In 1997, the FDAMA (see US Public Law 105-115, 21 USC 301) expanded the Prescription Drug User Fee Act (PDUFA)11 policies by codifying a number of practices that had become common at the FDA. The legislation included provisions regarding user access to experimental drugs and medical devices, information on clinical trials, pharmacy compounding, food safety and labeling, and other matters. One provision of the act abolished a prohibition on manufacturers’ dissemination of information about unapproved uses of drugs and devices, permitting them to disseminate peer-reviewed journal articles, provided that they commit to file, within a specified time frame, an application to establish the safety and effectiveness of the unapproved use. The statute also added a new provision that required tracking of the status of postmarketing approval studies. This Act provided (a) more focus on devices with greatest risk/benefits, (2) enhanced/early collaboration with industry, (c) allowed certain changes to devices without prior approval and (d) accelerated the timeline for commercializing safe/effective devices.