On behalf of Consumers Union, the policy and mobilization arm of Consumer Reports, we write to urge you to oppose the renegotiated 21st Century Cures Act. As patient safety consumer advocates who have worked extensively on drug and medical device safety issues, we are deeply concerned that this legislation would weaken approval standards and potentially put patients at risk for harm. Given our concerns and the expedited timeline, Consumers Union respectfully urges you to oppose the 21st Century Cures Act. We should be able to trust that the FDA has fairly vetted drugs and devices to determine if they work and to ensure they will not harm patients. Innovation and technological advancement only benefit consumers when there is a strong scientific basis for approval and a robust post-market surveillance system.