With the Mutual Recognition Agreement (MRA) between Europe and the USA, inspections are to be mutually recognised in the future. The Food & Drug Association (FDA) approval of EU member states continue to proceed successively. Two more countries have recently been approved, they are Bulgaria and Cyprus. That means there is now a total of 24 EU approved states so far. The four countries left are Germany, Netherlands, Luxembourg and Slovakia. Although, by the 15th of July 2019, all countries and authorities are supposed to have been reviewed and approved. Regular updates regarding the agreement can be found in a question and answer document located on the EMA’s website.

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Source: https://www.ema.europa.eu/en/news/two-additional-countries-benefit-eu-us-mutual-recognition-agreement-inspections-0