Food, Drugs, and Classification Issues

This is the first of a series of posts on scholarship related to food and drug law posted on SSRN in the first half of 2026.  The two pieces below share a topic — the significant difference between regulation as a food and regulation as a drug — and circle around a common question: why do we ask certain things (before market entry) of the one, and not the other, and does this always make sense?

Whose Burden Is It Anyway?

(Subtitle: A Comprehensive Proposal to Reshape Food Safety Review by Treating Food as Medicine.)

The title of this piece, authored by Katya Cronin of GW Law and published in 2025 in the American Journal of Law & Medicine, gave me the (incorrect) impression it would talk about the blurred line between foods and drugs and perhaps even propose reclassification of some (or all) food as medicine.  Instead, it is very solidly grounded in the real world —  with a succinct and clear description of current regulatory requirements with respect to the safety of food ingredients [which she defines to include unintended environmental contaminants], and then detailed suggestions for both Congress, and FDA, to make the food regulatory paradigm much more rigorous with respect to ingredient safety.

What Congress should do. Ultimately, she argues that (1) Congress should eliminate the GRAS carve-out from the food additive definition, or in the alternative limit its application to substances that have at least twenty years of use, and at the very least mandate submission of GRAS certifications to the agency; (2) eliminate the food contact notification program in favor of a full premarket petition process and clarify that the Delaney Clause applies with equal force, and without de minimis exception, to GRAS substances as well as all direct and indirect food additives and food contact substances; (3) enact user fees for all food-related premarket submissions; (4) require clinical studies for any new food or color additive; and (5) authorize FDA to require more extensive reporting from food manufacturers. 

What FDA should so. In the meantime, and even if Congress fails to act, she argues that FDA can and should take numerous steps on its own.  For instance, she says, it should convert the voluntary GRAS notification system to a mandatory notification system and issue guidance stating that novel substances cannot be subject to GRAS determinations.  She also argues that the agency should “enforce in practice the manufacturers’ legal burden of proving safety.”  Thus, she says, it should  “examine all filed GRAS notices and approved food and color additives and should summarily revoke those that are filed without sufficient toxicology, feeding toxicity, and other relevant data.”  It should use artificial intelligence to identify approved additives as to which there are “reputable, peer-reviewed studies with adverse safety results,” she says, arguing that “the very existence of such studies should sufficiently demonstrate that the manufacturer failed to demonstrate reasonable certainty of safety.”  Third, she says, FDA should require food manufacturers to test “every lot” for heavy metals, environmental toxins, and pathogens.  And finally, she argues that FDA should require that all food and color additives be listed on food labels and that the manufacturer’s labeling information (on their website or otherwise available) contain data on the relevant safety testing that supports the determination that the ingredient is safe for use.

Striking while the iron is hot? Most of these proposals are not, I think, new to food policy circles, but they are helpfully gathered here and stated clearly and precisely.  I think there is more to say about the proposals specific to FDA  — in terms of resource availability and options, as well as potential legal constraints — but that would be (perhaps is?) another article.  This is a helpful “gather everything together and start the conversation” piece.  And she has framed this to be exceptionally timely, borrowing from the “food is medicine” zeitgeist (and the observation that “medicine” has much more rigorous safety requirements), and pointing to political momentum to reform the food system. 

As the next piece suggests, though, a more drug-like paradigm would have its costs…

When Food Becomes A Drug

This one, also, was not about the blurred line between food and drugs!  (I’ve been thinking about Lewis Grossman’s article, Food, Drugs, and Droods, as well as FDA’s famous warning letter to General Mills about its Cheerios being a new drug on account of something printed on the cereal box.) 

A new animal drug application … for my grilled salmon. Instead, this article — written by Hadar David, a doctoral candidate at Stanford Law School — concerns itself with genetically engineered food animals, such as AquAdvantage Salmon, which was genetically engineered to grow more quickly than its Atlantic salmon counterpart and approved by FDA in 2015.  And to be clear about the regulatory treatment: this required approval of a new animal drug application (NADA).  David writes, “although food products from GE animals are intended for consumption as food, they are regulated not as food but as drugs, triggering a premarket approval process that involves rigorous and time-intensive data requirements.” (And, both are true. Genetically modifying the salmon in the first instance requires approval of an NADA, but the food product made from the salmon is still regulated as a food. Thus, as FDA explained in a Q&A at the time, USDA would regulate the disclosure of bioengineered content on the labeling of any human food made from the GE salmon.)

Bad for innovation. Part III of David’s article argues that application of the drug paradigm to GE food animals “has had a profound impact on both industry and academic stakeholders.”  Specifically, he says, it has had two deleterious results: (1) “the complexity, cost, and duration of the FDA’s drug approval process have significantly narrowed the field of actors willing or able to engage in GE food animal development,” and (2) “the scope of innovation has been curtailed: regulatory burdens have led to a concentration on a limited number of commercially viable traits, while more experimental or socially beneficial applications remain unexplored.”

Is it really a “drug”? A short section in the middle of this article evaluates FDA’s classification of genetic modifications in GE food animals as “drugs.”   David concedes that courts are unlikely to take into account the policy implications of the classification.  And he notes there are questions about who could (and would) seek judicial review.   But he nevertheless takes up the basic issue, making an argument from the statutory text and legislative purpose that the agency’s interpretation is problematic.  In the end, this argument is unlikely to prevail, and I think he realizes that.  In 2019 — as he notes — a district court in the N.D. California upheld FDA’s authority to regulate the (GE salmon) product.  This was Institute for Fisheries Authorities v. Hahn, 424 F. Supp. 3d 740 (N.D. Cal. 2019).   The court agreed that FDA can treat the recombinant DNA “construct” used to modify the animal as a “drug” because it is intended to affect the structure or function of the animal.  It may also be worth noting that the court reached this conclusion without applying the Chevron framework; i.e., it decided without much fanfare that the plain language of the statute answered the question — placing the construct within the term “drug.”  Consequently there is no reason to think a court would come out differently now, with Chevron overruled.  (And I think some of the arguments in that case were similar to those David offers.)

In search of a better approach. But the heart of David’s argument is more philosophical.  He’s concerned about the policy implications of the classification, and I think also bothered by the basic conceptual difference between modifying an animal for therapeutic purposes and modifying it for food production purposes.  (One could devote an entire article to this — going back to the old question of how to cabin the structure/function prong of the drug and device definitions — but that is a different article.)  In any case, he argues that the complexity of the subject, and the need to consider the broader consequences of the classification chosen, mean the courts are not the right place to turn for a coherent long-term framework.  To be sure! 

Section V then discusses non-drug alternatives (as a food? as a food additive?) before settling on new legislation, which he proposes would take lessons from Argentina and Brazil in particular.  I trust, and hope, this can be fleshed out in a subsequent article in greater detail, but the idea seems to be making some basic distinctions — such as between transgenic modifications (introducing genes from another organism) and non-transgenic alterations (such as knock-out situations), though he notes that this categorical distinction might not correspond to actual risk.  It would be very interesting to see this fleshed out, perhaps in another article. 

Artificial Intelligence & Machine Learning: Recent Scholarship

As FDA has noted, artificial intelligence (AI) and machine learning (ML) technologies have the potential to transform healthcare. These technologies could be used at the agency, by other agencies involved in healthcare regulation and finance, by private participants in the healthcare delivery system, and by medical device manufacturers. They can also be embedded in conventional medical devices or, indeed, serve as standalone medical devices. For several years now, FDA has been exploring how its existing medical device framework applies, or should be adapted to apply to, software “as” a medical device as well as software “in” a medical device. In this post, I review four recent law review articles exploring legal and policy issues presented by the emergence of artificial intelligence and machine learning in medical devices and the healthcare setting more generally. 

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Recent Scholarship: FDA and Other Regulators

As readers know, FDA does not operate in a vaccuum; it has relationships with, and sometimes collaborates with, other federal regulators. It shares information with them, it may receive information from them, and sometimes it shares jurisdiction with another agency or shares responsibility for implementing a particular program. (For instance, both PTO and FDA play a role in implementing the patent term restoration provisions of section 156 of the Patent Act. Some of my work explores the FDA/PTO intersection.) Today I highlight two recent pieces of scholarship focusing on FDA and other regulators. Both, I think, reflect the same notion; as Professor Tammi Etheridge (who writes the second article) says, this work “belies the notion that all agency collaboration is good collaboration.” 

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The Tradeoffs Involved in New Drug Approval, Expanded Access, and Right to Try

This note explains some of the concepts swirling around in the media right now, relating to medicine approval. Much of what follows appears (or will appear) in an article on the U.S. “right to try” law, which I recently wrote with a colleague at the University of Bourgogne in Dijon, France.  Some of the background discussion will be useful here.

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Vaccine Approval 101

Here’s a tutorial on the usual process for vaccine development, testing and approval, for folks tracking the new coronavirus (COVID-19).  In brief: it will take a while and very large clinical trials to get a coronavirus vaccine approved at FDA. But preapproval testing is likely to happen on the ground where the coronavirus is spreading, and there is a potential for expanded access (to the unapproved vaccine) in the meantime.

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Emergency Use Authorizations

Here’s a quick tutorial on the “emergency use authorization” (EUA) process at FDA, for folks following the coronavirus.  This explains in a little more detail the information that Dr. Gottlieb posted in a Twitter thread earlier today. 

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SSRN Reading List . . . or Device Regulation: What Role for Tort Law?

The 2020 annual conference of the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics (at Harvard Law School) will focus on the future of medical device regulation.  If you’re interested in participating, abstracts are due on October 14, final papers are due March 27, and the conference is May 8.  (Here’s a link to the call for papers.)  I’m working on an empirical project relating to device premarket approval and patent term restoration, but sadly the dataset won’t be ready in time.  Meanwhile, here’s a run-down of some interesting legal scholarship on medical device regulation in the last year and a half. 

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FDA’s Abandoned Proposal to Require Reporting of Data Falsification

On August 6, FDA announced that Novartis’s application for approval of Zolgensma contained “manipulated” data and that the company knew this while the application was pending, but did not tell the agency.  Three days later a group of Senators wrote FDA a letter asking, among other things, why the agency had withdrawn a proposed regulation that would have required “sponsors of certain clinical trials to promptly report suspected data falsification to FDA.”  It may be helpful to review the concerns that people raised.  Details after the jump.

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The Big “Data Manipulation” Story

One of the big end-of-summer news stories at FDA is the agency’s August 6 statement that Novartis submitted “manipulated” data to support approval of its gene therapy product, Zolgensma.  According to FDA, Novartis knew about the manipulation before FDA approved the product, and yet the company didn’t disclose the manipulation to the agency until June 28 — more than a month after approval. 

A group of Senators (including Presidential hopefuls…) has said the company’s “greed” cannot be condoned and that FDA should hold the company accountable for its “malfeasance.”  They have also asked FDA why it withdrew a proposed regulation requiring companies to report data falsification.

I take you through a brief tour of the publicly available information, after the jump.  In my next post, I’ll explain the abandoned data falsification reporting proposal.

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Case To Watch: Eagle v. Azar’s Hidden Chevron-Step-1 Issue

Recently I spoke at the annual meeting of the Food and Drug Law Institute (FDLI) on Eagle v. Azar, which is currently on appeal to the D.C. Circuit.  At first blush the case seems of limited importance, because Eagle Pharmaceuticals is simply challenging FDA’s interpretation of statutory language that has since been amended.  But reading through the litigation papers reveals a more interesting disagreement between the parties, about what a court should consider, when assessing whether a statute clearly answers a particular legal question.  I will unpack this after the jump.  Warning: this is more of an essay than a blog post. I start with a TL;DR.

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