S. 2292 (119th)Bill Overview

Over-the-Counter Monograph Drug User Fee Amendments

Health|Congressional oversightDrug safety, medical device, and laboratory regulation
Sponsor
Cosponsors
Support
Bipartisan
Introduced
Jul 15, 2025
Discussions
Bill Text
Current stageCommittee

Placed on Senate Legislative Calendar under General Orders. Calendar No. 152.

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, extend, and detail the user-fee program for over-the-counter (OTC) monograph drugs for fiscal years 2026–2030. It updates definitions to permit adoption of voluntary consensus testing standards, adjusts fee assessment periods and due dates, sets revenue components including specific dollar increases for fiscal years 2026–2028, and creates a one-time workload adjustment option for later years.

Why people may split

Progressives emphasize risks of industry-funded fees influencing FDA priorities; conservatives emphasize the fees and reporting as regulatory/financial burdens.

Watch point

Relative to its intended legislative type, this bill is a well-specified statutory reauthorization and revision of the OTC monograph drug user-fee program.

This bill amends the Federal Food, Drug, and Cosmetic Act to revise, extend, and detail the user-fee program for over-the-counter (OTC) monograph drugs for fiscal years 2026–2030.

It updates definitions to permit adoption of voluntary consensus testing standards, adjusts fee assessment periods and due dates, sets revenue components including specific dollar increases for fiscal years 2026–2028, and creates a one-time workload adjustment option for later years.

The bill requires expanded annual FDA reporting on program goals, processing timelines, facility registration and fee payment, postmarket safety activities, and makes negotiation meeting minutes publicly available; it also directs GAO reports on OTC supply chains and on Rx-to-nonprescription switch activity.

Passage70/100

On substance alone this is a targeted, technocratic reauthorization and modernization of an FDA user fee program — the type of measure that often becomes law because it funds regulatory activity and addresses process bottlenecks. Built-in transparency, sunsets, and GAO reporting reduce friction. Remaining risk stems from stakeholder disputes over specific technical provisions (sunscreen, testing standards, Rx-to-OTC switches), timing relative to appropriations, or procedural holds in the Senate.

CredibilityAligned

Relative to its intended legislative type, this bill is a well-specified statutory reauthorization and revision of the OTC monograph drug user-fee program. It contains detailed fee-setting mechanics, explicit fiscal adjustments, implementation timelines, reporting and oversight requirements, and cross-references to existing law.

Contention45/100

Progressives emphasize risks of industry-funded fees influencing FDA priorities; conservatives emphasize the fees and reporting as regulatory/financial burdens.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Federal agencies · ConsumersConsumers · Manufacturers

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

Likely helped
  • Federal agenciesProvides dedicated, predictable fee revenue to the FDA for OTC monograph drug activities, which supporters say will all…
  • Potential benefitEstablishes clearer timelines, annual fee-setting and reporting metrics (e.g., number and timeliness of Tier 1/2/other…
  • ConsumersCreates a clearer, more predictable regulatory pathway for Rx‑to‑nonprescription switches via required meetings, guidan…
Likely burdened
  • ConsumersImposes or continues user fees on OTC monograph drug facilities and may increase administrative and compliance costs fo…
  • ManufacturersAdds complexity to fee calculation and payment timing (installments, applicable periods, one‑time workload adjustment c…
  • Potential burdenExpands FDA discretion to accept real‑world evidence and consensus standards for topical ingredients, which critics may…
03 · Why people split

Why the argument around this bill splits.

Progressives emphasize risks of industry-funded fees influencing FDA priorities; conservatives emphasize the fees and reporting as regulatory/financial burdens.
Progressive70%

A mainstream progressive would likely view the bill as mixed: it contains several positive public-interest elements (transparency in negotiation minutes, emphasis on non-animal testing, expanded safety and postmarket reporting, and attention to sunscreen safety), but it also extends and formalizes industry user fees that fund FDA activities.

They would welcome the requirements for public reporting and the move toward alternatives to animal testing, while remaining cautious that industry-funded fee programs can create incentives that shift agency priorities.

They would watch for whether the fees increase costs for smaller manufacturers or are passed to consumers, and for safeguards to preserve FDA independence.

Leans supportive
Centrist75%

A pragmatic moderate would view the bill as largely constructive: it provides stable, predictable funding for FDA work on OTC monograph drugs, increases transparency and reporting, and clarifies regulatory pathways (including Rx-to-nonprescription switches).

They would appreciate GAO studies of supply chains and the requirement for timely FDA guidance, while being attentive to fiscal and administrative details—timing of fee collection, overall cost to industry, and whether the fee mechanics create implementation problems.

They would balance the need for agency resources and predictable processes against the need for oversight and clear cost estimates.

Leans supportive
Conservative55%

A mainstream conservative would have mixed views: they would appreciate clearer, potentially market-friendly pathways for Rx-to-nonprescription switches (which can lower health costs and expand access) and the use of voluntary consensus standards, but they would be wary of expanded federal fee-collection mechanisms, additional regulatory reporting requirements, and any increase in bureaucratic activity.

They would scrutinize the fee increases, timing, and the potential for added regulatory burdens on manufacturers, while acknowledging benefits from clearer processes and improved supply-chain oversight.

Split reaction
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

On substance alone this is a targeted, technocratic reauthorization and modernization of an FDA user fee program — the type of measure that often becomes law because it funds regulatory activity and addresses process bottlenecks. Built-in transparency, sunsets, and GAO reporting reduce friction. Remaining risk stems from stakeholder disputes over specific technical provisions (sunscreen, testing standards, Rx-to-OTC switches), timing relative to appropriations, or procedural holds in the Senate.

Scope and complexity
52%
Scopemoderate
52%
Complexitymedium
Why this could stall
  • No cost estimate or Congressional Budget Office score is included in the bill text here; the fiscal effects of the fee adjustments and any administrative resource changes are therefore uncertain.
  • Stakeholder reactions (consumer safety groups, sunscreen manufacturers, pharmaceutical firms, and animal‑welfare/scientific organizations) could produce lobbying that either smooths or complicates floor consideration.
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

Progressives emphasize risks of industry-funded fees influencing FDA priorities; conservatives emphasize the fees and reporting as regulato…

On substance alone this is a targeted, technocratic reauthorization and modernization of an FDA user fee program — the type of measure that…

Unlocked analysis

Relative to its intended legislative type, this bill is a well-specified statutory reauthorization and revision of the OTC monograph drug user-fee program. It contains detailed fee-setting mechanics, explicit fiscal adj…

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
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