Some experts have said that the F.D.A. was slow to review and authorize new tests last year because of meticulous standards that made swift market growth challenging, even in a public health emergency. In the fall, the agency worked with the National Institutes of Health to introduce an accelerated review process that has allowed regulators to clear tests within days of receiving final data.
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There are now 14 authorizations of over-the-counter rapid antigen tests, compared with around a half-dozen at the end of the summer.
The Biden administration could have also moved more aggressively by making larger, European-style investments in at-home tests earlier in 2021, some experts said, guaranteeing a larger, more stable market for manufacturers and allowing the administration to stockpile for future variant-driven surges.
The administration did make a targeted effort last year to supply tests, said Tom Inglesby, the White House testing coordinator. He cited billions of dollars worth of rapid and lab tests delivered to schools and long-term care facilities.
“It’s kind of portrayed that somehow that the government stopped being interested in testing,” Mr. Inglesby said. “Absolutely not true.”
By the spring and early summer, virus cases had fallen significantly, and demand for at-home testing cratered. Abbott discarded heaps of test supplies in Maine and temporarily shuttered its Illinois factory. At the time, the Centers for Disease Control and Prevention said that fully vaccinated people exposed to the virus did not need to test unless they displayed symptoms, guidance that was later reversed.
The administration did not make its most substantial commitments to at-home testing until late summer and fall, when fewer tests were authorized. In September and October, the administration pledged $3 billion to guarantee purchases of at-home tests, helping companies such as Abbott and Quidel keep supply lines open, officials said.