As one example, the recently negotiated U.S.-Mexico-Canada Agreement (USMCA) includes 34 chapters, the following of which directly facilitate medical device regulatory, standards and conformity assessment convergence:

Chapter 11 – Technical Barriers to Trade
Chapter 12-E – Medical Device Annex
Chapter 28 – Good Regulatory Practices
Sectoral Annex
United States: H.R.5430/2020 – United States-Mexico-Canada Agreement Implementation Act
Mexico: Decreto Promulgatorio del T-MEC de 29 de junio de 2020
Canada: S.C. 2020, c. 1 – Canada–United States–Mexico Agreement Implementation Act

The following USMCA chapters reinforce and complement those above by further reducing non-tariff barriers to patient access to medical technologies:

Chapter 7 – Customs Administration & Trade Facilitation
Chapter 29 – Publication and Administration

REGULATORY COALITION PRINCIPAL MEMBERS