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H.R. 8987 (116th Congress) — To enhance the security of the United States pharmaceutical supply chain

Summary

H.R. 8987 is a bill introduced in the House of Representatives on December 16, 2020 by Mr. Joyce of Pennsylvania and referred to the Committee on Energy and Commerce. Its stated purpose is to amend the Public Health Service Act to incentivize the manufacture of certain medicines in the United States and to enhance the security of the United States pharmaceutical supply chain. New section 2804 directs the Secretary to designate as a priority medicine each covered product that has a vulnerable global supply chain and is necessary for use in a public health emergency or is at high risk of becoming in short supply.

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Congressional materials
Document type
Bills Bills 116Hr8987Ih Bills 116Hr8987Ih
Case
Bills Bills 116Hr8987Ih Bills 116Hr8987Ih

Cite this document

“H.R. 8987 (116th Congress) — To enhance the security of the United States pharmaceutical supply chain.” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/bills-bills-116hr8987ih-bills-116hr8987ih/, SHA-256 e15f52539bd344e221b4d77d9e6e170018fb291fb89544dd24bad588c8b48572.

Full text

                                                                                                                                                                          I




                                                                       116TH CONGRESS
                                                                          2D SESSION
                                                                                                             H. R. 8987
                                                                       To amend the Public Health Service Act to incentivize the manufacture
                                                                           of certain medicines in the United States and to enhance the security
                                                                           of the United States pharmaceutical supply chain, and for other pur-
                                                                           poses.




                                                                                     IN THE HOUSE OF REPRESENTATIVES
                                                                                                    DECEMBER 16, 2020
                                                                       Mr. JOYCE of Pennsylvania introduced the following bill; which was referred
                                                                           to the Committee on Energy and Commerce, and in addition to the Com-
                                                                           mittee on Ways and Means, for a period to be subsequently determined
                                                                           by the Speaker, in each case for consideration of such provisions as fall
                                                                           within the jurisdiction of the committee concerned




                                                                                                                 A BILL
                                                                       To amend the Public Health Service Act to incentivize the
                                                                          manufacture of certain medicines in the United States
                                                                          and to enhance the security of the United States phar-
                                                                          maceutical supply chain, and for other purposes.

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

                                                                         4              This Act may be cited as the ‘‘Enhancing the Secu-




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                                                                         5 rity of the U.S. Pharmaceutical Supply Chain Act of
                                                                         6 2020’’.



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                                                                         1     SEC. 2. TABLE OF CONTENTS.

                                                                         2              The table of contents for this Act is as follows:
                                                                               Sec. 1. Short title.
                                                                               Sec. 2. Table of contents.
                                                                               Sec. 3. Identification, development, and procurement of priority medicines.
                                                                               Sec. 4. Priority medicine production credit.
                                                                               Sec. 5. Improving regulatory efficiencies for transfer of drugs.

                                                                         3     SEC. 3. IDENTIFICATION, DEVELOPMENT, AND PROCURE-

                                                                         4                             MENT OF PRIORITY MEDICINES.

                                                                         5              (a) PRIORITY MEDICINES.—Title XXVIII of the Pub-
                                                                         6 lic Health Service Act (42 U.S.C. 300hh et seq.) is amend-
                                                                         7 ed by adding at the end the following:
                                                                         8     ‘‘SEC. 2804. IDENTIFICATION OF PRIORITY MEDICINES.

                                                                         9              ‘‘(a) PRIORITY MEDICINES.—The Secretary shall
                                                                       10 designate as a priority medicine each covered product
                                                                       11 that—
                                                                       12                         ‘‘(1)(A) is necessary for use in a public health
                                                                       13               emergency declared under section 319; or
                                                                       14                         ‘‘(B) is at high risk of becoming in short sup-
                                                                       15               ply; and
                                                                       16                         ‘‘(2) has a vulnerable global supply chain.
                                                                       17               ‘‘(b) GLOBAL SUPPLY CHAIN VULNERABILITY.—In
                                                                       18 determining whether a covered product has a vulnerable
                                                                       19 global supply chain under subsection (a)(2), the Secretary
                                                                       20 shall consider—
                                                                       21                         ‘‘(1) the findings of the National Academies of




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                                                                       22               Sciences, Engineering, and Medicine in the report



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                                                                         1              published pursuant to section 4111 of the CARES
                                                                         2              Act (Public Law 116–136);
                                                                         3                        ‘‘(2) the number of manufacturers of each cov-
                                                                         4              ered product;
                                                                         5                        ‘‘(3) the manufacturing locations, and amount
                                                                         6              produced, of each covered product;
                                                                         7                        ‘‘(4) the history of the importation of each pri-
                                                                         8              ority medicine; and
                                                                         9                        ‘‘(5) the probability of the imposition of duties
                                                                       10               on the importation of each covered product.
                                                                       11               ‘‘(c) CONSULTATION.—In carrying out subsection
                                                                       12 (a), the Secretary shall consult with the Public Health
                                                                       13 Emergency Medical Countermeasures Enterprise estab-
                                                                       14 lished under section 2811–1.
                                                                       15               ‘‘(d) PUBLICATION OF LIST.—The Secretary shall—
                                                                       16                         ‘‘(1) not later than 180 days after the date of
                                                                       17               enactment of this section, publish a preliminary list
                                                                       18               of priority medicines;
                                                                       19                         ‘‘(2) provide an opportunity for public comment
                                                                       20               on such preliminary list;
                                                                       21                         ‘‘(3) not later than 1 year after such date of en-
                                                                       22               actment, publish a final list of priority medicines;
                                                                       23               and
                                                                       24                         ‘‘(4) on an annual basis, review and, as appro-



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                                                                       25               priate, update such list.


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                                                                         1              ‘‘(e) DEFINITIONS.—In this section:
                                                                         2                        ‘‘(1) ACTIVE PHARMACEUTICAL INGREDIENT.—
                                                                         3              The term ‘active pharmaceutical ingredient’—
                                                                         4                                 ‘‘(A) means any component that is in-
                                                                         5                        tended to furnish pharmacological activity or
                                                                         6                        other direct effect in the diagnosis, cure, miti-
                                                                         7                        gation, treatment, or prevention of a disease, or
                                                                         8                        to affect the structure or any function of the
                                                                         9                        body of a human or animal; and
                                                                       10                                  ‘‘(B) does not include—
                                                                       11                                          ‘‘(i) intermediates used in the syn-
                                                                       12                                  thesis of a drug product; or
                                                                       13                                          ‘‘(ii) components that may undergo
                                                                       14                                  chemical change in the manufacture of a
                                                                       15                                  drug product and be present in a drug
                                                                       16                                  product in a modified form that is in-
                                                                       17                                  tended to furnish such activity or effect.
                                                                       18                         ‘‘(2) COVERED PRODUCT.—The term ‘covered
                                                                       19               product’ means a drug (including a biological prod-
                                                                       20               uct) or an active pharmaceutical ingredient.
                                                                       21                         ‘‘(3) PRIORITY MEDICINE.—The term ‘priority
                                                                       22               medicine’ means a priority medicine for which a des-
                                                                       23               ignation is in effect under subsection (a).’’.
                                                                       24               (b) NATIONAL STRATEGIC HEALTH STRATEGY.—



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                                                                       25 Section 2802(b) of the Public Health Service Act (42


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                                                                         1 U.S.C. 300hh–1(b)) is amended by adding at the end the
                                                                         2 following:
                                                                         3                        ‘‘(11) PRIORITY MEDICINES.—Supporting the
                                                                         4              identification, production, and procurement of pri-
                                                                         5              ority medicines designated under section 2804.’’.
                                                                         6              (c) PUBLIC HEALTH EMERGENCY MEDICAL COUN-
                                                                         7     TERMEASURES                   ENTERPRISE RECOMMENDATIONS.—Sec-
                                                                         8 tion 2811–1(c)(1) of the Public Health Service Act (42
                                                                         9 U.S.C. 300hh–10a(c)) is amended by adding at the end
                                                                       10 the following:
                                                                       11                                  ‘‘(E) Provide recommendations to the Sec-
                                                                       12                         retary with respect to the priority medicines
                                                                       13                         designated under section 2804.’’.
                                                                       14               (d) STRATEGIC PLAN FOR COUNTERMEASURE RE-
                                                                       15      SEARCH,            DEVELOPMENT, AND PROCUREMENT.—Section
                                                                       16 319L(b) of the Public Health Service Act (42 U.S.C.
                                                                       17 247d–7e(b)) is amended—
                                                                       18                         (1) in paragraph (2)—
                                                                       19                                  (A) in subparagraph (B), by striking
                                                                       20                         ‘‘and’’ at the end;
                                                                       21                                  (B) in subparagraph (C), by striking the
                                                                       22                         period at the end and inserting ‘‘; and’’; and
                                                                       23                                  (C) by adding at the end the following:




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                                                                         1                                 ‘‘(D) the development and procurement of
                                                                         2                        priority medicines designated under section
                                                                         3                        2804.’’; and
                                                                         4                        (2) by adding at the end the following:
                                                                         5                        ‘‘(3) PRIORITY MEDICINES.—With respect to
                                                                         6              the development and procurement of priority medi-
                                                                         7              cines, the Secretary shall promote a diverse and sus-
                                                                         8              tainable supply chain, including through grants and
                                                                         9              purchases.’’.
                                                                       10               (e) CRITICAL DRUG CONSIDERATION.—Section 3101
                                                                       11 of the CARES Act (Public Law 116–136) is amended—
                                                                       12                         (1) by redesignating subsection (d) as sub-
                                                                       13               section (e); and
                                                                       14                         (2) after executing the redesignation in para-
                                                                       15               graph (1), by inserting after subsection (c) the fol-
                                                                       16               lowing:
                                                                       17               ‘‘(d) CONSIDERATION.—With respect to any analysis
                                                                       18 of a critical drug under subsection (b)(1), the Secretary
                                                                       19 shall consider the vulnerability of such drug with respect
                                                                       20 to the global supply chain, including an analysis of—
                                                                       21                         ‘‘(1) the number of manufacturers of such
                                                                       22               drug;
                                                                       23                         ‘‘(2) the manufacturing locations, and amounts
                                                                       24               produced, of such drug;



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                                                                         1                        ‘‘(3) the history of the importation of such
                                                                         2              drug; and
                                                                         3                        ‘‘(4) the probability of the imposition of duties
                                                                         4              on the importation of such drug.’’.
                                                                         5     SEC. 4. PRIORITY MEDICINE PRODUCTION CREDIT.

                                                                         6              (a) IN GENERAL.—Subpart D of part IV of sub-
                                                                         7 chapter A of chapter 1 of the Internal Revenue Code of
                                                                         8 1986 is amended by adding at the end the following new
                                                                         9 section:
                                                                       10      ‘‘SEC. 45U. PRIORITY MEDICINE PRODUCTION CREDIT.

                                                                       11               ‘‘(a) GENERAL RULE.—For purposes of section 38,
                                                                       12 the priority medicine production credit determined under
                                                                       13 this section for the taxable year is an amount equal to
                                                                       14 50 percent of the qualified priority medicine expenses for
                                                                       15 the taxable year.
                                                                       16               ‘‘(b) QUALIFIED PRIORITY MEDICINE EXPENSES.—
                                                                       17                         ‘‘(1)       QUALIFIED                PRIORITY              MEDICINE     EX-

                                                                       18               PENSES.—The term ‘qualified priority medicine ex-

                                                                       19               penses’ means direct and indirect costs paid or in-
                                                                       20               curred by the taxpayer during the taxable year for
                                                                       21               the production of priority medicines.
                                                                       22                         ‘‘(2) PRIORITY MEDICINES.—For purposes of
                                                                       23               this section, a ‘priority medicine’ is a medicine that
                                                                       24               was included, within the 5 calendar years imme-



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                                                                       25               diately preceding the taxable year, on the list devel-


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                                                                         1              oped and published by the Secretary of Health and
                                                                         2              Human Services pursuant to section 2804(d) of the
                                                                         3              Public Health Service Act.
                                                                         4                        ‘‘(3) COORDINATION WITH SECTION 263A.—
                                                                         5                                 ‘‘(A)         COORDINATION                      WITH           SECTION

                                                                         6                        263A.—In applying section 263A, indirect costs

                                                                         7                        shall be allocated between the production of pri-
                                                                         8                        ority medicines and the production of other
                                                                         9                        medicines based on the ratio in which the num-
                                                                       10                         ber of doses of the priority medicines produced
                                                                       11                         in the taxable year bears to the total number of
                                                                       12                         doses of all medicines produced by the taxpayer
                                                                       13                         in that taxable year to which the expense is at-
                                                                       14                         tributable.
                                                                       15                                  ‘‘(B) REGULATIONS AND GUIDANCE.—The
                                                                       16                         Secretary shall by regulation or other guidance
                                                                       17                         prescribe rules for the proper allocation of indi-
                                                                       18                         rect costs described in subparagraph (A).’’.
                                                                       19               (b) CREDIT ALLOWED AS BUSINESS CREDIT.—Sec-
                                                                       20 tion 38(b) of the Internal Revenue Code of 1986 (relating
                                                                       21 to current year business credit) is amended by striking
                                                                       22 ‘‘plus’’ at the end of paragraph (32), by striking the period
                                                                       23 at the end of paragraph (33) and inserting ‘‘, plus’’, and
                                                                       24 adding at the end the following new paragraph:



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                                                                         1                        ‘‘(34) the priority medicine production credit
                                                                         2              determined under section 45U.’’.
                                                                         3              (c) CONFORMING AMENDMENTS.—
                                                                         4                        (1) COORDINATION WITH SECTION 59.—
                                                                         5                                 (A) Section 59A(b)(1)(B)(ii) is amended—
                                                                         6                                         (i) in subclause (I), by striking
                                                                         7                                 ‘‘plus,’’ at the end;
                                                                         8                                         (ii) in subclause (II), by striking the
                                                                         9                                 period at the end, and inserting ‘‘, plus’’;
                                                                       10                                  and
                                                                       11                                          (iii) by adding at the end the fol-
                                                                       12                                  lowing:
                                                                       13                                                   ‘‘(III) the credit allowed under
                                                                       14                                          section 38 for the taxable year which
                                                                       15                                          is properly allocable to the priority
                                                                       16                                          medicine production credit determined
                                                                       17                                          under section 45U.’’.
                                                                       18                                  (B) Section 59A(b)(2)(B) is amended to
                                                                       19                         read as follows:
                                                                       20                                  ‘‘(B) by reducing (but not below zero) the
                                                                       21                         regular tax liability (as defined in section
                                                                       22                         26(b)) for purposes of subparagraph (B) there-
                                                                       23                         of by the excess (if any) of the aggregate
                                                                       24                         amount of the credits allowed under this chap-



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                                                                       25                         ter against such regular tax liability over the


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                                                                         1                        credit allowed under section 38 for the taxable
                                                                         2                        year which is properly allocable to the priority
                                                                         3                        medicine production credit determined under
                                                                         4                        section 45U, rather than the excess described in
                                                                         5                        such paragraph.’’.
                                                                         6                        (2) COORDINATION WITH RESEARCH CREDIT.—
                                                                         7              Section 41(c)(4)(A) is amended by striking ‘‘14’’
                                                                         8              and inserting ‘‘20’’.
                                                                         9              (d) CLERICAL AMENDMENT.—The table of sections
                                                                       10 for subpart D of part IV of subchapter A of part IV of
                                                                       11 subchapter A of chapter 1 of the Internal Revenue Code
                                                                       12 of 1986 is amended by inserting after the item relating
                                                                       13 to section 45T the following new item:
                                                                               ‘‘Sec. 45U. Priority medicine production credit.’’

                                                                       14               (e) EFFECTIVE DATE.—The amendments made by
                                                                       15 this section shall apply to qualified priority medicine ex-
                                                                       16 penses paid or incurred after December 31, 2020.
                                                                       17      SEC.        5.    IMPROVING               REGULATORY                   EFFICIENCIES        FOR

                                                                       18                              TRANSFER OF DRUGS.

                                                                       19               The Federal Food, Drug, and Cosmetic Act (21
                                                                       20 U.S.C. 301 et seq.) is amended by inserting after section
                                                                       21 505–1 of such Act (21 U.S.C. 355–1) the following:
                                                                       22      ‘‘SEC. 505–2. TRANSFER OF DRUGS TO DOMESTIC ESTAB-

                                                                       23                              LISHMENTS.




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                                                                       24               ‘‘(a) IN GENERAL.—Beginning not later than 90
                                                                       25 days after the date of the enactment of this section, the
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                                                                         1 Secretary shall expedite the review and approval of a sup-
                                                                         2 plemental application to an abbreviated new drug applica-
                                                                         3 tion approved under section 505(j) or a new drug applica-
                                                                         4 tion approved under section 505(c) that seeks to transfer
                                                                         5 manufacturing of one or more finished dosage forms of
                                                                         6 a drug or one or more active pharmaceutical ingredients
                                                                         7 therein from one or more foreign establishments to one
                                                                         8 or more new or existing domestic establishments.
                                                                         9              ‘‘(b) BEFORE SUPPLEMENTAL APPLICATION SUB-
                                                                       10      MISSION.—

                                                                       11                         ‘‘(1) DEVELOPMENT AND PRE-SUBMISSION.—
                                                                       12               After an applicant submits a meeting request with
                                                                       13               respect to expedited review and approval of a supple-
                                                                       14               mental application pursuant to subsection (a), the
                                                                       15               Secretary shall—
                                                                       16                                  ‘‘(A) not later than 30 days after receiving
                                                                       17                         such request, conduct a meeting with the appli-
                                                                       18                         cant to—
                                                                       19                                          ‘‘(i) discuss the information necessary
                                                                       20                                  to approve the supplemental application;
                                                                       21                                  and
                                                                       22                                          ‘‘(ii) if applicable, schedule a pre-ap-
                                                                       23                                  proval inspection; and




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                                                                         1                                 ‘‘(B) not later than 60 days after receiving
                                                                         2                        such request, conduct a meeting with the appli-
                                                                         3                        cant to—
                                                                         4                                         ‘‘(i) provide advice to the applicant
                                                                         5                                 with respect to the supplemental applica-
                                                                         6                                 tion; and
                                                                         7                                         ‘‘(ii) if applicable, select a first drug
                                                                         8                                 to be identified in accordance with sub-
                                                                         9                                 section (c).
                                                                       10                         ‘‘(2) REVIEW AND APPROVAL.—In carrying out
                                                                       11               subsection (a), the Secretary shall—
                                                                       12                                  ‘‘(A) review and take action with respect to
                                                                       13                         a supplemental application not later than 6
                                                                       14                         months after the date of submission or resub-
                                                                       15                         mission of such application; and
                                                                       16                                  ‘‘(B) where the Secretary recommends a
                                                                       17                         change to a domestic establishment following an
                                                                       18                         inspection of such establishment, reinspect the
                                                                       19                         establishment not later than 90 days after re-
                                                                       20                         ceiving a request from the applicant for rein-
                                                                       21                         spection.
                                                                       22                         ‘‘(3)        RELATION                TO         FEE             PERFORMANCE

                                                                       23               GOALS.—The                 deadlines specified in paragraph (1)
                                                                       24               supersede any conflicting performance goals identi-



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                                                                       25               fied in any statute reauthorizing the fee programs in


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                                                                         1              parts 2 and 7 of subchapter C of title VII of the
                                                                         2              Federal Food, Drug, and Cosmetic Act.
                                                                         3              ‘‘(c) CONTENTS.—With respect to a supplemental ap-
                                                                         4 plication under subsection (a) for a transfer of the site
                                                                         5 of manufacture of multiple drugs that share a similar
                                                                         6 manufacturing process, the Secretary shall—
                                                                         7                        ‘‘(1) request a list of the drugs;
                                                                         8                        ‘‘(2) from the list under paragraph (1), identify
                                                                         9              a first drug to be transferred;
                                                                       10                         ‘‘(3) determine the criteria necessary to receive
                                                                       11               approval of the supplemental application; and
                                                                       12                         ‘‘(4) require the applicant to demonstrate, as
                                                                       13               part of such criteria, that each foreign establishment
                                                                       14               from which the drugs are to be transferred has a
                                                                       15               satisfactory inspection history with respect to the
                                                                       16               drugs.
                                                                       17               ‘‘(d) SUBSEQUENT TRANSFER                                      OF         DRUGS THAT
                                                                       18 SHARE A SIMILAR MANUFACTURING PROCESS.—After the
                                                                       19 approval of a supplemental application under subsection
                                                                       20 (a) for the transfer of the manufacturing of a first drug
                                                                       21 identified by the Secretary pursuant to subsection (c)(2)
                                                                       22 from one or more foreign establishments to one or more
                                                                       23 new or existing domestic establishments, the Secretary
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                                                                         1 suant to submission of a report under section 506A(d)(2)
                                                                         2 rather than by requiring submission of a supplemental ap-
                                                                         3 plication.
                                                                         4              ‘‘(e) WORKING GROUP.—
                                                                         5                        ‘‘(1) ESTABLISHMENT.—Not later than 90 days
                                                                         6              after the date of enactment of this section, the Sec-
                                                                         7              retary shall establish an intra-agency working group
                                                                         8              to be known as the Facility Transfer Working
                                                                         9              Group.
                                                                       10                         ‘‘(2) MEMBERSHIP.—The Secretary shall ap-
                                                                       11               point members of the Facility Transfer Working
                                                                       12               Group from among officials and employees of the
                                                                       13               Department of Health and Human Services who—
                                                                       14                                  ‘‘(A) represent a cross-section of the De-
                                                                       15                         partment of Health and Human Services; and
                                                                       16                                  ‘‘(B) have expertise on establishments used
                                                                       17                         to manufacture drugs.
                                                                       18                         ‘‘(3) DUTIES.—The Facility Transfer Working
                                                                       19               Group shall—
                                                                       20                                  ‘‘(A) assist the Secretary in carrying out
                                                                       21                         this section;
                                                                       22                                  ‘‘(B) upon request by an applicant, con-
                                                                       23                         duct an informational site visit during the de-
                                                                       24                         velopmental phase to discuss requirements with



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                                                                         1                        the applicant with respect to facility design, site
                                                                         2                        status, and validation;
                                                                         3                                 ‘‘(C) not later than 30 days after con-
                                                                         4                        ducting an informational site visit under sub-
                                                                         5                        paragraph (B), provide advice and feedback to
                                                                         6                        the applicant with respect to facility issues that
                                                                         7                        may prevent approval of the supplemental ap-
                                                                         8                        plication under subsection (a), including any
                                                                         9                        issues with the facility transfer plans; and
                                                                       10                                  ‘‘(D) participate in any pre-approval in-
                                                                       11                         spection required by the Secretary for an estab-
                                                                       12                         lishment or provide feedback to the Secretary
                                                                       13                         with respect to a supplemental application de-
                                                                       14                         scribed in subsection (a).
                                                                       15               ‘‘(f) ADDITIONAL INFORMATIONAL VISITS.—Upon
                                                                       16 request by the applicant, the Secretary may conduct infor-
                                                                       17 mational site visits in addition to an informational site
                                                                       18 visit conducted by the Facility Transfer Working Group
                                                                       19 under subsection (e).
                                                                       20               ‘‘(g) GUIDANCE.—
                                                                       21                         ‘‘(1) ISSUANCE.—Not later than 1 year after
                                                                       22               the date of enactment of this section, the Secretary
                                                                       23               shall issue guidance with respect to this section.
                                                                       24                         ‘‘(2) CONTENT.—The guidance issued under



kjohnson on DSK79L0C42PROD with BILLS
                                                                       25               this paragraph shall include—


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                                                                         1                                 ‘‘(A) the process by which an applicant
                                                                         2                        may seek expedited review and approval of a
                                                                         3                        supplemental application under subsection (a);
                                                                         4                        and
                                                                         5                                 ‘‘(B) a description of the actions the Sec-
                                                                         6                        retary may take to expedite the submission and
                                                                         7                        review of such supplemental application.
                                                                         8              ‘‘(h) DEFINITIONS.—In this section:
                                                                         9                        ‘‘(1) SATISFACTORY                          INSPECTION             HISTORY.—

                                                                       10               The term ‘satisfactory inspection history’ means,
                                                                       11               with respect to a drug, a history consisting of one
                                                                       12               or more inspections in which the most recent manu-
                                                                       13               facturing inspection was a satisfactory manufac-
                                                                       14               turing inspection during which—
                                                                       15                                  ‘‘(A) no objectionable conditions or prac-
                                                                       16                         tices were found; or
                                                                       17                                  ‘‘(B) objectionable conditions were found
                                                                       18                         and voluntary corrective action was left to the
                                                                       19                         manufacturer.
                                                                       20                         ‘‘(2) SIMILAR MANUFACTURING PROCESS.—The
                                                                       21               term ‘similar manufacturing process’ means proc-
                                                                       22               esses used to manufacture drugs that share at least
                                                                       23               one unit operation having the same design prin-
                                                                       24               ciple.’’.



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