Arkansas Democrat-Gazette

Remember 2022’s baby formula crisis?

- ALYSSA ROSENBERG

More than two years after safety concerns at a major infant formula manufactur­ing plant sparked a nationwide shortage, two Democratic lawmakers are introducin­g a bill aimed at creating a more competitiv­e, stable market for this essential product.

The question now is whether the hundreds of lawmakers in both parties who declared the shortage a crisis in 2022 still remember the desperatio­n parents felt then, and whether these representa­tives and senators can act on behalf of the babies who rely on formula now.

The shortage was the result of a collision between the hyper-concentrat­ion of manufactur­ers in the formula industry and the need to regulate them carefully.

In 2022, four companies made 97 percent of the infant formula sold in the United States, and one of those subsequent­ly bought another’s U.S. operations. That makes it difficult for food-safety regulators to come down hard without disrupting the supply chain. When Abbott Nutrition voluntaril­y shuttered its Sturgis, Mich., factory in early 2022 to address safety and sanitary concerns and recalled formula produced there, roughly 20 percent of formula production nationwide went offline.

Safety isn’t negotiable in infant formula: Babies have died after drinking formula containing the bacteria

Cronobacte­r sakazakii.

But the shortage had consequenc­es, too. Pediatrici­ans and parents struggled to source formulas for children with allergies and other metabolic conditions. Some infants even had to be hospitaliz­ed for lack of nourishmen­t.

Legislatio­n from Rep. Rosa DeLauro (D-Conn.) and Sen. Bob Casey (D-Pa.) is aimed at the marketing-concentrat­ion half of the safety-and-supply equation. It would allow companies that sell less than $750 million in formula annually to choose between two tax credits, one aimed at expanding their manufactur­ing operations and another for increasing their output.

If firms don’t need to expand their physical operations, they could claim the production tax credits, giving them a financial boost as they try to claim greater market share. Such financial breathing room could also encourage companies to evaluate and update existing equipment.

“You just don’t want to become complacent,” says Laura Modi, co-founder and chief executive of the formula company Bobbie, which bought a factory last year. “Just because [a manufactur­ing line] was able to produce infant formula to a certain standard and a certain safety standard one day in the past, does not mean it doesn’t need further investment in the future.”

According to a recent report from the Federal Trade Commission, from 2003 to 2013, only three companies bothered to bid for these contracts.

DeLauro emphasizes that the Food and Drug Administra­tion needs both more funding for inspection­s and institutio­nal changes that will allow it to deploy inspectors wisely and process warnings quickly. But a more robust market would allow regulators to act aggressive­ly without worrying that they’d upend the formula supply for months on end.

Despite the bipartisan expression of urgency about the shortage in 2022, and despite their care in focusing on time-limited tax credits rather than an ongoing appropriat­ion, both Casey and DeLauro told me they’ve yet to find Republican co-sponsors for the House and Senate versions of the bill.

“All of us, myself included, have attention spans that are too short,” Casey acknowledg­ed, suggesting that the country’s careening from crisis to crisis makes it more challengin­g to sustain congressio­nal momentum once a chronic issue stops causing immediate pain.

But “this was not a partisan issue,” DeLauro told me. “Everyone was hit by it.” The question, she says, is whether her colleagues in both parties are still eager to tackle market consolidat­ion and to bolster U.S. manufactur­ing.

The hundreds of members of Congress who looked for solutions to the shortage two years ago should recall that bipartisan spirit and find ways to protect young families.

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