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H.R. 6930, MADE in America Act of 2020

Summary

H.R. 6930, the MADE in America Act of 2020, was introduced in the House of Representatives on May 19, 2020, by Mr. Carter of Georgia and referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means. Title I, Health Provisions, includes a report to Congress on barriers to domestic manufacturing of medical products and supplies, due not later than January 1, 2021, and sections on international harmonization, mutual recognition agreements for inspections, and an advanced manufacturing technologies program. Title II is a credit for pharmaceutical and medical device production activities in distressed zones.

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Congressional materials
Document type
Bills Bills 116Hr6930Ih Bills 116Hr6930Ih
Case
Bills Bills 116Hr6930Ih Bills 116Hr6930Ih

Cite this document

“H.R. 6930, MADE in America Act of 2020.” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/bills-bills-116hr6930ih-bills-116hr6930ih/, SHA-256 62563ff19fb773e09ca677771a8eec267f198efcb3cb08d7fd6665a9f4dc64b1.

Full text

                                                                                                                                                                        I




                                                                     116TH CONGRESS
                                                                        2D SESSION
                                                                                                           H. R. 6930
                                                                     To mitigate drug shortages and provide incentives for maintaining, expanding,
                                                                         and relocating the manufacturing of active pharmaceutical ingredients,
                                                                         excipients, medical diagnostic devices, pharmaceuticals, and personal pro-
                                                                         tective equipment in the United States, and for other purposes.




                                                                                   IN THE HOUSE OF REPRESENTATIVES
                                                                                                       MAY 19, 2020
                                                                     Mr. CARTER of Georgia (for himself, Mr. GRIFFITH, Mr. MCKINLEY, Mr.
                                                                         CRAWFORD, and Mr. SOTO) introduced the following bill; which was re-
                                                                         ferred to the Committee on Energy and Commerce, and in addition to
                                                                         the Committee on Ways and Means, for a period to be subsequently de-
                                                                         termined by the Speaker, in each case for consideration of such provisions
                                                                         as fall within the jurisdiction of the committee concerned




                                                                                                               A BILL
                                                                     To mitigate drug shortages and provide incentives for main-
                                                                        taining, expanding, and relocating the manufacturing of
                                                                        active pharmaceutical ingredients, excipients, medical di-
                                                                        agnostic devices, pharmaceuticals, and personal protec-
                                                                        tive equipment in the United States, and for other pur-
                                                                        poses.

                                                                       1              Be it enacted by the Senate and House of Representa-
                                                                       2 tives of the United States of America in Congress assembled,




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                                                                       1     SECTION 1. SHORT TITLE.

                                                                       2              This Act may be cited as the ‘‘Manufacturing API,
                                                                       3 Drugs, and Excipients in America Act of 2020’’ or the
                                                                       4 ‘‘MADE in America Act of 2020’’.
                                                                       5     SEC. 2. TABLE OF CONTENTS.

                                                                       6              The table of contents of this Act is as follows:
                                                                             Sec. 1. Short title.
                                                                             Sec. 2. Table of contents.

                                                                                                          TITLE I—HEALTH PROVISIONS

                                                                             Sec. 101. Report to Congress on barriers to domestic manufacturing of medical
                                                                                             products and supplies.
                                                                             Sec. 102. Enhance intraagency coordination and public health assessment with
                                                                                             regard to compliance activities.
                                                                             Sec. 103. Encouraging international harmonization.
                                                                             Sec. 104. Mutual recognition agreements for inspections and review activities.
                                                                             Sec. 105. Enhancing transparency of drug facility inspection timelines.
                                                                             Sec. 106. Advanced manufacturing technologies program.

                                                                                       TITLE II—TAX INCENTIVES TO INCREASE DOMESTIC
                                                                                      PHARMACEUTICAL AND MEDICAL DEVICE PRODUCTION

                                                                             Sec. 201. Credit for pharmaceutical and medical device production activities in
                                                                                             distressed zones.

                                                                       7          TITLE I—HEALTH PROVISIONS
                                                                       8     SEC. 101. REPORT TO CONGRESS ON BARRIERS TO DOMES-

                                                                       9                             TIC MANUFACTURING OF MEDICAL PROD-

                                                                     10                              UCTS AND SUPPLIES.

                                                                     11               (a) REPORT.—Not later than January 1, 2021, the
                                                                     12 Secretary of Health and Human Services (referred to in
                                                                     13 this section as the ‘‘Secretary’’) shall submit to the Com-
                                                                     14 mittee on Energy and Commerce of the House of Rep-
                                                                     15 resentatives and the Committee on Health, Education,




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                                                                     16 Labor, and Pensions of the Senate a report on barriers
                                                                     17 to domestic manufacturing of active pharmaceutical ingre-

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                                                                       1 dients, drugs, and devices that are sourced or manufac-
                                                                       2 tured outside of the United States.
                                                                       3              (b) CONTENTS.—Such report shall—
                                                                       4                        (1) identify factors that limit or otherwise dis-
                                                                       5              courage the domestic manufacturing of active phar-
                                                                       6              maceutical ingredients, drugs, and devices that are
                                                                       7              currently sourced or manufactured outside of the
                                                                       8              United States, including any Federal, State, local, or
                                                                       9              Tribal laws and regulations that hinder domestic
                                                                     10               manufacturing opportunities; and
                                                                     11                         (2) recommend specific strategies to overcome
                                                                     12               the challenges identified under paragraph (1), in-
                                                                     13               cluding strategies—
                                                                     14                                  (A) to develop effective incentives for do-
                                                                     15                         mestic manufacturing; and
                                                                     16                                  (B) to make changes to laws or regulations
                                                                     17                         that hinder domestic manufacturing opportuni-
                                                                     18                         ties.
                                                                     19               (c) CONSULTATION.—In carrying out the report
                                                                     20 under subsection (a), the Secretary shall consult with—
                                                                     21                         (1) the Food and Drug Administration, the
                                                                     22               Centers for Medicare & Medicaid Services, the De-
                                                                     23               partment of Defense, the Department of Commerce,
                                                                     24               the Department of State, the Department of Vet-



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                                                                       1              erans Affairs, the Department of Justice, and any
                                                                       2              other Federal agencies as appropriate; and
                                                                       3                        (2) relevant stakeholders, including drug, de-
                                                                       4              vice, and active pharmaceutical ingredient manufac-
                                                                       5              turers, and other entities, as appropriate.
                                                                       6              (d) DEFINITION.—In this section, the term ‘‘active
                                                                       7 pharmaceutical ingredient’’ has the meaning given to such
                                                                       8 term in section 207.1 of title 21, Code of Federal Regula-
                                                                       9 tions (and any successor regulations).
                                                                     10               (e) PUBLICATION.—The Secretary shall make the re-
                                                                     11 port under subsection (a) available on the public website
                                                                     12 of the Department of Health and Human Services.
                                                                     13      SEC. 102. ENHANCE INTRAAGENCY COORDINATION AND

                                                                     14                              PUBLIC HEALTH ASSESSMENT WITH REGARD

                                                                     15                              TO COMPLIANCE ACTIVITIES.

                                                                     16               (a) BENEFIT/RISK FRAMEWORK.—
                                                                     17                         (1) IN GENERAL.—Paragraph (2) of section
                                                                     18               704(b) of the Federal Food, Drug, and Cosmetic Act
                                                                     19               (21 U.S.C. 374(b)) is amended by adding at the end
                                                                     20               the following: ‘‘The Secretary shall ensure timely
                                                                     21               and effective coordination among such offices re-
                                                                     22               garding the reviews of such report and the align-
                                                                     23               ment of any feedback regarding such report, and
                                                                     24               any corrective or preventive actions in response to



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                                                                     25               such report, after consideration of the benefits and


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                                                                       1              risks to the public health, patient safety, the drug
                                                                       2              supply and drug supply chain, and timely patient ac-
                                                                       3              cess to drugs.’’.
                                                                       4                        (2) ANNUAL                REPORTING.—Subsection                         (b) of
                                                                       5              section 704 of the Federal Food, Drug, and Cos-
                                                                       6              metic Act (21 U.S.C. 374) is amended by adding at
                                                                       7              the end the following new paragraph:
                                                                       8              ‘‘(3) On an annual basis, the Secretary shall prepare
                                                                       9 a report on the utilization of the framework described in
                                                                     10 paragraph (2) and post such report on the public website
                                                                     11 of the Food and Drug Administration.’’.
                                                                     12                         (3) APPLICABILITY.—The amendments made
                                                                     13               by paragraphs (1) and (2) shall take effect on the
                                                                     14               effective date described in section 3112 of the
                                                                     15               CARES Act (Public Law 116–136), after executing
                                                                     16               the amendments made by such section 3112, and
                                                                     17               shall apply beginning on the date that is 1 year after
                                                                     18               the date of enactment of this Act.
                                                                     19               (b) PUBLIC MEETING.—The Secretary of Health and
                                                                     20 Human Services shall publish in the Federal Register a
                                                                     21 notice of a public meeting to be held no later than six
                                                                     22 months after the date of enactment of this Act to discuss
                                                                     23 and obtain input and recommendations from public stake-
                                                                     24 holders, including patient advocates, consumers, regulated



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                                                                     25 industry, and health care providers, regarding the con-


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                                                                       1 tents of a benefit/risk framework described in section
                                                                       2 704(b)(2) of the Federal Food, Drug, and Cosmetic Act,
                                                                       3 as amended by subsection (a), that supports a safe, stable,
                                                                       4 redundant drug supply chain.
                                                                       5              (c) GUIDANCE.—The Secretary of Health and
                                                                       6 Human Services shall—
                                                                       7                        (1) not later than one year after the date of en-
                                                                       8              actment of this Act, issue draft guidance regarding
                                                                       9              the goals and implementation of a benefit/risk
                                                                     10               framework described in subsection (b); and
                                                                     11                         (2) not later than two years after such date of
                                                                     12               enactment, issue final guidance with respect to the
                                                                     13               implementation of such a framework.
                                                                     14      SEC.         103.      ENCOURAGING                     INTERNATIONAL                       HARMONI-

                                                                     15                              ZATION.

                                                                     16               (a) GAO STUDY.—Not later than one year after the
                                                                     17 date of enactment of this Act, the Comptroller General
                                                                     18 of the United States shall issue a report evaluating—
                                                                     19                         (1) the consistency with which the International
                                                                     20               Conference on Harmonisation (in this section re-
                                                                     21               ferred to as ‘‘ICH’’) guidelines on good manufac-
                                                                     22               turing practices, including ICH Guidelines Q8–11,
                                                                     23               are being implemented by drug regulatory authori-
                                                                     24               ties across countries and international regions;



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                                                                       1                        (2) whether domestic active pharmaceutical in-
                                                                       2              gredient manufacturers (including any such contract
                                                                       3              manufacturers) are provided sufficient opportunity
                                                                       4              to participate with regulatory authorities in the de-
                                                                       5              velopment of guidelines prior to implementation;
                                                                       6                        (3) whether divergence from ICH guidelines or
                                                                       7              differing regulatory standards or requirements by
                                                                       8              drug regulatory authorities across countries and
                                                                       9              international regions creates—
                                                                     10                                  (A) inefficiencies in drug manufacturing;
                                                                     11                                  (B) incompatible requirements that can
                                                                     12                         contribute to or exacerbate drug shortages; and
                                                                     13                                  (C) the most common areas of divergence
                                                                     14                         between ICH guidelines and regulatory stand-
                                                                     15                         ards and requirements by drug regulatory au-
                                                                     16                         thorities across countries and international re-
                                                                     17                         gions that, if rectified, may reduce the ineffi-
                                                                     18                         ciencies and incompatibilities identified pursu-
                                                                     19                         ant to subparagraphs (A) and (B).
                                                                     20               (b) INTERNATIONAL TRAINING PROGRAM.—Not later
                                                                     21 than two years after the date of enactment of this Act,
                                                                     22 informed by the needs identified in the report issued pur-
                                                                     23 suant to subsection (a), the Secretary of Health and
                                                                     24 Human Services, in conjunction with drug regulatory au-



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                                                                     25 thorities across countries and international regions and


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                                                                       1 the ICH, shall develop and implement a training program
                                                                       2 for drug regulatory authorities across countries and inter-
                                                                       3 national regions to promote consistent application of and
                                                                       4 reduce divergence from ICH guidelines on good manufac-
                                                                       5 turing practices.
                                                                       6     SEC. 104. MUTUAL RECOGNITION AGREEMENTS FOR IN-

                                                                       7                             SPECTIONS AND REVIEW ACTIVITIES.

                                                                       8              (a) MUTUAL RECOGNITION OF INSPECTIONS.—Pur-
                                                                       9 suant to section 809 of the Federal Food, Drug and Cos-
                                                                     10 metics Act (21 U.S.C. 384e), the Secretary of Health and
                                                                     11 Human Services (in this section referred to as the ‘‘Sec-
                                                                     12 retary’’) shall establish or expand initiatives for mutual
                                                                     13 sharing of review and inspection criteria between drug reg-
                                                                     14 ulatory authorities across countries and international re-
                                                                     15 gions, such as through the Pharmaceutical Cooperation
                                                                     16 Inspection Scheme, the Mutual Recognition Agreement
                                                                     17 with the European Union, and the Australia-Canada-
                                                                     18 Singapore-Switzerland Consortium, to—
                                                                     19                         (1) reduce the potential for duplicative regu-
                                                                     20               latory evaluation of medical products regulated by
                                                                     21               the Food and Drug Administration; and
                                                                     22                         (2) more constructively allocate appropriations
                                                                     23               to the Food and Drug Administration, including
                                                                     24               those attributable to user fees, to harmonized regu-



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                                                                     25               latory processes.


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                                                                       1              (b) ADDITIONAL COUNTRIES, REGIONS, AND EVAL-
                                                                       2     UATION.—In carrying out subsection (a), the Secretary

                                                                       3 may expand the initiatives to include—
                                                                       4                        (1) additional countries and geographic regions
                                                                       5              with established and competent regulatory frame-
                                                                       6              works; and
                                                                       7                        (2) additional types of regulatory evaluation, in-
                                                                       8              cluding with respect to—
                                                                       9                                 (A) good manufacturing practice inspec-
                                                                     10                         tions; and
                                                                     11                                  (B) approval of changes to the manufac-
                                                                     12                         turing of drugs for which an approval or licen-
                                                                     13                         sure is in effect under section 505 of the Fed-
                                                                     14                         eral Food, Drug, and Cosmetic Act (21 U.S.C.
                                                                     15                         355) or section 351 of the Public Health Serv-
                                                                     16                         ice Act (42 U.S.C. 262).
                                                                     17               (c) IMPLEMENTATION FRAMEWORK.—
                                                                     18                         (1) PUBLICATION.—Not later than one year
                                                                     19               after the date of enactment of this Act, the Sec-
                                                                     20               retary shall publish an implementation framework
                                                                     21               for the agreements to share review and inspection
                                                                     22               criteria under subsection (a) on the public website of
                                                                     23               the Food and Drug Administration.
                                                                     24                         (2) CONTENTS.—The implementation frame-



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                                                                     25               work under this subsection shall—


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                                                                       1                                 (A) include the timeline for establishing or
                                                                       2                        expanding initiatives described in subsection
                                                                       3                        (a);
                                                                       4                                 (B) describe additional types of regulatory
                                                                       5                        processes that will become subject to such ini-
                                                                       6                        tiatives;
                                                                       7                                 (C) specify the countries and geographic
                                                                       8                        regions where such initiatives will be established
                                                                       9                        or expanded; and
                                                                     10                                  (D) identify additional opportunities and
                                                                     11                         challenges for expanding mutual recognition
                                                                     12                         agreements in drug and biologic regulation.
                                                                     13               (d) ANNUAL REPORTING.—
                                                                     14                         (1) IN GENERAL.—Not later than the end of
                                                                     15               calendar year 2020 and annually thereafter, the Sec-
                                                                     16               retary shall publish a report on the public website of
                                                                     17               the Food and Drug Administration on the utilization
                                                                     18               of agreements described in subsection (c)(1) in the
                                                                     19               previous fiscal year.
                                                                     20                         (2) CONTENTS.—The report under paragraph
                                                                     21               (1) shall include each of the following:
                                                                     22                                  (A) The total number of establishments
                                                                     23                         that are registered under section 510(i) of the
                                                                     24                         Federal Food, Drug, and Cosmetic Act (21



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                                                                     25                         U.S.C. 360) and located outside of the United


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                                                                       1                        States, and of these establishments, the number
                                                                       2                        in each region of interest.
                                                                       3                                 (B) The total number of inspections con-
                                                                       4                        ducted at establishments described in subpara-
                                                                       5                        graph (A).
                                                                       6                                 (C) Of the inspections described in sub-
                                                                       7                        paragraph (B), the total number of inspections
                                                                       8                        in each of region of interest.
                                                                       9                                 (D) Of the inspections in each region of in-
                                                                     10                         terest reported pursuant to subparagraph (C),
                                                                     11                         the number of inspections in each FDA inspec-
                                                                     12                         tion category.
                                                                     13                                  (E) Of the number of inspections reported
                                                                     14                         under each of subparagraphs (B), (C), and
                                                                     15                         (D)—
                                                                     16                                          (i) the number of inspections which
                                                                     17                                  have been conducted pursuant to an agree-
                                                                     18                                  ment described in subsection (c)(1); and
                                                                     19                                          (ii) the number of inspections which
                                                                     20                                  have been conducted by employees or other
                                                                     21                                  agents of the Food and Drug Administra-
                                                                     22                                  tion.
                                                                     23                         (3) DEFINITIONS.—In this subsection:
                                                                     24                                  (A) The term ‘‘region of interest’’ refers to



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                                                                     25                         China, India, the European Union, and any


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                                                                       1                        other geographic region as determined appro-
                                                                       2                        priate by the Secretary.
                                                                       3                                 (B) The term ‘‘FDA inspection category’’
                                                                       4                        means refers to the following inspection cat-
                                                                       5                        egories:
                                                                       6                                         (i) Inspections to support an approval
                                                                       7                                 of a drug under section 505 of the Federal
                                                                       8                                 Food, Drug, and Cosmetic Act (21 U.S.C.
                                                                       9                                 355) or section 351 of the Public Health
                                                                     10                                  Service Act (42 U.S.C. 262).
                                                                     11                                          (ii) Good manufacturing practice in-
                                                                     12                                  spections.
                                                                     13                                          (iii) For-cause inspections.
                                                                     14      SEC. 105. ENHANCING TRANSPARENCY OF DRUG FACILITY

                                                                     15                              INSPECTION TIMELINES.

                                                                     16               Section 902 of the FDA Reauthorization Act of 2017
                                                                     17 (21 U.S.C. 355 note) is amended to read as follows:
                                                                     18      ‘‘SEC. 902. ANNUAL REPORT ON INSPECTIONS.

                                                                     19               ‘‘Not later than March 1 of each year, the Secretary
                                                                     20 of Health and Human Services shall post on the public
                                                                     21 website of the Food and Drug Administration information
                                                                     22 related to inspections of facilities necessary for approval
                                                                     23 of a drug under subsection (c) or (j) of section 505 of
                                                                     24 the Federal Food, Drug, and Cosmetic Act (21 U.S.C.



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                                                                     25 355), approval of a device under section 515 of such Act


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                                                                       1 (21 U.S.C. 360e), or clearance of a device under section
                                                                       2 510(k) of such Act (21 U.S.C. 360(k)) that were con-
                                                                       3 ducted during the previous calendar year. Such informa-
                                                                       4 tion shall include the following:
                                                                       5                        ‘‘(1) The median time following a request from
                                                                       6              staff of the Food and Drug Administration review-
                                                                       7              ing an application or report to the beginning of the
                                                                       8              inspection, and the median time from the beginning
                                                                       9              of an inspection to the issuance of a report pursuant
                                                                     10               to section 704(b) of the Federal Food, Drug, and
                                                                     11               Cosmetic Act (21 U.S.C. 374(b)), including—
                                                                     12                                  ‘‘(A) the median time for drugs described
                                                                     13                         in 505(j)(11)(A)(i) of the Federal Food, Drug,
                                                                     14                         and Cosmetic Act (21 U.S.C. 355(j)(11)(A)(i));
                                                                     15                                  ‘‘(B) the median time for drugs described
                                                                     16                         in section 506C(a) of such Act (21 U.S.C.
                                                                     17                         356c(a)) only; and
                                                                     18                                  ‘‘(C) the median time for drugs on the
                                                                     19                         drug shortage list in effect under section 506E
                                                                     20                         of such Act (21 U.S.C. 356f).
                                                                     21                         ‘‘(2) The median time from the issuance of a
                                                                     22               report pursuant to such section 704(b) to the send-
                                                                     23               ing of a warning letter, issuance of an import alert,
                                                                     24               or holding of a regulatory meeting for inspections



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                                                                     25               for which the Secretary concluded that regulatory or


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                                                                       1              enforcement action was indicated, including the me-
                                                                       2              dian time for each category of drugs listed in sub-
                                                                       3              paragraphs (A) through (C) of paragraph (1).
                                                                       4                        ‘‘(3) The median time from the sending of a
                                                                       5              warning letter, issuance of an import alert, or hold-
                                                                       6              ing of a regulatory meeting to resolution of the regu-
                                                                       7              latory or enforcement action indicated for inspec-
                                                                       8              tions for which the Secretary concluded that such
                                                                       9              action was indicated.
                                                                     10                         ‘‘(4) The number of times that a facility was
                                                                     11               issued a report pursuant to such section 704(b) and
                                                                     12               approval of an application was delayed due to the
                                                                     13               issuance of a withhold recommendation, including
                                                                     14               the number of such times for each category of drugs
                                                                     15               listed in subparagraphs (A) through (C) of para-
                                                                     16               graph (1).’’.
                                                                     17      SEC. 106. ADVANCED MANUFACTURING TECHNOLOGIES

                                                                     18                              PROGRAM.

                                                                     19               Subchapter A of chapter V of the Federal Food,
                                                                     20 Drug, and Cosmetic Act (21 U.S.C. 351 et seq.) is amend-
                                                                     21 ed by adding at the end the following:
                                                                     22      ‘‘SEC. 524B. ADVANCED MANUFACTURING TECHNOLOGIES

                                                                     23                              PROGRAM.

                                                                     24               ‘‘(a) IN GENERAL.—Not later than 1 year after the



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                                                                     25 date of enactment of the Manufacturing API, Drugs, and


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                                                                       1 Excipients in America Act of 2020, the Secretary shall
                                                                       2 continue in effect the program to evaluate new drug manu-
                                                                       3 facturing technologies that are included in an application,
                                                                       4 or supplement to an application, for a drug under sub-
                                                                       5 section (b) or (j) of section 505 of this Act or for a biologi-
                                                                       6 cal product submitted under subsection (a) or (k) of sec-
                                                                       7 tion 351 of the Public Health Service Act.
                                                                       8              ‘‘(b) DESIGNATION.—The Secretary shall designate a
                                                                       9 method of manufacturing a drug as an advanced manufac-
                                                                     10 turing technology under this section if the drug manufac-
                                                                     11 turer demonstrates that such technology is likely to—
                                                                     12                         ‘‘(1) prevent or resolve a drug shortage;
                                                                     13                         ‘‘(2) maintain an adequate supply of critical
                                                                     14               medications for national emergencies; or
                                                                     15                         ‘‘(3) promote the adoption of innovative ap-
                                                                     16               proaches to drug product design and manufacturing.
                                                                     17               ‘‘(c) CONSULTATION.—If the Secretary designates a
                                                                     18 method of manufacturing as an advanced manufacturing
                                                                     19 technology under this section, the Secretary shall take ac-
                                                                     20 tions to expedite the development and implementation of
                                                                     21 such method of manufacture for purposes of approval of
                                                                     22 the application under subsection (c) or (j) of section 505
                                                                     23 of this Act or subsection (a) or (k) of section 351 of the
                                                                     24 Public Health Service Act, which may include, as appro-



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                                                                     25 priate—


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                                                                       1                        ‘‘(1) holding meetings between the sponsor of
                                                                       2              the application and appropriate Food and Drug Ad-
                                                                       3              ministration staff throughout the development of the
                                                                       4              technology;
                                                                       5                        ‘‘(2) providing timely advice to, and interactive
                                                                       6              communication with, the sponsor regarding the de-
                                                                       7              velopment of the technology; and
                                                                       8                        ‘‘(3) involving senior managers and experienced
                                                                       9              staff of the Food and Drug Administration, as ap-
                                                                     10               propriate, in a collaborative, cross-disciplinary review
                                                                     11               of the method of manufacturing.
                                                                     12               ‘‘(d) EVALUATION                      OF AN            ADVANCED MANUFAC-
                                                                     13      TURING TECHNOLOGY.—

                                                                     14                         ‘‘(1) PACKAGE.—A sponsor who receives des-
                                                                     15               ignation of an advanced manufacturing technology
                                                                     16               under this section shall provide the Secretary with a
                                                                     17               package of scientific evidence supporting the imple-
                                                                     18               mentation of the advanced manufacturing technology
                                                                     19               in a particular context-of-use.
                                                                     20                         ‘‘(2) EVALUATION.—Within 90 days of receiv-
                                                                     21               ing the package, the Secretary shall determine
                                                                     22               whether a designated advanced manufacturing tech-
                                                                     23               nology is validated for the proposed context of use
                                                                     24               based on the scientific merit the supporting evidence



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                                                                       1                        ‘‘(3) EFFECT OF APPROVAL.—Upon approval,
                                                                       2              the same sponsor may rely upon the advanced man-
                                                                       3              ufacturing technology for use across multiple manu-
                                                                       4              facturing product lines within the same context-of-
                                                                       5              use without having to re-submit data to the Sec-
                                                                       6              retary validating the underlying technology.
                                                                       7              ‘‘(e) IMPLEMENTATION AND REPORTING.—
                                                                       8                        ‘‘(1) PUBLIC MEETING.—The Secretary shall
                                                                       9              publish in the Federal Register a notice of a public
                                                                     10               meeting to be held no later than 1 year after the
                                                                     11               date of enactment of the Manufacturing API,
                                                                     12               Drugs, and Excipients in America Act of 2020 to
                                                                     13               discuss and obtain input and recommendations from
                                                                     14               stakeholders regarding the goals and scope of, and
                                                                     15               a suitable framework and procedures and require-
                                                                     16               ments for, the program under this section.
                                                                     17                         ‘‘(2)       PROGRAM                GUIDANCE.—The                        Secretary
                                                                     18               shall—
                                                                     19                                  ‘‘(A) not later than 1 year after the date
                                                                     20                         of enactment of the Manufacturing API, Drugs,
                                                                     21                         and Excipients in America Act of 2020, issue
                                                                     22                         draft guidance regarding the goals and imple-
                                                                     23                         mentation of the program under this section;
                                                                     24                         and



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                                                                       1                                 ‘‘(B) not later than 2 years after the date
                                                                       2                        of enactment of the Manufacturing API, Drugs,
                                                                       3                        and Excipients in America Act of 2020, issue
                                                                       4                        final guidance with respect to the implementa-
                                                                       5                        tion of such program.
                                                                       6                        ‘‘(3) REPORT.—The Secretary shall make avail-
                                                                       7              able on the public website of the Food and Drug Ad-
                                                                       8              ministration an annual report on the progress of the
                                                                       9              program under this section.’’.
                                                                     10 TITLE II—TAX INCENTIVES TO
                                                                     11    INCREASE DOMESTIC PHAR-
                                                                     12    MACEUTICAL AND MEDICAL
                                                                     13    DEVICE PRODUCTION
                                                                     14      SEC. 201. CREDIT FOR PHARMACEUTICAL AND MEDICAL

                                                                     15                              DEVICE PRODUCTION ACTIVITIES IN DIS-

                                                                     16                              TRESSED ZONES.

                                                                     17               (a) IN GENERAL.—Subpart D of part IV of sub-
                                                                     18 chapter A of chapter 1 of the Internal Revenue Code of
                                                                     19 1986 is amended by adding at the end the following new
                                                                     20 section:
                                                                     21      ‘‘SEC. 45U. DISTRESSED ZONE PHARMACEUTICAL AND MED-

                                                                     22                              ICAL DEVICE PRODUCTION CREDIT.

                                                                     23               ‘‘(a) IN GENERAL.—For purposes of section 38, the
                                                                     24 distressed zone pharmaceutical and medical device produc-



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                                                                     25 tion credit for the taxable year shall be an amount equal


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                                                                       1 to 30 percent of the qualified production activity expendi-
                                                                       2 tures of the taxpayer for the taxable year.
                                                                       3              ‘‘(b) QUALIFIED PRODUCTION ACTIVITY EXPENDI-
                                                                       4     TURES.—For purposes of this section—

                                                                       5                        ‘‘(1) IN GENERAL.—The term ‘qualified produc-
                                                                       6              tion activity expenditures’ means—
                                                                       7                                 ‘‘(A) wages paid or incurred to an em-
                                                                       8                        ployee of the taxpayer for services performed by
                                                                       9                        such employee in the conduct of a qualified
                                                                     10                         pharmaceutical or diagnostic medical device
                                                                     11                         production business in a distressed zone (but
                                                                     12                         only if the employee’s principal place of employ-
                                                                     13                         ment is in a distressed zone), or
                                                                     14                                  ‘‘(B) amounts paid or incurred for any
                                                                     15                         tangible personal property (whether or not oth-
                                                                     16                         erwise properly chargeable to capital account)
                                                                     17                         used in the conduct of a qualified pharma-
                                                                     18                         ceutical or medical device production business
                                                                     19                         in a distressed zone (but only if the primary use
                                                                     20                         of such property is in a distressed zone).
                                                                     21                         ‘‘(2) QUALIFIED PHARMACEUTICAL OR MEDICAL
                                                                     22               DEVICE PRODUCTION BUSINESS.—

                                                                     23                                  ‘‘(A) IN GENERAL.—The term ‘qualified
                                                                     24                         pharmaceutical or medical device production



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                                                                       1                        ducing pharmaceuticals, excipients, active phar-
                                                                       2                        maceutical ingredients, medical diagnostic de-
                                                                       3                        vices, or personal protective equipment.
                                                                       4                                 ‘‘(B) ACTIVE                 PHARMACEUTICAL                       INGRE-

                                                                       5                        DIENT.—The term ‘active pharmaceutical ingre-

                                                                       6                        dients’ has the meaning given to such term in
                                                                       7                        section 207.1 of title 21, Code of Federal Regu-
                                                                       8                        lations (and any successor regulations).
                                                                       9                                 ‘‘(C) EXCIPIENT.—The term ‘excipient’—
                                                                     10                                          ‘‘(i) means any inactive ingredient
                                                                     11                                  that is intentionally added to a pharma-
                                                                     12                                  ceutical that is not intended to exert thera-
                                                                     13                                  peutic effects at the intended dosage, other
                                                                     14                                  than by acting to improve product delivery;
                                                                     15                                  and
                                                                     16                                          ‘‘(ii) includes any such filler, extend-
                                                                     17                                  ers, diluent, wetting agent, solvent, emulsi-
                                                                     18                                  fier,        preservative,                 flavor,             absorption
                                                                     19                                  enhancer, sustained release matrix, and
                                                                     20                                  coloring agent.
                                                                     21                                  ‘‘(D) MEDICAL DIAGNOSTIC DEVICE.—The
                                                                     22                         term ‘medical diagnostic device’ means any de-
                                                                     23                         vice (as defined in section 201(h) of the Federal
                                                                     24                         Food, Drug, and Cosmetic Act) intended for



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                                                                       1                        use in the diagnosis of disease or other condi-
                                                                       2                        tions.
                                                                       3                                 ‘‘(E)        PERSONAL                  PROTECTIVE              EQUIP-

                                                                       4                        MENT.—The                term ‘personal protective equip-
                                                                       5                        ment’ means—
                                                                       6                                         ‘‘(i) any device (as defined in section
                                                                       7                                 201(h) of the Federal Food, Drug, and
                                                                       8                                 Cosmetic Act) that is a face mask, filtering
                                                                       9                                 facepiece respirator, face shield, surgical
                                                                     10                                  mask, gown, other apparel, or glove that is
                                                                     11                                  intended for a medical purpose; and
                                                                     12                                          ‘‘(ii) any particulate filtering air puri-
                                                                     13                                  fying respiratory protective device that is
                                                                     14                                  approved by the National Institute for Oc-
                                                                     15                                  cupational Safety and Health under part
                                                                     16                                  84 of title 42, Code of Federal Regulations
                                                                     17                                  (or successor regulations).
                                                                     18                                  ‘‘(F) PHARMACEUTICAL.—The term ‘phar-
                                                                     19                         maceutical’—
                                                                     20                                          ‘‘(i) means any drug (as defined in
                                                                     21                                  section 201 of the Federal Food, Drug,
                                                                     22                                  and Cosmetic Act); and
                                                                     23                                          ‘‘(ii) includes a biological product (as
                                                                     24                                  defined in section 351 of the Public Health



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                                                                     25                                  Service Act).


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                                                                       1                        ‘‘(3) CERTAIN HEALTH PLAN EXPENSES TREAT-
                                                                       2              ED AS WAGES.—

                                                                       3                                 ‘‘(A) IN GENERAL.—For purposes of para-
                                                                       4                        graph (1), the term ‘wages’ shall include so
                                                                       5                        much of the eligible employer’s qualified health
                                                                       6                        plan expenses as are properly allocable to such
                                                                       7                        wages.
                                                                       8                                 ‘‘(B)        QUALIFIED                 HEALTH             PLAN   EX-

                                                                       9                        PENSES.—For purposes of this paragraph, the

                                                                     10                         term ‘qualified health plan expenses’ means
                                                                     11                         amounts paid or incurred by the eligible em-
                                                                     12                         ployer to provide and maintain a group health
                                                                     13                         plan (as defined in section 5000(b)(1)), but
                                                                     14                         only to the extent that such amounts are ex-
                                                                     15                         cluded from the gross income of employees by
                                                                     16                         reason of section 106(a) of such Code.
                                                                     17                                  ‘‘(C) ALLOCATION RULES.—For purposes
                                                                     18                         of this paragraph, qualified health plan ex-
                                                                     19                         penses shall be allocated to qualified wages in
                                                                     20                         such manner as the Secretary may prescribe.
                                                                     21                         Except as otherwise provided by the Secretary,
                                                                     22                         such allocation shall be treated as properly
                                                                     23                         made if made on the basis of being pro rata
                                                                     24                         among employees and pro rata on the basis of



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                                                                       1                        periods of coverage (relative to the periods to
                                                                       2                        which such wages relate).
                                                                       3                        ‘‘(4) DISTRESSED ZONE.—The term ‘distressed
                                                                       4              zone’ means a population census tract—
                                                                       5                                 ‘‘(A) which has been designated as a quali-
                                                                       6                        fied opportunity zone under section 1400Z–1,
                                                                       7                        and
                                                                       8                                 ‘‘(B) which has a poverty rate in excess of
                                                                       9                        30 percent for the calendar year prior to the
                                                                     10                         calendar year that includes the date of enact-
                                                                     11                         ment of this section.
                                                                     12               ‘‘(c) SPECIAL RULES.—
                                                                     13                         ‘‘(1) REDUCTION IN BASIS.—If a credit is de-
                                                                     14               termined under this section with respect to any
                                                                     15               property by reason of any qualified production activ-
                                                                     16               ity expenditures described in subsection (b)(1)(B),
                                                                     17               the basis of such property shall be reduced by the
                                                                     18               amount of the credit so determined.
                                                                     19                         ‘‘(2) COORDINATION WITH OTHER CREDITS.—
                                                                     20               Any qualified production activity expenditures taken
                                                                     21               into account in determining the amount of the credit
                                                                     22               under subsection (a) shall not be taken into account
                                                                     23               in determining a credit under any other provision of
                                                                     24               this chapter.



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                                                                       1                        ‘‘(3) LIMITATION ON WAGES TAKEN INTO AC-
                                                                       2              COUNT.—The amount of wages taken into account

                                                                       3              under subsection (a) with respect to any employee
                                                                       4              shall not exceed an amount equal to the contribution
                                                                       5              and benefit base in effect under section 230 of the
                                                                       6              Social Security Act for the calendar year in which
                                                                       7              the taxable year begins.’’.
                                                                       8              (b) CREDIT ALLOWED AGAINST ALTERNATIVE MIN-
                                                                       9     IMUM TAX.—Section 38(c)(4)(B) of such Code is amended

                                                                     10 by redesignating clauses (x), (xi), and (xii) as clauses (xi),
                                                                     11 (xii), and (xiii), respectively and by inserting after clause
                                                                     12 (ix) the following new clause:
                                                                     13                                          ‘‘(x) the credit determined under sec-
                                                                     14                                  tion 45U,’’.
                                                                     15               (c) SPECIAL RULE FOR CONTROLLED FOREIGN COR-
                                                                     16      PORATIONS.—Section 960(d) of such Code is amended by

                                                                     17 adding at the end the following new paragraph:
                                                                     18                         ‘‘(4) SPECIAL FOR CONTROLLED FOREIGN COR-
                                                                     19               PORATIONS                WITH             DISTRESSED               ZONE           PHARMA-

                                                                     20               CEUTICAL AND MEDICAL DEVICE EXPENDITURES.—

                                                                     21               The amount of foreign taxes deemed paid by a do-
                                                                     22               mestic corporation under paragraph (1) (determined
                                                                     23               without regard to this paragraph) shall be increased
                                                                     24               by an amount equal to the lesser of—



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                                                                     25                                  ‘‘(A) the excess of—


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                                                                       1                                         ‘‘(i) the amount calculated with re-
                                                                       2                                 spect to such corporation under paragraph
                                                                       3                                 (1) (determined without regard to this
                                                                       4                                 paragraph and by substituting ‘100 per-
                                                                       5                                 cent’ for ‘80 percent’), over
                                                                       6                                         ‘‘(ii) the amount calculated with re-
                                                                       7                                 spect to such corporation under paragraph
                                                                       8                                 (1) (determined without regard to this
                                                                       9                                 paragraph), or
                                                                     10                                  ‘‘(B) an amount equal to 15 percent of the
                                                                     11                         qualified production activity expenditures (as
                                                                     12                         defined in section 45U(b)(1)) of the controlled
                                                                     13                         foreign corporation for the taxable year of the
                                                                     14                         foreign corporation ending in or with the tax-
                                                                     15                         able year of the domestic corporation.’’.
                                                                     16               (d) DENIAL OF DEDUCTION.—Section 280C of such
                                                                     17 Code is amended by adding at the end the following new
                                                                     18 subsection:
                                                                     19               ‘‘(i) DISTRESSED ZONE PHARMACEUTICAL                                              AND

                                                                     20 MEDICAL DEVICE PRODUCTION CREDIT.—No deduction
                                                                     21 shall be allowed for that portion of the qualified produc-
                                                                     22 tion activity expenditures (as defined in section 45U(b))
                                                                     23 otherwise allowable as a deduction for the taxable year
                                                                     24 which is equal to the amount of the distressed zone phar-



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                                                                       1 maceutical and medical device production credit deter-
                                                                       2 mined for such taxable year under section 45U(a).’’.
                                                                       3              (e) PART OF GENERAL BUSINESS CREDIT.—Section
                                                                       4 38(b) of such Code is amended by striking ‘‘plus’’ at the
                                                                       5 end of paragraph (32), by striking the period at the end
                                                                       6 of paragraph (33) and inserting ‘‘, plus’’, and by adding
                                                                       7 at the end the following new paragraph:
                                                                       8                        ‘‘(34) the distressed zone pharmaceutical and
                                                                       9              medical device production credit determined under
                                                                     10               section 45U(a).’’.
                                                                     11               (f) CLERICAL AMENDMENT.—The table of sections
                                                                     12 for subpart D of part IV of subchapter A of chapter 1
                                                                     13 is amended by adding at the end the following new item:
                                                                             ‘‘Sec. 45U. Distressed zone pharmaceutical and medical device production cred-
                                                                                             it.’’.

                                                                     14               (g) EFFECTIVE DATE.—The amendments made by
                                                                     15 this section shall apply to amounts paid or incurred after
                                                                     16 the date of the enactment of this Act.
                                                                                                                                Æ




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