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. 

SSRN Reading List; Genetically Modified Food and the Public’s Voice

Anyone who teaches Food Law & Policy knows that “genetically modified food” will get all the students participating and bring out some passion in the classroom.  As the National Academies of Sciences pointed out in their 2016 report, Genetically Engineered Crops (see pages 48-51), public opinions are very strong and range from intense opposition (on the view that genetically modified food is “extremely risky”) to strong support (“overwhelmingly beneficial”) even though, as NAS pointed out, most Americans nevertheless do not know much about genetic engineering as it relates to agriculture.  Continue reading “SSRN Reading List; Genetically Modified Food and the Public’s Voice”

SSRN Reading List — Is “Milk” Worth Fighting For?

In late August, two professors — from George Washington University Law School and Lund University (in Sweden) — uploaded a fascinating article proposing that plant milk companies stop fighting for the right to call their products “milk” and instead embrace the disruptive term “mylk” in order to disassociate their products from oppression and exploitation linked to dairy milk.  It’s a very interesting read, and it turns out to be very timely . . . because one month after they posted their article, FDA issued a notice asking for comments on the naming of these products . . . .  after a summer in which the media and social media decried imminent “censorship” of names for plant-based foods.  I lay this out — and discuss the article — after the break.

Continue reading “SSRN Reading List — Is “Milk” Worth Fighting For?”

SSRN Reading List — Food Law and Policy Articles

Cannabis in my brownies and crickets in my soup today.  All good, as far as I am concerned, but the food law and policy issues are fun to chew on.  Monday I will post about two more recent food law and policy articles, one relating to genetically modified food (really pertaining to agency use/misuse of guidance documents) and the other a fascinating read on gender and race aspects of the debate over plant “milk.”  For the weekend, though, cannabis and crickets.

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Cannabis and the Often Overlooked Drug Exclusion Rule

Earlier this week, several major news outlets (CNN, Fox Business, and Bloomberg) reported that Coca-Cola is considering making a move into “cannabis drinks” — as evidenced by supposed talks with Aurora Cannabis, Inc., a Canadian owned and operated company that sells a variety of cannabis products including several strains of dried cannabis as well as several oils.  The company finally issued a statement, in response to many media inquiries:  “We have no interest in marijuana or cannabis. Along with many others in the beverage industry, we are closely watching the growth of non-psychoactive CBD as an ingredient in functional wellness beverages around the world.  The space is evolving quickly. No decisions have been made at this time.”

Caution might well be warranted with respect to products for sale in the United States, because of the often-overlooked drug exclusion rule at FDA.  Coca-Cola has sophisticated FDA counsel, and I am sure they are on top of this issue.  But others watching legal and real-world developments relating to sale of cannabis may not be aware of the rule, which presents a significant legal impediment to the sale of CBD in any form other than approved new drugs (even if no medical claims are made).

Many people don’t know about the drug exclusion rule . . .

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FDA Law SSRN Reading List – December ’17 & January ’18

Very few folks posted papers in December and January relating to FDA law, but hopefully the February law journal submission cycle will yield a rich crop.  Here are two essays and one article of potential interest – one each on medical devices, biological products, and food.  (I am excluding my own paper.)

Sarah Duranske, Reforming Regenerative Medicine Regulation

In this article forthcoming in the Georgia State Law Review, Duranske (currently a fellow at Stanford) (* edited to correct the spelling of her last name!) evaluates proposals for regulation of regenerative medicine.  She has several interesting ideas tucked in here, any of which could have been the basis for an article in its own right.  Section I contains a nice overview of the current regulatory paradigm for therapies that fall within the umbrella of “regenerative medicine” — including the recently enacted accelerated approval pathway for “regenerative medicine advanced therapies.”  Section II responds to deregulation arguments, arguing that FDA regulation is necessary to protect patients and to ensure the development of meaningful data.  Much of this retreads familiar ground, but the discussion of “Baptists and bootleggers” alliances with respect to regenerative medicine is very interesting.  This phenomenon is pervasive in food and drug law and merits more discussion in scholarship.  Section III is where the article gets interesting.  Here, she considers proposals for “adaptive licensing” of regenerative products.  The basic idea is that FDA would approve a product on the basis of less evidence, but would restrict access while the sponsor gathered more evidence from clinical use.  She characterizes adaptive licensing as a type of adaptive management — a particular type of process that an agency might use to produce a regulatory outcome. She then assesses the suitability of regenerative medicine for adaptive licensing by running it through the various rationales in the administrative law literature for adaptive management at agencies.  This leads her to the conclusion that the benefits of adaptive licensing do not outweigh its risks.  Section IV contains a brief discussion of her proposals — for instance, shifting some regenerative therapies to the more loose regulatory paradigm governing human tissue and cell products.  But I wanted to read much more about her ideas.

Jane R. Bambauer, Dr. Robot

In this essay published in the UC Davis Law Review, Professor Bambauer considers whether health and medical artificial intelligence (AI) should be regulated more like physicians or medical devices.  When the application is a “knowledge” app rather than a “measurement” app, she argues, physicians are the better analogy.  Some of the duties of a physician (such as the duty of competence and the duty of confidentiality) translate well, but she is more guarded about other rules (rules of informed consent, for instance, and the duty to disclose conflicts of interest).

Laurie Beyranevand, Regulating Inherently Subjective Food Labeling Claims

In this essay published in Environmental Law, Professor Beyranevand essentially argues that FDA should ban claims like “natural” and “healthy” in food labeling.  The statute imposes clear rules governing specific types of claims, such as “health claims” and “nutrient content claims.”  She is focused on claims that are not covered by these specific claims-authorizing provisions of the statute.  And she argues that FDA should subject these claims to a standard of “significant scientific agreement” — that is, permitting them only if there is significant scientific agreement.  The FDCA already uses this standard for health claims, which generally characterize a specific relationship between a food product and a health condition or disease.  She also believes it would be virtually impossible to support a claim like “natural” and “healthy” under this standard.  So, in essence, she is arguing for a ban.  Finally, although the federal courts have concluded that the First Amendment requires FDA to consider disclaimers for health claims that lack significant scientific agreement, she contends that the First Amendment is no impediment to the proposal.  I think the idea is that if a claim is inherently subjective, then a disclaimer isn’t going to clear things up (there’s x amount of data, but not y).  It’s just going to confuse consumers more.

Food Additive Approvals — and Patents

I spend a lot of time thinking about the intersection of FDA regulation and intellectual property, and I have been constructing a large dataset relating to the patents claiming different types of FDA-regulated products.  Recently, I have also been thinking a great deal about the regulation of food (because Mizzou is now allowing me to teach Food Law & Policy, in addition to Drug & Device Law).  These two areas of interest intersected this past week, giving me some modest insights into premarket review of food additives and some very modest data to contribute to discussions about the (in?)efficiency of FDA’s food additive review process.

Continue reading “Food Additive Approvals — and Patents”