Yes, if this goes through Congress the increase in medical device user fees would affect small/midsize companies. However as the FierceHealthcare article mentions, it is unlikely that it will go through.

This article states “The fees are part of an $1.3 billion increase to all user fees that would replace the need for a new budget authority each year and “reduce the burden on American taxpayers.””

I would like to think its nice of Trump to be considered about American taxpayers, but clearly this would be detriment to the American taxpayers in a time where such innovation is growing the medical/tech device space and solutions needed for American patients.

http://www.fiercehealthcare.com/regulatory/trump-s-budget-would-increase-user-fees-for-digital-health-companies-seeking-fda