The HCT/P Modernization Act of 2025
The HCT/P Modernization Act of 2025 directs the Secretary of Health and Human Services, through the FDA, to modernize and streamline the regulatory oversight of human cell and tissue products (HCT/Ps). Key aims include improving transparency, providing better educational resources about how the FDA’s Tissue Reference Group (TRG) works, and increasing predictability for stakeholders involved in HCT/Ps. The bill also updates the regulatory framework by updating how “best practices” are described in law to emphasize generating scientific data to facilitate development of HCT/Ps, and it creates new opportunities for public input through a docket and a congressional report due in 2026. Overall, the measure seeks to balance patient safety with a more transparent, data-driven, and predictable regulatory environment for HCT/Ps, including stem cell therapies.
Key Points
- 1Public education and guidance: The Secretary must publish on FDA’s website educational materials about the Tissue Reference Group and best practices for obtaining timely, accurate TRG recommendations on HCT/Ps.
- 2Transparency and metrics: Within one year after enactment and for the next three years, the Secretary must publicly report on (a) HCT/P establishments registered since Jan 1, 2019; (b) FDA inspections of HCT/P establishments since Jan 1, 2019 (with a comparison to blood establishment inspections); (c) the number and type of inquiries to the TRG; and (d) average TRG submission response times (initial and final).
- 3Stakeholder education and engagement: The Secretary must provide information to industry stakeholders and patients and conduct workshops and interactive sessions to support regulatory predictability and scientific advancement.
- 4Regulatory framework update: The act amends the Food and Drug Omnibus Reform Act of 2022 to replace “best practices” with language focused on generating scientific data necessary to facilitate development of certain HCT/Ps and to reflect the latest information about these products, including stem cell therapies.
- 5Public input and reporting: The Secretary must establish a public docket within 60 days to receive comments on approaches for TRG discussions and on modernizing HCT/P regulation, including considerations related to minimal manipulation and homologous use; and by September 30, 2026, must report to Congress with recommendations on regulating HCT/Ps, taking into account regulatory burden, scientific developments, access to 361-regulated products, and public health protection.