Authority to assess and use device fees
Types of fees
In general
Premarket application, premarket report, supplement, and submission fee, and annual fee for periodic reporting concerning a class III device
In general
Except as provided in subparagraph (B) and subsections (d) and (e), each person who submits any of the following, on or after
A premarket application.
For a premarket report, a fee equal to the fee that applies under clause (i).
For a panel track supplement, a fee equal to 80 percent of the fee that applies under clause (i).
For a 180-day supplement, a fee equal to 15 percent of the fee that applies under clause (i).
For a real-time supplement, a fee equal to 7 percent of the fee that applies under clause (i).
For a 30-day notice, a fee equal to 1.6 percent of the fee that applies under clause (i).
For an efficacy supplement, a fee equal to the fee that applies under clause (i).
For a premarket notification submission, a fee equal to 4.5 percent of the fee that applies under clause (i).
For a request for classification information, a fee equal to 1.35 percent of the fee that applies under clause (i).
For periodic reporting concerning a class III device, an annual fee equal to 3.5 percent of the fee that applies under clause (i).
For a de novo classification request, a fee equal to 30 percent of the fee that applies under clause (i).
Exceptions
Humanitarian device exemption
Further manufacturing use
State or Federal Government sponsors
Premarket notifications by third parties
Pediatric conditions of use
In general
Subsequent proposal of adult conditions of use
Payment
Refunds
Application refused for filing
Application withdrawn before filing
Application withdrawn before first action
Modular applications withdrawn before first action
Later withdrawn modular applications
Sole discretion to refund
Annual establishment registration fee
In general
Exception
Payment
The fee required under subparagraph (A) shall be due once each fiscal year, upon the later of—
the initial or annual registration (as applicable) of the establishment under section 360 of this title; or
the first business day after the date of enactment of an appropriations Act providing for the collection and obligation of fees for such year under this section.
Fee Amounts
In general
Base fee amounts specified
Fee Type | Fiscal Year 2023 | Fiscal Year 2024 | Fiscal Year 2025 | Fiscal Year 2026 | Fiscal Year 2027 |
|---|---|---|---|---|---|
Premarket Application | $425,000 | $435,000 | $445,000 | $455,000 | $470,000 |
Establishment Registration | $6,250 | $6,875 | $7,100 | $7,575 | $8,465 |
Total revenue amounts specified
For purposes of paragraph (1), the total revenue amounts specified in this paragraph are as follows:
$312,606,000 for fiscal year 2023.
$335,750,000 for fiscal year 2024.
$350,746,400 for fiscal year 2025.
$366,486,300 for fiscal year 2026.
$418,343,000 for fiscal year 2027.
Annual fee setting; adjustments
In general
Inflation adjustments
Adjustment to total revenue amounts
Applicable inflation adjustment
The applicable inflation adjustment for fiscal year 2023 and each subsequent fiscal year is the product of—
the base inflation adjustment under subparagraph (C) for such fiscal year; and
the product of the base inflation adjustment under subparagraph (C) for each of the fiscal years preceding such fiscal year, beginning with fiscal year 2022.
Base inflation adjustment
In general
Subject to further adjustment under clause (ii), the base inflation adjustment for a fiscal year is the sum of one plus—
the average annual percent change in the cost, per full-time equivalent position of the Food and Drug Administration, of all personnel compensation and benefits paid with respect to such positions for the first 3 years of the preceding 4 fiscal years, multiplied by 0.60; and
the average annual percent change that occurred in the Consumer Price Index for urban consumers (Washington-Arlington-Alexandria, DC–VA–MD–WV; Not Seasonally Adjusted; All items; Annual Index) for the first 3 years of the preceding 4 years of available data multiplied by 0.40.
Limitations
For purposes of subparagraph (B), if the base inflation adjustment for a fiscal year under clause (i)—
is less than 1, such adjustment shall be considered to be equal to 1; or
is greater than 1.04, such adjustment shall be considered to be equal to 1.04.
Adjustment to base fee amounts
For each of fiscal years 2023 through 2027, the Secretary shall—
adjust the base fee amounts specified in subsection (b)(2) for such fiscal year by multiplying such amounts by the applicable inflation adjustment under subparagraph (B) for such year; and
if the Secretary determines necessary, increase (in addition to the adjustment under clause (i)) such base fee amounts, on a uniform proportionate basis, to generate the total revenue amounts under subsection (b)(3), as adjusted for inflation under subparagraph (A).
Volume-based adjustments to establishment registration base fees
Performance improvement adjustment
In general
For each of fiscal years 2025 through 2027, after the adjustments under paragraphs (2) and (3), the base establishment registration fee amounts for such fiscal year shall be increased to reflect changes in the resource needs of the Secretary due to improved review performance goals for the process for the review of device applications identified in the letters described in section 2001(b) of the Medical Device User Fee Amendments of 2022, as the Secretary determines necessary to achieve an increase in total fee collections for such fiscal year equal to the following amounts, as applicable:
For fiscal year 2025, the product of—
the amount determined under subparagraph (B)(i)(I); and
the applicable inflation adjustment under paragraph (2)(B) for such fiscal year.
For fiscal year 2026, the product of—
the sum of the amounts determined under subparagraphs (B)(i)(II), (B)(ii)(I), and (B)(iii)(I); and
the applicable inflation adjustment under paragraph (2)(B) for such fiscal year.
For fiscal year 2027, the product of—
the sum of the amounts determined under subparagraphs (B)(i)(III), (B)(ii)(II), and (B)(iii)(II); and
the applicable inflation adjustment under paragraph (2)(B) for such fiscal year.
Amounts
Presubmission amount
For purposes of subparagraph (A), with respect to the Presubmission Written Feedback goal, the amounts determined under this subparagraph are as follows:
For fiscal year 2025, $15,396,600 if such goal for fiscal year 2023 is met.
For fiscal year 2026:
$15,396,600 if such goal for fiscal year 2023 is met and such goal for fiscal year 2024 is not met.
$36,792,200 if such goal for fiscal year 2024 is met.
For fiscal year 2027:
$15,396,600 if such goal for fiscal year 2023 is met and such goal for each of fiscal years 2024 and 2025 is not met.
$36,792,200 if such goal for fiscal year 2024 is met and such goal for fiscal year 2025 is not met.
$40,572,600 if such goal for fiscal year 2025 is met.
De novo classification request amount
For purposes of subparagraph (A), with respect to the De Novo Decision goal, the amounts determined under this subparagraph are as follows:
For fiscal year 2026, $6,323,500 if such goal for fiscal year 2023 is met.
For fiscal year 2027:
$6,323,500 if such goal for fiscal year 2023 is met and such goal for fiscal year 2024 is not met.
$11,765,400 if such goal for fiscal year 2024 is met.
Premarket notification and premarket approval amount
For purposes of subparagraph (A), with respect to the 510(k) decision goal, 510(k) Shared Outcome Total Time to Decision goal, PMA decision goal, and PMA Shared Outcome Total Time to Decision goal, the amounts determined under this subparagraph are as follows:
For fiscal year 2026, $1,020,000 if the 4 goals for fiscal year 2023 are met.
For fiscal year 2027:
$1,020,000 if the 4 goals for fiscal year 2023 are met and one or more of the 4 goals for fiscal year 2024 are not met.
$3,906,000 if the 4 goals for fiscal year 2024 are met.
Performance calculation
For purposes of this paragraph, performance of the following goals shall be determined as specified in the letters described in section 2001(b) of the Medical Device User Fee Amendments of 2022 and based on data available, as follows:
The performance of the Presubmission Written Feedback goal shall be based on data available as of—
for fiscal year 2023,
for fiscal year 2024,
for fiscal year 2025,
The performance of the De Novo Decision goal, 510(k) decision goal, 510(k) Shared Outcome Total Time to Decision goal, PMA decision goal, and PMA Shared Outcome Total Time to Decision goal shall be based on data available as of—
for fiscal year 2023,
for fiscal year 2024,
Goals defined
Hiring adjustment
In general
Thresholds
The thresholds specified in this subparagraph are as follows:
For fiscal year 2025, the threshold is 123 hires for fiscal year 2023.
For fiscal year 2026, the threshold is 38 hires for fiscal year 2024.
For fiscal year 2027, the threshold is—
22 hires for fiscal year 2025 if the base establishment registration fees are not increased by the amount determined under paragraph (4)(A)(i); or
75 hires for fiscal year 2025 if such fees are so increased.
Hiring adjustment amount
The hiring adjustment amount for fiscal year 2025 and each subsequent fiscal year is the product of—
the number of hires by which the hiring goal specified in subparagraph (D) for the fiscal year before the prior fiscal year was not met;
$72,877; and
the applicable inflation adjustment under paragraph (2)(B) for the fiscal year for which the hiring goal was not met.
Hiring goals
The hiring goals for each of fiscal years 2023 through 2025 are as follows:
For fiscal year 2023, 144 hires.
For fiscal year 2024, 42 hires.
For fiscal year 2025:
24 hires if the base establishment registration fees are not increased by the amount determined under paragraph (4)(A)(i).
83 hires if the base establishment registration fees are increased by the amount determined under paragraph (4)(A)(i).
Number of hires
Operating reserve adjustment
In general
Designated amount
Subject to subparagraph (C), for each fiscal year, the designated amount in this subparagraph is equal to the sum of—
13 weeks of operating reserves of carryover user fees; and
1 month of operating reserves maintained pursuant to paragraph (8).
Excluded amount
Limit
Supplement
In general
Notice to Congress
Small businesses; fee waiver and fee reduction regarding premarket approval fees
In general
Rules relating to premarket approval fees
Definition
Evidence of qualification
In general
Firms submitting tax returns to the United States Internal Revenue Service
Firms not submitting tax returns to the United States Internal Revenue Service
Reduced fees
Where the Secretary finds that the applicant involved meets the definition under subparagraph (A), the fees established under subsection (c)(1) may be paid at a reduced rate of—
25 percent of the fee established under such subsection for a premarket application, a premarket report, a supplement, periodic reporting concerning a class III device, or a de novo classification request; and
50 percent of the fee established under such subsection for a 30-day notice or a request for classification information.
Request for fee waiver or reduction
Small businesses; fee reduction regarding premarket notification submissions
In general
Rules relating to premarket notification submissions
Definition
Evidence of qualification
In general
Firms submitting tax returns to the United States Internal Revenue Service
Firms not submitting tax returns to the United States Internal Revenue Service
Reduced fees
Request for reduction
Effect of failure to pay fees
No acceptance of submissions
No registration
Conditions
Performance goals; termination of program
With respect to the amount that, under the salaries and expenses account of the Food and Drug Administration, is appropriated for a fiscal year for devices and radiological products, fees may not be assessed under subsection (a) for the fiscal year, and the Secretary is not expected to meet any performance goals identified for the fiscal year, if—
the amount so appropriated for the fiscal year, excluding the amount of fees appropriated for the fiscal year, is more than 1 percent less than $398,566,000 multiplied by the adjustment factor applicable to such fiscal year; or
fees were not assessed under subsection (a) for the previous fiscal year.
Authority
Limitation
Crediting and availability of fees
In general
Collections and appropriation acts
In general
The fees authorized by this section—
subject to subparagraph (C), shall be collected and available in each fiscal year in an amount not to exceed the amount specified in appropriation Acts, or otherwise made available for obligation, for such fiscal year, and
shall be available to defray increases in the costs of the resources allocated for the process for the review of device applications (including increases in such costs for an additional number of full-time equivalent positions in the Department of Health and Human Services to be engaged in such process) over such costs, excluding costs paid from fees collected under this section, for fiscal year 2009 multiplied by the adjustment factor.
Compliance
In general
The Secretary shall be considered to have met the requirements of subparagraph (A)(ii) in any fiscal year if the costs funded by appropriations and allocated for the process for the review of device applications—
are not more than 3 percent below the level specified in subparagraph (A)(ii); or
are more than 3 percent below the level specified in subparagraph (A)(ii), and fees assessed for a subsequent fiscal year are decreased by the amount in excess of 3 percent by which such costs fell below the level specified in such subparagraph; and
such costs are not more than 5 percent below the level specified in such subparagraph.
More than 5 percent
Provision for early payments
Authorization of appropriations
In general
Revenue amount
For purposes of this paragraph, the revenue amount for each fiscal year is the sum of—
the total revenue amount under subsection (b)(3) for the fiscal year, as adjusted under paragraphs (2) and (3) of subsection (c); and
the performance improvement adjustment amount for the fiscal year under subsection (c)(4), if applicable.
Amount of reductions
For purposes of this paragraph, the amount of reductions for each fiscal year is the sum of—
the hiring adjustment amount for the fiscal year under subsection (c)(5), if applicable; and
the operating reserve adjustment amount for the fiscal year under subsection (c)(6), if applicable.
Collection of unpaid fees
Written requests for refunds
Construction
Source
(June 25, 1938, ch. 675, § 738, as added Pub. L. 107–250, title I, § 102(a),Notes
Termination of Section
Editorial Notes
References in Text
Amendments
Statutory Notes and Related Subsidiaries
Effective Date of 2022 Amendment
Effective Date of 2017 Amendment
Effective Date of 2012 Amendment
Effective Date of 2007 Amendment
Effective and Termination Dates
Fee Exemption for Certain Entities Submitting Premarket Reports
the premarket report is the first such report submitted to the Secretary by the person; and
before