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This consolidation is for information purposes only, and should not be relied upon as authoritative.  For authoritative texts, please refer to the CUSMA and the Protocol of Amendment.

Canada-United States-Mexico Agreement (CUSMA) – Chapter 29 – Publication and administration

Section A: Publication and Administration

Article 29.1:  Definitions

For the purposes of this Chapter:

administrative ruling of general application means an administrative ruling or interpretationFootnote 1that applies to all persons and fact situations that fall generally within the ambit of that administrative ruling or interpretation and that establishes a norm of conduct, but does not include:

Article 29.2:  Publication

1. Each Party shall ensure that its laws, regulations, procedures and administrative rulings of general application with respect to any matter covered by this Agreement are promptly published or otherwise made available in a manner that enables interested persons and the other Parties to become acquainted with them. To the extent possible, each Party shall make these measures available online.

2. Each Party shall, to the extent possible:

3. Each Party shall ensure that its laws and regulations of general application at the central level of government are published on a free, publicly accessible website that is capable of performing searches for these laws and regulations by citation or through a word search, and shall ensure that this website is kept updated. Annex 29-A sets out each Party’s websites.

Article 29.3:  Administrative Proceedings

With a view to administering all measures of general application with respect to any matter covered by this Agreement in a consistent, impartial, and reasonable manner, each Party shall ensure in its administrative proceedingsFootnote 2applying measures referred to in Article 29.2.1 (Publication) to a particular person, good or service of another Party in specific cases that:

Article 29.4:  Review and Appeal

1. Each Party shall establish or maintain judicial, quasi-judicial or administrative tribunals or procedures for the purpose of the prompt review and, if warranted, correction of a final administrative action with respect to any matter covered by this Agreement.  These tribunals shall be impartial and independent of the office or authority entrusted with administrative enforcement and shall not have any substantial interest in the outcome of the matter. 

2. Each Party shall ensure that, with respect to the tribunals or procedures referred to in paragraph 1, the parties to a proceeding are provided with the right to: 

3. Each Party shall ensure, subject to appeal or further review as provided for in its law, that the decision referred to in paragraph 2(b) be implemented by, and govern the practice of, the office or authority with respect to the administrative action at issue.

Section B: Transparency and Procedural Fairness for Pharmaceutical Products and Medical DevicesFootnote 3

Article 29.5:  Definitions

For the purposes of this Section: 

national health care authority means, with respect to a Party listed in Annex 29-B (Party-Specific Definitions), the relevant entity or entities specified therein, and with respect to any other Party, an entity that is part of or has been established by a Party’s central level of government to operate a national health care program; and 

national health care program means a health care program in which a national health care authority makes the determinations or recommendations regarding the listing of pharmaceutical products or medical devices for reimbursement, or regarding the setting of the amount of that reimbursement.

Article 29.6:  Principles 

The Parties are committed to facilitating high-quality health care and continued improvements in public health for their nationals, including patients and the public.  In pursuing these objectives, the Parties acknowledge the importance of the following principles: 

Article 29.7:  Procedural Fairness  

To the extent that a Party’s national health care authority operates or maintains procedures for listing new pharmaceutical products or medical devices for reimbursement purposes, or setting the amount of that reimbursement, under a national health care program operated by the national health care authorityFootnote 5 Footnote 6that Party shall: 

Article 29.8:  Dissemination of Information to Health Professionals and Consumers 

As is permitted to be disseminated under the Party’s laws, regulations, and procedures, each Party shall permit a pharmaceutical product manufacturer to disseminate to health professionals and consumers through the manufacturer’s website registered in the territory of the Party, and on other websites registered in the territory of the Party linked to that site, truthful and not misleading information regarding its pharmaceutical products that are approved for marketing in the Party’s territory.  A Party may require that the information include a balance of risks and benefits and encompass all indications for which the Party’s competent regulatory authorities have approved the marketing of the pharmaceutical product.

Article 29.9:  Consultations  

1. To facilitate dialogue and mutual understanding of issues relating to this Section, each Party shall give sympathetic consideration to and shall afford adequate opportunity for consultations regarding a written request by another Party to consult on any matter related to this Section.  The consultations shall take place within three months of the delivery of the request, except in exceptional circumstances or unless the consulting Parties decide otherwise.Footnote 11

2. Consultations shall involve officials responsible for the oversight of the national health care authority or officials from each Party responsible for national health care programs and other appropriate government officials.

Article 29.10:  Non-Application of Dispute Settlement  

No Party shall have recourse to dispute settlement under Chapter 31 (Dispute Settlement) for any matter arising under this Section.



For the purpose of Article 29.2.3 (Publication), laws and regulations of general application of each Party are published in the following websites:



Further to the definition of national health care authority in Article 29.5 (Definitions), national health care authority means: 

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