AB 1990

Patients Deserve Safer, Tested Medications

Across the country, widespread use of unapproved compounded weight-loss drugs is putting patients at risk. California can lead the way in strengthening oversight and protecting consumers.

AB 1990

Patients Deserve Safer, Tested Medications

Across the country, widespread use of unapproved compounded weight-loss drugs is putting patients at risk. California can lead the way in strengthening oversight and protecting consumers.

THE PROBLEM:

APIs in California's Compounded Weight-Loss Drugs Are Putting Patients at Risk

Over the last several years, an unprecedented surge of compounded weight-loss drugs has flooded the market, many made from illicit, inauthentic, or substandard active pharmaceutical ingredients (APIs).

Many of the ingredients used in these compounded drugs are sourced from overseas suppliers with questionable safety standards. Some of these facilities have never been registered with or inspected by the FDA. And many of the foreign-sourced ingredients contain harmful impurities that pose serious risks to patient health.

Bad actors are exploiting consumer demand by promoting these products through deceptive advertising that omits critical safety information. These misleading campaigns often appear in social media feeds, making it difficult for patients to distinguish between safe, approved treatments and potentially dangerous alternatives.

Young man reads about medicine online
Young man reads about medicine online

The Problem:

APIs in California's Compounded Weight-Loss Drugs Are Putting Patients at Risk

Over the last several years, an unprecedented surge of compounded weight-loss drugs has flooded the market, many made from illicit, inauthentic, or substandard active pharmaceutical ingredients (APIs).

Many of the ingredients used in these compounded drugs are sourced from overseas suppliers with questionable safety standards. Some of these facilities have never been registered with or inspected by the FDA. And many of the foreign-sourced ingredients contain harmful impurities that pose serious risks to patient health.

Bad actors are exploiting consumer demand by promoting these products through deceptive advertising that omits critical safety information. These misleading campaigns often appear in social media feeds, making it difficult for patients to distinguish between safe, approved treatments and potentially dangerous alternatives.

"We need the research. We are doing the largest, uncontrolled, unconsented human experiment of our time, playing around with these medications — whether it's in oral form, in compounding form, or giving them in microdosing, I don't think patients know that when they're signing up on these websites."

(on compounding of “semaglutide” products)

Angela Fitch, MD, FACP, FOMA

Associate Director of MA General Hospital Weight Center

Former President of the Obesity Medicine Association

front view portrait of a white European generation X woman pricking her belly with an insulin pen to take care of her sugar levels indoors

The Regulatory Gap

Patients rely on the U.S. drug approval system because it ensures medications are rigorously tested for safety and effectiveness before they are sold.

FDA-approved medicines undergo:
  • Years of clinical trials and research
  • Strict review for safety, quality, and efficacy 
  • Ongoing monitoring after approval

By contrast, compounded drugs:

While compounding plays an important role for patients with unique medical needs, gaps in oversight are allowing unsafe products to enter the market—putting patients at unnecessary risk.

California’s Solution: AB 1990

California has an opportunity to close these dangerous gaps and set a higher standard for patient safety.

What AB 1990 Does:

⇒ Protect patients from the use of poor-quality APIs in compounded weight-loss drugs

 Ensure pharmaceutical-grade ingredients are used and sourced from FDA-registered and inspected facilities

 Establish stronger quality assurance measures to detect harmful impurities

 Require that advertisements for compounded medications are truthful and not misleading

By strengthening safeguards, AB 1990 helps protect patients from the risks of compounded weight-loss drugs.

What AB 1990 Does Not Do:

AB 1990 is carefully designed to protect patients without limiting access to weight-loss drugs.

It does not:

Apply to any drugs other than compounded GLP-1 agonists or similar drugs approved for weight loss

Apply to compounded drugs made from finished FDA-approved medications, including those commonly used in hospitals or clinical settings

✘ Apply new quality requirements to outsourcing facilities operating within federal law

✘ Interfere with a provider’s ability to prescribe compounded medications tailored to individual patient needs

Latest News

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Female hand showing Diabetes Insulin Semaglutide Injection pen closeup. Semaglutide or insulin drug against female belly. Semaglutide, Diabetes and Weight Loss concept
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Semaglutide
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Patients deserve better.

Support safer medications in California.

Stronger safeguards, greater transparency, and higher standards will help ensure Californians are better protected from risks of unsafe drugs.

Asian senior woman having a virtual appointment with doctor online, consulting her prescription and choice of medication on smartphone at home. Telemedicine, elderly and healthcare concept.