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Over-the-Counter Monograph Drug User Fee Amendments

10/14/2025, 10:53 PM

Summary of Bill HR 4273

H.R. 4273, introduced in the 119th Congress on July 2, 2025, aims to amend the Federal Food, Drug, and Cosmetic Act to modify and prolong the user fee program related to over-the-counter monograph drugs.

Congressional Summary of HR 4273

Over-the-Counter Monograph Drug User Fee Amendments

This bill reauthorizes the Over-the-Counter (OTC) Monograph Drug User Fee Program (OMUFA) through FY2030 and revises certain aspects of the program, including total fees to be collected and fee due dates.

Under current law, many OTC drugs are marketed through compliance with an OTC monograph issued by the Food and Drug Administration (FDA), rather than through an approved new drug application. Monographs establish the conditions under which OTC drugs are generally recognized as safe and effective, and include ingredients, dosages, and other requirements. OMUFA permits the FDA to collect fees from OTC drug facilities and entities requesting changes to a monograph.

The bill makes certain changes to OMUFA, including by

  • revising the total facility fee revenue amount to be collected for FY2026-FY2030,
  • revising due dates for facility fees,
  • permitting the FDA to implement a one-time adjustment to facility fees if certain conditions exist, and
  • requiring the FDA to publish facility and order request fee amounts at least 60 days before the start of each fiscal year.

Finally, the bill adds as a Tier 2 OTC monograph order request a request for the addition or modification of a testing procedure applicable to a monograph drug, provided the testing procedure reflects a voluntary consensus standard with respect to pharmaceutical quality. (Requestors seeking certain kinds of changes to a monograph are awarded a period of market exclusivity if the FDA makes the requested changes; tier 2 requests are not eligible for market exclusivity.)

Current Status of Bill HR 4273

Bill HR 4273 is currently in the status of Bill Introduced since July 2, 2025. Bill HR 4273 was introduced during Congress 119 and was introduced to the House on July 2, 2025.  Bill HR 4273's most recent activity was Placed on the Union Calendar, Calendar No. 254. as of September 17, 2025

Bipartisan Support of Bill HR 4273

Total Number of Sponsors
1
Democrat Sponsors
0
Republican Sponsors
1
Unaffiliated Sponsors
0
Total Number of Cosponsors
3
Democrat Cosponsors
2
Republican Cosponsors
1
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill HR 4273

Primary Policy Focus

Health

Potential Impact Areas

- Congressional oversight
- Drug safety, medical device, and laboratory regulation
- User charges and fees

Alternate Title(s) of Bill HR 4273

To amend the Federal Food, Drug, and Cosmetic Act to revise and extend the user fee program for over-the-counter monograph drugs, and for other purposes.
To amend the Federal Food, Drug, and Cosmetic Act to revise and extend the user fee program for over-the-counter monograph drugs, and for other purposes.

Comments

Jolie Boone profile image

Jolie Boone

938

8 months ago

I can't believe this bill is gonna make it harder for me to get the meds I need without a prescription. It's just not fair!

Frederick Braun profile image

Frederick Braun

916

9 months ago

Why dis bill gotta mess with my meds? Who even benefits from this crap?

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