Presidential DocumentExecutive Order 142932025-08267

Regulatory Relief To Promote Domestic Production of Critical Medicines

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Published
May 8, 2025
Signed
May 5, 2025

Issuing agencies

Executive Office of the President

Full Text

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<title>Federal Register, Volume 90 Issue 88 (Thursday, May 8, 2025)</title>
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[Federal Register Volume 90, Number 88 (Thursday, May 8, 2025)]
[Presidential Documents]
[Pages 19615-19617]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-08267]




                        Presidential Documents 



Federal Register / Vol. 90 , No. 88 / Thursday, May 8, 2025 / 
Presidential Documents

[[Page 19615]]


                Executive Order 14293 of May 5, 2025

                
Regulatory Relief To Promote Domestic Production 
                of Critical Medicines

                By the authority vested in me as President by the 
                Constitution and the laws of the United States of 
                America, it is hereby ordered:

                Section 1. Purpose. During my first term, my 
                Administration took unprecedented action to improve the 
                well-being of the American people by restoring capacity 
                for domestic production of critical pharmaceutical 
                products. Notably, in Executive Order 13944 of August 
                6, 2020 (Combating Public Health Emergencies and 
                Strengthening National Security By Ensuring Essential 
                Medicines, Medical Countermeasures, and Critical Inputs 
                Are Made In The United States), I directed each 
                executive department and agency involved in the 
                procurement of Essential Medicines, Medical 
                Countermeasures, and Critical Inputs to take a variety 
                of actions to increase their domestic procurement of 
                Essential Medicines, Medical Countermeasures, and 
                Critical Inputs, as defined in section 7 of that order, 
                and to identify vulnerabilities in our Nation's supply 
                chains for these products. Unfortunately, the prior 
                administration did too little to advance these goals. 
                Critical barriers and information gaps persist in 
                establishing a domestic, resilient, and affordable 
                pharmaceutical supply chain for American patients.

                One key area of concern is the length of time it takes 
                to build pharmaceutical manufacturing facilities in the 
                United States today. New construction must navigate 
                myriad Federal, State, and local requirements ranging 
                from building standards and zoning restrictions to 
                environmental protocols that together diminish the 
                certainty needed to generate investment for large 
                manufacturing projects. For pharmaceutical 
                manufacturing, these barriers are heightened by 
                unannounced inspections of domestic manufacturers by 
                the Food and Drug Administration (FDA), which are more 
                frequent than such inspections at international 
                facilities. Industry estimates suggest that building 
                new manufacturing capacity for pharmaceuticals and 
                critical inputs may take as long as 5 to 10 years, 
                which is unacceptable from a national security 
                standpoint. Even expanding existing capacity or 
                modifying existing production lines to produce new or 
                different products requires extensive permitting and 
                regulatory approval, making it more difficult to 
                repurpose existing underutilized pharmaceutical 
                manufacturing capacity available domestically.

                It is in the best interest of the Nation to eliminate 
                regulatory barriers to the domestic production of the 
                medicines Americans need. My Administration will work 
                to make the United States the most competitive nation 
                in the world for the manufacture of safe and effective 
                pharmaceutical products.

                Sec. 2. Policy. It is the policy of the United States 
                that the regulation of manufacturing pharmaceutical 
                products and inputs be streamlined to facilitate the 
                restoration of a robust domestic pharmaceutical 
                manufacturing base.

                Sec. 3. Streamlining Review of Domestic Pharmaceutical 
                Manufacturing by the Food and Drug Administration. 
                Within 180 days of the date of this order, the 
                Secretary of Health and Human Services, through the 
                Commissioner of Food and Drugs (FDA Commissioner), 
                shall review existing regulations and guidance that 
                pertain to the development of domestic pharmaceutical 
                manufacturing and shall take steps to eliminate any 
                duplicative or unnecessary requirements in such 
                regulations and guidance; maximize

[[Page 19616]]

                the timeliness and predictability of agency review; and 
                streamline and accelerate the development of domestic 
                pharmaceutical manufacturing. The FDA Commissioner's 
                review shall encompass all regulations and guidance 
                that apply to the inspection and approval of new and 
                expanded manufacturing capacity, emerging technologies 
                that enable the manufacturing of pharmaceutical 
                products, active pharmaceutical ingredients, key 
                starting materials, and associated raw materials in the 
                United States. The FDA Commissioner shall:

                    (a) evaluate the current risk-based approach to 
                prior approval of licensure inspections, including when 
                such inspections are necessary, and seek to improve 
                upon this approach to ensure all required inspections 
                are prompt, efficient, and limited to what is necessary 
                to ensure compliance with the Federal Food, Drug, and 
                Cosmetic Act and other Federal law;
                    (b) identify and undertake measures necessary to 
                expand, as practicable, existing programs that provide 
                early technical advice before a facility is 
                operational;
                    (c) identify and undertake measures necessary to 
                improve enforcement of data reporting under section 
                510(j)(3) of the Federal Food, Drug, and Cosmetic Act 
                (21 U.S.C. 360(j)(3)), including consideration of 
                publicly displaying the list of facilities, including 
                foreign facilities, that are not in compliance;
                    (d) provide clearer guidance regarding the 
                requirements or recommendations for site changes, 
                including moving production from a foreign to domestic 
                facility, and validation of new or updated components 
                necessary in manufacturing; and
                    (e) review and, as appropriate, seek to update any 
                other relevant compliance policies, guidance documents, 
                and regulations.

                Sec. 4. Enhancing Inspection of Foreign Manufacturing 
                Facilities. Within 90 days of the date of this order, 
                the FDA Commissioner shall develop and advance 
                improvements to the risk-based inspection regime that 
                ensures routine reviews of overseas manufacturing 
                facilities involved in the supply of United States 
                medicines, which shall be funded by increased fees on 
                foreign manufacturing facilities to the extent 
                consistent with applicable law. Additionally, the FDA 
                Commissioner shall publicly disclose the annual number 
                of inspections that the FDA conducts on such foreign 
                facilities, with specific detail by country and by 
                manufacturer.

                Sec. 5. Streamlining Review of Domestic Pharmaceutical 
                Manufacturing by the Environmental Protection Agency. 
                Within 180 days of the date of this order, the 
                Administrator of the Environmental Protection Agency 
                (EPA) shall take action to update regulations and 
                guidance that apply to the inspection and approval of 
                new and expanded manufacturing capacity of 
                pharmaceutical products, active pharmaceutical 
                ingredients, key starting materials, and associated raw 
                materials in the United States to eliminate any 
                duplicative or unnecessary requirements and maximize 
                the timeliness and predictability of agency review.

                Sec. 6. Centralized Coordination of Environmental 
                Permits to Expand Domestic Pharmaceutical Manufacturing 
                Capacity. For purposes of 42 U.S.C. 4336a, the EPA 
                shall be the lead agency for the permitting of 
                pharmaceutical manufacturing facilities that require 
                preparation of an Environmental Impact Statement 
                pursuant to the National Environmental Policy Act of 
                1969, 42 U.S.C. 4321 et seq., unless that role is 
                assumed by another agency. The lead agency shall 
                designate a single point of contact within the agency 
                to coordinate with permit applicants. The Office of 
                Management and Budget shall coordinate with the lead 
                agency and with other relevant agencies and the Federal 
                Permitting Improvement Steering Committee, as needed, 
                to expedite the review and approval of relevant 
                permits.

                Sec. 7. Streamlining Review of Domestic Pharmaceutical 
                Manufacturing by the United States Army Corps of 
                Engineers. Within 180 days of the date of this order, 
                the Secretary of the Army, acting through the Assistant 
                Secretary

[[Page 19617]]

                of the Army for Civil Works, shall review the 
                nationwide permits issued under section 404 of the 
                Clean Water Act of 1972 (33 U.S.C. 1344) and section 10 
                of the Rivers and Harbors Appropriation Act of 1899 (33 
                U.S.C. 403) to determine whether an activity-specific 
                nationwide permit is needed to facilitate the efficient 
                permitting of pharmaceutical manufacturing facilities.

                Sec. 8. General Provisions. (a) Nothing in this order 
                shall be construed to impair or otherwise affect:

(i) the authority granted by law to an executive department or agency, or 
the head thereof; or

(ii) the functions of the Director of the Office of Management and Budget 
relating to budgetary, administrative, or legislative proposals.

                    (b) This order shall be implemented consistent with 
                applicable law and subject to the availability of 
                appropriations.
                    (c) This order is not intended to, and does not, 
                create any right or benefit, substantive or procedural, 
                enforceable at law or in equity by any party against 
                the United States, its departments, agencies, or 
                entities, its officers, employees, or agents, or any 
                other person.
                    (d) The Department of Health and Human Services 
                shall provide funding for publication of this order in 
                the Federal Register.
                <GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT>
                
                    (Presidential Sig.)

                THE WHITE HOUSE,

                    May 5, 2025.

[FR Doc. 2025-08267
Filed 5-7-25; 11:15 am]
Billing code 4150-28-P


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Indexed from Federal Register on May 8, 2025.

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