HHS Plans New FDA Deputy Commissioner Roles for Technology and Drugs

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The Department of Health and Human Services is creating two new FDA deputy commissioner positions—one focused on technology and artificial intelligence, the other on drugs. Jared Seehafer, a medical devices veteran and senior FDA advisor, emerges as the leading candidate for the technology role as the agency navigates increased AI adoption and regulatory challenges.

HHS Moves to Create New Deputy Commissioner Roles at FDA

The Department of Health and Human Services is planning to establish two new deputy commissioner roles at the Food and Drug Administration, including positions dedicated to technology and artificial intelligence as well as drugs, according to sources familiar with the matter

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. The new deputy commissioner roles would report directly to Heidi Overton, President Donald Trump's nominee for FDA commissioner, who awaits Senate confirmation

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. HHS officials view these appointments as a way to exert greater influence over the agency during a period of significant restructuring and regulatory oversight challenges

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. No final decisions or formal announcements have been made regarding the positions.

Leading Candidate for Technology and Artificial Intelligence Role

Jared Seehafer, a senior advisor to the FDA and medical devices industry veteran, has emerged as the front-runner for the deputy commissioner position focused on technology and artificial intelligence

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. Seehafer co-founded and served as CEO of Enzyme, a life sciences compliance software company, before working at a San Francisco venture capital firm

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. He stepped into his current FDA advisory role in August of last year. The new deputy commissioner for technology would oversee both the FDA's internal use of AI and its review of AI-enabled medical products, creating a dual mandate that addresses the agency's operational needs and regulatory responsibilities

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FDA's Growing Reliance on Artificial Intelligence

The FDA has increasingly turned to artificial intelligence to support internal operations, deploying the Elsa generative AI tool for tasks such as document summarization and drafting

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. This internal adoption comes as FDA regulators face the complex challenge of evaluating the safety and effectiveness of medical products that incorporate AI technology. Last week, the agency released a discussion paper outlining potential approaches for regulation of AI-enabled medical products, specifically addressing generative AI-enabled medical devices

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. Rather than issuing formal guidance immediately, the FDA is seeking input from patients, clinicians, developers, and other stakeholders to shape its regulatory framework

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Deputy Commissioner for Drugs Position Remains Open

While the technology role has a leading candidate, no specific individuals have been identified for the deputy commissioner for drugs position

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. This role comes as the FDA faces scrutiny over a series of drug approval decisions that have attracted significant attention from the biotech industry and medical community. The agency granted accelerated approval to Replimune for its melanoma drug Tudriqev earlier this month, following a high-profile regulatory battle and two prior rejections of the treatment

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. In March, the FDA sparked industry pushback when it initially demanded an extra clinical trial with a sham brain surgery placebo for UniQure's experimental Huntington's disease treatment, only to reverse its stance and permit the company to file for accelerated approval based on mid-stage data

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Restructuring Amid Agency Turbulence

The planned leadership changes arrive during a tumultuous period for the FDA. Kyle Diamantas, who previously served as deputy commissioner for food, stepped in as acting FDA commissioner in May after Marty Makary's resignation over the agency's authorization of fruit-flavored vapes

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. It remains unclear whether Diamantas would return to his former position once the new deputy commissioner roles are filled. The agency has faced intense scrutiny over its handling of a multistate cyclospora outbreak linked to iceberg lettuce, raising broader concerns about how federal budget and staff cuts may be hindering the FDA's ability to address foodborne outbreaks effectively

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. On Monday, the FDA granted a three-month review extension for Capricor Therapeutics' experimental Duchenne muscular dystrophy drug to consider additional data, following an advisory committee vote of 9-3 against recommending approval

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. These developments underscore the challenges facing the agency as it navigates complex scientific questions while managing external pressure and internal resource constraints.

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