links to appropriations could produce negotiation points, but nothing in the text suggests a broad ideological fight that would typically block enactment.

CredibilityAligned

Relative to its intended legislative type, this bill is a well-specified statutory modification of the OTC monograph drug user-fee program that provides detailed mechanisms, timelines, and integration with existing law.

Contention55/100

Regulatory funding vs. regulatory expansion: Liberals/centrists emphasize improved FDA oversight and transparency; conservatives emphasize added regulatory burden and federal expansion.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Federal agencies · ManufacturersConsumers

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Potential benefitIncreases and stabilizes FDA funding dedicated to OTC monograph drug activities (review, compliance, and quality work),…
  • Federal agenciesSupports FDA staffing and contracting (potentially creating or sustaining federal and contractor jobs) by establishing…
  • ManufacturersPromotes use of voluntary consensus standards for pharmaceutical testing by recognizing such standards in statute, whic…
Likely burdened
  • ConsumersImposes or continues fees on facilities and sponsors of OTC monograph products, increasing regulatory costs for manufac…
  • Potential burdenCreates administrative and compliance burdens related to fee payment timing, arrears lists, and new reporting/publishin…
  • Potential burdenAllows FDA to increase revenues via a one-time workload adjustment if facility counts rise above a threshold, which cou…
03 · Why people split

Why the argument around this bill splits.

Regulatory funding vs. regulatory expansion: Liberals/centrists emphasize improved FDA oversight and transparency; conservatives emphasize added regulatory burden and federal expansion.
Progressive75%

A mainstream liberal would likely view this bill as a pragmatic way to ensure the FDA has dedicated resources to oversee OTC monograph drugs, improving consumer safety and regulatory capacity.

They would welcome the explicit dedication of fee revenue to OTC activities, the requirement to publish fees annually, and the recognition of voluntary consensus standards for testing as a quality safeguard.

They would also be wary of overreliance on user fees creating regulatory capture or distorted priorities favoring industry, and would note the temporary nature of the authorization (sunset in 2030) as an opportunity to reassess outcomes.

Leans supportive
Centrist70%

A pragmatic centrist would generally view the bill positively as a targeted update that provides predictable funding to support FDA oversight of OTC monograph drugs while building in transparency and a sunset to reassess the program.

They would appreciate the specified timelines for fee assessment, the publication requirement, and mechanics for inflation and workload adjustments.

They would also watch for clear cost estimates and administrative clarity, and want assurances that the bill avoids sudden fee spikes or poorly justified adjustments.

Leans supportive
Conservative30%

A mainstream conservative would view this bill with skepticism about expanding or locking in steady funding streams that enable federal regulatory activity, even though the program is funded by user fees rather than general revenues.

They would be concerned about additional costs on domestic producers, potential regulatory overreach, and increased federal dependency on industry fees.

They would also note the sunset provision but remain wary of the overall expansion of FDA authority and administrative complexity.

Likely resistant
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood70/100

Content is technical, narrowly focused, and designed to continue an existing user-fee funding mechanism with sunsets and reporting—features that historically make such bills relatively likely to be enacted. The presence of modest fee increases and procedural links to appropriations could produce negotiation points, but nothing in the text suggests a broad ideological fight that would typically block enactment.

Scope and complexity
52%
Scopemoderate
52%
Complexitymedium
Why this could stall
  • Whether Congress will timely agree appropriations language and timing that the bill ties fee collection to; fee due dates are explicitly linked to appropriations acts, which could delay implementation.
  • No cost estimate or CBO score is included in the bill text provided; the magnitude of administrative or industry impact beyond the listed dollar adjustments is therefore uncertain.
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Regulatory funding vs. regulatory expansion: Liberals/centrists emphasize improved FDA oversight and transparency; conservatives emphasize…

Content is technical, narrowly focused, and designed to continue an existing user-fee funding mechanism with sunsets and reporting—features…

Unlocked analysis

Relative to its intended legislative type, this bill is a well-specified statutory modification of the OTC monograph drug user-fee program that provides detailed mechanisms, timelines, and integration with existing law.

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
Open full analysis