Based in Washington, D.C., Juan Millan is the current acting United States trade representative.

To fill the post, the president nominates someone for the position, and the appointment is then approved or rejected by a simple majority of the Senate.

Trade negotiations became more complicated in the twentieth century with the rise of multilateral organizations and technological advances allowing for more commerce.

As a result, the organization of the U.S. government (with Congress in charge of regulating foreign commerce and the executive branch in charge of treaties) became less efficient and in 1962 Congress passed a bill calling for the president to appoint a Special Representative for Trade Negotiations who would make suggestions to the president on the matters of trade.

The act states that the USTR must on an annual basis, by April of each year: identify those foreign countries that deny adequate and effective protection of intellectual property rights, or deny fair and equitable markets access to United States persons that rely upon intellectual property protection, and those foreign countries identified under" this "paragraph that are determined by the Trade Representative to be priority foreign countries".

The Act defines "priority foreign countries" as "those foreign countries that have the most onerous or egregious acts, policies, or practices that deny adequate and effective intellectual property rights, or deny fair and equitable market access to United States persons that rely upon intellectual property protection, whose acts, policies, or practices described in" this "paragraph have the greatest adverse impact (actual or potential) on the relevant United States products, and that are not entering into good faith negotiations, or making significant progress in bilateral or multilateral negotiations to provide adequate and effective protection of intellectual property rights.