Title 21Food and DrugsRelease 119-73

§360bbb–3c Expedited development and review of medical products for emergency uses

Title 21 › Chapter CHAPTER 9— - FEDERAL FOOD, DRUG, AND COSMETIC ACT › Subchapter SUBCHAPTER V— - DRUGS AND DEVICES › Part Part E— - General Provisions Relating to Drugs and Devices › § 360bbb–3c

Last updated Apr 6, 2026|Official source

Summary

Allows the Secretary of Defense to ask the Secretary of Health and Human Services (through the FDA) to speed up development and review of drugs, devices, vaccines, blood products, and similar biologics when there is a military emergency or a strong chance of one. The request applies when there is a specific and immediate life‑threatening risk to U.S. military forces from an attack, and the medical product is likely to help diagnose, prevent, treat, or lessen that risk. When asked, the FDA must move faster on the application or review. That can include meeting often with the maker, giving timely advice, using senior and experienced reviewers, assigning a project lead across disciplines, making trials as efficient as possible, using any FDA programs that speed review, and allowing expanded access during testing when appropriate. The FDA must meet with the Department of Defense twice a year to review priority products. The director of the Center for Biologics Evaluation and Research must meet with the Department of Defense four times a year about top priorities like regenerative medicine, blood, and vaccine projects (which may include freeze‑dried plasma and platelet alternatives). A "medical product" here means a drug, a device, or a biological product.

Full Legal Text

Title 21, §360bbb–3c

Food and Drugs — Source: USLM XML via OLRC

(1)The Secretary of Defense may request that the Secretary of Health and Human Services, acting through the Commissioner of Food and Drugs, take actions to expedite the development of a medical product, review of investigational new drug applications under section 355(i) of this title, review of investigational device exemptions under section 360j(g) of this title, and review of applications for approval and clearance of medical products under section 355, 360(k), and 360e of this title and section 262 of title 42, including applications for licensing of vaccines or blood as biological products under such section 262 of title 42, or applications for review of regenerative medicine advanced therapy products under section 356(g) of this title, if there is a military emergency, or significant potential for a military emergency, involving a specific and imminently life-threatening risk to United States military forces of attack with an agent or agents, and the medical product that is the subject of such application, submission, or notification would be reasonably likely to diagnose, prevent, treat, or mitigate such life-threatening risk.
(2)Upon a request by the Secretary of Defense under paragraph (1), the Secretary of Health and Human Services, acting through the Commissioner of Food and Drugs, shall take action to expedite the development and review of an applicable application or notification with respect to a medical product described in paragraph (1), which may include, as appropriate—
(A)holding meetings with the sponsor and the review team throughout the development of the medical product;
(B)providing timely advice to, and interactive communication with, the sponsor regarding the development of the medical product to ensure that the development program to gather the nonclinical and clinical data necessary for approval or clearance is as efficient as practicable;
(C)involving senior managers and experienced review staff, as appropriate, in a collaborative, cross-disciplinary review;
(D)assigning a cross-disciplinary project lead for the review team to facilitate an efficient review of the development program and to serve as a scientific liaison between the review team and the sponsor;
(E)taking steps to ensure that the design of the clinical trials is as efficient as practicable, when scientifically appropriate, such as by minimizing the number of patients exposed to a potentially less efficacious treatment;
(F)applying any applicable Food and Drug Administration program intended to expedite the development and review of a medical product; and
(G)in appropriate circumstances, permitting expanded access to the medical product during the investigational phase, in accordance with applicable requirements of the Food and Drug Administration.
(3)In order to facilitate enhanced collaboration and communication with respect to the most current priorities of the Department of Defense—
(A)the Food and Drug Administration shall meet with the Department of Defense and any other appropriate development partners, such as the Biomedical Advanced Research and Development Authority, on a semi-annual basis for the purposes of conducting a full review of the relevant products in the Department of Defense portfolio; and
(B)the Director of the Center for Biologics Evaluation and Research shall meet quarterly with the Department of Defense to discuss the development status of regenerative medicine advanced therapy, blood, and vaccine medical products and projects that are the highest priorities to the Department of Defense (which may include freeze dried plasma products and platelet alternatives),
(4)In this subsection, the term “medical product” means a drug (as defined in section 321 of this title), a device (as defined in such section 321 of this title), or a biological product (as defined in section 262 of title 42).

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Codification Section was enacted as part of Pub. L. 115–92, and not as part of the Federal Food, Drug, and Cosmetic Act which comprises this chapter.

Reference

Citations & Metadata

Citation

21 U.S.C. § 360bbb–3c

Title 21Food and Drugs

Last Updated

Apr 6, 2026

Release point: 119-73