FDA Backgrounder
April 9, 2001
FDA's Budget Request for FY 2002
The President's budget request for the Food and Drug Administration in fiscal
year (FY) 2002 (Oct.1, 2001-Sept.30, 2002) totals $1.414 billion, an increase
of $123 million or 9.5 percent over FY 2001. The request includes $204 million
in industry-specific user fees.
The proposed budget reflects FDA's commitment to continue strengthening public
health protection by basing its regulatory decisions on sound, unbiased, state-of-the-art
science; assuring the safety of products throughout their entire life cycle;
optimizing the agency's standards-enhancing and harmonizing operations within
the global marketplace; leveraging programs in cooperation with stakeholders;
and maintaining the highest, science-based standards as a critical precondition
for effective health-care delivery and continued consumer confidence.
The requested appropriation increases, which focus on urgent public health
hazards and major performance goals emphasized by Congress, include the following:
- $40 million to meet mandated cost-of-living and pay-related increases
for FDA's employees. From FY 1993 to FY 2000, FDA has had to absorb $284 million
in mandatory pay raises and other unfunded inflationary costs by reducing
its staffing of all programs not supported by user fees from 8,996 to 7,908.
During the same period, research and development spending by the pharmaceutical
industry and the National Institutes of Health-which generates new medications
for FDA's review and surveillance-increased from approximately $22 billion
to almost $45 billion. The request will enable the agency to maintain current
levels of performance, and support about one-half of the staff that reviews
generic and other drugs not covered by the Prescription Drug User Fee Act
of 1992.
- $15 million to protect consumers against the variant Creutzfeldt-Jakob
disease (vCJD), a fatal illness that has been associated in Europe with the
consumption of meat from cows with Bovine Spongiform Encephalopathy (BSE),
or "Mad Cow Disease." Since 1997, FDA has banned the use of mammalian proteins,
which are believed to cause BSE, in feed for cattle and other ruminants. The
FY 2002 request is designed to ensure the strengthening of and 100 percent
compliance with FDA's guidances and rules to help prevent the spread of BSE
and vCJD through FDA-regulated products, including drugs, biologics, medical
devices, pet foods, food additives, and dietary supplements.
- $25 million to prevent substandard food and health-care products
from reaching the U.S. market. In FY 2002, FDA will be responsible for ensuring
the safety, or the safety and effectiveness, of $1 trillion worth of food
and health-care products, both domestic and imported. Since it is not feasible
to reliably sample and test such vast quantities of finished goods, FDA inspects
both domestic and foreign facilities for compliance with the agency's Good
Manufacturing Practices, which offer the best assurance that the products
meet FDA's high public health standards. The request would enable FDA to increase
its inspection coverage, surveillance, sampling, and analysis of regulated
products, as well as criminal investigation of fraudulent drug imports. The
request includes $10.3 million in budget authority and $14.7 million in new
user fees for imports. If the new user fees are not implemented, a larger
portion of the budget authority will need to be used to support the import
program.
- $10 million to safeguard patients against adverse events associated
with the use of drugs, biological agents and medical devices by improving
FDA's system for monitoring marketed products. According to recent estimates,
more than a million people are accidentally injured each year in the United
States in the course of medical therapy, and as many as 98,000 die from preventable
medical errors. To minimize this hazard, which increases the nation's health-care
costs by up to $75 billion a year, FDA plans to use the requested funds primarily
for strengthening its capacity to learn about, identify and respond to adverse
events; increase education programs for dietary supplements; and educate consumers
and health-care professionals on the importance of preventing and reporting
medical errors.
- $10 million to protect human subjects and the integrity of research
data in clinical trials. FDA is responsible for protecting patients enrolled
in clinical studies, and ensuring that the resulting data about the safety
and effectiveness of the tested product are accurately stated in the application
for marketing. FDA currently performs about 1,100 trial-associated inspections
a year-less than 4 percent of the 30,000 clinical sites testing FDA-regulated
products. The request will be used to increase the number of inspections by
one-third, focus them on high-risk studies, and cover clinical investigators,
institutional review boards, sponsors, monitors, and contract research organizations.
- $14.7 million to significantly reduce the incidence of foodborne
illnesses that is estimated to affect 76 million Americans each year, more
than 300,000 of whom are hospitalized, and 5,000 die from the disease. To
counter this human suffering and the resulting $8 billion annual economic
cost in medical expenses and lost productivity, FDA proposes to expand the
highly successful Food Safety Initiative beyond microbiological contaminants
to cover chemical and physical food hazards. The request includes $9.4 million
in budget authority and $5.3 million in new user fees for export certification.
If the new user fees are not authorized, FDA will have to continue supporting
this service to U.S. food exporters from resources intended for food safety.
- $17.3 million to enhance FDA's scientific potential and operational
efficiency through infrastructure improvements. The request, which covers
three top-priority projects, is broken down as follows: $8.3 million to begin
the development of an advanced financial management system as part of an effort
by the Department of Health and Human Services to replace antiquated and inflexible
systems, and to comply with the requirements of the Government Performance
and Results Act; $3 million to complete the construction of a new facility
in Los Angeles and move into it an FDA laboratory that analyzes 25 percent
of all imported food samples; and $6 million to equip and occupy a new laboratory
of FDA's Center for Drug Evaluation and Research as part of the agency's long-range
move to a consolidated headquarters in a suburb of Washington, D.C.
FDA is also requesting an increase in current user fees to enhance the review
process of new human drugs and biological products, and in fees for applications,
establishments and approved products. Of the total request for $204 million
in user fees, $20 million-$15 million for import activities and $5 million to
provide certifications for food exporters-are new fees that require authorizing
legislation. Drug and device exporters already cover such costs. The $162 million
requested for drug and biologic reviews under the Prescription Drug User Fee
Act includes an increase of $12 million, and the request for fees under the
Mammography Quality Standards Act includes $.5 million for inflation.
(BG 01-2)
[d]
1/ Salaries and Expenses includes offset of $1,497,000 reduction
from FY 2001 Congressional appropriation.
[d]
1/ Total increases are offset by $1,497,000 reduction from
FY 2001 Congressional appropriation.
[d]
[d]
1/ Other User fees includes export certification and certification
funds.
[d]