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S. 3781: To Increase Reporting of, Help Mitigate Potential Shortages Related to, and Promote, Accountability and Transparency

Summary

S. 3781, the PART Act, was introduced in the Senate on May 20, 2020 by Mr. Peters. Its stated purpose is to increase reporting of, help mitigate potential shortages related to, and promote accountability and transparency for pharmaceuticals and medical devices. Section 2 amends section 506C of the Federal Food, Drug, and Cosmetic Act so that the manufacturer of a drug shall notify the Secretary of any increase in demand for the drug that the manufacturer likely will be unable to meet, or of export restrictions or other limitations on manufacturing or shipment of the drug or its active pharmaceutical ingredients. A later section calls for memoranda of understanding on how data will be shared.

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“S. 3781: To Increase Reporting of, Help Mitigate Potential Shortages Related to, and Promote, Accountability and Transparency.” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/bills-bills-116s3781is-bills-116s3781is/, SHA-256 6052514866e93b36dfc89e65aa22ac8f3729ec8813bada1aa22e48ec56727a8c.

Full text

                                                                                                                                                                          II




                                                                       116TH CONGRESS
                                                                          2D SESSION
                                                                                                              S. 3781
                                                                       To increase reporting of, help mitigate potential shortages related to, and
                                                                           promote, accountability and transparency for pharmaceuticals and med-
                                                                           ical devices.




                                                                                   IN THE SENATE OF THE UNITED STATES
                                                                                                       MAY 20, 2020
                                                                         Mr. PETERS introduced the following bill; which was read twice and referred
                                                                               to the Committee on Health, Education, Labor, and Pensions




                                                                                                                 A BILL
                                                                       To increase reporting of, help mitigate potential shortages
                                                                          related to, and promote, accountability and transparency
                                                                          for pharmaceuticals and medical devices.

                                                                         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 ‘‘Pharmaceutical Ac-
                                                                         5 countability, Responsibility, and Transparency Act’’ or the
                                                                         6 ‘‘PART Act’’.




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                                                                         1     SEC. 2. FDA INCREASED DEMAND REPORTING WITH RE-

                                                                         2                             SPECT TO DRUGS.

                                                                         3              Section 506C of the Federal Food, Drug, and Cos-
                                                                         4 metic Act (21 U.S.C. 356c), as amended by the CARES
                                                                         5 Act (Public Law 116–136), is further amended—
                                                                         6                        (1) in subsections (c), (e), (f), (g), and (j), by
                                                                         7              inserting ‘‘or (k)’’ after ‘‘subsection (a)’’ each place
                                                                         8              such term appears; and
                                                                         9                        (2) by adding at the end the following:
                                                                       10               ‘‘(k) INCREASED DEMAND REPORTING.—
                                                                       11                         ‘‘(1) IN         GENERAL.—The                       manufacturer of a
                                                                       12               drug described in subsection (a) or a biological prod-
                                                                       13               uct subject to subsection (i)(3) shall notify the Sec-
                                                                       14               retary, in accordance with paragraph (2), of any—
                                                                       15                                  ‘‘(A) increase in demand for the drug that
                                                                       16                         the manufacturer likely will be unable to meet;
                                                                       17                         or
                                                                       18                                  ‘‘(B) export restrictions or other limita-
                                                                       19                         tions imposed, on or after the date of enact-
                                                                       20                         ment of the PART Act, on manufacturing or
                                                                       21                         shipment of the drug or any of its active phar-
                                                                       22                         maceutical ingredients by the country in which
                                                                       23                         such drug or any such ingredient is manufac-
                                                                       24                         tured.




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                                                                       25                         ‘‘(2) TIMING.—A notice required under para-
                                                                       26               graph (1) shall be submitted to the Secretary as
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                                                                         1              soon as practicable but not later than 5 calendar
                                                                         2              days after the manufacturer becomes aware of the
                                                                         3              issue requiring notification under such paragraph.
                                                                         4                        ‘‘(3)       NOTIFICATION                     OF        RESOLUTION       OF

                                                                         5              ISSUE.—A manufacturer of a drug who submits a

                                                                         6              notification to the Secretary under paragraph (1)
                                                                         7              shall notify the Secretary after the issue giving rise
                                                                         8              to such notification has been resolved or when the
                                                                         9              manufacturer is able to meet demand.’’.
                                                                       10      SEC. 3. FDA INCREASED DEMAND REPORTING WITH RE-

                                                                       11                              SPECT TO DEVICES.

                                                                       12               Section 506J of the Federal Food, Drug, and Cos-
                                                                       13 metic Act (21 U.S.C. 356c) is amended—
                                                                       14                         (1) in subsections (c), (e), and (f), by inserting
                                                                       15               ‘‘or (j)’’ after ‘‘subsection (a)’’ each place such term
                                                                       16               appears; and
                                                                       17                         (2) by adding at the end the following:
                                                                       18               ‘‘(j) INCREASED DEMAND REPORTING.—
                                                                       19                         ‘‘(1) IN GENERAL.—The manufacturer of a de-
                                                                       20               vice described in subsection (a) shall notify the Sec-
                                                                       21               retary, in accordance with paragraph (2), of any—
                                                                       22                                  ‘‘(A) increase in demand for the device
                                                                       23                         that the manufacturer likely will be unable to
                                                                       24                         meet; or



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                                                                         1                                 ‘‘(B) export restrictions or other limita-
                                                                         2                        tions imposed, on or after the date of enact-
                                                                         3                        ment of the PART Act, on manufacturing or
                                                                         4                        export of the device by the country in which
                                                                         5                        such device or any component of the device is
                                                                         6                        manufactured.
                                                                         7                        ‘‘(2) TIMING.—A notice required under para-
                                                                         8              graph (1) shall be submitted to the Secretary as
                                                                         9              soon as practicable but not later than 5 calendar
                                                                       10               days after the manufacturer becomes aware of the
                                                                       11               issue requiring notification under such paragraph.
                                                                       12                         ‘‘(3)       NOTIFICATION                     OF        RESOLUTION       OF

                                                                       13               ISSUE.—A manufacturer of a device who submits a

                                                                       14               notification to the Secretary under paragraph (1)
                                                                       15               shall notify the Secretary after the issue giving rise
                                                                       16               to such notification has been resolved or when the
                                                                       17               manufacturer is able to meet demand.’’.
                                                                       18      SEC. 4. QUARTERLY MANUFACTURER REPORTING WITH

                                                                       19                              RESPECT TO DRUGS AND DEVICES.

                                                                       20               (a) REGISTRATION OF CERTAIN FOREIGN ESTAB-
                                                                       21      LISHMENTS.—Section 510(i) of the Federal Food, Drug,

                                                                       22 and Cosmetic Act (21 U.S.C. 360(i)) is amended by in-
                                                                       23 serting at the end the following new paragraph:
                                                                       24               ‘‘(5) The requirements of paragraphs (1) and (2)



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                                                                       25 shall apply to establishments within a foreign country en-


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                                                                         1 gaged in the manufacture, preparation, propagation, com-
                                                                         2 pounding, or processing of any drug, including the active
                                                                         3 pharmaceutical ingredient, or device that is required to be
                                                                         4 listed pursuant to subsection (j). Such requirements shall
                                                                         5 apply regardless of whether the drug, active pharma-
                                                                         6 ceutical ingredient, or device undergoes further manufac-
                                                                         7 ture, preparation, propagation, compounding, or proc-
                                                                         8 essing at a separate establishment or establishments out-
                                                                         9 side the United States prior to being imported or offered
                                                                       10 for import into the United States.’’.
                                                                       11               (b) LISTING OF DRUGS.—Section 510(j)(1) of the
                                                                       12 Federal Food, Drug, and Cosmetic Act (21 U.S.C.
                                                                       13 360(j)(1)) is amended—
                                                                       14                         (1) in subparagraph (D), by striking ‘‘and’’ at
                                                                       15               the end;
                                                                       16                         (2) in subparagraph (E), by striking the period
                                                                       17               at the end and inserting ‘‘; and’’; and
                                                                       18                         (3) by adding at the end the following new sub-
                                                                       19               paragraph:
                                                                       20                         ‘‘(F) in the case of a drug contained in the ap-
                                                                       21               plicable list, a certification that the registrant has—
                                                                       22                                  ‘‘(i) identified every other establishment
                                                                       23                         where manufacturing is performed for the drug;
                                                                       24                         and



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                                                                         1                                 ‘‘(ii) notified each known foreign establish-
                                                                         2                        ment engaged in the manufacture, preparation,
                                                                         3                        propagation, compounding, or processing of the
                                                                         4                        drug, including the active pharmaceutical ingre-
                                                                         5                        dient, of the inclusion of the drug in the list
                                                                         6                        and the obligation to register under subsection
                                                                         7                        (i)(5).’’.
                                                                         8              (c) QUARTERLY REPORTING.—Paragraph (3) of sec-
                                                                         9 tion 510(j) of the Federal Food, Drug, and Cosmetic Act
                                                                       10 (21 U.S.C. 360(j)), as amended by the CARES Act (Pub-
                                                                       11 lic Law 116–136), is amended to read as follows:
                                                                       12               ‘‘(3)(A) Subject to subparagraph (C) each person
                                                                       13 who registers with the Secretary under this section shall
                                                                       14 submit to the Secretary quarterly reports, in such elec-
                                                                       15 tronic data format as the Secretary requires, containing
                                                                       16 the following information, as applicable, with respect to
                                                                       17 all drugs, drug substances, and devices manufactured, pre-
                                                                       18 pared, propagated, compounded, or processed at the estab-
                                                                       19 lishment, whether for import into the United States or dis-
                                                                       20 tribution in another country:
                                                                       21                         ‘‘(i) With respect to a finished drug product—
                                                                       22                                  ‘‘(I) the number of dosage units manufac-
                                                                       23                         tured at each establishment since the last re-
                                                                       24                         port, broken down by—



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                                                                         1                                         ‘‘(aa) the number of dosage units
                                                                         2                                 manufactured at each establishment at
                                                                         3                                 which final manufacturing occurred, and
                                                                         4                                 the unique facility identifier of each such
                                                                         5                                 establishment;
                                                                         6                                         ‘‘(bb) the number of dosage units
                                                                         7                                 from each such establishment that were
                                                                         8                                 distributed (or are intended to be distrib-
                                                                         9                                 uted) for use in the United States and the
                                                                       10                                  number of dosage units that were distrib-
                                                                       11                                  uted (or are intended to be distributed) for
                                                                       12                                  use outside of the United States; and
                                                                       13                                  ‘‘(II) the sources of drug substances used
                                                                       14                         in the manufacturing of the finished drug prod-
                                                                       15                         uct, and, for each such source—
                                                                       16                                          ‘‘(aa) the unique facility identifier of
                                                                       17                                  each source of drug substance; and
                                                                       18                                          ‘‘(bb) the number of dosage units of
                                                                       19                                  the finished drug product manufactured
                                                                       20                                  using that drug substance from each
                                                                       21                                  source of drug substance; and
                                                                       22                                  ‘‘(III) the National Drug Code number.
                                                                       23                         ‘‘(ii) With respect to a drug substance—
                                                                       24                                  ‘‘(I) the amount of drug substance manu-



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                                                                       25                         factured at each establishment since the last re-


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                                                                         1                        port and the unique facility identifier of each
                                                                         2                        such establishment;
                                                                         3                                 ‘‘(II) the amount of the drug substance
                                                                         4                        manufactured at each such establishment that
                                                                         5                        was distributed (or are intended to be distrib-
                                                                         6                        uted) for use in the United States and the
                                                                         7                        amount that was distributed (or are intended to
                                                                         8                        be distributed) for use outside of the United
                                                                         9                        States; and
                                                                       10                                  ‘‘(III) the National Drug Code number.
                                                                       11                         ‘‘(iii) With respect to a device, the number of
                                                                       12               units manufactured at each establishment since the
                                                                       13               last report, broken down by—
                                                                       14                                  ‘‘(I) the number of units manufactured at
                                                                       15                         each establishment at which final manufac-
                                                                       16                         turing occurred, and the establishment identi-
                                                                       17                         fication number of each such establishment;
                                                                       18                         and
                                                                       19                                  ‘‘(II) the number of units from each such
                                                                       20                         establishment that were distributed (or are in-
                                                                       21                         tended to be distributed) for use in the United
                                                                       22                         States and the number of units that were dis-
                                                                       23                         tributed (or are intended to be distributed) for
                                                                       24                         use outside of the United States.



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                                                                         1              ‘‘(B) By order of the Secretary, certain biological
                                                                         2 products or categories of biological products may be ex-
                                                                         3 empt from some or all of the reporting requirements under
                                                                         4 subparagraph (A), if the Secretary determines, at the Sec-
                                                                         5 retary’s sole discretion, that applying such reporting re-
                                                                         6 quirements to such biological products or categories is not
                                                                         7 necessary to protect the public health.
                                                                         8              ‘‘(C) The determination of the appropriate structured
                                                                         9 electronic data format by the Secretary under subpara-
                                                                       10 graph (A), whether to exempt certain biological products
                                                                       11 or categories of biological products under subparagraph
                                                                       12 (B), and the date on which reporting begins under this
                                                                       13 section shall be exempt from the requirements of section
                                                                       14 553 of title 5, United States Code.’’.
                                                                       15               (d) EFFECTIVE DATE.—The amendments made by
                                                                       16 this section shall take effect on September 23, 2020.
                                                                       17               (e) CONFIDENTIALITY.—Nothing in the amendments
                                                                       18 made by this section shall be construed as authorizing the
                                                                       19 Secretary to disclose any information that is a trade secret
                                                                       20 or confidential information subject to section 552(b)(4) of
                                                                       21 title 5, United States Code, or section 1905 of title 18,
                                                                       22 United States Code.




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                                                                         1     SEC. 5. REQUIRING FDA TO SHARE MANUFACTURING IN-

                                                                         2                             FORMATION WITH ASPR AND THE ASSISTANT

                                                                         3                             SECRETARY OF DEFENSE FOR HEALTH AF-

                                                                         4                             FAIRS.

                                                                         5              (a) IN GENERAL.—Beginning as soon as practicable,
                                                                         6 but not later than 1 year after the date of enactment of
                                                                         7 this Act, the Secretary of Health and Human Services,
                                                                         8 acting through the Commissioner of Food and Drugs,
                                                                         9 shall provide to the Assistant Secretary for Preparedness
                                                                       10 and Response and the Assistant Secretary of Defense for
                                                                       11 Health Affairs all drug and device manufacturing data de-
                                                                       12 scribed in subsection (b), as appropriate and applicable,
                                                                       13 for any of the following purposes:
                                                                       14                         (1) Maintaining the strategic national stockpile
                                                                       15               under section 319F–2 of the Public Health Service
                                                                       16               Act (42 U.S.C. 247d–6b).
                                                                       17                         (2) Evaluating health infrastructure under the
                                                                       18               Division of Critical Infrastructure Protection of the
                                                                       19               Office of the Assistant Secretary for Preparedness
                                                                       20               and Response.
                                                                       21                         (3) Preparing for and responding to public
                                                                       22               health emergencies and national security concerns.
                                                                       23                         (4) Mitigating potential drug shortages.
                                                                       24               (b) REPORTING PROVISIONS.—The drug and device




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                                                                       25 manufacturing data required to be provided as described
                                                                       26 in subsection (a) includes—
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                                                                         1                        (1) information reported by any manufacturer
                                                                         2              under subsection (a) or (k) of section 506C(a) of the
                                                                         3              Federal Food, Drug, and Cosmetic Act (21 U.S.C.
                                                                         4              356c) or subsection (a) or (j) of section 506J of
                                                                         5              such Act (21 U.S.C. 356j);
                                                                         6                        (2) any risk management plan under section
                                                                         7              506C(j) of such Act (21 U.S.C. 356c(j)) that is
                                                                         8              made available to the Secretary pursuant to such
                                                                         9              section;
                                                                       10                         (3) records or other information provided under
                                                                       11               section 704(a)(4) of such Act (21 U.S.C. 374(a)(4));
                                                                       12               and
                                                                       13                         (4) to the extent not already provided, the loca-
                                                                       14               tions where each drug that is a subject of a report
                                                                       15               or plan under paragraph (1), (2), or (3) is manufac-
                                                                       16               tured.
                                                                       17               (c) MEMORANDA OF UNDERSTANDING.—The Com-
                                                                       18 missioner of Food and Drugs and the Assistant Secretary
                                                                       19 for Preparedness and Response, and the Commissioner of
                                                                       20 Food and Drugs and the Assistant Secretary of Defense
                                                                       21 for Health Affairs, shall enter into memoranda of under-
                                                                       22 standing to set forth the manner in which data will be
                                                                       23 shared under this section and the procedures for pro-
                                                                       24 tecting any nonpublic data from further disclosure.



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