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FDA MQSA Delegation of Authority | Secretary Shalala to FDA Commissioner (63 FR 9555, 1998)

63 FR 9555 · February 25, 1998 · Effective February 11, 1998 · FR Doc. 98-4723

Last Reviewed: August 22, 2026

Publisher
U.S. Department of Health and Human Services / Federal Register
Author
Donna E. Shalala, Secretary of Health and Human Services
Edition
63 FR 9555, 1998
Pages
1 pages
Added to library
Added August 22, 2026
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Overview

Published February 25, 1998 (Federal Register Vol. 63, No. 37, page 9555), this 1-page notice is a direct delegation of authority from Secretary of Health and Human Services Donna E. Shalala to the Commissioner of Food and Drugs, effective upon the Secretary's signature on February 11, 1998. The delegation conveys the Secretary's full authorities under Title III, Section 354 of the Public Health Service Act (42 U.S.C. 263b), the statutory foundation of the entire MQSA program, covering facility certification, accreditation body oversight, quality standards, annual inspection requirements, and inspection fee assessment and collection. The notice supersedes the original MQSA delegation issued June 1, 1993 by the Acting Assistant Secretary for Health, titled 'Delegation of Authority for Section 354 of the Public Health Service Act, as amended by Public Law 102-539, the Mammography Quality Standards Act of 1992.' That 1993 delegation was the foundational act that first authorized FDA to implement MQSA, enabling the agency to develop 21 CFR Part 900, begin accrediting accreditation bodies, and commence the national inspection program that enrolled its first facilities in January 1995. By the time this 1998 delegation was issued, FDA had been operating under MQSA authority for nearly five years and had conducted inspections of approximately 10,000 facilities nationally. The 1998 delegation resolves any formal question about the adequacy of the 1993 acting-official delegation by issuing a direct Secretary-level delegation and affirmatively ratifying all prior FDA actions taken under the earlier authority.

Key Contents

-Published: February 25, 1998 | 63 FR 9555 | 1 page | FR Doc. 98-4723 Filed 2-24-98 | Effective February 11, 1998 (upon Secretary's signature)

-Authority delegated: Title III, Section 354 of the Public Health Service Act (42 U.S.C. 263b et seq.), as amended (the complete statutory foundation for MQSA facility certification, accreditation body oversight, quality standards, annual inspections, and inspection fee assessment and collection)

-Delegating official: Donna E. Shalala, Secretary of Health and Human Services

-Recipient of delegation: Commissioner of Food and Drugs

-Supersedes: delegation memorandum from the Acting Assistant Secretary for Health to the Commissioner of Food and Drugs dated June 1, 1993, titled 'Delegation of Authority for Section 354 of the Public Health Service Act, as amended by Public Law 102-539, the Mammography Quality Standards Act of 1992'

-Ratification clause: Secretary affirms and ratifies all prior actions taken by the Commissioner or subordinates under the 1993 delegation before the effective date of this 1998 delegation, retroactively validating approximately five years of MQSA implementation activity (January 1995 to February 1998) including inspections, certifications, fee assessments, and accreditation body approvals

-Scope: delegation shall be exercised under the Department's existing delegation of authority and policy on regulations

-Historical context, 1993 origin: the June 1, 1993 Acting Assistant Secretary delegation was the foundational authorization enabling FDA to develop 21 CFR Part 900, accredit the first accreditation bodies (ACR, AIUM, ACOG), and launch the national annual inspection program; first facilities were enrolled January 1995

-By February 1998: approximately 10,000 mammography facilities had been inspected annually under the authority flowing from the 1993 delegation; this 1998 delegation formally confirms the legal validity of all those actions and all certification, accreditation, and fee assessment decisions made during that period

-Statutory citation note: the notice cites '43 U.S.C. 262 et seq'; this appears to be a typographical error in the original Federal Register publication; the operative MQSA statute is codified at 42 U.S.C. 263b, consistent with all other MQSA regulatory documents in the Federal Register and 21 CFR Part 900

-BILLING CODE 4160-01-M (FDA billing code, confirming FDA issuance despite HHS heading)

How This Applies to Your Practice

The delegation documented in this notice is the administrative foundation under which every MQSA action FDA has taken since 1993 derives its authority. The chain is: Secretary of HHS → Commissioner of Food and Drugs (via this delegation) → CDRH → OCER/DMQRP → authorized inspectors and States as Certifier (SAC) programs. Every element of the MQSA compliance framework that MammoComply users navigate (21 CFR Part 900 quality standards, annual inspection authority, Level 1 and Level 2 finding procedures, accreditation body oversight, certification decisions, and fee assessment) flows through this delegation chain. Without a valid Secretarial delegation, the Commissioner's exercise of MQSA powers would lack statutory grounding. The ratification clause is directly relevant to facilities with long compliance histories. All inspection findings, certification decisions, and fee assessments issued by FDA between June 1993 and February 1998 were retroactively affirmed by Secretary Shalala under this notice. For MammoComply users reviewing historical inspection records (particularly facilities whose compliance documentation spans the 1995–1998 period when the program was scaling from 4,900 to 10,000 annual inspections), this ratification confirms that those records reflect validly authorized agency actions. Any legal or compliance analysis involving FDA's MQSA jurisdiction should start with this delegation and the 1993 delegation it supersedes.

Practitioner Implications

This delegation notice does not impose direct compliance obligations on mammography facilities, but it has three categories of practical legal and operational relevance: (1) Legal basis of inspection authority: every MQSA inspection finding, Level 1 or Level 2 noncompliance determination, certification suspension, and enforcement action derives its authority from Section 354 of the PHS Act as delegated by this notice. Facilities that receive inspection findings or that are considering administrative appeals should understand that FDA's inspection authority is firmly grounded in a Secretary-level delegation (not merely in the MQSA statute itself) and that the ratification clause eliminates challenges based on the acting-official status of the 1993 original. (2) Retroactive validity of 1993–1998 MQSA actions: all FDA inspection, certification, accreditation, and fee assessment actions taken between June 1, 1993 and February 11, 1998 were expressly affirmed and ratified by the Secretary. Facilities that underwent MQSA inspections during this early period of the program have no basis to challenge those actions on delegation-chain grounds. (3) Delegation chain for compliance counsel: legal counsel advising facilities on MQSA jurisdiction questions, enforcement challenges, or accreditation disputes should review this notice in conjunction with the 1993 predecessor delegation and the subsequent CDRH internal delegations to understand the complete chain of authority under which MQSA inspectors and OCER/DMQRP staff act. The delegation chain is: Secretary → Commissioner (this notice) → CDRH Director → OCER/DMQRP Director → authorized inspection staff.

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