In summary, the USMCA contains many provisions that advance public health and FDA regulatory approaches. Now that the agreement has come into effect, we will continue to follow what it means for the FDA, for public health and for our regulated industries. In addition, there is a provision that the agreement itself must be reviewed every six years by the three nations, with a 16-year forfeiture clause. The contract may be renewed for a period of 16 years during the six-year review period.  The introduction of the Sunset clause gives more control in the organization of the future of the USMCA in the hands of national governments. However, there is concern that this could lead to greater uncertainty. Sectors such as automotive require significant investment in cross-border supply chains.  Given the dominant position of the U.S. consumer market, it is likely that this will put pressure on companies to establish more production in the United States, with a higher probability of higher production costs for these vehicles.  On May 11, 2018, House Of Representatives critic Paul Ryan set May 17 as the deadline for congressional action. This deadline was not met and the agreement with Mexico was not reached until August 27, 2018.
 At that time, Canada had not approved the agreement. Mexico`s outgoing President Enrique Pea Nieto, having left office on 1 December 2018 and requiring 60 days as a review period, the deadline for making the agreed text available was set at the end of September 2018, 30 September 2018. Negotiators worked around the clock and reached an agreement less than an hour before midnight on a draft text. The next day, October 1, 2018, the USMCA text was published as an agreed document. On November 30, 2018, the USMCA was signed as planned by the three parties at the G20 summit in Buenos Aires.   Disputes over labour rights, steel and aluminum prevented ratification of this version of the agreement.   Canadian Deputy Prime Minister Chrystia Freeland, U.S. Trade Representative Robert Lightizer, and Mexican Under-Secretary of State for North America Jesus Seade officially signed a revised agreement on December 10, 2019, ratified by the three countries on March 13, 2020. On June 19, 2019, the Mexican Senate ratified the agreement (114 yes, 3 no, 3 abstentions).  Mexico`s ratification process will be completed when the President announces its ratification to the Federal Register. The United States, Mexico and Canada have reached an agreement for the good of U.S. farmers, ranchers and agricultural companies.
While agriculture has generally developed well under NAFTA, significant improvements to the agreement will allow food and agriculture to trade more equitably and increase exports of U.S. agricultural products. Sectoral chapters, including Chapter 12, on FDA-regulated products have not been considered in most previous trade agreements, including NAFTA. Therefore, the inclusion of these annexes by the USMCA is an innovation not only in U.S. trade policy, but also for international public health. On December 12, 2019, the Mexican Senate adopted the revised treaty by 107 votes to 1.  On April 3, 2020, Mexico announced its readiness to implement the agreement and joined Canada, although it requested that its auto industry have additional time to comply with the agreement.  On March 1, 2019, many organizations representing the agricultural sector in the United States announced their support for the USMCA and asked Congress to ratify the agreement. They also called on the Trump administration to continue to support NAFTA until the new trade agreement is ratified.  On March 4, House Ways and Means President Richard Neal predicted a “very hard” path through Congress for the agreement.
 Starting March 7, senior White House officials met with members of the Ways and Means House of Representatives, as well as moderate bowlers from both parties, such as the Solver Caucus, the Tuesday Group and the Blue Dog Coalition, to obtain