About Intellectual Property IP Training Respect for IP IP Outreach IP for… IP and... IP in... Patent & Technology Information Trademark Information Industrial Design Information Geographical Indication Information Plant Variety Information (UPOV) IP Laws, Treaties & Judgements IP Resources IP Reports Patent Protection Trademark Protection Industrial Design Protection Geographical Indication Protection Plant Variety Protection (UPOV) IP Dispute Resolution IP Office Business Solutions Paying for IP Services Negotiation & Decision-Making Development Cooperation Innovation Support Public-Private Partnerships AI Tools & Services The Organization Working with WIPO Accountability Patents Trademarks Industrial Designs Geographical Indications Copyright Trade Secrets WIPO Academy Workshops & Seminars IP Enforcement WIPO ALERT Raising Awareness World IP Day WIPO Magazine Case Studies & Success Stories IP News WIPO Awards Business Universities Indigenous Peoples Judiciaries Genetic Resources, Traditional Knowledge and Traditional Cultural Expressions Economics Finance Intangible Assets Gender Equality Global Health Climate Change Competition Policy Sustainable Development Goals Frontier Technologies Mobile Applications Sports Tourism PATENTSCOPE Patent Analytics International Patent Classification ARDI – Research for Innovation ASPI – Specialized Patent Information Global Brand Database Madrid Monitor Article 6ter Express Database Nice Classification Vienna Classification Global Design Database International Designs Bulletin Hague Express Database Locarno Classification Lisbon Express Database Global Brand Database for GIs PLUTO Plant Variety Database GENIE Database WIPO-Administered Treaties WIPO Lex - IP Laws, Treaties & Judgments WIPO Standards IP Statistics WIPO Pearl (Terminology) WIPO Publications Country IP Profiles WIPO Knowledge Center WIPO Technology Trends Global Innovation Index World Intellectual Property Report PCT – The International Patent System ePCT Budapest – The International Microorganism Deposit System Madrid – The International Trademark System eMadrid Article 6ter (armorial bearings, flags, state emblems) Hague – The International Design System eHague Lisbon – The International System of Appellations of Origin and Geographical Indications eLisbon UPOV PRISMA UPOV e-PVP Administration UPOV e-PVP DUS Exchange Mediation Arbitration Expert Determination Domain Name Disputes Centralized Access to Search and Examination (CASE) Digital Access Service (DAS) WIPO Pay Current Account at WIPO WIPO Assemblies Standing Committees Calendar of Meetings WIPO Webcast WIPO Official Documents Development Agenda Technical Assistance IP Training Institutions COVID-19 Support National IP Strategies Policy & Legislative Advice Cooperation Hub Technology and Innovation Support Centers (TISC) Technology Transfer Inventor Assistance Program WIPO GREEN WIPO's Pat-INFORMED Accessible Books Consortium WIPO for Creators WIPO Translate Speech-to-Text Classification Assistant Member States Observers Director General Activities by Unit External Offices Job Vacancies Procurement Results & Budget Financial Reporting Oversight
Arabic English Spanish French Russian Chinese
Laws Treaties Judgments Browse By Jurisdiction

Federal Food, Drug, and Cosmetic Act, 21 U.S.C. §§ 301 et seq., United States of America

Back
Superseded Text  Go to latest Version in WIPO Lex
Details Details Year of Version 2004 Dates Amended up to: January 6, 2020 Type of Text IP-related Laws Subject Matter Patents (Inventions), Competition, Undisclosed Information (Trade Secrets), Enforcement of IP and Related Laws, Transfer of Technology Notes Originally passed by Congress in 1938, the FD&C Act is a set of laws giving authority to the U.S. Food and Drug Administration (FDA) to oversee the safety and efficacy of food, drugs, and cosmetics. Since then, the FD&C Act has been amended numerous times, including by the Drug Price Competition and Patent Term Restoration Act (a.k.a. the Hatch-Waxman Act) of 1984. This federal law set forth a process by which producers of generic drugs can file Abbreviated New Drug Applications (ANDAs) to seek FDA approval before the patent protection period has expired for the branded counterpart (see Chapter V, Subchapter A - ‘New Drugs,’ section 505(j) (21 U.S.C. 355(j)). Also, first-to-file ANDA holders are granted 180 days of generic exclusivity (see Chapter V, Subchapter A - ‘New Drugs,’ section 505(j)(5)(B)(iv)).

Please note that section 505 appears in the U.S. Code as section number 21 U.S.C 355.

Implementing regulations can be found in the Code of Federal Regulations Title 21.

Available Materials

Main Text(s) Related Text(s)
Main text(s) Main text(s) English Federal Food, Drug, and Cosmetic Act, 21 U.S.C. §§ 301 et seq.        
 Federal Food, Drug, and Cosmetic Act

Federal Food, Drug, and Cosmetic Act As amended through December 31, 2004 (See note below)

Chapter I--Short Title Chapter II--Definitions Chapter III--Prohibited Acts and Penalties Chapter IV--Food Chapter V--Drugs and Devices:

Subchapter A--Drugs and Devices: Sections 501-510: Drugs and Devices Section 512: New Animal Drugs Sections 513-523: Medical Devices Subchapter B--Drugs for Rare Diseases and Conditions Subchapter C--Electronic Product Radiation Control Subchapter D--Dissemination of Treatment Information Subchapter E--General Provisions Relating to Drugs and Devices Subchapter F—New Animal Drugs for Minor Use and Minor Species

Chapter VI--Cosmetics Chapter VII--General Authority: Subchapter A--General Administrative Provisions Subchapter B--Colors Subchapter C--Fees Subchapter D--Information and Education Subchapter E--Environmental Impact Review Subchapter F--National Uniformity for Nonprescription Drugs and Preemption for Labeling or Packaging of Cosmetics Subchapter G--Safety Reports

Chapter VIII--Imports and Exports Chapter IX--Miscellaneous

Appendix: Section 107(c) of Drug Amendments of 1962 Public Law 88-136; Revolving Fund Section 108 of Animal Drug Amendments of 1968

Section 5 of Orphan Drug Act

Cross-reference of FD&C Act and U.S. Code section numbers

The FDA's online reference edition of the Federal Food, Drug and Cosmetic Act is based on the publication Compilation of Selected Acts Within the Jurisdiction of the Committee on Energy and Commerce; Food, Drug, and Related Law, As Amended Through December 31, 2004, prepared for the use of the Committee on Energy and Commerce, U.S. House of Representatives, March 2005. Some updates to the Act were incorporated in November 2007.

CHAPTER I— SHORT TITLE

Section 1 . [21 U.S.C. 301] This Act may be cited as the Federal Food, Drug, and Cosmetic

Act.

CHAPTER II—DEFINITIONS1

SEC. 201. [21 U.S.C. 321] For the purposes of this Act— 2

(a)(1) The term "State", except as used in the last sentence of section 702(a), means any

State or Territory of the United States , the District of Columbia , and the Commonwealth of

Puerto Rico .

(2) The term "Territory" means any Territory or possession of the United States , including the

District of Columbia , and excluding the Commonwealth of Puerto Rico and the Canal Zone.

(b) The term "interstate commerce" means (1) commerce between any State or Territory and

any place outside thereof, and (2) commerce within the District of Columbia or within any other

Territory not organized with a legislative body.

(c) The term "Department" means the Department of Health and Human Services.

(d) The term "Secretary" means the Secretary of Health and Human Services.

(e) The term "person" includes individual, partnership, corporation, and association.

(f) 1 The term "food" means (1) articles used for food or drink for man or other animals, (2)

chewing gum, and (3) articles used for components of any such article.

(g)(1) The term "drug" means (A) articles recognized in the official United States

Pharmacopeia, official Homeopathic Pharmacopeia of the United States, or official National

Formulary, or any supplement to any of them; and (B) articles intended for use in the diagnosis,

cure, mitigation, treatment, or prevention of disease in man or other animals; and (C) articles

(other than food) intended to affect the structure or any function of the body of man or other

animals; and (D) articles intended for use as a component of any articles specified in clause

(A), (B), or (C). A food or dietary supplement for which a claim, subject to sections 403(r)(1)(B)

and 403(r)(3) or sections 403(r)(1)(B) and 403(r)(5)(D), is made in accordance with the

requirements of section 403(r) is not a drug solely because the label or the labeling contains

such a claim. A food, dietary ingredient, or dietary supplement for which a truthful and not

misleading statement is made in accordance with section 403(r)(6) is not a drug under clause

(C) solely because the label or the labeling contains such a statement.

(2) The term "counterfeit drug" means a drug which, or the container or labeling of which,

without authorization, bears the trademark, trade name, or other identifying mark, imprint, or

device, or any likeness thereof, of a drug manufacturer, processor, packer, or distributor other

than the person or persons who in fact manufactured, processed, packed, or distributed such

drug and which thereby falsely purports or is represented to be the product of, or to have been

packed or distributed by, such other drug manufacturer, processor, packer, or distributor.

(h) The term "device" (except when used in paragraph (n) of this section and in sections 301(i),

403(f), 502(c), and 602(c)) means an instrument, apparatus, implement, machine, contrivance,

implant, in vitro reagent, or other similar or related article, including any component, part, or

accessory, which is—

(1) recognized in the official National Formulary, or the United States Pharmacopeia, or any

supplement to them,

(2) intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation,

treatment, or prevention of disease, in man or other animals, or

(3) intended to affect the structure or any function of the body of man or other animals, and

which does not achieve its primary intended purposes through chemical action within or on the

body of man or other animals and which is not dependent upon being metabolized for the

achievement of its primary intended purposes.

(i) The term "cosmetic" means (1) articles intended to be rubbed, poured, sprinkled, or sprayed

on, introduced into, or otherwise applied to the human body or any part thereof for cleansing,

beautifying, promoting attractiveness, or altering the appearance, and (2) articles intended for

use as a component of any such articles; except that such term shall not include soap.

(j) The term "official compendium" means the official United States Pharmacopeia, official

Homeopathic Pharmacopeia of the United States , official National Formulary, or any

supplement to any of them.

(k) The term "label" means a display of written, printed, or graphic matter upon the immediate

container of any article; and a requirement made by or under authority of this Act that any word,

statement, or other information appear on the label shall not be considered to be complied with

unless such word, statement, or other information also appears on the outside container or

wrapper, if any there be, of the retail package of such article, or is easily legible through the

outside container or wrapper.

(l) The term "immediate container" does not include package liners.

(m) The term "labeling" means all labels and other written, printed, or graphic matter (1) upon

any article or any of its containers or wrappers, or (2) accompanying such article.

(n) If an article is alleged to be misbranded because the labeling or advertising is misleading,

then in determining whether the labeling or advertising is misleading there shall be taken into

account (among other things) not only representations made or suggested by statement, word,

design, device, or any combination thereof, but also the extent to which the labeling or

advertising fails to reveal facts material in the light of such representations or material with

respect to consequences which may result from the use of the article to which the labeling or

advertising relates under the conditions of use prescribed in the labeling or advertising thereof

or under such conditions of use as are customary or usual.

(o) The representation of a drug, in its labeling, as an antiseptic shall be considered to be a

representation that it is a germicide, except in the case of a drug purporting to be, or

represented as, an antiseptic for inhibitory use as a wet dressing, ointment, dusting powder, or

such other use as involves prolonged contact with the body.

(p) 3 The term "new drug" means—

(1) Any drug (except a new animal drug or an animal feed bearing or containing a new animal

drug) the composition of which is such that such drug is not generally recognized, among

experts qualified by scientific training and experience to evaluate the safety and effectiveness

of drugs, as safe and effective for use under the conditions prescribed, recommended, or

suggested in the labeling thereof, except that such a drug not so recognized shall not be

deemed to be a "new drug" if at any time prior to the enactment of this Act it was subject to the

Food and Drugs Act of June 30, 1906, as amended, and if at such time its labeling contained

the same representations concerning the conditions of its use; or

(2) Any drug (except a new animal drug or an animal feed bearing or containing a new animal

drug) the composition of which is such that such drug, as a result of investigations to

determine its safety and effectiveness for use under such conditions, has become so

recognized, but which has not, otherwise than in such investigations, been used to a material

extent or for a material time under such conditions.

(q)(1)(A) Except as provided in clause (B), the term "pesticide chemical" means any substance

that is a pesticide within the meaning of the Federal Insecticide, Fungicide, and Rodenticide

Act, including all active and inert ingredients of such pesticide. Notwithstanding any other

provision of law, the term 'pesticide' within such meaning includes ethylene oxide and

propylene oxide when such substances are applied on food.

(B) In the case of the use, with respect to food, of a substance described in clause (A) to

prevent, destroy, repel, or mitigate microorganisms (including bacteria, viruses, fungi, protozoa,

algae, and slime), the following applies for purposes of clause (A):

(i) The definition in such clause for the term "pesticide chemical" does not include the

substance if the substance is applied for such use on food, or the substance is included for

such use in water that comes into contact with the food, in the preparing, packing, or holding of

the food for commercial purposes. The substance is not excluded under this subclause from

such definition if the substance is ethylene oxide or propylene oxide, and is applied for such

use on food. The substance is not so excluded if the substance is applied for such use on a

raw agricultural commodity, or the substance is included for such use in water that comes into

contact with the commodity, as follows:

(I) The substance is applied in the field.

(II) The substance is applied at a treatment facility where raw agricultural commodities are the

only food treated, and the treatment is in a manner that does not change the status of the food

as a raw agricultural commodity (including treatment through washing, waxing, fumigating, and

packing such commodities in such manner).

(III) The substance is applied during the transportation of such commodity between the field

and such a treatment facility.

(ii) The definition in such clause for the term "pesticide chemical" does not include the

substance if the substance is a food contact substance as defined in section 409(h)(6), and

any of the following circumstances exist: The substance is included for such use in an object

that has a food contact surface but is not intended to have an ongoing effect on any portion of

the object; the substance is included for such use in an object that has a food contact surface

and is intended to have an ongoing effect on a portion of the object but not on the food contact

surface; or the substance is included for such use in or is applied for such use on food

packaging (without regard to whether the substance is intended to have an ongoing effect on

any portion of the packaging). The food contact substance is not excluded under this

subclause from such definition if any of the following circumstances exist: The substance is

applied for such use on a semipermanent or permanent food contact surface (other than being

applied on food packaging); or the substance is included for such use in an object that has a

semipermanent or permanent food contact surface (other than being included in food

packaging) and the substance is intended to have an ongoing effect on the food contact

surface.

With respect to the definition of the term "pesticide" that is applicable to the Federal Insecticide,

Fungicide, and Rodenticide Act, this clause does not exclude any substance from such

definition.

(2) The term "pesticide chemical residue" means a residue in or on raw agricultural commodity

or processed food of—

(A) a pesticide chemical; or

(B) any other added substance that is present on or in the commodity or food primarily as a

result of the metabolism or other degradation of a pesticide chemical.

(3) Notwithstanding subparagraphs (1) and (2), the Administrator may by regulation except a

substance from the definition of "pesticide chemical" or "pesticide chemical residue" if—

(A) its occurrence as a residue on or in a raw agricultural commodity or processed food is

attributable primarily to natural causes or to human activities not involving the use of any

substances for a pesticidal purpose in the production, storage, processing, or transportation of

any raw agricultural commodity or processed food; and

(B) the Administrator, after consultation with the Secretary, determines that the substance

more appropriately should be regulated under one or more provisions of this Act other than

sections 402(a)(2)(B) and 408.

(r) The term "raw agricultural commodity" means any food in its raw or natural state, including

all fruits that are washed, colored, or otherwise treated in their unpeeled natural form prior to

marketing.

(s) The term "food additive" means any substance the intended use of which results or may

reasonably be expected to result, directly or indirectly, in its becoming a component or

otherwise affecting the characteristics of any food (including any substance intended for use in

producing, manufacturing, packing, processing, preparing, treating, packaging, transporting, or

holding food; and including any source of radiation intended for any such use), if such

substance is not generally recognized, among experts qualified by scientific training and

experience to evaluate its safety, as having been adequately shown through scientific

procedures (or, in the case of a substance used in food prior to January 1, 1958, through either

scientific procedures or experience based on common use in food) to be safe under the

conditions of its intended use; except that such term does not include—

(1) a pesticide chemical residue in or on a raw agricultural commodity or processed food; or

(2) a pesticide chemical; or

(3) a color additive; or

(4) any substance used in accordance with a sanction or approval granted prior to the

enactment of this paragraph 4 pursuant to this Act, the Poultry Products Inspection Act (21

U.S.C. 451 and the following) or the Meat Inspection Act of March 4, 1907 (34 Stat. 1260), as

amended and extended (21 U.S.C. 71 and the following);

(5) a new animal drug; or

(6) an ingredient described in paragraph (ff) in, or intended for use in, a dietary supplement.

(t)(1) The term "color additive" means a material which—

(A) is a dye, pigment, or other substance made by a process of synthesis or similar artifice, or

extracted, isolated, or otherwise derived, with or without intermediate or final change of identity,

from a vegetable, animal, mineral, or other source, and

(B) when added or applied to a food, drug, or cosmetic, or to the human body or any part

thereof, is capable (alone or through reaction with other substance) of imparting color thereto;

except that such term does not include any material which the Secretary, by regulation,

determines is used (or intended to be used) solely for a purpose or purposes other than

coloring.

(2) The term "color" includes black, white, and intermediate grays.

(3) Nothing in subparagraph (1) of this paragraph shall be construed to apply to any pesticide

chemical, soil or plant nutrient, or other agricultural chemical solely because of its effect in

aiding, re other natural physiological processes of produce of the soil and thereby affecting its

color, whether before or after harvest.

(u) The term "safe," as used in paragraph (s) of this section and in sections 409, 512, 571, and

721, has reference to the health of man or animal.

(v) The term "new animal drug" means any drug intended for use for animals other than man,

including any drug intended for use in animal feed but not including such animal feed—

(1) the composition of which is such that such drug is not generally recognized, among experts

qualified by scientific training and experience to evaluate the safety and effectiveness of

animal drugs, as safe and effective for use under the conditions prescribed, recommended, or

suggested in the labeling thereof; except that such a drug not so recognized shall not be

deemed to be a "new animal drug" if at any time prior to June 25, 1938, it was subject to the

Food and Drug Act of June 30, 1906, as amended, and if at such time its labeling contained

the same representations concerning the conditions of its use; or

(2) the composition of which is such that such drug, as a result of investigations to determine

its safety and effectiveness for use under such conditions, has become so recognized but

which has not, otherwise than in such investigations, been used to a material extent or for a

material time under such conditions.

Provided that 5 any drug intended for minor use or use in a minor species that is not the

subject of a final regulation published by the Secretary through notice and comment

rulemaking finding that the criteria of paragraphs (1) and (2) have not been met (or that the

exception to the criterion in paragraph (1) has been met) is a new animal drug.

(w) The term "animal feed", as used in paragraph (w) 6 of this section, in section 512, and in

provisions of this Act referring to such paragraph or section, means an article which is

intended for use for food for animals other than man and which is intended for use as a

substantial source of nutrients in the diet of the animal, and is not limited to a mixture intended

to be the sole ration of the animal.

(x) The term "informal hearing" means a hearing which is not subject to section 554, 556, or

557 of title 5 of the United States Code and which provides for the following:

(1) The presiding officer in the hearing shall be designated by the Secretary from officers and

employees of the Department who have not participated in any action of the Secretary which is

the subject of the hearing and who are not directly responsible to an officer or employee of the

Department who has participated in any such action.

(2) Each party to the hearing shall have the right at all times to be advised and accompanied

by an attorney.

(3) Before the hearing, each party to the hearing shall be given reasonable notice of the

matters to be considered at the hearing, including a comprehensive statement of the basis for

the action taken or proposed by the Secretary which is the subject of the hearing and a general

summary of the information which will be presented by the Secretary at the hearing in support

of such action.

(4) At the hearing the parties to the hearing shall have the right to hear a full and complete

statement of the action of the Secretary which is the subject of the hearing together with the

information and reasons supporting such action, to conduct reasonable questioning, and to

present any oral or written information relevant to such action.

(5) The presiding officer in such hearing shall prepare a written report of the hearing to which

shall be attached all written material presented at the hearing. The participants in the hearing

shall be given the opportunity to review and correct or supplement the presiding officer's report

of the hearing.

(6) The Secretary may require the hearing to be transcribed. A party to the hearing shall have

the right to have the hearing transcribed at his expense. Any transcription of a hearing shall be

included in the presiding officer's report of the hearing.

(y) The term "saccharin" includes calcium saccharin, sodium saccharin, and ammonium

saccharin.

(z) The term "infant formula" means a food which purports to be or is represented for special

dietary use solely as a food for infants by reason of its simulation of human milk or its suitability

as a complete or partial substitute for human milk.

(aa) The term "abbreviated drug application" means an application submitted under section

505(j) for the approval of a drug that relies on the approved application of another drug with the

same active ingredient to establish safety and efficacy, and—

(1) in the case of section 306, includes a supplement to such an application for a different or

additional use of the drug but does not include a supplement to such an application for other

than a different or additional use of the drug, and

(2) in the case of sections 307 and 308, includes any supplement to such an application.

(bb) The term "knowingly" or "knew" means that a person, with respect to information—

(1) has actual knowledge of the information, or

(2) acts in deliberate ignorance or reckless disregard of the truth or falsity of the information.

(cc) For purposes of section 306, the term "high managerial agent"—

(1) means—

(A) an officer or director of a corporation or an association,

(B) a partner of a partnership, or

(C) any employee or other agent of a corporation, association, or partnership, having duties

such that the conduct of such officer, director, partner, employee, or agent may fairly be

assumed to represent the policy of the corporation, association, or partnership, and

(2) includes persons having management responsibility for—

(A) submissions to the Food and Drug Administration regarding the development or approval

of any drug product, any drug product, or

(B) production, quality assurance, or quality control of any drug product, or

(C) research and development of any drug product.

(dd) For purposes of sections 306 and 307, the term "drug product" means a drug subject to

regulation under section 505, 512, or 802 of this Act or under section 351 of the Public Health

Service Act.

(ee) The term "Commissioner" means the Commissioner of Food and Drugs.

(ff) The term "dietary supplement"—

(1) means a product (other than tobacco) intended to supplement the diet that bears or

contains one or more of the following dietary ingredients:

(A) a vitamin;

(B) a mineral;

(C) an herb or other botanical;

(D) an amino acid;

(E) a dietary substance for use by man to supplement the diet by increasing the total dietary

intake; or

(F) a concentrate, metabolite, constituent, extract, or combination of any ingredient described

in clause (A), (B), (C), (D), or (E);

(2) means a product that—

(A)(i) is intended for ingestion in a form described in section 411(c)(1)(B)(i); or

(ii) complies with section 411(c)(1)(B)(ii);

(B) is not represented for use as a conventional food or as a sole item of a meal or the diet;

and

(C) is labeled as a dietary supplement; and

(3) does—

(A) include an article that is approved as a new drug under section 505 or licensed as a

biologic under section 351 of the Public Health Service Act (42 U.S.C. 262) and was, prior to

such approval, certification, or license, marketed as a dietary supplement or as a food unless

the Secretary has issued a regulation, after notice and comment, finding that the article, when

used as or in a dietary supplement under the conditions of use and dosages set forth in the

labeling for such dietary supplement, is unlawful under section 402(f); and

(B) not include—

(i) an article that is approved as a new drug under section 505, certified as an antibiotic under

section 507 7, or licensed as a biologic under section 351 of the Public Health Service Act (42

U.S.C. 262), or

(ii) an article authorized for investigation as a new drug, antibiotic, or biological for which

substantial clinical investigations have been instituted and for which the existence of such

investigations has been made public, which was not before such approval, certification,

licensing, or authorization marketed as a dietary supplement or as a food unless the Secretary,

in the Secretary's discretion, has issued would be lawful under this Act.

Except for purposes of section 201(g), a dietary supplement shall be deemed to be a food

within the meaning of this Act.

(gg) The term "processed food" means any food other than a raw agricultural commodity and

includes any raw agricultural commodity that has been subject to processing, such as canning,

cooking, freezing, dehydration, or milling.

(hh) The term "Administrator" means the Administrator of the United States Environmental

Protection Agency.

(ii) The term "compounded positron emission tomography drug"—

(1) means a drug that—

(A) exhibits spontaneous disintegration of unstable nuclei by the emission of positrons and is

used for the purpose of providing dual photon positron emission tomographic diagnostic

images; and

(B) has been compounded by or on the order of a practitioner who is licensed by a State to

compound or order compounding for a drug described in subparagraph (A), and is

compounded in accordance with that State's law, for a patient or for research, teaching, or

quality control; and

(2) includes any nonradioactive reagent, reagent kit, ingredient, nuclide generator, accelerator,

target material, electronic synthesizer, or other apparatus or computer program to be used in

the preparation of such a drug.

(jj) The term "antibiotic drug" means any drug (except drugs for use in animals other than

humans) composed wholly or partly of any kind of penicillin, streptomycin, chlortetracycline,

chloramphenicol, bacitracin, or any other drug intended for human use containing any quantity

of any chemical substance which is produced by a micro-organism and which has the capacity

to inhibit or destroy micro-organisms in dilute solution (including a chemically synthesized

equivalent of any such substance) or any derivative thereof.

(kk) 8 Priority Supplement- The term "priority supplement" means a drug application referred

to in section 101(4) of the Food and Drug Administration Modernization Act of 1997 (111 Stat.

2298).

(ll)(1) The term "single-use device" means a device that is intended for one use, or on a single

patient during a single procedure.

(2)(A) The term "reprocessed", with respect to a single-use device, means an original device

that has previously been used on a patient and has been subjected to additional processing

and manufacturing for the purpose of an additional single use on a patient. The subsequent

processing and manufacture of a reprocessed single-use device shall result in a device that is

reprocessed within the meaning of this definition.

(B) A single-use device that meets the definition under clause (A) shall be considered a

reprocessed device without regard to any description of the device used by the manufacturer

of the device or other persons, including a description that uses the term "recycled" rather than

the term "reprocessed".

(3) The term "original device" means a new, unused single-use device.

(mm)(1) The term "critical reprocessed single-use device" means a reprocessed single-use

device that is intended to contact normally sterile tissue or body spaces during use.

(2) The term "semi-critical reprocessed single-use device" means a reprocessed single-use

device that is intended to contact intact mucous membranes and not penetrate normally sterile

areas of the body.

(nn) The term "major species" means cattle, horses, swine, chickens, turkeys, dogs, and cats,

except that the Secretary may add species to this definition by regulation.

(oo) The term "minor species" means animals other than humans that are not major species.

(pp) The term "minor use" means the intended use of a drug in a major species for an

indication that occurs infrequently and in only a small number of animals or in limited

geographical areas and in only a small number of animals annually.

(qq) The term "major food allergen" means any of the following:

(1) Milk, egg, fish (e.g., bass, flounder, or cod), Crustacean shellfish (e.g., crab, lobster, or

shrimp), tree nuts (e.g., almonds, pecans, or walnuts), wheat, peanuts, and soybeans.

(2) A food ingredient that contains protein derived from a food specified in paragraph 9 (1),

except the following:

(A) Any highly refined oil derived from a food specified in paragraph (1) and any ingredient

derived from such highly refined oil.

(B) A food ingredient that is exempt under paragraph (6) or (7) of section 403(w).

Footnotes: Chapter II

1. The following additional definitions applicable to this Act are provided for in other Acts:

Butter. The Act of March 4, 1923 (21 U.S.C. 321a), defines butter as "the food product usually

known as butter, and which is made exclusively from milk or cream, or both, with or without

common salt, and with or without additional coloring matter, and containing not less than 80

per centum by weight of milk fat, all tolerances having been allowed for."

Package. The Act of July 24, 1919 (21 U.S.C. 321b), states "The word 'package' shall include

and shall be construed to include wrapped meats inclosed in papers or other materials as

prepared by the manufacturers thereof for sale."

Nonfat Dry Milk, Milk. The Act of July 2, 1956 (21 U.S.C. 321c), defines nonfat dry milk as "the

product resulting from the removal of fat and water from milk, and contains the lactose, milk

proteins, and milk minerals in the same relative proportions as in the fresh milk from which

made. It contains not over 5 per centum by weight of moisture. The fat content is not over 11⁄2

per centum by weight unless otherwise indicated.", and defines milk to mean sweet milk of

cows.

2. See footnote for section 403(h)(3) regarding the stylistic use of a list consisting of "(a)",

"(b)", etc.

3. The amendments made to this Act by the Drug Amendments of 1962 included amendments

establishing the requirement that new drugs be effective. Section 107(c) of such Public Law

concerned the applicability of the amendments, and is included in the appendix to this

compilation.

4. Paragraph (s) was added by Public Law 85–929, which was enacted September 6, 1958.

5. The proviso appears so as to reflect the probable intent of the Congress. See section

102(b)(5)(B) of Public Law 108–282, which in amending section 201(v) above referred to

"paragraph (2)" of the section. The reference probably should have been to "subparagraph (2)".

(See

footnote for section 403(h)(3) regarding the stylistic use of a list consisting of "(a)", "(b)", etc.)

With respect to the placement of the proviso, section 102(b)(5)(B) of such Public Law provided

for placement "after" paragraph (2) (not at the end of paragraph (2)), yet did not indicate

separate

indentation. The proviso has been placed after and below subparagraph (2), with separate

indentation, to indicate the probable intent of the Congress, although such placement of matter

that is not a complete sentence calls for striking the period at the end of subparagraph (2) and

inserting a semicolon, which section 102(b)(5)(B) of such Public Law did not do. (Compare

with

matter after and below section 201(t)(1)(B), for example.)

6. So in law. Probably should be paragraph "(v)".

7. So in law. Section 507 was repealed by section 125(b)(1) of Public Law 105–115 (111 Stat.

2325).

8. Indentation is so in law. See section 5(b)(1) of Public Law 107–109 (115 Stat. 1413).

9. So in law. See section 203(c)(1) of Public Law 108–282. Probably should be

"subparagraph". See footnote for section 403(h)(3).

CHAPTER III—PROHIBITED ACTS AND PENALTIES

PROHIBITED ACTS

SEC. 301. [ 21 U.S.C. 331] [Caution: See prospective amendment note below.] The

following acts and the causing thereof are hereby prohibited: 1

(a) The introduction or delivery for introduction into interstate commerce of any food, drug,

device, or cosmetic that is adulterated or misbranded.

(b) The adulteration or misbranding of any food, drug, device, or cosmetic in interstate

commerce.

(c) The receipt in interstate commerce of any food, drug, device, or cosmetic that is

adulterated or misbranded, and the delivery or proffered delivery thereof for pay or otherwise.

(d) The introduction or delivery for introduction into interstate commerce of any article in

violation of section 404, 505 or 564.

(e) The refusal to permit access to or copying of any record as required by section 412, 414,

416, 504, 564, 703 or 704(a); or the failure to establish or maintain any record, or make any

report, required under section 412, 414(b), 416, 504, 505(i) or (k), 512(a)(4)(C), 512 (j), (l) or

(m), 572(i), 2 515(f), 519, or 564, or the refusal to permit access to or verification or copying of

any such required record.

(f) The refusal to permit entry or inspection as authorized by section 704.

(g) The manufacture, within any Territory of any food, drug, device, or cosmetic that is

adulterated or misbranded.

(h) The giving of a guaranty or undertaking referred to in section 333(c)(2), which guaranty or

undertaking is false, except by a person who relied upon a guaranty or undertaking to the

same effect signed by, containing the name and address of, the person residing in the United

States from whom he received in good faith the food, drug, device, or cosmetic; or the giving of

a guaranty or undertaking referred to in section 333(c)(3), which guaranty or undertaking is

false.

(i) (1) Forging, counterfeiting, simulating, or falsely representing, or without proper authority

using any mark, stamp, tag, label, or other identification device authorized or required by

regulations promulgated under the provisions of section 404, or 721.

(2) Making, selling, disposing of, or keeping in possession, control, or custody, or concealing

any punch, die, plate, stone, or other thing designed to print, imprint, or reproduce the

trademark, trade name, or other identifying mark, imprint, or device of another or any likeness

of any of the foregoing upon any drug or container or labeling thereof so as to render such

drug a counterfeit drug.

(3) The doing of any act which causes a drug to be a counterfeit drug, or the sale or dispensing,

or the holding for sale or dispensing, of a counterfeit drug.

(j) The using by any person to his own advantage, or revealing, other than to the Secretary or

officers or employees of the Department, or to the courts when relevant in any judicial

proceeding under this Act, any information acquired under authority of section 404, 409, 412,

414, 505, 510, 512, 513, 514, 515, 516, 518, 519, 520, 571, 572, 573 , 3 704, 708, or 721

concerning any method or process which as a trade secret is entitled to protection; or the

violating of section 408(i)(2) or any regulation issued under that section. 4 This paragraph

does not authorize the withholding of information from either House of Congress or from, to the

extent of matter within its jurisdiction, any committee or subcommittee of such committee or

any joint committee of Congress or any subcommittee of such joint committee.

(k) The alteration, mutilation, destruction, obliteration, or removal of the whole or any part of

the labeling of, or the doing of any other act with respect to, a food, drug, device, or cosmetic, if

such act is done while such article is held for sale (whether or not the first sale) after shipment

in interstate commerce and results in such article being adulterated or misbranded.

(l) [Deleted] 5

(m) The sale or offering for sale of colored oleomargarine or colored margarine, or the

possession or serving of colored oleomargarine or colored margarine in violation of sections

407(b) or 407(c).

(n) The using, in labeling, advertising or other sales promotion of any reference to any report or

analysis furnished in compliance with section 704.

(o) In the case of a prescription drug distributed or offered for sale in interstate commerce, the

failure of the manufacturer, packer, or distributor thereof to maintain for transmittal, or to

transmit, to any practitioner licensed by applicable State law to administer such drug who

makes written request for information as to such drug, true and correct copies of all printed

matter which is required to be included in any package in which that drug is distributed or sold,

or such other printed matter as is approved by the Secretary. Nothing in this paragraph shall

be construed to exempt any person from any labeling requirement imposed by or under other

provisions of this Act .

(p) The failure to register in accordance with section 510, the failure to provide any information

required by section 510(j) or 510(k), 21 USC § 360(j) or (k)] or the failure to provide a notice

required by section 510(j)(2).

(q)(1) The failure or refusal to (A) comply with any requirement prescribed under section 518

or 520(g), (B) furnish any notification or other material or information required by or under

section 519 or 520(g), or (C) comply with a requirement under section 522.

(2) With respect to any device, the submission of any report that is required by or under this

Act that is false or misleading in any material respect.

(r) The movement of a device in violation of an order under section 304(g) or the removal or

alteration of any mark or label required by the order to identify the device as detained.

(s) The failure to provide the notice required by section 412(c) or 412(e), the failure to make

the reports required by section 412(f)(1)(B), the failure to retain the records required by section

412(b)(4), or the failure to meet the requirements prescribed under section 412(f)(3).

(t) The importation of a drug in violation of section 801(d)(1) , the sale, purchase, or trade of a

drug or drug sample or the offer to sell, purchase, or trade a drug or drug sample in violation of

section 503(c), the sale, purchase, or trade of a coupon, the offer to sell, purchase, or trade

such a coupon, or the counterfeiting of such a coupon in violation of section 503(c)(2), the

distribution of a drug sample in violation of section 503(d) or the failure to otherwise comply

with the requirements of section 503(d), or the distribution of drugs in violation of section 503(e)

or the failure to otherwise comply with the requirements of section 503(e).

(u) The failure to comply with any requirements of the provisions of, or any regulations or

orders of the Secretary, under section 512(a)(4)(A), 512(a)(4)(D), or 512(a)(5).

(v) The introduction or delivery for introduction into interstate commerce of a dietary

supplement that is unsafe under section 413.

(w) The making of a knowingly false statement in any statement, certificate of analysis, record,

or report required or requested under section 801(d)(3); the failure to submit a certificate of

analysis as required under such section; the failure to maintain records or to submit records or

reports as required by such section; the release into interstate commerce of any article or

portion thereof imported into the United States under such section or any finished product

made from such article or portion, except for export in accordance with section 801(e) or 802,

or with section 351(h) of the Public Health Service Act [42 USC § 262(h)]; or the failure to so

export or to destroy such an article or portions thereof, or such a finished product.

(x) The falsification of a declaration of conformity submitted under section 514(c) or the failure

or refusal to provide data or information requested by the Secretary under paragraph (3) of

such section.

(y) In the case of a drug, device, or food –

(1) the submission of a report or recommendation by a person accredited under section 523

that is false or misleading in any material respect;

(2) the disclosure by a person accredited under section 523 of confidential commercial

information or any trade secret without the express written consent of the person who

submitted such information or secret to such person; or

(3) the receipt by a person accredited under section 523 of a bribe in any form or the doing of

any corrupt act by such person associated with a responsibility delegated to such person

under this Act.

(z) [Caution: This subsection terminated Sept. 30, 2006, pursuant to § 401(e) of Act Nov.

21, 1997, P.L. 105-115.] 6 The dissemination of information in violation of section 551.

( aa) The importation of a prescription drug in violation of section 804, the falsification of any

record required to be maintained or provided to the Secretary under section, or any other

violation of regulations under such section.

(bb) The transfer of an article of food in violation of an order under section 304(h), or the

removal or alteration of any mark or label required by the order to identify the article as

detained.

(cc) The importing or offering for import into the United States of an article of food by, with the

assistance of, or at the direction of, a person debarred under section 306(b)(3).

( dd) The failure to register in accordance with section 415.

( ee) The importing or offering for import into the United States of an article of food in violation

of the requirements under section 801(m).

(ff) The importing or offering for import into the United States of a drug or device with respect to

which there is a failure to comply with a request of the Secretary to submit to the Secretary a

statement under section 801(o).

(gg) The knowing failure to comply with paragraph (7)(E) of section 704(g); the knowing

inclusion by a person accredited under paragraph (2) of such section of false information in an

inspection report under paragraph (7)(A) of such section; or the knowing failure of such a

person to include material facts in such a report.

(hh) The failure by a shipper, carrier by motor vehicle or rail vehicle, receiver, or any other

person engaged in the transportation of food to comply with the sanitary transportation

practices prescribed by the Secretary under section 416.

(ii) [Caution: This subsection is effective 1 year after enactment, pursuant to § 4(b) of

Act Dec. 22, 2006, P.L. 109-462.] The falsification of a report of a serious adverse event

submitted to a responsible person (as defined under section 760 or 761) or the falsification of a

serious adverse event report (as defined under section 760 or 761) submitted to the Secretary.

INJUNCTION PROCEEDINGS

SEC. 302 [21 U.S.C. 332] (a) The district courts of the United States and the United States

courts of the Territories shall have jurisdiction, for cause shown 7 to restrain violations of

section 301, except paragraphs (h), (i), and (j).

(b) In case of violation of an injunction or restraining order issued under this section, which

also constitutes a violation of this Act, trial shall be by the court, or, upon demand of the

accused, by a jury.

PENALTIES

SEC. 303. [21 U.S.C. 333] (a)(1) Any person who violates a provision of section 301 shall be

imprisoned for not more than one year or fined not more than $1,000, or both.

(2) Notwithstanding the provisions of paragraph (1) of this section, if any person commits such

a violation after a conviction of him under this section has become final, or commits such a

violation with the intent to defraud or mislead, such person shall be imprisoned for not more

than three years or fined not more than $10,000 or both.

(b)(1) Notwithstanding subsection (a), any person who violates section 301(t) by—

(A) knowingly importing a drug in violation of section 801(d)(1),

(B) knowingly selling, purchasing, or trading a drug or drug sample or knowingly offering to sell,

purchase, or trade a drug or drug sample, in violation of section 503(c)(1),

(C) knowingly selling, purchasing, or trading a coupon, knowingly offering to sell, purchase, or

trade such a coupon, or knowingly counterfeiting such a coupon, in violation of section

503(c)(2), or

(D) knowingly distributing drugs in violation of section 503(e)(2)(A), shall be imprisoned for not

more than 10 years or fined not more than $250,000, or both.

(2) Any manufacturer or distributor who distributes drug samples by means other than the mail

or common carrier whose representative, during the course of the representative’s

employment or association with that manufacturer or distributor, violated section 301(t)

because of a violation of section 503(c)(1) or violated any State law prohibiting the sale,

purchase, or trade of a drug sample subject to section 503(b) or the offer to sell, purchase, or

trade such a drug sample shall, upon conviction of the representative for such violation, be

subject to the following civil penalties:

(A) A civil penalty of not more than $50,000 for each of the first two such violations resulting in

a conviction of any representative of the manufacturer or distributor in any 10-year period.

(B) A civil penalty of not more than $1,000,000 for each violation resulting in a conviction of

any representative after the second conviction in any 10-year period.

For the purposes of this paragraph, multiple convictions of one or more persons arising out of

the same event or transaction, or a related series of events or transactions, shall be

considered as one violation.

(3) Any manufacturer or distributor who violates section 301(t) because of a failure to make a

report required by section 503(d)(3)(E) shall be subject to a civil penalty of not more than

$100,000.

(4)(A) If a manufacturer or distributor or any representative of such manufacturer or distributor

provides information leading to the institution of a criminal proceeding against, and conviction

of, any representative of that manufacturer or distributor for a violation of section 301(t)

because of a sale, purchase, or trade or offer to purchase, sell, or trade a drug sample in

violation of section 503(c)(1) or for a violation of State law prohibiting the sale, purchase, or

trade or offer to sell, purchase, or trade a drug sample, the conviction of such representative

shall not be considered as a violation for purposes of paragraph (2).

(B) If, in an action brought under paragraph (2) against a manufacturer or distributor relating to

the conviction of a representative of such manufacturer or distributor for the sale, purchase, or

trade of a drug or the offer to sell, purchase, or trade a drug, it is shown, by clear and

convincing evidence—

(i) that the manufacturer or distributor conducted, before the institution of a criminal proceeding

against such representative for the violation which resulted in such conviction, an investigation

of events or transactions which would have led to the reporting of information leading to the

institution of a criminal proceeding against, and conviction of, such representative for such

purchase, sale, or trade or offer to purchase, sell, or trade, or

(ii) that, except in the case of the conviction of a representative employed in a supervisory

function, despite diligent implementation by the manufacturer or distributor of an independent

audit and security system designed to detect such a violation, the manufacturer or distributor

could not reasonably have been expected to have detected such violation, the conviction of

such representative shall not be considered as a conviction for purposes of paragraph (2).

(5) If a person provides information leading to the institution of a criminal proceeding against,

and conviction of, a person for a violation of section 301(t) because of the sale, purchase, or

trade of a drug sample or the offer to sell, purchase, or trade a drug sample in violation of

section 503(c)(1), such person shall be entitled to one-half of the criminal fine imposed and

collected for such violation but not more than $125,000.

(6) Notwithstanding subsection (a), any person who is a manufacturer or importer of a

prescription drug under section 804(b) and knowingly fails to comply with a requirement of

section 804(e) that is applicable to such manufacturer or importer, respectively, shall be

imprisoned for not more than 10 years or fined not more than $250,000, or both.

(c) No person shall be subject to the penalties of subsection (a)(1) of this section, (1) for

having received in interstate commerce any article and delivered it or proffered delivery of it, if

such delivery or proffer was made in good faith, unless he refuses to furnish on request of an

officer or employee duly designated by the Secretary the name and address of the person

from whom he purchased or received such article and copies of all documents, if any there be,

pertaining to the delivery of the article to him; or (2) for having violated section 301(a) or (d), if

he establishes a guaranty or undertaking signed by, and containing the name and address of,

the person residing in the United States from whom he received in good faith the article, to the

effect, in case of an alleged violation of section 301(a), that such article is not adulterated or

misbranded, within the meaning of this Act, designating this Act, or to the effect, in case of an

alleged violation of section 301(d), that such article is not an article which may not, under the

provisions of section 404 or 505, be introduced into interstate commerce; or (3) for having

violated section 301(a), where the violation exists because the article is adulterated by reason

of containing a color additive not from a batch certified in accordance with regulations

promulgated by the Secretary under this Act, if such person establishes a guaranty or

undertaking signed by, and containing the name and address of, the manufacturer of the color

additive, to the effect that such color additive was from a batch certified in accordance with the

applicable regulations promulgated by the Secretary under this Act; or (4) for having violated

section 301 (b), (c), or (k) by failure to comply with section 502(f) in respect to an article

received in interstate commerce to which neither section 503(a) nor section 503(b)(1) is

applicable, if the delivery or proffered delivery was made in good faith and the labeling at the

time thereof contained the same directions for use and warning statements as were contained

in the labeling at the time of such receipt of such article; or (5) for having violated section

301(i)(2) if such person acted in good faith and had no reason to believe that use of the punch,

die, plate, stone, or other thing involved would result in a drug being a counterfeit drug, or for

having violated section 301(i)(3) if the person doing the act or causing it to be done acted in

good faith and had no reason to believe that the drug was a counterfeit drug.

(d) No person shall be subject to the penalties of subsection (a)(1) of this section for a violation

of section 301 involving misbranded food if the violation exists solely because the food is

misbranded under section 403(a)(2) because of its advertising.

(e)(1) Except as provided in paragraph (2), whoever knowingly distributes, or possesses with

intent to distribute, human growth hormone for any use in humans other than the treatment of

a disease or other recognized medical condition, where such use has been authorized by the

Secretary of Health and Human Services under section 505 and pursuant to the order of a

physician, is guilty of an offense punishable by not more than 5 years in prison, such fines as

are authorized by title 18, United States Code, or both.

(2) Whoever commits any offense set forth in paragraph (1) and such offense involves an

individual under 18 years of age is punishable by not more than 10 years imprisonment, such

fines as are authorized by title 18, United States Code, or both.

(3) Any conviction for a violation of paragraphs (1) and (2) of this subsection shall be

considered a felony violation of the Controlled Substances Act for the purposes of forfeiture

under section 413 of such Act.

(4) As used in this subsection the term ‘‘human growth hormone’’ means somatrem,

somatropin, or an analogue of either of them.

(5) The Drug Enforcement Administration is authorized to investigate offenses punishable by

this subsection.

(f)(1) (A) 8 Except as provided in subparagraph (B), any person who violates a requirement of

this Act which relates to devices shall be liable to the United States for a civil penalty in an

amount not to exceed $15,000 for each such violation, and not to exceed $1,000,000 for all

such violations adjudicated in a single proceeding. For purposes of the preceding sentence, a

person accredited under paragraph (2) of section 704(g) who is substantially not in compliance

with the standards of accreditation under such section, or who poses a threat to public health

or fails to act in a manner that is consistent with the purposes of such section, shall be

considered to have violated a requirement of this Act that relates to devices.

(B) Subparagraph (A) shall not apply—

(i) to any person who violates the requirements of section 519(a) or 520(f) unless such

violation constitutes (I) a significant or knowing departure from such requirements, or (II) a risk

to public health,

(ii) to any person who commits minor violations of section 519(e) or 519(f) (only with respect to

correction reports) if such person demonstrates substantial compliance with such section, or

(iii) to violations of section 501(a)(2)(A) which involve one or more devices which are not

defective.

(2)(A) Any person who introduces into interstate commerce or delivers for introduction into

interstate commerce an article of food that is adulterated within the meaning of section

402(a)(2)(B) shall be subject to a civil money penalty of not more than $50,000 in the case of

an individual and $250,000 in the case of any other person for such introduction or delivery,

not to exceed $500,000 for all such violations adjudicated in a single proceeding.

(B) This paragraph shall not apply to any person who grew the article of food that is

adulterated. If the Secretary assesses a civil penalty against any person under this paragraph,

the Secretary may not use the criminal authorities under this section to sanction such person

for the introduction or delivery for introduction into interstate commerce of the article of food

that is adulterated. If the Secretary assesses a civil penalty against any person under this

paragraph, the Secretary may not use the seizure authorities of section 304 or the injunction

authorities of section 302 with respect to the article of food that is adulterated.

(C) In a hearing to assess a civil penalty under this paragraph, the presiding officer shall have

the same authority with regard to compelling testimony or production of documents as a

presiding officer has under section 408(g)(2)(B). The third sentence of paragraph (3)(A) shall

not apply to any investigation under this paragraph.

(3)(A) A civil penalty under paragraph (1) or (2) shall be assessed by the Secretary by an order

made on the record after opportunity for a hearing provided in accordance with this

subparagraph and section 554 of title 5, United States Code. Before issuing such an order, the

Secretary shall give written notice to the person to be assessed a civil penalty under such

order of the Secretary’s proposal to issue such order and provide such person an opportunity

for a hearing on the order. In the course of any investigation, the Secretary may issue

subpoenas requiring the attendance and testimony of witnesses and the production of

evidence that relates to the matter under investigation.

(B) In determining the amount of a civil penalty, the Secretary shall take into account the

nature, circumstances, extent, and gravity of the violation or violations and, with respect to the

violator, ability to pay, effect on ability to continue to do business, any history of prior such

violations, the degree of culpability, and such other matters as justice may require.

(C) The Secretary may compromise, modify, or remit, with or without conditions, any civil

penalty which may be assessed under paragraph (1) or (2). The amount of such penalty, when

finally determined, or the amount agreed upon in compromise, may be deducted from any

sums owing by the United States to the person charged.

(4) Any person who requested, in accordance with paragraph (3)(A), a hearing respecting the

assessment of a civil penalty and who is aggrieved by an order assessing a civil penalty may

file a petition for judicial review of such order with the United States Court of Appeals for the

District of Columbia Circuit or for any other circuit in which such person resides or transacts

business. Such a petition may only be filed within the 60-day period beginning on the date the

order making such assessment was issued.

(5) If any person fails to pay an assessment of a civil penalty—

(A) after the order making the assessment becomes final, and if such person does not file a

petition for judicial review of the order in accordance with paragraph (4), or

(B) after a court in an action brought under paragraph (4) has entered a final judgment in favor

of the Secretary, the Attorney General shall recover the amount assessed (plus interest at

currently prevailing rates from the date of the expiration of the 60-day period referred to in

paragraph (4) or the date of such final judgment, as the case may be) in an action brought in

any appropriate district court of the United States. In such an action, the validity, amount, and

appropriateness of such penalty shall not be subject to review.

SEIZURE

SEC. 304. [21 U.S.C. 334] (a) (1) Any article of food, drug, or cosmetic that is adulterated or

misbranded when introduced into or while in interstate commerce or while held for sale

(whether or not the first sale) after shipment in interstate commerce, or which may not, under

the provisions of section 404 or 505, be introduced into interstate commerce, shall be liable to

be proceeded against while in interstate commerce, or at any time thereafter, on libel of

information and condemned in any district court of the United States or United States court of a

Territory within the jurisdiction of which the article is found. No libel for condemnation shall be

instituted under this Act, for any alleged misbranding if there is pending in any court a libel for

condemnation proceeding under this Act based upon the same alleged misbranding, and not

more than one such proceeding shall be instituted if no such proceeding is so pending, except

that such limitations shall not apply (A) when such misbranding has been the basis of a prior

judgment in favor of the United States, in a criminal, injunction, or libel for condemnation

proceeding under this Act, or (B) when the Secretary has probable cause to believe from facts

found, without hearing, by him or any officer or employee of the Department that the

misbranded article is dangerous to health, or that the labeling of the misbranded article is

fraudulent, or would be in a material respect misleading to the injury or damage of the

purchaser or consumer. In any case where the number of libel for condemnation proceedings

is limited as above provided the proceeding pending or instituted shall, on application of the

claimant, seasonably made, be removed for trial to any district agreed upon by stipulation

between the parties, or, in case of failure to so stipulate within a reasonable time, the claimant

may apply to the court of the district in which the seizure has been made, and such court (after

giving the United States attorney for such district reasonable notice and opportunity to be

heard) shall by order, unless good cause to the contrary is shown, specify a district of

reasonable proximity to the claimant's principal place of business, to which the case shall be

removed for trial.

(2) The following shall be liable to be proceeded against at any time on libel of information and

condemned in any district court of the United States or United States court of a Territory within

the jurisdiction of which they are found: (A) Any drug that is a counterfeit drug, (B) Any

container of a counterfeit drug, (C) Any punch, die, plate, stone, labeling, container, or other

thing used or designed for use in making a counterfeit drug or drugs, and (D) Any adulterated

or misbranded device.

(3) (A) Except as provided in subparagraph (B), no libel for condemnation may be instituted

under paragraph (1) or (2) against any food which -

(i) is misbranded under section 403(a)(2) because of its advertising, and

(ii) is being held for sale to the ultimate consumer in an establishment other than an

establishment owned or operated by a manufacturer, packer, or distributor of the food.

(B) A libel for condemnation may be instituted under paragraph (1) or (2) against a food

described in subparagraph (A) if –

(i)(I) the food's advertising which resulted in the food being misbranded under section 403(a)(2)

was disseminated in the establishment in which the food is being held for sale to the ultimate

consumer,

(II) such advertising was disseminated by, or under the direction of, the owner or operator of

such establishment, or

(III) all or part of the cost of such advertising was paid by such owner or operator; and

(ii) the owner or operator of such establishment used such advertising in the establishment to

promote the sale of the food.

(b) The article, equipment, or other thing proceeded against shall be liable to seizure by

process pursuant to the libel, and the procedure in cases under this section shall conform, as

nearly as may be, to the procedure in admiralty; except that on demand of either party any

issue of fact joined in any such case shall be tried by jury. When libel for condemnation

proceedings under this section, involving the same claimant and the same issues of

adulteration or misbranding, are pending in two or more jurisdictions, such pending

proceedings, upon application of the claimant seasonably made to the court of one such

jurisdiction, shall be consolidated for trial by order of such court, and tried in (1) any district

selected by the claimant where one of such proceedings is pending; or (2) a district agreed

upon by stipulation between the parties. If no order for consolidation is so made within a

reasonable time, the claimant may apply to the court of one such jurisdiction and such court

(after giving the United States attorney for such district reasonable notice and opportunity to be

heard) shall by order, unless good cause to the contrary is shown, specify a district of

reasonable proximity to the claimant's principal place of business, in which all such pending

proceedings shall be consolidated for trial and tried. Such order of consolidation shall not apply

so as to require the removal of any case the date for trial of which has been fixed. The court

granting such order shall give prompt notification thereof to the other courts having jurisdiction

of the cases covered thereby.

(c) The court at any time after seizure up to a reasonable time before trial shall by order allow

any party to a condemnation proceeding, his attorney or agent, to obtain a representative

sample of the article seized and a true copy of the analysis, if any, on which the proceeding is

based and the identifying marks or numbers, if any, of the packages from which the samples

analyzed were obtained.

(d)(1) Any food, drug, device, or cosmetic condemned under this section shall, after entry of

the decree, be disposed of by destruction or sale as the court may, in accordance with the

provisions of this section, direct and the proceeds thereof, if sold, less the legal costs and

charges, shall be paid into the Treasury of the United States; but such article shall not be sold

under such decree contrary to the provisions of this Act or the laws of the jurisdiction in which

sold. After entry of the decree and upon the payment of the costs of such proceedings and the

execution of a good and sufficient bond conditioned that such article shall not be sold or

disposed of contrary to the provisions of this Act or the laws of any State or Territory in which

sold, the court may by order direct that such article be delivered to the owner thereof to be

destroyed or brought into compliance with the provisions of this Act, under the supervision of

an officer or employee duly designated by the Secretary, and the expenses of such

supervision shall be paid by the person obtaining release of the article under bond. If the article

was imported into the United States and the person seeking its release establishes (A) that the

adulteration, misbranding, or violation did not occur after the article was imported, and (B) that

he had no cause for believing that it was adulterated, misbranded, or in violation before it was

released from customs custody, the court may permit the article to be delivered to the owner

for exportation in lieu of destruction upon a showing by the owner that all of the conditions of

section 801(e) can and will be met. The provisions of this sentence shall not apply where

condemnation is based upon violation of section 402(a)(1), (2), or (6), section 501(a)(3),

section 502(j), or section 601(a) or (d). Where such exportation is made to the original foreign

supplier, then paragraphs (1) and (2) of section 801(e) and the preceding sentence shall not

be applicable; and in all cases of exportation the bond shall be conditioned that the article shall

not be sold or disposed of until the applicable conditions of section 801(e) have been met. Any

article condemned by reason of its being an article which may not, under section 404 or 505,

be introduced into interstate commerce, shall be disposed of by destruction.

(2) The provisions of paragraph (1) of this subsection shall, to the extent deemed appropriate

by the court, apply to any equipment or other thing which is not otherwise within the scope of

such paragraph and which is referred to in paragraph (2) of subsection (a).

(3) Whenever in any proceeding under this section, involving paragraph (2) of subsection (a),

the condemnation of any equipment or thing (other than a drug) is decreed, the court shall

allow the claim of any claimant, to the extent of such claimant's interest, for remission or

mitigation of such forfeiture if such claimant proves to the satisfaction of the court (i) that he

has not committed or caused to be committed any prohibited act referred to in such paragraph

(2) and has no interest in any drug referred to therein, (ii) that he has an interest in such

equipment or other thing as owner or lienor or otherwise, acquired by him in good faith, and (iii)

that he at no time had any knowledge or reason to believe that such equipment or other thing

was being or would be used in, or to facilitate, the violation of laws of the United States relating

to counterfeit drugs.

(e) When a decree of condemnation is entered against the article, court costs and fees, and

storage and other proper expenses, shall be awarded against the person, if any, intervening as

claimant of the article.

(f) In the case of removal for trial of any case as provided by subsection (a) or (b) -

(1) The clerk of the court from which removal is made shall promptly transmit to the court in

which the case is to be tried all records in the case necessary in order that such court may

exercise jurisdiction.

(2) The court to which such case was removed shall have the powers and be subject to the

duties, for purposes of such case, which the court from which removal was made would have

had, or to which such court would have been subject, if such case had not been removed.

(g)(1) If during an inspection conducted under section 704 of a facility or a vehicle, a device

which the officer or employee making the inspection has reason to believe is adulterated or

misbranded is found in such facility or vehicle, such officer or employee may order the device

detained (in accordance with regulations prescribed by the Secretary) for a reasonable period

which may not exceed twenty days unless the Secretary determines that a period of detention

greater than twenty days is required to institute an action under subsection (a) or section 302,

in which case he may authorize a detention period of not to exceed thirty days. Regulations of

the Secretary prescribed under this paragraph shall require that before a device may be

ordered detained under this paragraph the Secretary or an officer or employee designated by

the Secretary approve such order. A detention order under this paragraph may require the

labeling or marking of a device during the period of its detention for the purpose of identifying

the device as detained. Any person who would be entitled to claim a device if it were seized

under subsection (a) may appeal to the Secretary a detention of such device under this

paragraph. Within five days of the date an appeal of a detention is filed with the Secretary, the

Secretary shall after affording opportunity for an informal hearing by order confirm the

detention or revoke it.

(2)(A) Except as authorized by subparagraph (B), a device subject to a detention order issued

under paragraph (1) shall not be moved by any person from the place at which it is ordered

detained until –

(i) released by the Secretary, or

(ii) the expiration of the detention period applicable to such order, whichever occurs first.

(B) A device subject to a detention order under paragraph (1) may be moved –

(i) in accordance with regulations prescribed by the Secretary, and

(ii) if not in final form for shipment, at the discretion of the manufacturer of the device for the

purpose of completing the work required to put it in such form.

(h) Administrative Detention of Foods.—

(1) Detention authority.--

(A) In general.--An officer or qualified employee of the Food and Drug Administration may

order the detention, in accordance with this subsection, of any article of food that is found

during an inspection, examination, or investigation under this Act conducted by such officer or

qualified employee, if the officer or qualified employee has credible evidence or information

indicating that such article presents a threat of serious adverse health consequences or death

to humans or animals.

(B) Secretary's approval.--An article of food may be ordered detained under subparagraph (A)

only if the Secretary or an official designated by the Secretary approves the order. An official

may not be so designated unless the official is the director of the district under this Act in which

the article involved is located, or is an official senior to such director.

(2) Period of detention.--An article of food may be detained under paragraph (1) for a

reasonable period, not to exceed 20 days, unless a greater period, not to exceed 30 days, is

necessary, to enable the Secretary to institute an action under subsection (a) or section

302. The Secretary shall by regulation provide for procedures for instituting such action on an

expedited basis with respect to perishable foods.

(3) Security of detained article.--An order under paragraph (1) with respect to an article of food

may require that such article be labeled or marked as detained, and shall require that the

article be removed to a secure facility, as appropriate. An article subject to such an order shall

not be transferred by any person from the place at which the article is ordered detained, or

from the place to which the article is so removed, as the case may be, until released by the

Secretary or until the expiration of the detention period applicable under such order, whichever

occurs first. This subsection may not be construed as authorizing the delivery of the article

pursuant to the execution of a bond while the article is subject to the order, and section 801(b)

does not authorize the delivery of the article pursuant to the execution of a bond while the

article is subject to the order.

(4) Appeal of detention order.--

(A) In general.--With respect to an article of food ordered detained under paragraph (1), any

person who would be entitled to be a claimant for such article if the article were seized under

subsection (a) may appeal the order to the Secretary. Within five days after such an appeal is

filed, the Secretary, after providing opportunity for an informal hearing, shall confirm or

terminate the order involved, and such confirmation by the Secretary shall be considered a

final agency action for purposes of section 702 of title 5, United States Code. If during such

five-day period the Secretary fails to provide such an opportunity, or to confirm or terminate

such order, the order is deemed to be terminated.

(B) Effect of instituting court action.— The process under subparagraph (A) for the appeal of

an order under paragraph (1) terminates if the Secretary institutes an action under subsection

(a) or section 302 regarding the article of food involved.

HEARING BEFORE REPORT OF CRIMINAL VIOLATION

SEC. 305. [21 U.S.C. 335] Before any violation of this Act is reported by the Secretary to any

United States attorney for institution of a criminal proceeding, the person against whom such

proceeding is contemplated shall be given appropriate notice and an opportunity to present his

views, either orally or in writing, with regard to such contemplated proceeding.

DEBARMENT, TEMPORARY DENIAL OF APPROVAL, AND SUSPENSION

SEC. 306. [ 21 U.S.C. 335a] (a) MANDATORY DEBARMENT; CERTAIN DRUG

APPLICATIONS. –

(1) CORPORATIONS, PARTNERSHIPS, AND ASSOCIATIONS. -- If the Secretary finds that

a person other than an individual has been convicted, after the date of enactment of this

section, of a felony under Federal law for conduct relating to the development or approval,

including the process for development or approval, of any abbreviated drug application, the

Secretary shall debar such person from submitting, or assisting in the submission of, any such

application.

(2) INDIVIDUALS. -- If the Secretary finds that an individual has been convicted of a felony

under Federal law for conduct –

(A) relating to the development or approval, including the process for development or approval,

of any drug product, or

(B) otherwise relating to the regulation of any drug product under this Act, the Secretary shall

debar such individual from providing services in any capacity to a person that has an approved

or pending drug product application.

(b) Permissive Debarment; Certain Drug Applications; Food Imports.—

(1) IN GENERAL. -- The Secretary, on the Secretary's own initiative or in response to a

petition, may, in accordance with paragraph (2), debar –

(A) a person other than an individual from submitting or assisting in the submission of any

abbreviated drug application, or

(B) an individual from providing services in any capacity to a person that has an approved or

pending drug product application . , or

(C) a person from importing an article of food or offering such an article for import into the

United States .

(2) PERSONS SUBJECT TO Permissive debarment; certain drug applications. -- The

following persons are subject to debarment under subparagraph (A) or (B) of paragraph (1):

(A) CORPORATIONS, PARTNERSHIPS, AND ASSOCIATIONS. -- Any person other than an

individual that the Secretary finds has been convicted –

(i) for conduct that –

(I) relates to the development or approval, including the process for the development or

approval, of any abbreviated drug application; and

(II) is a felony under Federal law (if the person was convicted before the date of enactment of

this section), a misdemeanor under Federal law, or a felony under State law, or

(ii) of a conspiracy to commit, or aiding or abetting, a criminal offense described in clause (i) or

a felony described in subsection (a)(1),

if the Secretary finds that the type of conduct which served as the basis for such conviction

undermines the process for the regulation of drugs.

(B) INDIVIDUALS. –

(i) Any individual whom the Secretary finds has been convicted of –

(I) a misdemeanor under Federal law or a felony under State law for conduct relating to the

development or approval, including the process for development or approval, of any drug

product or otherwise relating to the regulation of drug products under this Act, or

(II) a conspiracy to commit, or aiding or abetting, such criminal offense or a felony described in

subsection (a)(2),

if the Secretary finds that the type of conduct which served as the basis for such conviction

undermines the process for the regulation of drugs.

(ii) Any individual whom the Secretary finds has been convicted of –

(I) a felony which is not described in subsection (a)(2) or clause (i) of this subparagraph and

which involves bribery, payment of illegal gratuities, fraud, perjury, false statement,

racketeering, blackmail, extortion, falsification or destruction of records, or interference with,

obstruction of an investigation into, or prosecution of, any criminal offense, or

(II) a conspiracy to commit, or aiding or abetting, such felony,

If the Secretary finds, on the basis of the conviction of such individual and other information,

that such individual has demonstrated a pattern of conduct sufficient to find that there is

reason to believe that such individual may violate requirements under this Act relating to drug

products.

(iii) Any individual whom the Secretary finds materially participated in acts that were the basis

for a conviction for an offense described in subsection (a) or in clause (i) or (ii) for which a

conviction was obtained, if the Secretary finds, on the basis of such participation and other

information, that such individual has demonstrated a pattern of conduct sufficient to find that

there is reason to believe that such individual may violate requirements under this Act relating

to drug products.

(iv) Any high managerial agent whom the Secretary finds –

(I) worked for, or worked as a consultant for, the same person as another individual during the

period in which such other individual took actions for which a felony conviction was obtained

and which resulted in the debarment under subsection (a)(2), or clause (i), of such other

individual,

(II) had actual knowledge of the actions described in subclause (I) of such other individual, or

took action to avoid such actual knowledge, or failed to take action for the purpose of avoiding

such actual knowledge,

(III) knew that the actions described in subclause (I) were violative of law, and

(IV) did not report such actions, or did not cause such actions to be reported, to an officer,

employee, or agent of the Department or to an appropriate law enforcement officer, or failed to

take other appropriate action that would have ensured that the process for the regulation of

drugs was not undermined, within a reasonable time after such agent first knew of such

actions,

if the Secretary finds that the type of conduct which served as the basis for such other

individual's conviction undermines the process for the regulation of drugs.

(3) Persons subject to permissive debarment; food importation.--A person is subject to

debarment under paragraph (1)(C) if--

(A) the person has been convicted of a felony for conduct relating to the importation into the

United States of any food; or

(B) the person has engaged in a pattern of importing or offering for import adulterated food that

presents a threat of serious adverse health consequences or death to humans or animals.

(4) STAY OF CERTAIN ORDERS. An order of the Secretary under clause (iii) or (iv) of

paragraph (2)(B) shall not take effect until 30 days after the order has been issued.

(c) DEBARMENT PERIODS AND CONSIDERATIONS. --

(1) EFFECT OF DEBARMENT. -- The Secretary -

(A) shall not accept or review (other than in connection with an audit under this section) any

abbreviated drug application submitted by or with the assistance of a person debarred under

subsection (a)(1) or (b)(2)(A) during the period such person is debarred,

(B) shall, during the period of a debarment under subsection (a)(2) or (b)(2)(B), debar an

individual from providing services in any capacity to a person that has an approved or pending

drug product application and shall not accept or review (other than in connection with an audit

under this section) an abbreviated drug application from such individual, and

(C) shall, if the Secretary makes the finding described in paragraph (6) or (7) of section 307(a),

assess a civil penalty in accordance with section 307.

(2) DEBARMENT PERIODS. --

(A) IN GENERAL. -- The Secretary shall debar a person under subsection (a) or (b) for the

following periods:

(i) The period of debarment of a person (other than an individual) under subsection (a)(1) shall

not be less than 1 year or more than 10 years, but if an act leading to a subsequent debarment

under subsection (a) occurs within 10 years after such person has been debarred under

subsection (a)(1), the period of debarment shall be permanent.

(ii) The debarment of an individual under subsection (a)(2) shall be permanent.

(iii) The period of debarment of any person under paragraph (2) or (3) of subsection (b) shall

not be more than 5 years. The Secretary may determine whether debarment periods shall run

concurrently or consecutively in the case of a person debarred for multiple offenses.

(B) NOTIFICATION. -- Upon a conviction for an offense described in subsection (a) or (b) or

upon execution of an agreement with the United States to plead guilty to such an offense, the

person involved may notify the Secretary that the person acquiesces to debarment and such

person's debarment shall commence upon such notification.

(3) CONSIDERATIONS. -- In determining the appropriateness and the period of a debarment

of a person under subsection (b) and any period of debarment beyond the minimum specified

in subparagraph (A)(i) of paragraph (2), the Secretary shall consider where applicable -

(A) the nature and seriousness of any offense involved,

(B) the nature and extent of management participation in any offense involved, whether

corporate policies and practices encouraged the offense, including whether inadequate

institutional controls contributed to the offense,

(C) the nature and extent of voluntary steps to mitigate the impact on the public of any offense

involved, including the recall or the discontinuation of the distribution of suspect drugs, full

cooperation with any investigations (including the extent of disclosure to appropriate

authorities of all wrongdoing), the relinquishing of profits on drug approvals fraudulently

obtained, and any other actions taken to substantially limit potential or actual adverse effects

on the public health,

(D) whether the extent to which changes in ownership, management, or operations have

corrected the causes of any offense involved and provide reasonable assurances that the

offense will not occur in the future,

(E) whether the person to be debarred is able to present adequate evidence that current

production of drugs subject to abbreviated drug applications and all pending abbreviated drug

applications are free of fraud or material false statements, and

(F) prior convictions under this Act or under other Acts involving matters within the jurisdiction

of the Food and Drug Administration.

(d) TERMINATION OF DEBARMENT. --

(1) APPLICATION. -- Any person that is debarred under subsection (a) (other than a person

permanently debarred) or any person that is debarred under subsection (b) of this section may

apply to the Secretary for termination of the debarment under this subsection. Any information

submitted to the Secretary under this paragraph does not constitute an amendment or

supplement to pending or approved abbreviated drug applications.

(2) DEADLINE. -- The Secretary shall grant or deny any application respecting a debarment

which is submitted under paragraph (1) within 180 days of the date the application is

submitted.

(3) ACTION BY THE SECRETARY. –

(A) CORPORATIONS. --

(i) CONVICTION REVERSAL. -- If the conviction which served as the basis for the debarment

of a person under subsection (a)(1) (b) or paragraph (2)(A) or (3) of subsection is reversed, the

Secretary shall withdraw the order of debarment.

(ii) APPLICATION. -- Upon application submitted under paragraph (1), the Secretary shall

terminate the debarment of a person if the Secretary finds that –

(I) changes in ownership, management, or operations have fully corrected the causes of the

offense involved and provide reasonable assurances that the offense will not occur in the

future, and

(II) in applicable cases, sufficient audits, conducted by the Food and Drug Administration or by

independent experts acceptable to the Food and Drug Administration, demonstrate that

pending applications and the development of drugs being tested before the submission of an

application are free of fraud or material false statements.

In the case of persons debarred under subsection (a)(1), such termination shall take effect no

earlier than the expiration of one year from the date of the debarment.

(B) INDIVIDUALS. –

(i) CONVICTION REVERSAL. -- If the conviction which served as the basis for the debarment

of an individual under subsection (a)(2) or clause (i), (ii), (iii), or (iv) of subsection (b)(2)(B) or

subsection (b)(3) is reversed, the Secretary shall withdraw the order of debarment.

(ii) APPLICATION. -- Upon application submitted under paragraph (1), the Secretary shall

terminate the debarment of an individual who has been debarred under subsection (b)(2)(B) or

subsection (b)(3) if such termination serves the interests of justice and adequately protects the

integrity of the drug approval process or the food importation process, as the case may be.

(4) SPECIAL TERMINATION. –

(A) APPLICATION. -- Any person that is debarred under subsection (a)(1) (other than a person

permanently debarred under subsection (c)(2)(A)(i)) or any individual who is debarred under

subsection (a)(2) may apply to the Secretary for special termination of debarment under this

subsection. Any information submitted to the Secretary under this subparagraph does not

constitute an amendment or supplement to pending or approved abbreviated drug

applications.

(B) CORPORATIONS. -- Upon an application submitted under subparagraph (A), the

Secretary may take the action described in subparagraph (D) if the Secretary, after an informal

hearing, finds that –

(i) the person making the application under subparagraph (A) has demonstrated that the felony

conviction which was the basis for such person's debarment involved the commission of an

offense which was not authorized, requested, commanded, performed, or recklessly tolerated

by the board of directors or by a high managerial agent acting on behalf of the person within

the scope of the board's or agent's office or employment,

(ii) all individuals who were involved in the commission of the offense or who knew or should

have known of the offense have been removed from employment involving the development or

approval of any drug subject to sections 9 505,

(iii) the person fully cooperated with all investigations and promptly disclosed all wrongdoing to

the appropriate authorities, and

(iv) the person acted to mitigate any impact on the public of any offense involved, including the

recall, or the discontinuation of the distribution, of any drug with respect to which the Secretary

requested a recall or discontinuation of distribution due to concerns about the safety or efficacy

of the drug.

(C) INDIVIDUALS. -- Upon an application submitted under subparagraph (A), the Secretary

may take the action described in subparagraph (D) if the Secretary, after an informal hearing,

finds that such individual has provided substantial assistance in the investigations or

prosecutions of offenses which are described in subsection (a) or (b) or which relate to any

matter under the jurisdiction of the Food and Drug Administration.

(D) SECRETARIAL ACTION -- The action referred to in subparagraphs (B) and (C) is –

(i) in the case of a person other than an individual –

(I) terminating the debarment immediately, or

(II) limiting the period of debarment to less than one year, and

(ii) in the case of an individual, limiting the period of debarment to less than permanent but to

no less than 1 year, whichever best serves the interest of justice and protects the integrity of

the drug approval process.

(e) PUBLICATION AND LIST OF DEBARRED PERSONS. -- The Secretary shall publish in

the Federal Register the name of any person debarred under subsection (a) or (b), the

effective date of the debarment, and the period of the debarment. The Secretary shall also

maintain and make available to the public a list, updated no less often than quarterly, of such

persons, of the effective dates and minimum periods of such debarments, and of the

termination of debarments.

(f) TEMPORARY DENIAL OF APPROVAL. --

(1) IN GENERAL. -- The Secretary, on the Secretary's own initiative or in response to a

petition, may, in accordance with paragraph (3), refuse by order, for the period prescribed by

paragraph (2), to approve any abbreviated drug application submitted by any person –

(A) if such person is under an active Federal criminal investigation in connection with an action

described in subparagraph (B),

(B) if the Secretary finds that such person –

(i) has bribed or attempted to bribe, has paid or attempted to pay an illegal gratuity, or has

induced or attempted to induce another person to bribe or pay an illegal gratuity to any officer,

employee, or agent of the Department of Health and Human Services or to any other Federal,

State, or local official in connection with any abbreviated drug application, or has conspired to

commit, or aided or abetted, such actions, or

(ii) has knowingly made or caused to be made a pattern or practice of false statements or

misrepresentations with respect to material facts relating to any abbreviated drug application,

or the production of any drug subject to an abbreviated drug application, to any officer,

employee, or agent of the Department of Health and Human Services, or has conspired to

commit, or aided or abetted, such actions, and

(C) if a significant question has been raised regarding –

(i) the integrity of the approval process with respect to such abbreviated drug application, or

(ii) the reliability of data in or concerning such person's abbreviated drug application.

Such an order may be modified or terminated at any time.

(2) APPLICABLE PERIOD. --

(A) IN GENERAL. -- Except as provided in subparagraph (B), a denial of approval of an

application of a person under paragraph (1) shall be in effect for a period determined by the

Secretary but not to exceed 18 months beginning on the date the Secretary finds that the

conditions described in subparagraphs (A), (B), and (C) of paragraph (1) exist. The Secretary

shall terminate such denial -

(i) if the investigation with respect to which the finding was made does not result in a criminal

charge against such person, if criminal charges have been brought and the charges have been

dismissed, or if a judgment of acquittal has been entered, or

(ii) if the Secretary determines that such finding was in error.

(B) EXTENSION. -- If, at the end of the period described in subparagraph (A), the Secretary

determines that a person has been criminally charged for an action described in subparagraph

(B) of paragraph (1), the Secretary may extend the period of denial of approval of an

application for a period not to exceed 18 months. The Secretary shall terminate such extension

if the charges have been dismissed, if a judgment of acquittal has been entered, or if the

Secretary determines that the finding described in subparagraph (A) was in error.

(3) INFORMAL HEARING. -- Within 10 days of the date an order is issued under paragraph (1),

the Secretary shall provide such person with an opportunity for an informal hearing, to be held

within such 10 days, on the decision of the Secretary to refuse approval of an abbreviated drug

application. Within 60 days of the date on which such hearing is held, the Secretary shall notify

the person given such hearing whether the Secretary's refusal of approval will be continued,

terminated, or otherwise modified. Such notification shall be final agency action.

(g) SUSPENSION AUTHORITY. --

(1) IN GENERAL. -- If -

(A) the Secretary finds -

(i) that a person has engaged in conduct described in subparagraph (B) of subsection (f)(1) in

connection with 2 or more drugs under abbreviated drug applications, or

(ii) that a person has engaged in flagrant and repeated, material violations of good

manufacturing practice or good laboratory practice in connection with the development,

manufacturing, or distribution of one or more drugs approved under an abbreviated drug

application during a 2-year period, and -

(I) such violations may undermine the safety and efficacy of such drugs, and

(II) the causes of such violations have not been corrected within a reasonable period of time

following notice of such violations by the Secretary, and

(B) such person is under an active investigation by a Federal authority in connection with a civil

or criminal action involving conduct described in subparagraph (A), the Secretary shall issue

an order suspending the distribution of all drugs the development or approval of which was

related to such conduct described in subparagraph (A) or suspending the distribution of all

drugs approved under abbreviated drug applications of such person if the Secretary finds that

such conduct may have affected the development or approval of a significant number of drugs

which the Secretary is unable to identify. The Secretary shall exclude a drug from such order if

the Secretary determines that such conduct was not likely to have influenced the safety or

efficacy of such drug.

(2) PUBLIC HEALTH WAIVER. -- The Secretary shall, on the Secretary's own initiative or in

response to a petition, waive the suspension under paragraph (1) (involving an action

described in paragraph (1)(A)(i)) with respect to any drug if the Secretary finds that such

waiver is necessary to protect the public health because sufficient quantities of the drug would

not otherwise be available. The Secretary shall act on any petition seeking action under this

paragraph within 180 days of the date the petition is submitted to the Secretary.

(h) TERMINATION OF SUSPENSION. -- The Secretary shall withdraw an order of suspension

of the distribution of a drug under subsection (g) if the person with respect to whom the order

was issued demonstrates in a petition to the Secretary -

(1)(A) on the basis of an audit by the Food and Drug Administration or by experts acceptable

to the Food and Drug Administration, or on the basis of other information, that the

development, approval, manufacturing, and distribution of such drug is in substantial

compliance with the applicable requirements of this Act, and

(B) changes in ownership, management, or operations –

(i) fully remedy the patterns or practices with respect to which the order was issued, and

(ii) provide reasonable assurances that such actions will not occur in the future, or

(2) the initial determination was in error.

The Secretary shall act on a submission of a petition under this subsection within 180 days of

the date of its submission and the Secretary may consider the petition concurrently with the

suspension proceeding. Any information submitted to the Secretary under this subsection

does not constitute an amendment or supplement to a pending or approved abbreviated drug

application.

(i) PROCEDURE. -- The Secretary may not take any action under subsection (a), (b), (c),

(d)(3), (g), or (h) with respect to any person unless the Secretary has issued an order for such

action made on the record after opportunity for an agency hearing on disputed issues of

material fact. In the course of any investigation or hearing under this subsection, the Secretary

may administer oaths and affirmations, examine witnesses, receive evidence, and issue

subpoenas requiring the attendance and testimony of witnesses and the production of

evidence that relates to the matter under investigation.

(j) JUDICAL REVIEW

(1) IN GENERAL. -- Except as provided in paragraph (2), any person that is the subject of an

adverse decision under subsection (a), (b), (c), (d), (f), (g), or (h) may obtain a review of such

decision by the United States Court of Appeals for the District of Columbia or for the circuit in

which the person resides, by filing in such court (within 60 days following the date the person is

notified of the Secretary's decision) a petition requesting that the decision be modified or set

aside.

(2) EXCEPTION. -- Any person that is the subject of an adverse decision under clause (iii) or

(iv) of subsection (b)(2)(B) may obtain a review of such decision by the United States District

Court for the District of Columbia or a district court of the United States for the district in which

the person resides, by filing in such court (within 30 days following the date the person is

notified of the Secretary's decision) a complaint requesting that the decision be modified or set

aside. In such an action, the court shall determine the matter de novo.

(k) CERTIFICATION. -- Any application for approval of a drug product shall include -

(1) a certification that the applicant did not and will not use in any capacity the services of any

person debarred under subsection (a) or (b), in connection with such application, and

(2) if such application is an abbreviated drug application, a list of all convictions, described in

subsections (a) and (b) which occurred within the previous 5 years, of the applicant and

affiliated persons responsible for the development or submission of such application.

(l) APPLICABILITY. --

(1) CONVICTION. -- For purposes of this section, a person is considered to have been

convicted of a criminal offense -

(A) when a judgment of conviction has been entered against the person by a Federal or State

court, regardless of whether there is an appeal pending,

(B) when a plea of guilty or nolo contendere by the person has been accepted by a Federal or

State court, or

(C) when the person has entered into participation in a first offender, deferred adjudication, or

other similar arrangement or program where judgment of conviction has been withheld.

(2) EFFECTIVE DATES. -- Subsection (a), subparagraph (A) of subsection (b)(2), and

subsection (b)(3)(A) clauses (i) and (ii) of subsection (b)(2)(B) shall not apply to a conviction

which occurred more than 5 years before the initiation of an agency action proposed to be

taken under subsection (a) or (b). Clauses (iii) and (iv) of subsection (b)(2)(B) , subsection

(b)(3)(B) and subsections (f) and (g) shall not apply to an act or action which occurred more

than 5 years before the initiation of an agency action proposed to be taken under subsection

(b), (f), or (g). Clause (iv) of subsection (b)(2)(B) shall not apply to an action which occurred

before June 1, 1992 . Subsection (k) shall not apply to applications submitted to the Secretary

before June 1, 1992 .

(m) Devices; Mandatory Debarment Regarding Third-Party Inspections and Reviews.--

(1) In general.--If the Secretary finds that a person has been convicted of a felony under

section 301( gg), the Secretary shall debar such person from being accredited under section

523(b) or 704(g)(2) and from carrying out activities under an agreement described in section

803(b).

(2) Debarment period.--The Secretary shall debar a person under paragraph (1) for the

following periods:

(A) The period of debarment of a person (other than an individual) shall not be less than 1 year

or more than 10 years, but if an act leading to a subsequent debarment under such paragraph

occurs within 10 years after such person has been debarred under such paragraph, the period

of debarment shall be permanent.

(B) The debarment of an individual shall be permanent.

(3) Termination of debarment; judicial review; other matters.--Subsections (c)(3), (d), (e), (i), (j),

and (l)(1) apply with respect to a person (other than an individual) or an individual who is

debarred under paragraph (1) to the same extent and in the same manner as such

subsections apply with respect to a person who is debarred under subsection (a)(1), or an

individual who is debarred under subsection (a)(2), respectively.

CIVIL PENALTIES

SEC. 307. [21 U.S.C. 335b] (a) IN GENERAL.—Any person that the Secretary finds—

(1) knowingly made or caused to be made, to any officer, employee, or agent of the

Department of Health and Human Services, a false statement or misrepresentation of a

material fact in connection with an abbreviated drug application,

(2) bribed or attempted to bribe or paid or attempted to pay an illegal gratuity to any officer,

employee, or agent of the Department of Health and Human Services in connection with an

abbreviated drug application,

(3) destroyed, altered, removed, or secreted, or procured the destruction, alteration, removal,

or secretion of, any material document or other material evidence which was the property of or

in the possession of the Department of Health and Human Services for the purpose of

interfering with that Department’s discharge of its responsibilities in connection with an

abbreviated drug application,

(4) knowingly failed to disclose, to an officer or employee of the Department of Health and

Human Services, a material fact which such person had an obligation to disclose relating to

any drug subject to an abbreviated drug application,

(5) knowingly obstructed an investigation of the Department of Health and Human Services

into any drug subject to an abbreviated drug application,

(6) is a person that has an approved or pending drug product application and has knowingly—

(A) employed or retained as a consultant or contractor, or

(B) otherwise used in any capacity the services of, a person who was debarred under section

306, or

(7) is an individual debarred under section 306 and, during the period of debarment, provided

services in any capacity to a person that had an approved or pending drug product application,

shall be liable to the United States for a civil penalty for each such violation in an amount not to

exceed $250,000 in the case of an individual and $1,000,000 in the case of any other person.

(b) PROCEDURE.—

(1) IN GENERAL.—

(A) ACTION BY THE SECRETARY.—A civil penalty under subsection (a) shall be assessed

by the Secretary on a person by an order made on the record after an opportunity for an

agency hearing on disputed issues of material fact and the amount of the penalty. In the

course of any investigation or hearing under this subparagraph, the Secretary may administer

oaths and affirmations, examine witnesses, receive evidence, and issue subpoenas requiring

the attendance and testimony of witnesses and the production of evidence that relates to the

matter under investigation.

(B) ACTION BY THE ATTORNEY GENERAL.—In lieu of a proceeding under subparagraph

(A), the Attorney General may, upon request of the Secretary, institute a civil action to recover

a civil money penalty in the amount and for any of the acts set forth in subsection (a). Such an

action may be instituted separately from or in connection with any other claim, civil or criminal,

initiated by the Attorney General under this Act.

(2) AMOUNT.—In determining the amount of a civil penalty under paragraph (1), the Secretary

or the court shall take into account the nature, circumstances, extent, and gravity of the act

subject to penalty, the person’s ability to pay, the effect on the person’s ability to continue to do

business, any history of prior, similar acts, and such other matters as justice may require.

(3) LIMITATION ON ACTIONS.—No action may be initiated under this section—

(A) with respect to any act described in subsection (a) that occurred before the date of the

enactment of this section, or

(B) more than 6 years after the date when facts material to the act are known or reasonably

should have been known by the Secretary but in no event more than 10 years after the date

the act took place.

(c) JUDICIAL REVIEW.—Any person that is the subject of an adverse decision under

subsection (b)(1)(A) may obtain a review of such decision by the United States Court of

Appeals for the District of Columbia or for the circuit in which the person resides, by filing in

such court (within 60 days following the date the person is notified of the Secretary’s decision)

a petition requesting that the decision be modified or set aside.

(d) RECOVERY OF PENALTIES.—The Attorney General may recover any civil penalty (plus

interest at the currently prevailing rates from the date the penalty became final) assessed

under subsection (b)(1)(A) in an action brought in the name of the United States . The amount

of such penalty may be deducted, when the penalty has become final, from any sums then or

later owing by the United States to the person against whom the penalty has been assessed.

In an action brought under this subsection, the validity, amount, and appropriateness of the

penalty shall not be subject to judicial review.

(e) INFORMANTS.—The Secretary may award to any individual (other than an officer or

employee of the Federal Government or a person who materially participated in any conduct

described in subsection (a)) who provides information leading to the imposition of a civil

penalty under this section an amount not to exceed—

(1) $250,000, or

(2) one-half of the penalty so imposed and collected, whichever is less. The decision of the

Secretary on such award shall not be reviewable.

AUTHORITY TO WITHDRAW APPROVAL OF ABBREVIATED DRUG APPLICATIONS

SEC. 308. [21 U.S.C. 335c] (a) IN GENERAL.—The Secretary—

(1) shall withdraw approval of an abbreviated drug application if the Secretary finds that the

approval was obtained, expedited, or otherwise facilitated through bribery, payment of an

illegal gratuity, or fraud or material false statement, and

(2) may withdraw approval of an abbreviated drug application if the Secretary finds that the

applicant has repeatedly demonstrated a lack of ability to produce the drug for which the

application was submitted in accordance with the formulations or manufacturing practice set

forth in the abbreviated drug application and has introduced, or attempted to introduce, such

adulterated or misbranded drug into commerce.

(b) PROCEDURE.—The Secretary may not take any action under subsection (a) with respect

to any person unless the Secretary has issued an order for such action made on the record

after opportunity for an agency hearing on disputed issues of material fact. In the course of any

investigation or hearing under this subsection, the Secretary may administer oaths and

affirmations, examine witnesses, receive evidence, and issue subpoenas requiring the

attendance and testimony of witnesses and the production of evidence that relates to the

matter under investigation.

(c) APPLICABILITY.—Subsection (a) shall apply with respect to offenses or acts regardless of

when such offenses or acts occurred.

(d) JUDICIAL REVIEW.—Any person that is the subject of an adverse decision under

subsection (a) may obtain a review of such decision by the United States Court of Appeals for

the District of Columbia or for the circuit in which the person resides, by filing in such court

(within 60 days following the date the person is notified of the Secretary’s decision) a petition

requesting that the decision be modified or set aside.

REPORT OF MINOR VIOLATIONS

SEC. 309. [21 U.S.C. 336] Nothing in this Act shall be construed as requiring the Secretary to

report for prosecution, or for the institution of libel or injunction proceedings, minor violations of

this Act whenever he believes that the public interest will be adequately served by a suitable

written notice or warning.

PROCEEDINGS IN NAME OF UNITED STATES; PROVISION AS TO SUBPOENAS

SEC. 310. [21 U.S.C. 337] (a) Except as provided in subsection (b), all such proceedings for

the enforcement, or to restrain violations, of this Act shall be by and in the name of the United

States . Subpoenas for witnesses who are required to attend a court of the United States , in

any district, may run into any other district in any proceeding under this section.

(b)(1) A State may bring in its own name and within its jurisdiction proceedings for the civil

enforcement, or to restrain violations, of section 401, 403(b), 403(c), 403(d), 403(e), 403(f),

403(g), 403(h), 403(i), 403(k), 403(q), or 403(r) if the food that is the subject of the proceedings

is located in the State.

(2) No proceeding may be commenced by a State under paragraph (1)—

(A) before 30 days after the State has given notice to the Secretary that the State intends to

bring such proceeding,

(B) before 90 days after the State has given notice to the Secretary of such intent if the

Secretary has, within such 30 days, commenced an informal or formal enforcement action

pertaining to the food which would be the subject of such proceeding, or

(C) if the Secretary is diligently prosecuting a proceeding in court pertaining to such food, has

settled such proceeding, or has settled the informal or formal enforcement action pertaining to

such food.

In any court proceeding described in subparagraph (C), a State may intervene as a matter of

right.

Footnotes: Chapter III

1. See footnote for section 403(h)(3) regarding the stylistic use of a list consisting of "(a)",

"(b)", etc.

2. The period is so in law. See section 102(b)(5)(C) of Public Law 108-282

3. The period is so in law. See section 102f(b)(5)(D) of Public Law 108-282.

4. So in law. See the amendment made by section 403 of Public Law 104–170 (110 Stat.

1514).

5. Paragraph (l) was struck by section 421 of Public Law 105–115 (111 Stat. 2380).

6. Paragraph (z) was added by subsection (b) of section 401(b) of Public Law 105–115 (111

Stat. 2364). Subsection (e) of such section provides as follows:

(e) SUNSET.—The amendments made by this section cease to be effective September 30,

2006, or 7 years after the date on which the Secretary promulgates the regulations described

in subsection (c), whichever is later.

7. So in law. Probably should be followed by a comma.

8. 1 The subsection is designated as subsection (f) to be consistent with the United States

Code. Prior to the enactment of Public Law 103–322, the last three subsections in section 303

were a subsection (e) that related to anabolic steroids, a subsection (f) that related to human

growth hormone, and a subsection (g) that related to civil penalties. Section 330015 of Public

Law 103-322 (108 Stat. 2146) amended the amendatory instructions of section 1904 of Public

Law 101– 647 with the result that the subsection (e) relating to anabolic steroids was struck,

and the subsection (f) relating to human growth hormone was redesignated as subsection (e).

Section 330015 did not, as a conforming amendment, expressly redesignate the subsection (g)

on civil penalties as subsection (f). The United States Code, however, shows the subsection

on civil penalties as subsection (f), and that approach is taken above to be consistent with the

Code.

9. So in law. See section 125(b)(2)(C) of Public Law 105-115 (111 Stat. 2325). Probably

should be "section".

CHAPTER IV—FOOD

DEFINITIONS AND STANDARDS FOR FOOD

SEC. 401. [21 U.S.C. 341] Whenever in the judgment of the Secretary such action will promote

honesty and fair dealing in the interest of consumers, he shall promulgate regulations fixing

and establishing for any food, under its common or usual name so far as practicable, a

reasonable definition and standard of identity, a reasonable standard of quality, or reasonable

standards of fill of container. No definition and standard of identity and no standard of quality

shall be established for fresh or dried fruits, fresh or dried vegetables, or butter, except that

definitions and standards of identity may be established for avocados, cantaloupes, citrus

fruits, and melons. In prescribing any standard of fill of container, the Secretary shall give due

consideration to the natural shrinkage in storage and in transit of fresh natural food and to

need for the necessary packing and protective material. In the prescribing of any standard of

quality for any canned fruit or canned vegetable, consideration shall be given and due

allowance made for the differing characteristics of the several varieties of such fruit or

vegetable. In prescribing a definition and standard of identity for any food or class of food in

which optional ingredients are permitted, the Secretary shall, for the purpose of promoting

honesty and fair dealing in the interest of consumers, designate the optional ingredients which

shall be named on the label. Any definition and standard of identity prescribed by the

Secretary for avocados, cantaloupes, citrus fruits, or melons shall relate only to maturity and to

the effects of freezing.

ADULTERATED FOOD

SEC. 402. [21 U.S.C. 342] A food shall be deemed to be adulterated— 1

(a) Poisonous, insanitary, or deleterious ingredients.

(1) If it bears or contains any poisonous or deleterious substance which may render it injurious

to health; but in case the substance is not an added substance such food shall not be

considered adulterated under this clause if the quantity of such substance in such food does

not ordinarily render it injurious to health; [or] 2 (2)(A) 3 if it bears or contains any added

poisonous or added deleterious substance (other than a substance that is a pesticide chemical

residue in or on a raw agricultural commodity or processed food, a food additive, a color

additive, or a new animal drug) that is unsafe within the meaning of section 406; or (B) if it

bears or contains a pesticide chemical residue that is unsafe within the meaning of section

408(a); or (C) if it is or if it bears or contains (i) any food additive that is unsafe within the

meaning of section 409; or (ii) a new animal drug (or conversion product thereof) that is unsafe

within the meaning of section 512; or (3) if it consists in whole or in part of any filthy, putrid, or

decomposed substance, or if it is otherwise unfit for food; or (4) if it has been prepared, packed,

or held under insanitary conditions whereby it may have become contaminated with filth, or

whereby it may have been rendered injurious to health; or (5) if it is, in whole or in part, the

product of a diseased animal or of an animal which has died otherwise than by slaughter; or (6)

if its container is composed, in whole or in part, of any poisonous or deleterious substance

which may render the contents injurious to health; or (7) if it has been intentionally subjected to

radiation, unless the use of the radiation was in conformity with a regulation or exemption in

effect pursuant to section 409.

(b) Absence, substitution, or addition of constituents.

(1) If any valuable constituent has been in whole or in part omitted or abstracted therefrom; or

(2) if any substance has been substituted wholly or in part therefore; or (3) if damage or

inferiority has been concealed in any manner; or (4) if any substance has been added thereto

or mixed or packed therewith so as to increase its bulk or weight, or reduce its quality or

strength, or make it appear better or of greater value than it is.

(c) Color additives. If it is, or it bears or contains, a color additive which is unsafe within the

meaning of section 721(a).

(d) Confectionery containing alcohol or nonnutritive substance. If it is confectionery, and—

(1) has partially or completely imbedded therein any nonnutritive object, except that this

subparagraph shall not apply in the case of any nonnutritive object if, in the judgment of the

Secretary as provided by regulations, such object is of practical functional value to the

confectionery product and would not render the product injurious or hazardous to health;

(2) bears or contains any alcohol other than alcohol not in excess of one-half of 1 per centum

by volume derived solely from the use of flavoring extracts, except that this clause shall not

apply to confectionery which is introduced or delivered for introduction into, or received or held

for sale in, interstate commerce if the sale of such confectionery is permitted under the laws of

the State in which such confectionery is intended to be offered for sale; or

(3) bears or contains any nonnutritive substance, except that this subparagraph shall not apply

to a safe nonnutritive substance which is in or on confectionery by reason of its use for some

practical functional purpose in the manufacture, packaging, or storage of such confectionery if

the use of the substance does not promote deception of the consumer or otherwise result in

adulteration or misbranding in violation of any provision of this Act, except that the Secretary

may, for the purpose of avoiding or resolving uncertainty as to the application of this

subparagraph, issue regulations allowing or prohibiting the use of particular nonnutritive

substances.

(e) Oleomargarine containing filthy, putrid, etc., matter. If it is oleomargarine or margarine or

butter and any of the raw material used therein consisted in whole or in part of any filthy, putrid,

or decomposed substance, or such oleomargarine or margarine or butter is otherwise unfit for

food.

(f) Dietary supplement or ingredient: safety.

(1) If it is a dietary supplement or contains a dietary ingredient that—

(A) presents a significant or unreasonable risk of illness or injury under—

(i) conditions of use recommended or suggested in labeling, or

(ii) if no conditions of use are suggested or recommended in the labeling, under ordinary

conditions of use;

(B) is a new dietary ingredient for which there is inadequate information to provide reasonable

assurance that such ingredient does not present a significant or unreasonable risk of illness or

injury;

(C) the Secretary declares to pose an imminent hazard to public health or safety, except that

the authority to make such declaration shall not be delegated and the Secretary shall promptly

after such a declaration initiate a proceeding in accordance with sections 554 and 556 of title 5,

United States Code, to affirm or withdraw the declaration; or

(D) is or contains a dietary ingredient that renders it adulterated under paragraph (a)(1) under

the conditions of use recommended or suggested in the labeling of such dietary supplement.

In any proceeding under this subparagraph, the United States shall bear the burden of proof

on each element to show that a dietary supplement is adulterated. The court shall decide any

issue under this paragraph on a de novo basis.

(2) Before the Secretary may report to a United States attorney a violation of paragraph 4 (1)(A)

for a civil proceeding, the person against whom such proceeding would be initiated shall be

given appropriate notice and the opportunity to present views, orally and in writing, at least 10

days before such notice, with regard to such proceeding.

(g) Dietary supplement: manufacturing practices.

(1) If it is a dietary supplement and it has been prepared, packed, or held under conditions that

do not meet current good manufacturing practice regulations, including regulations requiring,

when necessary, expiration date labeling, issued by the Secretary under subparagraph (2).

(2) The Secretary may by regulation prescribe good manufacturing practices for dietary

supplements. Such regulations shall be modeled after current good manufacturing practice

regulations for food and may not impose standards for which there is no current and generally

available analytical methodology. No standard of current good manufacturing practice may be

imposed unless such standard is included in a regulation promulgated after notice and

opportunity for comment in accordance with chapter 5 of title 5, United States Code.

(h) Reoffer of food previously denied admission. If it is an article of food imported or offered for

import into the United States and the article of food has previously been refused admission

under section 801(a), unless the person reoffering the article affirmatively establishes, at the

expense of the owner or consignee of the article, that the article complies with the applicable

requirements of this Act, as determined by the Secretary.

(i) Unsanitary transport. If it is transported or offered for transport by a shipper, carrier by motor

vehicle or rail vehicle, receiver, or any other person engaged in the transportation of food

under conditions that are not in compliance with regulations promulgated under section 416.

MISBRANDED FOOD

SEC. 403. [21 U.S.C. 343] A food shall be deemed to be misbranded— 5

(a) False or misleading label. If (1) its labeling is false or misleading in any particular, or (2) in

the case of a food to which section 411 applies, its advertising is false or misleading in a

material respect or its labeling is in violation of section 411(b)(2).

(b) Offer for sale under another name. If it is offered for sale under the name of another food.

(c) Imitation of another food. If it is an imitation of another food, unless its label bears, in type of

uniform size and prominence, the word "imitation" and, immediately thereafter, the name of the

food imitated.

(d) Misleading container. If its container is so made, formed, or filled as to be misleading.

(e) Package form. If in package form unless it bears a label containing (1) the name and place

of business of the manufacturer, packer, or distributor; and (2) an accurate statement of the

quantity of the contents in terms of weight, measure, or numerical count, except that under

clause (2) of this paragraph reasonable variations shall be permitted, and exemptions as to

small packages shall be established, by regulations prescribed by the Secretary.

(f) Prominence of information on label. If any word, statement, or other information required by

or under authority of this Act to appear on the label or labeling is not prominently placed

thereon with such conspicuousness (as compared with other words, statements, designs, or

devices, in the labeling) and in such terms as to render it likely to be read and understood by

the ordinary individual under customary conditions of purchase and use.

(g) Representation as to definition and standard of identity. If it purports to be or is represented

as a food for which a definition and standard of identity has been prescribed by regulations as

provided by section 401, unless (1) it conforms to such definition and standard, and (2) its label

bears the name of the food specified in the definition and standard, and, insofar as may be

required by such regulations, the common names of optional ingredients (other than spices,

flavoring, and coloring) present in such food.

(h) Representation as to standards of quality and fill of container. If it purports to be or is

represented as—

(1) a food for which a standard of quality has been prescribed by regulations as provided by

section 401, and its quality falls below such standard, unless its label bears, in such manner

and form as such regulations specify, a statement that it falls below such standard; or

(2) a food for which a standard or standards of fill of container have been prescribed by

regulations as provided by section 401, and it falls below the standard of fill of container

applicable thereto, unless its label bears, in such manner and form as such regulations specify,

a statement that it falls below such standard; or

(3) a food that is pasteurized unless—

(A) such food has been subjected to a safe process or treatment that is prescribed as

pasteurization for such food in a regulation promulgated under this Act; or

(B)(i) such food has been subjected to a safe process or treatment that—

(I) is reasonably certain to achieve destruction or elimination in the food of the most resistant

microorganisms of public health significance that are likely to occur in the food;

(II) is at least as protective of the public health as a process or treatment described in

subparagraph (A);

(III) is effective for a period that is at least as long as the shelf life of the food when stored

under normal and moderate abuse conditions; and

(IV) is the subject of a notification to the Secretary, including effectiveness data regarding the

process or treatment; and

(ii) at least 120 days have passed after the date of receipt of such notification by the Secretary

without the Secretary making a determination that the process or treatment involved has not

been shown to meet the requirements of subclauses (I) through (III) of clause (i) 6.

For purposes of paragraph (3) 6, a determination by the Secretary that a process or treatment

has not been shown to meet the requirements of subclauses (I) through (III) of subparagraph

(B)(i) 6 shall constitute final agency action under such subclauses.

(i) Label where no representation as to definition and standard of quality. Unless its label bears

(1) the common or usual name of the food, if any there be, and (2) in case it is fabricated from

two or more ingredients, the common or usual name of each such ingredient and if the food

purports to be a beverage containing vegetable or fruit juice, a statement with appropriate

prominence on the information panel of the total percentage of such fruit or vegetable juice

contained in the food; except that spices, flavorings, and colors not required to be certified

under section 721(c) 7 unless sold as spices, flavorings, or such colors, may be designated as

spices, flavorings, and colorings without naming each. To the extent that compliance with the

requirements of clause (2) of this paragraph is impracticable, or results in deception or unfair

competition, exemptions shall be established by regulations promulgated by the Secretary.

(j) Representation for special dietary use. If it purports to be or is represented for special

dietary uses, unless its label bears such information concerning its vitamin, mineral, and other

dietary properties as the Secretary determines to be, and by regulations prescribes as,

necessary in order fully to inform purchasers as to its value for such uses.

(k) Artificial flavoring, artificial coloring, or chemical preservatives. If it bears or contains any

artificial flavoring, artificial coloring, or chemical preservative, unless it bears labeling stating

that fact, except that to the extent that compliance with the requirements of this paragraph is

impracticable, exemptions shall be established by regulations promulgated by the Secretary.

The provisions of this paragraph and paragraphs (g) and (i) with respect to artificial coloring

shall not apply in the case of butter, cheese, or ice cream. The provisions of this paragraph

with respect to chemical preservatives shall not apply to a pesticide chemical when used in or

on a raw agricultural commodity which is the produce of the soil.

(l) Pesticide chemicals on raw agricultural commodities. If it is a raw agricultural commodity

which is the produce of the soil, bearing or containing a pesticide chemical applied after

harvest, unless the shipping container of such commodity bears labeling which declares the

presence of such chemical in or on such commodity and the common or usual name and the

function of such chemical, except that no such declaration shall be required while such

commodity, having been removed from the shipping container, is being held or displayed for

sale at retail out of such container in accordance with the custom of the trade.

(m) Color additives. If it is a color additive, unless its packaging and labeling are in conformity

with such packaging and labeling requirements, applicable to such color additive, as may be

contained in regulations issued under section 721.

(n) If its packaging or labeling is in violation of an applicable regulation issued pursuant to

section 3 or 4 of the Poison Prevention Packaging Act of 1970.

(o) [Repealed] 8

(p) [Deleted] 8

(q) Nutrition information.

(1) Except as provided in subparagraphs (3), (4), and (5), if it is a food intended for human

consumption and is offered for sale, unless its label or labeling bears nutrition information that

provides—

(A)(i) the serving size which is an amount customarily consumed and which is expressed in a

common household measure that is appropriate to the food, or (ii) if the use of the food is not

typically expressed in a serving size, the common household unit of measure that expresses

the serving size of the food,

(B) the number of servings or other units of measure per container,

(C) the total number of calories—

(i) derived from any source, and

(ii) derived from the total fat,

in each serving size or other unit of measure of the food,

(D) the amount of the following nutrients: Total fat, saturated fat, cholesterol, sodium, total

carbohydrates, complex carbohydrates, sugars, dietary fiber, and total protein contained in

each serving size or other unit of measure,

(E) any vitamin, mineral, or other nutrient required to be placed on the label and labeling of

food under this Act before October 1, 1990 , if the Secretary determines that such information

will assist consumers in maintaining healthy dietary practices.

The Secretary may by regulation require any information required to be placed on the label or

labeling by this subparagraph or subparagraph (2)(A) to be highlighted on the label or labeling

by larger type, bold type, or contrasting color if the Secretary determines that such highlighting

will assist consumers in maintaining healthy dietary practices.

(2)(A) If the Secretary determines that a nutrient other than a nutrient required by

subparagraph (1)(C), (1)(D), or (1)(E) should be included in the label or labeling of food subject

to subparagraph (1) for purposes of providing information regarding the nutritional value of

such food that will assist consumers in maintaining healthy dietary practices, the Secretary

may by regulation require that information relating to such additional nutrient be included in the

label or labeling of such food.

(B) If the Secretary determines that the information relating to a nutrient required by

subparagraph (1)(C), (1)(D), or (1)(E) or clause (A) of this subparagraph to be included in the

label or labeling of food is not necessary to assist consumers in maintaining healthy dietary

practices, the Secretary may by regulation remove information relating to such nutrient from

such requirement.

(3) For food that is received in bulk containers at a retail establishment, the Secretary may, by

regulation, provide that the nutrition information required by subparagraphs (1) and (2) be

displayed at the location in the retail establishment at which the food is offered for sale.

(4)(A) The Secretary shall provide for furnishing the nutrition information required by

subparagraphs (1) and (2) with respect to raw agricultural commodities and raw fish by issuing

voluntary nutrition guidelines, as provided by clause (B) or by issuing regulations that are

mandatory as provided by clause (D).

(B)(i) Upon the expiration of 12 months after the date of the enactment of the Nutrition Labeling

and Education Act of 1990 [enacted Nov. 8, 1990]9 , the Secretary, after providing an

opportunity for comment, shall issue guidelines for food retailers offering raw agricultural

commodities or raw fish to provide nutrition information specified in subparagraphs (1) and (2).

Such guidelines shall take into account the actions taken by food retailers during such

12-month period to provide to consumers nutrition information on raw agricultural commodities

and raw fish. Such guidelines shall only apply—

(I) in the case of raw agricultural commodities, to the 20 varieties of vegetables most frequently

consumed during a year and the 20 varieties of fruit most frequently consumed during a year,

and

(II) to the 20 varieties of raw fish most frequently consumed during a year.

The vegetables, fruits, and raw fish to which such guidelines apply shall be determined by the

Secretary by regulation and the Secretary may apply such guidelines regionally.

(ii) Upon the expiration of 12 months after the date of the enactment of the Nutrition Labeling

and Education Act of 1990 [enacted Nov. 8, 1990] 9, the Secretary shall issue a final regulation

defining the circumstances that constitute substantial compliance by food retailers with the

guidelines issued under subclause (i). The regulation shall provide that there is not substantial

compliance if a significant number of retailers have failed to comply with the guidelines. The

size of the retailers and the portion of the market served by retailers in compliance with the

guidelines shall be considered in determining whether the substantial-compliance standard

has been met.

(C)(i) Upon the expiration of 30 months after the date of the enactment of the Nutrition

Labeling and Education Act of 1990 [enacted Nov. 8, 1990] 9 , the Secretary shall issue a

report on actions taken by food retailers to provide consumers with nutrition information for raw

agricultural commodities and raw fish under the guidelines issued under clause (A). Such

report shall include a determination of whether there is substantial compliance with the

guidelines.

(ii) If the Secretary finds that there is substantial compliance with the guidelines, the Secretary

shall issue a report and make a determination of the type required in subclause (i) every two

years.

(D)(i) If the Secretary determines that there is not substantial compliance with the guidelines

issued under clause (A), the Secretary shall at the time such determination is made issue

proposed regulations requiring that any person who offers raw agricultural commodities or raw

fish to consumers provide, in a manner prescribed by regulations, the nutrition information

required by subparagraphs (1) and (2). The Secretary shall issue final regulations imposing

such requirements 6 months after issuing the proposed regulations. The final regulations shall

become effective 6 months after the date of their promulgation.

(ii) Regulations issued under subclause (i) may require that the nutrition information required

by subparagraphs (1) and (2) be provided for more than 20 varieties of vegetables, 20

varieties of fruit, and 20 varieties of fish most frequently consumed during a year if the

Secretary finds that a larger number of such products are frequently consumed. Such

regulations shall permit such information to be provided in a single location in each area in

which raw agricultural commodities and raw fish are offered for sale. Such regulations may

provide that information shall be expressed as an average or range per serving of the same

type of raw agricultural commodity or raw fish. The Secretary shall develop and make available

to the persons who offer such food to consumers the information required by subparagraphs (1)

and (2).

(iii) Regulations issued under subclause (i) shall permit the required information to be provided

in each area of an establishment in which raw agricultural commodities and raw fish are

offered for sale. The regulations shall permit food retailers to display the required information

by supplying copies of the information provided by the Secretary, by making the information

available in brochure, notebook or leaflet form, or by posting a sign disclosing the information.

Such regulations shall also permit presentation of the required information to be supplemented

by a video, live demonstration, or other media which the Secretary approves.

(E) For purposes of this subparagraph, the term "fish" includes freshwater or marine fin fish,

crustaceans, and mollusks, including shellfish, amphibians, and other forms of aquatic animal

life.

(F) No person who offers raw agricultural commodities or raw fish to consumers may be

prosecuted for minor violations of this subparagraph if there has been substantial compliance

with the requirements of this paragraph.

(5)(A) Subparagraphs (1), (2), (3), and (4) shall not apply to food—

(i) which is served in restaurants or other establishments in which food is served for immediate

human consumption or which is sold for sale or use in such establishments,

(ii) which is processed and prepared primarily in a retail establishment, which is ready for

human consumption, which is of the type described in subclause (i), and which is offered for

sale to consumers but not for immediate human consumption in such establishment and which

is not offered for sale outside such establishment,

(iii) which is an infant formula subject to section 412,

(iv) which is a medical food as defined in section 5(b) of the Orphan Drug Act (21 U.S.C.

360ee(b)), or

(v) which is described in section 405(2).

(B) Subparagraphs (1) and (2) shall not apply to the label of a food if the Secretary determines

by regulations that compliance with such subparagraphs is impracticable because the

package of such food is too small to comply with the requirements of such subparagraphs and

if the label of such food does not contain any nutrition information.

(C) If a food contains insignificant amounts, as determined by the Secretary, of all the nutrients

required by subparagraphs (1) and (2) to be listed in the label or labeling of food, the

requirements of such subparagraphs shall not apply to such food if the label, labeling, or

advertising of such food does not make any claim with respect to the nutritional value of such

food. If a food contains insignificant amounts, as determined by the Secretary, of more than

one-half the nutrients required by subparagraphs (1) and (2) to be in the label or labeling of the

food, the Secretary shall require the amounts of such nutrients to be stated in a simplified form

prescribed by the Secretary.

(D) If a person offers food for sale and has annual gross sales made or business done in sales

to consumers which is not more than $500,000 or has annual gross sales made or business

done in sales of food to consumers which is not more than $50,000, the requirements of

subparagraphs (1), (2), (3), and (4) shall not apply with respect to food sold by such person to

consumers unless the label or labeling of food offered by such person provides nutrition

information or makes a nutrition claim.

(E)(i) During the 12-month period for which an exemption from subparagraphs (1) and (2) is

claimed pursuant to this subclause, the requirements of such subparagraphs shall not apply to

any food product if—

(I) the labeling for such product does not provide nutrition information or make a claim subject

to paragraph (r),

(II) the person who claims for such product an exemption from such subparagraphs employed

fewer than an average of 100 full-time equivalent employees,

(III) such person provided the notice described in subclause (iii), and

(IV) in the case of a food product which was sold in the 12-month period preceding the period

for which an exemption was claimed, fewer than 100,000 units of such product were sold in the

United States during such preceding period, or in the case of a food product which was not

sold in the 12-month period preceding the period for which such exemption is claimed, fewer

than 100,000 units of such product are reasonably anticipated to be sold in the United States

during the period for which such exemption is claimed.

(ii) During the 12-month period after the applicable date referred to in this sentence, the

requirements of subparagraphs (1) and (2) shall not apply to any food product which was first

introduced into interstate commerce before May 8, 1994, if the labeling for such product does

not provide nutrition information or make a claim subject to paragraph (r), if such person

provided the notice described in subclause (iii), and if—

(I) during the 12-month period preceding May 8, 1994, the person who claims for such product

an exemption from such subparagraphs employed fewer than an average of 300 full-time

equivalent employees and fewer than 600,000 units of such product were sold in the United

States,

(II) during the 12-month period preceding May 8, 1995, the person who claims for such product

an exemption from such subparagraphs employed fewer than an average of 300 full-time

equivalent employees and fewer than 400,000 units of such product were sold in the United

States, or

(III) during the 12-month period preceding May 8, 1996 , the person who claims for such

product an exemption from such subparagraphs employed fewer than an average of 200

full-time equivalent employees and fewer than 200,000 units of such product were sold in the

United States .

(iii) The notice referred to in subclauses (i) and (ii) shall be given to the Secretary prior to the

beginning of the period during which the exemption under subclause (i) or (ii) is to be in effect,

shall state that the person claiming such exemption for a food product has complied with the

applicable requirements of subclause (i) or (ii), and shall—

(I) state the average number of full-time equivalent employees such person employed during

the 12 months preceding the date such person claims such exemption,

(II) state the approximate number of units the person claiming the exemption sold in the United

States ,

(III) if the exemption is claimed for a food product which was sold in the 12-month period

preceding the period for which the exemption was claimed, state the approximate number of

units of such product which were sold in the United States during such preceding period, and,

if the exemption is claimed for a food product which was not sold in such preceding period,

state the number of units of such product which such person reasonably anticipates will be

sold in the United States during the period for which the exemption was claimed, and

(IV) contain such information as the Secretary may require to verify the information required by

the preceding provisions of this subclause if the Secretary has questioned the validity of such

information.

If a person is not an importer, has fewer than 10 full-time equivalent employees, and sells

fewer than 10,000 units of any food product in any year, such person is not required to file a

notice for such product under this subclause for such year.

(iv) In the case of a person who claimed an exemption under subclause (i) or (ii), if, during the

period of such exemption, the number of full-time equivalent employees of such person

exceeds the number in such subclause or if the number of food products sold in the United

States exceeds the number in such subclause, such exemption shall extend to the expiration

of 18 months after the date the number of full-time equivalent employees or food products sold

exceeded the applicable number.

(v) For any food product first introduced into interstate commerce after May 8, 2002 , the

Secretary may by regulation lower the employee or units of food products requirement of

subclause (i) if the Secretary determines that the cost of compliance with such lower

requirement will not place an undue burden on persons subject to such lower requirement.

(vi) For purposes of subclauses (i), (ii), (iii), (iv), and (v)—

(I) the term "unit" means the packaging or, if there is no packaging, the form in which a food

product is offered for sale to consumers,

(II) the term "food product" means food in any sized package which is manufactured by a

single manufacturer or which bears the same brand name, which bears the same statement of

identity, and which has similar preparation methods, and

(III) the term "person" in the case of a corporation includes all domestic and foreign affiliates of

the corporation.

(F) A dietary supplement product (including a food to which section 411 applies) shall comply

with the requirements of subparagraphs (1) and (2) in a manner which is appropriate for the

product and which is specified in regulations of the Secretary which shall provide that—

(i) nutrition information shall first list those dietary ingredients that are present in the product in

a significant amount and for which a recommendation for daily consumption has been

established by the Secretary, except that a dietary ingredient shall not be required to be listed

if it is not present in a significant amount, and shall list any other dietary ingredient present and

identified as having no such recommendation;

(ii) the listing of dietary ingredients shall include the quantity of each such ingredient (or of a

proprietary blend of such ingredients) per serving;

(iii) the listing of dietary ingredients may include the source of a dietary ingredient; and

(iv) the nutrition information shall immediately precede the ingredient information required

under subclause (i), except that no ingredient identified pursuant to subclause (i) shall be

required to be identified a second time.

(G) Subparagraphs (1), (2), (3), and (4) shall not apply to food which is sold by a food

distributor if the food distributor principally sells food to restaurants or other establishments in

which food is served for immediate human consumption and does not manufacture, process,

or repackage the food it sells.

(r) Nutrition levels and health-related claims.

(1) Except as provided in clauses (A) through (C) of subparagraph (5), if it is a food intended

for human consumption which is offered for sale and for which a claim is made in the label or

labeling of the food which expressly or by implication—

(A) characterizes the level of any nutrient which is of the type required by paragraph (q)(1) or

(q)(2) to be in the label or labeling of the food unless the claim is made in accordance with

subparagraph (2), or

(B) characterizes the relationship of any nutrient which is of the type required by paragraph

(q)(1) or (q)(2) to be in the label or labeling of the food to a disease or a health-related

condition unless the claim is made in accordance with subparagraph (3) or (5)(D).

A statement of the type required by paragraph (q) that appears as part of the nutrition

information required or permitted by such paragraph is not a claim which is subject to this

paragraph and a claim subject to clause (A) is not subject to clause (B).

(2)(A) Except as provided in subparagraphs (4)(A)(ii) and (4)(A)(iii) and clauses (A) through (C)

of subparagraph (5), a claim described in subparagraph (1)(A)—

(i) may be made only if the characterization of the level made in the claim uses terms which

are defined in regulations of the Secretary,

(ii) may not state the absence of a nutrient unless—

(I) the nutrient is usually present in the food or in a food which substitutes for the food as

defined by the Secretary by regulation, or

(II) the Secretary by regulation permits such a statement on the basis of a finding that such a

statement would assist consumers in maintaining healthy dietary practices and the statement

discloses that the nutrient is not usually present in the food,

(iii) may not be made with respect to the level of cholesterol in the food if the food contains, as

determined by the Secretary by regulation, fat or saturated fat in an amount which increases to

persons in the general population the risk of disease or a health related condition which is diet

related unless—

(I) the Secretary finds by regulation that the level of cholesterol is substantially less than the

level usually present in the food or in a food which substitutes for the food and which has a

significant market share, or the Secretary by regulation permits a statement regarding the

absence of cholesterol on the basis of a finding that cholesterol is not usually present in the

food and that such a statement would assist consumers in maintaining healthy dietary

practices and the regulation requires that the statement disclose that cholesterol is not usually

present in the food, and

(II) the label or labeling of the food discloses the level of such fat or saturated fat in immediate

proximity to such claim and with appropriate prominence which shall be no less than one-half

the size of the claim with respect to the level of cholesterol,

(iv) may not be made with respect to the level of saturated fat in the food if the food contains

cholesterol unless the label or labeling of the food discloses the level of cholesterol in the food

in immediate proximity to such claim and with appropriate prominence which shall be no less

than one-half the size of the claim with respect to the level of saturated fat,

(v) may not state that a food is high in dietary fiber unless the food is low in total fat as defined

by the Secretary or the label or labeling discloses the level of total fat in the food in immediate

proximity to such statement and with appropriate prominence which shall be no less than

one-half the size of the claim with respect to the level of dietary fiber, and

(vi) may not be made if the Secretary by regulation prohibits the claim because the claim is

misleading in light of the level of another nutrient in the food.

(B) If a claim described in subparagraph (1)(A) is made with respect to a nutrient in a food and

the Secretary makes a determination that the food contains a nutrient at a level that increases

to persons in the general population the risk of a disease or health-related condition that is diet

related, the label or labeling of such food shall contain, prominently and in immediate proximity

to such claim, the following statement: "See nutrition information for ---- content." The blank

shall identify the nutrient associated with the increased disease or health-related condition risk.

In making the determination described in this clause, the Secretary shall take into account the

significance of the food in the total daily diet.

(C) Subparagraph (2)(A) does not apply to a claim described in subparagraph (1)(A) and

contained in the label or labeling of a food if such claim is contained in the brand name of such

food and such brand name was in use on such food before October 25, 1989, unless the brand

name contains a term defined by the Secretary under subparagraph (2)(A)(i). Such a claim is

subject to paragraph (a).

(D) Subparagraph (2) does not apply to a claim described in subparagraph (1)(A) which uses

the term "diet" and is contained in the label or labeling of a soft drink if (i) such claim is

contained in the brand name of such soft drink, (ii) such brand name was in use on such soft

drink before October 25, 1989, and (iii) the use of the term "diet" was in conformity with section

105.66 of title 21 of the Code of Federal Regulations. Such a claim is subject to paragraph (a).

(E) Subclauses (i) through (v) of subparagraph (2)(A) do not apply to a statement in the label

or labeling of food which describes the percentage of vitamins and minerals in the food in

relation to the amount of such vitamins and minerals recommended for daily consumption by

the Secretary.

(F) Subclause (i) clause (A) does not apply to a statement in the labeling of a dietary

supplement that characterizes the percentage level of a dietary ingredient for which the

Secretary has not established a reference daily intake, daily recommended value, or other

recommendation for daily consumption.

(G) A claim of the type described in subparagraph (1)(A) for a nutrient, for which the Secretary

has not promulgated a regulation under clause (A)(i), shall be authorized and may be made

with respect to a food if—

(i) a scientific body of the United States Government with official responsibility for public health

protection or research directly relating to human nutrition (such as the National Institutes of

Health or the Centers for Disease Control and Prevention) or the National Academy of

Sciences or any of its subdivisions has published an authoritative statement, which is currently

in effect, which identifies the nutrient level to which the claim refers;

(ii) a person has submitted to the Secretary, at least 120 days (during which the Secretary may

notify any person who is making a claim as authorized by clause (C) that such person has not

submitted all the information required by such clause) before the first introduction into

interstate commerce of the food with a label containing the claim, (I) a notice of the claim,

which shall include the exact words used in the claim and shall include a concise description of

the basis upon which such person relied for determining that the requirements of subclause (i)

have been satisfied, (II) a copy of the statement referred to in subclause (i) upon which such

person relied in making the claim, and (III) a balanced representation of the scientific literature

relating to the nutrient level to which the claim refers;

(iii) the claim and the food for which the claim is made are in compliance with clauses (A) and

(B), and are otherwise in compliance with paragraph (a) and section 201(n); and

(iv) the claim is stated in a manner so that the claim is an accurate representation of the

authoritative statement referred to in subclause (i) and so that the claim enables the public to

comprehend the information provided in the claim and to understand the relative significance

of such information in the context of a total daily diet.

For purposes of this clause, a statement shall be regarded as an authoritative statement of a

scientific body described in subclause (i) only if the statement is published by the scientific

body and shall not include a statement of an employee of the scientific body made in the

individual capacity of the employee.

(H) A claim submitted under the requirements of clause (G) may be made until—

(i) such time as the Secretary issues a regulation—

(I) prohibiting or modifying the claim and the regulation has become effective, or

(II) finding that the requirements of clause (G) have not been met, including finding that the

petitioner had not submitted all the information required by such clause; or

(ii) a district court of the United States in an enforcement proceeding under chapter III has

determined that the requirements of clause (G) have not been met.

(3)(A) Except as provided in subparagraph (5), a claim described in subparagraph (1)(B) may

only be made—

(i) if the claim meets the requirements of the regulations of the Secretary promulgated under

clause (B), and

(ii) if the food for which the claim is made does not contain, as determined by the Secretary by

regulation, any nutrient in an amount which increases to persons in the general population the

risk of a disease or health-related condition which is diet related, taking into account the

significance of the food in the total daily diet, except that the Secretary may by regulation

permit such a claim based on a finding that such a claim would assist consumers in

maintaining healthy dietary practices and based on a requirement that the label contain a

disclosure of the type required by subparagraph (2)(B).

(B)(i) The Secretary shall promulgate regulations authorizing claims of the type described in

subparagraph (1)(B) only if the Secretary determines, based on the totality of publicly available

scientific evidence (including evidence from well-designed studies conducted in a manner

which is consistent with generally recognized scientific procedures and principles), that there is

significant scientific agreement, among experts qualified by scientific training and experience

to evaluate such claims, that the claim is supported by such evidence.

(ii) A regulation described in subclause (i) shall describe—

(I) the relationship between a nutrient of the type required in the label or labeling of food by

paragraph (q)(1) or (q)(2) and a disease or health-related condition, and

(II) the significance of each such nutrient in affecting such disease or health-related condition.

(iii) A regulation described in subclause (i) shall require such claim to be stated in a manner so

that the claim is an accurate representation of the matters set out in subclause (ii) and so that

the claim enables the public to comprehend the information provided in the claim and to

understand the relative significance of such information in the context of a total daily diet.

(C) Notwithstanding the provisions of clauses (A)(i) and (B), a claim of the type described in

subparagraph (1)(B) which is not authorized by the Secretary in a regulation promulgated in

accordance with clause (B) shall be authorized and may be made with respect to a food if—

(i) a scientific body of the United States Government with official responsibility for public health

protection or research directly relating to human nutrition (such as the National Institutes of

Health or the Centers for Disease Control and Prevention) or the National Academy of

Sciences or any of its subdivisions has published an authoritative statement, which is currently

in effect, about the relationship between a nutrient and a disease or health-related condition to

which the claim refers;

(ii) a person has submitted to the Secretary, at least 120 days (during which the Secretary may

notify any person who is making a claim as authorized by clause (C) that such person has not

submitted all the information required by such clause) before the first introduction into

interstate commerce of the food with a label containing the claim, (I) a notice of the claim,

which shall include the exact words used in the claim and shall include a concise description of

the basis upon which such person relied for determining that the requirements of subclause (i)

have been satisfied, (II) a copy of the statement referred to in subclause (i) upon which such

person relied in making the claim, and (III) a balanced representation of the scientific literature

relating to the relationship between a nutrient and a disease or health-related condition to

which the claim refers;

(iii) the claim and the food for which the claim is made are in compliance with clause (A)(ii) and

are otherwise in compliance with paragraph (a) and section 201(n); and

(iv) the claim is stated in a manner so that the claim is an accurate representation of the

authoritative statement referred to in subclause (i) and so that the claim enables the public to

comprehend the information provided in the claim and to understand the relative significance

of such information in the context of a total daily diet.

For purposes of this clause, a statement shall be regarded as an authoritative statement of a

scientific body described in subclause (i) only if the statement is published by the scientific

body and shall not include a statement of an employee of the scientific body made in the

individual capacity of the employee.

(D) A claim submitted under the requirements of clause (C) may be made until—

(i) such time as the Secretary issues a regulation under the standard in clause (B)(i)—

(I) prohibiting or modifying the claim and the regulation has become effective, or

(II) finding that the requirements of clause (C) have not been met, including finding that the

petitioner has not submitted all the information required by such clause; or

(ii) a district court of the United States in an enforcement proceeding under chapter III has

determined that the requirements of clause (C) have not been met.

(4)(A)(i) Any person may petition the Secretary to issue a regulation under subparagraph

(2)(A)(i) or (3)(B) relating to a claim described in subparagraph (1)(A) or (1)(B). Not later than

100 days after the petition is received by the Secretary, the Secretary shall issue a final

decision denying the petition or file the petition for further action by the Secretary. If the

Secretary does not act within such 100 days, the petition shall be deemed to be denied unless

an extension is mutually agreed upon by the Secretary and the petitioner. If the Secretary

denies the petition or the petition is deemed to be denied, the petition shall not be made

available to the public. If the Secretary files the petition, the Secretary shall deny the petition or

issue a proposed regulation to take the action requested in the petition not later than 90 days

after the date of such decision. If the Secretary does not act within such 90 days, the petition

shall be deemed to be denied unless an extension is mutually agreed upon by the Secretary

and the petitioner. If the Secretary issues a proposed regulation, the rulemaking shall be

completed within 540 days of the date the petition is received by the Secretary. If the Secretary

does not issue a regulation within such 540 days, the Secretary shall provide the Committee

on Commerce of the House of Representatives and the Committee on Labor and Human

Resources of the Senate the reasons action on the regulation did not occur within such 540

days.

(ii) Any person may petition the Secretary for permission to use in a claim described in

subparagraph (1)(A) terms that are consistent with the terms defined by the Secretary under

subparagraph (2)(A)(i). Within 90 days of the submission of such a petition, the Secretary shall

issue a final decision denying the petition or granting such permission.

(iii) Any person may petition the Secretary for permission to use an implied claim described in

subparagraph (1)(A) in a brand name. After publishing notice of an opportunity to comment on

the petition in the Federal Register and making the petition available to the public, the

Secretary shall grant the petition if the Secretary finds that such claim is not misleading and is

consistent with terms defined by the Secretary under subparagraph (2)(A)(i). The Secretary

shall grant or deny the petition within 100 days of the date it is submitted to the Secretary and

the petition shall be considered granted if the Secretary does not act on it within such 100

days.

(B) A petition under clause (A)(i) respecting a claim described in subparagraph (1)(A) or (1)(B)

shall include an explanation of the reasons why the claim meets the requirements of this

paragraph and a summary of the scientific data which supports such reasons.

(C) If a petition for a regulation under subparagraph (3)(B) relies on a report from an

authoritative scientific body of the United States, the Secretary shall consider such report and

shall justify any decision rejecting the conclusions of such report.

(5)(A) This paragraph does not apply to infant formulas subject to section 412(h) and medical

foods as defined in section 5(b) of the Orphan Drug Act.

(B) Subclauses (iii) through (v) of subparagraph (2)(A) and subparagraph (2)(B) do not apply

to food which is served in restaurants or other establishments in which food is served for

immediate human consumption or which is sold for sale or use in such establishments.

(C) A subparagraph (1)(A) claim made with respect to a food which claim is required by a

standard of identity issued under section 401 shall not be subject to subparagraph (2)(A)(i) or

(2)(B).

(D) A subparagraph (1)(B) claim made with respect to a dietary supplement of vitamins,

minerals, herbs, or other similar nutritional substances shall not be subject to subparagraph (3)

but shall be subject to a procedure and standard, respecting the validity of such claim,

established by regulation of the Secretary.

(6) For purposes of paragraph (r)(1)(B), a statement for a dietary supplement may be made

if—

(A) the statement claims a benefit related to a classical nutrient deficiency disease and

discloses the prevalence of such disease in the United States, describes the role of a nutrient

or dietary ingredient intended to affect the structure or function in humans, characterizes the

documented mechanism by which a nutrient or dietary ingredient acts to maintain such

structure or function, or describes general well-being from consumption of a nutrient or dietary

ingredient,

(B) the manufacturer of the dietary supplement has substantiation that such statement is

truthful and not misleading, and

(C) the statement contains, prominently displayed and in boldface type, the following: "This

statement has not been evaluated by the Food and Drug Administration. This product is not

intended to diagnose, treat, cure, or prevent any disease.".

A statement under this subparagraph may not claim to diagnose, mitigate, treat, cure, or

prevent a specific disease or class of diseases. If the manufacturer of a dietary supplement

proposes to make a statement described in the first sentence of this subparagraph in the

labeling of the dietary supplement, the manufacturer shall notify the Secretary no later than 30

days after the first marketing of the dietary supplement with such statement that such a

statement is being made.

(7) The Secretary may make proposed regulations issued under this paragraph effective upon

publication pending consideration of public comment and publication of a final regulation if the

Secretary determines that such action is necessary—

(A) to enable the Secretary to review and act promptly on petitions the Secretary determines

provide for information necessary to—

(i) enable consumers to develop and maintain healthy dietary practices;

(ii) enable consumers to be informed promptly and effectively of important new knowledge

regarding nutritional and health benefits of food; or

(iii) ensure that scientifically sound nutritional and health information is provided to consumers

as soon as possible; or

(B) to enable the Secretary to act promptly to ban or modify a claim under this paragraph.

Such proposed regulations shall be deemed final agency action for purposes of judicial review.

(s) Dietary supplements.

If—

(1) it is a dietary supplement; and

(2)(A) the label or labeling of the supplement fails to list—

(i) the name of each ingredient of the supplement that is described in section 201(ff); and

(ii)(I) the quantity of each such ingredient; or

(II) with respect to a proprietary blend of such ingredients, the total quantity of all ingredients in

the blend;

(B) the label or labeling of the dietary supplement fails to identify the product by using the term

"dietary supplement", which term may be modified with the name of such an ingredient;

(C) the supplement contains an ingredient described in section 201(ff)(1)(C), and the label or

labeling of the supplement fails to identify any part of the plant from which the ingredient is

derived;

(D) the supplement—

(i) is covered by the specifications of an official compendium;

(ii) is represented as conforming to the specifications of an official compendium; and

(iii) fails to so conform; or

(E) the supplement—

(i) is not covered by the specifications of an official compendium; and

(ii)(I) fails to have the identity and strength that the supplement is represented to have; or

(II) fails to meet the quality (including tablet or capsule disintegration), purity, or compositional

specifications, based on validated assay or other appropriate methods, that the supplement is

represented to meet.

A dietary supplement shall not be deemed misbranded solely because its label or labeling

contains directions or conditions of use or warnings.

(t) Catfish.10 If it purports to be or is represented as catfish, unless it is fish classified within the

family Ictaluridae.

(u) Ginseng. 11 If it purports to be or is represented as ginseng, unless it is an herb or herbal

ingredient derived from a plant classified within the genus Panax.

(v) Failure to label; health threat.

If--

(1) it fails to bear a label required by the Secretary under section 801(n)(1) (relating to food

refused admission into the United States );

(2) the Secretary finds that the food presents a threat of serious adverse health consequences

or death to humans or animals; and

(3) upon or after notifying the owner or consignee involved that the label is required under

section 801, the Secretary informs the owner or consignee that the food presents such a

threat.

(w) Major food allergen labeling requirements.

(1) 12, 13, 14, 15 If it is not a raw agricultural commodity and it is, or it contains an ingredient

that bears or contains, a major food allergen, unless either—

(A) the word 'Contains', followed by the name of the food source from which the major food

allergen is derived, is printed immediately after or is adjacent to the list of ingredients (in a type

size no smaller than the type size used in the list of ingredients) required under subsections (g)

and (i); or

(B) the common or usual name of the major food allergen in the list of ingredients required

under subsections (g) and (i) is followed in parentheses by the name of the food source from

which the major food allergen is derived, except that the name of the food source is not

required when—

(i) the common or usual name of the ingredient uses the name of the food source from which

the major food allergen is derived; or

(ii) the name of the food source from which the major food allergen is derived appears

elsewhere in the ingredient list, unless the name of the food source that appears elsewhere in

the ingredient list appears as part of the name of a food ingredient that is not a major food

allergen under section 201( qq)(2)(A) or (B).

(2) As used in this subsection, the term 'name of the food source from which the major food

allergen is derived' means the name described in section 201( qq)(1); provided that in the case

of a tree nut, fish, or Crustacean shellfish, the term 'name of the food source from which the

major food allergen is derived' means the name of the specific type of nut or species of fish or

Crustacean shellfish.

(3) The information required under this subsection may appear in labeling in lieu of appearing

on the label only if the Secretary finds that such other labeling is sufficient to protect the public

health. A finding by the Secretary under this paragraph (including any change in an earlier

finding under this paragraph) is effective upon publication in the Federal Register as a notice.

(4) Notwithstanding subsection (g), (i), or (k), or any other law, a flavoring, coloring, or

incidental additive that is, or that bears or contains, a major food allergen shall be subject to

the labeling requirements of this subsection.

(5) The Secretary may by regulation modify the requirements of subparagraph (A) or (B) of

paragraph (1), or eliminate either the requirement of subparagraph (A) or the requirements of

subparagraph (B) of paragraph (1), if the Secretary determines that the modification or

elimination of the requirement of subparagraph (A) or the requirements of subparagraph (B) is

necessary to protect the public health.

(6)(A) Any person may petition the Secretary to exempt a food ingredient described in section

201( qq)(2) from the allergen labeling requirements of this subsection.

(B) The Secretary shall approve or deny such petition within 180 days of receipt of the petition

or the petition shall be deemed denied, unless an extension of time is mutually agreed upon by

the Secretary and the petitioner.

(C) The burden shall be on the petitioner to provide scientific evidence (including the analytical

method used to produce the evidence) that demonstrates that such food ingredient, as derived

by the method specified in the petition, does not cause an allergic response that poses a risk

to human health.

(D) A determination regarding a petition under this paragraph shall constitute final agency

action.

(E) The Secretary shall promptly post to a public site all petitions received under this

paragraph within 14 days of receipt and the Secretary shall promptly post the Secretary's

response to each.

(7)(A) A person need not file a petition under paragraph (6) to exempt a food ingredient

described in section 201( qq)(2) from the allergen labeling requirements of this subsection, if

the person files with the Secretary a notification containing—

(i) scientific evidence (including the analytical method used) that demonstrates that the food

ingredient (as derived by the method specified in the notification, where applicable) does not

contain allergenic protein; or

(ii) a determination by the Secretary that the ingredient does not cause an allergic response

that poses a risk to human health under a premarket approval or notification program under

section 409.

(B) The food ingredient may be introduced or delivered for introduction into interstate

commerce as a food ingredient that is not a major food allergen 90 days after the date of

receipt of the notification by the Secretary, unless the Secretary determines within the 90-day

period that the notification does not meet the requirements of this paragraph, or there is

insufficient scientific evidence to determine that the food ingredient does not contain allergenic

protein or does not cause an allergenic response that poses a risk to human health.

(C) The Secretary shall promptly post to a public site all notifications received under this

subparagraph within 14 days of receipt and promptly post any objections thereto by the

Secretary.

(x) Nonmajor food allergen labeling requirements.16 Notwithstanding subsection (g), (i), or (k),

17 or any other law, a spice, flavoring, coloring, or incidental additive that is, or that bears or

contains, a food allergen (other than a major food allergen), as determined by the Secretary by

regulation, shall be disclosed in a manner specified by the Secretary by regulation.

(y) [Caution: This subsection is effective and applicable to any dietary supplement

labeled on or after the date that is 1 year after enactment, pursuant to § 3(d)(1), (2) of Act

Dec. 22, 2006, P.L. 109–462]. If it is a dietary supplement that is marketed in the United

States, unless the label of such dietary supplement includes a domestic address or domestic

phone number through which the responsible person (as described in section 761) may

receive a report of a serious adverse event with such dietary supplement.

SEC. 403A. 18 [21 U.S.C. 343–1] (a) Except as provided in subsection (b), no State or political

subdivision of a State may directly or indirectly establish under any authority or continue in

effect as to any food in interstate commerce—

(1) any requirement for a food which is the subject of a standard of identity established under

section 401 that is not identical to such standard of identity or that is not identical to the

requirement of section 403(g), except that this paragraph does not apply to a standard of

identity of a State or political subdivision of a State for maple syrup that is of the type required

by sections 401 and 403(g),

(2) any requirement for the labeling of food of the type required by section 403(c), 403(e), or

403(i)(2) 403(i)(2), 403(w), or 403(x) that is not identical to the requirement of such section,

except that this paragraph does not apply to a requirement of a State or political subdivision of

a State that is of the type required by section 403(c) and that is applicable to maple syrup,

(3) any requirement for the labeling of food of the type required by section 403(b), 403(d),

403(f), 403(h), 403(i)(1), or 403(k) that is not identical to the requirement of such section,

except that this paragraph does not apply to a requirement of a State or political subdivision of

a State that is of the type required by section 403(h)(1) and that is applicable to maple syrup,

(4) any requirement for nutrition labeling of food that is not identical to the requirement of

section 403(q), except a requirement for nutrition labeling of food which is exempt under

subclause (i) or (ii) of section 403(q)(5)(A), or

(5) any requirement respecting any claim of the type described in section 403(r)(1) made in the

label or labeling of foodthat is not identical to the requirement of section 403(r), except a

requirement respecting a claim made in the label or labeling of food which is exempt under

section 403(r)(5)(B).

Paragraph (3) shall take effect in accordance with section 6(b) of the Nutrition Labeling and

Education Act of 1990.

(b) Upon petition of a State or a political subdivision of a State, the Secretary may exempt from

subsection (a), under such conditions as may be prescribed by regulation, any State or local

requirement that—

(1) would not cause any food to be in violation of any applicable requirement under Federal

law,

(2) would not unduly burden interstate commerce, and

(3) is designed to address a particular need for information which need is not met by the

requirements of the sections referred to in subsection (a).

DIETARY SUPPLEMENT LABELING EXEMPTIONS

SEC. 403B. [21 U.S.C. 343–2] (a) IN GENERAL.—A publication, including an article, a

chapter in a book, or an official abstract of a peer-reviewed scientific publication that appears

in an article and was prepared by the author or the editors of the publication, which is reprinted

in its entirety, shall not be defined as labeling when used in connection with the sale of a

dietary supplement to consumers when it—

(1) is not false or misleading;

(2) does not promote a particular manufacturer or brand of a dietary supplement;

(3) is displayed or presented, or is displayed or presented with other such items on the same

subject matter, so as to present a balanced view of the available scientific information on a

dietary supplement;

(4) if displayed in an establishment, is physically separate from the dietary supplements; and

(5) does not have appended to it any information by sticker or any other method.

(b) APPLICATION.—Subsection (a) shall not apply to or restrict a retailer or wholesaler of

dietary supplements in any way whatsoever in the sale of books or other publications as a part

of the business of such retailer or wholesaler.

(c) BURDEN OF PROOF.—In any proceeding brought under subsection (a), the burden of

proof shall be on the United States to establish that an article or other such matter is false or

misleading.

DISCLOSURE

SEC. 403C. [21 U.S.C. 343–3] (a) No provision of section 201(n), 403(a), or 409 shall be

construed to require on the label or labeling of a food a separate radiation disclosure

statement that is more prominent than the declaration of ingredients required by section

403(i)(2).

(b) In this section, the term "radiation disclosure statement" means a written statement that

discloses that a food has been intentionally subject to radiation.

EMERGENCY PERMIT CONTROL

SEC. 404. [21 U.S.C. 344] (a) Whenever the Secretary finds after investigation that the

distribution in interstate commerce of any class of food may, by reason of contamination with

micro-organisms during the manufacture, processing, or packing thereof in any locality, be

injurious to health, and that such injurious nature cannot be adequately determined after such

articles have entered interstate commerce, he then, and in such case only, shall promulgate

regulations providing for the issuance, to manufacturers, processors, or packers of such class

of food in such locality of permits to which shall be attached such conditions governing the

manufacture, processing, or packaging of such class of food, for such temporary period of time,

as may be necessary to protect the public health; and after the effective date of such

regulations, and during such temporary period, no person shall introduce or deliver for

introduction into interstate commerce any such food manufactured, processed, or packed by

any such manufacturer, processor, or packer unless such manufacturer, processor, or packer

holds a permit issued by the Secretary as provided by such regulations.

(b) The Secretary is authorized to suspend immediately upon notice any permit issued under

authority of this section if it is found that any of the conditions of the permit have been violated.

The holder of a permit so suspended shall be privileged at any time to apply for the

reinstatement of such permit, and the Secretary shall, immediately after prompt hearing and

an inspection of the establishment, reinstate such permit if it is found that adequate measures

have been taken to comply with and maintain the conditions of the permit, as originally issued

or as amended.

(c) Any officer or employee duly designated by the Secretary shall have access to any factory

or establishment, the operator of which holds a permit from the Secretary, for the purpose of

ascertaining whether or not the conditions of the permit are being complied with, and denial of

access for such inspection shall be ground for suspension of the permit until such access is

freely given by the operator.

REGULATIONS MAKING EXEMPTIONS

SEC. 405. [21 U.S.C. 345] The Secretary shall promulgate regulations exempting from any

labeling requirement of this Act (1) small open containers of fresh fruits and fresh vegetables

and (2) food which is in accordance with the practice of the trade, to be processed, labeled, or

repacked in substantial quantities at establishments other than those where originally

processed or packed, or condition that such food is not adulterated or misbranded under the

provisions of this Act upon removal from such processing, labeling, or repacking establishment.

This section does not apply to the labeling requirements of sections 403(q) and 403(r).

TOLERANCES FOR POISONOUS INGREDIENTS IN FOOD

SEC. 406. 19 [21 U.S.C. 346] Any poisonous or deleterious substance added to any food,

except where such substance is required in the production thereof or cannot be avoided by

good manufacturing practice shall be deemed to be unsafe for purposes of the application of

clause 2)(A) of section 402(a); but when such substance is so required or cannot be so

avoided, the Secretary shall promulgate regulations limiting the quantity therein or thereon to

such extent as he finds necessary for the protection of public health, and any quantity

exceeding the limits so fixed shall also be deemed to be unsafe for purposes of the application

of clause (2)(A) of section 402(a). While such a regulation is in effect limiting the quantity of

any such substance in the case of any food, such food shall not, by reason of bearing or

containing any added amount of such substance, be considered to be adulterated within the

meaning of clause (1) of section 402(a). In determining the quantity of such added substance

to be tolerated in or on different articles of food the Secretary shall take into account the extent

to which the use of such substance is required or cannot be avoided in the production of each

such article, and the other ways in which the consumer may be affected by the same or other

poisonous or deleterious substances.

OLEOMARGARINE OR MARGARINE

SEC. 407. 20 [21 U.S.C. 347] (a) Colored oleomargarine or colored margarine which is sold in

the same State or Territory in which it is produced shall be subject in the same manner and to

the same extent to the provisions of this Act as if it had been introduced in interstate

commerce.

(b) No person shall sell, or offer for sale, colored oleomargarine or colored margarine unless—

(1) such oleomargarine or margarine is packaged,

(2) the net weight of the contents of any package sold in a retail establishment is one pound or

less,

(3) there appears on the label of the package (A) the word ‘‘oleomargarine’’ or ‘‘margarine’’ in

type or lettering at least as large as any other type or lettering on such label, and (B) a full and

accurate statement of all the ingredients contained in such oleomargarine, or margarine, and

(4) each part of the contents of the package is contained in a wrapper which bears the word

‘‘oleomargarine’’ or ‘‘margarine’’ in type or lettering not smaller than 20-point type.

The requirements of this subsection shall be in addition to and not in lieu of any of the other

requirements of this Act.

(c) No person shall possess in a form ready for serving colored oleomargarine or colored

margarine at a public eating place unless a notice that oleomargarine or margarine is served is

displayed prominently and conspicuously in such place and in such manner as to render it

likely to be read and understood by the ordinary individual being served in such eating place or

is printed or is otherwise set forth on the menu in type or lettering not smaller than that

normally used to designate the serving of other food items. No person shall serve colored

oleomargarine or colored margarine at a public eating place, whether or not any charge is

made therefore, unless (1) each separate serving bears or is accompanied by labeling

identifying it as oleomargarine or margarine, or (2) each separate serving thereof is triangular

in shape.

(d) Colored oleomargarine or colored margarine when served with meals at a public eating

place shall at the time of such service be exempt from the labeling requirements of section 403

(except (a) and 403 (f)) 21 if it complies with the requirements of subsection (b) of this section.

(e) For the purpose of this section colored oleomargarine or colored margarine is

oleomargarine or margarine having a tint or shade containing more than one and six-tenths

degrees of yellow, or of yellow and red collectively, but with an excess of yellow over red,

measured in terms of Lovibond tintometer scale or its equivalent.

TOLERANCES AND EXEMPTIONS FOR PESTICIDE CHEMICAL RESIDUES

SEC. 408. 22 [21 U.S.C. 346a] (a) REQUIREMENT FOR TOLERANCE OR EXEMPTION.—

(1) GENERAL RULE.—Except as provided in paragraph (2) or (3), any pesticide chemical

residue in or on a food shall be deemed unsafe for the purpose of section 402(a)(2)(B)

unless—

(A) a tolerance for such pesticide chemical residue in or on such food is in effect under this

section and the quantity of the residue is within the limits of the tolerance; or

(B) an exemption from the requirement of a tolerance is in effect under this section for the

pesticide chemical residue.

For the purposes of this section, the term ‘‘food’’, when used as a noun without modification,

shall mean a raw agricultural commodity or processed food.

(2) PROCESSED FOOD.—Notwithstanding paragraph (1)—

(A) if a tolerance is in effect under this section for a pesticide chemical residue in or on a raw

agricultural commodity, a pesticide chemical residue that is present in or on a processed food

because the food is made from that raw agricultural commodity shall not be considered unsafe

within the meaning of section 402(a)(2)(B) despite the lack of a tolerance for the pesticide

chemical residue in or on the processed food if the pesticide chemical has been used in or on

the raw agricultural commodity in conformity with a tolerance under this section, such residue

in or on the raw agricultural commodity has been removed to the extent possible in good

manufacturing practice, and the concentration of the pesticide chemical residue in the

processed food is not greater than the tolerance prescribed for the pesticide chemical residue

in the raw agricultural commodity; or

(B) if an exemption for the requirement for a tolerance is in effect under this section for a

pesticide chemical residue in or on a raw agricultural commodity, a pesticide chemical residue

that is present in or on a processed food because the food is made from that raw agricultural

commodity shall not be considered unsafe within the meaning of section 402(a)(2)(B).

(3) RESIDUES OF DEGRADATION PRODUCTS.—If a pesticide chemical residue is present

in or on a food because it is a metabolite or other degradation product of a precursor

substance that itself is a pesticide chemical or pesticide chemical residue, such a residue shall

not be considered to be unsafe within the meaning of section 402(a)(2)(B) despite the lack of a

tolerance or exemption from the need for a tolerance for such residue in or on such food if—

(A) the Administrator has not determined that the degradation product is likely to pose any

potential health risk from dietary exposure that is of a different type than, or of a greater

significance than, any risk posed by dietary exposure to the precursor substance;

(B) either—

(i) a tolerance is in effect under this section for residues of the precursor substance in or on the

food, and the combined level of residues of the degradation product and the precursor

substance in or on the food is at or below the stoichiometrically equivalent level that would be

permitted by the tolerance if the residue consisted only of the precursor substance rather than

the degradation product; or

(ii) an exemption from the need for a tolerance is in effect under this section for residues of the

precursor substance in or on the food; and

(C) the tolerance or exemption for residues of the precursor substance does not state that it

applies only to particular named substances and does not state that it does not apply to

residues of the degradation product.

(4) EFFECT OF TOLERANCE OR EXEMPTION.—While a tolerance or exemption from the

requirement for a tolerance is in effect under this section for a pesticide chemical residue with

respect to any food, the food shall not by reason of bearing or containing any amount of such a

residue be considered to be adulterated within the meaning of section 402(a)(1).

(b) AUTHORITY AND STANDARD FOR TOLERANCE.—

(1) AUTHORITY.—The Administrator may issue regulations establishing, modifying, or

revoking a tolerance for a pesticide chemical residue in or on a food—

(A) in response to a petition filed under subsection (d); or

(B) on the Administrator’s own initiative under subsection (e).

As used in this section, the term ‘‘modify’’ shall not mean expanding the tolerance to cover

additional foods.

(2) STANDARD.—

(A) GENERAL RULE.—

(i) STANDARD.—The Administrator may establish or leave in effect a tolerance for a pesticide

chemical residue in or on a food only if the Administrator determines that the tolerance is safe.

The Administrator shall modify or revoke a tolerance if the Administrator determines it is not

safe.

(ii) DETERMINATION OF SAFETY.—As used in this section, the term ‘‘safe’’, with respect to a

tolerance for a pesticide chemical residue, means that the Administrator has determined that

there is a reasonable certainty that no harm will result from aggregate exposure to the

pesticide chemical residue, including all anticipated dietary exposures and all other exposures

for which there is reliable information.

(iii) RULE OF CONSTRUCTION.—With respect to a tolerance, a pesticide chemical residue

meeting the standard under clause (i) is not an eligible pesticide chemical residue for purposes

of subparagraph (B).

(B) TOLERANCES FOR ELIGIBLE PESTICIDE CHEMICAL RESIDUES.—

(i) DEFINITION.—As used in this subparagraph, the term ‘‘eligible pesticide chemical residue’’

means a pesticide chemical residue as to which—

(I) the Administrator is not able to identify a level of exposure to the residue at which the

residue will not cause or contribute to a known or anticipated harm to human health (referred

to in this section as a ‘‘non-threshold effect’’);

(II) the lifetime risk of experiencing the non-threshold effect is appropriately assessed by

quantitative risk assessment; and

(III) with regard to any known or anticipated harm to human health for which the Administrator

is able to identify a level at which the residue will not cause such harm (referred to in this

section as a ‘‘threshold effect’’), the Administrator determines that the level of aggregate

exposure is safe.

(ii) DETERMINATION OF TOLERANCE.—Notwithstanding subparagraph (A)(i), a tolerance

for an eligible pesticide chemical residue may be left in effect or modified under this

subparagraph if—

(I) at least one of the conditions described in clause (iii) is met; and

(II) both of the conditions described in clause (iv) are met.

(iii) CONDITIONS REGARDING USE.—For purposes of clause (ii), the conditions described in

this clause with respect to a tolerance for an eligible pesticide chemical residue are the

following:

(I) Use of the pesticide chemical that produces the residue protects consumers from adverse

effects on health that would pose a greater risk than the dietary risk from the residue.

(II) Use of the pesticide chemical that produces the residue is necessary to avoid a significant

disruption in domestic production of an adequate, wholesome, and economical food supply.

(iv) CONDITIONS REGARDING RISK.—For purposes of clause (ii), the conditions described

in this clause with respect to a tolerance for an eligible pesticide chemical residue are the

following:

(I) The yearly risk associated with the nonthreshold effect from aggregate exposure to the

residue does not exceed 10 times the yearly risk that would be allowed under subparagraph (A)

for such effect.

(II) The tolerance is limited so as to ensure that the risk over a lifetime associated with the

nonthreshold effect from aggregate exposure to the residue is not greater than twice the

lifetime risk that would be allowed under subparagraph (A) for such effect.

(v) REVIEW.—Five years after the date on which the Administrator makes a determination to

leave in effect or modify a tolerance under this subparagraph, and thereafter as the

Administrator deems appropriate, the Administrator shall determine, after notice and

opportunity for comment, whether it has been demonstrated to the Administrator that a

condition described in clause (iii)(I) or clause (iii)(II) continues to exist with respect to the

tolerance and that the yearly and lifetime risks from aggregate exposure to such residue

continue to comply with the limits specified in clause (iv). If the Administrator determines by

such date that such demonstration has not been made, the Administrator shall, not later than

180 days after the date of such determination, issue a regulation under subsection (e)(1) to

modify or revoke the tolerance.

(vi) INFANTS AND CHILDREN.—Any tolerance under this subparagraph shall meet the

requirements of subparagraph (C).

(C) EXPOSURE OF INFANTS AND CHILDREN.—In establishing, modifying, leaving in effect,

or revoking a tolerance or exemption for a pesticide chemical residue, the Administrator—

(i) shall assess the risk of the pesticide chemical residue based on—

(I) available information about consumption patterns among infants and children that are likely

to result in disproportionately high consumption of foods containing or bearing such residue

among infants and children in comparison to the general population;

(II) available information concerning the special susceptibility of infants and children to the

pesticide chemical residues, including neurological differences between infants and children

and adults, and effects of in utero exposure to pesticide chemicals; and

(III) available information concerning the cumulative effects on infants and children of such

residues and other substances that have a common mechanism of toxicity; and

(ii) shall—

(I) ensure that there is a reasonable certainty that no harm will result to infants and children

from aggregate exposure to the pesticide chemical residue; and

(II) publish a specific determination regarding the safety of the pesticide chemical residue for

infants and children.

The Secretary of Health and Human Services and the Secretary of Agriculture, in consultation

with the Administrator, shall conduct surveys to document dietary exposure to pesticides

among infants and children. In the case of threshold effects, for purposes of clause (ii)(I) an

additional tenfold margin of safety for the pesticide chemical residue and other sources of

exposure shall be applied for infants and children to take into account potential pre- and

postnatal toxicity and completeness of the data with respect to exposure and toxicity to infants

and children. Notwithstanding such requirement for an additional margin of safety, the

Administrator may use a different margin of safety for the pesticide chemical residue only if, on

the basis of reliable data, such margin will be safe for infants and children.

(D) FACTORS.—In establishing, modifying, leaving in effect, or revoking a tolerance or

exemption for a pesticide chemical residue, the Administrator shall consider, among other

relevant factors—

(i) the validity, completeness, and reliability of the available data from studies of the pesticide

chemical and pesticide chemical residue;

(ii) the nature of any toxic effect shown to be caused by the pesticide chemical or pesticide

chemical residue in such studies;

(iii) available information concerning the relationship of the results of such studies to human

risk;

(iv) available information concerning the dietary consumption patterns of consumers (and

major identifiable subgroups of consumers);

(v) available information concerning the cumulative effects of such residues and other

substances that have a common mechanism of toxicity;

(vi) available information concerning the aggregate exposure levels of consumers (and major

identifiable subgroups of consumers) to the pesticide chemical residue and to other related

substances, including dietary exposure under the tolerance and all other tolerances in effect

for the pesticide chemical residue, and exposure from other non-occupational sources;

(vii) available information concerning the variability of the sensitivities of major identifiable

subgroups of consumers;

(viii) such information as the Administrator may require on whether the pesticide chemical may

have an effect in humans that is similar to an effect produced by a naturally occurring estrogen

or other endocrine effects; and

(ix) safety factors which in the opinion of experts qualified by scientific training and experience

to evaluate the safety of food additives are generally recognized as appropriate for the use of

animal experimentation data.

(E) DATA AND INFORMATION REGARDING ANTICIPATED AND ACTUAL RESIDUE

LEVELS.—

(i) AUTHORITY.—In establishing, modifying, leaving in effect, or revoking a tolerance for a

pesticide chemical residue, the Administrator may consider available data and information on

the anticipated residue levels of the pesticide chemical in or on food and the actual residue

levels of the pesticide chemical that have been measured in food, including residue data

collected by the Food and Drug Administration.

(ii) REQUIREMENT.—If the Administrator relies on anticipated or actual residue levels in

establishing, modifying, or leaving in effect a tolerance, the Administrator shall pursuant to

subsection (f)(1) require that data be provided five years after the date on which the tolerance

is established, modified, or left in effect, and thereafter as the Administrator deems appropriate,

demonstrating that such residue levels are not above the levels so relied on. If such data are

not so provided, or if the data do not demonstrate that the residue levels are not above the

levels so relied on, the Administrator shall, not later than 180 days after the date on which the

data were required to be provided, issue a regulation under subsection (e)(1), or an order

under subsection (f)(2), as appropriate, to modify or revoke the tolerance.

(F) PERCENT OF FOOD ACTUALLY TREATED.—In establishing, modifying, leaving in effect,

or revoking a tolerance for a pesticide chemical residue, the Administrator may, when

assessing chronic dietary risk, consider available data and information on the percent of food

actually treated with the pesticide chemical (including aggregate pesticide use data collected

by the Department of Agriculture) only if the Administrator—

(i) finds that the data are reliable and provide a valid basis to show what percentage of the food

derived from such crop is likely to contain such pesticide chemical residue;

(ii) finds that the exposure estimate does not understate exposure for any significant

subpopulation group;

(iii) finds that, if data are available on pesticide use and consumption of food in a particular

area, the population in such area is not dietarily exposed to residues above those estimated by

the Administrator; and

(iv) provides for the periodic reevaluation of the estimate of anticipated dietary exposure.

(3) DETECTION METHODS.—

(A) GENERAL RULE.—A tolerance for a pesticide chemical residue in or on a food shall not

be established or modified by the Administrator unless the Administrator determines, after

consultation with the Secretary, that there is a practical method for detecting and measuring

the levels of the pesticide chemical residue in or on the food.

(B) DETECTION LIMIT.—A tolerance for a pesticide chemical residue in or on a food shall not

be established at or modified to a level lower than the limit of detection of the method for

detecting and measuring the pesticide chemical residue specified by the Administrator under

subparagraph (A).

(4) INTERNATIONAL STANDARDS.—In establishing a tolerance for a pesticide chemical

residue in or on a food, the Administrator shall determine whether a maximum residue level for

the pesticide chemical has been established by the Codex Alimentarius Commission. If a

Codex maximum residue level has been established for the pesticide chemical and the

Administrator does not propose to adopt the Codex level, the Administrator shall publish for

public comment a notice explaining the reasons for departing from the Codex level.

(c) AUTHORITY AND STANDARD FOR EXEMPTIONS.—

(1) AUTHORITY.—The Administrator may issue a regulation establishing, modifying, or

revoking an exemption from the requirement for a tolerance for a pesticide chemical residue in

or on food—

(A) in response to a petition filed under subsection (d); or

(B) on the Administrator’s initiative under subsection (e).

(2) STANDARD.—

(A) GENERAL RULE.—

(i) STANDARD.—The Administrator may establish or leave in effect an exemption from the

requirement for a tolerance for a pesticide chemical residue in or on food only if the

Administrator determines that the exemption is safe. The Administrator shall modify or revoke

an exemption if the Administrator determines it is not safe.

(ii) DETERMINATION OF SAFETY.—The term ‘‘safe’’, with respect to an exemption for a

pesticide chemical residue, means that the Administrator has determined that there is a

reasonable certainty that no harm will result from aggregate exposure to the pesticide

chemical residue, including all anticipated dietary exposures and all other exposures for which

there is reliable information.

(B) FACTORS.—In making a determination under this paragraph, the Administrator shall take

into account, among other relevant considerations, the considerations set forth in

subparagraphs (C) and (D) of subsection (b)(2).

(3) LIMITATION.— An exemption from the requirement for a tolerance for a pesticide chemical

residue in or on food shall not be established or modified by the Administrator unless the

Administrator determines, after consultation with the Secretary—

(A) that there is a practical method for detecting and measuring the levels of such pesticide

chemical residue in or on food; or

(B) that there is no need for such a method, and states the reasons for such determination in

issuing the regulation establishing or modifying the exemption.

(d) PETITION FOR TOLERANCE OR EXEMPTION.—

(1) PETITIONS AND PETITIONERS.— Any person may file with the Administrator a petition

proposing the issuance of a regulation—

(A) establishing, modifying, or revoking a tolerance for a pesticide chemical residue in or on a

food; or

(B) establishing, modifying, or revoking an exemption from the requirement of a tolerance for

such a residue.

(2) PETITION CONTENTS.—

(A) ESTABLISHMENT.—A petition under paragraph (1) to establish a tolerance or exemption

for a pesticide chemical residue shall be supported by such data and information as are

specified in regulations issued by the Administrator, including—

(i)(I) an informative summary of the petition and of the data, information, and arguments

submitted or cited in support of the petition; and

(II) a statement that the petitioner agrees that such summary or any information it contains

may be published as a part of the notice of filing of the petition to be published under this

subsection and as part of a proposed or final regulation issued under this section;

(ii) the name, chemical identity, and composition of the pesticide chemical residue and of the

pesticide chemical that produces the residue;

(iii) data showing the recommended amount, frequency, method, and time of application of

that pesticide chemical; (iv) full reports of tests and investigations made with respect to the

safety of the pesticide chemical, including full information as to the methods and controls used

in conducting those tests and investigations;

(v) full reports of tests and investigations made with respect to the nature and amount of the

pesticide chemical residue that is likely to remain in or on the food, including a description of

the analytical methods used;

(vi) a practical method for detecting and measuring the levels of the pesticide chemical residue

in or on the food, or for exemptions, a statement why such a method is not needed;

(vii) a proposed tolerance for the pesticide chemical residue, if a tolerance is proposed;

(viii) if the petition relates to a tolerance for a processed food, reports of investigations

conducted using the processing method(s) used to produce that food;

(ix) such information as the Administrator may require to make the determination under

subsection (b)(2)(C);

(x) such information as the Administrator may require on whether the pesticide chemical may

have an effect in humans that is similar to an effect produced by a naturally occurring estrogen

or other endocrine effects;

(xi) information regarding exposure to the pesticide chemical residue due to any tolerance or

exemption already granted for such residue;

(xii) practical methods for removing any amount of the residue that would exceed any

proposed tolerance; and

(xiii) such other data and information as the Administrator requires by regulation to support the

petition.

If information or data required by this subparagraph is available to the Administrator, the

person submitting the petition may cite the availability of the information or data in lieu of

submitting it. The Administrator may require a petition to be accompanied by samples of the

pesticide chemical with respect to which the petition is filed.

(B) MODIFICATION OR REVOCATION.— The Administrator may by regulation establish the

requirements for information and data to support a petition to modify or revoke a tolerance or

to modify or revoke an exemption from the requirement for a tolerance.

(3) NOTICE.—A notice of the filing of a petition that the Administrator determines has met the

requirements of paragraph (2) shall be published by the Administrator within 30 days after

such determination. The notice shall announce the availability of a description of the analytical

methods available to the Administrator for the detection and measurement of the pesticide

chemical residue with respect to which the petition is filed or shall set forth the petitioner’s

statement of why such a method is not needed. The notice shall include the summary required

by paragraph (2)(A)(i)(I).

(4) ACTIONS BY THE ADMINISTRATOR.—

(A) IN GENERAL.—The Administrator shall, after giving due consideration to a petition filed

under paragraph (1) and any other information available to the Administrator—

(i) issue a final regulation (which may vary from that sought by the petition) establishing,

modifying, or revoking a tolerance for the pesticide chemical residue or an exemption of the

pesticide chemical residue from the requirement of a tolerance (which final regulation shall be

issued without further notice and without further period for public comment);

(ii) issue a proposed regulation under subsection (e), and thereafter issue a final regulation

under such subsection; or

(iii) issue an order denying the petition.

(B) PRIORITIES.—The Administrator shall give priority to petitions for the establishment or

modification of a tolerance or exemption for a pesticide chemical residue that appears to pose

a significantly lower risk to human health from dietary exposure than pesticide chemical

residues that have tolerances in effect for the same or similar uses.

(C) EXPEDITED REVIEW OF CERTAIN PETITIONS.—

(i) DATE CERTAIN FOR REVIEW.—If a person files a complete petition with the Administrator

proposing the issuance of a regulation establishing a tolerance or exemption for a pesticide

chemical residue that presents a lower risk to human health than a pesticide chemical residue

for which a tolerance has been left in effect or modified under subsection (b)(2)(B), the

Administrator shall complete action on such petition under this paragraph within 1 year.

(ii) REQUIRED DETERMINATIONS.—If the Administrator issues a final regulation

establishing a tolerance or exemption for a safer pesticide chemical residue under clause (i),

the Administrator shall, not later than 180 days after the date on which the regulation is issued,

determine whether a condition described in subclause (I) or (II) of subsection (b)(2)(B)(iii)

continues to exist with respect to a tolerance that has been left in effect or modified under

subsection (b)(2)(B). If such condition does not continue to exist, the Administrator shall, not

later than 180 days after the date on which the determination under the preceding sentence is

made, issue a regulation under subsection (e)(1) to modify or revoke the tolerance.

(e) ACTION ON ADMINISTRATOR’S OWN INITIATIVE.—

(1) GENERAL RULE.—The Administrator may issue a regulation—

(A) establishing, modifying, suspending under subsection (l)(3), or revoking a tolerance for a

pesticide chemical or a pesticide chemical residue;

(B) establishing, modifying, suspending under subsection (l)(3), or revoking an exemption of a

pesticide chemical residue from the requirement of a tolerance; or

(C) establishing general procedures and requirements to implement this section.

(2) NOTICE.—Before issuing a final regulation under paragraph (1), the Administrator shall

issue a notice of proposed rulemaking and provide a period of not less than 60 days for public

comment on the proposed regulation, except that a shorter period for comment may be

provided if the Administrator for good cause finds that it would be in the public interest to do so

and states the reasons for the finding in the notice of proposed rulemaking.

(f) SPECIAL DATA REQUIREMENTS.—

(1) REQUIRING SUBMISSION OF ADDITIONAL DATA.—If the Administrator determines that

additional data or information are reasonably required to support the continuation of a

tolerance or exemption that is in effect under this section for a pesticide chemical residue on a

food, the Administrator shall—

(A) issue a notice requiring the person holding the pesticide registrations associated with such

tolerance or exemption to submit the data or information under section 3(c)(2)(B) of the

Federal Insecticide, Fungicide, and Rodenticide Act;

(B) issue a rule requiring that testing be conducted on a substance or mixture under section 4

of the Toxic Substances Control Act; or

(C) publish in the Federal Register, after first providing notice and an opportunity for comment

of not less than 60 days’ duration, an order—

(i) requiring the submission to the Administrator by one or more interested persons of a notice

identifying the person or persons who will submit the required data and information;

(ii) describing the type of data and information required to be submitted to the Administrator

and stating why the data and information could not be obtained under the authority of section

3(c)(2)(B) of the Federal Insecticide, Fungicide, and Rodenticide Act or section 4 of the Toxic

Substances Control Act;

(iii) describing the reports of the Administrator required to be prepared during and after the

collection of the data and information;

(iv) requiring the submission to the Administrator of the data, information, and reports referred

to in clauses (ii) and (iii); and

(v) establishing dates by which the submissions described in clauses (i) and (iv) must be

made.

The Administrator may under subparagraph (C) revise any such order to correct an error. The

Administrator may under this paragraph require data or information pertaining to whether the

pesticide chemical may have an effect in humans that is similar to an effect produced by a

naturally occurring estrogen or other endocrine effects.

(2) NONCOMPLIANCE.—If a submission required by a notice issued in accordance with

paragraph (1)(A), a rule issued under paragraph (1)(B), or an order issued under paragraph

(1)(C) is not made by the time specified in such notice, rule, or order, the Administrator may by

order published in the Federal Register modify or revoke the tolerance or exemption in

question. In any review of such an order under subsection (g)(2), the only material issue shall

be whether a submission required under paragraph (1) was not made by the time specified.

(g) EFFECTIVE DATE, OBJECTIONS, HEARINGS, AND ADMINISTRATIVE REVIEW.—

(1) EFFECTIVE DATE.—A regulation or order issued under subsection (d)(4), (e)(1), or (f)(2)

shall take effect upon publication unless the regulation or order specifies otherwise. The

Administrator may stay the effectiveness of the regulation or order if, after issuance of such

regulation or order, objections are filed with respect to such regulation or order pursuant to

paragraph (2).

(2) FURTHER PROCEEDINGS.—

(A) OBJECTIONS.—Within 60 days after a regulation or order is issued under subsection

(d)(4), (e)(1)(A), (e)(1)(B), (f)(2), (n)(3), or (n)(5)(C), any person may file objections thereto with

the Administrator, specifying with particularity the provisions of the regulation or order deemed

objectionable and stating reasonable grounds therefor. If the regulation or order was issued in

response to a petition under subsection (d)(1), a copy of each objection filed by a person other

than the petitioner shall be served by the Administrator on the petitioner.

(B) HEARING.—An objection may include a request for a public evidentiary hearing upon the

objection. The Administrator shall, upon the initiative of the Administrator or upon the request

of an interested person and after due notice, hold a public evidentiary hearing if and to the

extent the Administrator determines that such a public hearing is necessary to receive factual

evidence relevant to material issues of fact raised by the objections. The presiding officer in

such a hearing may authorize a party to obtain discovery from other persons and may upon a

showing of good cause made by a party issue a subpoena to compel testimony or production

of documents from any person. The presiding officer shall be governed by the Federal Rules of

Civil Procedure in making any order for the protection of the witness or the content of

documents produced and shall order the payment of reasonable fees and expenses as a

condition to requiring testimony of the witness. On contest, such a subpoena may be enforced

by a Federal district court.

(C) FINAL DECISION.—As soon as practicable after receiving the arguments of the parties,

the Administrator shall issue an order stating the action taken upon each such objection and

setting forth any revision to the regulation or prior order that the Administrator has found to be

warranted. If a hearing was held under subparagraph (B), such order and any revision to the

regulation or prior order shall, with respect to questions of fact at issue in the hearing, be

based only on substantial evidence of record at such hearing, and shall set forth in detail the

findings of facts and the conclusions of law or policy upon which the order or regulation is

based.

(h) JUDICIAL REVIEW.—

(1) PETITION.—In a case of actual controversy as to the validity of any regulation issued

under subsection (e)(1)(C), or any order issued under subsection (f)(1)(C) or (g)(2)(C), or any

regulation that is the subject of such an order, any person who will be adversely affected by

such order or regulation may obtain judicial review by filing in the United States Court of

Appeals for the circuit wherein that person resides or has its principal place of business, or in

the United States Court of Appeals for the District of Columbia Circuit, within 60 days after

publication of such order or regulation, a petition praying that the order or regulation be set

aside in whole or in part.

(2) RECORD AND JURISDICTION.—A copy of the petition under paragraph (1) shall be

forthwith transmitted by the clerk of the court to the Administrator, or any officer designated by

the Administrator for that purpose, and thereupon the Administrator shall file in the court the

record of the proceedings on which the Administrator based the order or regulation, as

provided in section 2112 of title 28, United States Code. Upon the filing of such a petition, the

court shall have exclusive jurisdiction to affirm or set aside the order or regulation complained

of in whole or in part. As to orders issued following a public evidentiary hearing, the findings of

the Administrator with respect to questions of fact shall be sustained only if supported by

substantial evidence when considered on the record as a whole.

(3) ADDITIONAL EVIDENCE.—If a party applies to the court for leave to adduce additional

evidence and shows to the satisfaction of the court that the additional evidence is material and

that there were reasonable grounds for the failure to adduce the evidence in the proceeding

before the Administrator, the court may order that the additional evidence (and evidence in

rebuttal thereof) shall be taken before the Administrator in the manner and upon the terms and

conditions the court deems proper. The Administrator may modify prior findings as to the facts

by reason of the additional evidence so taken and may modify the order or regulation

accordingly. The Administrator shall file with the court any such modified finding, order, or

regulation.

(4) FINAL JUDGMENT; SUPREME COURT REVIEW.—The judgment of the court affirming or

setting aside, in whole or in part, any regulation or any order and any regulation which is the

subject of such an order shall be final, subject to review by the Supreme Court of the United

States as provided in section 1254 of title 28 of the United States Code. The commencement

of proceedings under this subsection shall not, unless specifically ordered by the court to the

contrary, operate as a stay of a regulation or order.

(5) APPLICATION.—Any issue as to which review is or was obtainable under this subsection

shall not be the subject of judicial review under any other provision of law.

(i) CONFIDENTIALITY AND USE OF DATA.—

(1) GENERAL RULE.—Data and information that are or have been submitted to the

Administrator under this section or section 409 in support of a tolerance or an exemption from

a tolerance shall be entitled to confidential treatment for reasons of business confidentiality

and to exclusive use and data compensation to the same extent provided by sections 3 and 10

of the Federal Insecticide, Fungicide, and Rodenticide Act.

(2) EXCEPTIONS.—

(A) IN GENERAL.—Data and information that are entitled to confidential treatment under

paragraph (1) may be disclosed, under such security requirements as the Administrator may

provide by regulation, to—

(i) employees of the United States authorized by the Administrator to examine such data and

information in the carrying out of their official duties under this Act or other Federal statutes

intended to protect the public health; or

(ii) contractors with the United States authorized by the Administrator to examine such data

and information in the carrying out of contracts under this Act or such statutes.

(B) CONGRESS.—This subsection does not authorize the withholding of data or information

from either House of Congress or from, to the extent of matter within its jurisdiction, any

committee or subcommittee of such committee or any joint committee of Congress or any

subcommittee of such joint committee.

(3) SUMMARIES.—Notwithstanding any provision of this subsection or other law, the

Administrator may publish the informative summary required by subsection (d)(2)(A)(i) and

may, in issuing a proposed or final regulation or order under this section, publish an

informative summary of the data relating to the regulation or order.

(j) STATUS OF PREVIOUSLY ISSUED REGULATIONS.—

(1) REGULATIONS UNDER SECTION 406.—Regulations affecting pesticide chemical

residues in or on raw agricultural commodities promulgated, in accordance with section 701(e),

under the authority of section 406(a) upon the basis of public hearings instituted before

January 1, 1953, shall be deemed to be regulations issued under this section and shall be

subject to modification or revocation under subsections (d) and (e), and shall be subject to

review under subsection (q).

(2) REGULATIONS UNDER SECTION 409.—Regulations that established tolerances for

substances that are pesticide chemical residues in or on processed food, or that otherwise

stated the conditions under which such pesticide chemicals could be safely used, and that

were issued under section 409 on or before the date of the enactment of this paragraph, shall

be deemed to be regulations issued under this section and shall be subject to modification or

revocation under subsection (d) or (e), and shall be subject to review under subsection (q).

(3) REGULATIONS UNDER SECTION 408.—Regulations that established tolerances or

exemptions under this section that were issued on or before the date of the enactment of this

paragraph shall remain in effect unless modified or revoked under subsection (d) or (e), and

shall be subject to review under subsection (q).

(4) CERTAIN SUBSTANCES.—With respect to a substance that is not included in the

definition of the term ‘pesticide chemical’ under section 201(q)(1) but was so included on the

day before the date of the enactment of the Antimicrobial Regulation Technical Corrections Act

of 1998, the following applies as of such date of enactment:

(A) Notwithstanding paragraph (2), any regulation applying to the use of the substance that

was in effect on the day before such date, and was on such day deemed in such paragraph to

have been issued under this section, shall be considered to have been issued under section

409.

(B) Notwithstanding paragraph (3), any regulation applying to the use of the substance that

was in effect on such day and was issued under this section (including any such regulation

issued before the date of the enactment of the Food Quality Protection Act of 1996) is deemed

to have been issued under section 409.

(k) TRANSITIONAL PROVISION.—If, on the day before the date of the enactment of this

subsection, a substance that is a pesticide chemical was, with respect to a particular pesticidal

use of the substance and any resulting pesticide chemical residue in or on a particular food—

(1) regarded by the Administrator or the Secretary as generally recognized as safe for use

within the meaning of the provisions of subsection (a) or section 201(s) as then in effect; or

(2) regarded by the Secretary as a substance described by section 201(s)(4); such a pesticide

chemical residue shall be regarded as exempt from the requirement for a tolerance, as of the

date of enactment of this subsection. The Administrator shall by regulation indicate which

substances are described by this subsection. Any exemption under this subsection may be

modified or revoked as if it had been issued under subsection (c).

(l) HARMONIZATION WITH ACTION UNDER OTHER LAWS.—

(1) COORDINATION WITH FIFRA.—To the extent practicable and consistent with the review

deadlines in subsection (q), in issuing a final rule under this subsection that suspends or

revokes a tolerance or exemption for a pesticide chemical residue in or on food, the

Administrator shall coordinate such action with any related necessary action under the Federal

Insecticide, Fungicide, and Rodenticide Act.

(2) REVOCATION OF TOLERANCE OR EXEMPTION FOLLOWING CANCELLATION OF

ASSOCIATED REGISTRATIONS.—If the Administrator, acting under the Federal Insecticide,

Fungicide, and Rodenticide Act, cancels the registration of each pesticide that contains a

particular pesticide chemical and that is labeled for use on a particular food, or requires that

the registration of each such pesticide be modified to prohibit its use in connection with the

production, storage, or transportation of such food, due in whole or in part to dietary risks to

humans posed by residues of that pesticide chemical on that food, the Administrator shall

revoke any tolerance or exemption that allows the presence of the pesticide chemical, or any

pesticide chemical residue that results from its use, in or on that food. Subsection (e) shall

apply to actions taken under this paragraph. A revocation under this paragraph shall become

effective not later than 180 days after—

(A) the date by which each such cancellation of a registration has become effective; or

(B) the date on which the use of the canceled pesticide becomes unlawful under the terms of

the cancellation, whichever is later.

(3) SUSPENSION OF TOLERANCE OR EXEMPTION FOLLOWING SUSPENSION OF

ASSOCIATED REGISTRATIONS.—

(A) SUSPENSION.—If the Administrator, acting under the Federal Insecticide, Fungicide, and

Rodenticide Act, suspends the use of each registered pesticide that contains a particular

pesticide chemical and that is labeled for use on a particular food, due in whole or in part to

dietary risks to humans posed by residues of that pesticide chemical on that food, the

Administrator shall suspend any tolerance or exemption that allows the presence of the

pesticide chemical, or any pesticide chemical residue that results from its use, in or on that

food. Subsection (e) shall apply to actions taken under this paragraph. A suspension under

this paragraph shall become effective not later than 60 days after the date by which each such

suspension of use has become effective.

(B) EFFECT OF SUSPENSION.—The suspension of a tolerance or exemption under

subparagraph (A) shall be effective as long as the use of each associated registration of a

pesticide is suspended under the Federal Insecticide, Fungicide, and Rodenticide Act. While a

suspension of a tolerance or exemption is effective the tolerance or exemption shall not be

considered to be in effect. If the suspension of use of the pesticide under that Act is terminated,

leaving the registration of the pesticide for such use in effect under that Act, the Administrator

shall rescind any associated suspension of tolerance or exemption.

(4) TOLERANCES FOR UNAVOIDABLE RESIDUES.—In connection with action taken under

paragraph (2) or (3), or with respect to pesticides whose registrations were suspended or

canceled prior to the date of the enactment of this paragraph under the Federal Insecticide,

Fungicide, and Rodenticide Act, if the Administrator determines that a residue of the canceled

or suspended pesticide chemical will unavoidably persist in the environment and thereby be

present in or on a food, the Administrator may establish a tolerance for the pesticide chemical

residue. In establishing such a tolerance, the Administrator shall take into account both the

factors set forth in subsection (b)(2) and the unavoidability of the residue. Subsection (e) shall

apply to the establishment of such tolerance. The Administrator shall review any such

tolerance periodically and modify it as necessary so that it allows no greater level of the

pesticide chemical residue than is unavoidable.

(5) PESTICIDE RESIDUES RESULTING FROM LAWFUL APPLICATION OF

PESTICIDE.—Notwithstanding any other provision of this Act, if a tolerance or exemption for a

pesticide chemical residue in or on a food has been revoked, suspended, or modified under

this section, an article of that food shall not be deemed unsafe solely because of the presence

of such pesticide chemical residue in or on such food if it is shown to the satisfaction of the

Secretary that—

(A) the residue is present as the result of an application or use of a pesticide at a time and in a

manner that was lawful under the Federal Insecticide, Fungicide, and Rodenticide Act; and

(B) the residue does not exceed a level that was authorized at the time of that application or

use to be present on the food under a tolerance, exemption, food additive regulation, or other

sanction then in effect under this Act; unless, in the case of any tolerance or exemption

revoked, suspended, or modified under this subsection or subsection (d) or (e), the

Administrator has issued a determination that consumption of the legally treated food during

the period of its likely availability in commerce will pose an unreasonable dietary risk.

(6) TOLERANCE FOR USE OF PESTICIDES UNDER AN EMERGENCY EXEMPTION.—If

the Administrator grants an exemption under section 18 of the Federal Insecticide, Fungicide,

and Rodenticide Act (7 U.S.C. 136p) for a pesticide chemical, the Administrator shall establish

a tolerance or exemption from the requirement for a tolerance for the pesticide chemical

residue. Such a tolerance or exemption from a tolerance shall have an expiration date. The

Administrator may establish such a tolerance or exemption without providing notice or a period

for comment on the tolerance or exemption. The Administrator shall promulgate regulations

within 365 days after the date of the enactment of this paragraph governing the establishment

of tolerances and exemptions under this paragraph. Such regulations shall be consistent with

the safety standard under subsections (b)(2) and (c)(2) and with section 18 of the Federal

Insecticide, Fungicide, and Rodenticide Act.

(m) 23 FEES.—

(1) AMOUNT.—The Administrator shall by regulation require the payment of such fees as will

in the aggregate, in the judgment of the Administrator, be sufficient over a reasonable term to

provide, equip, and maintain an adequate service for the performance of the Administrator’s

functions under this section. Under the regulations, the performance of the Administrator’s

services or other functions under this section, including—

(A) the acceptance for filing of a petition submitted under subsection (d);

(B) establishing, modifying, leaving in effect, or revoking a tolerance or establishing, modifying,

leaving in effect, or revoking an exemption from the requirement for a tolerance under this

section;

(C) the acceptance for filing of objections under subsection (g); or

(D) the certification and filing in court of a transcript of the proceedings and the record under

subsection (h); may be conditioned upon the payment of such fees. The regulations may

further provide for waiver or refund of fees in whole or in part when in the judgment of the

Administrator such a waiver or refund is equitable and not contrary to the purposes of this

subsection.

(2) DEPOSIT.—All fees collected under paragraph (1) shall be deposited in the Reregistration

and Expedited Processing Fund created by section 4(k) of the Federal Insecticide, Fungicide,

and Rodenticide Act. Such fees shall be available to the Administrator, without fiscal year

limitation, for the performance of the Administrator’s services or functions as specified in

paragraph (1).

(n) NATIONAL UNIFORMITY OF TOLERANCES.—

(1) QUALIFYING PESTICIDE CHEMICAL RESIDUE.—For purposes of this subsection, the

term ‘‘qualifying pesticide chemical residue’’ means a pesticide chemical residue resulting

from the use, in production, processing, or storage of a food, of a pesticide chemical that is an

active ingredient and that—

(A) was first approved for such use in a registration of a pesticide issued under section 3(c)(5)

of the Federal Insecticide, Fungicide, and Rodenticide Act on or after April 25, 1985, on the

basis of data determined by the Administrator to meet all applicable requirements for data

prescribed by regulations in effect under that Act on April 25, 1985; or

(B) was approved for such use in a reregistration eligibility determination issued under section

4(g) of that Act on or after the date of enactment of this subsection.

(2) QUALIFYING FEDERAL DETERMINATION.—For purposes of this subsection, the term

‘‘qualifying Federal determination’’ means a tolerance or exemption from the requirement for a

tolerance for a qualifying pesticide chemical residue that—

(A) is issued under this section after the date of the enactment of this subsection and

determined by the Administrator to meet the standard under subsection (b)(2)(A) (in the case

of a tolerance) or (c)(2) (in the case of an exemption); or

(B)(i) pursuant to subsection (j) is remaining in effect or is deemed to have been issued under

this section, or is regarded under subsection (k) as exempt from the requirement for a

tolerance; and

(ii) is determined by the Administrator to meet the standard under subsection (b)(2)(A) (in the

case of a tolerance) or (c)(2) (in the case of an exemption).

(3) LIMITATION.—The Administrator may make the determination described in paragraph

(2)(B)(ii) only by issuing a rule in accordance with the procedure set forth in subsection (d) or

(e) and only if the Administrator issues a proposed rule and allows a period of not less than 30

days for comment on the proposed rule. Any such rule shall be reviewable in accordance with

subsections (g) and (h).

(4) STATE AUTHORITY.—Except as provided in paragraphs (5), (6), and (8) no State or

political subdivision may establish or enforce any regulatory limit on a qualifying pesticide

chemical residue in or on any food if a qualifying Federal determination applies to the

presence of such pesticide chemical residue in or on such food, unless such State regulatory

limit is identical to such qualifying Federal determination. A State or political subdivision shall

be deemed to establish or enforce a regulatory limit on a pesticide chemical residue in or on a

food if it purports to prohibit or penalize the production, processing, shipping, or other handling

of a food because it contains a pesticide residue (in excess of a prescribed limit).

(5) PETITION PROCEDURE.—

(A) IN GENERAL.—Any State may petition the Administrator for authorization to establish in

such State a regulatory limit on a qualifying pesticide chemical residue in or on any food that is

not identical to the qualifying Federal determination applicable to such qualifying pesticide

chemical residue.

(B) PETITION REQUIREMENTS.—Any petition under subparagraph (A) shall—

(i) satisfy any requirements prescribed, by rule, by the Administrator; and

(ii) be supported by scientific data about the pesticide chemical residue that is the subject of

the petition or about chemically related pesticide chemical residues, data on the consumption

within such State of food bearing the pesticide chemical residue, and data on exposure of

humans within such State to the pesticide chemical residue.

(C) AUTHORIZATION.—The Administrator may, by order, grant the authorization described in

subparagraph (A) if the Administrator determines that the proposed State regulatory limit—

(i) is justified by compelling local conditions; and

(ii) would not cause any food to be a violation of Federal law.

(D) TREATMENT.—In lieu of any action authorized under subparagraph (C), the Administrator

may treat a petition under this paragraph as a petition under subsection (d) to modify or revoke

a tolerance or an exemption. If the Administrator determines to treat a petition under this

paragraph as a petition under subsection (d), the Administrator shall thereafter act on the

petition pursuant to subsection (d).

(E) REVIEW.—Any order of the Administrator granting or denying the authorization described

in subparagraph (A) shall be subject to review in the manner described in subsections (g) and

(h).

(6) URGENT PETITION PROCEDURE.—Any State petition to the Administrator pursuant to

paragraph (5) that demonstrates that consumption of a food containing such pesticide residue

level during the period of the food’s likely availability in the State will pose a significant public

health threat from acute exposure shall be considered an urgent petition. If an order by the

Administrator to grant or deny the requested authorization in an urgent petition is not made

within 30 days of receipt of the petition, the petitioning State may establish and enforce a

temporary regulatory limit on a qualifying pesticide chemical residue in or on the food. The

temporary regulatory limit shall be validated or terminated by the Administrator’s final order on

the petition.

(7) RESIDUES FROM LAWFUL APPLICATION.—No State or political subdivision may

enforce any regulatory limit on the level of a pesticide chemical residue that may appear in or

on any food if, at the time of the application of the pesticide that resulted in such residue, the

sale of such food with such residue level was lawful under this section and under the law of

such State, unless the State demonstrates that consumption of the food containing such

pesticide residue level during the period of the food’s likely availability in the State will pose an

unreasonable dietary risk to the health of persons within such State.

(8) SAVINGS.—Nothing in this Act preempts the authority of any State or political subdivision

to require that a food containing a pesticide chemical residue bear or be the subject of a

warning or other statement relating to the presence of the pesticide chemical residue in or on

such food.

(o) CONSUMER RIGHT TO KNOW.—Not later than 2 years after the date of the enactment of

the Food Quality Protection Act of 1996, and annually thereafter, the Administrator shall, in

consultation with the Secretary of Agriculture and the Secretary of Health and Human Services,

publish in a format understandable to a lay person, and distribute to large retail grocers for

public display (in a manner determined by the grocer), the following information, at a minimum:

(1) A discussion of the risks and benefits of pesticide chemical residues in or on food

purchased by consumers.

(2) A listing of actions taken under subparagraph (B) of subsection (b)(2) that may result in

pesticide chemical residues in or on food that present a yearly or lifetime risk above the risk

allowed under subparagraph (A) of such subsection, and the food on which the pesticide

chemicals producing the residues are used.

(3) Recommendations to consumers for reducing dietary exposure to pesticide chemical

residues in a manner consistent with maintaining a healthy diet, including a list of food that

may reasonably substitute for food listed under paragraph (2).

Nothing 24 in this subsection shall prevent retail grocers from providing additional information.

(p) ESTROGENIC SUBSTANCES SCREENING PROGRAM.—

(1) DEVELOPMENT.—Not later than 2 years after the date of enactment of this section, the

Administrator shall in consultation with the Secretary of Health and Human Services develop a

screening program, using appropriate validated test systems and other scientifically relevant

information, to determine whether certain substances may have an effect in humans that is

similar to an effect produced by a naturally occurring estrogen, or such other endocrine effect

as the Administrator may designate.

(2) IMPLEMENTATION.—Not later than 3 years after the date of enactment of this section,

after obtaining public comment and review of the screening program described in paragraph (1)

by the scientific advisory panel established under section 25(d) of the Federal Insecticide,

Fungicide, and Rodenticide Act or the science advisory board established by section 8 of the

Environmental Research, Development, and Demonstration 25 Act of 1978 (42 U.S.C. 4365),

the Administrator shall implement the program.

(3) SUBSTANCES.—In carrying out the screening program described in paragraph (1), the

Administrator—

(A) shall provide for the testing of all pesticide chemicals; and

(B) may provide for the testing of any other substance that may have an effect that is

cumulative to an effect of a pesticide chemical if the Administrator determines that a

substantial population may be exposed to such substance.

(4) EXEMPTION.—Notwithstanding paragraph (3), the Administrator may, by order, exempt

from the requirements of this section a biologic substance or other substance if the

Administrator determines that the substance is anticipated not to produce any effect in humans

similar to an effect produced by a naturally occurring estrogen.

(5) COLLECTION OF INFORMATION.—

(A) IN GENERAL.—The Administrator shall issue an order to a registrant of a substance for

which testing is required under this subsection, or to a person who manufactures or imports a

substance for which testing is required under this subsection, to conduct testing in accordance

with the screening program described in paragraph (1), and submit information obtained from

the testing to the Administrator, within a reasonable time period that the Administrator

determines is sufficient for the generation of the information.

(B) PROCEDURES.—To the extent practicable the Administrator shall minimize duplicative

testing of the same substance for the same endocrine effect, develop, as appropriate,

procedures for fair and equitable sharing of test costs, and develop, as necessary, procedures

for handling of confidential business information.

(C) FAILURE OF REGISTRANTS TO SUBMIT INFORMATION.—

(i) SUSPENSION.— If a registrant of a substance referred to in paragraph (3)(A) fails to

comply with an order under subparagraph (A) of this paragraph, the Administrator shall issue a

notice of intent to suspend the sale or distribution of the substance by the registrant. Any

suspension proposed under this paragraph shall become final at the end of the 30-day period

beginning on the date that the registrant receives the notice of intent to suspend, unless during

that period a person adversely affected by the notice requests a hearing or the Administrator

determines that the registrant has complied fully with this paragraph.

(ii) HEARING.— If a person requests a hearing under clause (i), the hearing shall be

conducted in accordance with section 554 of title 5, United States Code. The only matter for

resolution at the hearing shall be whether the registrant has failed to comply with an order

under subparagraph (A) of this paragraph. A decision by the Administrator after completion of

a hearing shall be considered to be a final agency action.

(iii) TERMINATION OF SUSPENSIONS.—The Administrator shall terminate a suspension

under this subparagraph issued with respect to a registrant if the Administrator determines that

the registrant has complied fully with this paragraph.

(D) NONCOMPLIANCE BY OTHER PERSONS.—Any person (other than a registrant) who

fails to comply with an order under subparagraph (A) shall be liable for the same penalties and

sanctions as are provided under section 16 of the Toxic Substances Control Act (15 U.S.C.

2601 and following) in the case of a violation referred to in that section. Such penalties and

sanctions shall be assessed and imposed in the same manner as provided in such section 16.

(6) AGENCY ACTION.—In the case of any substance that is found, as a result of testing and

evaluation under this section, to have an endocrine effect on humans, the Administrator shall,

as appropriate, take action under such statutory authority as is available to the Administrator,

including consideration under other sections of this Act, as is necessary to ensure the

protection of public health.

(7) REPORT TO CONGRESS.—Not later than 4 years after the date of enactment of this

section, the Administrator shall prepare and submit to Congress a report containing—

(A) the findings of the Administrator resulting from the screening program described in

paragraph (1);

(B) recommendations for further testing needed to evaluate the impact on human health of the

substances tested under the screening program; and

(C) recommendations for any further actions (including any action described in paragraph (6))

that the Administrator determines are appropriate based on the findings.

(q) SCHEDULE FOR REVIEW.—

(1) IN GENERAL.—The Administrator shall review tolerances and exemptions for pesticide

chemical residues in effect on the day before the date of the enactment of the Food Quality

Protection Act of 1996, as expeditiously as practicable, assuring that—

(A) 33 percent of such tolerances and exemptions are reviewed within 3 years of the date of

enactment of such Act;

(B) 66 percent of such tolerances and exemptions are reviewed within 6 years of the date of

enactment of such Act; and

(C) 100 percent of such tolerances and exemptions are reviewed within 10 years of the date of

enactment of such Act.

In conducting a review of a tolerance or exemption, the Administrator shall determine whether

the tolerance or exemption meets the requirements of subsections 26 (b)(2) or (c)(2) and shall,

by the deadline for the review of the tolerance or exemption, issue a regulation under

subsection (d)(4) or (e)(1) to modify or revoke the tolerance or exemption if the tolerance or

exemption does not meet such requirements.

(2) PRIORITIES.—In determining priorities for reviewing tolerances and exemptions under

paragraph (1), the Administrator shall give priority to the review of the tolerances or

exemptions that appear to pose the greatest risk to public health.

(3) PUBLICATION OF SCHEDULE.—Not later than 12 months after the date of the enactment

of the Food Quality Protection Act of 1996, the Administrator shall publish a schedule for

review of tolerances and exemptions established prior to the date of the enactment of the Food

Quality Protection Act of 1996. The determination of priorities for the review of tolerances and

exemptions pursuant to this subsection is not a rulemaking and shall not be subject to judicial

review, except that failure to take final action pursuant to the schedule established by this

paragraph shall be subject to judicial review.

(r) TEMPORARY TOLERANCE OR EXEMPTION.—The Administrator may, upon the request

of any person who has obtained an experimental permit for a pesticide chemical under the

Federal Insecticide, Fungicide, and Rodenticide Act or upon the Administrator’s own initiative,

establish a temporary tolerance or exemption for the pesticide chemical residue for the uses

covered by the permit. Subsections (b)(2), (c)(2), (d), and (e) shall apply to actions taken under

this subsection.

(s) SAVINGS CLAUSE.—Nothing in this section shall be construed to amend or modify the

provisions of the Toxic Substances Control Act or the Federal Insecticide, Fungicide, and

Rodenticide Act.

FOOD ADDITIVES

Unsafe Food Additives

SEC. 409. [21 U.S.C. 348] (a) A food additive shall, with respect to any particular use or

intended use of such additives, be deemed to be unsafe for the purposes of the application of

clause (2)(C) of section 402(a), unless—

(1) it and its use or intended use conform to the terms of an exemption which is in effect

pursuant to subsection (j) of this section;

(2) there is in effect, and it and its use or intended use are in conformity with, a regulation

issued under this section prescribing the conditions under which such additive may be safely

used; or

(3) in the case of a food additive as defined in this Act that is a food contact substance, there

is—

(A) in effect, and such substance and the use of such substance are in conformity with, a

regulation issued under this section prescribing the conditions under which such additive may

be safely used; or

(B) a notification submitted under subsection (h) that is effective.

While such a regulation relating to a food additive, or such a notification under subsection (h)(1)

relating to a food additive that is a food contact substance, is in effect, and has not been

revoked pursuant to subsection (i), a food shall not, by reason of bearing or containing such a

food additive in accordance with the regulation or notification, be considered adulterated under

section 402(a)(1).

Petition To Establish Safety

(b)(1) Any person may, with respect to any intended use of a food additive, file with the

Secretary a petition proposing the issuance of a regulation prescribing the conditions under

which such additive may be safely used.

(2) Such petition shall, in addition to any explanatory or supporting data, contain—

(A) the name and all pertinent information concerning such food additive, including, where

available, its chemical identity and composition;

(B) a statement of the conditions of the proposed use of such additive, including all directions,

recommendations, and suggestions proposed for the use of such additive, and including

specimens of its proposed labeling;

(C) all relevant data bearing on the physical or other technical effect such additive is intended

to produce, and the quantity of such additive required to produce such effect;

(D) a description of practicable methods for determining the quantity of such additive in or on

food, and any substance formed in or on food, because of its use; and

(E) full reports of investigations made with respect to the safety for use of such additive,

including full information as to the methods and controls used in conducting such

investigations.

(3) Upon request of the Secretary, the petitioner shall furnish (or, if the petitioner is not the

manufacturer of such additive, the petitioner shall have the manufacturer of such additive

furnish, without disclosure to the petitioner), a full description of the methods used in, and the

facilities and controls used for, the production of such additive.

(4) Upon request of the Secretary, the petitioner shall furnish samples of the food additive

involved, or articles used as components thereof, and of the food in or on which the additive is

proposed to be used.

(5) Notice of the regulation proposed by the petitioner shall be published in general terms by

the Secretary within thirty days after filing.

Action on the Petition

(c)(1) The Secretary shall—

(A) by order establish a regulation (whether or not in accord with that proposed by the

petitioner) prescribing, with respect to one or more proposed uses of the food additive involved,

the conditions under which such additive may be safely used (including, but not limited to,

specifications as to the particular food or classes of food in or on which such additive may be

used, the maximum quantity which may be used or permitted to remain in or on such food, the

manner in which such additive may be added to or used in or on such food, and any directions

or other labeling or packaging requirements for such additive deemed necessary by him to

assure the safety of such use), and shall notify the petitioner of such order and the reasons for

such action; or

(B) by order deny the petition, and shall notify the petitioner of such order and of the reasons

for such action.

(2) The order required by paragraph (1) (A) or (B) of this subsection shall be issued within

ninety days after the date of filing of the petition, except that the Secretary may (prior to such

ninetieth day), by written notice to the petitioner, extend such ninety day period to such time

(not more than one hundred and eighty days after the date of filing of the petition) as the

Secretary deems necessary to enable him to study and investigate the petition.

(3) No such regulation shall issue if a fair evaluation of the data before the Secretary—

(A) fails to establish that the proposed use of the food additive, under the conditions of use to

be specified in the regulation, will be safe: Provided, That no additive shall be deemed to be

safe if it is found to induce cancer when ingested by man or animal, or if it is found, after tests

which are appropriate for the evaluation of the safety of food additives, to induce cancer in

man or animal, except that this proviso shall not apply with respect to the use of a substance

as an ingredient of feed for animals which are raised for food production, if the Secretary finds

(i) that, under the conditions of use and feeding specified in proposed labeling and reasonably

certain to be followed in practice, such additive will not adversely affect the animals for which

such feed is intended, and (ii) that no residue of the additive will be found (by methods of

examination prescribed or approved by the Secretary by regulations, which regulations shall

not be subject to subsections (f) and (g)) in any edible portion of such animal after slaughter or

in any food yielded by or derived from the living animal; or

(B) shows that the proposed use of the additive would promote deception of the consumer in

violation of this Act or would otherwise result in adulteration or in misbranding of food within

the meaning of this Act.

(4) If, in the judgment of the Secretary, based upon a fair evaluation of the data before him, a

tolerance limitation is required in order to assure that the proposed use of an additive will be

safe, the Secretary—

(A) shall not fix such tolerance limitation at a level higher than he finds to be reasonably

required to accomplish the physical or other technical effect for which such additive is intended;

and

(B) shall not establish a regulation for such proposed use if he finds upon a fair evaluation of

the data before him that such data do not establish that such use would accomplish the

intended physical or other technical effect.

(5) In determining, for the purposes of this section, whether a proposed use of a food additive

is safe, the Secretary shall consider among other relevant factors—

(A) the probable consumption of the additive and of any substance formed in or on food

because of the use of the additive;

(B) the cumulative effect of such additive in the diet of man or animals, taking into account any

chemically or pharmacologically related substance or substances in such diet; and

(C) safety factors which in the opinion of experts qualified by scientific training and experience

to evaluate the safety of food additives are generally recognized as appropriate for the use of

animal experimentation data.

Regulation Issued on Secretary's Initiative

(d) The Secretary may at any time, upon his own initiative, propose the issuance of a

regulation prescribing, with respect to any particular use of a food additive, the conditions

under which such additive may be safely used, and the reasons therefor. After the thirtieth day

following publication of such a proposal, the Secretary may by order establish a regulation

based upon the proposal.

Publication and Effective Date of Orders

(e) Any order, including any regulation established by such order, issued under subsection (c)

or (d) of this section, shall be published and shall be effective upon publication, but the

Secretary may stay such effectiveness if, after issuance of such order, a hearing is sought with

respect to such order pursuant to subsection (f).

Objections and Public Hearing

(f)(1) Within thirty days after publication of an order made pursuant to subsection (c) or (d) of

this section, any person adversely affected by such an order may file objections thereto with

the Secretary, specifying with particularity the provisions of the order deemed objectionable,

stating reasonable grounds therefor, and requesting a public hearing upon such objections.

The Secretary shall, after due notice, as promptly as possible hold such public hearing for the

purpose of receiving evidence relevant and material to the issues raised by such objections.

As soon as practicable after completion of the hearing, the Secretary shall by order act upon

such objections and make such order public.

(2) Such order shall be based upon a fair evaluation of the entire record at such hearing, and

shall include a statement setting forth in detail the findings and conclusions upon which the

order is based.

(3) The Secretary shall specify in the order the date on which it shall take effect, except that it

shall not be made to take effect prior to the ninetieth day after its publication, unless the

Secretary finds that emergency conditions exist necessitating an earlier effective date, in

which event the Secretary shall specify in the order his findings as to such conditions.

Judicial Review

(g)(1) In a case of actual controversy as to the validity of any order issued under subsection (f),

including any order thereunder with respect to amendment or repeal of a regulation issued

under this section, any person who will be adversely affected by such order may obtain judicial

review by filing in the United States Court of Appeals for the circuit wherein such person

resides or has his principal place of business, or in the United States Court of Appeals for the

District of Columbia Circuit, within sixty days after the entry of such order, a petition praying

that the order be set aside in whole or in part.

(2) A copy of such petition shall be forthwith transmitted by the clerk of the court to the

Secretary, or any officer designated by him for that purpose, and thereupon the Secretary shall

file in the court the record of the proceedings on which he based his order, as provided in

section 2112 of title 28, United States Code. Upon the filing of such petition the court shall

have jurisdiction, which upon the filing of the record with it shall be exclusive, to affirm or set

aside the order complained of in whole or in part. Until the filing of the record the Secretary

may modify or set aside his order. The findings of the Secretary with respect to questions of

fact shall be sustained if based upon a fair evaluation of the entire record at such hearing.

(3) The court, on such judicial review, shall not sustain the order of the Secretary if he failed to

comply with any requirement imposed on him by subsection (f)(2) of this section.

(4) If application is made to the court for leave to adduce additional evidence, the court may

order such additional evidence to be taken before the Secretary and to be adduced upon the

hearing in such manner and upon such terms and conditions as to the court may seem proper,

if such evidence is material and there were reasonable grounds for failure to adduce such

evidence in the proceedings below. The Secretary may modify his findings as to the facts and

order by reason of the additional evidence so taken, and shall file with the court such modified

findings and order.

(5) The judgment of the court affirming or setting aside, in whole or in part, any order under this

section shall be final, subject to review by the Supreme Court of the United States upon

certiorari or certification as provided in section 1254 of title 28 of the United States Code. The

commencement of proceedings under this section shall not, unless specifically ordered by the

court to the contrary, operate as a stay of an order.

Notification Relating to a Food Contact Substance

(h)(1) Subject to such regulations as may be promulgated under paragraph (3), a

manufacturer or supplier of a food contact substance may, at least 120 days prior to the

introduction or delivery for introduction into interstate commerce of the food contact substance,

notify the Secretary of the identity and intended use of the food contact substance, and of the

determination of the manufacturer or supplier that the intended use of such food contact

substance is safe under the standard described in subsection (c)(3)(A). The notification shall

contain the information that forms the basis of the determination and all information required to

be submitted by regulations promulgated by the Secretary.

(2)(A) A notification submitted under paragraph (1) shall become effective 120 days after the

date of receipt by the Secretary and the food contact substance may be introduced or

delivered for introduction into interstate commerce, unless the Secretary makes a

determination within the 120-day period that, based on the data and information before the

Secretary, such use of the food contact substance has not been shown to be safe under the

standard described in subsection (c)(3)(A), and informs the manufacturer or supplier of such

determination.

(B) A decision by the Secretary to object to a notification shall constitute final agency action

subject to judicial review.

(C) In this paragraph, the term ‘‘food contact substance’’ means the substance that is the

subject of a notification submitted under paragraph (1), and does not include a similar or

identical substance manufactured or prepared by a person other than the manufacturer

identified in the notification.

(3)(A) The process in this subsection shall be utilized for authorizing the marketing of a food

contact substance except where the Secretary determines that submission and review of a

petition under subsection (b) is necessary to provide adequate assurance of safety, or where

the Secretary and any manufacturer or supplier agree that such manufacturer or supplier may

submit a petition under subsection (b).

(B) The Secretary is authorized to promulgate regulations to identify the circumstances in

which a petition shall be filed under subsection (b), and shall consider criteria such as the

probable consumption of such food contact substance and potential toxicity of the food contact

substance in determining the circumstances in which a petition shall be filed under subsection

(b).

(4) The Secretary shall keep confidential any information provided in a notification under

paragraph (1) for 120 days after receipt by the Secretary of the notification. After the expiration

of such 120 days, the information shall be available to any interested party except for any

matter in the notification that is a trade secret or confidential commercial information.

(5)(A)(i) Except as provided in clause (ii), the notification program established under this

subsection shall not operate in any fiscal year unless—

(I) an appropriation equal to or exceeding the applicable amount under clause (iv) is made for

such fiscal year for carrying out such program in such fiscal year; and

(II) the Secretary certifies that the amount appropriated for such fiscal year for the Center for

Food Safety and Applied Nutrition of the Food and Drug Administration (exclusive of the

appropriation referred to in subclause (I)) equals or exceeds the amount appropriated for the

Center for fiscal year 1997, excluding any amount appropriated for new programs.

(ii) The Secretary shall, not later than April 1, 1999, begin accepting and reviewing notifications

submitted under the notification program established under this subsection if—

(I) an appropriation equal to or exceeding the applicable amount under clause (iii) is made for

the last six months of fiscal year 1999 for carrying out such program during such period; and

(II) the Secretary certifies that the amount appropriated for such period for the Center for Food

Safety and Applied Nutrition of the Food and Drug Administration (exclusive of the

appropriation referred to in subclause (I)) equals or exceeds an amount equivalent to one-half

the amount appropriated for the Center for fiscal year 1997, excluding any amount

appropriated for new programs.

(iii) For the last six months of fiscal year 1999, the applicable amount under this clause is

$1,500,000, or the amount specified in the budget request of the President for the six-month

period involved for carrying out the notification program in fiscal year 1999, whichever is less.

(iv) For fiscal year 2000 and subsequent fiscal years, the applicable amount under this clause

is $3,000,000, or the amount specified in the budget request of the President for the fiscal year

involved for carrying out the notification program under this subsection, whichever is less.

(B) For purposes of carrying out the notification program under this subsection, there are

authorized to be appropriated such sums as may be necessary for each of the fiscal years

1999 through fiscal year 2003, except that such authorization of appropriations is not effective

for a fiscal year for any amount that is less than the applicable amount under clause (iii) or (iv)

of subparagraph (A), whichever is applicable.

(C) Not later than April 1 of fiscal year 1998 and February 1 of each subsequent fiscal year, the

Secretary shall submit a report to the Committees on Appropriations of the House of

Representatives and the Senate, the Committee on Commerce of the House of

Representatives, and the Committee on Labor and Human Resources of the Senate that

provides an estimate of the Secretary of the costs of carrying out the notification program

established under this subsection for the next fiscal year.

(6) In this section, the term ‘‘food contact substance’’ means any substance intended for use

as a component of materials used in manufacturing, packing, packaging, transporting, or

holding food if such use is not intended to have any technical effect in such food.

Amendment or Repeal of Regulations

(i) The Secretary shall by regulation prescribe the procedure by which regulations under the

foregoing provisions of this section may be amended or repealed, and such procedure shall

conform to the procedure provided in this section for the promulgation of such regulations. The

Secretary shall by regulation prescribe the procedure by which the Secretary may deem a

notification under subsection (h) to no longer be effective.

Exemptions for Investigational Use

(j) Without regard to subsections (b) to (i), inclusive, of this section, the Secretary shall by

regulation provide for exempting from the requirements of this section any food additive, and

any food bearing or containing such additive, intended solely for investigational use by

qualified experts when in his opinion such exemption is consistent with the public health.

BOTTLED DRINKING WATER STANDARDS

SEC. 410. [21 U.S.C. 349] (a) Except as provided in subsection (b), whenever the

Administrator of the Environmental Protection Agency prescribes interim or revised national

primary drinking water regulations under section 1412 of the Public Health Service Act, the

Secretary shall consult with the Administrator and within 180 days after the promulgation of

such drinking water regulations either promulgate amendments to regulations under this

chapter applicable to bottled drinking water or publish in the Federal Register his reasons for

not making such amendments.

(b)(1) Not later than 180 days before the effective date of a national primary drinking water

regulation promulgated by the Administrator of the Environmental Protection Agency for a

contaminant under section 1412 of the Safe Drinking Water Act (42 U.S.C. 300g–1), the

Secretary shall promulgate a standard of quality regulation under this subsection for that

contaminant in bottled water or make a finding that such a regulation is not necessary to

protect the public health because the contaminant is contained in water in public water

systems (as defined under section 1401(4) of such Act (42 U.S.C. 300f(4))) but not in water

used for bottled drinking water. The effective date for any such standard of quality regulation

shall be the same as the effective date for such national primary drinking water regulation,

except for any standard of quality of regulation promulgated by the Secretary before the date

of enactment of the Safe Drinking Water Act Amendments of 1996 for which (as of such date

of enactment) an effective date had not been established. In the case of a standard of quality

regulation to which such exception applies, the Secretary shall promulgate monitoring

requirements for the contaminants covered by the regulation not later than 2 years after such

date of enactment.

(2) A regulation issued by the Secretary as provided in this subsection shall include any

monitoring requirements that the Secretary determines appropriate for bottled water.

(3) A regulation issued by the Secretary as provided in this subsection shall require the

following:

(A) In the case of contaminants for which a maximum contaminant level is established in a

national primary drinking water regulation under section 1412 of the Safe Drinking Water Act

(42 U.S.C. 300g–1), the regulation under this subsection shall establish a maximum

contaminant level for the contaminant in bottled water which is no less stringent than the

maximum contaminant level provided in the national primary drinking water regulation.

(B) In the case of contaminants for which a treatment technique is established in a national

primary drinking water regulation under section 1412 of the Safe Drinking Water Act (42 U.S.C.

300g–1), the regulation under this subsection shall require that bottled water be subject to

requirements no less protective of the public health than those applicable to water provided by

public water systems using the treatment technique required by the national primary drinking

water regulation.

(4)(A) If the Secretary does not promulgate a regulation under this subsection within the period

described in paragraph (1), the national primary drinking water regulation referred to in

paragraph (1) shall be considered, as of the date on which the Secretary is required to

establish a regulation under paragraph (1), as the regulation applicable under this subsection

to bottled water.

(B) In the case of a national primary drinking water regulation that pursuant to subparagraph

(A) is considered to be a standard of quality regulation, the Secretary shall, not later than the

applicable date referred to in such subparagraph, publish in the Federal Register a notice—

(i) specifying the contents of such regulation, including monitoring requirements; and

(ii) providing that for purposes of this paragraph the effective date for such regulation is the

same as the effective date for the regulation for purposes of the Safe Drinking Water Act (or, if

the exception under paragraph (1) applies to the regulation, that the effective date for the

regulation is not later than 2 years and 180 days after the date of enactment of the Safe

Drinking Water Act Amendments of 1996).

VITAMINS AND MINERALS

SEC. 411. [21 U.S.C. 350] (a)(1) Except as provided in paragraph (2)—

(A) the Secretary may not establish, under section 201(n), 401, or 403, maximum limits on the

potency of any synthetic or natural vitamin or mineral within a food to which this section

applies;

(B) the Secretary may not classify any natural or synthetic vitamin or mineral (or combination

thereof) as a drug solely because it exceeds the level of potency which the Secretary

determines is nutritionally rational or useful;

(C) the Secretary may not limit, under section 201(n), 401, or 403, the combination or number

of any synthetic or natural—

(i) vitamin,

(ii) mineral, or

(iii) other ingredient of food,

within a food to which this section applies.

(2) Paragraph (1) shall not apply in the case of a vitamin, mineral, other ingredient of food, or

food, which is represented for use by individuals in the treatment or management of specific

diseases or disorders, by children, or by pregnant or lactating women. For purposes of this

subparagraph 27 , the term "children" means individuals who are under the age of twelve

years.

(b)(1) A food to which this section applies shall not be deemed under section 403 to be

misbranded solely because its label bears, in accordance with section 403(i)(2), all the

ingredients in the food or its advertising contains references to ingredients in the food which

are not vitamins or minerals.

(2) The labeling for any food to which this section applies may not list its ingredients which are

not dietary supplement ingredients described in section 201(ff) (i) except as a part of a list of all

the ingredients of such food, and (ii) unless such ingredients are listed in accordance with

applicable regulations under section 403. To the extent that compliance with clause (i) of this

subparagraph is impracticable or results in deception or unfair competition, exemptions shall

be established by regulations promulgated by the Secretary.

(c)(1) For purposes of this section, the term ‘‘food to which this section applies’’ means a food

for humans which is a food for special dietary use—

(A) which is or contains any natural or synthetic vitamin or mineral, and

(B) which—

(i) is intended for ingestion in tablet, capsule, powder, softgel, gelcap, or liquid form, or

(ii) if not intended for ingestion in such a form, is not represented as conventional food and is

not represented for use as a sole item of a meal or of the diet.

(2) For purposes of paragraph (1)(B)(i), a food shall be considered as intended for ingestion in

liquid form only if it is formulated in a fluid carrier and it is intended for ingestion in daily

quantities measured in drops or similar small units of measure.

(3) For purposes of paragraph (1) and of section 403 (j) insofar as that section is applicable to

food to which this section applies, the term ‘‘special dietary use’’ as applied to food used by

man means a particular use for which a food purports or is represented to be used, including

but not limited to the following:

(A) Supplying a special dietary need that exists by reason of a physical, physiological,

pathological, or other condition, including but not limited to the condition of disease,

convalescence, pregnancy, lactation, infancy, allergic hypersensitivity to food, underweight,

overweight, or the need to control the intake of sodium.

(B) Supplying a vitamin, mineral, or other ingredient for use by man to supplement his diet by

increasing the total dietary intake.

(C) Supplying a special dietary need by reason of being a food for use as the sole item of the

diet.

REQUIREMENTS FOR INFANT FORMULAS

SEC. 412. [21 U.S.C. 350a] (a) An infant formula, including an infant formula powder, shall be

deemed to be adulterated if—

(1) such infant formula does not provide nutrients as required by subsection (i),

(2) such infant formula does not meet the quality factor requirements prescribed by the

Secretary under subsection (b)(1), or

(3) the processing of such infant formula is not in compliance with the good manufacturing

practices and the quality control procedures prescribed by the Secretary under subsection

(b)(2).

(b)(1) The Secretary shall by regulation establish requirements for quality factors for infant

formulas to the extent possible consistent with current scientific knowledge, including quality

factor requirements for the nutrients required by subsection (i).

(2)(A) The Secretary shall by regulation establish good manufacturing practices for infant

formulas, including quality control procedures that the Secretary determines are necessary to

assure that an infant formula provides nutrients in accordance with this subsection and

subsection (i) and is manufactured in a manner designed to prevent adulteration of the infant

formula.

(B) The good manufacturing practices and quality control procedures prescribed by the

Secretary under subparagraph (A) shall include requirements for—

(i) the testing, in accordance with paragraph (3) and by the manufacturer of an infant formula

or an agent of such manufacturer, of each batch of infant formula for each nutrient required by

subsection (i) before the distribution of such batch,

(ii) regularly scheduled testing, by the manufacturer of an infant formula or an agent of such

manufacturer, of samples of infant formulas during the shelf life of such formulas to ensure that

such formulas are in compliance with this section,

(iii) in-process controls including, where necessary, testing required by good manufacturing

practices designed to prevent adulteration of each batch of infant formula, and

(iv) the conduct by the manufacturer of an infant formula or an agent of such manufacturer of

regularly scheduled audits to determine that such manufacturer has complied with the

regulations prescribed under subparagraph (A).

In prescribing requirements for audits under clause (iv), the Secretary shall provide that such

audits be conducted by appropriately trained individuals who do not have any direct

responsibility for the manufacture or production of infant formula.

(3)(A) At the final product stage, each batch of infant formula shall be tested for vitamin A,

vitamin B1, vitamin C, and vitamin E to ensure that such infant formula is in compliance with

the requirements of this subsection and subsection (i) relating to such vitamins.

(B) Each nutrient premix used in the manufacture of an infant formula shall be tested for each

relied upon nutrient required by subsection (i) which is contained in such premix to ensure that

such premix is in compliance with its specifications or certifications by a premix supplier.

(C) During the manufacturing process or at the final product stage and before distribution of an

infant formula, an infant formula shall be tested for all nutrients required to be included in such

formula by subsection (i) for which testing has not been conducted pursuant to subparagraph

(A) or (B). Testing under this subparagraph shall be conducted to—

(i) ensure that each batch of such infant formula is in compliance with the requirements of

subsection (i) relating to such nutrients, and

(ii) confirm that nutrients contained in any nutrient premix used in such infant formula are

present in each batch of such infant formula in the proper concentration.

(D) If the Secretary adds a nutrient to the list of nutrients in the table in subsection (i), the

Secretary shall by regulation require that the manufacturer of an infant formula test each batch

of such formula for such new nutrient in accordance with subparagraph (A), (B), or (C).

(E) For purposes of this paragraph, the term ‘‘final product stage’’ means the point in the

manufacturing process, before distribution of an infant formula, at which an infant formula is

homogenous and is not subject to further degradation.

(4)(A) The Secretary shall by regulation establish requirements respecting the retention of

records. Such requirements shall provide for—

(i) the retention of all records necessary to demonstrate compliance with the good

manufacturing practices and quality control procedures prescribed by the Secretary under

paragraph (2), including records containing the results of all testing required under paragraph

(2)(B),

(ii) the retention of all certifications or guarantees of analysis by premix suppliers,

(iii) the retention by a premix supplier of all records necessary to confirm the accuracy of all

premix certifications and guarantees of analysis,

(iv) the retention of—

(I) all records pertaining to the microbiological quality and purity of raw materials used in infant

formula powder and in finished infant formula, and

(II) all records pertaining to food packaging materials which show that such materials do not

cause an infant formula to be adulterated within the meaning of section 402(a)(2)(C),

(v) the retention of all records of the results of regularly scheduled audits conducted pursuant

to the requirements prescribed by the Secretary under paragraph (2)(B)(iv), and

(vi) the retention of all complaints and the maintenance of files with respect to, and the review

of, complaints concerning infant formulas which may reveal the possible existence of a hazard

to health.

(B)(i) Records required under subparagraph (A) with respect to an infant formula shall be

retained for at least one year after the expiration of the shelf life of such infant formula. Except

as provided in clause (ii), such records shall be made available to the Secretary for review and

duplication upon request of the Secretary.

(ii) A manufacturer need only provide written assurances to the Secretary that the regularly

scheduled audits required by paragraph (2)(B)(iv) are being conducted by the manufacturer,

and need not make available to the Secretary the actual written reports of such audits.

(c)(1) No person shall introduce or deliver for introduction into interstate commerce any new

infant formula unless—

(A) such person has, before introducing such new infant formula, or delivering such new infant

formula for introduction, into interstate commerce, registered with the Secretary the name of

such person, the place of business of such person, and all establishments at which such

person intends to manufacture such new infant formula, and

(B) such person has at least 90 days before marketing such new infant formula, made the

submission to the Secretary required by subsection (c)(1).

(2) For purposes of paragraph (1), the term ‘‘new infant formula’’ includes—

(A) an infant formula manufactured by a person which has not previously manufactured an

infant formula, and

(B) an infant formula manufactured by a person which has previously manufactured infant

formula and in which there is a major change, in processing or formulation, from a current or

any previous formulation produced by such manufacturer.

For purposes of this paragraph, the term "major change" has the meaning given to such term

in section 106.30(c)(2) of title 21, Code of Federal Regulations (as in effect on August 1, 1986),

and guidelines issued thereunder.

(d)(1) A person shall, with respect to any infant formula subject to subsection (c), make a

submission to the Secretary which shall include—

(A) the quantitative formulation of the infant formula,

(B) a description of any reformulation of the formula or change in processing of the infant

formula,

(C) assurances that the infant formula will not be marketed unless it meets the requirements of

subsections (b)(1) and (i), as demonstrated by the testing required under subsection (b)(3),

and

(D) assurances that the processing of the infant formula complies with subsection (b)(2).

(2) After the first production of an infant formula subject to subsection (c), and before the

introduction into interstate commerce of such formula, the manufacturer of such formula shall

submit to the Secretary, in such form as may be prescribed by the Secretary, a written

verification which summarizes test results and records demonstrating that such formula

complies with the requirements of subsections (b)(1), (b)(2)(A), (b)(2)(B)(i), (b)(2)(B)(iii),

(b)(3)(A), (b)(3)(C), and (i).

(3) If the manufacturer of an infant formula for commercial or charitable distribution for human

consumption determines that a change in the formulation of the formula or a change in the

processing of the formula may affect whether the formula is adulterated under subsection (a),

the manufacturer shall, before the first processing of such formula, make the submission to the

Secretary required by paragraph (1).

(e)(1) If the manufacturer of an infant formula has knowledge which reasonably supports the

conclusion that an infant formula which has been processed by the manufacturer and which

has left an establishment subject to the control of the manufacturer—

(A) may not provide the nutrients required by subsection (i), or

(B) may be otherwise adulterated or misbranded, the manufacturer shall promptly notify the

Secretary of such knowledge. If the Secretary determines that the infant formula presents a

risk to human health, the manufacturer shall immediately take all actions necessary to recall

shipments of such infant formula from all wholesale and retail establishments, consistent with

recall regulations and guidelines issued by the Secretary.

(2) For purposes of paragraph (1), the term ‘‘knowledge’’ as applied to a manufacturer means

(A) the actual knowledge that the manufacturer had, or (B) the knowledge which a reasonable

person would have had under like circumstances or which would have been obtained upon the

exercise of due care.

(f)(1) If a recall of infant formula is begun by a manufacturer, the recall shall be carried out in

accordance with such requirements as the Secretary shall prescribe under paragraph (2)

and—

(A) the Secretary shall, not later than the 15th day after the beginning of such recall and at

least once every 15 days thereafter until the recall is terminated, review the actions taken

under the recall to determine whether the recall meets the requirements prescribed under

paragraph (2), and

(B) the manufacturer shall, not later than the 14th day after the beginning of such recall and at

least once every 14 days thereafter until the recall is terminated, report to the Secretary the

actions taken to implement the recall.

(2) The Secretary shall by regulation prescribe the scope and extent of recalls of infant

formulas necessary and appropriate for the degree of risks to human health presented by the

formula subject to the recall.

(3) The Secretary shall by regulation require each manufacturer of an infant formula who

begins a recall of such formula because of a risk to human health to request each retail

establishment at which such formula is sold or available for sale to post at the point of

purchase of such formula a notice of such recall at such establishment for such time that the

Secretary determines necessary to inform the public of such recall.

(g)(1) Each manufacturer of an infant formula shall make and retain such records respecting

the distribution of the infant formula through any establishment owned or operated by such

manufacturer as may be necessary to effect and monitor recalls of the formula. Such records

shall be retained for at least one year after the expiration of the shelf life of the infant formula.

(2) To the extent that the Secretary determines that records are not being made or maintained

in accordance with paragraph (1), the Secretary may by regulation prescribe the records

required to be made under paragraph (1) and requirements respecting the retention of such

records under such paragraph. Such regulations shall take effect on such date as the

Secretary prescribes but not sooner than the 180th day after the date such regulations are

promulgated. Such regulations shall apply only with respect to distributions of infant formulas

made after such effective date.

(h)(1) Any infant formula which is represented and labeled for use by an infant—

(A) who has an inborn error of metabolism or a low birth weight, or

(B) who otherwise has an unusual medical or dietary problem,

is exempt from the requirements of subsections (a), (b), and (c). The manufacturer of an infant

formula exempt under this paragraph shall, in the case of the exempt formula, be required to

provide the notice required by subsection (e)(1) only with respect to adulteration or

misbranding described in subsection (e)(1)(B) and to comply with the regulations prescribed

by the Secretary under paragraph (2).

(2) The Secretary may by regulation establish terms and conditions for the exemption of an

infant formula from the requirements of subsections (a), (b), and (c). An exemption of an infant

formula under paragraph (1) may be withdrawn by the Secretary if such formula is not in

compliance with applicable terms and conditions prescribed under this paragraph.

(i)(1) An infant formula shall contain nutrients in accordance with the table set out in this

subsection or, if revised by the Secretary under paragraph (2), as so revised.

(2) The Secretary may by regulation—

(A) revise the list of nutrients in the table in this subsection, and

(B) revise the required level for any nutrient required by the table.

NUTRIENTS

Nutrient Minimum 1 Maximum 1

Protein (gm) 1.8 2 4.5.

Fat:

gm 3.3 6.0.

percent cal 30.0 54.0.

Essential fatty acids

(linoleate):

percent cal 2.7

mg 300.0

Vitamins:

A (IU) 250.0 (75 µg) 3 750.0 (225 µg) 3

D (IU) 40.0 100.0.

K (µg) 4.0

E (IU) 0.7 (with 0.7 IU/gm

linoleic acid).

C (ascorbic acid) (mg) 8.0

B1 (thiamine) (µg) 40.0

B2 (riboflavin) (µg) 60.0

B6 (pyridoxine) (µg) 35.0 (with 15 µg/gm of

protein in formula).

B12 (µg) 0.15

Niacin (µg) 250.0

Folic acid (µg) 4.0

Pantothenic acid (µg) 300.0

Biotin (µg) 1.5 4

Choline (mg) 7.0 4

Inositol (mg) 4.0 4

Minerals:

Calcium (mg) 50.0 5

Phosphorus (mg) 25.0 5

Magnesium (mg) 6.0

Iron (mg) 0.15

Iodine (µg) 5.0

Zinc (mg) 0.5

Copper (µg) 60.0

Manganese (µg) 5.0

Sodium (mg) 20.0 60.0.

Potassium (mg) 80.0 200.0.

Chloride (mg) 55.0 150.0.

__________________________________________________________________

1 Stated per 100 kilocalories.

2 The source of protein shall be at least nutritionally equivalent to casein.

3 Retinol equivalents.

4 Required to be included in this amount only in formulas which are not milk-based.

5 Calcium to phosphorus ratio must be no less than 1.1 nor more than 2.0.

NEW DIETARY INGREDIENTS

SEC. 413 . [21 U.S.C. 350b] (a) IN GENERAL.—A dietary supplement which contains a new

dietary ingredient shall be deemed adulterated under section 402(f) unless it meets one of the

following requirements:

(1) The dietary supplement contains only dietary ingredients which have been present in the

food supply as an article used for food in a form in which the food has not been chemically

altered.

(2) There is a history of use or other evidence of safety establishing that the dietary ingredient

when used under the conditions recommended or suggested in the labeling of the dietary

supplement will reasonably be expected to be safe and, at least 75 days before being

introduced or delivered for introduction into interstate commerce, the manufacturer or

distributor of the dietary ingredient or dietary supplement provides the Secretary with

information, including any citation to published articles, which is the basis on which the

manufacturer or distributor has concluded that a dietary supplement containing such dietary

ingredient will reasonably be expected to be safe.

The Secretary shall keep confidential any information provided under paragraph (2) for 90

days following its receipt. After the expiration of such 90 days, the Secretary shall place such

information on public display, except matters in the information which are trade secrets or

otherwise confidential, commercial information.

(b) PETITION.—Any person may file with the Secretary a petition proposing the issuance of an

order prescribing the conditions under which a new dietary ingredient under its intended

conditions of use will reasonably be expected to be safe. The Secretary shall make a decision

on such petition within 180 days of the date the petition is filed with the Secretary. For

purposes of chapter 7 of title 5, United States Code, the decision of the Secretary shall be

considered final agency action.

(c) DEFINITION.—For purposes of this section, the term ‘‘new dietary ingredient’’ means a

dietary ingredient that was not marketed in the United States before October 15, 1994 and

does not include any dietary ingredient which was marketed in the United States before

October 15, 1994.

SEC. 414.[21 USC 350c] MAINTENANCE AND INSPECTION OF RECORDS

(a) RECORDS INSPECTION. — If the Secretary has a reasonable belief that an article of food

is adulterated and presents a threat of serious adverse health consequences or death to

humans or animals, each person (excluding farms and restaurants) who manufactures,

processes, packs, distributes, receives, holds, or imports such article shall, at the request of an

officer or employee duly designated by the Secretary, permit such officer or employee, upon

presentation of appropriate credentials and a written notice to such person, at reasonable

times and within reasonable limits and in a reasonable manner, to have access to and copy all

records relating to such article that are needed to assist the Secretary in determining whether

the food is adulterated and presents a threat of serious adverse health consequences or death

to humans or animals. The requirement under the preceding sentence applies to all records

relating to the manufacture, processing, packing, distribution, receipt, holding, or importation of

such article maintained by or on behalf of such person in any format (including paper and

electronic formats) and at any location.

(b) REGULATIONS CONCERNING RECORDKEEPING.—The Secretary, in consultation and

coordination, as appropriate, with other Federal departments and agencies with

responsibilities for regulating food safety, may by regulation establish requirements regarding

the establishment and maintenance, for not longer than two years, of records by persons

(excluding farms and restaurants) who manufacture, process, pack, transport, distribute,

receive, hold, or import food, which records are needed by the Secretary for inspection to allow

the Secretary to identify the immediate previous sources and the immediate subsequent

recipients of food, including its packaging, in order to address credible threats of serious

adverse health consequences or death to humans or animals. The Secretary shall take into

account the size of a business in promulgating regulations under this section.

(c) Protection of Sensitive Information.—The Secretary shall take appropriate measures to

ensure that there are in effect effective procedures to prevent the unauthorized disclosure of

any trade secret or confidential information that is obtained by the Secretary pursuant to this

section.

(d) Limitations.—This section shall not be construed--

(1) to limit the authority of the Secretary to inspect records or to require establishment and

maintenance of records under any other provision of this Act;

(2) to authorize the Secretary to impose any requirements with respect to a food to the extent

that it is within the exclusive jurisdiction of the Secretary of Agriculture pursuant to the Federal

Meat Inspection Act (21 U.S.C. 601 et seq.), the Poultry Products Inspection Act (21 U.S.C.

451 et seq.), or the Egg Products Inspection Act (21 U.S.C. 1031 et seq.);

(3) to have any legal effect on section 552 of title 5, United States Code, or section 1905 of title

18, United States Code; or

(4) to extend to recipes for food, financial data, pricing data, personnel data, research data, or

sales data (other than shipment data regarding sales).

SEC. 415 . [21 USC 350d].REGISTRATION OF FOOD FACILITIES

(a) Registration.—

(1) Regulations.— In general.--The Secretary shall by regulation require that any facility

engaged in manufacturing, processing, packing, or holding food for consumption in the United

States be registered with the Secretary. To be registered--

(A) for a domestic facility, the owner, operator, or agent in charge of the facility shall submit a

registration to the Secretary; and

(B) for a foreign facility, the owner, operator, or agent in charge of the facility shall submit a

registration to the Secretary and shall include with the registration the name of the United

States agent for the facility.

(2) Registration.—An entity (referred to in this section as the `registrant') shall submit a

registration under paragraph (1) to the Secretary containing information necessary to notify the

Secretary of the name and address of each facility at which, and all trade names under which,

the registrant conducts business and, when determined necessary by the Secretary through

guidance, the general food category (as identified under section 170.3 of title 21, Code of

Federal Regulations) of any food manufactured, processed, packed, or held at such facility.

The registrant shall notify the Secretary in a timely manner of changes to such information.

(3) Notification.—Upon receipt of a completed registration described in paragraph (1), the

Secretary shall notify the registrant of the receipt of such registration and assign a registration

number to each registered facility.

(4) Records.—The Secretary shall compile and maintain an up-to-date list of facilities that are

registered under this section. Such list and any registration documents submitted pursuant to

this subsection shall not be subject to disclosure under section 552 of title 5, United States

Code. Information derived from such list or registration documents shall not be subject to

disclosure under section 552 of title 5, United States Code, to the extent that it discloses the

identity or location of a specific registered person.

(b) Facility.—For purposes of this section:

(1) The term `facility' includes any factory, warehouse, or establishment (including a factory,

warehouse, or establishment of an importer) that manufactures, processes, packs, or holds

food. Such term does not include farms; restaurants; other retail food establishments; nonprofit

food establishments in which food is prepared for or served directly to the consumer; or fishing

vessels (except such vessels engaged in processing as defined in section 123.3(k) of title 21,

Code of Federal Regulations).

(2) The term `domestic facility' means a facility located in any of the States or Territories.

(3)(A) The term `foreign facility' means a facility that manufacturers, processes, packs, or

holds food, but only if food from such facility is exported to the United States without further

processing or packaging outside the United States.

(B) A food may not be considered to have undergone further processing or packaging for

purposes of subparagraph (A) solely on the basis that labeling was added or that any similar

activity of a de minimis nature was carried out with respect to the food.

(c) Rule of Construction.—Nothing in this section shall be construed to authorize the Secretary

to require an application, review, or licensing process.

Sec. 416 [21 USC § 350e] SANITARY TRANSPORTATION PRACTICES

(a) Definitions. In this section:

(1) Bulk vehicle. The term "bulk vehicle" includes a tank truck, hopper truck, rail tank car,

hopper car, cargo tank, portable tank, freight container, or hopper bin, and any other vehicle in

which food is shipped in bulk, with the food coming into direct contact with the vehicle.

(2) Transportation. The term "transportation" means any movement in commerce by motor

vehicle or rail vehicle.

(b) Regulations. The Secretary shall by regulation require shippers, carriers by motor vehicle

or rail vehicle, receivers, and other persons engaged in the transportation of food to use

sanitary transportation practices prescribed by the Secretary to ensure that food is not

transported under conditions that may render the food adulterated.

(c) Contents. The regulations under subsection (b) shall--

(1) prescribe such practices as the Secretary determines to be appropriate relating to--

(A) sanitation;

(B) packaging, isolation, and other protective measures;

(C) limitations on the use of vehicles;

(D) information to be disclosed--

(i) to a carrier by a person arranging for the transport of food; and

(ii) to a manufacturer or other person that--

(I) arranges for the transportation of food by a carrier; or

(II) furnishes a tank vehicle or bulk vehicle for the transportation of food; and

(E) recordkeeping; and

(2) include--

(A) a list of nonfood products that the Secretary determines may, if shipped in a bulk vehicle,

render adulterated food that is subsequently transported in the same vehicle; and

(B) a list of nonfood products that the Secretary determines may, if shipped in a motor vehicle

or rail vehicle (other than a tank vehicle or bulk vehicle), render adulterated food that is

simultaneously or subsequently transported in the same vehicle.

(d) Waivers.

(1) In general. The Secretary may waive any requirement under this section, with respect to

any class of persons, vehicles, food, or nonfood products, if the Secretary determines that the

waiver--

(A) will not result in the transportation of food under conditions that would be unsafe for human

or animal health; and

(B) will not be contrary to the public interest.

(2) Publication. The Secretary shall publish in the Federal Register any waiver and the

reasons for the waiver.

(e) Preemption.

(1) In general. A requirement of a State or political subdivision of a State that concerns the

transportation of food is preempted if--

(A) complying with a requirement of the State or political subdivision and a requirement of this

section, or a regulation prescribed under this section, is not possible; or

(B) the requirement of the State or political subdivision as applied or enforced is an obstacle to

accomplishing and carrying out this section or a regulation prescribed under this section.

(2) Applicability. This subsection applies to transportation that occurs on or after the effective

date of the regulations promulgated under subsection (b).

(f) Assistance of other agencies. The Secretary of Transportation, the Secretary of Agriculture,

the Administrator of the Environmental Protection Agency, and the heads of other Federal

agencies, as appropriate, shall provide assistance on request, to the extent resources are

available, to the Secretary for the purposes of carrying out this section.

Footnotes: Chapter IV

1. See footnote for section 403(h)(3) regarding the stylistic use of a list consisting of "(a)",

"(b)", etc.

2. So in law. See section 3(i)(1) of Public Law 103–80. Probably should be "or".

3. Subparagraph (2) appears so as to reflect the probable intent of the Congress. Section 404

of Public Law 104–170 (110 Stat. 1514) had amendatory instructions whose probable intended

effect was to strike the existing subparagraph (2) and to insert a substitute subparagraph (2).

These included instructions to strike "(2)(A) if it bears'" and all that follows through "(3) if it

consists", but "(3) If it consists" was the language that actually appeared. (Previously, section

3(i) of Public Law 103–80 (107 Stat. 776) had amended subparagraph (3) by striking "if it" and

inserting "If it".)

4. So in law. Probably should be "subparagraph".

5. See footnote for paragraph (h)(3) regarding the stylistic use of a list consisting of "(a)",

"(b)", etc.

6. References are so in law. See section 10808(b)(3) of Public Law 107–171 (116 Stat. 530).

In order to be consistent with other cross-references within section 403 above, each reference

in section 403(h)(3) to a paragraph, subparagraph, clause, or subclause should be a reference

to a subparagraph, clause, subclause, or item, respectively. See, for example,

cross-references in paragraph (q) (relating to nutrition information) and paragraph (r) (relating

to nutrient levels and health claims).

Section 403 was enacted in 1938 and has organizational units and cross-references that are

not in accordance with modern practice. In modern practice, "(a)" is a subsection, "(1)" is a

paragraph, "(A)" is a subparagraph, "(i)" is a clause, "(I)" is a subclause, "(aa)" is an item, and

"(AA)" is a subitem. The references in section 403(h)(3) follow this practice.

In modern practice, all of the section 403 text would be considered an undesignated

subsection, and the list that begins after "A food shall be deemed to be misbranded—" would

consist of paragraphs (1), (2), etc.

In section 403, however, the original authors of the 1938 Act used a list consisting of (a), (b),

etc., and the authors referred to "(a)" as a paragraph, "(1)" as a subparagraph, "(A)" as a

clause, and "(i)" as a subclause. (Express references to organizational units below the "(i)"

level have been avoided.)

The original authors followed this approach in each section in this Act whose text was a list

consisting of (a), (b), etc. Such sections include sections 201, 301, 402, 403, 501, 502, 601,

and 602.

Some of these sections have numerous internal cross-references. Rather than conforming

each of these to the modern practice, the usual approach in making amendments to these

sections has been to follow the approach used by the original authors of the 1938 Act.

7. So in law. Probably should be followed by a comma.

8. Paragraph (o) was repealed by Public Law 106–554 (114 Stat. 2763A–73). Paragraph (p)

was struck by Public Law 104–124 (110 Stat. 882).

9. Public Law 101–535, which was enacted November 8, 1990.

10. 1 Section 403(t) was added by subsection (a)(2) of section 10806 of Public Law 107–171

(116 Stat. 526). Subsection (a)(1) of such section 10806 provides as follows:

(1) IN GENERAL.—Notwithstanding any other provision of law, for purposes of the Federal

Food, Drug, and Cosmetic Act (21 U.S.C. 301 et seq.)—

(A) the term "catfish" may only be considered to be a common or usual name (or part thereof)

for fish classified within the family Ictaluridae; and

(B) only labeling or advertising for fish classified within that family may include the term

"catfish"

11. Section 403(u) was added by subsection (b)(2) of section 10806 of Public Law 107–171

(116 Stat. 527). Subsection (b)(1) of such section 10806 provides as follows:

(1) IN GENERAL.—Notwithstanding any other provision of law, for purposes of the Federal

Food, Drug, and Cosmetic Act (21 U.S.C. 301 et seq.)—

(A) the term "ginseng" may only be considered to be a common or usual name (or part thereof)

for any herb or herbal ingredient derived from a plant classified within the genus Panax; and

(B) only labeling or advertising for herbs or herbal ingredients classified within that

genus may include the term ‘‘ginseng’’.

12. Paragraphs (w) and (x) were added by section 203(a) of Public Law 108–282. Section

203(d) provides as follows:

(d) EFFECTIVE DATE.—The amendments made by this section shall apply to any food that is

labeled on or after January 1, 2006.

13. Section 203(b) of Public Law 108–282 provides as follows:

(b) EFFECT ON OTHER AUTHORITY.—The amendments made by this section that require a

label or labeling for major food allergens do not alter the authority of the Secretary of Health

and Human Services under the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 301 et seq.)

to require a label or labeling for other food allergens.

14. Several provisions of paragraph (w) contain cross-references to other provisions of the

paragraph, and also references to other provisions of this section (section 403). The

references to subsections, paragraphs, and subparagraphs probably should be references to

paragraphs, subparagraphs, and clauses, respectively. See footnote for paragraph (h)(3).

15. Public Law 108–282 contains several sections concerning food allergens that do not make

amendments to this Act (the Federal Food, Drug, and Cosmetic Act). Section 204 concerns a

report to congressional committees; section 205 concerns inspections; section 206 concerns

gluten labeling; section 207 concerns improvements in the collection and publication of data;

section 208 concerns research; section 209 concerns the Food Code; and section 210

concerns recommendations regarding responding to food-related allergic responses.

16. See footnote 1 to paragraph (w) regarding an effective date, and see footnote 2 to such

paragraph regarding the authority of the Secretary of Health and Human Services.

17. So in law. Probably should be "paragraph (g), (i), or (k)". See footnote 3 for paragraph (w).

18. Section 403A was enacted without a section heading. See section 6(a) of Public Law 101–

535 (104 Stat. 2362).

19. See the revolving fund provision in the appendix.

20. Section 4 of Public Law 81–459 (64 Stat. 20) amended section 15 of the Federal Trade

Commission Act (15 U.S.C. 55) by adding the following subsection:

"(f) For the purposes of this section and section 407 of the Federal Food, Drug, and Cosmetic

Act, as amended, the term 'oleomargarine' or 'margarine' includes—

"(1) all substances, mixtures, and compounds known as oleomargarine or margarine;

"(2) all substances, mixtures, and compounds which have a consistence similar to that of

butter and which contain any edible oils or fats other than milk fat if made in imitation

or semblance of butter."

In repealing section 2301 of the Internal Revenue Code (relating to the tax on oleomargarine)

Public Law 81–459 declared, in part: "The Congress hereby finds and declares that the sale,

or the serving in public eating places, of colored oleomargarine or colored margarine without

clear identification as such or which is otherwise adulterated or misbranded within the meaning

of the Federal Food, Drug, and Cosmetic Act depresses the market in interstate commerce for

butter and for oleomargarine or margarine clearly identified and neither adulterated nor

misbranded, and constitutes a burden on interstate commerce in such articles. Such burden

exists, irrespective of whether such oleomargarine or margarine originates from an interstate

source or from the State in which it is sold."

Section 6 of such Public Law states that "nothing in this Act shall be construed as authorizing

the possession, sale, or serving of colored oleomargarine or colored margarine in any State or

Territory in contravention of the laws of such State or Territory."

21. So in law. Probably should be "(except paragraphs (a) and (f))".

22. See footnote for section 406.

23. Section 501(d)(2) of division G of Public Law 108–199 (118 Stat. 422) provides as follows:

(2) TOLERANCE FEES.—Notwithstanding section 408(m)(1) of the Federal Food, Drug, and

Cosmetic Act (21 U.S.C. 346a(m)(1)), during the period beginning on October 1, 2003, and

ending on September 30, 2008, the Administrator of the Environmental Protection Agency

shall not collect any tolerance fees under that section.

24. Indentation is so in law. Beginning of sentence probably should be moved to left.

25. So in law. The word "Authorization" probably should appear after "Demonstration".

26. So in law. Probably should be "subsection".

27. So in law. Probably should be "paragraph".

CHAPTER V—DRUGS AND DEVICES SUBCHAPTER A—DRUGS AND DEVICES

ADULTERATED DRUGS AND DEVICES

SEC. 501. [21 U.S.C. 351] A drug or device shall be deemed to be adulterated— 1

(a)(1) If it consists in whole or in part of any filthy, putrid, or decomposed substance; or (2)(A) if

it has been prepared, packed, or held under insanitary conditions whereby it may have been

contaminated with filth, or whereby it may have been rendered injurious to health; or (B) if it is

a drug and the methods used in, or the facilities or controls used for, its manufacture,

processing, packing, or holding do not conform to or are not operated or administered in

conformity with current good manufacturing practice to assure that such drug meets the

requirements of this Act as to safety and has the identity and strength, and meets the quality

and purity characteristics, which it purports or is represented to possess; or (C) if it is a

compounded positron emission tomography drug and the methods used in, or the facilities and

controls used for, its compounding, processing, packing, or holding do not conform to or are

not operated or administered in conformity with the positron emission tomography

compounding standards and the official monographs of the United States Pharmacopoeia to

assure that such drug meets the requirements of this Act as to safety and has the identity and

strength, and meets the quality and purity characteristics, that it purports or is represented to

possess; or (3) if its container is composed, in whole or in part, of any poisonous or deleterious

substance which may render the contents injurious to health; or (4) if (A) it bears or contains,

for purposes of coloring only, a color additive which is unsafe within the meaning of section

721(a), or (B) it is a color additive the intended use of which in or on drugs or devices is for

purposes of coloring only and is unsafe within the meaning of section 721(a); or (5) if it is a

new animal drug which is unsafe within the meaning of section 512; or (6) if it is an animal feed

bearing or containing a new animal drug, and such animal feed is unsafe within the meaning of

section 512.

(b) If it purports to be or is represented as a drug the name of which is recognized in an official

compendium, and its strength differs from, or its quality or purity falls below, the standards set

forth in such compendium. Such determination as to strength, quality, or purity shall be made

in accordance with the tests or methods of assay set forth in such compendium, except that

whenever tests or methods of assay have not been prescribed in such compendium, or such

tests or methods of assay as are prescribed are, in the judgment of the Secretary, insufficient

for the making of such determination, the Secretary shall bring such fact to the attention of the

appropriate body charged with the revision of such compendium, and if such body fails within a

reasonable time to prescribe tests or methods of assay which, in the judgment of the Secretary,

are sufficient for purposes of this paragraph, then the Secretary shall promulgate regulations

prescribing appropriate tests or methods of assay in accordance with which such

determination as to strength, quality, or purity shall be made. No drug defined in an official

compendium shall be deemed to be adulterated under this paragraph because it differs from

the standard of strength, quality, or purity therefor set forth in such compendium, if its

difference in strength, quality, or purity from such standards is plainly stated on its label.

Whenever a drug is recognized in both the United States Pharmacopeia and the Homeopathic

Pharmacopeia of the United States it shall be subject to the requirements of the United States

Pharmacopeia unless it is labeled and offered for sale as a homeopathic drug, in which case it

shall be subject to the provisions of the Homeopathic Pharmacopeia of the United States and

not to those of the United States Pharmacopeia.

(c) If it is not subject to the provisions of paragraph (b) of this section and its strength differs

from, or its purity or quality falls below, that which it purports or is represented to possess.

(d) If it is a drug and any substance has been (1) mixed or packed therewith so as to reduce its

quality or strength or (2) substituted wholly or in part therefor.

(e)(1) If it is, or purports to be or is represented as, a device which is subject to a performance

standard established under section 514, unless such device is in all respects in conformity with

such standard.

(2) If it is declared to be, purports to be, or is represented as, a device that is in conformity with

any standard recognized under section 514(c) unless such device is in all respects in

conformity with such standard.

(f)(1) If it is a class III device—

(A)(i) which is required by a regulation promulgated under subsection (b) of section 515 to

have an approval under such section of an application for premarket approval and which is not

exempt from section 515 under section 520(g), and

(ii)(I) for which an application for premarket approval or a notice of completion of a product

development protocol was not filed with the Secretary within the ninety-day period beginning

on the date of the promulgation of such regulation, or

(II) for which such an application was filed and approval of the application has been denied,

suspended, or withdrawn, or such a notice was filed and has been declared not completed or

the approval of the device under the protocol has been withdrawn;

(B)(i) which was classified under section 513(f) into class III, which under section 515(a) is

required to have in effect an approved application for premarket approval, and which is not

exempt from section 515 under section 520(g), and

(ii) which has an application which has been suspended or is otherwise not in effect; or

(C) which was classified under section 520(l) into class III, which under such section is

required to have in effect an approved application under section 515, and which has an

application which has been suspended or is otherwise not in effect.

(2)(A) In the case of a device classified under section 513(f) into class III and intended solely

for investigational use, paragraph (1)(B) shall not apply with respect to such device during the

period ending on the ninetieth day after the date of the promulgation of the regulations

prescribing the procedures and conditions required by section 520(g)(2).

(B) In the case of a device subject to a regulation promulgated under subsection (b) of section

515, paragraph 2 (1) shall not apply with respect to such device during the period ending—

(i) on the last day of the thirtieth calendar month beginning after the month in which the

classification of the device in class III became effective under section 513, or

(ii) on the ninetieth day after the date of the promulgation of such regulation, whichever occurs

later.

(g) If it is a banned device.

(h) If it is a device and the methods used in, or the facilities or controls used for, its

manufacture, packing, storage, or installation are not in conformity with applicable

requirements under section 520(f)(1) or an applicable condition prescribed by an order under

section 520(f)(2).

(i) If it is a device for which an exemption has been granted under section 520(g) for

investigational use and the person who was granted such exemption or any investigator who

uses such device under such exemption fails to comply with a requirement prescribed by or

under such section.

MISBRANDED DRUGS AND DEVICES

SEC. 502. [21 U.S.C. 352] A drug or device shall be deemed to be misbranded 3

(a) False or misleading label. If its labeling is false or misleading in any particular. Health care

economic information provided to a formulary committee, or other similar entity, in the course

of the committee or the entity carrying out its responsibilities for the selection of drugs for

managed care or other similar organizations, shall not be considered to be false or misleading

under this paragraph if the health care economic information directly relates to an indication

approved under section 505 or under section 351(a) of the Public Health Service Act [42

USCS § 262(a)] for such drug and is based on competent and reliable scientific evidence. The

requirements set forth in section 505(a) or in section 351(a) of the Public Health Service Act

shall not apply to health care economic information provided to such a committee or entity in

accordance with this paragraph. Information that is relevant to the substantiation of the health

care economic information presented pursuant to this paragraph shall be made available to

the Secretary upon request. In this paragraph, the term "health care economic information"

means any analysis that identifies, measures, or compares the economic consequences,

including the costs of the represented health outcomes, of the use of a drug to the use of

another drug, to another health care intervention, or to no intervention.

(b) Package form; contents of label. If in package form unless it bears a label containing (1) the

name and place of business of the manufacturer, packer, or distributor; and (2) an accurate

statement of the quantity of the contents in terms of weight, measure, or numerical count:

Provided, That under clause (2) of this paragraph reasonable variations shall be permitted,

and exemptions as to small packages shall be established, by regulations prescribed by the

Secretary.

(c) Prominence of information on label. If any word, statement, or other information required by

or under authority of this Act to appear on the label or labeling is not prominently placed

thereon with such conspicuousness (as compared with other words, statements, designs, or

devices, in the labeling) and in such terms as to render it likely to be read and understood by

the ordinary individual under customary conditions of purchase and use.

(d) [Repealed] 4

(e) Designation of drugs or devices by established names.

(1)(A) If it is a drug, unless its label bears, to the exclusion of any other nonproprietary name

(except the applicable systematic chemical name or the chemical formula)

(i) the established name (as defined in subparagraph (3)) of the drug, if there is such a name;

(ii) the established name and quantity or, if determined to be appropriate by the Secretary, the

proportion of each active ingredient, including the quantity, kind, and proportion of any alcohol,

and also including whether active or not the established name and quantity or if determined to

be appropriate by the Secretary, the proportion of any bromides, ether, chloroform, acetanilide,

acetophenetidin, amidopyrine, antipyrine, atropine, hyoscine, hyoscyamine, arsenic, digitalis,

digitalis glucosides, mercury, ouabain, strophanthin, strychnine, thyroid, or any derivative or

preparation of any such substances, contained therein, except that the requirement for stating

the quantity of the active ingredients, other than the quantity of those specifically named in this

subclause, shall not apply to nonprescription drugs not intended for human use; and

(iii) the established name of each inactive ingredient listed in alphabetical order on the outside

container of the retail package and, if determined to be appropriate by the Secretary, on the

immediate container, as prescribed in regulation promulgated by the Secretary, except that

nothing in this subclause shall be deemed to require that any trade secret be divulged, and

except that the requirements of this subclause with respect to alphabetical order shall apply

only to nonprescription drugs that are not also cosmetics and that this subclause shall not

apply to nonprescription drugs not intended for human use.

(B) For any prescription drug the established name of such drug or ingredient, as the case may

be, on such label (and on any labeling on which a name for such drug or ingredient is used)

shall be printed prominently and in type at least half as large as that used thereon for any

proprietary name or designation for such drug or ingredient, except that to the extent that

compliance with the requirements of subclause (ii) or (iii) of clause (A) or this clause is

impracticable, exemptions shall be established by regulations promulgated by the Secretary.

(2) If it is a device and it has an established name, unless its label bears, to the exclusion of

any other nonproprietary name, its established name (as defined in subparagraph (4))

prominently printed in type at least half as large as that used thereon for any proprietary name

or designation for such device, except that to the extent compliance with the requirements of

this subparagraph is impracticable, exemptions shall be established by regulations

promulgated by the Secretary.

(3) As used in subparagraph (1), the term "established name", with respect to a drug or

ingredient thereof, means (A) the applicable official name designated pursuant to section 508,

or (B) if there is no such name and such drug, or such ingredient, is an article recognized in an

official compendium, then the official title thereof in such compendium, or (C) if neither clause

(A) nor clause (B) of this subparagraph applies, then the common or usual name, if any, of

such drug or of such ingredient, except that where clause (B) of this subparagraph applies to

an article recognized in the United States Pharmacopeia and in the Homoeopathic

Pharmacopoeia under different official titles, the official title used in the United States

Pharmacopeia shall apply unless it is labeled and offered for sale as a homoeopathic drug, in

which case the official title used in the Homoeopathic Pharmacopoeia shall apply.

(4) As used in subparagraph (2), the term "established name" with respect to a device means

(A) the applicable official name of the device designated pursuant to section 508, (B) if there is

no such name and such device is an article recognized in an official compendium, then the

official title thereof in such compendium, or (C) if neither clause (A) nor clause (B) of this

subparagraph applies, then any common or usual name of such device.

(f) Directions for use and warnings on label. Unless its labeling bears (1) adequate directions

for use; and (2) such adequate warnings against use in those pathological conditions or by

children where its use may be dangerous to health, or against unsafe dosage or methods or

duration of administration or application, in such manner and form, as are necessary for the

protection of users, except that where any requirement of clause (1) of this paragraph, as

applied to any drug or device, is not necessary for the protection of the public health, the

Secretary shall promulgate regulations exempting such drug or device from such requirement.

Required labeling for prescription devices intended for use in health care facilities or by a

health care professional and required labeling for in vitro diagnostic devices intended for use

by health care professionals or in blood establishments may be made available solely by

electronic means, provided that the labeling complies with all applicable requirements of law,

and that the manufacturer affords such users the opportunity to request the labeling in paper

form, and after such request, promptly provides the requested information without additional

cost.

(g) Representations as recognized drug; packing and labeling; inconsistent requirements for

designation of drug. If it purports to be a drug the name of which is recognized in an official

compendium, unless it is packaged and labeled as prescribed therein. The method of packing

may be modified with the consent of the Secretary. Whenever a drug is recognized in both the

United States Pharmacopoeia and the Homoeopathic Pharmacopoeia of the United States, it

shall be subject to the requirements of the United States Pharmacopoeia with respect to

packaging and labeling unless it is labeled and offered for sale as a homoeopathic drug, in

which case it shall be subject to the provisions of the Homoeopathic Pharmacopoeia of the

United States, and not to those of the United States Pharmacopeia, except that in the event of

inconsistency between the requirements of this paragraph and those of paragraph (e) as to the

name by which the drug or its ingredients shall be designated, the requirements of paragraph

(e) shall prevail.

(h) Deteriorative drugs; packing and labeling. If it has been found by the Secretary to be a drug

liable to deterioration, unless it is packaged in such form and manner, and its label bears a

statement of such precautions, as the Secretary shall by regulations require as necessary for

the protection of the public health. No such regulation shall be established for any drug

recognized in an official compendium until the Secretary shall have informed the appropriate

body charged with the revision of such compendium of the need for such packaging or labeling

requirements and such body shall have failed within a reasonable time to prescribe such

requirements.

(i) Drug; misleading container; imitation; offer for sale under another name. (1) If it is a drug

and its container is so made, formed, or filled as to be misleading; or (2) if it is an imitation of

another drug; or (3) if it is offered for sale under the name of another drug.

(j) Health-endangering when used as prescribed. If it is dangerous to health when used in the

dosage or manner; or with the frequency or duration prescribed, recommended, or suggested

in the labeling thereof.

(k), (l) [Repealed] 5

(m) Color additives; packing and labeling. If it is a color additive the intended use of which is for

the purpose of coloring only, unless its packaging and labeling are in conformity with such

packaging and labeling requirements applicable to such color additive, as may be contained in

regulations issued under section 721.

(n) Prescription drug advertisements: established name; quantitative formula; side effects,

contraindications, and effectiveness; prior approval; false advertising; labeling; construction of

the Convention on Psychotropic Substances. In the case of any prescription drug distributed or

offered for sale in any State, unless the manufacturer, packer, or distributor thereof includes in

all advertisements and other descriptive printed matter issued or caused to be issued by the

manufacturer, packer, or distributor with respect to that drug a true statement of (1) the

established name as defined in section 502(e) 6 [subsec. (e) of this section], printed

prominently and in type at least half as large as that used for any trade or brand name thereof,

(2) the formula showing quantitatively each ingredient of such drug to the extent required for

labels under section 502(e) [subsec. (e) of this section] 6, and (3) such other information in

brief summary relating to side effects, contraindications, and effectiveness as shall be required

in regulations which shall be issued by the Secretary in accordance with the procedure

specified in section 701(e) of this Act, except that (A) except in extraordinary circumstances,

no regulation issued under this paragraph shall require prior approval by the Secretary of the

content of any advertisement, and (B) no advertisement of a prescription drug, published after

the effective date of regulations issued under this paragraph applicable to advertisements of

prescription drugs, shall, with respect to the matters specified in this paragraph or covered by

such regulations, be subject to the provisions of sections 12 through 17 of the Federal Trade

Commission Act, as amended [15 USC 52–57]. This paragraph (n) 7 shall not be applicable to

any printed matter which the Secretary determines to be labeling as defined in section 201(m)

of this Act. Nothing in the Convention on Psychotropic Substances, signed at Vienna, Austria,

on February 21, 1971, shall be construed to prevent drug price communications to consumers.

8

(o) Drugs or devices from nonregistered establishments. If it was manufactured, prepared,

propagated, compounded, or processed in an establishment in any State not duly registered

under section 510, if it was not included in a list required by section 510(j), if a notice or other

information respecting it was not provided as required by such section or section 510(k), or if it

does not bear such symbols from the uniform system for identification of devices prescribed

under section 510(e) as the Secretary by regulation requires.

(p) Packaging or labeling of drugs in violation of regulations. If it is a drug and its packaging or

labeling is in violation of an applicable regulation issued pursuant to section 3 or 4 of the

Poison Prevention Packaging Act of 1970 [15 USCS § 1472 or 1473].

(q) Restricted devices using false or misleading advertising or used in violation of regulations.

In the case of any restricted device distributed or offered for sale in any State, if (1) its

advertising is false or misleading in any particular, or (2) it is sold, distributed, or used in

violation of regulations prescribed under section 520(e).

(r) Restricted devices not carrying requisite accompanying statements in advertisements and

other descriptive printed matter. In the case of any restricted device distributed or offered for

sale in any State, unless the manufacturer, packer, or distributor thereof includes in all

advertisements and other descriptive printed matter issued or caused to be issued by the

manufacturer, packer, or distributor with respect to that device (1) a true statement of the

device’s established name as defined in section 502(e), printed prominently and in type at

least half as large as that used for any trade or brand name thereof, and (2) a brief statement

of the intended uses of the device and relevant warnings, precautions, side effects, and

contraindications and, in the case of specific devices made subject to a finding by the

Secretary after notice and opportunity for comment that such action is necessary to protect the

public health, a full description of the components of such device or the formula showing

quantitatively each ingredient of such device to the extent required in regulations which shall

be issued by the Secretary after an opportunity for a hearing. Except in extraordinary

circumstances, no regulation issued under this paragraph shall require prior approval by the

Secretary of the content of any advertisement and no advertisement of a restricted device,

published after the effective date of this paragraph shall, with respect to the matters specified

in this paragraph or covered by regulations issued hereunder, be subject to the provisions of

sections 12 through 15 of the Federal Trade Commission Act [15 U.S.C. 52–55]. This

paragraph shall not be applicable to any printed matter which the Secretary determines to be

labeling as defined in section 201(m).

(s) Devices subject to performance standards not bearing requisite labeling. If it is a device

subject to a performance standard established under section 514, unless it bears such labeling

as may be prescribed in such performance standard.

(t) Devices for which there has been a failure or refusal to give required notification or to

furnish required material or information. If it is a device and there was a failure or refusal (1) to

comply with any requirement prescribed under section 518 respecting the device, (2) to furnish

any material or information required by or under section 519 respecting the device, or (3) to

comply with a requirement under section 522.

9 (u) Identification of manufacturer.

(1) Subject to paragraph (2), if it is a reprocessed single-use device, unless it, or an

attachment thereto, prominently and conspicuously bears the name of the manufacturer of the

reprocessed device, a generally recognized abbreviation of such name, or a unique and

generally recognized symbol identifying such manufacturer.

(2) If the original device or an attachment thereto does not prominently and conspicuously bear

the name of the manufacturer of the original device, a generally recognized abbreviation of

such name, or a unique and generally recognized symbol identifying such manufacturer, a

reprocessed device may satisfy the requirements of paragraph (1) through the use of a

detachable label on the packaging that identifies the manufacturer and is intended to be

affixed to the medical record of a patient.

10 (v) Reprocessed single-use device. If it is a reprocessed single-use device, unless all

labeling of the device prominently and conspicuously bears the statement "Reprocessed

device for single use. Reprocessed by ------." The name of the manufacturer of the

reprocessed device shall be placed in the space identifying the person responsible for

reprocessing.

(w) New animal drugs. If it is a new animal drug—

(1) that is conditionally approved under section 571 and its labeling does not conform with the

approved application or section 571(f), or that is not conditionally approved under section 571

and its label bears the statement set forth in section 571(f)(1)(A); or

(2) that is indexed under section 572 and its labeling does not conform with the index listing

under section 572(e) or 572(h), or that has not been indexed under section 572 and its label

bears the statement set forth in section 572(h).

(x) [Caution: This subsection is effective and applicable to any nonprescription drug

labeled on or after the date that is 1 year after enactment, pursuant to § 2(e)(1), (2) of Act

Dec. 22, 2006, P.L. 109-462, which appears as a note to this section.]. If it is a

nonprescription drug (as defined in section 760) that is marketed in the United States, unless

the label of such drug includes a domestic address or domestic phone number through which

the responsible person (as described in section 760) may receive a report of a serious adverse

event (as defined in section 760) with such drug.

EXEMPTIONS AND CONSIDERATION FOR CERTAIN DRUGS, DEVICES, AND

BIOLOGICAL PRODUCTS

SEC. 503. (21 U.S.C. 353) (a) The Secretary is hereby directed to promulgate regulations

exempting from any labeling or packaging requirement of this Act drugs and devices which are,

in accordance with the practice of the trade, to be processed, labeled, or repacked in

substantial quantities at establishments other than those where originally processed or packed,

on condition that such drugs and devices are not adulterated or misbranded, under the

provisions of this Act upon removal from such processing, labeling, or repacking

establishment.

(b)(1) A drug intended for use by man which—

(A) because of its toxicity or other potentiality for harmful effect, or the method of its use, or the

collateral measures necessary to its use, is not safe for use except under the supervision of a

practitioner licensed by law to administer such drug; or

(B) is limited by an approved application under section 505 to use under the professional

supervision of a practitioner licensed by law to administer such drug; shall be dispensed only (i)

upon a written prescription of a practitioner licensed by law to administer such drug, or (ii) upon

an oral prescription of such practitioner which is reduced promptly to writing and filed by the

pharmacist, or (iii) by refilling any such written or oral prescription if such refilling is authorized

by the prescriber either in the original prescription or by oral order which is reduced promptly to

writing and filed by the pharmacist. The act of dispensing a drug contrary to the provisions of

this paragraph shall be deemed to be an act which results in the drug being misbranded while

held for sale.

(2) Any drug dispensed by filling or refilling a written or oral prescription of a practitioner

licensed by law to administer such drug shall be exempt from the requirements of section 502,

except paragraphs (a), (i) (2) and (3), (k), and (l), and the packaging requirements of

paragraphs (g), (h), and (p), if the drug bears a label containing the name and address of the

dispenser, the serial number and date of the prescription or of its filling, the name of the

prescriber, and, if stated in the prescription, the name of the patient, and the directions for use

and cautionary statements, if any, contained in such prescription. This exemption shall not

apply to any drug dispensed in the course of the conduct of a business of dispensing drugs

pursuant to diagnosis by mail, or to a drug dispensed in violation of paragraph (1) of this

subsection.

(3) The Secretary may by regulation remove drugs subject to section 505 from the

requirements of paragraph (1) of this subsection when such requirements are not necessary

for the protection of the public health.

(4)(A) A drug that is subject to paragraph (1) shall be deemed to be misbranded if at any time

prior to dispensing the label of the drug fails to bear, at a minimum, the symbol ‘‘Rx only’’.

(B) A drug to which paragraph (1) does not apply shall be deemed to be misbranded if at any

time prior to dispensing the label of the drug bears the symbol described in subparagraph (A).

(5) Nothing in this subsection shall be construed to relieve any person from any requirement

prescribed by or under authority of law with respect to drugs now included or which may

hereafter be included within the classifications stated in section 3220 of the Internal Revenue

Code (26 U.S.C. 3220), or to marihuana as defined in section 3238(b) of the Internal Revenue

Code (26 U.S.C. 3238(b)).

(c)(1) No person may sell, purchase, or trade or offer to sell, purchase, or trade any drug

sample. For purposes of this paragraph and subsection (d), the term ‘‘drug sample’’ means a

unit of a drug, subject to subsection (b), which is not intended to be sold and is intended to

promote the sale of the drug. Nothing in this paragraph shall subject an officer or executive of

a drug manufacturer or distributor to criminal liability solely because of a sale, purchase, trade,

or offer to sell, purchase, or trade in violation of this paragraph by other employees of the

manufacturer or distributor.

(2) No person may sell, purchase, or trade, offer to sell, purchase, or trade, or counterfeit any

coupon. For purposes of this paragraph, the term ‘‘coupon’’ means a form which may be

redeemed, at no cost or at a reduced cost, for a drug which is prescribed in accordance with

subsection (b).

(3)(A) No person may sell, purchase, or trade, or offer to sell, purchase, or trade, any drug—

(i) which is subject to subsection (b), and

(ii)(I) which was purchased by a public or private hospital or other health care entity, or

(II) which was donated or supplied at a reduced price to a charitable organization described in

section 501(c)(3) of the Internal Revenue Code of 1954.

(B) Subparagraph (A) does not apply to—

(i) the purchase or other acquisition by a hospital or other health care entity which is a member

of a group purchasing organization of a drug for its own use from the group purchasing

organization or from other hospitals or health care entities which are members of such

organization,

(ii) the sale, purchase, or trade of a drug or an offer to sell, purchase, or trade a drug by an

organization described in subparagraph (A)(ii)(II) to a nonprofit affiliate of the organization to

the extent otherwise permitted by law,

(iii) a sale, purchase, or trade of a drug or an offer to sell, purchase, or trade a drug among

hospitals or other health care entities which are under common control,

(iv) a sale, purchase, or trade of a drug or an offer to sell, purchase, or trade a drug for

emergency medical reasons, or

(v) a sale, purchase, or trade of a drug, an offer to sell, purchase, or trade a drug, or the

dispensing of a drug pursuant to a prescription executed in accordance with subsection (b).

For purposes of this paragraph, the term ‘‘entity’’ does not include a wholesale distributor of

drugs or a retail pharmacy licensed under State law and the term ‘‘emergency medical

reasons’’ includes transfers of a drug between health care entities or from a health care entity

to a retail pharmacy undertaken to alleviate temporary shortages of the drug arising from

delays in or interruptions of regular distribution schedules.

(d)(1) Except as provided in paragraphs (2) and (3), no person may distribute any drug sample.

For purposes of this subsection, the term ‘‘distribute’’ does not include the providing of a drug

sample to a patient by a—

(A) practitioner licensed to prescribe such drug,

(B) health care professional acting at the direction and under the supervision of such a

practitioner, or

(C) pharmacy of a hospital or of another health care entity that is acting at the direction of such

a practitioner and that received such sample pursuant to paragraph (2) or (3).

(2)(A) The manufacturer or authorized distributor of record of a drug subject to subsection (b)

may, in accordance with this paragraph, distribute drug samples by mail or common carrier to

practitioners licensed to prescribe such drugs or, at the request of a licensed practitioner, to

pharmacies of hospitals or other health care entities. Such a distribution of drug samples may

only be made—

(i) in response to a written request for drug samples made on a form which meets the

requirements of subparagraph (B), and

(ii) under a system which requires the recipient of the drug sample to execute a written receipt

for the drug sample upon its delivery and the return of the receipt to the manufacturer or

authorized distributor of record.

(B) A written request for a drug sample required by subparagraph (A)(i) shall contain—

(i) the name, address, professional designation, and signature of the practitioner making the

request,

(ii) the identity of the drug sample requested and the quantity requested,

(iii) the name of the manufacturer of the drug sample requested, and

(iv) the date of the request.

(C) Each drug manufacturer or authorized distributor of record which makes distributions by

mail or common carrier under this paragraph shall maintain, for a period of 3 years, the request

forms submitted for such distributions and the receipts submitted for such distributions and

shall maintain a record of distributions of drug samples which identifies the drugs distributed

and the recipients of the distributions. Forms, receipts, and records required to be maintained

under this subparagraph shall be made available by the drug manufacturer or authorized

distributor of record to Federal and State officials engaged in the regulation of drugs and in the

enforcement of laws applicable to drugs.

(3) The manufacturer or authorized distributor of record of a drug subject to subsection (b) may,

by means other than mail or common carrier, distribute drug samples only if the manufacturer

or authorized distributor of record makes the distributions in accordance with subparagraph (A)

and carries out the activities described in subparagraphs (B) through (F) as follows:

(A) Drug samples may only be distributed—

(i) to practitioners licensed to prescribe such drugs if they make a written request for the drug

samples, or

(ii) at the written request of such a licensed practitioner, to pharmacies of hospitals or other

health care entities. A written request for drug samples shall be made on a form which

contains the practitioner’s name, address, and professional designation, the identity of the

drug sample requested, the quantity of drug samples requested, the name of the manufacturer

or authorized distributor of record of the drug sample, the date of the request and signature of

the practitioner making the request.

(B) Drug manufacturers or authorized distributors of record shall store drug samples under

conditions that will maintain their stability, integrity, and effectiveness and will assure that the

drug samples will be free of contamination, deterioration, and adulteration.

(C) Drug manufacturers or authorized distributors of record shall conduct, at least annually, a

complete and accurate inventory of all drug samples in the possession of representatives of

the manufacturer or authorized distributor of record. Drug manufacturers or authorized

distributors of record shall maintain lists of the names and address of each of their

representatives who distribute drug samples and of the sites where drug samples are stored.

Drug manufacturers or authorized distributors of record shall maintain records for at least 3

years of all drug samples distributed, destroyed, or returned to the manufacturer or authorized

distributor of record, of all inventories maintained under this subparagraph, of all thefts or

significant losses of drug samples, and of all requests made under subparagraph (A) for drug

samples. Records and lists maintained under this subparagraph shall be made available by

the drug manufacturer or authorized distributor of record to the Secretary upon request.

(D) Drug manufacturers or authorized distributors of record shall notify the Secretary of any

significant loss of drug samples and any known theft of drug samples.

(E) Drug manufacturers or authorized distributors of record shall report to the Secretary any

conviction of their representatives for violations of subsection (c)(1) or a State law because of

the sale, purchase, or trade of a drug sample or the offer to sell, purchase, or trade a drug

sample.

(F) Drug manufacturers or authorized distributors of record shall provide to the Secretary the

name and telephone number of the individual responsible for responding to a request for

information respecting drug samples.

(e)(1)(A) Each person who is engaged in the wholesale distribution of a drug subject to

subsection (b) and who is not the manufacturer or an authorized distributor of record of such

drug shall, before each wholesale distribution of such drug (including each distribution to an

authorized distributor of record or to a retail pharmacy), provide to the person who receives the

drug a statement (in such form and containing such information as the Secretary may require)

identifying each prior sale, purchase, or trade of such drug (including the date of the

transaction and the names and addresses of all parties to the transaction).

(B) Each manufacturer of a drug subject to subsection (b) shall maintain at its corporate offices

a current list of the authorized distributors of record of such drug.

(2)(A) No person may engage in the wholesale distribution in interstate commerce of drugs

subject to subsection (b) in a State unless such person is licensed by the State in accordance

with the guidelines issued under subparagraph (B).

(B) The Secretary shall by regulation issue guidelines establishing minimum standards, terms,

and conditions for the licensing of persons to make wholesale distributions in interstate

commerce of drugs subject to subsection (b). Such guidelines shall prescribe requirements for

the storage and handling of such drugs and for the establishment and maintenance of records

of the distributions of such drugs.

(3) For the purposes of this subsection and subsection (d)—

(A) the term ‘‘authorized distributors of record’’ means those distributors with whom a

manufacturer has established an ongoing relationship to distribute such manufacturer’s

products, and

(B) the term ‘‘wholesale distribution’’ means distribution of drugs subject to subsection (b) to

other than the consumer or patient but does not include intracompany sales and does not

include distributions of drugs described in subsection (c)(3)(B).

(f)(1)(A) A drug intended for use by animals other than man, other than a veterinary feed

directive drug intended for use in animal feed or an animal feed bearing or containing a

veterinary feed directive drug, which—

(i) because of its toxicity or other potentiality for harmful effect, or the method of its use, or the

collateral measures necessary for its use, is not safe for animal use except under the

professional supervision of a licensed veterinarian, or

(ii) is limited by an approved application under subsection (b) of section 512, a

conditionally-approved application under section 571, or an index listing under section 572 to

use under the professional supervision of a licensed veterinarian, shall be dispensed only by

or upon the lawful written or oral order of a licensed veterinarian in the course of the

veterinarian’s professional practice.

(B) For purposes of subparagraph (A), an order is lawful if the order—

(i) is a prescription or other order authorized by law,

(ii) is, if an oral order, promptly reduced to writing by the person lawfully filling the order, and

filed by that person, and

(iii) is refilled only if authorized in the original order or in a subsequent oral order promptly

reduced to writing by the person lawfully filling the order, and filed by that person.

(C) The act of dispensing a drug contrary to the provisions of this paragraph shall be deemed

to be an act which results in the drug being misbranded while held for sale.

(2) Any drug when dispensed in accordance with paragraph (1) of this subsection—

(A) Shall be exempt from the requirements of section 502, except subsections (a), (g), (h),

(i)(2), (i)(3), and (p) of such section, and

(B) shall be exempt from the packaging requirements of subsections (g), (h), and (p) of such

section, if—

(i) when dispensed by a licensed veterinarian, the drug bears a label containing the name and

address of the practitioner and any directions for use and cautionary statements specified by

the practitioner, or

(ii) when dispensed by filling the lawful order of a licensed veterinarian, the drug bears a label

containing the name and address of the dispenser, the serial number and date of the order or

of its filing, the name of the licensed veterinarian, and the directions for use and cautionary

statements, if any, contained in such order.

The preceding sentence shall not apply to any drug dispensed in the course of the conduct of

a business of dispensing drugs pursuant to diagnosis by mail.

(3) The Secretary may by regulation exempt drugs for animals other than man subject to

section 512, 571, or 572 from the requirements of paragraph (1) when such requirements are

not necessary for the protection of the public health.

(4) A drug which is subject to paragraph (1) shall be deemed to be misbranded if at any time

prior to dispensing its label fails to bear the statement ‘‘Caution: Federal law restricts this drug

to use by or on the order of a licensed veterinarian.’’. A drug to which paragraph (1) does not

apply shall be deemed to be misbranded if at any time prior to dispensing its label bears the

statement specified in the preceding sentence.

(g)(1) The Secretary shall in accordance with this subsection assign an agency center to

regulate products that constitute a combination of a drug, device, or biological product. The

Secretary shall determine the primary mode of action of the combination product. If the

Secretary determines that the primary mode of action is that of—

(A) a drug (other than a biological product), the agency center charged with premarket review

of drugs shall have primary jurisdiction,

(B) a device, the agency center charged with premarket review of devices shall have primary

jurisdiction, or

(C) a biological product, the agency center charged with premarket review of biological

products shall have primary jurisdiction.

(2) Nothing in this subsection shall prevent the Secretary from using any agency resources of

the Food and Drug Administration necessary to ensure adequate review of the safety,

effectiveness, or substantial equivalence of an article.

(3) The Secretary shall promulgate regulations to implement market clearance procedures in

accordance with paragraphs (1) and (2) not later than 1 year after the date of enactment of this

subsection. 11

(4) (A) Not later than 60 days after the date of the enactment of this paragraph 12, the

Secretary shall establish within the Office of the Commissioner of Food and Drugs an office to

ensure the prompt assignment of combination products to agency centers, the timely and

effective premarket review of such products, and consistent and appropriate postmarket

regulation of like products subject to the same statutory requirements to the extent permitted

by law. Additionally, the office shall, in determining whether a product is to be designated a

combination product, consult with the component within the Office of the Commissioner of

Food and Drugs that is responsible for such determinations. Such office (referred to in this

paragraph as the `Office') shall have appropriate scientific and medical expertise, and shall be

headed by a director.

(B) In carrying out this subsection, the Office shall, for each combination product, promptly

assign an agency center with primary jurisdiction in accordance with paragraph (1) for the

premarket review of such product.

(C)(i) In carrying out this subsection, the Office shall ensure timely and effective premarket

reviews by overseeing the timeliness of and coordinating reviews involving more than one

agency center.

(ii) In order to ensure the timeliness of the premarket review of a combination product, the

agency center with primary jurisdiction for the product, and the consulting agency center, shall

be responsible to the Office with respect to the timeliness of the premarket review.

(D) In carrying out this subsection, the Office shall ensure the consistency and

appropriateness of postmarket regulation of like products subject to the same statutory

requirements to the extent permitted by law.

(E)(i) Any dispute regarding the timeliness of the premarket review of a combination product

may be presented to the Office for resolution, unless the dispute is clearly premature.

(ii) During the review process, any dispute regarding the substance of the premarket review

may be presented to the Commissioner of Food and Drugs after first being considered by the

agency center with primary jurisdiction of the premarket review, under the scientific dispute

resolution procedures for such center. The Commissioner of Food and Drugs shall consult with

the Director of the Office in resolving the substantive dispute.

(F) The Secretary, acting through the Office, shall review each agreement, guidance, or

practice of the Secretary that is specific to the assignment of combination products to agency

centers and shall determine whether the agreement, guidance, or practice is consistent with

the requirements of this subsection. In carrying out such review, the Secretary shall consult

with stakeholders and the directors of the agency centers. <> After such consultation, the

Secretary shall determine whether to continue in effect, modify, revise, or eliminate such

agreement, guidance, or practice, and shall publish in the Federal Register a notice of the

availability of such modified or revised agreement, guidance or practice. Nothing in this

paragraph shall be construed as preventing the Secretary from following each agreement,

guidance, or practice until continued, modified, revised, or eliminated.

(G) Not later than one year after the date of the enactment of this paragraph and annually

thereafter, the Secretary shall report to the appropriate committees of Congress on the

activities and impact of the Office. The report shall include provisions--

(i) describing the numbers and types of combination products under review and the timeliness

in days of such assignments, reviews, and dispute resolutions;

(ii) identifying the number of premarket reviews of such products that involved a consulting

agency center; and

(iii) describing improvements in the consistency of postmarket regulation of combination

products.

(H) Nothing in this paragraph shall be construed to limit the regulatory authority of any agency

center.

(5) As used in this subsection:

(A) The term `agency center' means a center or alternative organizational component of the

Food and Drug Administration.

(B) The term ‘‘biological product’’ has the meaning given the term in section 351(i) of the Public

Health Service Act (42 U.S.C. 262(i)).

(C) The term ‘‘market clearance’’ includes—

(i) approval of an application under section 505, 507, 515, or 520(g),

(ii) a finding of substantial equivalence under this subchapter, and

(iii) approval of a biologics license application under subsection (a) of section 351 of the Public

Health Service Act (42 U.S.C. 262).

SEC. 503A. [ 21 U.S.C. 353a] PHARMACY COMPOUNDING.

(a) IN GENERAL.—Sections 501(a)(2)(B), 502(f)(1), and 505 shall not apply to a drug product

if the drug product is compounded for an identified individual patient based on the unsolicited

receipt of a valid prescription order or a notation, approved by the prescribing practitioner, on

the prescription order that a compounded product is necessary for the identified patient, if the

drug product meets the requirements of this section, and if the compounding—

(1) is by—

(A) a licensed pharmacist in a State licensed pharmacy or a Federal facility, or

(B) a licensed physician, on the prescription order for such individual patient made by a

licensed physician or other licensed practitioner authorized by State law to prescribe drugs; or

(2)(A) is by a licensed pharmacist or licensed physician in limited quantities before the receipt

of a valid prescription order for such individual patient; and

(B) is based on a history of the licensed pharmacist or licensed physician receiving valid

prescription orders for the compounding of the drug product, which orders have been

generated solely within an established relationship between—

(i) the licensed pharmacist or licensed physician; and

(ii)(I) such individual patient for whom the prescription order will be provided; or

(II) the physician or other licensed practitioner who will write such prescription order.

(b) COMPOUNDED DRUG.—

(1) LICENSED PHARMACIST AND LICENSED PHYSICIAN.—A drug product may be

compounded under subsection (a) if the licensed pharmacist or licensed physician—

(A) compounds the drug product using bulk drug substances, as defined in regulations of the

Secretary published at section 207.3(a)(4) of title 21 of the Code of Federal Regulations—

(i) that—

(I) comply with the standards of an applicable United States Pharmacopoeia or National

Formulary monograph, if a monograph exists, and the United States Pharmacopoeia chapter

on pharmacy compounding;

(II) if such a monograph does not exist, are drug substances that are components of drugs

approved by the Secretary; or

(III) if such a monograph does not exist and the drug substance is not a component of a drug

approved by the Secretary, that appear on a list developed by the Secretary through

regulations issued by the Secretary under subsection (d);

(ii) that are manufactured by an establishment that is registered under section 510 (including a

foreign establishment that is registered under section 510(i)); and

(iii) that are accompanied by valid certificates of analysis for each bulk drug substance;

(B) compounds the drug product using ingredients (other than bulk drug substances) that

comply with the standards of an applicable United States Pharmacopoeia or National

Formulary monograph, if a monograph exists, and the United States Pharmacopoeia chapter

on pharmacy compounding;

(C) does not compound a drug product that appears on a list published by the Secretary in the

Federal Register of drug products that have been withdrawn or removed from the market

because such drug products or components of such drug products have been found to be

unsafe or not effective; and

(D) does not compound regularly or in inordinate amounts (as defined by the Secretary) any

drug products that are essentially copies of a commercially available drug product.

(2) DEFINITION.—For purposes of paragraph (1)(D), the term ‘‘essentially a copy of a

commercially available drug product’’ does not include a drug product in which there is a

change, made for an identified individual patient, which produces for that patient a significant

difference, as determined by the prescribing practitioner, between the compounded drug and

the comparable commercially available drug product.

(3) DRUG PRODUCT.—A drug product may be compounded under subsection (a) only if—

(A) such drug product is not a drug product identified by the Secretary by regulation as a drug

product that presents demonstrable difficulties for compounding that reasonably demonstrate

an adverse effect on the safety or effectiveness of that drug product; and

(B) such drug product is compounded in a State—

(i) that has entered into a memorandum of understanding with the Secretary which addresses

the distribution of inordinate amounts of compounded drug products interstate and provides for

appropriate investigation by a State agency of complaints relating to compounded drug

products distributed outside such State; or

(ii) that has not entered into the memorandum of understanding described in clause (i) and the

licensed pharmacist, licensed pharmacy, or licensed physician distributes (or causes to be

distributed) compounded drug products out of the State in which they are compounded in

quantities that do not exceed 5 percent of the total prescription orders dispensed or distributed

by such pharmacy or physician.

The Secretary shall, in consultation with the National Association of Boards of Pharmacy,

develop a standard memorandum of understanding for use by the States in complying with

subparagraph (B)(i).

(c) ADVERTISING AND PROMOTION.—A drug may be compounded under subsection (a)

only if the pharmacy, licensed pharmacist, or licensed physician does not advertise or promote

the compounding of any particular drug, class of drug, or type of drug. The pharmacy, licensed

pharmacist, or licensed physician may advertise and promote the compounding service

provided by the licensed pharmacist or licensed physician.

(d) REGULATIONS.—

(1) IN GENERAL.—The Secretary shall issue regulations to implement this section. Before

issuing regulations to implement subsections (b)(1)(A)(i)(III), (b)(1)(C), or (b)(3)(A), the

Secretary shall convene and consult an advisory committee on compounding unless the

Secretary determines that the issuance of such regulations before consultation is necessary to

protect the public health. The advisory committee shall include representatives from the

National Association of Boards of Pharmacy, the United States Pharmacopoeia, pharmacy,

physician, and consumer organizations, and other experts selected by the Secretary.

(2) LIMITING COMPOUNDING.—The Secretary, in consultation with the United States

Pharmacopoeia Convention, Incorporated, shall promulgate regulations identifying drug

substances that may be used in compounding under subsection (b)(1)(A)(i)(III) for which a

monograph does not exist or which are not components of drug products approved by the

Secretary. The Secretary shall include in the regulation the criteria for such substances, which

shall include historical use, reports in peer reviewed medical literature, or other criteria the

Secretary may identify.

(e) APPLICATION.—This section shall not apply to—

(1) compounded positron emission tomography drugs as defined in section 201(ii); or

(2) radiopharmaceuticals.

(f) DEFINITION.—As used in this section, the term ‘‘compounding’’ does not include mixing,

reconstituting, or other such acts that are performed in accordance with directions contained in

approved labeling provided by the product’s manufacturer and other manufacturer directions

consistent with that labeling.

VETERINARY FEED DIRECTIVE DRUGS

SEC. 504. [21 U.S.C. 354] (a)(1) A drug intended for use in or on animal feed which is limited

by an approved application filed pursuant to section 512(b), a conditionally-approved

application filed pursuant to section 571, or an index listing pursuant to section 572 to use

under the professional supervision of a licensed veterinarian is a veterinary feed directive drug.

Any animal feed bearing or containing a veterinary feed directive drug shall be fed to animals

only by or upon a lawful veterinary feed directive issued by a licensed veterinarian in the

course of the veterinarian’s professional practice. When labeled, distributed, held, and used in

accordance with this section, a veterinary feed directive drug and any animal feed bearing or

containing a veterinary feed directive drug shall be exempt from section 502(f).

(2) A veterinary feed directive is lawful if it—

(A) contains such information as the Secretary may by general regulation or by order require;

and

(B) is in compliance with the conditions and indications for use of the drug set forth in the

notice published pursuant to section 512(i), or the index listing pursuant to section 572(e).

(3)(A) Any persons involved in the distribution or use of animal feed bearing or containing a

veterinary feed directive drug and the licensed veterinarian issuing the veterinary feed

directive shall maintain a copy of the veterinary feed directive applicable to each such feed,

except in the case of a person distributing such feed to another person for further distribution.

Such person distributing the feed shall maintain a written acknowledgment from the person to

whom the feed is shipped stating that that person shall not ship or move such feed to an

animal production facility without a veterinary feed directive or ship such feed to another

person for further distribution unless that person has provided the same written

acknowledgment to its immediate supplier.

(B) Every person required under subparagraph (A) to maintain records, and every person in

charge or custody thereof, shall, upon request of an officer or employee designated by the

Secretary, permit such officer or employee at all reasonable times to have access to and copy

and verify such records.

(C) Any person who distributes animal feed bearing or containing a veterinary feed directive

drug shall upon first engaging in such distribution notify the Secretary of that person’s name

and place of business. The failure to provide such notification shall be deemed to be an act

which results in the drug being misbranded.

(b) A veterinary feed directive drug and any feed bearing or containing a veterinary feed

directive drug shall be deemed to be misbranded if their labeling fails to bear such cautionary

statement and such other information as the Secretary may by general regulation or by order

prescribe, or their advertising fails to conform to the conditions and indications for use

published pursuant to section 512(i), or the index listing pursuant to section 572(e) or fails to

contain the general cautionary statement prescribed by the Secretary.

(c) Neither a drug subject to this section, nor animal feed bearing or containing such a drug,

shall be deemed to be a prescription article under any Federal or State law.

NEW DRUGS

SEC. 505. [21 U.S.C. 355] (a) No person shall introduce or deliver for introduction into

interstate commerce any new drug, unless an approval of an application filed pursuant to

subsection (b) or (j) is effective with respect to such drug.

(b)(1) Any person may file with the Secretary an application with respect to any drug subject to

the provisions of subsection (a). Such persons shall submit to the Secretary as a part of the

application (A) full reports of investigations which have been made to show whether or not

such drug is safe for use and whether such drug is effective in use; 13 (B) a full list of the

articles used as components of such drug; (C) a full statement of the composition of such drug;

(D) a full description of the methods used in, and the facilities and controls used for, the

manufacture, processing, and packing of such drug; (E) such samples of such drug and of the

articles used as components thereof as the Secretary may require; (F) specimens of the

labeling proposed to be used for such drug and (G) any assessments required under section

505B. The applicant shall file with the application the patent number and the expiration date of

any patent which claims the drug for which the applicant submitted the application or which

claims a method of using such drug and with respect to which a claim of patent infringement

could reasonably be asserted if a person not licensed by the owner engaged in the

manufacture use, or sale of the drug. If a application is filed under this subsection for a drug

and a patent which claims such drug or a method of using such drug is issued after the filing

date but before approval of the application, the applicant shall amend the application to include

the information required by the preceding sentence. Upon approval of the application, the

Secretary shall publish information submitted under the two preceding sentences. The

Secretary shall, in consultation with the Director of the National Institutes of Health and with

representatives of the drug manufacturing industry, review and develop guidance, as

appropriate, on the inclusion of women and minorities in clinical trials required by clause (A).

(2) An application submitted under paragraph (1) for a drug for which the investigations

described in clause (A) of such paragraph and relied upon by the applicant for approval of the

application were not conducted by or for the applicant and for which the applicant has not

obtained a right of reference or use from the person by or for whom the investigations were

conducted shall also include—

(A) a certification, in the opinion of the applicant and to the best of his knowledge, with respect

to each patent which claims the drug for which such investigations were conducted or which

claims a use for such drug for which the applicant is seeking approval under this subsection

and for which information is required to be filed under paragraph (1) or subsection (c)—

(i) that such patent information has not been filed,

(ii) that such patent has expired,

(iii) of the date on which such patent will expire, or

(iv) that such patent is invalid or will not be infringed by the manufacture, use, or sale of the

new drug for which the application is submitted; and

(B) if with respect to the drug for which investigations described in paragraph (1)(A) were

conducted information was filed under paragraph (1) or subsection (c) for a method of use

patent which does not claim a use for which the applicant is seeking approval under this

subsection, a statement that the method of use patent does not claim such a use.

(3) Notice of opinion that patent is invalid or will not be infringed.--

(A) Agreement to give notice.--An applicant that makes a certification described in paragraph

(2)(A)(iv) shall include in the application a statement that the applicant will give notice as

required by this paragraph.

(B) Timing of notice.--An applicant that makes a certification described in paragraph (2)(A)(iv)

shall give notice as required under this paragraph--

(i) if the certification is in the application, not later than 20 days after the date of the postmark

on the notice with which the Secretary informs the applicant that the application has been filed;

or

(ii) if the certification is in an amendment or supplement to the application, at the time at which

the applicant submits the amendment or supplement, regardless of whether the applicant has

already given notice with respect to another such certification contained in the application or in

an amendment or supplement to the application.

(C) Recipients of notice.--An applicant required under this paragraph to give notice shall give

notice to--

(i) each owner of the patent that is the subject of the certification (or a representative of the

owner designated to receive such a notice); and

(ii) the holder of the approved application under this subsection for the drug that is claimed by

the patent or a use of which is claimed by the patent (or a representative of the holder

designated to receive such a notice).

(D) Contents of notice.--A notice required under this paragraph shall--

(i) state that an application that contains data from bioavailability or bioequivalence studies has

been submitted under this subsection for the drug with respect to which the certification is

made to obtain approval to engage in the commercial manufacture, use, or sale of the drug

before the expiration of the patent referred to in the certification; and

(ii) include a detailed statement of the factual and legal basis of the opinion of the applicant

that the patent is invalid or will not be infringed.

(4)(A) An applicant may not amend or supplement an application referred to in paragraph (2)

to seek approval of a drug that is a different drug than the drug identified in the application as

submitted to the Secretary.

(B) With respect to the drug for which such an application is submitted, nothing in this

subsection or subsection (c)(3) prohibits an applicant from amending or supplementing the

application to seek approval of a different strength.

( 5)(A) The Secretary shall issue guidance for the individuals who review applications

submitted under paragraph (1) or under section 351 of the Public Health Service Act, which

shall relate to promptness in conducting the review, technical excellence, lack of bias and

conflict of interest, and knowledge of regulatory and scientific standards, and which shall apply

equally to all individuals who review such applications.

(B) The Secretary shall meet with a sponsor of an investigation or an applicant for approval for

a drug under this subsection or section 351 of the Public Health Service Act if the sponsor or

applicant makes a reasonable written request for a meeting for the purpose of reaching

agreement on the design and size of clinical trials intended to form the primary basis of an

effectiveness claim. The sponsor or applicant shall provide information necessary for

discussion and agreement on the design and size of the clinical trials. Minutes of any such

meeting shall be prepared by the Secretary and made available to the sponsor or applicant

upon request.

(C) Any agreement regarding the parameters of the design and size of clinical trials of a new

drug under this paragraph that is reached between the Secretary and a sponsor or applicant

shall be reduced to writing and made part of the administrative record by the Secretary. Such

agreement shall not be changed after the testing begins, except—

(i) with the written agreement of the sponsor or applicant; or

(ii) pursuant to a decision, made in accordance with subparagraph (D) by the director of the

reviewing division, that a substantial scientific issue essential to determining the safety or

effectiveness of the drug has been identified after the testing has begun.

(D) A decision under subparagraph (C)(ii) by the director shall be in writing and the Secretary

shall provide to the sponsor or applicant an opportunity for a meeting at which the director and

the sponsor or applicant will be present and at which the director will document the scientific

issue involved.

(E) The written decisions of the reviewing division shall be binding upon, and may not directly

or indirectly be changed by, the field or compliance division personnel unless such field or

compliance division personnel demonstrate to the reviewing division why such decision should

be modified.

(F) No action by the reviewing division may be delayed because of the unavailability of

information from or action by field personnel unless the reviewing division determines that a

delay is necessary to assure the marketing of a safe and effective drug.

(G) For purposes of this paragraph, the reviewing division is the division responsible for the

review of an application for approval of a drug under this subsection or section 351 of the

Public Health Service Act (including all scientific and medical matters, chemistry,

manufacturing, and controls).

(c)(1) Within one hundred and eighty days after the filing of an application under subsection (b),

or such additional period as may be agreed upon by the Secretary and the applicant, the

Secretary shall either—

(A) approve the application if he then finds that none of the grounds for denying approval

specified in subsection (d) applies, or

(B) give the applicant notice of an opportunity for a hearing before the Secretary under

subsection (d) on the question whether such application is approvable. If the applicant elects

to accept the opportunity for hearing by written request within thirty days after such notice,

such hearing shall commence not more than ninety days after the expiration of such thirty days

unless the Secretary and the applicant otherwise agree. Any such hearing shall thereafter be

conducted on an expedited basis and the Secretary’s order thereon shall be issued within

ninety days after the date fixed by the Secretary for filing final briefs.

(2) If the patent information described in subsection (b) could not be filed with the submission

of an application under subsection (b) because the application was filed before the patent

information was required under subsection (b) or a patent was issued after the application was

approved under such subsection, the holder of an approved application shall file with the

Secretary, the patent number and the expiration date of any patent which claims the drug for

which the application was submitted or which claims a method of using such drug and with

respect to which a claim of patent infringement could reasonably be asserted if a person not

licensed by the owner engaged in the manufacture, use, or sale of the drug. If the holder of an

approved application could not file patent information under subsection (b) because it was not

required at the time the application was approved, the holder shall file such information under

this subsection not later than thirty days after the date of the enactment of this sentence 14,

and if the holder of an approved application could not file patent information under subsection

(b) because no patent had been issued when an application was filed or approved, the holder

shall file such information under this subsection not later than thirty days after the date the

patent involved is issued. Upon the submission of patent information under this subsection, the

Secretary shall publish it.

(3) The approval of an application filed under subsection (b) which contains a certification

required by paragraph (2) of such subsection shall be made effective on the last applicable

date determined by applying the following to each certification made under subsection

(b)(2)(A):

(A) If the applicant only made a certification described in clause (i) or (ii) of subsection (b)(2)(A)

or in both such clauses, the approval may be made effective immediately.

(B) If the applicant made a certification described in clause (iii) of subsection (b)(2)(A), the

approval may be made effective on the date certified under clause (iii).

(C) If the applicant made a certification described in clause (iv) of subsection (b)(2)(A), the

approval shall be made effective immediately unless, before the expiration of 45 days after the

date on which the notice described in subsection (b)(3) is received, an action is brought for

infringement of the patent that is the subject of the certification and for which information was

submitted to the Secretary under paragraph (2) or subsection (b)(1) before the date on which

the application (excluding an amendment or supplement to the application) was submitted. If

such an action is brought before the expiration of such days, the approval may be made

effective upon the expiration of the thirty-month period beginning on the date of the receipt of

the notice provided under subsection (b)(3) or such shorter or longer period as the court may

order because either party to the action failed to reasonably cooperate in expediting the action,

except that—

(i) if before the expiration of such period the district court decides that the patent is invalid or

not infringed (including any substantive determination that there is no cause of action for

patent infringement or invalidity), the approval shall be made effective on--

(I) the date on which the court enters judgment reflecting the decision; or

(II) the date of a settlement order or consent decree signed and entered by the court stating

that the patent that is the subject of the certification is invalid or not infringed;

(ii) if before the expiration of such period the district court decides that the patent has been

infringed--

(I) if the judgment of the district court is appealed, the approval shall be made effective on--

(aa) the date on which the court of appeals decides that the patent is invalid or not infringed

(including any substantive determination that there is no cause of action for patent

infringement or invalidity); or

(bb) the date of a settlement order or consent decree signed and entered by the court of

appeals stating that the patent that is the subject of the certification is invalid or not infringed;

or

(II) if the judgment of the district court is not appealed or is affirmed, the approval shall be

made effective on the date specified by the district court in a court order under section

271(e)(4)(A) of title 35, United States Code;

(iii) if before the expiration of such period the court grants a preliminary injunction prohibiting

the applicant from engaging in the commercial manufacture or sale of the drug until the court

decides the issues of patent validity and infringement and if the court decides that such patent

is invalid or not infringed, the approval shall be made effective as provided in clause (i); or

(iv) if before the expiration of such period the court grants a preliminary injunction prohibiting

the applicant from engaging in the commercial manufacture or sale of the drug until the court

decides the issues of patent validity and infringement and if the court decides that such patent

has been infringed, the approval shall be made effective as provided in clause (ii).

In such an action, each of the parties shall reasonably cooperate in expediting the action.

(D) Civil action to obtain patent certainty.—

(i) Declaratory judgment absent infringement action.--

(I) In general.--No action may be brought under section 2201 of title 28, United States Code,

by an applicant referred to in subsection (b)(2) for a declaratory judgment with respect to a

patent which is the subject of the certification referred to in subparagraph (C) unless--

(aa) the 45-day period referred to in such subparagraph has expired;

(bb) neither the owner of such patent nor the holder of the approved application under

subsection (b) for the drug that is claimed by the patent or a use of which is claimed by the

patent brought a civil action against the applicant for infringement of the patent before the

expiration of such period; and

(cc) in any case in which the notice provided under paragraph (2)(B) 15 relates to

noninfringement, the notice was accompanied by a document described in subclause (III).

(II) Filing of civil action.--If the conditions described in items (aa), (bb), and as applicable, (cc)

of subclause (I) have been met, the applicant referred to in such subclause may, in

accordance with section 2201 of title 28, United States Code, bring a civil action under such

section against the owner or holder referred to in such subclause (but not against any owner or

holder that has brought such a civil action against the applicant, unless that civil action was

dismissed without prejudice) for a declaratory judgment that the patent is invalid or will not be

infringed by the drug for which the applicant seeks approval, except that such civil action may

be brought for a declaratory judgment that the patent will not be infringed only in a case in

which the condition described in subclause (I)(cc) is applicable. A civil action referred to in this

subclause shall be brought in the judicial district where the defendant has its principal place of

business or a regular and established place of business.

(III) Offer of confidential access to application.--For purposes of subclause (I)(cc), the

document described in this subclause is a document providing an offer of confidential access

to the application that is in the custody of the applicant referred to in subsection (b)(2) for the

purpose of determining whether an action referred to in subparagraph (C) should be brought.

The document providing the offer of confidential access shall contain such restrictions as to

persons entitled to access, and on the use and disposition of any information accessed, as

would apply had a protective order been entered for the purpose of protecting trade secrets

and other confidential business information. A request for access to an application under an

offer of confidential access shall be considered acceptance of the offer of confidential access

with the restrictions as to persons entitled to access, and on the use and disposition of any

information accessed, contained in the offer of confidential access, and those restrictions and

other terms of the offer of confidential access shall be considered terms of an enforceable

contract. Any person provided an offer of confidential access shall review the application for

the sole and limited purpose of evaluating possible infringement of the patent that is the

subject of the certification under subsection (b)(2)(A)(iv) and for no other purpose, and may not

disclose information of no relevance to any issue of patent infringement to any person other

than a person provided an offer of confidential access. Further, the application may be

redacted by the applicant to remove any information of no relevance to any issue of patent

infringement.

(ii) Counterclaim to infringement action.—

(I) In general.--If an owner of the patent or the holder of the approved application under

subsection (b) for the drug that is claimed by the patent or a use of which is claimed by the

patent brings a patent infringement action against the applicant, the applicant may assert a

counterclaim seeking an order requiring the holder to correct or delete the patent information

submitted by the holder under subsection (b) or this subsection on the ground that the patent

does not claim either--

(aa) the drug for which the application was approved; or

(bb) an approved method of using the drug.

(II) No independent cause of action.--Subclause (I) does not authorize the assertion of a claim

described in subclause (I) in any civil action or proceeding other than a counterclaim described

in subclause (I).

(iii) No damages.--An applicant shall not be entitled to damages in a civil action under clause (i)

or a counterclaim under clause (ii).

( E)(i) If an application (other than an abbreviated new drug application) submitted under

subsection (b) for a drug, no active ingredient (including any ester or salt of the active

ingredient) of which has been approved in any other application under subsection (b), was

approved during the period beginning January 1, 1982, and ending on the date of the

enactment of this subsection 16, the Secretary may not make the approval of another

application for a drug for which the investigations described in clause (A) of subsection (b)(1)

and relied upon by the applicant for approval of the application were not conducted by or for

the applicant and for which the applicant has not obtained a right of reference or use from the

person by or for whom the investigations were conducted effective before the expiration of ten

years from the date of the approval of the application previously approved under subsection

(b).

(ii) If an application submitted under subsection (b) for a drug, no active ingredient (including

any ester or salt of the active ingredient) of which has been approved in any other application

under subsection (b), is approved after the date of the enactment of this clause, no application

which refers to the drug for which the subsection (b) application was submitted and for which

the investigations described in clause (A) of subsection (b)(1) and relied upon by the applicant

for approval of the application were not conducted by or for the applicant and for which the

applicant has not obtained a right of reference or use from the person by or for whom the

investigations were conducted may be submitted under subsection (b) before the expiration of

five years from the date of the approval of the application under subsection (b), except that

such an application may be submitted under subsection (b) after the expiration of four years

from the date of the approval of the subsection (b) application if it contains a certification of

patent invalidity or noninfringement described in clause (iv) of subsection (b)(2)(A). The

approval of such an application shall be made effective in accordance with this paragraph

except that, if an action for patent infringement is commenced during the one-year period

beginning forty-eight months after the date of the approval of the subsection (b) application,

the thirty-month period referred to in subparagraph (C) shall be extended by such amount of

time (if any) which is required for seven and one-half years to have elapsed from the date of

approval of the subsection (b) application.

(iii) If an application submitted under subsection (b) for a drug, which includes an active

ingredient (including any ester or salt of the active ingredient) that has been approved in

another application approved under subsection (b), is approved after the date of the

enactment of this clause and if such application contains reports of new clinical investigations

(other than bioavailability studies) essential to the approval of the application and conducted or

sponsored by the applicant, the Secretary may not make the approval of an application

submitted under subsection (b) for the conditions of approval of such drug in the approved

subsection (b) application effective before the expiration of three years from the date of the

approval of the application under subsection (b) if the investigations described in clause (A) of

subsection (b)(1) and relied upon by the applicant for approval of the application were not

conducted by or for the applicant and if the applicant has not obtained a right of reference or

use from the person by or for whom the investigations were conducted.

(iv) If a supplement to an application approved under subsection (b) is approved after the date

of enactment of this clause and the supplement contains reports of new clinical investigations

(other than bioavailabilty 17 studies) essential to the approval of the supplement and

conducted or sponsored by the person submitting the supplement, the Secretary may not

make the approval of an application submitted under subsection (b) for a change approved in

the supplement effective before the expiration of three years from the date of the approval of

the supplement under subsection (b) if the investigations described in clause (A) of subsection

(b)(1) and relied upon by the applicant for approval of the application were not conducted by or

for the applicant and if the applicant has not obtained a right of reference or use from the

person by or for whom the investigations were conducted.

(v) If an application (or supplement to an application) submitted under subsection (b) for a drug,

which includes an active ingredient (including any ester or salt of the active ingredient) that has

been approved in another application under subsection (b), was approved during the period

beginning January 1, 1982, and ending on the date of the enactment of this clause, the

Secretary may not make the approval of an application submitted under this subsection and for

which the investigations described in clause (A) of subsection (b)(1) and relied upon by the

applicant for approval of the application were not conducted by or for the applicant and for

which the applicant has not obtained a right of reference or use from the person by or for

whom the investigations were conducted and which refers to the drug for which the subsection

(b) application was submitted effective before the expiration of two years from the date of

enactment of this clause.

(4) A drug manufactured in a pilot or other small facility may be used to demonstrate the safety

and effectiveness of the drug and to obtain approval for the drug prior to manufacture of the

drug in a larger facility, unless the Secretary makes a determination that a full scale production

facility is necessary to ensure the safety or effectiveness of the drug.

(d) If the Secretary finds, after due notice to the applicant in accordance with subsection (c)

and giving him an opportunity for a hearing, in accordance with said subsection, that (1) the

investigations, reports of which are required to be submitted to the Secretary pursuant to

subsection (b), do not include adequate tests by all methods reasonably applicable to show

whether or not such drug is safe for use under the conditions prescribed, recommended, or

suggested in the proposed labeling thereof; (2) the results of such tests show that such drug is

unsafe for use under such conditions or do not show that such drug is safe for use under such

conditions; (3) the methods used in, and the facilities and controls used for, the manufacture,

processing, and packing of such drug are inadequate to preserve its identity, strength, quality,

and purity; (4) upon the basis of the information submitted to him as part of the application, or

upon the basis of any other information before him with respect to such drug, he has

insufficient information to determine whether such drug is safe for use under such conditions;

or (5) evaluated on the basis of the information submitted to him as part of the application and

any other information before him with respect to such drug, there is a lack of substantial

evidence that the drug will have the effect it purports or is represented to have under the

conditions of use prescribed, recommended, or suggested in the proposed labeling thereof; or

(6) the application failed to contain the patent information prescribed by subsection (b); or (7)

based on a fair evaluation of all material facts, such labeling is false or misleading in any

particular; he shall issue an order refusing to approve the application. If, after such notice and

opportunity for hearing, the Secretary finds that clauses (1) through (6) do not apply, he shall

issue an order approving the application. As used in this subsection and subsection (e), the

term ‘‘substantial evidence’’ means evidence consisting of adequate and well-controlled

investigations, including clinical investigations, by experts qualified by scientific training and

experience to evaluate the effectiveness of the drug involved, on the basis of which it could

fairly and responsibly be concluded by such experts that the drug will have the effect it

purports or is represented to have under the conditions of use prescribed, recommended, or

suggested in the labeling or proposed labeling thereof. If the Secretary determines, based on

relevant science, that data from one adequate and well-controlled clinical investigation and

confirmatory evidence (obtained prior to or after such investigation) are sufficient to establish

effectiveness, the Secretary may consider such data and evidence to constitute substantial

evidence for purposes of the preceding sentence.

(e) The Secretary shall, after due notice and opportunity for hearing to the applicant, withdraw

approval of an application with respect to any drug under this section if the Secretary finds (1)

that clinical or other experience, tests, or other scientific data show that such drug is unsafe for

use under the conditions of use upon the basis of which the application was approved; (2) that

new evidence of clinical experience, not contained in such application or not available to the

Secretary until after such application was approved, or tests by new methods, or tests by

methods not deemed reasonably applicable when such application was approved, evaluated

together with the evidence available to the Secretary when the application was approved,

shows that such drug is not shown to be safe for use under the conditions of use upon the

basis of which the application was approved; or (3) on the basis of new information before him

with respect to such drug, evaluated together with the evidence available to him when the

application was approved, that there is a lack of substantial evidence that the drug will have

the effect it purports or is represented to have under the conditions of use prescribed,

recommended, or suggested in the labeling thereof; or (4) the patent information prescribed by

subsection (c) was not filed within thirty days after the receipt of written notice from the

Secretary specifying the failure to file such information; or (5) that the application contains any

untrue statement of a material fact: Provided, That if the Secretary (or in his absence the

officer acting as Secretary) finds that there is an imminent hazard to the public health, he may

suspend the approval of such application immediately, and give the applicant prompt notice of

his action and afford the applicant the opportunity for an expedited hearing under this

subsection; but the authority conferred by this proviso to suspend the approval of an

application shall not be delegated. The Secretary may also, after due notice and opportunity

for hearing to the applicant, withdraw the approval of an application submitted under

subsection (b) or (j) with respect to any drug under this section if the Secretary finds (1) that

the applicant has failed to establish a system for maintaining required records, or has

repeatedly or deliberately failed to maintain such records or to make required reports, in

accordance with a regulation or order under subsection (k) or to comply with the notice

requirements of section 510(k)(2), or the applicant has refused to permit access to, or copying

or verification of, such records as required by paragraph (2) of such subsection; or (2) that on

the basis of new information before him, evaluated together with the evidence before him

when the application was approved, the methods used in, or the facilities and controls used for,

the manufacture, processing, and packing of such drug are inadequate to assure and preserve

its identity, strength, quality, and purity and were not made adequate within a reasonable time

after receipt of written notice from the Secretary specifying the matter complained of; or (3)

that on the basis of new information before him, evaluated together with the evidence before

him when the application was approved, the labeling of such drug, based on a fair evaluation

of all material facts, is false or misleading in any particular and was not corrected within a

reasonable time after receipt of written notice from the Secretary specifying the matter

complained of. Any order under this subsection shall state the findings upon which it is based.

(f) Whenever the Secretary finds that the facts so require, he shall revoke any previous order

under subsection (d) or (e) refusing, withdrawing, or suspending approval of an application

and shall approve such application or reinstate such approval, as may be appropriate.

(g) Orders of the Secretary issued under this section shall be served (1) in person by any

officer or employee of the Department designated by the Secretary or (2) by mailing the order

by registered mail or by certified mail addressed to the applicant or respondent at his

last-known address in the records of the Secretary.

(h) An appeal may be taken by the applicant from an order of the Secretary refusing or

withdrawing approval of an application under this section. Such appeal shall be taken by filing

in the United States court of appeals for the circuit wherein such applicant resides or has his

principal place of business, or in the United States Court of Appeals for the District of Columbia

Circuit, within sixty days after the entry of such order, a written petition praying that the order of

the Secretary be set aside. A copy of such petition shall be forthwith transmitted by the clerk of

the court to the Secretary, or any officer designated by him for that purpose, and thereupon the

Secretary shall certify and file in the court the record upon which the order complained of was

entered, as provided in section 2112 of title 28, United States Code. Upon the filing of such

petition such court shall have exclusive jurisdiction to affirm or set aside such order, except

that until the filing of the record the Secretary may modify or set aside his order. No objection

to the order of the Secretary shall be considered by the court unless such objection shall have

been urged before the Secretary or unless there were reasonable grounds for failure so to do.

The finding of the Secretary as to the facts, if supported by substantial evidence, shall be

conclusive. If any person shall apply to the court for leave to adduce additional evidence, and

shall show to the satisfaction of the court that such additional evidence is material and that

there were reasonable grounds for failure to adduce such evidence in the proceeding before

the Secretary, the court may order such additional evidence to be taken before the Secretary

and to be adduced upon the hearing in such manner and upon such terms and conditions as to

the court may seem proper. The Secretary may modify his findings as to the facts by reason of

the additional evidence so taken, and he shall file with the court such modified findings which,

if supported by substantial evidence, shall be conclusive, and his recommendation, if any, for

the setting aside of the original order. The judgment of the court affirming or setting aside any

such order of the Secretary shall be final, subject to review by the Supreme Court of the United

States upon certiorari or certification as provided in section 1254 of title 28 of the United States

Code. The commencement of proceedings under this subsection shall not, unless specifically

ordered by the court to the contrary, operate as a stay of the Secretary’s order.

(i)(1) The Secretary shall promulgate regulations for exempting from the operation of the

foregoing subsections of this section drugs intended solely for investigational use by experts

qualified by scientific training and experience to investigate the safety and effectiveness of

drugs. Such regulations may, within the discretion of the Secretary, among other conditions

relating to the protection of the public health, provide for conditioning such exemption upon—

(A) the submission to the Secretary, before any clinical testing of a new drug is undertaken, of

reports, by the manufacturer or the sponsor of the investigation of such drug, or preclinical

tests (including tests on animals) of such drug adequate to justify the proposed clinical testing;

(B) the manufacturer or the sponsor of the investigation of a new drug proposed to be

distributed to investigators for clinical testing obtaining a signed agreement from each of such

investigators that patients to whom the drug is administered will be under his personal

supervision, or under the supervision of investigators responsible to him, and that he will not

supply such drug to any other investigator, or to clinics, for administration to human beings;

(C) the establishment and maintenance of such records, and the making of such reports to the

Secretary, by the manufacturer or the sponsor of the investigation of such drug, of data

(including but not limited to analytical reports by investigators) obtained as the result of such

investigational use of such drug, as the Secretary finds will enable him to evaluate the safety

and effectiveness of such drug in the event of the filing of an application pursuant to

subsection (b) ; and

(D) 18 the submission to the Secretary by the manufacturer or the sponsor of the investigation

of a new drug of a statement of intent regarding whether the manufacturer or sponsor has

plans for assessing pediatric safety and efficacy.

(2) Subject to paragraph (3), a clinical investigation of a new drug may begin 30 days after the

Secretary has received from the manufacturer or sponsor of the investigation a submission

containing such information about the drug and the clinical investigation, including—

(A) information on design of the investigation and adequate reports of basic information,

certified by the applicant to be accurate reports, necessary to assess the safety of the drug for

use in clinical investigation; and

(B) adequate information on the chemistry and manufacturing of the drug, controls available

for the drug, and primary data tabulations from animal or human studies.

(3)(A) At any time, the Secretary may prohibit the sponsor of an investigation from conducting

the investigation (referred to in this paragraph as a ‘‘clinical hold’’) if the Secretary makes a

determination described in subparagraph (B). The Secretary shall specify the basis for the

clinical hold, including the specific information available to the Secretary which served as the

basis for such clinical hold, and confirm such determination in writing.

(B) For purposes of subparagraph (A), a determination described in this subparagraph with

respect to a clinical hold is that—

(i) the drug involved represents an unreasonable risk to the safety of the persons who are the

subjects of the clinical investigation, taking into account the qualifications of the clinical

investigators, information about the drug, the design of the clinical investigation, the condition

for which the drug is to be investigated, and the health status of the subjects involved; or

(ii) the clinical hold should be issued for such other reasons as the Secretary may by regulation

establish (including reasons established by regulation before the date of the enactment of the

Food and Drug Administration Modernization Act of 1997).

(C) Any written request to the Secretary from the sponsor of an investigation that a clinical hold

be removed shall receive a decision, in writing and specifying the reasons therefor, within 30

days after receipt of such request. Any such request shall include sufficient information to

support the removal of such clinical hold.

(4) Regulations under paragraph (1) shall provide that such exemption shall be conditioned

upon the manufacturer, or the sponsor of the investigation, requiring that experts using such

drugs for investigational purposes certify to such manufacturer or sponsor that they will inform

any human beings to whom such drugs, or any controls used in connection therewith, are

being administered, or their representatives, that such drugs are being used for investigational

purposes and will obtain the consent of such human beings or their representatives, except

where it is not feasible or it is contrary to the best interests of such human beings. Nothing in

this subsection shall be construed to require any clinical investigator to submit directly to the

Secretary reports on the investigational use of drugs.

(j)(1) Any person may file with the Secretary an abbreviated application for the approval of a

new drug.

(2)(A) An abbreviated application for a new drug shall contain—

(i) information to show that the conditions of use prescribed, recommended, or suggested in

the labeling proposed for the new drug have been previously approved for a drug listed under

paragraph (7) (hereinafter in this subsection referred to as a ‘‘listed drug’’);

(ii)(I) if the listed drug referred to in clause (i) has only one active ingredient, information to

show that the active ingredient of the new drug is the same as that of the listed drug;

(II) if the listed drug referred to in clause (i) has more than one active ingredient, information to

show that the active ingredients of the new drug are the same as those of the listed drug, or

(III) if the listed drug referred to in clause (i) has more than one active ingredient and if one of

the active ingredients of the new drug is different and the application is filed pursuant to the

approval of a petition filed under subparagraph (C), information to show that the other active

ingredients of the new drug are the same as the active ingredients of the listed drug,

information to show that the different active ingredient is an active ingredient of a listed drug or

of a drug which does not meet the requirements of section 201(p), and such other information

respecting the different active ingredient with respect to which the petition was filed as the

Secretary may require;

(iii) information to show that the route of administration, the dosage form, and the strength of

the new drug are the same as those of the listed drug referred to in clause (i), or, if the route of

administration, the dosage form, or the strength of the new drug is different and the application

is filed pursuant to the approval of a petition filed under subparagraph (C), such information

respecting the route of administration, dosage form, or strength with respect to which the

petition was filed as the Secretary may require;

(iv) information to show that the new drug is bioequivalent to the listed drug referred to in

clause (i), except that if the application is filed pursuant to the approval of a petition filed under

subparagraph (C), information to show that the active ingredients of the new drug are of the

same pharmacological or therapeutic class as those of the listed drug referred to in clause (i)

and the new drug can be expected to have the same therapeutic effect as the listed drug when

administered to patients for a condition of use referred to in clause (i);

(v) information to show that the labeling proposed for the new drug is the same as the labeling

approved for the listed drug referred to in clause (i) except for changes required because of

differences approved under a petition filed under subparagraph (C) or because the new drug

and the listed drug are produced or distributed by different manufacturers;

(vi) the items specified in clauses (B) through (F) of subsection (b)(1);

(vii) a certification, the opinion of the applicant and to the best of his knowledge, with respect to

each patent which claims the listed drug referred to in clause (i) or which claims a use for such

listed drug for which the applicant is seeking approval under this subsection and for which

information is required to be filed under subsection (b) or (c)—

(I) that such patent information has not been filed,

(II) that such patent has expired,

(III) of the date on which such patent will expire, or

(IV) that such patent is invalid or will not be infringed by the manufacture, , use, or sale of the

new drug for which the application is submitted; and

(viii) if with respect to the listed drug referred to in clause (i) information was filed under

subsection (b) or (c) for a method of use patent which does not claim a use for which the

applicant is seeking approval under this subsection, a statement that the method of use patent

does not claim such a use.

The Secretary may not require that an abbreviated application contain information in addition

to that required by clauses (i) through (viii).

(B) Notice of opinion that patent is invalid or will not be infringed.—

(i) Agreement to give notice.--An applicant that makes a certification described in

subparagraph (A)(vii)(IV) shall include in the application a statement that the applicant will give

notice as required by this subparagraph.

(ii) Timing of notice.--An applicant that makes a certification described in subparagraph

(A)(vii)(IV) shall give notice as required under this subparagraph—

(I) if the certification is in the application, not later than 20 days after the date of the postmark

on the notice with which the Secretary informs the applicant that the application has been filed;

or

(II) if the certification is in an amendment or supplement to the application, at the time at which

the applicant submits the amendment or supplement, regardless of whether the applicant has

already given notice with respect to another such certification contained in the application or in

an amendment or supplement to the application.

(iii) Recipients of notice.--An applicant required under this subparagraph to give notice shall

give notice to--

(I) each owner of the patent that is the subject of the certification (or a representative of the

owner designated to receive such a notice); and

(II) the holder of the approved application under subsection (b) for the drug that is claimed by

the patent or a use of which is claimed by the patent (or a representative of the holder

designated to receive such a notice).

(iv) Contents of notice.--A notice required under this subparagraph shall--

(I) state that an application that contains data from bioavailability or bioequivalence studies

has been submitted under this subsection for the drug with respect to which the certification is

made to obtain approval to engage in the commercial manufacture, use, or sale of the drug

before the expiration of the patent referred to in the certification; and

(II) include a detailed statement of the factual and legal basis of the opinion of the applicant

that the patent is invalid or will not be infringed.

(C) If a person wants to submit an abbreviated application for a new drug which has a different

active ingredient or whose route of administration, dosage form, or strength differ from that of a

listed drug, such person shall submit a petition to the Secretary seeking permission to file such

an application. The Secretary shall approve or disapprove a petition submitted under this

subparagraph within ninety days of the date the petition is submitted. The Secretary shall

approve such a petition unless the Secretary finds—

(i) that investigations must be conducted to show the safety and effectiveness of the drug or of

any of its active ingredients, the route of administration, the dosage form, or strength which

differ from the listed drug; or

(ii) that any drug with a different active ingredient may not be adequately evaluated for

approval as safe and effective on the basis of the information required to be submitted in an

abbreviated application.

(D)(i) An applicant may not amend or supplement an application to seek approval of a drug

referring to a different listed drug from the listed drug identified in the application as submitted

to the Secretary.

(ii) With respect to the drug for which an application is submitted, nothing in this subsection

prohibits an applicant from amending or supplementing the application to seek approval of a

different strength.

(iii) Within 60 days after the date of the enactment of the Medicare Prescription Drug,

Improvement, and Modernization Act of 2003, 19 the Secretary shall issue guidance defining

the term `listed drug' for purposes of this subparagraph.

(3)(A) The Secretary shall issue guidance for the individuals who review applications

submitted under paragraph (1), which shall relate to promptness in conducting the review,

technical excellence, lack of bias and conflict of interest, and knowledge of regulatory and

scientific standards, and which shall apply equally to all individuals who review such

applications.

(B) The Secretary shall meet with a sponsor of an investigation or an applicant for approval for

a drug under this subsection if the sponsor or applicant makes a reasonable written request for

a meeting for the purpose of reaching agreement on the design and size of bioavailability and

bioequivalence studies needed for approval of such application. The sponsor or applicant shall

provide information necessary for discussion and agreement on the design and size of such

studies. Minutes of any such meeting shall be prepared by the Secretary and made available

to the sponsor or applicant.

(C) Any agreement regarding the parameters of design and size of bioavailability and

bioequivalence studies of a drug under this paragraph that is reached between the Secretary

and a sponsor or applicant shall be reduced to writing and made part of the administrative

record by the Secretary. Such agreement shall not be changed after the testing begins,

except—

(i) with the written agreement of the sponsor or applicant; or

(ii) pursuant to a decision, made in accordance with subparagraph (D) by the director of the

reviewing division, that a substantial scientific issue essential to determining the safety or

effectiveness of the drug has been identified after the testing has begun.

(D) A decision under subparagraph (C)(ii) by the director shall be in writing and the Secretary

shall provide to the sponsor or applicant an opportunity for a meeting at which the director and

the sponsor or applicant will be present and at which the director will document the scientific

issue involved.

(E) The written decisions of the reviewing division shall be binding upon, and may not directly

or indirectly be changed by, the field or compliance office personnel unless such field or

compliance office personnel demonstrate to the reviewing division why such decision should

be modified.

(F) No action by the reviewing division may be delayed because of the unavailability of

information from or action by field personnel unless the reviewing division determines that a

delay is necessary to assure the marketing of a safe and effective drug.

(G) For purposes of this paragraph, the reviewing division is the division responsible for the

review of an application for approval of a drug under this subsection (including scientific

matters, chemistry, manufacturing, and controls).

(4) Subject to paragraph (5), the Secretary shall approve an application for a drug unless the

Secretary finds—

(A) the methods used in, or the facilities and controls used for, the manufacture, processing,

and packing of the drug are inadequate to assure and preserve its identity, strength, quality,

and purity;

(B) information submitted with the application is insufficient to show that each of the proposed

conditions of use have been previously approved for the listed drug referred to in the

application;

(C)(i) if the listed drug has only one active ingredient, information submitted with the

application is insufficient to show that the active ingredient is the same as that of the listed

drug;

(ii) if the listed drug has more than one active ingredient, information submitted with the

application is insufficient to show that the active ingredients are the same as the active

ingredients of the listed drug, or

(iii) if the listed drug has more than one active ingredient and if the application is for a drug

which has an active ingredient different from the listed drug, information submitted with the

application is insufficient to show—

(I) that the other active ingredients are the same as the active ingredients of the listed drug, or

(II) that the different active ingredient is an active ingredient of a listed drug or a drug which

does not meet the requirements of section 201(p). or no petition to file an application for the

drug with the different ingredient was approved under paragraph (2)(C);

(D)(i) if the application is for a drug whose route of administration, dosage form, or strength of

the drug is the same as the route of administration, dosage form, or strength of the listed drug

referred to in the application, information submitted in the application is insufficient to show

that the route of administration, dosage form, or strength is the same as that of the listed drug,

or

(ii) if the application is for a drug whose route of administration, dosage form, or strength of the

drug is different from that of the listed drug referred to in the application, no petition to file an

application for the drug with the different route of administration, dosage form, or strength was

approved under paragraph (2)(C);

(E) if the application was filed pursuant to the approval of a petition under paragraph (2)(C),

the application did not contain the information required by the Secretary respecting the active

ingredient, route of administration, dosage form, or strength which is not the same;

(F) information submitted in the application is insufficient to show that the drug is bioequivalent

to the listed drug referred to in the application or, if the application was filed pursuant to a

petition approved under paragraph (2)(C) information submitted in the application is

insufficient to show that the active ingredients of the new drug are of the same

pharmacological or therapeutic class as those of the listed drug referred to in paragraph

(2)(A)(i) and that the new drug can be expected to have the same therapeutic effect as the

listed drug when administered to patients for a condition of use referred to in such paragraph;

(G) information submitted in the application is insufficient to show that the labeling proposed

for the drug is the same as the labeling approved for the listed drug referred to in the

application except for changes required because of differences approved under a petition filed

under paragraph (2)(C) or because the drug and the listed drug are produced or distributed by

different manufacturers;

(H) information submitted in the application or any other information available to the Secretary

shows that (i) the inactive ingredients of the drug are unsafe for use under the conditions

prescribed, recommended, or suggested in the labeling proposed for the drug, or (ii) the

composition of the drug is unsafe under such conditions because of the type or quantity of

inactive ingredients included or the manner in which the inactive ingredients are included;

(I) the approval under subsection (c) of the listed drug referred to in the application under this

subsection has been withdrawn or suspended for grounds described in the first sentence of

subsection (e), the Secretary has published a notice of opportunity for hearing to withdraw

approval of the listed drug under subsection (c) for grounds described in the first sentence of

subsection (e), the approval under this subsection of the listed drug referred to in the

application under this subsection has been withdrawn or suspended under paragraph (6), or

the Secretary has determined that the listed drug has been withdrawn from sale for safety or

effectiveness reasons;

(J) the application does not meet any other requirement of paragraph (2)(A); or

(K) the application contains an untrue statement of material fact.

(5)(A) Within one hundred and eighty days of the initial receipt of an application under

paragraph (2) or within such additional period as may be agreed upon by the Secretary and

the applicant, the Secretary shall approve or disapprove the application.

(B) The approval of an application submitted under paragraph (2) shall be made effective on

the last applicable date determined by applying the following to each certification made under

paragraph (2)(A)(vii):

(i) If the applicant only made a certification described in subclause (I) or (II) of paragraph

(2)(A)(vii) or in both such subclauses, the approval may be made effective immediately.

(ii) If the applicant made a certification described in subclause (III) of paragraph (2)(A)(vii), the

approval may be made effective on the date certified under subclause (III).

(iii) If the applicant made a certification described in subclause (IV) of paragraph (2)(A)(vii), the

approval shall be made effective immediately unless, before the expiration of 45 days after the

date on which the notice described in paragraph (2)(B) is received, an action is brought for

infringement of the patent that is the subject of the certification and for which information was

submitted to the Secretary under subsection (b)(1) or (c)(2) before the date on which the

application (excluding an amendment or supplement to the application), which the Secretary

later determines to be substantially complete, was submitted. If such an action is brought

before the expiration of such days, the approval shall be made effective upon the expiration of

the thirty-month period beginning on the date of the receipt of the notice provided under

paragraph (2)(B)(i) or such shorter or longer period as the court may order because either

party to the action failed to reasonably cooperate in expediting the action, except that—

(I) if before the expiration of such period the district court decides that the patent is invalid or

not infringed (including any substantive determination that there is no cause of action for

patent infringement or invalidity), the approval shall be made effective on--

(aa) the date on which the court enters judgment reflecting the decision; or

(bb) the date of a settlement order or consent decree signed and entered by the court stating

that the patent that is the subject of the certification is invalid or not infringed;

(II) if before the expiration of such period the district court decides that the patent has been

infringed--

(aa) if the judgment of the district court is appealed, the approval shall be made effective on--

(AA) the date on which the court of appeals decides that the patent is invalid or not infringed

(including any substantive determination that there is no cause of action for patent

infringement or invalidity); or

(BB) the date of a settlement order or consent decree signed and entered by the court of

appeals stating that the patent that is the subject of the certification is invalid or not infringed;

or

(bb) if the judgment of the district court is not appealed or is affirmed, the approval shall be

made effective on the date specified by the district court in a court order under section

271(e)(4)(A) of title 35, United States Code;

(III) if before the expiration of such period the court grants a preliminary injunction prohibiting

the applicant from engaging in the commercial manufacture or sale of the drug until the court

decides the issues of patent validity and infringement and if the court decides that such patent

is invalid or not infringed, the approval shall be made effective as provided in subclause (I); or

(IV) if before the expiration of such period the court grants a preliminary injunction prohibiting

the applicant from engaging in the commercial manufacture or sale of the drug until the court

decides the issues of patent validity and infringement and if the court decides that such patent

has been infringed, the approval shall be made effective as provided in subclause (II).

In such an action, each of the parties shall reasonably cooperate in expediting the action.

(iv) 180-day exclusivity period.--

(I) Effectiveness of application.--Subject to subparagraph (D), if the application contains a

certification described in paragraph (2)(A)(vii)(IV) and is for a drug for which a first applicant

has submitted an application containing such a certification, the application shall be made

effective on the date that is 180 days after the date of the first commercial marketing of the

drug (including the commercial marketing of the listed drug) by any first applicant.

(II) Definitions.--In this paragraph:

(aa) 180-day exclusivity period.--The term `180-day exclusivity period' means the 180-day

period ending on the day before the date on which an application submitted by an applicant

other than a first applicant could become effective under this clause.

(bb) First applicant.--As used in this subsection, the term `first applicant' means an applicant

that, on the first day on which a substantially complete application containing a certification

described in paragraph (2)(A)(vii)(IV) is submitted for approval of a drug, submits a

substantially complete application that contains and lawfully maintains a certification described

in paragraph (2)(A)(vii)(IV) for the drug.

(cc) Substantially complete application.--As used in this subsection, the term `substantially

complete application' means an application under this subsection that on its face is sufficiently

complete to permit a substantive review and contains all the information required by paragraph

(2)(A).

(dd) Tentative approval.--

(AA) In general.--The term `tentative approval' means notification to an applicant by the

Secretary that an application under this subsection meets the requirements of paragraph

(2)(A), but cannot receive effective approval because the application does not meet the

requirements of this subparagraph, there is a period of exclusivity for the listed drug under

subparagraph (F) or section 505A, or there is a 7-year period of exclusivity for the listed drug

under section 527.

(BB) Limitation.--A drug that is granted tentative approval by the Secretary is not an approved

drug and shall not have an effective approval until the Secretary issues an approval after any

necessary additional review of the application.

(C) Civil action to obtain patent certainty.--

(i) Declaratory judgment absent infringement action.--

(I) In general.--No action may be brought under section 2201 of title 28, United States Code,

by an applicant under paragraph (2) for a declaratory judgment with respect to a patent which

is the subject of the certification referred to in subparagraph (B)(iii) unless--

(aa) the 45-day period referred to in such subparagraph has expired;

(bb) neither the owner of such patent nor the holder of the approved application under

subsection (b) for the drug that is claimed by the patent or a use of which is claimed by the

patent brought a civil action against the applicant for infringement of the patent before the

expiration of such period; and

(cc) in any case in which the notice provided under paragraph (2)(B) relates to

noninfringement, the notice was accompanied by a document described in subclause (III).

(II) Filing of civil action.--If the conditions described in items (aa), (bb), and as applicable, (cc)

of subclause (I) have been met, the applicant referred to in such subclause may, in

accordance with section 2201 of title 28, United States Code, bring a civil action under such

section against the owner or holder referred to in such subclause (but not against any owner or

holder that has brought such a civil action against the applicant, unless that civil action was

dismissed without prejudice) for a declaratory judgment that the patent is invalid or will not be

infringed by the drug for which the applicant seeks approval, except that such civil action may

be brought for a declaratory judgment that the patent will not be infringed only in a case in

which the condition described in subclause (I)(cc) is applicable. A civil action referred to in this

subclause shall be brought in the judicial district where the defendant has its principal place of

business or a regular and established place of business.

(III) Offer of confidential access to application.--For purposes of subclause (I)(cc), the

document described in this subclause is a document providing an offer of confidential access

to the application that is in the custody of the applicant under paragraph (2) for the purpose of

determining whether an action referred to in subparagraph (B)(iii) should be brought. The

document providing the offer of confidential access shall contain such restrictions as to

persons entitled to access, and on the use and disposition of any information accessed, as

would apply had a protective order been entered for the purpose of protecting trade secrets

and other confidential business information. A request for access to an application under an

offer of confidential access shall be considered acceptance of the offer of confidential access

with the restrictions as to persons entitled to access, and on the use and disposition of any

information accessed, contained in the offer of confidential access, and those restrictions and

other terms of the offer of confidential access shall be considered terms of an enforceable

contract. Any person provided an offer of confidential access shall review the application for

the sole and limited purpose of evaluating possible infringement of the patent that is the

subject of the certification under paragraph (2)(A)(vii)(IV) and for no other purpose, and may

not disclose information of no relevance to any issue of patent infringement to any person

other than a person provided an offer of confidential access. Further, the application may be

redacted by the applicant to remove any information of no relevance to any issue of patent

infringement.

(ii) Counterclaim to infringement action.--

(I) In general.--If an owner of the patent or the holder of the approved application under

subsection (b) for the drug that is claimed by the patent or a use of which is claimed by the

patent brings a patent infringement action against the applicant, the applicant may assert a

counterclaim seeking an order requiring the holder to correct or delete the patent information

submitted by the holder under subsection (b) or (c) on the ground that the patent does not

claim either--

(aa) the drug for which the application was approved; or

(bb) an approved method of using the drug.

(II) No independent cause of action.--Subclause (I) does not authorize the assertion of a claim

described in subclause (I) in any civil action or proceeding other than a counterclaim described

in subclause (I).

(iii) No damages.--An applicant shall not be entitled to damages in a civil action under clause (i)

or a counterclaim under clause (ii).

(D) Forfeiture of 180-day exclusivity period.--

(i) Definition of forfeiture event.--In this subparagraph, the term `forfeiture event', with respect

to an application under this subsection, means the occurrence of any of the following:

(I) Failure to market.--The first applicant fails to market the drug by the later of--

(aa) the earlier of the date that is--

(AA) 75 days after the date on which the approval of the application of the first applicant is

made effective under subparagraph (B)(iii); or

(BB) 30 months after the date of submission of the application of the first applicant; or

(bb) with respect to the first applicant or any other applicant (which other applicant has

received tentative approval), the date that is 75 days after the date as of which, as to each of

the patents with respect to which the first applicant submitted and lawfully maintained a

certification qualifying the first applicant for the 180-day exclusivity period under subparagraph

(B)(iv), at least 1 of the following has occurred:

(AA) In an infringement action brought against that applicant with respect to the patent or in a

declaratory judgment action brought by that applicant with respect to the patent, a court enters

a final decision from which no appeal (other than a petition to the Supreme Court for a writ of

certiorari) has been or can be taken that the patent is invalid or not infringed.

(BB) In an infringement action or a declaratory judgment action described in subitem (AA), a

court signs a settlement order or consent decree that enters a final judgment that includes a

finding that the patent is invalid or not infringed.

(CC) The patent information submitted under subsection (b) or (c) is withdrawn by the holder

of the application approved under subsection (b).

(II) Withdrawal of application.--The first applicant withdraws the application or the Secretary

considers the application to have been withdrawn as a result of a determination by the

Secretary that the application does not meet the requirements for approval under paragraph

(4).

(III) Amendment of certification.--The first applicant amends or withdraws the certification for

all of the patents with respect to which that applicant submitted a certification qualifying the

applicant for the 180-day exclusivity period.

(IV) Failure to obtain tentative approval.--The first applicant fails to obtain tentative approval of

the application within 30 months after the date on which the application is filed, unless the

failure is caused by a change in or a review of the requirements for approval of the application

imposed after the date on which the application is filed.

(V) Agreement with another applicant, the listed drug application holder, or a patent

owner.--The first applicant enters into an agreement with another applicant under this

subsection for the drug, the holder of the application for the listed drug, or an owner of the

patent that is the subject of the certification under paragraph (2)(A)(vii)(IV), the Federal Trade

Commission or the Attorney General files a complaint, and there is a final decision of the

Federal Trade Commission or the court with regard to the complaint from which no appeal

(other than a petition to the Supreme Court for a writ of certiorari) has been or can be taken

that the agreement has violated the antitrust laws (as defined in section 1 of the Clayton Act

(15 U.S.C. 12), except that the term includes section 5 of the Federal Trade Commission Act

(15 U.S.C. 45) to the extent that that section applies to unfair methods of competition).

(VI) Expiration of all patents.--All of the patents as to which the applicant submitted a

certification qualifying it for the 180-day exclusivity period have expired.

(ii) Forfeiture.--The 180-day exclusivity period described in subparagraph (B)(iv) shall be

forfeited by a first applicant if a forfeiture event occurs with respect to that first applicant.

(iii) Subsequent applicant.--If all first applicants forfeit the 180-day exclusivity period under

clause (ii)--

(I) approval of any application containing a certification described in paragraph (2)(A)(vii)(IV)

shall be made effective in accordance with subparagraph (B)(iii); and

(II) no applicant shall be eligible for a 180-day exclusivity period.

( E) If the Secretary decides to disapprove an application, the Secretary shall give the

applicant notice of an opportunity for a hearing before the Secretary on the question of

whether such application is approvable. If the applicant elects to accept the opportunity for

hearing by written request within thirty days after such notice, such hearing shall commence

not more than ninety days after the expiration of such thirty days unless the Secretary and the

applicant otherwise agree. Any such hearing shall thereafter be conducted on an expedited

basis and the Secretary’s order thereon shall be issued within ninety days after the date fixed

by the Secretary for filing final briefs.

( F)(i) If an application (other than an abbreviated new drug application) submitted under

subsection (b) for a drug, no active ingredient (including any ester or salt of the active

ingredient) of which has been approved in any other application under subsection (b), was

approved during the period beginning January 1, 1982, and ending on the date of the

enactment of this subsection 20 , the Secretary may not make the approval of an application

submitted under this subsection which refers to the drug for which the subsection (b)

application was submitted effective before the expiration of ten years from the date of the

approval of the application under subsection (b).

(ii) If an application submitted under subsection (b) for a drug, no active ingredient (including

any ester or salt of the active ingredient) of which has been approved in any other application

under subsection (b), is approved after the date of the enactment of this subsection, no

application may be submitted under this subsection which refers to the drug for which the

subsection (b) application was submitted before the expiration of five years from the date of

the approval of the application under subsection (b), except that such an application may be

submitted under this subsection after the expiration of four years from the date of the approval

of the subsection (b) application if it contains a certification of patent invalidity or

noninfringement described in subclause (IV) of paragraph (2)(A)(vii). The approval of such an

application shall be made effective in accordance with subparagraph (B) except that, if an

action for patent infringement is commenced during the one-year period beginning forty-eight

months after the date of the approval of the subsection (b) application, the thirty-month period

referred to in subparagraph (B)(iii) shall be extended by such amount of time (if any) which is

required for seven and one-half years to have elapsed from the date of approval of the

subsection (b) application.

(iii) If an application submitted under subsection (b) for a drug, which includes an active

ingredient (including any ester or salt of the active ingredient) that has been approved in

another application approved under subsection (b), is approved after the date of enactment of

this subsection 20 and if such application contains reports of new clinical investigations (other

than bioavailability studies) essential to the approval of the application and conducted or

sponsored by the applicant, the Secretary may not make the approval of an application

submitted under this subsection for the conditions of approval of such drug in the subsection (b)

application effective before the expiration of three years from the date of the approval of the

application under subsection (b) for such drug.

(iv) If a supplement to an application approved under subsection (b) is approved after the date

of enactment of this subsection 20 and the supplement contains reports of new clinical

investigations (other than bioavailability studies) essential to the approval of the supplement

and conducted or sponsored by the person submitting the supplement, the Secretary may not

make the approval of an application submitted under this subsection for a change approved in

the supplement effective before the expiration of three years from the date of the approval of

the supplement under subsection (b).

(v) If an application (or supplement to an application) submitted under subsection (b) for a drug,

which includes an active ingredient (including any ester or salt of the active ingredient) that has

been approved in another application under subsection (b), was approved during the period

beginning January 1, 1982, and ending on the date of the enactment of this subsection 21 , the

Secretary may not make the approval of an application submitted under this subsection which

refers to the drug for which the subsection (b) application was submitted or which refers to a

change approved in a supplement to the subsection (b) application effective before the

expiration of two years from the date of enactment of this subsection 21.

(6) If a drug approved under this subsection refers in its approved application to a drug the

approval of which was withdrawn or suspended for grounds described in the first sentence of

subsection (e) or was withdrawn or suspended under this paragraph or which, as determined

by the Secretary, has been withdrawn from sale for safety or effectiveness reasons, the

approval of the drug under this subsection shall be withdrawn or suspended—

(A) for the same period as the withdrawal or suspension under subsection (e) or this

paragraph, or

(B) if the listed drug has been withdrawn from sale, for the period of withdrawal from sale or, if

earlier, the period ending on the date the Secretary determines that the withdrawal from sale is

not for safety or effectiveness reasons.

(7)(A)(i) Within sixty days of the date of the enactment of this subsection 22 , the Secretary

shall publish and make available to the public—

(I) a list in alphabetical order of the official and proprietary name of each drug which has been

approved for safety and effectiveness under subsection (c) before the date of the enactment of

this subsection 21;

(II) the date of approval if the drug is approved after 1981 and the number of the application

which was approved; and

(III) whether in vitro or in vivo bioequivalence studies, or both such studies, are required for

applications filed under this subsection which will refer to the drug published.

(ii) Every thirty days after the publication of the first list under clause (i) the Secretary shall

revise the list to include each drug which has been approved for safety and effectiveness

under subsection (c) or approved under this subsection during the thirty day period.

(iii) When patent information submitted under subsection (b) or (c) respecting a drug included

on the list is to be published by the Secretary, the Secretary shall, in revisions made under

clause (ii), include such information for such drug.

(B) A drug approved for safety and effectiveness under subsection (c) or approved under this

subsection shall, for purposes of this subsection, be considered to have been published under

subparagraph (A) on the date of its approval or the date of enactment 23 , whichever is later.

(C) If the approval of a drug was withdrawn or suspended for grounds described in the first

sentence of subsection (e) or was withdrawn or suspended under paragraph (6) or if the

Secretary determines that a drug has been withdrawn from sale for safety or effectiveness

reasons, it may not be published in the list under subparagraph (A) or, if the withdrawal or

suspension occurred after its publication in such list, it shall be immediately removed from

such list—

(i) for the same period as the withdrawal or suspension under subsection (e) or paragraph (6),

or

(ii) if the listed drug has been withdrawn from sale, for the period of withdrawal from sale or, if

earlier, the period ending on the date the Secretary determines that the withdrawal from sale is

not for safety or effectiveness reasons.

A notice of the removal shall be published in the Federal Register.

(8) 24 For purposes of this subsection:

(A)(i) The term `bioavailability' means the rate and extent to which the active ingredient or

therapeutic ingredient is absorbed from a drug and becomes available at the site of drug

action.

(ii) For a drug that is not intended to be absorbed into the bloodstream, the Secretary may

assess bioavailability by scientifically valid measurements intended to reflect the rate and

extent to which the active ingredient or therapeutic ingredient becomes available at the site of

drug action.

(B) A drug shall be considered to be bioequivalent to a listed drug if—

(i) the rate and extent of absorption of the drug do not show a significant difference from the

rate and extent of absorption of the listed drug when administered at the same molar dose of

the therapeutic ingredient under similar experimental conditions in either a single dose or

multiple doses; or

(ii) the extent of absorption of the drug does not show a significant difference from the extent of

absorption of the listed drug when administered at the same molar dose of the therapeutic

ingredient under similar experimental conditions in either a single dose or multiple doses and

the difference from the listed drug in the rate of absorption of the drug is intentional, is reflected

in its proposed labeling, is not essential to the attainment of effective body drug concentrations

on chronic use, and is considered medically insignificant for the drug.

(C) For a drug that is not intended to be absorbed into the bloodstream, the Secretary may

establish alternative, scientifically valid methods to show bioequivalence if the alternative

methods are expected to detect a significant difference between the drug and the listed drug in

safety and therapeutic effect.

(9) The Secretary shall, with respect to each application submitted under this subsection,

maintain a record of—

(A) the name of the applicant,

(B) the name of the drug covered by the application,

(C) the name of each person to whom the review of the chemistry of the application was

assigned and the date of such assignment, and

(D) the name of each person to whom the bioequivalence review for such application was

assigned and the date of such assignment.

The information the Secretary is required to maintain under this paragraph with respect to an

application submitted under this subsection shall be made available to the public after the

approval of such application.

(k)(1) In the case of any drug for which an approval of an application filed under subsection (b)

or (j) is in effect, the applicant shall establish and maintain such records, and make such

reports to the Secretary, of data relating to clinical experience and other data or information,

received or otherwise obtained by such applicant with respect to such drug, as the Secretary

may by general regulation, or by order with respect to such application, prescribe on the basis

of a finding that such records and reports are necessary in order to enable the Secretary to

determine, or facilitate a determination, whether there is or may be ground for invoking

subsection (e) of this section. Regulations and orders issued under this subsection and under

subsection (i) shall have due regard for the professional ethics of the medical profession and

the interests of patients and shall provide, where the Secretary deems it to be appropriate, for

the examination, upon request, by the persons to whom such regulations or orders are

applicable, of similar information received or otherwise obtained by the Secretary.

(2) Every person required under this section to maintain records, and every person in charge

or custody thereof, shall, upon request of an officer or employee designated by the Secretary,

permit such officer or employee at all reasonable times to have access to and copy and verify

such records.

(l) Safety and effectiveness data and information which has been submitted in an application

under subsection (b) for a drug and which has not previously been disclosed to the public shall

be made available to the public, upon request, unless extraordinary circumstances are

shown—

(1) if no work is being or will be undertaken to have the application approved,

(2) if the Secretary has determined that the application is not approvable and all legal appeals

have been exhausted,

(3) if approval of the application under subsection (c) is withdrawn and all legal appeals have

been exhausted,

(4) if the Secretary has determined that such drug is not a new drug, or

(5) upon the effective date of the approval of the first application under subsection (j) which

refers to such drug or upon the date upon which the approval of an application under

subsection (j) which refers to such drug could be made effective if such an application had

been submitted.

(m) For purposes of this section, the term ‘‘patent’’ means a patent issued by the United States

Patent and Trademark Office.

(n)(1) For the purpose of providing expert scientific advice and recommendations to the

Secretary regarding a clinical investigation of a drug or the approval for marketing of a drug

under section 505 or section 351 of the Public Health Service Act, the Secretary shall establish

panels of experts or use panels of experts established before the date of enactment of the

Food and Drug Administration Modernization Act of 1997, or both.

(2) The Secretary may delegate the appointment and oversight authority granted under section

904 to a director of a center or successor entity within the Food and Drug Administration.

(3) The Secretary shall make appointments to each panel established under paragraph (1) so

that each panel shall consist of—

(A) members who are qualified by training and experience to evaluate the safety and

effectiveness of the drugs to be referred to the panel and who, to the extent feasible, possess

skill and experience in the development, manufacture, or utilization of such drugs;

(B) members with diverse expertise in such fields as clinical and administrative medicine,

pharmacy, pharmacology, pharmacoeconomics, biological and physical sciences, and other

related professions;

(C) a representative of consumer interests, and a representative of interests of the drug

manufacturing industry not directly affected by the matter to be brought before the panel; and

(D) two or more members who are specialists or have other expertise in the particular disease

or condition for which the drug under review is proposed to be indicated.

Scientific, trade, and consumer organizations shall be afforded an opportunity to nominate

individuals for appointment to the panels. No individual who is in the regular full-time employ of

the United States and engaged in the administration of this Act may be a voting member of any

panel. The Secretary shall designate one of the members of each panel to serve as chairman

thereof.

(4) Each member of a panel shall publicly disclose all conflicts of interest that member may

have with the work to be undertaken by the panel. No member of a panel may vote on any

matter where the member or the immediate family of such member could gain financially from

the advice given to the Secretary. The Secretary may grant a waiver of any conflict of interest

requirement upon public disclosure of such conflict of interest if such waiver is necessary to

afford the panel essential expertise, except that the Secretary may not grant a waiver for a

member of a panel when the member’s own scientific work is involved.

(5) The Secretary shall, as appropriate, provide education and training to each new panel

member before such member participates in a panel’s activities, including education regarding

requirements under this Act and related regulations of the Secretary, and the administrative

processes and procedures related to panel meetings.

(6) Panel members (other than officers or employees of the United States), while attending

meetings or conferences of a panel or otherwise engaged in its business, shall be entitled to

receive compensation for each day so engaged, including traveltime, at rates to be fixed by the

Secretary, but not to exceed the daily equivalent of the rate in effect for positions classified

above grade GS–15 of the General Schedule. While serving away from their homes or regular

places of business, panel members may be allowed travel expenses (including per diem in lieu

of subsistence) as authorized by section 5703 of title 5, United States Code, for persons in the

Government service employed intermittently.

(7) The Secretary shall ensure that scientific advisory panels meet regularly and at appropriate

intervals so that any matter to be reviewed by such a panel can be presented to the panel not

more than 60 days after the matter is ready for such review. Meetings of the panel may be held

using electronic communication to convene the meetings.

(8) Within 90 days after a scientific advisory panel makes recommendations on any matter

under its review, the Food and Drug Administration official responsible for the matter shall

review the conclusions and recommendations of the panel, and notify the affected persons of

the final decision on the matter, or of the reasons that no such decision has been reached.

Each such final decision shall be documented including the rationale for the decision.

SEC. 505A. [ 21 U.S.C. 355a] PEDIATRIC STUDIES OF DRUGS. 25

( a) DEFINITIONS.—As used in this section, the term ‘‘pediatric studies’’ or ‘‘studies’’ means at

least one clinical investigation (that, at the Secretary’s discretion, may include pharmacokinetic

studies) in pediatric age groups (including neonates in appropriate cases) in which a drug is

anticipated to be used.

( b) MARKET EXCLUSIVITY FOR NEW DRUGS.—If, prior to approval of an application that is

submitted under section 505(b)(1), the Secretary determines that information relating to the

use of a new drug in the pediatric population may produce health benefits in that population,

the Secretary makes a written request for pediatric studies (which shall include a timeframe for

completing such studies), and such studies are completed within any such timeframe and the

reports thereof submitted in accordance with subsection (d)(2) or accepted in accordance with

subsection (d)(3)—

(1)(A)(i) the period referred to in subsection (c)(3)(D)(ii) of section 505, and in subsection

(j)(5)(F)(ii)of such section, is deemed to be five years and six months rather than five years,

and the references in subsections (c)(3)(D)(ii) and (j)(5)(F)(ii) of such section to four years, to

forty-eight months, and to seven and one-half years are deemed to be four and one-half years,

fifty-four months, and eight years, respectively; or

(ii) the period referred to in clauses (iii) and (iv) of subsection (c)(3)(D) of such section, and in

clauses (iii) and (iv) of subsection (j)(5)(F) of such section, is deemed to be three years and six

months rather than three years; and

(B) if the drug is designated under section 526 for a rare disease or condition, the period

referred to in section 527(a) is deemed to be seven years and six months rather than seven

years; and

(2)(A) if the drug is the subject of—

(i) a listed patent for which a certification has been submitted under subsection (b)(2)(A)(ii) or

(j)(2)(A)(vii)(II) of section 505 and for which pediatric studies were submitted prior to the

expiration of the patent (including any patent extensions); or

(ii) a listed patent for which a certification has been submitted under subsections (b)(2)(A)(iii)

or (j)(2)(A)(vii)(III) of section 505,

the period during which an application may not be approved under section 505(c)(3) or section

505(j)(5)(B) shall be extended by a period of six months after the date the patent expires

(including any patent extensions); or

(B) if the drug is the subject of a listed patent for which a certification has been submitted

under subsection (b)(2)(A)(iv) or (j)(2)(A)(vii)(IV) of section 505, and in the patent infringement

litigation resulting from the certification the court determines that the patent is valid and would

be infringed, the period during which an application may not be approved under section

505(c)(3) or section 505(j)(5)(B) shall be extended by a period of six months after the date the

patent expires (including any patent extensions).

(c) MARKET EXCLUSIVITY FOR ALREADY-MARKETED DRUGS.—If the Secretary

determines that information relating to the use of an approved drug in the pediatric population

may produce health benefits in that population and makes a written request to the holder of an

approved application under section 505(b)(1) for pediatric studies (which shall include a

timeframe for completing such studies) , the holder agrees to the request, the studies are

completed within any such timeframe, and the reports thereof are submitted in accordance

with subsection (d)(2) or accepted in accordance with subsection (d)(3)—

(1)(A)(i) the period referred to in subsection (c)(3)(D)(ii) of section 505, and in subsection

(j)(5)(F)(ii) of such section, is deemed to be five years and six months rather than five years,

and the references in subsections (c)(3)(D)(ii) and (j)(5)(F)(ii) of such section to four years, to

forty-eight months, and to seven and one-half years are deemed to be four and one-half years,

fifty-four months, and eight years, respectively; or

(ii) the period referred to in clauses (iii) and (iv) of subsection (c)(3)(D) of such section, and in

clauses (iii) and (iv) of subsection (j)(5)(F) of such section, is deemed to be three years and six

months rather than three years; and

(B) if the drug is designated under section 526 for a rare disease or condition, the period

referred to in section 527(a) is deemed to be seven years and six months rather than seven

years; and

(2)(A) if the drug is the subject of—

(i) a listed patent for which a certification has been submitted under subsection (b)(2)(A)(ii) or

(j)(2)(A)(vii)(II) of section 505 and for which pediatric studies were submitted prior to the

expiration of the patent (including any patent extensions); or

(ii) a listed patent for which a certification has been submitted under subsection (b)(2)(A)(iii) or

(j)(2)(A)(vii)(III) of section 505,

the period during which an application may not be approved under section 505(c)(3) or section

505(j)(5)(B)(ii) shall be extended by a period of six months after the date the patent expires

(including any patent extensions); or

(B) if the drug is the subject of a listed patent for which a certification has been submitted

under subsection (b)(2)(A)(iv) or (j)(2)(A)(vii)(IV) of section 505, and in the patent infringement

litigation resulting from the certification the court determines that the patent is valid and would

be infringed, the period during which an application may not be approved under section

505(c)(3) or section 505(j)(5)(B) shall be extended by a period of six months after the date the

patent expires (including any patent extensions).

(d) CONDUCT OF PEDIATRIC STUDIES.—

(1) AGREEMENT FOR STUDIES.—The Secretary may, pursuant to a written request from the

Secretary under subsection (b) or (c), after consultation with—

(A) the sponsor of an application for an investigational new drug under section 505(i);

(B) the sponsor of an application for a new drug under section 505(b)(1); or

(C) the holder of an approved application for a drug under section 505(b)(1),

agree with the sponsor or holder for the conduct of pediatric studies for such drug. Such

agreement shall be in writing and shall include a timeframe for such studies.

(2) WRITTEN PROTOCOLS TO MEET THE STUDIES REQUIREMENT.— If the sponsor or

holder and the Secretary agree upon written protocols for the studies, the studies requirement

of subsection (b) or (c) is satisfied upon the completion of the studies and submission of the

reports thereof in accordance with the original written request and the written agreement

referred to in paragraph (1). In reaching an agreement regarding written protocols, the

Secretary shall take into account adequate representation of children of ethnic and racial

minorities. Not later than 60 days after the submission of the report of the studies, the

Secretary shall determine if such studies were or were not conducted in accordance with the

original written request and the written agreement and reported in accordance with the

requirements of the Secretary for filing and so notify the sponsor or holder.

(3) OTHER METHODS TO MEET THE STUDIES REQUIREMENT.— If the sponsor or holder

and the Secretary have not agreed in writing on the protocols for the studies, the studies

requirement of subsection (b) or (c) is satisfied when such studies have been completed and

the reports accepted by the Secretary. Not later than 90 days after the submission of the

reports of the studies, the Secretary shall accept or reject such reports and so notify the

sponsor or holder. The Secretary’s only responsibility in accepting or rejecting the reports shall

be to determine, within the 90 days, whether the studies fairly respond to the written request,

have been conducted in accordance with commonly accepted scientific principles and

protocols, and have been reported in accordance with the requirements of the Secretary for

filing.

(4) WRITTEN REQUEST TO HOLDERS OF APPROVED APPLICATIONS FOR DRUGS

THAT HAVE MARKET EXCLUSIVITY-

(A) REQUEST AND RESPONSE- If the Secretary makes a written request for pediatric

studies (including neonates, as appropriate) under subsection (c) to the holder of an

application approved under section 505(b)(1), the holder, not later than 180 days after

receiving the written request, shall respond to the Secretary as to the intention of the holder to

act on the request by--

(i) indicating when the pediatric studies will be initiated, if the holder agrees to the request; or

(ii) indicating that the holder does not agree to the request.

(B) NO AGREEMENT TO REQUEST-

(i) REFERRAL- If the holder does not agree to a written request within the time period

specified in subparagraph (A), and if the Secretary determines that there is a continuing need

for information relating to the use of the drug in the pediatric population (including neonates, as

appropriate), the Secretary shall refer the drug to the Foundation for the National Institutes of

Health established under section 499 of the Public Health Service Act (42 U.S.C. 290b)

(referred to in this paragraph as the `Foundation') for the conduct of the pediatric studies

described in the written request.

(ii) PUBLIC NOTICE- The Secretary shall give public notice of the name of the drug, the name

of the manufacturer, and the indications to be studied made in a referral under clause (i).

(C) LACK OF FUNDS- On referral of a drug under subparagraph (B)(i), the Foundation shall

issue a proposal to award a grant to conduct the requested studies unless the Foundation

certifies to the Secretary, within a timeframe that the Secretary determines is appropriate

through guidance, that the Foundation does not have funds available under section

499(j)(9)(B)(i) 26 to conduct the requested studies. If the Foundation so certifies, the Secretary

shall refer the drug for inclusion on the list established under section 409I of the Public Health

Service Act for the conduct of the studies.

(D) EFFECT OF SUBSECTION- Nothing in this subsection (including with respect to referrals

from the Secretary to the Foundation) alters or amends section 301(j) of this Act or section 552

of title 5 or section 1905 of title 18, United States Code.

(E) NO REQUIREMENT TO REFER- Nothing in this subsection shall be construed to require

that every declined written request shall be referred to the Foundation.

(F) WRITTEN REQUESTS UNDER SUBSECTION (b)- For drugs under subsection (b) for

which written requests have not been accepted, if the Secretary determines that there is a

continuing need for information relating to the use of the drug in the pediatric population

(including neonates, as appropriate), the Secretary shall issue a written request under

subsection (c) after the date of approval of the drug.

(e) DELAY OF EFFECTIVE DATE FOR CERTAIN APPLICATION.—If the Secretary

determines that the acceptance or approval of an application under section 505(b)(2) or 505(j)

for a new drug may occur after submission of reports of pediatric studies under this section,

which were submitted prior to the expiration of the patent (including any patent extension) or

the applicable period under clauses (ii) through (iv) of section 505(c)(3)(D) or clauses (ii)

through (iv) of section 505(j)(5)(F), but before the Secretary has determined whether the

requirements of subsection (d) have been satisfied, the Secretary shall delay the acceptance

or approval under section 505(b)(2) or 505(j) until the determination under subsection (d) is

made, but any such delay shall not exceed 90 days. In the event that requirements of this

section are satisfied, the applicable six month period under subsection ( b) or (c) shall be

deemed to have been running during the period of delay.

(f) NOTICE OF DETERMINATIONS ON STUDIES REQUIREMENT.— The Secretary shall

publish a notice of any determination that the requirements of subsection (d) have been met

and that submissions and approvals under subsection (b)(2) or (j) of section 505 for a drug will

be subject to the provisions of this section.

( g) LIMITATIONS.—A drug to which the six-month period under subsection (b) or (c) has

already been applied—

(1) may receive an additional six-month period under subsection (c)(1)(A)(ii) for a

supplemental application if all other requirements under this section are satisfied, except that

such a drug may not receive any additional such period under subsection (c)(2); and

(2) may not receive any additional such period under subsection (c)(1)(B).

( h) RELATIONSHIP TO PEDIATRIC RESEARCH REQUIREMENTS.—Notwithstanding any

other provision of law, if any pediatric study is required by a provision of law (including a

regulation) other than this section and such study meets the completeness, timeliness, and

other requirements of this section, such study shall be deemed to satisfy the requirement for

market exclusivity pursuant to this section.

(i) LABELING SUPPLEMENTS-

(1) PRIORITY STATUS FOR PEDIATRIC SUPPLEMENTS- Any supplement to an application

under section 505 proposing a labeling change pursuant to a report on a pediatric study under

this section--

(A) shall be considered to be a priority supplement; and

(B) shall be subject to the performance goals established by the Commissioner for priority

drugs.

(2) DISPUTE RESOLUTION-

(A) REQUEST FOR LABELING CHANGE AND FAILURE TO AGREE- If the Commissioner

determines that an application with respect to which a pediatric study is conducted under this

section is approvable and that the only open issue for final action on the application is the

reaching of an agreement between the sponsor of the application and the Commissioner on

appropriate changes to the labeling for the drug that is the subject of the application, not later

than 180 days after the date of submission of the application--

(i) the Commissioner shall request that the sponsor of the application make any labeling

change that the Commissioner determines to be appropriate; and

(ii) if the sponsor of the application does not agree to make a labeling change requested by the

Commissioner, the Commissioner shall refer the matter to the Pediatric Advisory Committee.

(B) ACTION BY THE PEDIATRIC ADVISORY SUBCOMMITTEE OF THE ANTI-INFECTIVE

DRUGS ADVISORY COMMITTEE- Not later than 90 days after receiving a referral under

subparagraph (A)(ii), the Pediatric Advisory Committee shall--

(i) review the pediatric study reports; and

(ii) make a recommendation to the Commissioner concerning appropriate labeling changes, if

any.

(C) CONSIDERATION OF RECOMMENDATIONS- The Commissioner shall consider the

recommendations of the Pediatric Advisory Committee and, if appropriate, not later than 30

days after receiving the recommendation, make a request to the sponsor of the application to

make any labeling change that the Commissioner determines to be appropriate.

(D) MISBRANDING- If the sponsor of the application, within 30 days after receiving a request

under subparagraph (C), does not agree to make a labeling change requested by the

Commissioner, the Commissioner may deem the drug that is the subject of the application to

be misbranded.

(E) NO EFFECT ON AUTHORITY- Nothing in this subsection limits the authority of the United

States to bring an enforcement action under this Act when a drug lacks appropriate pediatric

labeling. Neither course of action (the Pediatric Advisory Committee process or an

enforcement action referred to in the preceding sentence) shall preclude, delay, or serve as

the basis to stay the other course of action.

(j) DISSEMINATION OF PEDIATRIC INFORMATION-

(1) IN GENERAL- Not later than 180 days after the date of submission of a report on a

pediatric study under this section, the Commissioner shall make available to the public a

summary of the medical and clinical pharmacology reviews of pediatric studies conducted for

the supplement, including by publication in the Federal Register.

(2) EFFECT OF SUBSECTION- Nothing in this subsection alters or amends section 301(j) of

this Act or section 552 of title 5 or section 1905 of title 18, United States Code.'.

(k) CLARIFICATION OF INTERACTION OF MARKET EXCLUSIVITY UNDER THIS

SECTION AND MARKET EXCLUSIVITY AWARDED TO AN APPLICANT FOR APPROVAL

OF A DRUG UNDER SECTION 505(j)- If a 180-day period under section 505(j)(5)(B)(iv)

overlaps with a 6-month exclusivity period under this section, so that the applicant for approval

of a drug under section 505(j) entitled to the 180-day period under that section loses a portion

of the 180-day period to which the applicant is entitled for the drug, the 180-day period shall be

extended from--

(1) the date on which the 180-day period would have expired by the number of days of the

overlap, if the 180-day period would, but for the application of this subsection, expire after the

6-month exclusivity period; or

(2) the date on which the 6-month exclusivity period expires, by the number of days of the

overlap if the 180-day period would, but for the application of this subsection, expire during the

six-month exclusivity period.

(l) PROMPT APPROVAL OF DRUGS UNDER SECTION 505(j) WHEN PEDIATRIC

INFORMATION IS ADDED TO LABELING-

(1) GENERAL RULE- A drug for which an application has been submitted or approved under

section 505(j) shall not be considered ineligible for approval under that section or misbranded

under section 502 on the basis that the labeling of the drug omits a pediatric indication or any

other aspect of labeling pertaining to pediatric use when the omitted indication or other aspect

is protected by patent or by exclusivity under clause (iii) or (iv) of section 505(j)(5)(F).

(2) LABELING- Notwithstanding clauses (iii) and (iv) of section 505(j)(5)(F), the Secretary may

require that the labeling of a drug approved under section 505(j) that omits a pediatric

indication or other aspect of labeling as described in paragraph (1) include--

(A) a statement that, because of marketing exclusivity for a manufacturer--

(i) the drug is not labeled for pediatric use; or

(ii) in the case of a drug for which there is an additional pediatric use not referred to in

paragraph (1), the drug is not labeled for the pediatric use under paragraph (1); and

(B) a statement of any appropriate pediatric contraindications, warnings, or precautions that

the Secretary considers necessary.

(3) PRESERVATION OF PEDIATRIC EXCLUSIVITY AND OTHER PROVISIONS- This

subsection does not affect--

(A) the availability or scope of exclusivity under this section;

(B) the availability or scope of exclusivity under section 505 for pediatric formulations;

(C) the question of the eligibility for approval of any application under section 505(j) that omits

any other conditions of approval entitled to exclusivity under clause (iii) or (iv) of section

505(j)(5)(F); or

(D) except as expressly provided in paragraphs (1) and (2), the operation of section 505.

(m) REPORT.—The Secretary shall conduct a study and report to Congress not later than

January 1, 2001, based on the experience under the program established under this section.

The study and report shall examine all relevant issues, including—

(1) the effectiveness of the program in improving information about important pediatric uses for

approved drugs;

(2) the adequacy of the incentive provided under this section;

(3) the economic impact of the program on taxpayers and consumers, including the impact of

the lack of lower cost generic drugs on patients, including on lower income patients; and

(4) any suggestions for modification that the Secretary determines to be appropriate.

(n) SUNSET- A drug may not receive any 6-month period under subsection (b) or (c) 27

unless--

(1) on or before October 1, 2007 , the Secretary makes a written request for pediatric studies

of the drug;

(2) on or before October 1, 2007 , an application for the drug is accepted for filing under

section 505(b); and

(3) all requirements of this section are met.

SEC. 505B. 28 [21 U.S.C. 355c] RESEARCH INTO PEDIATRIC USES FOR DRUGS AND

BIOLOGICAL PRODUCTS.

(a) NEW DRUGS AND BIOLOGICAL PRODUCTS-

(1) IN GENERAL- A person that submits an application (or supplement to an application)—

(A) under section 505 for a new active ingredient, new indication, new dosage form, new

dosing regimen, or new route of administration; or

(B) under section 351 of the Public Health Service Act (42 U.S.C. 262) for a new active

ingredient, new indication, new dosage form, new dosing regimen, or new route of

administration; shall submit with the application the assessments described in paragraph (2).

(2) ASSESSMENTS-

(A) IN GENERAL- The assessments referred to in paragraph (1) shall contain data, gathered

using appropriate formulations for each age group for which the assessment is required, that

are adequate—

(i) to assess the safety and effectiveness of the drug or the biological product for the claimed

indications in all relevant pediatric subpopulations; and

(ii) to support dosing and administration for each pediatric subpopulation for which the drug or

the biological product is safe and effective.

(B) SIMILAR COURSE OF DISEASE OR SIMILAR EFFECT OF DRUG OR BIOLOGICAL

PRODUCT-

(i) IN GENERAL- If the course of the disease and the effects of the drug are sufficiently similar

in adults and pediatric patients, the Secretary may conclude that pediatric effectiveness can be

extrapolated from adequate and well-controlled studies in adults, usually supplemented with

other information obtained in pediatric patients, such as pharmacokinetic studies.

(ii) EXTRAPOLATION BETWEEN AGE GROUPS- A study may not be needed in each

pediatric age group if data from 1 age group can be extrapolated to another age group.

(3) DEFERRAL- On the initiative of the Secretary or at the request of the applicant, the

Secretary may defer submission of some or all assessments required under paragraph (1)

until a specified date after approval of the drug or issuance of the license for a biological

product if--

(A) the Secretary finds that--

(i) the drug or biological product is ready for approval for use in adults before pediatric studies

are complete;

(ii) pediatric studies should be delayed until additional safety or effectiveness data have been

collected; or

(iii) there is another appropriate reason for deferral; and

(B) the applicant submits to the Secretary—

(i) certification of the grounds for deferring the assessments;

(ii) a description of the planned or ongoing studies; and

(iii) evidence that the studies are being conducted or will be conducted with due diligence and

at the earliest possible time.

(4) WAIVERS-

(A) FULL WAIVER- On the initiative of the Secretary or at the request of an applicant, the

Secretary shall grant a full waiver, as appropriate, of the requirement to submit assessments

for a drug or biological product under this subsection if the applicant certifies and the Secretary

finds that--

(i) necessary studies are impossible or highly impracticable (because, for example, the

number of patients is so small or the patients are geographically dispersed);

(ii) there is evidence strongly suggesting that the drug or biological product would be

ineffective or unsafe in all pediatric age groups; or

(iii) the drug or biological product—

(I) does not represent a meaningful therapeutic benefit over existing therapies for pediatric

patients; and

(II) is not likely to be used in a substantial number of pediatric patients.

(B) PARTIAL WAIVER- On the initiative of the Secretary or at the request of an applicant, the

Secretary shall grant a partial waiver, as appropriate, of the requirement to submit

assessments for a drug or biological product under this subsection with respect to a specific

pediatric age group if the applicant certifies and the Secretary finds that—

(i) necessary studies are impossible or highly impracticable (because, for example, the

number of patients in that age group is so small or patients in that age group are

geographically dispersed);

(ii) there is evidence strongly suggesting that the drug or biological product would be

ineffective or unsafe in that age group;

(iii) the drug or biological product—

(I) does not represent a meaningful therapeutic benefit over existing therapies for pediatric

patients in that age group; and

(II) is not likely to be used by a substantial number of pediatric patients in that age group; or

(iv) the applicant can demonstrate that reasonable attempts to produce a pediatric formulation

necessary for that age group have failed

(C) PEDIATRIC FORMULATION NOT POSSIBLE- If a waiver is granted on the ground that it

is not possible to develop a pediatric formulation, the waiver shall cover only the pediatric

groups requiring that formulation.

(D) LABELING REQUIREMENT- If the Secretary grants a full or partial waiver because there

is evidence that a drug or biological product would be ineffective or unsafe in pediatric

populations, the information shall be included in the labeling for the drug or biological product.

(b) MARKETED DRUGS AND BIOLOGICAL PRODUCTS-

(1) IN GENERAL- After providing notice in the form of a letter and an opportunity for written

response and a meeting, which may include an advisory committee meeting, the Secretary

may (by order in the form of a letter) require the holder of an approved application for a drug

under section 505 or the holder of a license for a biological product under section 351 of the

Public Health Service Act (42 U.S.C. 262) to submit by a specified date the assessments

described in subsection (a)(2) if the Secretary finds that—

(A)(i) the drug or biological product is used for a substantial number of pediatric patients for the

labeled indications; and

(ii) the absence of adequate labeling could pose significant risks to pediatric patients; or

(B)(i) there is reason to believe that the drug or biological product would represent a

meaningful therapeutic benefit over existing therapies for pediatric patients for 1 or more of the

claimed indications; and

(ii) the absence of adequate labeling could pose significant risks to pediatric patients.

(2) WAIVERS-

(A) FULL WAIVER- At the request of an applicant, the Secretary shall grant a full waiver, as

appropriate, of the requirement to submit assessments under this subsection if the applicant

certifies and the Secretary finds that--

(i) necessary studies are impossible or highly impracticable (because, for example, the

number of patients in that age group is so small or patients in that age group are

geographically dispersed); or

(ii) there is evidence strongly suggesting that the drug or biological product would be

ineffective or unsafe in all pediatric age groups.

(B) PARTIAL WAIVER- At the request of an applicant, the Secretary shall grant a partial

waiver, as appropriate, of the requirement to submit assessments under this subsection with

respect to a specific pediatric age group if the applicant certifies and the Secretary finds that--

(i) necessary studies are impossible or highly impracticable (because, for example, the

number of patients in that age group is so small or patients in that age group are

geographically dispersed);

(ii) there is evidence strongly suggesting that the drug or biological product would be

ineffective or unsafe in that age group;

(iii)(I) the drug or biological product--

(aa) does not represent a meaningful therapeutic benefit over existing therapies for pediatric

patients in that age group; and

(bb) is not likely to be used in a substantial number of pediatric patients in that age group; and

(II) the absence of adequate labeling could not pose significant risks to pediatric patients; or

(iv) the applicant can demonstrate that reasonable attempts to produce a pediatric formulation

necessary for that age group have failed.

(C) PEDIATRIC FORMULATION NOT POSSIBLE- If a waiver is granted on the ground that it

is not possible to develop a pediatric formulation, the waiver shall cover only the pediatric

groups requiring that formulation.

(D) LABELING REQUIREMENT- If the Secretary grants a full or partial waiver because there

is evidence that a drug or biological product would be ineffective or unsafe in pediatric

populations, the information shall be included in the labeling for the drug or biological product.

(3) RELATIONSHIP TO OTHER PEDIATRIC PROVISIONS-

(A) NO ASSESSMENT WITHOUT WRITTEN REQUEST- No assessment may be required

under paragraph (1) for a drug subject to an approved application under section 505 unless--

(i) the Secretary has issued a written request for a related pediatric study under section 505A(c)

of this Act or section 409I of the Public Health Service Act (42 U.S.C. 284m);

(ii)(I) if the request was made under section 505A(c)--

(aa) the recipient of the written request does not agree to the request; or

(bb) the Secretary does not receive a response as specified under section 505A(d)(4)(A); or

(II) if the request was made under section 409I of the Public Health Service Act (42 U.S.C.

284m)--

(aa) the recipient of the written request does not agree to the request; or

(bb) the Secretary does not receive a response as specified under section 409I(c)(2) of that

Act; and

(iii)(I) the Secretary certifies under subparagraph (B) that there are insufficient funds under

sections 409I and 499 of the Public Health Service Act (42 U.S.C. 284m, 290b) to conduct the

study; or

(II) the Secretary publishes in the Federal Register a certification that certifies that--

(aa) no contract or grant has been awarded under section 409I or 499 of the Public Health

Service Act (42 U.S.C. 284m, 290b); and

(bb) not less than 270 days have passed since the date of a certification under subparagraph

(B) that there are sufficient funds to conduct the study.

(B) NO AGREEMENT TO REQUEST- Not later than 60 days after determining that no holder

will agree to the written request (including a determination that the Secretary has not received

a response specified under section 505A(d) of this Act or section 409I of the Public Health

Service Act (42 U.S.C. 284m), the Secretary shall certify whether the Secretary has sufficient

funds to conduct the study under section 409I or 499 of the Public Health Service Act (42

U.S.C. 284m, 290b), taking into account the prioritization under section 409I.

(c) MEANINGFUL THERAPEUTIC BENEFIT- For the purposes of paragraph (4)(A)(iii)(I) and

(4)(B)(iii)(I) of subsection (a) and paragraphs (1)(B)(i) and (2)(B)(iii)(I)(aa) of subsection (b), a

drug or biological product shall be considered to represent a meaningful therapeutic benefit

over existing therapies if the Secretary estimates that--

(1) if approved, the drug or biological product would represent a significant improvement in the

treatment, diagnosis, or prevention of a disease, compared with marketed products

adequately labeled for that use in the relevant pediatric population; or

(2) the drug or biological product is in a class of products or for an indication for which there is

a need for additional options.

(d) SUBMISSION OF ASSESSMENTS- If a person fails to submit an assessment described in

subsection (a)(2), or a request for approval of a pediatric formulation described in subsection

(a) or (b), in accordance with applicable provisions of subsections (a) and (b)--

(1) the drug or biological product that is the subject of the assessment or request may be

considered misbranded solely because of that failure and subject to relevant enforcement

action (except that the drug or biological product shall not be subject to action under section

303); but

(2) the failure to submit the assessment or request shall not be the basis for a proceeding--

(A) to withdraw approval for a drug under section 505(e); or

(B) to revoke the license for a biological product under section 351 of the Public Health Service

Act (42 U.S.C. 262).

(e) MEETINGS- Before and during the investigational process for a new drug or biological

product, the Secretary shall meet at appropriate times with the sponsor of the new drug or

biological product to discuss--

(1) information that the sponsor submits on plans and timelines for pediatric studies; or

(2) any planned request by the sponsor for waiver or deferral of pediatric studies.

(f) SCOPE OF AUTHORITY- Nothing in this section provides to the Secretary any authority to

require a pediatric assessment of any drug or biological product, or any assessment regarding

other populations or uses of a drug or biological product, other than the pediatric assessments

described in this section.

(g) ORPHAN DRUGS- Unless the Secretary requires otherwise by regulation, this section

does not apply to any drug for an indication for which orphan designation has been granted

under section 526.

(h) INTEGRATION WITH OTHER PEDIATRIC STUDIES- The authority under this section

shall remain in effect so long as an application subject to this section may be accepted for filing

by the Secretary on or before the date specified in section 505A(n).

SEC. 506. [21 U.S.C. 356] FAST TRACK PRODUCTS.

(a) DESIGNATION OF DRUG AS A FAST TRACK PRODUCT.—

(1) IN GENERAL.—The Secretary shall, at the request of the sponsor of a new drug, facilitate

the development and expedite the review of such drug if it is intended for the treatment of a

serious or life-threatening condition and it demonstrates the potential to address unmet

medical needs for such a condition. (In this section, such a drug is referred to as a ‘‘fast track

product’’.)

(2) REQUEST FOR DESIGNATION.—The sponsor of a new drug may request the Secretary

to designate the drug as a fast track product. A request for the designation may be made

concurrently with, or at any time after, submission of an application for the investigation of the

drug under section 505(i) or section 351(a)(3) of the Public Health Service Act.

(3) DESIGNATION.—Within 60 calendar days after the receipt of a request under paragraph

(2), the Secretary shall determine whether the drug that is the subject of the request meets the

criteria described in paragraph (1). If the Secretary finds that the drug meets the criteria, the

Secretary shall designate the drug as a fast track product and shall take such actions as are

appropriate to expedite the development and review of the application for approval of such

product.

(b) APPROVAL OF APPLICATION FOR A FAST TRACK PRODUCT.—

(1) IN GENERAL.—The Secretary may approve an application for approval of a fast track

product under section 505(c) or section 351 of the Public Health Service Act upon a

determination that the product has an effect on a clinical endpoint or on a surrogate endpoint

that is reasonably likely to predict clinical benefit.

(2) LIMITATION.—Approval of a fast track product under this subsection may be subject to the

requirements—

(A) that the sponsor conduct appropriate post-approval studies to validate the surrogate

endpoint or otherwise confirm the effect on the clinical endpoint; and

(B) that the sponsor submit copies of all promotional materials related to the fast track product

during the preapproval review period and, following approval and for such period thereafter as

the Secretary determines to be appropriate, at least 30 days prior to dissemination of the

materials.

(3) EXPEDITED WITHDRAWAL OF APPROVAL.—The Secretary may withdraw approval of a

fast track product using expedited procedures (as prescribed by the Secretary in regulations

which shall include an opportunity for an informal hearing) if—

(A) the sponsor fails to conduct any required post-approval study of the fast track drug with

due diligence;

(B) a post-approval study of the fast track product fails to verify clinical benefit of the product;

(C) other evidence demonstrates that the fast track product is not safe or effective under the

conditions of use; or

(D) the sponsor disseminates false or misleading promotional materials with respect to the

product.

(c) REVIEW OF INCOMPLETE APPLICATIONS FOR APPROVAL OF A FAST TRACK

PRODUCT.—

(1) IN GENERAL.—If the Secretary determines, after preliminary evaluation of clinical data

submitted by the sponsor, that a fast track product may be effective, the Secretary shall

evaluate for filing, and may commence review of portions of, an application for the approval of

the product before the sponsor submits a complete application. The Secretary shall

commence such review only if the applicant—

(A) provides a schedule for submission of information necessary to make the application

complete; and

(B) pays any fee that may be required under section 736.

(2) EXCEPTION.—Any time period for review of human drug applications that has been

agreed to by the Secretary and that has been set forth in goals identified in letters of the

Secretary (relating to the use of fees collected under section 736 to expedite the drug

development process and the review of human drug applications) shall not apply to an

application submitted under paragraph (1) until the date on which the application is complete.

(d) AWARENESS EFFORTS.—The Secretary shall—

(1) develop and disseminate to physicians, patient organizations, pharmaceutical and

biotechnology companies, and other appropriate persons a description of the provisions of this

section applicable to fast track products; and

(2) establish a program to encourage the development of surrogate endpoints that are

reasonably likely to predict clinical benefit for serious or life-threatening conditions for which

there exist significant unmet medical needs.

SEC. 506A. [ 21 U.S.C. 356a] MANUFACTURING CHANGES.

(a) IN GENERAL.—With respect to a drug for which there is in effect an approved application

under section 505 or 512 or a license under section 351 of the Public Health Service Act, a

change from the manufacturing process approved pursuant to such application or license may

be made, and the drug as made with the change may be distributed, if—

(1) the holder of the approved application or license (referred to in this section as a ‘‘holder’’)

has validated the effects of the change in accordance with subsection (b); and

(2)(A) in the case of a major manufacturing change, the holder has complied with the

requirements of subsection (c); or

(B) in the case of a change that is not a major manufacturing change, the holder complies with

the applicable requirements of subsection (d).

(b) VALIDATION OF EFFECTS OF CHANGES.—For purposes of subsection (a)(1), a drug

made with a manufacturing change (whether a major manufacturing change or otherwise) may

be distributed only if, before distribution of the drug as so made, the holder involved validates

the effects of the change on the identity, strength, quality, purity, and potency of the drug as

the identity, strength, quality, purity, and potency may relate to the safety or effectiveness of

the drug.

(c) MAJOR MANUFACTURING CHANGES.—

(1) REQUIREMENT OF SUPPLEMENTAL APPLICATION.—For purposes of subsection

(a)(2)(A), a drug made with a major manufacturing change may be distributed only if, before

the distribution of the drug as so made, the holder involved submits to the Secretary a

supplemental application for such change and the Secretary approves the application. The

application shall contain such information as the Secretary determines to be appropriate, and

shall include the information developed under subsection (b) by the holder in validating the

effects of the change.

(2) CHANGES QUALIFYING AS MAJOR CHANGES.—For purposes of subsection (a)(2)(A),

a major manufacturing change is a manufacturing change that is determined by the Secretary

to have substantial potential to adversely affect the identity, strength, quality, purity, or potency

of the drug as they may relate to the safety or effectiveness of a drug. Such a change includes

a change that—

(A) is made in the qualitative or quantitative formulation of the drug involved or in the

specifications in the approved application or license referred to in subsection (a) for the drug

(unless exempted by the Secretary by regulation or guidance from the requirements of this

subsection);

(B) is determined by the Secretary by regulation or guidance to require completion of an

appropriate clinical study demonstrating equivalence of the drug to the drug as manufactured

without the change; or

(C) is another type of change determined by the Secretary by regulation or guidance to have a

substantial potential to adversely affect the safety or effectiveness of the drug.

(d) OTHER MANUFACTURING CHANGES.—

(1) IN GENERAL.—For purposes of subsection (a)(2)(B), the Secretary may regulate drugs

made with manufacturing changes that are not major manufacturing changes as follows:

(A) The Secretary may in accordance with paragraph (2) authorize holders to distribute such

drugs without submitting a supplemental application for such changes.

(B) The Secretary may in accordance with paragraph (3) require that, prior to the distribution of

such drugs, holders submit to the Secretary supplemental applications for such changes.

(C) The Secretary may establish categories of such changes and designate categories to

which subparagraph (A) applies and categories to which subparagraph (B) applies.

(2) CHANGES NOT REQUIRING SUPPLEMENTAL APPLICATION.—

(A) SUBMISSION OF REPORT.—A holder making a manufacturing change to which

paragraph (1)(A) applies shall submit to the Secretary a report on the change, which shall

contain such information as the Secretary determines to be appropriate, and which shall

include the information developed under subsection (b) by the holder in validating the effects

of the change. The report shall be submitted by such date as the Secretary may specify.

(B) AUTHORITY REGARDING ANNUAL REPORTS.—In the case of a holder that during a

single year makes more than one manufacturing change to which paragraph (1)(A) applies,

the Secretary may in carrying out subparagraph (A) authorize the holder to comply with such

subparagraph by submitting a single report for the year that provides the information required

in such subparagraph for all the changes made by the holder during the year.

(3) CHANGES REQUIRING SUPPLEMENTAL APPLICATION.—

(A) SUBMISSION OF SUPPLEMENTAL APPLICATION.—The supplemental application

required under paragraph (1)(B) for a manufacturing change shall contain such information as

the Secretary determines to be appropriate, which shall include the information developed

under subsection (b) by the holder in validating the effects of the change.

(B) AUTHORITY FOR DISTRIBUTION.—In the case of a manufacturing change to which

paragraph (1)(B) applies:

(i) The holder involved may commence distribution of the drug involved 30 days after the

Secretary receives the supplemental application under such paragraph, unless the Secretary

notifies the holder within such 30-day period that prior approval of the application is required

before distribution may be commenced.

(ii) The Secretary may designate a category of such changes for the purpose of providing that,

in the case of a change that is in such category, the holder involved may commence

distribution of the drug involved upon the receipt by the Secretary of a supplemental

application for the change.

(iii) If the Secretary disapproves the supplemental application, the Secretary may order the

manufacturer to cease the distribution of the drugs that have been made with the

manufacturing change.

SEC. 506B. [ 21 U.S.C. 356b] REPORTS OF POSTMARKETING STUDIES.

(a) SUBMISSION.—

(1) IN GENERAL.—A sponsor of a drug that has entered into an agreement with the Secretary

to conduct a postmarketing study of a drug shall submit to the Secretary, within 1 year after the

approval of such drug and annually thereafter until the study is completed or terminated, a

report of the progress of the study or the reasons for the failure of the sponsor to conduct the

study. The report shall be submitted in such form as is prescribed by the Secretary in

regulations issued by the Secretary.

(2) AGREEMENTS PRIOR TO EFFECTIVE DATE.—Any agreement entered into between the

Secretary and a sponsor of a drug, prior to the date of enactment of the Food and Drug

Administration Modernization Act of 1997, to conduct a postmarketing study of a drug shall be

subject to the requirements of paragraph (1). An initial report for such an agreement shall be

submitted within 6 months after the date of the issuance of the regulations under paragraph

(1).

(b) CONSIDERATION OF INFORMATION AS PUBLIC INFORMATION.— Any information

pertaining to a report described in subsection (a) shall be considered to be public information

to the extent that the information is necessary—

(1) to identify the sponsor; and

(2) to establish the status of a study described in subsection (a) and the reasons, if any, for any

failure to carry out the study.

(c) STATUS OF STUDIES AND REPORTS.—The Secretary shall annually develop and

publish in the Federal Register a report that provides information on the status of the

postmarketing studies—

(1) that sponsors have entered into agreements to conduct; and

(2) for which reports have been submitted under subsection (a)(1).

(d) DISCLOSURE.—If a sponsor fails to complete an agreed upon study required by this

section by its original or otherwise negotiated deadline, the Secretary shall publish a statement

on the Internet site of the Food and Drug Administration stating that the study was not

completed and, if the reasons for such failure to complete the study were not satisfactory to the

Secretary, a statement that such reasons were not satisfactory to the Secretary.

(e) NOTIFICATION.—With respect to studies of the type required under section 506(b)(2)(A)

or under section 314.510 or 601.41 of title 21, Code of Federal Regulations, as each of such

sections was in effect on the day before the effective date 29 of this subsection, the Secretary

may require that a sponsor who, for reasons not satisfactory to the Secretary, fails to complete

by its deadline a study under any of such sections of such type for a drug or biological product

(including such a study conducted after such effective date) notify practitioners who prescribe

such drug or biological product of the failure to complete such study and the questions of

clinical benefit, and, where appropriate, questions of safety, that remain unanswered as a

result of the failure to complete such study. Nothing in this subsection shall be construed as

altering the requirements of the types of studies required under section 506(b)(2)(A) or under

section 314.510 or 601.41 of title 21, Code of Federal Regulations, as so in effect, or as

prohibiting the Secretary from modifying such sections of title 21 of such Code to provide for

studies in addition to those of such type..

SEC. 506C. [ 21 U.S.C. 356c] DISCONTINUANCE OF A LIFE SAVING PRODUCT.

(a) IN GENERAL.—A manufacturer that is the sole manufacturer of a drug—

(1) that is—

(A) life-supporting;

(B) life-sustaining; or

(C) intended for use in the prevention of a debilitating disease or condition;

(2) for which an application has been approved under section 505(b) or 505(j); and

(3) that is not a product that was originally derived from human tissue and was replaced by a

recombinant product, shall notify the Secretary of a discontinuance of the manufacture of the

drug at least 6 months prior to the date of the discontinuance.

(b) REDUCTION IN NOTIFICATION PERIOD.—The notification period required under

subsection (a) for a manufacturer may be reduced if the manufacturer certifies to the Secretary

that good cause exists for the reduction, such as a situation in which—

(1) a public health problem may result from continuation of the manufacturing for the 6-month

period;

(2) a biomaterials shortage prevents the continuation of the manufacturing for the 6-month

period;

(3) a liability problem may exist for the manufacturer if the manufacturing is continued for the

6-month period;

(4) continuation of the manufacturing for the 6-month period may cause substantial economic

hardship for the manufacturer;

(5) the manufacturer has filed for bankruptcy under chapter 7 or 11 of title 11, United States

Code; or

(6) the manufacturer can continue the distribution of the drug involved for 6 months.

(c) DISTRIBUTION.—To the maximum extent practicable, the Secretary shall distribute

information on the discontinuation of the drugs described in subsection (a) to appropriate

physician and patient organizations.

[Section 507 repealed by Pub. L. 105–115, November 21, 1997.]

AUTHORITY TO DESIGNATE OFFICIAL NAMES

SEC. 508. 30 [21 U.S.C. 358] (a) The Secretary may designate an official name for any drug or

device if he determines that such action is necessary or desirable in the interest of usefulness

and simplicity. Any official name designated under this section for any drug or device shall be

the only official name of that drug or device used in any official compendium published after

such name has been prescribed or for any other purpose of this Act. In no event, however,

shall the Secretary establish an official name so as to infringe a valid trademark.

(b) Within a reasonable time after the effective date of this section, and at such other times as

he may deem necessary, the Secretary shall cause a review to be made of the official names

by which drugs are identified in the official United States Pharmacopeia, the official

Homeopathic Pharmacopeia of the United States, and the official National Formulary, and all

supplements thereto, and at such times as he may deem necessary shall cause a review to be

made of the official names by which devices are identified in any official compendium (and all

supplements thereto) to determine whether revision of any of those names is necessary or

desirable in the interest of usefulness and simplicity.

(c) Whenever he determines after any such review that (1) any such official name is unduly

complex or is not useful for any other reason, (2) two or more official names have been applied

to a single drug or device, or to two or more drugs which are identical in chemical structure and

pharmacological action and which are substantially identical in strength, quality, and purity, or

to two or more devices which are substantially equivalent in design and purpose or (3) no

official name has been applied to a medically useful drug or device, he shall transmit in writing

to the compiler of each official compendium in which that drug or drugs or device are identified

and recognized his request for the recommendation of a single official name for such drug or

drugs or device which will have usefulness and simplicity. Whenever such a single official

name has not been recommended within one hundred and eighty days after such request, or

the Secretary determines that any name so recommended is not useful for any reason, he

shall designate a single official name for such drug or drugs or device. Whenever he

determines that the name so recommended is useful, he shall designate that name as the

official name of such drug or drugs or device. Such designation shall be made as a regulation

upon public notice and in accordance with the procedure set forth in section 553 of title 5,

United States Code.

(d) After each such review, and at such other times as the Secretary may determine to be

necessary or desirable, the Secretary shall cause to be compiled, published, and publicly

distributed a list which shall list all revised official names of drugs or devices designated under

this section and shall contain such descriptive and explanatory matter as the Secretary may

determine to be required for the effective use of those names.

(e) Upon a request in writing by any compiler of any official compendium that the Secretary

exercise the authority granted to him under section 508(a), he shall upon public notice and in

accordance with the procedure set forth in section 553 of title 5, United States Code designate

the official name of the drug or device for which the request is made.

NONAPPLICABILITY TO COSMETICS

SEC. 509. [21 U.S.C. 359]This chapter, as amended by the Drug Amendments of 1962, shall

not apply to any cosmetic unless such cosmetic is also a drug or device or component thereof.

REGISTRATION OF PRODUCERS OF DRUGS AND DEVICES 31

SEC. 510. [21 U.S.C. 360] (a) As used in this section—

(1) the term ‘‘manufacture, preparation, propagation, compounding, or processing’’ shall

include repackaging or otherwise changing the container, wrapper, or labeling of any drug

package or device package in furtherance of the distribution of the drug or device from the

original place of manufacture to the person who makes final delivery or sale to the ultimate

consumer or user; and

(2) the term ‘‘name’’ shall include in the case of a partnership the name of each partner and, in

the case of a corporation, the name of each corporate officer and director, and the State of

incorporation.

(b) On or before December 31 of each year every person who owns or operates any

establishment in any State engaged in the manufacture, preparation, propagation,

compounding, or processing of a drug or drugs or a device or devices shall register with the

Secretary his name, places of business, and all such establishments.

(c) Every person upon first engaging in the manufacture, preparation, propagation,

compounding, or processing of a drug or drugs or a device or devices in any establishment

which he owns or operates in any State shall immediately register with the Secretary his name,

place of business, and such establishment.

(d) Every person duly registered in accordance with the foregoing subsections of this section

shall immediately register with the Secretary any additional establishment which he owns or

operates in any State and in which he begins the manufacture, preparation, propagation,

compounding, or processing of a drug or drugs or a device or devices.

(e) The Secretary may assign a registration number to any person or any establishment

registered in accordance with this section. The Secretary may also assign a listing number to

each drug or class of drugs listed under subsection (j). Any number assigned pursuant to the

preceding sentence shall be the same as that assigned pursuant to the National Drug Code.

The Secretary may by regulation prescribe a uniform system for the identification of devices

intended for human use and may require that persons who are required to list such devices

pursuant to subsection (j) shall list such devices in accordance with such system.

(f) The Secretary shall make available for inspection, to any person so requesting, any

registration filed pursuant to this section; except that any list submitted pursuant to paragraph

(3) of subsection (j) and the information accompanying any list or notice filed under paragraph

(1) or (2) of that subsection shall be exempt from such inspection unless the Secretary finds

that such an exemption would be inconsistent with protection of the public health.

(g) The foregoing subsections of this section shall not apply to—

(1) pharmacies which maintain establishments in conformance with any applicable local laws

regulating the practice of pharmacy and medicine and which are regularly engaged in

dispensing prescription drugs or devices, upon prescriptions of practitioners licensed to

administer such drugs or devices to patients under the care of such practitioners in the course

of their professional practice, and which do not manufacture, prepare, propagate, compound,

or process drugs or devices for sale other than in the regular course of their business of

dispensing or selling drugs or devices at retail;

(2) practitioners licensed by law to prescribe or administer drugs or devices and who

manufacture, prepare, propagate, compound, or process drugs or devices solely for use in the

course of their professional practice;

(3) persons who manufacture, prepare, propagate, compound, or process drugs or devices

solely for use in research, teaching, or chemical analysis and not for sale;

(4) any distributor who acts as a wholesale distributor of devices, and who does not

manufacture, repackage, process, or relabel a device; or

(5) such other classes of persons as the Secretary may by regulation exempt from the

application of this section upon a finding that registration by such classes of persons in

accordance with this section is not necessary for the protection of the public health.

In this subsection, the term ‘‘wholesale distributor’’ means any person (other than the

manufacturer or the initial importer) who distributes a device from the original place of

manufacture to the person who makes the final delivery or sale of the device to the ultimate

consumer or user.

(h) Every establishment in any State registered with the Secretary pursuant to this section

shall be subject to inspection pursuant to section 704 and every such establishment engaged

in the manufacture, propagation, compounding, or processing of a drug or drugs or of a device

or devices classified in class II or III shall be so inspected by one or more officers or

employees duly designated by the Secretary , or by persons accredited to conduct inspections

under section 704(g), at least once in the 2-year period beginning with the date of registration

of such establishment pursuant to this section and at least once in every successive 2-year

period thereafter.

(i)(1) On or before December 31 of each year, any establishment within any foreign country

engaged in the manufacture, preparation, propagation, compounding, or processing of a drug

or a device that is imported or offered for import into the United States shall, through electronic

means in accordance with the criteria of the Secretary, register with the Secretary the name

and place of business of the establishment, the name of the United States agent for the

establishment, the name of each importer of such drug or device in the United States that is

known to the establishment, and the name of each person who imports or offers for import

such drug or device to the United States for purposes of importation.

(2) The establishment shall also provide the information required by subsection (j).

(3) The Secretary is authorized to enter into cooperative arrangements with officials of foreign

countries to ensure that adequate and effective means are available for purposes of

determining, from time to time, whether drugs or devices manufactured, prepared, propagated,

compounded, or processed by an establishment described in paragraph (1), if imported or

offered for import into the United States, shall be refused admission on any of the grounds set

forth in section 801(a).

(j)(1) Every person who registers with the Secretary under subsection (b), (c), (d) or (i) shall, at

the time of registration under any such subsection, file with the Secretary a list of all drugs and

a list of all devices and a brief statement of the basis for believing that each device included in

the list is a device rather than a drug (with each drug and device in each list listed by its

established name (as defined in section 502(e)) and by any proprietary name) which are being

manufactured, prepared, propagated, compounded, or processed by him for commercial

distribution and which he has not included in any list of drugs or devices filed by him with the

Secretary under this paragraph or paragraph (2) before such time of registration. Such list

shall be prepared in such form and manner as the Secretary may prescribe and shall be

accompanied by—

(A) in the case of a drug contained in the applicable list and subject to section 505 or 512, or a

device intended for human use contained in the applicable list with respect to which a

performance standard has been established under section 514 or which is subject to section

515, a reference to the authority for the marketing of such drug or device and a copy of all

labeling for such drug or device;

(B) in the case of any other drug or device contained in an applicable list—

(i) which drug is subject to section 503(b)(1), or which device is a restricted device, a copy of

all labeling for such drug or device, a representative sampling of advertisements for such drug

or device, and, upon request made by the Secretary for good cause, a copy of all

advertisements for a particular drug product or device, or

(ii) which drug is not subject to section 503(b)(1) or which device is not a restricted device, the

label and package insert for such drug or device and a representative sampling of any other

labeling for such drug or device;

(C) in the case of any drug contained in an applicable list which is described in subparagraph

(B), a quantitative listing of its active ingredient or ingredients, except that with respect to a

particular drug product the Secretary may require the submission of a quantitative listing of all

ingredients if he finds that such submission is necessary to carry out the purposes of this Act;

and

(D) if the registrant filing a list has determined that a particular drug product or device

contained in such list is not subject to section 505 or 512, or the particular device contained in

such list is not subject to a performance standard established under section 514 or to section

515 or is not a restricted device, a brief statement of the basis upon which the registrant made

such determination if the Secretary requests such a statement with respect to that particular

drug product or device.

(2) Each person who registers with the Secretary under this section shall report to the

Secretary once during the month of June of each year and once during the month of

December of each year the following information:

(A) A list of each drug or device introduced by the registrant for commercial distribution which

has not been included in any list previously filed by him with the Secretary under this

subparagraph or paragraph (1) of this subsection. A list under this subparagraph shall list a

drug or device by its established name (as defined in section 502(e)) and by any proprietary

name it may have and shall be accompanied by the other information required by paragraph

(1).

(B) If since the date the registrant last made a report under this paragraph (or if he has not

made a report under this paragraph, since the effective date of this subsection 32 ) he has

discontinued the manufacture, preparation, propagation, compounding, or processing for

commercial distribution of a drug or device included in a list filed by him under subparagraph

(A) or paragraph (1); notice of such discontinuance, the date of such discontinuance, and the

identity (by established name (as defined in section 502(e)) and by any proprietary name) of

such drug or device.

(C) If since the date the registrant reported pursuant to subparagraph (B) a notice of

discontinuance he has resumed the manufacture, preparation, propagation, compounding, or

processing for commercial distribution of the drug or device with respect to which such notice

of discontinuance was reported; notice of such resumption, the date of such resumption, the

identity of such drug or device (by established name (as defined in section 502(e)) and by any

proprietary name), and the other information required by paragraph (1), unless the registrant

has previously reported such resumption to the Secretary pursuant to this subparagraph.

(D) Any material change in any information previously submitted pursuant to this paragraph or

paragraph (1).

(3) The Secretary may also require each registrant under this section to submit a list of each

drug product which (A) the registrant is manufacturing, preparing, propagating, compounding,

or processing for commercial distribution, and (B) contains a particular ingredient. The

Secretary may not require the submission of such a list unless he has made a finding that the

submission of such a list is necessary to carry out the purposes of this Act.

(k) Each person who is required to register under this section and who proposes to begin the

introduction or delivery for introduction into interstate commerce for commercial distribution of

a device intended for human use shall, at least ninety days before making such introduction or

delivery, report to the Secretary or person who is accredited under section 523(a) (in such

form and manner as the Secretary shall by regulation prescribe)—

(1) the class in which the device is classified under section 513 or if such person determines

that the device is not classified under such section, a statement of that determination and the

basis for such person’s determination that the device is or is not so classified, and

(2) action taken by such person to comply with requirements under section 514 or 515 which

are applicable to the device.

(l) A report under subsection (k) is not required for a device intended for human use that is

exempted from the requirements of this subsection under subsection (m) or is within a type

that has been classified into class I under section 513. The exception established in the

preceding sentence does not apply to any class I device that is intended for a use which is of

substantial importance in preventing impairment of human health, or to any class I device that

presents a potential unreasonable risk of illness or injury.

(m)(1) Not later than 60 days after the date of enactment of the Food and Drug Administration

Modernization Act of 1997, the Secretary shall publish in the Federal Register a list of each

type of class II device that does not require a report under subsection (k) to provide reasonable

assurance of safety and effectiveness. Each type of class II device identified by the Secretary

as not requiring the report shall be exempt from the requirement to provide a report under

subsection (k) as of the date of the publication of the list in the Federal Register. The Secretary

shall publish such list on the Internet site of the Food and Drug Administration. The list so

published shall be updated not later than 30 days after each revision of the list by the

Secretary.

(2) Beginning on the date that is 1 day after the date of the publication of a list under this

subsection, the Secretary may exempt a class II device from the requirement to submit a

report under subsection (k), upon the Secretary’s own initiative or a petition of an interested

person, if the Secretary determines that such report is not necessary to assure the safety and

effectiveness of the device. The Secretary shall publish in the Federal Register notice of the

intent of the Secretary to exempt the device, or of the petition, and provide a 30-day period for

public comment. Within 120 days after the issuance of the notice in the Federal Register, the

Secretary shall publish an order in the Federal Register that sets forth the final determination

of the Secretary regarding the exemption of the device that was the subject of the notice. If the

Secretary fails to respond to a petition within 180 days of receiving it, the petition shall be

deemed to be granted.

(n) The Secretary shall review the report required in subsection (k) and make a determination

under section 513(f)(1) not later than 90 days after receiving the report.

(o)(1) With respect to reprocessed single-use devices for which reports are required under

subsection (k):

(A) The Secretary shall identify such devices or types of devices for which reports under such

subsection must, in order to ensure that the device is substantially equivalent to a predicate

device, include validation data, the types of which shall be specified by the Secretary,

regarding cleaning and sterilization, and functional performance demonstrating that the

single-use device will remain substantially equivalent to its predicate device after the maximum

number of times the device is reprocessed as intended by the person submitting the premarket

notification. Within six months after enactment of this subsection, the Secretary shall publish in

the Federal Register a list of the types so identified, and shall revise the list as appropriate.

Reports under subsection (k) for devices or types of devices within a type included on the list

are, upon publication of the list, required to include such validation data.

(B) In the case of each report under subsection (k) that was submitted to the Secretary before

the publication of the initial list under subparagraph (A), or any revision thereof, and was for a

device or type of device included on such list, the person who submitted the report under

subsection (k) shall submit validation data as described in subparagraph (A) to the Secretary

not later than nine months after the publication of the list. During such nine-month period, the

Secretary may not take any action under this Act against such device solely on the basis that

the validation data for the device have not been submitted to the Secretary. After the

submission of the validation data to the Secretary, the Secretary may not determine that the

device is misbranded under section 502(o), or adulterated under section 501(f)(1)(B), or take

action against the device under section 301(p) for failure to provide any information required

by subsection (k) until (i) the review is terminated by withdrawal of the submission of the report

under subsection (k); (ii) the Secretary finds the data to be acceptable and issues a letter; or (iii)

the Secretary determines that the device is not substantially equivalent to a predicate device.

Upon a determination that a device is not substantially equivalent to a predicate device, or if

such submission is withdrawn, the device can no longer be legally marketed.

(C) In the case of a report under subsection (k) for a device identified under subparagraph (A)

that is of a type for which the Secretary has not previously received a report under such

subsection, the Secretary may, in advance of revising the list under subparagraph (A) to

include such type, require that the report include the validation data specified in subparagraph

(A).

(D) Section 502(o) applies with respect to the failure of a report under subsection (k) to include

validation data required under subparagraph (A).

(2) With respect to critical or semi-critical reprocessed single-use devices that, under

subsection (l) or (m), are exempt from the requirement of submitting reports under subsection

(k):

(A) The Secretary shall identify such devices or types of devices for which such exemptions

should be terminated in order to provide a reasonable assurance of the safety and

effectiveness of the devices. <> The Secretary shall publish in the Federal Register a list of the

devices or types of devices so identified, and shall revise the list as appropriate. The

exemption for each device or type included on the list is terminated upon the publication of the

list. For each report under subsection (k) submitted pursuant to this subparagraph the

Secretary shall require the validation data described in paragraph (1)(A).

(B) For each device or type of device included on the list under subparagraph (A), a report

under subsection (k) shall be submitted to the Secretary not later than 15 months after the

publication of the initial list, or a revision of the list, whichever terminates the exemption for the

device. During such 15-month period, the Secretary may not take any action under this Act

against such device solely on the basis that such report has not been submitted to the

Secretary. After the submission of the report to the Secretary the Secretary may not determine

that the device is misbranded under section 502(o), or adulterated under section 501(f)(1)(B),

or take action against the device under section 301(p) for failure to provide any information

required by subsection (k) until (i) the review is terminated by withdrawal of the submission; (ii)

the Secretary determines by order that the device is substantially equivalent to a predicate

device; or (iii) the Secretary determines by order that the device is not substantially equivalent

to a predicate device. Upon a determination that a device is not substantially equivalent to a

predicate device, the device can no longer be legally marketed.

(C) In the case of semi-critical devices, the initial list under subparagraph (A) shall be

published not later than 18 months after the effective date of this subsection. In the case of

critical devices, the initial list under such subparagraph shall be published not later than six

months after such effective date.

(D) Section 502(o) applies with respect to the failure to submit a report under subsection (k)

that is required pursuant to subparagraph (A), including a failure of the report to include

validation data required in such subparagraph.

(E) The termination under subparagraph (A) of an exemption under subsection (l) or (m) for a

critical or semi-critical reprocessed single-use device does not terminate the exemption under

subsection (l) or (m) for the original device.

(p) Registrations under subsections (b), (c), (d), and (i) (including the submission of updated

information) shall be submitted to the Secretary by electronic means, upon a finding by the

Secretary that the electronic receipt of such registrations is feasible, unless the Secretary

grants a request for waiver of such requirement because use of electronic means is not

reasonable for the person requesting such waiver.

SEC. 511. Repealed by section 701(a) of Public Law 91-513.

Footnotes: Chapter V, Sections 501-510

1. See footnote for section 403(h)(3) regarding the stylistic use of a list consisting of "(a)",

"(b)", etc.

2. So in law. Probably should be "subparagraph".

3. See footnote for section 403(h)(3) regarding the stylistic use of a list consisting of "(a)",

"(b)", etc.

4. Paragraph (d) was struck by section 126(6) of Public Law 105-115 (111 Stat.2327).

5. Paragraph (k) was struck by section 125(a)(2)(B) of Public Law 105–115 (111 Stat. 2325).

Paragraph (l) was struck by section 125(b)(2)(D) of such Public Law.

6. 2 So in law. Probably should be "paragraph (e)".

7. So in law. Probably should be "This paragraph".

8. Sentence was added by title I of Public Law 95–633. Section 112 of such Public Law

provided as follows: "This title shall take effect on the date the Convention on Psychotropic

Substances, signed at Vienna, Austria on February 21, 1971, enters into force in respect to the

United States.". The Convention entered into force in respect to the United States on July 15,

1980.

9. Paragraph (u) was added by section 301(a) of Public Law 107–250 (116 Stat. 1616), which

was enacted October 26, 2002. Subsection (b) of such section (as amended by section 2(c)(1)

of Public Law 108–214; 118 Stat. 575) provides as follows:

(b) EFFECTIVE DATE.—The amendment made by subsection (a) takes effect 36 months after

the date of the enactment of this Act, and only applies to devices introduced or delivered for

introduction into interstate commerce after such effective date.

10. Paragraph (v) was added by section 302(a)(1) of Public Law 107–250 (116 Stat. 1616),

which was enacted October 26, 2002. Paragraph (2) of such subsection provides as follows:

(2) EFFECTIVE DATE.—The amendment made by paragraph (1) takes effect 15 months after

the date of the enactment of this Act, and only applies to devices introduced or delivered for

introduction into interstate commerce after such effective date.

11. The subsection was added by section 16(a)(2) of Public Law 101–692, which was enacted

November 28, 1990. The subsection was added as subsection (f), and was redesignated as

subsection (g) by section 2(d)(4) of Public Law 102–108.

12. Paragraph (4) was added by section 204(3) of Public Law 107–250 (116 Stat. 1611), which

was enacted October 26, 2002.

13. The amendments made to this Act by the Drug Amendments of 1962 (Public Law 87–781)

included amendments establishing the requirement that new drugs be effective. Section 107(c)

of such Public Law concerned the applicability of the amendments, and is included in the

appendix.

14. Provision was added by title I of Public Law 98–417, which was enacted September 24,

1984.

15. So in law. See section 1101(b)(2)(D) of Public Law 108–173 (117 Stat. 2454). Probably

should be "subsection (b)(3)".

16. See footnote for subsection (c)(2).

17. So in law. Probably should be "bioavailability".

18. Indentation is so in law. See section 15(c) of Public Law 107–109 (115 Stat. 1420).

19. Public Law 108–173, enacted December 8, 2003.

20. This subsection was added by title I of Public Law 98–417, which was enacted September

24, 1984.

21. 1 See footnote for clause (i).

22. See footnote for paragraph (5)(F)(i).

23. 1 See footnote for paragraph (5)(F)(i).

24. Subsection (a) of section 1103 of Public Law 108–173 (117 Stat. 2460) amended

subparagraph (A) of paragraph (8) to read as provided above, and also added to such

paragraph subparagraph (C) (see next page). Subsection (b) of such section 1103 provides as

follows: "The amendment made by subsection (a) does not alter the standards for approval of

drugs under section 505(j) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355(j)).".

25. Section 16 of Public Law 107–109 (115 Stat. 1421) requires the Comptroller General of the

United States, in consultation with the Secretary of Health and Human Services, to submit to

Congress a report that relates to section 505A and to section 409I of the Public Health Service

Act. The report is required to be submitted not later than October 1, 2006.

26. So in law. There is no section 499 in this Act. The probable intent of the Congress was to

refer to section 499 of the Public Health Service Act, which provides for a Foundation.

27. Probably should be "subsection (b) or (c)". Section 19(4) of Public Law 107–109 (115 Stat.

1424) provided in part that subsection (m) is amended by striking "subsection (a) or (c)" and

inserting ";subsection (b) or (c)". The language to be struck does not appear in subsection (m),

but does appear in subsection (n). (Subsections (m) and (n) were two of 10 subsections

redesignated by section 19(2) of such Public Law.)

28. Section 2 of Public Law 108–155 (117 Stat. 1936) added section 505B above. Section 4 of

such Act (117 Stat. 1942) provides as follows:

SEC. 4. EFFECTIVE DATE.

(a) IN GENERAL.—Subject to subsection (b), this Act and the amendments made by this Act

take effect on the date of enactment of this Act.

(b) APPLICABILITY TO NEW DRUGS AND BIOLOGICAL PRODUCTS.—

(1) IN GENERAL.—Subsection (a) of section 505B of the Federal Food, Drug, and Cosmetic

Act (as added by section 2) shall apply to an application described in paragraph (1) of that

subsection submitted to the Secretary of Health and Human Services on or after April 1, 1999.

(2) WAIVERS AND DEFERRALS.—

(A) WAIVER OR DEFERRAL GRANTED.—If, with respect to an application submitted to the

Secretary of Health and Human Services between April 1, 1999, and the date of enactment of

this Act, a waiver or deferral of pediatric assessments was granted under regulations of the

Secretary then in effect, the waiver or deferral shall be a waiver or deferral under subsection (a)

of section 505B of the Federal Food, Drug, and Cosmetic Act, except that any date specified in

such a deferral shall be extended by the number of days that is equal to the number of days

between October 17, 2002, and the date of enactment of this Act.

(B) WAIVER AND DEFERRAL NOT GRANTED.—If, with respect to an application submitted

to the Secretary of Health and Human Services between April 1, 1999, and the date of

enactment of this Act, neither a waiver nor deferral of pediatric assessments was granted

under regulations of the Secretary then in effect, the person that submitted the application

shall be required to submit assessments under subsection (a)(2) of section 505B of the

Federal Food, Drug, and Cosmetic Act on the date that is the later of—

(i) the date that is 1 year after the date of enactment of this Act; or

(ii) such date as the Secretary may specify under subsection (a)(3) of that section; unless the

Secretary grants a waiver under subsection (a)(4) of that section.

(c) NO LIMITATION OF AUTHORITY.—Neither the lack of guidance or regulations to

implement this Act or the amendments made by this Act nor the pendency of the process for

issuing guidance or regulations shall limit the authority of the Secretary of Health and Human

Services under, or defer any requirement under, this Act or those amendments.

29. Subsection (e) was added by section 506 of Public Law 107–188 (116 Stat. 693). Section

506 was contained in subtitle A of title V of the Public Law, and section 508 of that subtitle

provided that "The amendments made by this subtitle take effect October 1, 2002."

30. Section 507 was struck by section 125(b)(1) of Public Law 105–115 (111 Stat. 2325).

31. The purpose of section 510 was stated in section 301 of Public Law 82–781 as follows:

"SEC. 301. The Congress hereby finds and declares that in order to make regulation of

interstate commerce in drugs effective, it is necessary to provide for registration and inspection

of all establishments in which drugs are manufactured, prepared, propagated, compounded, or

processed; that the products of all such establishments are likely to enter the channels of

interstate commerce and directly affect such commerce; and that the regulation of interstate

commerce in drugs without provision for registration and inspection of establishments that may

be engaged only in intrastate commerce in such drugs would discriminate against and depress

interstate commerce in such drugs, and adversely burden, obstruct, and affect such interstate

commerce."

32. The effective date is February 1, 1973. This subsection was added by Public Law 92–387,

which was enacted August 16, 1972. Section 5 of such Public Law provided that the

amendments made by the Public Law "shall take effect on the first day of the sixth month

beginning after the date of the enactment of this Act.".

CHAPTER V--Drugs and Devices Subchapter A--Drugs and Devices

NEW ANIMAL DRUGS

SEC. 512. 1, 2 [21 U.S.C. 360b] (a)(1) 3 A new animal drug shall, with respect to any particular

use or intended use of such drug, be deemed unsafe for purposes of section 501(a)(5) and

section 402(a)(2)(C)(ii) unless—

(A) there is in effect an approval of an application filed pursuant to subsection (b) with respect

to such use or intended use of such drug, and such drug, its labeling, and such use conform to

such approved application;

(B) there is in effect a conditional approval of an application filed pursuant to section 571 with

respect to such use or intended use of such drug, and such drug, its labeling, and such use

conform to such conditionally approved application; or

(C) there is in effect an index listing pursuant to section 572 with respect to such use or

intended use of such drug in a minor species, and such drug, its labeling, and such use

conform to such index listing.

A new animal drug shall also be deemed unsafe for such purposes in the event of removal

from the establishment of a manufacturer, packer, or distributor of such drug for use in the

manufacture of animal feed in any State unless at the time of such removal such manufacturer,

packer, or distributor has an unrevoked written statement from the consignee of such drug, or

notice from the Secretary, to the effect that, with respect to the use of such drug in animal feed,

such consignee (i) holds a license issued under subsection (m) and has in its possession

current approved labeling for such drug in animal feed; or (ii) will, if the consignee is not a user

of the drug, ship such drug only to a holder of a license issued under subsection (m).

(2) An animal feed bearing or containing a new animal drug shall, with respect to any particular

use or intended use of such animal feed be deemed unsafe for purposes of section 501(a)(6)

unless—

(A) there is in effect—

(i) an approval of an application filed pursuant to subsection (b) with respect to such drug, as

used in such animal feed, and such animal feed and its labeling, distribution, holding, and use

conform to such approved application;

(ii) a conditional approval of an application filed pursuant to section 571 with respect to such

drug, as used in such animal feed, and such animal feed and its labeling, distribution, holding,

and use conform to such conditionally approved application; or

(iii) an index listing pursuant to section 572 with respect to such drug, as used in such animal

feed, and such animal feed and its labeling, distribution, holding, and use conform to such

index listing; and

(B) such animal feed is manufactured at a site for which there is in effect a license issued

pursuant to subsection (m)(1) to manufacture such animal feed.

(3) A new animal drug or an animal feed bearing or containing a new animal drug shall not be

deemed unsafe for the purposes of section 501(a)(5) or (6) if such article is for investigational

use and conforms to the terms of an exemption in effect with respect thereto under section

512(j).

(4) (A) Except as provided in subparagraph (B), if an approval of an application filed under

subsection (b) is in effect with respect to a particular use or intended use of a new animal drug,

the drug shall not be deemed unsafe for the purposes of paragraph (1) and shall be exempt

from the requirements of section 502(f) with respect to a different use or intended use of the

drug, other than a use in or on animal feed, if such use or intended use—

(i) is by or on the lawful written or oral order of a licensed veterinarian within the context of a

veterinarian-client-patient relationship, as defined by the Secretary; and

(ii) is in compliance with regulations promulgated by the Secretary that establish the conditions

for such different use or intended use.

The regulations promulgated by the Secretary under clause (ii) may prohibit particular uses of

an animal drug and shall not permit such different use of an animal drug if the labeling of

another animal drug that contains the same active ingredient and which is in the same dosage

form and concentration provides for such different use.

(B) If the Secretary finds that there is a reasonable probability that a use of an animal drug

authorized under subparagraph (A) may present a risk to the public health, the Secretary

may—

(i) establish a safe level for a residue of an animal drug when it is used for such different use

authorized by subparagraph (A); and

(ii) require the development of a practical, analytical method for the detection of residues of

such drug above the safe level established under clause (i).

The use of an animal drug that results in residues exceeding a safe level established under

clause (i) shall be considered an unsafe use of such drug under paragraph (1). Safe levels

may be established under clause (i) either by regulation or order.

(C) The Secretary may by general regulation provide access to the records of veterinarians to

ascertain any use or intended use authorized under subparagraph (A) that the Secretary has

determined may present a risk to the public health.

(D) If the Secretary finds, after affording an opportunity for public comment, that a use of an

animal drug authorized under subparagraph (A) presents a risk to the public health or that an

analytical method required under subparagraph (B) has not been developed and submitted to

the Secretary, the Secretary may, by order, prohibit any such use.

(5) If the approval of an application filed under section 505 is in effect, the drug under such

application shall not be deemed unsafe for purposes of paragraph (1) and shall be exempt

from the requirements of section 502(f) with respect to a use or intended use of the drug in

animals if such use or intended use—

(A) is by or on the lawful written or oral order of a licensed veterinarian within the context of a

veterinarian-client-patient relationship, as defined by the Secretary; and

(B) is in compliance with regulations promulgated by the Secretary that establish the

conditions for the use or intended use of the drug in animals.

(6) For purposes of section 402(a)(2)(D), a use or intended use of a new animal drug shall not

be deemed unsafe under this section if the Secretary establishes a tolerance for such drug

and any edible portion of any animal imported into the United States does not contain residues

exceeding such tolerance. In establishing such tolerance, the Secretary shall rely on data

sufficient to demonstrate that a proposed tolerance is safe based on similar food safety criteria

used by the Secretary to establish tolerances for applications for new animal drugs filed under

subsection (b)(1). The Secretary may consider and rely on data submitted by the drug

manufacturer, including data submitted to appropriate regulatory authorities in any country

where the new animal drug is lawfully used or data available from a relevant international

organization, to the extent such data are not inconsistent with the criteria used by the

Secretary to establish a tolerance for applications for new animal drugs filed under subsection

(b)(1). For purposes of this paragraph, ‘‘relevant international organization’’ means the Codex

Alimenterius Commission or other international organization deemed appropriate by the

Secretary. The Secretary may, under procedures specified by regulation, revoke a tolerance

established under this paragraph if information demonstrates that the use of the new animal

drug under actual use conditions results in food being imported into the United States with

residues exceeding the tolerance or if scientific evidence shows the tolerance to be unsafe.

(b)(1) Any person may file with the Secretary an application with respect to any intended use

or uses of a new animal drug. Such person shall submit to the Secretary as a part of the

application (A) full reports of investigations which have been made to show whether or not

such drug is safe and effective for use; (B) a full list of the articles used as components of such

drug; (C) a full statement of the composition of such drug; (D) a full description of the methods

used in, and the facilities and controls used for, the manufacture, processing, and packing of

such drug; (E) such samples of such drug and of the articles used as components thereof, of

any animal feed for use in or on which such drug is intended, and of the edible portions or

products (before or after slaughter) of animals to which such drug (directly or in or on animal

feed) is intended to be administered, as the Secretary may require; (F) specimens of the

labeling proposed to be used for such drug, or in case such drug is intended for use in animal

feed, proposed labeling appropriate for such use, and specimens of the labeling for the drug to

be manufactured, packed, or distributed by the applicant; (G) a description of practicable

methods for determining the quantity, if any, of such drug in or on food, and any substance

formed in or on food, because of its use; and (H) the proposed tolerance or withdrawal period

or other use restrictions for such drug if any tolerance or withdrawal period or other use

restrictions are required in order to assure that the proposed use of such drug will be safe. The

applicant shall file with the application the patent number and the expiration date of any patent

which claims the new animal drug for which the applicant filed the application or which claims a

method of using such drug and with respect to which a claim of patent infringement could

reasonably be asserted if a person not licensed by the owner engaged in the manufacture, use,

or sale of the drug. If an application is filed under this subsection for a drug and a patent which

claims such drug or a method of using such drug is issued after the filing date but before

approval of the application, the applicant shall amend the application to include the information

required by the preceding sentence. Upon approval of the application, the Secretary shall

publish information submitted under the two preceding sentences.

(2) Any person may file with the Secretary an abbreviated application for the approval of a new

animal drug. An abbreviated application shall contain the information required by subsection

(n).

(3) Any person intending to file an application under paragraph (1), section 571, or a request

for an investigational exemption under subsection (j) shall be entitled to one or more

conferences prior to such submission to reach an agreement acceptable to the Secretary

establishing a submission or an investigational requirement, which may include a requirement

for a field investigation. A decision establishing a submission or an investigational requirement

shall bind the Secretary and the applicant or requestor unless (A) the Secretary and the

applicant or requestor mutually agree to modify the requirement, or (B) the Secretary by

written order determines that a substantiated scientific requirement essential to the

determination of safety or effectiveness of the animal drug involved has appeared after the

conference. No later than 25 calendar days after each such conference, the Secretary shall

provide a written order setting forth a scientific justification specific to the animal drug and

intended uses under consideration if the agreement referred to in the first sentence requires

more than one field investigation as being essential to provide substantial evidence of

effectiveness for the intended uses of the drug. Nothing in this paragraph shall be construed

as compelling the Secretary to require a field investigation.

(c)(1) Within one hundred and eighty days after the filing of an application pursuant to

subsection (b), or such additional period as may be agreed upon by the Secretary and the

applicant, the Secretary shall either (A) issue an order approving the application if he then

finds that none of the grounds for denying approval specified in subsection (d) applies, or (B)

give the applicant notice of an opportunity for a hearing before the Secretary under subsection

(d) on the question whether such application is approvable. If the applicant elects to accept the

opportunity for a hearing by written request within thirty days after such notice, such hearing

shall commence not more than ninety days after the expiration of such thirty days unless the

Secretary and the applicant otherwise agree. Any such hearing shall thereafter be conducted

on an expedited basis and the Secretary’s order thereon shall be issued within ninety days

after the date fixed by the Secretary for filing final briefs.

(2)(A) Subject to subparagraph (C), the Secretary shall approve an abbreviated application for

a drug unless the Secretary finds—

(i) the methods used in, or the facilities and controls used for, the manufacture, processing,

and packing of the drug are inadequate to assure and preserve its identity, strength, quality,

and purity;

(ii) the conditions of use prescribed, recommended, or suggested in the proposed labeling are

not reasonably certain to be followed in practice or, except as provided in subparagraph (B),

information submitted with the application is insufficient to show that each of the proposed

conditions of use or similar limitations (whether in the labeling or published pursuant to

subsection (i)) have been previously approved for the approved new animal drug referred to in

the application;

(iii) information submitted with the application is insufficient to show that the active ingredients

are the same as those of the approved new animal drug referred to in the application;

(iv)(I) if the application is for a drug whose active ingredients, route of administration, dosage

form, strength, or use with other animal drugs in animal feed is the same as the active

ingredients, route of administration, dosage form, strength, or use with other animal drugs in

animal feed of the approved new animal drug referred to in the application, information

submitted in the application is insufficient to show that the active ingredients, route of

administration, dosage form, strength, or use with other animal drugs in animal feed is the

same as that of the approved new animal drug, or

(II) if the application is for a drug whose active ingredients, route of administration, dosage

form, strength, or use with other animal drugs in animal feed is different from that of the

approved new animal drug referred to in the application, no petition to file an application for the

drug with the different active ingredients, route of administration, dosage form, strength, or use

with other animal drugs in animal feed was approved under subsection (n)(3);

(v) if the application was filed pursuant to the approval of a petition under subsection (n)(3), the

application did not contain the information required by the Secretary respecting the active

ingredients, route of administration, dosage form, strength, or use with other animal drugs in

animal feed which is not the same;

(vi) information submitted in the application is insufficient to show that the drug is bioequivalent

to the approved new animal drug referred to in the application, or if the application is filed

under a petition approved pursuant to subsection (n)(3), information submitted in the

application is insufficient to show that the active ingredients of the new animal drug are of the

same pharmacological or therapeutic class as the pharmacological or therapeutic class of the

approved new animal drug and that the new animal drug can be expected to have the same

therapeutic effect as the approved new animal drug when used in accordance with the

labeling;

(vii) information submitted in the application is insufficient to show that the labeling proposed

for the drug is the same as the labeling approved for the approved new animal drug referred to

in the application except for changes required because of differences approved under a

petition filed under subsection (n)(3), because of a different withdrawal period, or because the

drug and the approved new animal drug are produced or distributed by different

manufacturers;

(viii) information submitted in the application or any other information available to the Secretary

shows that (I) the inactive ingredients of the drug are unsafe for use under the conditions

prescribed, recommended, or suggested in the labeling proposed for the drug, (II) the

composition of the drug is unsafe under such conditions because of the type or quantity of

inactive ingredients included or the manner in which the inactive ingredients are included, or

(III) in the case of a drug for food producing animals, the inactive ingredients of the drug or its

composition may be unsafe with respect to human food safety;

(ix) the approval under subsection (b)(1) of the approved new animal drug referred to in the

application filed under subsection (b)(2) has been withdrawn or suspended for grounds

described in paragraph (1) of subsection (e), the Secretary has published a notice of a hearing

to withdraw approval of the approved new animal drug for such grounds, the approval under

this paragraph of the new animal drug for which the application under subsection (b)(2) was

filed has been withdrawn or suspended under subparagraph (G) for such grounds, or the

Secretary has determined that the approved new animal drug has been withdrawn from sale

for safety or effectiveness reasons;

(x) the application does not meet any other requirement of subsection (n); or

(xi) the application contains an untrue statement of material fact.

(B) If the Secretary finds that a new animal drug for which an application is submitted under

subsection (b)(2) is bioequivalent to the approved new animal drug referred to in such

application and that residues of the new animal drug are consistent with the tolerances

established for such approved new animal drug but at a withdrawal period which is different

than the withdrawal period approved for such approved new animal drug, the Secretary may

establish, on the basis of information submitted, such different withdrawal period as the

withdrawal period for the new animal drug for purposes of the approval of such application for

such drug.

(C) Within 180 days of the initial receipt of an application under subsection (b)(2) or within such

additional period as may be agreed upon by the Secretary and the applicant, the Secretary

shall approve or disapprove the application.

(D) The approval of an application filed under subsection (b)(2) shall be made effective on the

last applicable date determined under the following:

(i) If the applicant only made a certification described in clause (i) or (ii) of subsection (n)(1)(G)

or in both such clauses, the approval may be made effective immediately.

(ii) If the applicant made a certification described in clause (iii) of subsection (n)(1)(G), the

approval may be made effective on the date certified under clause (iii).

(iii) If the applicant made a certification described in clause (iv) of subsection (n)(1)(G), the

approval shall be made effective immediately unless an action is brought for infringement of a

patent which is the subject of the certification before the expiration of 45 days from the date the

notice provided under subsection (n)(2)(B)(i) is received. If such an action is brought before

the expiration of such days, the approval shall be made effective upon the expiration of the 30

month period beginning on the date of the receipt of the notice provided under subsection

(n)(2)(B) or such shorter or longer period as the court may order because either party to the

action failed to reasonably cooperate in expediting the action, except that if before the

expiration of such period—

(I) the court decides that such patent is invalid or not infringed, the approval shall be made

effective on the date of the court decision,

(II) the court decides that such patent has been infringed, the approval shall be made effective

on such date as the court orders under section 271(e)(4)(A) of title 35, United States Code, or

(III) the court grants a preliminary injunction prohibiting the applicant from engaging in the

commercial manufacture or sale of the drug until the court decides the issues of patent validity

and infringement and if the court decides that such patent is invalid or not infringed, the

approval shall be made effective on the date of such court decision.

In such an action, each of the parties shall reasonably cooperate in expediting the action. Until

the expiration of 45 days from the date the notice made under subsection (n)(2)(B) is received,

no action may be brought under section 2201 of title 28, United States Code, for a declaratory

judgment with respect to the patent. Any action brought under section 2201 shall be brought in

the judicial district where the defendant has its principal place of business or a regular and

established place of business.

(iv) If the application contains a certification described in clause (iv) of subsection (n)(1)(G) and

is for a drug for which a previous application has been filed under this subsection containing

such a certification, the application shall be made effective not earlier than 180 days after—

(I) the date the Secretary receives notice from the applicant under the previous application of

the first commercial marketing of the drug under the previous application, or

(II) the date of a decision of a court in an action described in subclause (III) 4 holding the

patent which is the subject of the certification to be invalid or not infringed, whichever is earlier.

(E) If the Secretary decides to disapprove an application, the Secretary shall give the applicant

notice of an opportunity for a hearing before the Secretary on the question of whether such

application is approvable. If the applicant elects to accept the opportunity for hearing by written

request within 30 days after such notice, such hearing shall commence not more than 90 days

after the expiration of such 30 days unless the Secretary and the applicant otherwise agree.

Any such hearing shall thereafter be conducted on an expedited basis and the Secretary’s

order thereon shall be issued within 90 days after the date fixed by the Secretary for filing final

briefs.

(F)(i) If an application submitted under subsection (b)(1) for a drug, no active ingredient

(including any ester or salt of the active ingredient) of which has been approved in any other

application under subsection (b)(1), is approved after the date of the enactment of this

paragraph 5 , no application may be submitted under subsection (b)(2) which refers to the drug

for which the subsection (b)(1) application was submitted before the expiration of 5 years from

the date of the approval of the application under subsection (b)(1), except that such an

application may be submitted under subsection (b)(2) after the expiration of 4 years from the

date of the approval of the subsection (b)(1) application if it contains a certification of patent

invalidity or noninfringement described in clause (iv) of subsection (n)(1)(G). The approval of

such an application shall be made effective in accordance with subparagraph (B) except that, if

an action for patent infringement is commenced during the one-year period beginning 48

months after the date of the approval of the subsection (b) application, the 30 month period

referred to in subparagraph (D)(iii) shall be extended by such amount of time (if any) which is

required for seven and one-half years to have elapsed from the date of approval of the

subsection (b) application.

(ii) If an application submitted under subsection (b)(1) for a drug, which includes an active

ingredient (including any ester or salt of the active ingredient) that has been approved in

another application approved under such subsection, is approved after the date of enactment

of this paragraph 5 and if such application contains substantial evidence of the effectiveness of

the drug involved, any studies of animal safety, or, in the case of food producing animals,

human food safety studies ( other than bioequivalence studies or residue depletion studies,

except residue depletion studies for minor uses or minor species) required for the approval of

the application and conducted or sponsored by the applicant, the Secretary may not make the

approval of an application submitted under subsection (b)(2) for the conditions of approval of

such drug in the subsection (b)(1) application effective before the expiration of 3 years from

the date of the approval of the application under subsection (b)(1) for such drug.

(iii) If a supplement to an application approved under subsection (b)(1) is approved after the

date of enactment of this paragraph 2 and the supplement contains substantial evidence of the

effectiveness of the drug involved, any studies of animal safety, or, in the case of food

producing animals, human food safety studies ( other than bioequivalence studies or residue

depletion studies, except residue depletion studies for minor uses or minor species) 6 required

for the approval of the supplement and conducted or sponsored by the person submitting the

supplement, the Secretary may not make the approval of an application submitted under

subsection (b)(2) for a change approved in the supplement effective before the expiration of 3

years from the date of the approval of the supplement.

(iv) An applicant under subsection (b)(1) who comes within the provisions of clause (i) of this

subparagraph as a result of an application which seeks approval for a use solely in non-food

producing animals, may elect, within 10 days of receiving such approval, to waive clause (i) of

this subparagraph, in which event the limitation on approval of applications submitted under

subsection (b)(2) set forth in clause (ii) of this subparagraph shall be applicable to the

subsection (b)(1) application.

(v) If an application (including any supplement to a new animal drug application) submitted

under subsection (b)(1) for a new animal drug for a food-producing animal use, which includes

an active ingredient (including any ester or salt of the active ingredient) which has been the

subject of a waiver under clause (iv) is approved after the date of enactment of this paragraph

7 , and if the application contains substantial evidence of the effectiveness of the drug involved,

any studies of animal safety, or human food safety studies ( other than bioequivalence studies

or residue depletion studies, except residue depletion studies for minor uses or minor species)

required for the new approval of the application and conducted or sponsored by the applicant,

the Secretary may not make the approval of an application (including any supplement to such

application) submitted under subsection (b)(2) for the new conditions of approval of such drug

in the subsection (b)(1) application effective before the expiration of five years from the date of

approval of the application under subsection (b)(1) for such drug. The provisions of this

paragraph shall apply only to the first approval for a food-producing animal use for the same

applicant after the waiver under clause (iv).

(G) If an approved application submitted under subsection (b)(2) for a new animal drug refers

to a drug the approval of which was withdrawn or suspended for grounds described in

paragraph (1) or (2) of subsection (e) or was withdrawn or suspended under this subparagraph

or which, as determined by the Secretary, has been withdrawn from sale for safety or

effectiveness reasons, the approval of the drug under this paragraph shall be withdrawn or

suspended—

(i) for the same period as the withdrawal or suspension under subsection (e) or this

subparagraph, or

(ii) if the approved new animal drug has been withdrawn from sale, for the period of withdrawal

from sale or, if earlier, the period ending on the date the Secretary determines that the

withdrawal from sale is not for safety or effectiveness reasons.

(H) For purposes of this paragraph:

(i) The term "bioequivalence" means the rate and extent to which the active ingredient or

therapeutic ingredient is absorbed from a new animal drug and becomes available at the site

of drug action.

(ii) A new animal drug shall be considered to be bioequivalent to the approved new animal

drug referred to in its application under subsection (n) if—

(I) the rate and extent of absorption of the drug do not show a significant difference from the

rate and extent of absorption of the approved new animal drug referred to in the application

when administered at the same dose of the active ingredient under similar experimental

conditions in either a single dose or multiple doses;

(II) the extent of absorption of the drug does not show a significant difference from the extent

of absorption of the approved new animal drug referred to in the application when

administered at the same dose of the active ingredient under similar experimental conditions in

either a single dose or multiple doses and the difference from the approved new animal drug in

the rate of absorption of the drug is intentional, is reflected in its proposed labeling, is not

essential to the attainment of effective drug concentrations in use, and is considered

scientifically insignificant for the drug in attaining the intended purposes of its use and

preserving human food safety; or

(III) in any case in which the Secretary determines that the measurement of the rate and extent

of absorption or excretion of the new animal drug in biological fluids is inappropriate or

impractical, an appropriate acute pharmacological effects test or other test of the new animal

drug and, when deemed scientifically necessary, of the approved new animal drug referred to

in the application in the species to be tested or in an appropriate animal model does not show

a significant difference between the new animal drug and such approved new animal drug

when administered at the same dose under similar experimental conditions.

If the approved new animal drug referred to in the application for a new animal drug under

subsection (n) is approved for use in more than one animal species, the bioequivalency

information described in subclauses (I), (II), and (III) shall be obtained for one species, or if the

Secretary deems appropriate based on scientific principles, shall be obtained for more than

one species. The Secretary may prescribe the dose to be used in determining bioequivalency

under subclause (I), (II), or (III). To assure that the residues of the new animal drug will be

consistent with the established tolerances for the approved new animal drug referred to in the

application under subsection (b)(2) upon the expiration of the withdrawal period contained in

the application for the new animal drug, the Secretary shall require bioequivalency data or

residue depletion studies of the new animal drug or such other data or studies as the Secretary

considers appropriate based on scientific principles. If the Secretary requires one or more

residue studies under the preceding sentence, the Secretary may not require that the assay

methodology used to determine the withdrawal period of the new animal drug be more

rigorous than the methodology used to determine the withdrawal period for the approved new

animal drug referred to in the application. If such studies are required and if the approved new

animal drug, referred to in the application for the new animal drug for which such studies are

required, is approved for use in more than one animal species, such studies shall be

conducted for one species, or if the Secretary deems appropriate based on scientific principles,

shall be conducted for more than one species.

(3) If the patent information described in subsection (b)(1) could not be filed with the

submission of an application under subsection (b)(1) because the application was filed before

the patent information was required under subsection (b)(1) or a patent was issued after the

application was approved under such subsection, the holder of an approved application shall

file with the Secretary the patent number and the expiration date of any patent which claims

the new animal drug for which the application was filed or which claims a method of using such

drug and with respect to which a claim of patent infringement could reasonably be asserted if a

person not licensed by the owner engaged in the manufacture, use, or sale of the drug. If the

holder of an approved application could not file patent information under subsection (b)(1)

because it was not required at the time the application was approved, the holder shall file such

information under this subsection not later than 30 days after the date of the enactment of this

sentence 8 , and if the holder of an approved application could not file patent information under

subsection (b)(1) because no patent had been issued when an application was filed or

approved, the holder shall file such information under this subsection not later than 30 days

after the date the patent involved is issued. Upon the submission of patent information under

this subsection, the Secretary shall publish it.

(4) A drug manufactured in a pilot or other small facility may be used to demonstrate the safety

and effectiveness of the drug and to obtain approval for the drug prior to manufacture of the

drug in a larger facility, unless the Secretary makes a determination that a full scale production

facility is necessary to ensure the safety or effectiveness of the drug.

(d)(1) If the Secretary finds, after due notice to the applicant in accordance with subsection (c)

and giving him an opportunity for a hearing, in accordance with said subsection, that—

(A) the investigations, reports of which are required to be submitted to the Secretary pursuant

to subsection (b), do not include adequate tests by all methods reasonably applicable to show

whether or not such drug is safe for use under the conditions prescribed, recommended, or

suggested in the proposed labeling thereof;

(B) the results of such tests show that such drug is unsafe for use under such conditions or do

not show that such drug is safe for use under such conditions;

(C) the methods used in, and the facilities and controls used for, the manufacture, processing,

and packing of such drug are inadequate to preserve its identity, strength, quality, and purity;

(D) upon the basis of the information submitted to him as part of the application, or upon the

basis of any other information before him with respect to such drug, he has insufficient

information to determine whether such drug is safe for use under such conditions;

(E) evaluated on the basis of the information submitted to him as part of the application and

any other information before him with respect to such drug, there is a lack of substantial

evidence that the drug will have the effect it purports or is represented to have under the

conditions of use prescribed, recommended, or suggested in the proposed labeling thereof;

(F) upon the basis of information submitted to the Secretary as part of the application or any

other information before the Secretary with respect to such drug, any use prescribed,

recommended, or suggested in labeling proposed for such drug will result in a residue of such

drug in excess of a tolerance found by the Secretary to be safe for such drug;

(G) the application failed to contain the patent information prescribed by subsection (b)(1);

(H) based on a fair evaluation of all material facts, such labeling is false or misleading in any

particular; or

(I) such drug induces cancer when ingested by man or animal or, after tests which are

appropriate for the evaluation of the safety of such drug, induces cancer in man or animal,

except that the foregoing provisions of this subparagraph shall not apply with respect to such

drug if the Secretary finds that, under the conditions of use specified in proposed labeling and

reasonably certain to be followed in practice (i) such drug will not adversely affect the animals

for which it is intended, and (ii) no residue of such drug will be found (by methods of

examination prescribed or approved by the Secretary by regulations, which regulations shall

not be subject to subsections (c), (d), and (h)), in any edible portion of such animals after

slaughter or in any food yielded by or derived from the living animals;

he shall issue an order refusing to approve the application. If, after such notice and opportunity

for hearing, the Secretary finds that subparagraphs (A) through (I) do not apply, he shall issue

an order approving the application.

(2) In determining whether such drug is safe for use under the conditions prescribed,

recommended, or suggested in the proposed labeling thereof, the Secretary shall consider,

among other relevant factors, (A) the probable consumption of such drug and of any

substance formed in or on food because of the use of such drug, (B) the cumulative effect on

man or animal of such drug, taking into account any chemically or pharmacologically related

substance, (C) safety factors which in the opinion of experts, qualified by scientific training and

experience to evaluate the safety of such drugs, are appropriate for the use of animal

experimentation data, and (D) whether the conditions of use prescribed, recommended, or

suggested in the proposed labeling are reasonably certain to be followed in practice. Any order

issued under this subsection refusing to approve an application shall state the findings upon

which it is based.

(3) As used in this section, the term "substantial evidence" means evidence consisting of one

or more adequate and well controlled investigations, such as—

(A) a study in a target species;

(B) a study in laboratory animals;

(C) any field investigation that may be required under this section and that meets the

requirements of subsection (b)(3) if a presubmission conference is requested by the applicant;

(D) a bioequivalence study; or

(E) an in vitro study; by experts qualified by scientific training and experience to evaluate the

effectiveness of the drug involved, on the basis of which it could fairly and reasonably be

concluded by such experts that the drug will have the effect it purports or is represented to

have under the conditions of use prescribed, recommended, or suggested in the labeling or

proposed labeling thereof.

(4) In a case in which an animal drug contains more than one active ingredient, or the labeling

of the drug prescribes, recommends, or suggests use of the drug in combination with one or

more other animal drugs, and the active ingredients or drugs intended for use in the

combination have previously been separately approved pursuant to an application submitted

under section 512(b)(1) 9 for particular uses and conditions of use for which they are intended

for use in the combination—

(A) the Secretary shall not issue an order under paragraph (1)(A), (1)(B), or (1)(D) refusing to

approve the application for such combination on human food safety grounds unless the

Secretary finds that the application fails to establish that—

(i) none of the active ingredients or drugs intended for use in the combination, respectively, at

the longest withdrawal time of any of the active ingredients or drugs in the combination,

respectively, exceeds its established tolerance; or

(ii) none of the active ingredients or drugs in the combination interferes with the methods of

analysis for another of the active ingredients or drugs in the combination, respectively;

(B) the Secretary shall not issue an order under paragraph (1)(A), (1)(B), or (1)(D) refusing to

approve the application for such combination on target animal safety grounds unless the

Secretary finds that—

(i)(I) there is a substantiated scientific issue, specific to one or more of the active ingredients or

animal drugs in the combination, that cannot adequately be evaluated based on information

contained in the application for the combination (including any investigations, studies, or tests

for which the applicant has a right of reference or use from the person by or for whom the

investigations, studies, or tests were conducted); or

(II) there is a scientific issue raised by target animal observations contained in studies

submitted to the Secretary as part of the application; and

(ii) based on the Secretary’s evaluation of the information contained in the application with

respect to the issues identified in clauses (i) (I) and (II), paragraph (1) (A), (B), or (D) apply;

(C) except in the case of a combination that contains a nontopical antibacterial ingredient or

animal drug, the Secretary shall not issue an order under paragraph (1)(E) refusing to approve

an application for a combination animal drug intended for use other than in animal feed or

drinking water unless the Secretary finds that the application fails to demonstrate that—

(i) there is substantial evidence that any active ingredient or animal drug intended only for the

same use as another active ingredient or animal drug in the combination makes a contribution

to labeled effectiveness;

(ii) each active ingredient or animal drug intended for at least one use that is different from all

other active ingredients or animal drugs used in the combination provides appropriate

concurrent use for the intended target population; or

(iii) where based on scientific information the Secretary has reason to believe the active

ingredients or animal drugs may be physically incompatible or have disparate dosing regimens,

such active ingredients or animal drugs are physically compatible or do not have disparate

dosing regimens; and

(D) the Secretary shall not issue an order under paragraph (1)(E) refusing to approve an

application for a combination animal drug intended for use in animal feed or drinking water

unless the Secretary finds that the application fails to demonstrate that—

(i) there is substantial evidence that any active ingredient or animal drug intended only for the

same use as another active ingredient or animal drug in the combination makes a contribution

to the labeled effectiveness;

(ii) each of the active ingredients or animal drugs intended for at least one use that is different

from all other active ingredients or animal drugs used in the combination provides appropriate

concurrent use for the intended target population;

(iii) where a combination contains more than one nontopical antibacterial ingredient or animal

drug, there is substantial evidence that each of the nontopical antibacterial ingredients or

animal drugs makes a contribution to the labeled effectiveness, except that for purposes of this

clause, antibacterial ingredient or animal drug does not include the ionophore or arsenical

classes of animal drugs; or

(iv) where based on scientific information the Secretary has reason to believe the active

ingredients or animal drugs intended for use in drinking water may be physically incompatible,

such active ingredients or animal drugs intended for use in drinking water are physically

compatible.

(5) 10 In reviewing an application that proposes a change to add an intended use for a minor

use or a minor species to an approved new animal drug application, the Secretary shall

reevaluate only the relevant information in the approved application to determine whether the

application for the minor use or minor species can be approved. A decision to approve the

application for the minor use or minor species is not, implicitly or explicitly, a reaffirmation of

the approval of the original application.

(e)(1) The Secretary shall, after due notice and opportunity for hearing to the applicant, issue

an order withdrawing approval of an application filed pursuant to subsection (b) with respect to

any new animal drug if the Secretary finds—

(A) that experience or scientific data show that such drug is unsafe for use under the

conditions of use upon the basis of which the application was approved or the condition of use

authorized under subsection (a)(4)(A);

(B) that new evidence not contained in such application or not available to the Secretary until

after such application was approved, or tests by new methods, or tests by methods not

deemed reasonably applicable when such application was approved, evaluated together with

the evidence available to the Secretary when the application was approved, shows that such

drug is not shown to be safe for use under the conditions of use upon the basis of which the

application was approved or that subparagraph (I) of paragraph (1) of subsection (d) applies to

such drug;

(C) on the basis of new information before him with respect to such drug, evaluated together

with the evidence available to him when the application was approved, that there is a lack of

substantial evidence that such drug will have the effect it purports or is represented to have

under the conditions of use prescribed, recommended, or suggested in the labeling thereof;

(D) the patent information prescribed by subsection (c)(3) was not filed within 30 days after the

receipt of written notice from the Secretary specifying the failure to file such information;

(E) that the application contains any untrue statement of a material fact; or

(F) that the applicant has made any changes from the standpoint of safety or effectiveness

beyond the variations provided for in the application unless he has supplemented the

application by filing with the Secretary adequate information respecting all such changes and

unless there is in effect an approval of the supplemental application. The supplemental

application shall be treated in the same manner as the original application.

If the Secretary (or in his absence the officer acting as Secretary) finds that there is an

imminent hazard to the health of man or of the animals for which such drug is intended, he

may suspend the approval of such application immediately, and give the applicant prompt

notice of his action and afford the applicant the opportunity for an expedited hearing under this

subsection; but the authority conferred by this sentence to suspend the approval of an

application shall not be delegated.

(2) The Secretary may also, after due notice and opportunity for hearing to the applicant, issue

an order withdrawing the approval of an application with respect to any new animal drug under

this section if the Secretary finds—

(A) that the applicant has failed to establish a system for maintaining required records, or has

repeatedly or deliberately failed to maintain such records or to make required reports in

accordance with a regulation or order under subsection (l), or the applicant has refused to

permit access to, or copying or verification of, such records as required by paragraph (2) of

such subsection;

(B) that on the basis of new information before him, evaluated together with the evidence

before him when the application was approved, the methods used in, or the facilities and

controls used for, the manufacture, processing, and packing of such drug are inadequate to

assure and preserve its identity, strength, quality, and purity and were not made adequate

within a reasonable time after receipt of written notice from the Secretary specifying the matter

complained of; or

(C) that on the basis of new information before him, evaluated together with the evidence

before him when the application was approved, the labeling of such drug, based on a fair

evaluation of all material facts, is false or misleading in any particular and was not corrected

within a reasonable time after receipt of written notice from the Secretary specifying the matter

complained of.

(3) Any order under this subsection shall state the findings upon which it is based.

(f) Whenever the Secretary finds that the facts so require, he shall revoke any previous order

under subsection (d), (e), or (m), or section 571 (c), (d), or (e) refusing, withdrawing, or

suspending approval of an application and shall approve such application or reinstate such

approval, as may be appropriate.

(g) Orders of the Secretary issued under this section, or section 571(other than orders issuing,

amending, or repealing regulations) shall be served (1) in person by any officer or employee of

the department designated by the Secretary or (2) by mailing the order by registered mail or by

certified mail addressed to the applicant or respondent at his last known address in the records

of the Secretary.

(h) An appeal may be taken by the applicant from an order of the Secretary refusing or

withdrawing approval of an application filed under subsection (b) or (m) of this section. The

provisions of subsection (h) of section 505 of this Act shall govern any such appeal.

(i) When a new animal drug application filed pursuant to subsection (b) or section 571 is

approved, the Secretary shall by notice, which upon publication shall be effective as a

regulation, publish in the Federal Register the name and address of the applicant and the

conditions and indications of use of the new animal drug covered by such application,

including any tolerance and withdrawal period or other use restrictions and, if such new animal

drug is intended for use in animal feed, appropriate purposes and conditions of use (including

special labeling requirements and any requirement that an animal feed bearing or containing

the new animal drug be limited to use under the professional supervision of a licensed

veterinarian) applicable to any animal feed for use in which such drug is approved, and such

other information, upon the basis of which such application was approved, as the Secretary

deems necessary to assure the safe and effective use of such drug. Upon withdrawal of

approval of such new animal drug application or upon its suspension or upon failure to renew a

conditional approval under section 571, the Secretary shall forthwith revoke or suspend, as the

case may be, the regulation published pursuant to this subsection (i) 11 insofar as it is based

on the approval of such application.

(j) To the extent consistent with the public health, the Secretary shall promulgate regulations

for exempting from the operation of this section new animal drugs, and animal feeds bearing or

containing new animal drugs, intended solely for investigational use by experts qualified by

scientific training and experience to investigate the safety and effectiveness of animal drugs.

Such regulations may, in the discretion of the Secretary, among other conditions relating to the

protection of the public health, provide for conditioning such exemption upon the establishment

and maintenance of such records, and the making of such reports to the Secretary, by the

manufacturer or the sponsor of the investigation of such article, of data (including but not

limited to analytical reports by investigators) obtained as a result of such investigational use of

such article, as the Secretary finds will enable him to evaluate the safety and effectiveness of

such article in the event of the filing of an application pursuant to this section. Such regulations,

among other things, shall set forth the conditions (if any) upon which animals treated with such

articles, and any products of such animals (before or after slaughter), may be marketed for

food use.

(k) While approval of an application for a new animal drug is effective, a food shall not, by

reason of bearing or containing such drug or any substance formed in or on the food because

of its use in accordance with such application (including the conditions and indications of use

prescribed pursuant to subsection (i)), be considered adulterated within the meaning of clause

(1) of section 402(a).

(l)(1) In the case of any new animal drug for which an approval of an application filed pursuant

to ubsection (b) or section 571 is in effect, the applicant shall establish and maintain such

records, and make such reports to the Secretary, of data relating to experience, including

experience with uses authorized under subsection (a)(4)(A), and other data or information,

received or otherwise obtained by such applicant with respect to such drug, or with respect to

animal feeds bearing or containing such drug, as the Secretary may by general regulation, or

by order with respect to such application, prescribe on the basis of a finding that such records

and reports are necessary in order to enable the Secretary to determine, or facilitate a

determination, whether there is or may be ground for invoking subsection (e) or subsection

(m)(4) of this section. Such regulation or order shall provide, where the Secretary deems it to

be appropriate, for the examination, upon request, by the persons to whom such regulation or

order is applicable, of similar information received or otherwise obtained by the Secretary.

(2) Every person required under this subsection to maintain records, and every person in

charge or custody thereof, shall, upon request of an officer or employee designated by the

Secretary, permit such officer or employee at all reasonable times to have access to and copy

and verify such records.

(m)(1) Any person may file with the Secretary an application for a license to manufacture

animal feeds bearing or containing new animal drugs. Such person shall submit to the

Secretary as part of the application (A) a full statement of the business name and address of

the specific facility at which the manufacturing is to take place and the facility’s registration

number, (B) the name and signature of the responsible individual or individuals for that facility,

(C) a certification that the animal feeds bearing or containing new animal drugs are

manufactured and labeled in accordance with the applicable regulations published pursuant to

subsection (i) or for indexed new animal drugs in accordance with the index listing published

pursuant to section 572(e)(2) and the labeling requirements set forth in section 572(h), and (D)

a certification that the methods used in, and the facilities and controls used for, manufacturing,

processing, packaging, and holding such animal feeds are in conformity with current good

manufacturing practice as described in section 501(a)(2)(B).

(2) Within 90 days after the filing of an application pursuant to paragraph (1), or such additional

period as may be agreed upon by the Secretary and the applicant, the Secretary shall (A)

issue an order approving the application if the Secretary then finds that none of the grounds for

denying approval specified in paragraph (3) applies, or (B) give the applicant notice of an

opportunity for a hearing before the Secretary under paragraph (3) on the question whether

such application is approvable. The procedure governing such a hearing shall be the

procedure set forth in the last two sentences of subsection (c)(1).

(3) If the Secretary, after due notice to the applicant in accordance with paragraph (2) and

giving the applicant an opportunity for a hearing in accordance with such paragraph, finds, on

the basis of information submitted to the Secretary as part of the application, on the basis of a

preapproval inspection, or on the basis of any other information before the Secretary—

(A) that the application is incomplete, false, or misleading in any particular;

(B) that the methods used in, and the facilities and controls used for, the manufacture,

processing, and packing of such animal feed are inadequate to preserve the identity, strength,

quality, and purity of the new animal drug therein; or

(C) that the facility manufactures animal feeds bearing or containing new animal drugs in a

manner that does not accord with the specifications for manufacture or labels animal feeds

bearing or containing new animal drugs in a manner that does not accord with the conditions

or indications of use that are published pursuant to subsection (i) or an index listing pursuant to

section 572(e),

the Secretary shall issue an order refusing to approve the application. If, after such notice and

opportunity for hearing, the Secretary finds that subparagraphs (A) through (C) do not apply,

the Secretary shall issue an order approving the application. An order under this subsection

approving an application for a license to manufacture animal feeds bearing or containing new

animal drugs shall permit a facility to manufacture only those animal feeds bearing or

containing new animal drugs for which there are in effect regulations pursuant to subsection (i)

or an index listing pursuant to section 572(e) relating to the use of such drugs in or on such

animal feed.

(4)(A) The Secretary shall, after due notice and opportunity for hearing to the applicant, revoke

a license to manufacture animal feeds bearing or containing new animal drugs under this

subsection if the Secretary finds—

(i) that the application for such license contains any untrue statement of a material fact; or

(ii) that the applicant has made changes that would cause the application to contain any untrue

statements of material fact or that would affect the safety or effectiveness of the animal feeds

manufactured at the facility unless the applicant has supplemented the application by filing

with the Secretary adequate information respecting all such changes and unless there is in

effect an approval of the supplemental application.

If the Secretary (or in the Secretary’s absence the officer acting as the Secretary) finds that

there is an imminent hazard to the health of humans or of the animals for which such animal

feed is intended, the Secretary may suspend the license immediately, and give the applicant

prompt notice of the action and afford the applicant the opportunity for an expedited hearing

under this subsection; but the authority conferred by this sentence shall not be delegated.

(B) The Secretary may also, after due notice and opportunity for hearing to the applicant,

revoke a license to manufacture animal feed under this subsection if the Secretary finds—

(i) that the applicant has failed to establish a system for maintaining required records, or has

repeatedly or deliberately failed to maintain such records or to make required reports in

accordance with a regulation or order under paragraph (5)(A) of this subsection or section

504(a)(3)(A), or the applicant has refused to permit access to, or copying or verification of,

such records as required by subparagraph (B) of such paragraph or section 504(a)(3)(B);

(ii) that on the basis of new information before the Secretary, evaluated together with the

evidence before the Secretary when such license was issued, the methods used in, or the

facilities and controls used for, the manufacture, processing, packing, and holding of such

animal feed are inadequate to assure and preserve the identity, strength, quality, and purity of

the new animal drug therein, and were not made adequate within a reasonable time after

receipt of written notice from the Secretary, specifying the matter complained of;

(iii) that on the basis of new information before the Secretary, evaluated together with the

evidence before the Secretary when such license was issued, the labeling of any animal feeds,

based on a fair evaluation of all material facts, is false or misleading in any particular and was

not corrected within a reasonable time after receipt of written notice from the Secretary

specifying the matter complained of; or

(iv) that on the basis of new information before the Secretary, evaluated together with the

evidence before the Secretary when such license was issued, the facility has manufactured,

processed, packed, or held animal feed bearing or containing a new animal drug adulterated

under section 501(a)(6) and the facility did not discontinue the manufacture, processing,

packing, or holding of such animal feed within a reasonable time after receipt of written notice

from the Secretary specifying the matter complained of.

(C) The Secretary may also revoke a license to manufacture animal feeds under this

subsection if an applicant gives notice to the Secretary of intention to discontinue the

manufacture of all animal feed covered under this subsection and waives an opportunity for a

hearing on the matter.

(D) Any order under this paragraph shall state the findings upon which it is based.

(5) When a license to manufacture animal feeds bearing or containing new animal drugs has

been issued—

(A) the applicant shall establish and maintain such records, and make such reports to the

Secretary, or (at the option of the Secretary) to the appropriate person or persons holding an

approved application filed under subsection (b), as the Secretary may by general regulation, or

by order with respect to such application, prescribe on the basis of a finding that such records

and reports are necessary in order to enable the Secretary to determine, or facilitate a

determination, whether there is or may be ground for invoking subsection (e) or paragraph (4);

and

(B) every person required under this subsection to maintain records, and every person in

charge or custody thereof, shall, upon request of an officer or employee designated by the

Secretary, permit such officer or employee at all reasonable times to have access to and copy

and verify such records.

(6) To the extent consistent with the public health, the Secretary may promulgate regulations

for exempting from the operation of this subsection facilities that manufacture, process, pack,

or hold animal feeds bearing or containing new animal drugs.

(n)(1) An abbreviated application for a new animal drug shall contain—

(A)(i) except as provided in clause (ii), information to show that the conditions of use or similar

limitations (whether in the labeling or published pursuant to subsection (i)) prescribed,

recommended, or suggested in the labeling proposed for the new animal drug have been

previously approved for a new animal drug listed under paragraph (4) (hereinafter in this

subsection referred to as an "approved new animal drug"), and

(ii) information to show that the withdrawal period at which residues of the new animal drug will

be consistent with the tolerances established for the approved new animal drug is the same as

the withdrawal period previously established for the approved new animal drug or, if the

withdrawal period is proposed to be different, information showing that the residues of the new

animal drug at the proposed different withdrawal period will be consistent with the tolerances

established for the approved new animal drug;

(B)(i) information to show that the active ingredients of the new animal drug are the same as

those of the approved new animal drug, and

(ii) if the approved new animal drug has more than one active ingredient, and if one of the

active ingredients of the new animal drug is different from one of the active ingredients of the

approved new animal drug and the application is filed pursuant to the approval of a petition

filed under paragraph (3)—

(I) information to show that the other active ingredients of the new animal drug are the same as

the active ingredients of the approved new animal drug,

(II) information to show either that the different active ingredient is an active ingredient of

another approved new animal drug or of an animal drug which does not meet the requirements

of section 201(v), and

(III) such other information respecting the different active ingredients as the Secretary may

require;

(C)(i) if the approved new animal drug is permitted to be used with one or more animal drugs in

animal feed, information to show that the proposed uses of the new animal drug with other

animal drugs in animal feed are the same as the uses of the approved new animal drug, and

(ii) if the approved new animal drug is permitted to be used with one or more other animal

drugs in animal feed, and one of the other animal drugs proposed for use with the new animal

drug in animal feed is different from one of the other animal drugs permitted to be used in

animal feed with the approved new animal drug, and the application is filed pursuant to the

approval of a petition filed under paragraph (3)—

(I) information to show either that the different animal drug proposed for use with the approved

new animal drug in animal feed is an approved new animal drug permitted to be used in animal

feed or does not meet the requirements of section 201(v) when used with another animal drug

in animal feed,

(II) information to show that other animal drugs proposed for use with the new animal drug in

animal feed are the same as the other animal drugs permitted to be used with the approved

new animal drug, and

(III) such other information respecting the different animal drug or combination with respect to

which the petition was filed as the Secretary may require,

(D) information to show that the route of administration, the dosage form, and the strength of

the new animal drug are the same as those of the approved new animal drug or, if the route of

administration, the dosage form, or the strength of the new animal drug is different and the

application is filed pursuant to the approval of a petition filed under paragraph (3), such

information respecting the route of administration, dosage form, or strength with respect to

which the petition was filed as the Secretary may require;

(E) information to show that the new animal drug is bioequivalent to the approved new animal

drug, except that if the application is filed pursuant to the approval of a petition filed under

paragraph (3) for the purposes described in subparagraph (B) or (C), information to show that

the active ingredients of the new animal drug are of the same pharmacological or therapeutic

class as the pharmacological or therapeutic class of the approved new animal drug and that

the new animal drug can be expected to have the same therapeutic effect as the approved

new animal drug when used in accordance with the labeling;

(F) information to show that the labeling proposed for the new animal drug is the same as the

labeling approved for the approved new animal drug except for changes required because of

differences approved under a petition filed under paragraph (3), because of a different

withdrawal period, or because the new animal drug and the approved new animal drug are

produced or distributed by different manufacturers;

(G) the items specified in clauses (B) through (F) of subsection (b)(1);

(H) a certification, in the opinion of the applicant and to the best of his knowledge, with respect

to each patent which claims the approved new animal drug or which claims a use for such

approved new animal drug for which the applicant is seeking approval under this subsection

and for which information is required to be filed under subsection (b)(1) or (c)(3)—

(i) that such patent information has not been filed,

(ii) that such patent has expired,

(iii) of the date on which such patent will expire, or

(iv) that such patent is invalid or will not be infringed by the manufacture, use, or sale of the

new animal drug for which the application is filed; and

(I) if with respect to the approved new animal drug information was filed under subsection (b)(1)

or (c)(3) for a method of use patent which does not claim a use for which the applicant is

seeking approval of an application under subsection (c)(2), a statement that the method of use

patent does not claim such a use.

The Secretary may not require that an abbreviated application contain information in addition

to that required by subparagraphs (A) through (I).

(2)(A) An applicant who makes a certification described in paragraph (1)(G)(iv) shall include in

the application a statement that the applicant will give the notice required by subparagraph (B)

to—

(i) each owner of the patent which is the subject of the certification or the representative of

such owner designated to receive such notice, and

(ii) the holder of the approved application under subsection (c)(1) for the drug which is claimed

by the patent or a use of which is claimed by the patent or the representative of such holder

designated to receive such notice.

(B) The notice referred to in subparagraph (A) shall state that an application, which contains

data from bioequivalence studies, has been filed under this subsection for the drug with

respect to which the certification is made to obtain approval to engage in the commercial

manufacture, use, or sale of such drug before the expiration of the patent referred to in the

certification. Such notice shall include a detailed statement of the factual and legal basis of the

applicant’s opinion that the patent is not valid or will not be infringed.

(C) If an application is amended to include a certification described in paragraph (1)(G)(iv), the

notice required by subparagraph (B) shall be given when the amended application is filed.

(3) If a person wants to submit an abbreviated application for a new animal drug—

(A) whose active ingredients, route of administration, dosage form, or strength differ from that

of an approved new animal drug, or

(B) whose use with other animal drugs in animal feed differs from that of an approved new

animal drug, such person shall submit a petition to the Secretary seeking permission to file

such an application. The Secretary shall approve a petition for a new animal drug unless the

Secretary finds that—

(C) investigations must be conducted to show the safety and effectiveness, in animals to be

treated with the drug, of the active ingredients, route of administration, dosage form, strength,

or use with other animal drugs in animal feed which differ from the approved new animal drug,

or

(D) investigations must be conducted to show the safety for human consumption of any

residues in food resulting from the proposed active ingredients, route of administration, dosage

form, strength, or use with other animal drugs in animal feed for the new animal drug which is

different from the active ingredients, route of administration, dosage form, strength, or use with

other animal drugs in animal feed of the approved new animal drug.

The Secretary shall approve or disapprove a petition submitted under this paragraph within 90

days of the date the petition is submitted.

(4)(A)(i) Within 60 days of the date of the enactment of this subsection 1, the Secretary shall

publish and make available to the public a list in alphabetical order of the official and

proprietary name of each new animal drug which has been approved for safety and

effectiveness before the date of the enactment of this subsection.

(ii) Every 30 days after the publication of the first list under clause (i) the Secretary shall revise

the list to include each new animal drug which has been approved for safety and effectiveness

under subsection (c) during the 30 day period.

(iii) When patent information submitted under subsection (b)(1) or (c)(3) respecting a new

animal drug included on the list is to be published by the Secretary, the Secretary shall, in

revisions made under clause (ii), include such information for such drug.

(B) A new animal drug approved for safety and effectiveness before the date of the enactment

of this subsection or approved for safety and effectiveness under subsection (c) shall, for

purposes of this subsection, be considered to have been published under subparagraph (A) on

the date of its approval or the date of enactment, whichever is later.

(C) If the approval of a new animal drug was withdrawn or suspended under subsection

(c)(2)(G) or for grounds described in subsection (e) or if the Secretary determines that a drug

has been withdrawn from sale for safety or effectiveness reasons, it may not be published in

the list under subparagraph (A) or, if the withdrawal or suspension occurred after its

publication in such list, it shall be immediately removed from such list—

(i) for the same period as the withdrawal or suspension under subsection (c)(2)(G) or (e), or

(ii) if the listed drug has been withdrawn from sale, for the period of withdrawal from sale or, if

earlier, the period ending on the date the Secretary determines that the withdrawal from sale is

not for safety or effectiveness reasons.

A notice of the removal shall be published in the Federal Register.

(5) If an application contains the information required by clauses (A), (G), and (H) of

subsection (b)(1) and such information—

(A) is relied on by the applicant for the approval of the application, and

(B) is not information derived either from investigations, studies, or tests conducted by or for

the applicant or for which the applicant had obtained a right of reference or use from the

person by or for whom the investigations, studies, or tests were conducted, such application

shall be considered to be an application filed under subsection (b)(2).

(o) For purposes of this section, the term "patent" means a patent issued by the United States

Patent and Trademark Office.

(p)(1) Safety and effectiveness data and information which has been submitted in an

application filed under subsection (b)(1) or section 571(a) for a drug and which has not

previously been disclosed to the public shall be made available to the public, upon request,

unless extraordinary circumstances are shown—

(A) if no work is being or will be undertaken to have the application approved,

(B) if the Secretary has determined that the application is not approvable and all legal appeals

have been exhausted,

(C) if approval of the application under subsection (c) is withdrawn and all legal appeals have

been exhausted,

(D) if the Secretary has determined that such drug is not a new drug, or

(E) upon the effective date of the approval of the first application filed under subsection (b)(2)

which refers to such drug or upon the date upon which the approval of an application filed

under subsection (b)(2) which refers to such drug could be made effective if such an

application had been filed.

(2) Any request for data and information pursuant to paragraph (1) shall include a verified

statement by the person making the request that any data or information received under such

paragraph shall not be disclosed by such person to any other person—

(A) for the purpose of, or as part of a plan, scheme, or device for, obtaining the right to make,

use, or market, or making, using, or marketing, outside the United States, the drug identified in

the application filed under subsection (b)(1) or section 571(a), and

(B) without obtaining from any person to whom the data and information are disclosed an

identical verified statement, a copy of which is to be provided by such person to the Secretary,

which meets the requirements of this paragraph.

Footnotes: Section 512

1. Section 511 was repealed by section 701(a) of Public Law 91–513.

2. Section 512 was added by Public Law 90–399, which was enacted July 13, 1968. Section

108 of such Public Law concerned the effective date and applicability of the amendment, and

is included in the appendix to this compilation.

3. Separate indentation of paragraph (1) is so in law. See section 102(b)(5)(I) of Public Law

108–282.

4. So in law. Probably should be "clause (iii)(III)".

5. The reference to "this paragraph" is a reference to paragraph (2) of subsection (c).

Paragraph (2) was added by title I of Public Law 100–670, which was enacted November 16,

1988.

6. The language within parentheses appears so as to reflect the probable intent of the

Congress. Section 102(b)(2) of Public Law 108–282 provides for amendments to the

parenentical language, and states that "Section 512(c)(2)(F) (ii), (iii), and (v) of the Federal

Food, Drug, and Cosmetic Act is amended by". The probable intent of the Congress was to

provide that "Clauses (ii), (iii), and (v) of section 512(c)(2)(F) of the Federal Food, Drug, and

Cosmetic Act are each amended by".

7. The reference to "this paragraph" is a reference to paragraph (2) of subsection (c).

Paragraph

(2) was added by title I of Public Law 100–670, which was enacted November 16, 1988.

8. The sentence was added by title I of Public Law 100–670, which was enacted November 16,

1988.

9. 1 So in law. See section 102(b)(5)(K) of Public Law 108-282. Probably should be

"subsection (b)(1)".

10. Identation is so in law. See section 102(b)(3) of Public Law 108-282.

11. So in law. Probably should be "this subsection".

CHAPTER V--DRUGS AND DEVICES SUBCHAPTER A--DRUGS AND DEVICES

CLASSIFICATION OF DEVICES INTENDED FOR HUMAN USE

SEC. 513. [21 U.S.C. 360c ] (a) Device Classes

(1) There are established the following classes of devices intended for human use:

(A) CLASS I, GENERAL CONTROLS.—

(i) A device for which the controls authorized by or under section 501, 502, 510, 516, 518, 519,

or 520 or any combination of such sections are sufficient to provide reasonable assurance of

the safety and effectiveness of the device.

(ii) A device for which insufficient information exists to determine that the controls referred to in

clause (i) are sufficient to provide reasonable assurance of the safety and effectiveness of the

device or to establish special controls to provide such assurance, but because it—

(I) is not purported or represented to be for a use in supporting or sustaining human life or for a

use which is of substantial importance in preventing impairment of human health, and

(II) does not present a potential unreasonable risk of illness or injury,

is to be regulated by the controls referred to in clause (i).

(B) CLASS II, SPECIAL CONTROLS.—A device which cannot be classified as a class I device

because the general controls by themselves are insufficient to provide reasonable assurance

of the safety and effectiveness of the device, and for which there is sufficient information to

establish special controls to provide such assurance, including the promulgation of

performance standards, postmarket surveillance, patient registries, development and

dissemination of guidelines (including guidelines for the submission of clinical data in

premarket notification submissions in accordance with section 510(k)), recommendations, and

other appropriate actions as the Secretary deems necessary to provide such assurance. For a

device that is purported or represented to be for a use in supporting or sustaining human life,

the Secretary shall examine and identify the special controls, if any, that are necessary to

provide adequate assurance of safety and effectiveness and describe how such controls

provide such assurance.

(C) CLASS III, PREMARKET APPROVAL.—A device which because—

(i) it (I) cannot be classified as a class I device because insufficient information exists to

determine that the application of general controls are sufficient to provide reasonable

assurance of the safety and effectiveness of the device, and (II) cannot be classified as a class

II device because insufficient information exists to determine that the special controls

described in subparagraph (B) would provide reasonable assurance of its safety and

effectiveness, and

(ii)(I) is purported or represented to be for a use in supporting or sustaining human life or for a

use which is of substantial importance in preventing impairment of human health, or

(II) presents a potential unreasonable risk of illness or injury,

is to be subject, in accordance with section 515, to Premarket approval to provide reasonable

assurance of its safety and effectiveness.

If there is not sufficient information to establish a performance standard for a device to provide

reasonable assurance of its safety and effectiveness, the Secretary may conduct such

activities as may be necessary to develop or obtain such information.

(2) For purposes of this section and sections 514 and 515, the safety and effectiveness of a

device are to be determined—

(A) with respect to the persons for whose use the device is represented or intended,

(B) with respect to the conditions of use prescribed, recommended, or suggested in the

labeling of the device, and

(C) weighing any probable benefit to health from the use of the device against any probable

risk of injury or illness from such use.

(3)(A) Except as authorized by subparagraph (B), the effectiveness of a device is, for purposes

of this section and sections 514 and 515, to be determined, in accordance with regulations

promulgated by the Secretary, on the basis of well-controlled investigations, including 1 or

more clinical investigations where appropriate, by experts qualified by training and experience

to evaluate the effectiveness of the device, from which investigations it can fairly and

responsibly be concluded by qualified experts that the device will have the effect it purports or

is represented to have under the conditions of use prescribed, recommended, or suggested in

the labeling of the device.

(B) If the Secretary determines that there exists valid scientific evidence (other than evidence

derived from investigations described in subparagraph (A))—

(i) which is sufficient to determine the effectiveness of a device, and

(ii) from which it can fairly and responsibly be concluded by qualified experts that the device

will have the effect it purports or is represented to have under the conditions of use prescribed,

recommended, or suggested in the labeling of the device, then, for purposes of this section

and sections 514 and 515, the Secretary may authorize the effectiveness of the device to be

determined on the basis of such evidence.

(C) In making a determination of a reasonable assurance of the effectiveness of a device for

which an application under section 515 has been submitted, the Secretary shall consider

whether the extent of data that otherwise would be required for approval of the application with

respect to effectiveness can be reduced through reliance on postmarket controls.

(D)(i) The Secretary, upon the written request of any person intending to submit an application

under section 515, shall meet with such person to determine the type of valid scientific

evidence (within the meaning of subparagraphs (A) and (B)) that will be necessary to

demonstrate for purposes of approval of an application the effectiveness of a device for the

conditions of use proposed by such person. The written request shall include a detailed

description of the device, a detailed description of the proposed conditions of use of the device,

a proposed plan for determining whether there is a reasonable assurance of effectiveness,

and, if available, information regarding the expected performance from the device. Within 30

days after such meeting, the Secretary shall specify in writing the type of valid scientific

evidence that will provide a reasonable assurance that a device is effective under the

conditions of use proposed by such person.

(ii) Any clinical data, including one or more well-controlled investigations, specified in writing by

the Secretary for demonstrating a reasonable assurance of device effectiveness shall be

specified as result of a determination by the Secretary that such data are necessary to

establish device effectiveness. The Secretary shall consider, in consultation with the applicant,

the least burdensome appropriate means of evaluating device effectiveness that would have a

reasonable likelihood of resulting in approval.

(iii) The determination of the Secretary with respect to the specification of valid scientific

evidence under clauses (i) and (ii) shall be binding upon the Secretary, unless such

determination by the Secretary could be contrary to the public health.

(b) Classification; Classification Panels

(1) For purposes of—

(A) determining which devices intended for human use should be subject to the requirements

of general controls, performance standards, or premarket approval, and

(B) providing notice to the manufacturers and importers of such devices to enable them to

prepare for the application of such requirements to devices manufactured or imported by them,

the Secretary shall classify all such devices (other than devices classified by subsection (f))

into the classes established by subsection (a). For the purpose of securing recommendations

with respect to the classification of devices, the Secretary shall establish panels of experts or

use panels of experts established before the date of the enactment of this section, or both.

Section 14 of the Federal Advisory Committee Act shall not apply to the duration of a panel

established under this paragraph.

(2) The Secretary shall appoint to each panel established under paragraph (1) persons who

are qualified by training and experience to evaluate the safety and effectiveness of the devices

to be referred to the panel and who, to the extent feasible, possess skill in the use of, or

experience in the development, manufacture, or utilization of, such devices. The Secretary

shall make appointments to each panel so that each panel shall consist of members with

adequately diversified expertise in such fields as clinical and administrative medicine,

engineering, biological and physical sciences, and other related professions. In addition, each

panel shall include as nonvoting members a representative of consumer interests and a

representative of interests of the device manufacturing industry. Scientific, trade, and

consumer organizations shall be afforded an opportunity to nominate individuals for

appointment to the panels. No individual who is in the regular full-time employ of the United

States and engaged in the administration of this Act may be a member of any panel. The

Secretary shall designate one of the members of each panel to serve as chairman thereof.

(3) Panel members (other than officers or employees of the United States), while attending

meetings or conferences of a panel or otherwise engaged in its business, shall be entitled to

receive compensation at rates to be fixed by the Secretary, but not at rates exceeding the daily

equivalent of the rate in effect for grade GS–18 of the General Schedule 1 , for each day so

engaged, including travel time; and while so serving away from their homes or regular places

of business each member may be allowed travel expenses (including per diem in lieu of

subsistence) as authorized by section 5703 of title 5, United States Code, for persons in the

Government service employed intermittently.

(4) The Secretary shall furnish each panel with adequate clerical and other necessary

assistance.

(5) Classification panels covering each type of device shall be scheduled to meet at such times

as may be appropriate for the Secretary to meet applicable statutory deadlines.

(6)(A) Any person whose device is specifically the subject of review by a classification panel

shall have—

(i) the same access to data and information submitted to a classification panel (except for data

and information that are not available for public disclosure under section 552 of title 5, United

States Code) as the Secretary;

(ii) the opportunity to submit, for review by a classification panel, information that is based on

the data or information provided in the application submitted under section 515 by the person,

which information shall be submitted to the Secretary for prompt transmittal to the

classification panel; and

(iii) the same opportunity as the Secretary to participate in meetings of the panel.

(B) Any meetings of a classification panel shall provide adequate time for initial presentations

and for response to any differing views by persons whose devices are specifically the subject

of a classification panel review, and shall encourage free and open participation by all

interested persons.

(7) After receiving from a classification panel the conclusions and recommendations of the

panel on a matter that the panel has reviewed, the Secretary shall review the conclusions and

recommendations, shall make a final decision on the matter in accordance with section

515(d)(2), and shall notify the affected persons of the decision in writing and, if the decision

differs from the conclusions and recommendations of the panel, shall include the reasons for

the difference.

(8) A classification panel under this subsection shall not be subject to the annual chartering

and annual report requirements of the Federal Advisory Committee Act.

(c) Classification Panel Organization and Operation

(1) The Secretary shall organize the panels according to the various fields of clinical medicine

and fundamental sciences in which devices intended for human use are used. The Secretary

shall refer a device to be classified under this section to an appropriate panel established or

authorized to be used under subsection (b) for its review and for its recommendation

respecting the classification of the device. The Secretary shall by regulation prescribe the

procedure to be followed by the panels in making their reviews and recommendations. In

making their reviews of devices, the panels, to the maximum extent practicable, shall provide

an opportunity for interested persons to submit data and views on the classification of the

devices.

(2)(A) Upon completion of a panel’s review of a device referred to it under paragraph (1), the

panel shall, subject to subparagraphs (B) and (C), submit to the Secretary its recommendation

for the classification of the device. Any such recommendation shall (i) contain (I) a summary of

the reasons for the recommendation, (II) a summary of the data upon which the

recommendation is based, and (III) an identification of the risks to health (if any) presented by

the device with respect to which the recommendation is made, and (ii) to the extent practicable,

include a recommendation for the assignment of a priority for the application of the

requirements of section 514 or 515 to a device recommended to be classified in class II or

class III.

(B) A recommendation of a panel for the classification of a device in class I shall include a

recommendation as to whether the device should be exempted from the requirements of

section 510, 519, or 520(f).

(C) In the case of a device which has been referred under paragraph (1) to a panel, and

which—

(i) is intended to be implanted in the human body or is purported or represented to be for a use

in supporting or sustaining human life, and

(ii)(I) has been introduced or delivered for introduction into interstate commerce for commercial

distribution before the date of enactment of this section, or

(II) is within a type of device which was so introduced or delivered before such date and is

substantially equivalent to another device within that type,

such panel shall recommend to the Secretary that the device be classified in class III unless

the panel determines that classification of the device in such class is not necessary to provide

reasonable assurance of its safety and effectiveness. If a panel does not recommend that such

a device be classified in class III, it shall in its recommendation to the Secretary for the

classification of the device set forth the reasons for not recommending classification of the

device in such class.

(3) The panels shall submit to the Secretary within one year of the date funds are first

appropriated for the implementation of this section their recommendations respecting all

devices of a type introduced or delivered for introduction into interstate commerce for

commercial distribution before the date of the enactment of this section.

(d) Classification

(1) Upon receipt of a recommendation from a panel respecting a device, the Secretary shall

publish in the Federal Register the panel’s recommendation and a proposed regulation

classifying such device and shall provide interested persons an opportunity to submit

comments on such recommendation and the proposed regulation. After reviewing such

comments, the Secretary shall, subject to paragraph (2), by regulation classify such device.

(2)(A) A regulation under paragraph (1) classifying a device in class I shall prescribe which, if

any, of the requirements of section 510, 519 or 520(f) shall not apply to the device. A

regulation which makes a requirement of section 510, 519, or 520(f) inapplicable to a device

shall be accompanied by a statement of the reasons of the Secretary for making such

requirement inapplicable.

(B) A device described in subsection (c)(2)(C) shall be classified in class III unless the

Secretary determines that classification of the device in such class is not necessary to provide

reasonable assurance of its safety and effectiveness. A proposed regulation under paragraph

(1) classifying such a device in a class other than class III shall be accompanied by a full

statement of the reasons of the Secretary (and supporting documentation and data) for not

classifying such device in such class and an identification of the risks to health (if any)

presented by such device.

(3) In the case of devices classified in class II and devices classified under this subsection in

class III and described in section 515(b)(1) the Secretary may establish priorities which, in his

discretion, shall be used in applying sections 514 and 515, as appropriate, to such devices.

(e) Classification Changes

(1) Based on new information respecting a device, the Secretary may, upon his own initiative

or upon petition of an interested person, by regulation (A) change such device’s classification,

and (B) revoke, because of the change in classification, any regulation or requirement in effect

under section 514 or 515 with respect to such device. In the promulgation of such a regulation

respecting a device’s classification, the Secretary may secure from the panel to which the

device was last referred pursuant to subsection (c) a recommendation respecting the

proposed change in the device’s classification and shall publish in the Federal Register any

recommendation submitted to the Secretary by the panel respecting such change. A regulation

under this subsection changing the classification of a device from class III to class II may

provide that such classification shall not take effect until the effective date of a performance

standard established under section 514 for such device.

(2) By regulation promulgated under paragraph (1), the Secretary may change the

classification of a device from class III—

(A) to class II if the Secretary determines that special controls would provide reasonable

assurance of the safety and effectiveness of the device and that general controls would not

provide reasonable assurance of the safety and effectiveness of the device, or

(B) to class I if the Secretary determines that general controls would provide reasonable

assurance of the safety and effectiveness of the device.

(f) Initial Classification and Reclassification of Certain Devices

(1) Any device intended for human use which was not introduced or delivered for introduction

into interstate commerce for commercial distribution before the date of the enactment of this

section is classified in class III unless—

(A) the device—

(i) is within a type of device (I) which was introduced or delivered for introduction into interstate

commerce for commercial distribution before such date and which is to be classified pursuant

to subsection (b), or (II) which was not so introduced or delivered before such date and has

been classified in class I or II, and

(ii) is substantially equivalent to another device within such type, or

(B) the Secretary in response to a petition submitted under paragraph (3) has classified such

device in class I or II.

A device classified in class III under this paragraph shall be classified in that class until the

effective date of an order of the Secretary under paragraph (2) or (3) classifying the device in

class I or II.

(2)(A) Any person who submits a report under section 510(k) for a type of device that has not

been previously classified under this Act, and that is classified into class III under paragraph

(1), may request, within 30 days after receiving written notice of such a classification, the

Secretary to classify the device under the criteria set forth in subparagraphs (A) through (C) of

subsection (a)(1). The person may, in the request, recommend to the Secretary a classification

for the device. Any such request shall describe the device and provide detailed information

and reasons for the recommended classification.

(B)(i) Not later than 60 days after the date of the submission of the request under

subparagraph (A), the Secretary shall by written order classify the device involved. Such

classification shall be the initial classification of the device for purposes of paragraph (1) and

any device classified under this paragraph shall be a predicate device for determining

substantial equivalence under paragraph (1).

(ii) A device that remains in class III under this subparagraph shall be deemed to be

adulterated within the meaning of section 501(f)(1)(B) until approved under section 515 or

exempted from such approval under section 520(g).

(C) Within 30 days after the issuance of an order classifying a device under this paragraph, the

Secretary shall publish a notice in the Federal Register announcing such classification.

(3)(A) The Secretary may initiate the reclassification of a device classified into class III under

paragraph (1) of this subsection or the manufacturer or importer of a device classified under

paragraph (1) may petition the Secretary (in such form and manner as he shall prescribe) for

the issuance of an order classifying the device in class I or class II. Within thirty days of the

filing of such a petition, the Secretary shall notify the petitioner of any deficiencies in the

petition which prevent the Secretary from making a decision on the petition.

(B)(i) Upon determining that a petition does not contain any deficiency which prevents the

Secretary from making a decision on the petition, the Secretary may for good cause shown

refer the petition to an appropriate panel established or authorized to be used under

subsection (b). A panel to which such a petition has been referred shall not later than ninety

days after the referral of the petition make a recommendation to the Secretary respecting

approval or denial of the petition. Any such recommendation shall contain (I) a summary of the

reasons for the recommendation, (II) a summary of the data upon which the recommendation

is based, and (III) an identification of the risks to health (if any) presented by the device with

respect to which the petition was filed. In the case of a petition for a device which is intended to

be implanted in the human body or which is purported or represented to be for a use in

supporting or sustaining human life, the panel shall recommend that the petition be denied

unless the panel determines that the classification in class III of the device is not necessary to

provide reasonable assurance of its safety and effectiveness. If the panel recommends that

such petition be approved, it shall in its recommendation to the Secretary set forth its reasons

for such recommendation.

(ii) The requirements of paragraphs (1) and (2) of subsection (c) (relating to opportunities for

submission of data and views and recommendations respecting priorities and exemptions from

sections 510, 519, and 520(f)) shall apply with respect to consideration by panels of petitions

submitted under subparagraph (A).

(C)(i) Within ninety days from the date the Secretary receives the recommendation of a panel

respecting a petition (but not later than 210 days after the filing of such petition) the Secretary

shall by order deny or approve the petition. If the Secretary approves the petition, the

Secretary shall order the classification of the device into class I or class II in accordance with

the criteria prescribed by subsection (a)(1)(A) or (a)(1)(B). In the case of a petition for a device

which is intended to be implanted in the human body or which is purported or represented to

be for a use in supporting or sustaining human life, the Secretary shall deny the petition unless

the Secretary determines that the classification in class III of the device is not necessary to

provide reasonable assurance of its safety and effectiveness. An order approving such petition

shall be accompanied by a full statement of the reasons of the Secretary (and supporting

documentation and data) for approving the petition and an identification of the risks to health (if

any) presented by the device to which such order applies.

(ii) The requirements of paragraphs (1) and (2)(A) of subsection (d) (relating to publication of

recommendations, opportunity for submission of comments, and exemption from sections 510,

519, and 520(f)) shall apply with respect to action by the Secretary on petitions submitted

under subparagraph (A).

(4) If a manufacturer reports to the Secretary under section 510(k) that a device is substantially

equivalent to another device—

(A) which the Secretary has classified as a class III device under subsection (b),

(B) which was introduced or delivered for introduction into interstate commerce for commercial

distribution before December 1, 1990, and

(C) for which no final regulation requiring premarket approval has been promulgated under

section 515(b),

the manufacturer shall certify to the Secretary that the manufacturer has conducted a

reasonable search of all information known or otherwise available to the manufacturer

respecting such other device and has included in the report under section 510(k) a summary of

and a citation to all adverse safety and effectiveness data respecting such other device and

respecting the device for which the section 510(k) report is being made and which has not

been submitted to the Secretary under section 519. The Secretary may require the

manufacturer to submit the adverse safety and effectiveness data described in the report.

(5) The Secretary may not withhold a determination of the initial classification of a device

under paragraph (1) because of a failure to comply with any provision of this Act unrelated to a

substantial equivalence decision, including a finding that the facility in which the device is

manufactured is not in compliance with good manufacturing requirements as set forth in

regulations of the Secretary under section 520(f) (other than a finding that there is a

substantial likelihood that the failure to comply with such regulations will potentially present a

serious risk to human health).

(g) Information. Within sixty days of the receipt of a written request of any person for

information respecting the class in which a device has been classified or the requirements

applicable to a device under this Act, the Secretary shall provide such person a written

statement of the classification (if any) of such device and the requirements of this Act

applicable to the device.

(h) Definitions. For purposes of this section and sections 501, 510, 514, 515, 516, 519, and

520—

(1) a reference to "general controls" is a reference to the controls authorized by or under

sections 501, 502, 510, 516, 518, 519, and 520,

(2) a reference to "class I," "class II," or "class III" is a reference to a class of medical devices

described in subparagraph (A), (B), or (C) of subsection (a)(1), and

(3) a reference to a "panel under section 513" is a reference to a panel established or

authorized to be used under this section.

(i) Substantial Equivalence

(1)(A) For purposes of determinations of substantial equivalence under subsection (f) and

section 520(l), the term "substantially equivalent" or "substantial equivalence" means, with

respect to a device being compared to a predicate device, that the device has the same

intended use as the predicate device and that the Secretary by order has found that the

device—

(i) has the same technological characteristics as the predicate device, or

(ii)(I) has different technological characteristics and the information submitted that the device is

substantially equivalent to the predicate device contains information, including appropriate

clinical or scientific data if deemed necessary by the Secretary or a person accredited under

section 523, that demonstrates that the device is as safe and effective as a legally marketed

device, and (II) does not raise different questions of safety and effectiveness than the

predicate device.

(B) For purposes of subparagraph (A), the term "different technological characteristics" means,

with respect to a device being compared to a predicate device, that there is a significant

change in the materials, design, energy source, or other features of the device from those of

the predicate device.

(C) To facilitate reviews of reports submitted to the Secretary under section 510(k), the

Secretary shall consider the extent to which reliance on postmarket controls may expedite the

classification of devices under subsection (f)(1) of this section.

(D) Whenever the Secretary requests information to demonstrate that devices with differing

technological characteristics are substantially equivalent, the Secretary shall only request

information that is necessary to making substantial equivalence determinations. In making

such request, the Secretary shall consider the least burdensome means of demonstrating

substantial equivalence and request information accordingly.

(E)(i) Any determination by the Secretary of the intended use of a device shall be based upon

the proposed labeling submitted in a report for the device under section 510(k). However,

when determining that a device can be found substantially equivalent to a legally marketed

device, the director of the organizational unit responsible for regulating devices (in this

subparagraph referred to as the "Director") may require a statement in labeling that provides

appropriate information regarding a use of the device not identified in the proposed labeling if,

after providing an opportunity for consultation with the person who submitted such report, the

Director determines and states in writing—

(I) that there is a reasonable likelihood that the device will be used for an intended use not

identified in the proposed labeling for the device; and

(II) that such use could cause harm.

(ii) Such determination shall—

(I) be provided to the person who submitted the report within 10 days from the date of the

notification of the Director’s concerns regarding the proposed labeling;

(II) specify the limitations on the use of the device not included in the proposed labeling; and

(III) find the device substantially equivalent if the requirements of subparagraph (A) are met

and if the labeling for such device conforms to the limitations specified in subclause (II).

(iii) The responsibilities of the Director under this subparagraph may not be delegated.

(iv) This subparagraph has no legal effect after the expiration of the five-year period beginning

on the date of the enactment of the Food and Drug Administration Modernization Act of 1997.

(F) Not later than 270 days after the date of the enactment of the Food and Drug

Administration Modernization Act of 1997, the Secretary shall issue guidance specifying the

general principles that the Secretary will consider in determining when a specific intended use

of a device is not reasonably included within a general use of such device for purposes of a

determination of substantial equivalence under subsection (f) or section 520(l).

(2) A device may not be found to be substantially equivalent to a predicate device that has

been removed from the market at the initiative of the Secretary or that has been determined to

be misbranded or adulterated by a judicial order.

(3)(A) As part of a submission under section 510(k) respecting a device, the person required to

file a premarket notification under such section shall provide an adequate summary of any

information respecting safety and effectiveness or state that such information will be made

available upon request by any person.

(B) Any summary under subparagraph (A) respecting a device shall contain detailed

information regarding data concerning adverse health effects and shall be made available to

the public by the Secretary within 30 days of the issuance of a determination that such device

is substantially equivalent to another device.

PERFORMANCE STANDARDS

SEC. 514. [21 U.S.C. 360d ] (a) Provisions of Standards

(1) The special controls required by section 513(a)(1)(B) shall include performance standards

for a class II device if the Secretary determines that a performance standard is necessary to

provide reasonable assurance of the safety and effectiveness of the device. A class III device

may also be considered a class II device for purposes of establishing a standard for the device

under subsection (b) if the device has been reclassified as a class II device under a regulation

under section 513(e) but such regulation provides that the reclassification is not to take effect

until the effective date of such a standard for the device.

(2) A performance standard established under subsection (b) for a device—

(A) shall include provisions to provide reasonable assurance of its safe and effective

performance;

(B) shall, where necessary to provide reasonable assurance of its safe and effective

performance, include—

(i) provisions respecting the construction, components, ingredients, and properties of the

device and its compatibility with power systems and connections to such systems,

(ii) provisions for the testing (on a sample basis or, if necessary, on an individual basis) of the

device or, if it is determined that no other more practicable means are available to the

Secretary to assure the conformity of the device to the standard, provisions for the testing (on

a sample basis or, if necessary, on an individual basis) by the Secretary or by another person

at the direction of the Secretary,

(iii) provisions for the measurement of the performance characteristics of the device,

(iv) provisions requiring that the results of each or of certain of the tests of the device required

to be made under clause (ii) show that the device is in conformity with the portions of the

standard for which the test or tests were required, and

(v) a provision requiring that the sale and distribution of the device be restricted but only to the

extent that the sale and distribution of a device may be restricted under a regulation under

section 520(e); and

(C) shall, where appropriate, require the use and prescribe the form and content of labeling for

the proper installation, maintenance, operation, and use of the device.

(3) The Secretary shall provide for periodic evaluation of performance standards established

under subsection (b) to determine if such standards should be changed to reflect new medical,

scientific, or other technological data.

(4) In carrying out his duties under this subsection and subsection (b), the Secretary shall, to

the maximum extent practicable—

(A) use personnel, facilities, and other technical support available in other Federal agencies,

(B) consult with other Federal agencies concerned with standard-setting and other nationally

or internationally recognized standard-setting entities, and

(C) invite appropriate participation, through joint or other conferences, workshops, or other

means, by informed persons representative of scientific, professional, industry, or consumer

organizations who in his judgment can make a significant contribution.

(b) Establishment of a Standard

(1)(A) The Secretary shall publish in the Federal Register a notice of proposed rulemaking for

the establishment, amendment, or revocation of any performance standard for a device.

(B) A notice of proposed rulemaking for the establishment or amendment of a performance

standard for a device shall—

(i) set forth a finding with supporting justification that the performance standard is appropriate

and necessary to provide reasonable assurance of the safety and effectiveness of the device,

(ii) set forth proposed findings with respect to the risk of illness or injury that the performance

standard is intended to reduce or eliminate,

(iii) invite interested persons to submit to the Secretary, within 30 days of the publication of the

notice, requests for changes in the classification of the device pursuant to section 513(e)

based on new information relevant to the classification, and

(iv) invite interested persons to submit an existing performance standard for the device,

including a draft or proposed performance standard, for consideration by the Secretary.

(C) A notice of proposed rulemaking for the revocation of a performance standard shall set

forth a finding with supporting justification that the performance standard is no longer

necessary to provide reasonable assurance of the safety and effectiveness of a device.

(D) The Secretary shall provide for a comment period of not less than 60 days.

(2) If, after publication of a notice in accordance with paragraph (1), the Secretary receives a

request for a change in the classification of the device, the Secretary shall, within 60 days of

the publication of the notice, after consultation with the appropriate panel under section 513,

either deny the request or give notice of an intent to initiate such change under section 513(e).

(3)(A) After the expiration of the period for comment on a notice of proposed rulemaking

published under paragraph (1) respecting a performance standard and after consideration of

such comments and any report from an advisory committee under paragraph (5), the

Secretary shall (i) promulgate a regulation establishing a performance standard and publish in

the Federal Register findings on the matters referred to in paragraph (1), or (ii) publish a notice

terminating the proceeding for the development of the standard together with the reasons for

such termination. If a notice of termination is published, the Secretary shall (unless such notice

is issued because the device is a banned device under section 516) initiate a proceeding

under section 513(e) to reclassify the device subject to the proceeding terminated by such

notice.

(B) A regulation establishing a performance standard shall set forth the date or dates upon

which the standard shall take effect, but no such regulation may take effect before one year

after the date of its publication unless (i) the Secretary determines that an earlier effective date

is necessary for the protection of the public health and safety, or (ii) such standard has been

established for a device which, effective upon the effective date of the standard, has been

reclassified from class III to class II. Such date or dates shall be established so as to minimize,

consistent with the public health and safety, economic loss to, and disruption or dislocation of,

domestic and international trade.

(4)(A) The Secretary, upon his own initiative or upon petition of an interested person may by

regulation, promulgated in accordance with the requirements of paragraphs (1), (2), and (3)(B)

of this subsection, amend or revoke a performance standard.

(B) The Secretary may declare a proposed amendment of a performance standard to be

effective on and after its publication in the Federal Register and until the effective date of any

final action taken on such amendment if he determines that making it so effective is in the

public interest. A proposed amendment of a performance standard made so effective under

the preceding sentence may not prohibit, during the period in which it is so effective, the

introduction or delivery for introduction into interstate commerce of a device which conforms to

such standard without the change or changes provided by such proposed amendment.

(5)(A) The Secretary—

(i) may on his own initiative refer a proposed regulation for the establishment, amendment, or

revocation of a performance standard, or

(ii) shall, upon the request of an interested person which demonstrates good cause for referral

and which is made before the expiration of the period for submission of comments on such

proposed regulation refer such proposed regulation, to an advisory committee of experts,

established pursuant to subparagraph (B) for a report and recommendation with respect to any

matter involved in the proposed regulation which requires the exercise of scientific judgment. If

a proposed regulation is referred under this subparagraph to an advisory committee, the

Secretary shall provide the advisory committee with the data and information on which such

proposed regulation is based. The advisory committee shall, within sixty days of the referral of

a proposed regulation and after independent study of the data and information furnished to it

by the Secretary and other data and information before it, submit to the Secretary a report and

recommendation respecting such regulation, together with all underlying data and information

and a statement of the reason or basis for the recommendation. A copy of such report and

recommendation shall be made public by the Secretary.

(B) The Secretary shall establish advisory committees (which may not be panels under section

513) to receive referrals under subparagraph (A). The Secretary shall appoint as members of

any such advisory committee persons qualified in the subject matter to be referred to the

committee and of appropriately diversified professional background, except that the Secretary

may not appoint to such a committee any individual who is in the regular full-time employ of the

United States and engaged in the administration of this Act. Each such committee shall include

as nonvoting members a representative of consumer interests and a representative of

interests of the device manufacturing industry. Members of an advisory committee who are not

officers or employees of the United States, while attending conferences or meetings of their

committee or otherwise serving at the request of the Secretary, shall be entitled to receive

compensation at rates to be fixed by the Secretary, which rates may not exceed the daily

equivalent of the rate in effect for grade GS–18 of the General Schedule 2 , for each day

(including travel time) they are so engaged; and while so serving away from their homes or

regular places of business each member may be allowed travel expenses, including per diem

in lieu of subsistence, as authorized by section 5703 of title 5 of the United States Code for

persons in the Government service employed intermittently. The Secretary shall designate one

of the members of each advisory committee to serve as chairman thereof. The Secretary shall

furnish each advisory committee with clerical and other assistance, and shall by regulation

prescribe the procedures to be followed by each such committee in acting on referrals made

under subparagraph (A).

(c) Recognition of a Standard

(1)(A) In addition to establishing a performance standard under this section, the Secretary

shall, by publication in the Federal Register, recognize all or part of an appropriate standard

established by a nationally or internationally recognized standard development organization

for which a person may submit a declaration of conformity in order to meet a premarket

submission requirement or other requirement under this Act to which such standard is

applicable.

(B) If a person elects to use a standard recognized by the Secretary under subparagraph (A) to

meet the requirements described in such subparagraph, the person shall provide a declaration

of conformity to the Secretary that certifies that the device is in conformity with such standard.

A person may elect to use data, or information, other than data required by a standard

recognized under subparagraph (A) to meet any requirement regarding devices under this Act.

(2) The Secretary may withdraw such recognition of a standard through publication of a notice

in the Federal Register if the Secretary determines that the standard is no longer appropriate

for meeting a requirement regarding devices under this Act.

(3)(A) Subject to subparagraph (B), the Secretary shall accept a declaration of conformity that

a device is in conformity with a standard recognized under paragraph (1) unless the Secretary

finds—

(i) that the data or information submitted to support such declaration does not demonstrate that

the device is in conformity with the standard identified in the declaration of conformity; or

(ii) that the standard identified in the declaration of conformity is not applicable to the particular

device under review.

(B) The Secretary may request, at any time, the data or information relied on by the person to

make a declaration of conformity with respect to a standard recognized under paragraph (1).

(C) A person making a declaration of conformity with respect to a standard recognized under

paragraph (1) shall maintain the data and information demonstrating conformity of the device

to the standard for a period of two years after the date of the classification or approval of the

device by the Secretary or a period equal to the expected design life of the device, whichever

is longer.

PREMARKET APPROVAL

SEC. 515. [21 U.S.C. 360e ] (a) General Requirement. A class III device—

(1) which is subject to a regulation promulgated under subsection (b); or

(2) which is a class III device because of section 513(f), is required to have, unless exempt

under section 520(g), an approval under this section of an application for premarket approval

or, as applicable, an approval under subsection (c)(2) of a report seeking premarket approval.

(b) Regulation To Require Premarket Approval

(1) In the case of a class III device which—

(A) was introduced or delivered for introduction into interstate commerce for commercial

distribution before the date of enactment of this section; or

(B) is (i) of a type so introduced or delivered, and (ii) is substantially equivalent to another

device within that type;

the Secretary shall by regulation, promulgated in accordance with this subsection, require that

such device have an approval under this section of an application for premarket approval.

(2)(A) A proceeding for the promulgation of a regulation under paragraph (1) respecting a

device shall be initiated by the publication in the Federal Register of a notice of proposed

rulemaking. Such notice shall contain—

(i) the proposed regulation;

(ii) proposed findings with respect to the degree of risk of illness or injury designed to be

eliminated or reduced by requiring the device to have an approved application for Premarket

approval and the benefit to the public from use of the device;

(iii) opportunity for the submission of comments on the proposed regulation and the proposed

findings; and

(iv) opportunity to request a change in the classification of the device based on new

information relevant to the classification of the device.

(B) If, within fifteen days after publication of a notice under subparagraph (A), the Secretary

receives a request for a change in the classification of a device, he shall, within sixty days of

the publication of such notice and after consultation with the appropriate panel under section

513, by order published in the Federal Register, either deny the request for change in

classification or give notice of his intent to initiate such a change under section 513(e).

(3) After the expiration of the period for comment on a proposed regulation and proposed

findings published under paragraph (2) and after consideration of comments submitted on

such proposed regulation and findings, the Secretary shall (A) promulgate such regulation and

publish in the Federal Register findings on the matters referred to in paragraph (2)(A)(ii), or (B)

publish a notice terminating the proceeding for the promulgation of the regulation together with

the reasons for such termination. If a notice of termination is published, the Secretary shall

(unless such notice is issued because the device is a banned device under section 516)

initiate a proceeding under section 513(e) to reclassify the device subject to the proceeding

terminated by such notice.

(4) The Secretary, upon his own initiative or upon petition of an interested person, may by

regulation amend or revoke any regulation promulgated under this subsection. A regulation to

amend or revoke a regulation under this subsection shall be promulgated in accordance with

the requirements prescribed by this subsection for the promulgation of the regulation to be

amended or revoked.

(c) Application for Premarket Approval

(1) Any person may file with the Secretary an application for premarket approval for a class III

device. Such an application for a device shall contain—

(A) full reports of all information, published or known to or which should reasonably be known

to the applicant, concerning investigations which have been made to show whether or not such

device is safe and effective;

(B) a full statement of the components, ingredients, and properties and of the principle or

principles of operation, of such device;

(C) a full description of the methods used in, and the facilities and controls used for, the

manufacture, processing, and, when relevant, packing and installation of, such device;

(D) an identifying reference to any performance standard under section 514 which would be

applicable to any aspect of such device if it were a class II device, and either adequate

information to show that such aspect of such device fully meets such performance standard or

adequate information to justify any deviation from such standard;

(E) such samples of such device and of components thereof as the Secretary may reasonably

require, except that where the submission of such samples is impracticable or unduly

burdensome, the requirement of this subparagraph may be met by the submission of complete

information concerning the location of one or more such devices readily available for

examination and testing;

(F) specimens of the labeling proposed to be used for such device; and

(G) such other information relevant to the subject matter of the application as the Secretary,

with the concurrence of the appropriate panel under section 513, may require.

(2)(A) Any person may file with the Secretary a report seeking premarket approval for a class

III device referred to in subsection (a) that is a reprocessed single-use device. Such a report

shall contain the following:

(i) The device name, including both the trade or proprietary name and the common or usual

name.

(ii) The establishment registration number of the owner or operator submitting the report.

(iii) Actions taken to comply with performance standards under section 514.

(iv) Proposed labels, labeling, and advertising sufficient to describe the device, its intended

use, and directions for use.

(v) Full reports of all information, published or known to or which should be reasonably known

to the applicant, concerning investigations which have been made to show whether or not the

device is safe or effective.

(vi) A description of the device's components, ingredients, and properties.

(vii) A full description of the methods used in, and the facilities and controls used for, the

reprocessing and packing of the device.

(viii) Such samples of the device that the Secretary may reasonably require.

(ix) A financial certification or disclosure statement or both, as required by part 54 of title 21,

Code of Federal Regulations.

(x) A statement that the applicant believes to the best of the applicant's knowledge that all data

and information submitted to the Secretary are truthful and accurate and that no material fact

has been omitted in the report.

(xi) Any additional data and information, including information of the type required in paragraph

(1) for an application under such paragraph, that the Secretary determines is necessary to

determine whether there is reasonable assurance of safety and effectiveness for the

reprocessed device.

(xii) Validation data described in section 510(o)(1)(A) that demonstrates that the reasonable

assurance of the safety or effectiveness of the device will remain after the maximum number of

times the device is reprocessed as intended by the person submitting such report.

(B) In the case of a class III device referred to in subsection (a) that is a reprocessed

single-use device:

(i) Subparagraph (A) of this paragraph applies in lieu of paragraph (1).

(ii) Subject to clause (i), the provisions of this section apply to a report under subparagraph (A)

to the same extent and in the same manner as such provisions apply to an application under

paragraph (1).

(iii) Each reference in other sections of this Act to an application under this section, other than

such a reference in section 737 or 738, shall be considered to be a reference to a report under

subparagraph (A).

(iv) Each reference in other sections of this Act to a device for which an application under this

section has been approved, or has been denied, suspended, or withdrawn, other than such a

reference in section 737 or 738, shall be considered to be a reference to a device for which a

report under subparagraph (A) has been approved, or has been denied, suspended, or

withdrawn, respectively.

(3) Upon receipt of an application meeting the requirements set forth in paragraph (1), the

Secretary—

(A) may on the Secretary’s own initiative, or

(B) shall, upon the request of an applicant unless the Secretary finds that the information in the

application which would be reviewed by a panel substantially duplicates information which has

previously been reviewed by a panel appointed under section 513, refer such application to the

appropriate panel under section 513 for study and for submission (within such period as he

may establish) of a report and recommendation respecting approval of the application,

together with all underlying data and the reasons or basis for the recommendation.

(4)(A) Prior to the submission of an application under this subsection, the Secretary shall

accept and review any portion of the application that the applicant and the Secretary agree is

complete, ready, and appropriate for review, except that such requirement does not apply, and

the Secretary has discretion whether to accept and review such portion, during any period in

which, under section 738(g), the Secretary does not have the authority to collect fees under

section 738(a).

(B) Each portion of a submission reviewed under subparagraph (A) and found acceptable by

the Secretary shall not be further reviewed after receipt of an application that satisfies the

requirements of paragraph (1), unless an issue of safety unless an issue of a significant safety

or effectiveness provides the Secretary reason to review such accepted portion.

(C) Whenever the Secretary determines that a portion of a submission under subparagraph (A)

is unacceptable, the Secretary shall, in writing, provide to the applicant a description of any

deficiencies in such portion and identify the information that is required to correct these

deficiencies, unless the applicant is no longer pursuing the application. Where appropriate, the

Secretary shall ensure that such panel includes, or consults with, one or more pediatric

experts.

(d) Action on an Application for Premarket Approval

(1)(A) As promptly as possible, but in no event later than one hundred and eighty days after

the receipt of an application under subsection (c) (except as provided in section 520(l)(3)(D)(ii)

or unless, in accordance with subparagraph (B)(i), an additional period as agreed upon by the

Secretary and the applicant), the Secretary, after considering the report and recommendation

submitted under paragraph (2) of such subsection, shall—

(i) issue an order approving the application if he finds that none of the grounds for denying

approval specified in paragraph (2) of this subsection applies; or

(ii) deny approval of the application if he finds (and sets forth the basis for such finding as part

of or accompanying such denial) that one or more grounds for denial specified in paragraph (2)

of this subsection apply.

In making the determination whether to approve or deny the application, the Secretary shall

rely on the conditions of use included in the proposed labeling as the basis for determining

whether or not there is a reasonable assurance of safety and effectiveness, if the proposed

labeling is neither false nor misleading. In determining whether or not such labeling is false or

misleading, the Secretary shall fairly evaluate all material facts pertinent to the proposed

labeling.

(B)(i) The Secretary may not enter into an agreement to extend the period in which to take

action with respect to an application submitted for a device subject to a regulation promulgated

under subsection (b) unless he finds that the continued availability of the device is necessary

for the public health.

(ii) An order approving an application for a device may require as a condition to such approval

that the sale and distribution of the device be restricted but only to the extent that the sale and

distribution of a device may be restricted under a regulation under section 520(e).

(iii) The Secretary shall accept and review statistically valid and reliable data and any other

information from investigations conducted under the authority of regulations required by

section 520(g) to make a determination of whether there is a reasonable assurance of safety

and effectiveness of a device subject to a pending application under this section if—

(I) the data or information is derived from investigations of an earlier version of the device, the

device has been modified during or after the investigations (but prior to submission of an

application under subsection (c)) and such a modification of the device does not constitute a

significant change in the design or in the basic principles of operation of the device that would

invalidate the data or information; or

(II) the data or information relates to a device approved under this section, is available for use

under this Act, and is relevant to the design and intended use of the device for which the

application is pending.

(2) The Secretary shall deny approval of an application for a device if, upon the basis of the

information submitted to the Secretary as part of the application and any other information

before him with respect to such device, the Secretary finds that—

(A) there is a lack of a showing of reasonable assurance that such device is safe under the

conditions of use prescribed, recommended, or suggested in the proposed labeling thereof;

(B) there is a lack of a showing of reasonable assurance that the device is effective under the

conditions of use prescribed, recommended, or suggested in the proposed labeling thereof;

(C) the methods used in, or the facilities or controls used for, the manufacture, processing,

packing, or installation of such device do not conform to the requirements of section 520(f);

(D) based on a fair evaluation of all material facts, the proposed labeling is false or misleading

in any particular; or

(E) such device is not shown to conform in all respects to a performance standard in effect

under section 514 compliance with which is a condition to approval of the application and there

is a lack of adequate information to justify the deviation from such standard.

Any denial of an application shall, insofar as the Secretary determines to be practicable, be

accompanied by a statement informing the applicant of the measures required to place such

application in approvable form (which measures may include further research by the applicant

in accordance with one or more protocols prescribed by the Secretary).

(3)(A)(i) The Secretary shall, upon the written request of an applicant, meet with the applicant,

not later than 100 days after the receipt of an application that has been filed as complete under

subsection (c), to discuss the review status of the application.

(ii) The Secretary shall, in writing and prior to the meeting, provide to the applicant a

description of any deficiencies in the application that, at that point, have been identified by the

Secretary based on an interim review of the entire application and identify the information that

is required to correct those deficiencies.

(iii) The Secretary shall notify the applicant promptly of—

(I) any additional deficiency identified in the application, or

(II) any additional information required to achieve completion of the review and final action on

the application,

that was not described as a deficiency in the written description provided by the Secretary

under clause (ii).

(B) The Secretary and the applicant may, by mutual consent, establish a different schedule for

a meeting required under this paragraph.

(4) An applicant whose application has been denied approval may, by petition filed on or

before the thirtieth day after the date upon which he receives notice of such denial, obtain

review thereof in accordance with either paragraph (1) or (2) of subsection (g), and any

interested person may obtain review, in accordance with paragraph (1) or (2) of subsection (g),

of an order of the Secretary approving an application.

(5) In order to provide for more effective treatment or diagnosis of life-threatening or

irreversibly debilitating human diseases or conditions, the Secretary shall provide review

priority for devices—

(A) representing breakthrough technologies,

(B) for which no approved alternatives exist,

(C) which offer significant advantages over existing approved alternatives, or

(D) the availability of which is in the best interest of the patients.

(6)(A)(i) A supplemental application shall be required for any change to a device subject to an

approved application under this subsection that affects safety or effectiveness, unless such

change is a modification in a manufacturing procedure or method of manufacturing and the

holder of the approved application submits a written notice to the Secretary that describes in

detail the change, summarizes the data or information supporting the change, and informs the

Secretary that the change has been made under the requirements of section 520(f).

(ii) The holder of an approved application who submits a notice under clause (i) with respect to

a manufacturing change of a device may distribute the device 30 days after the date on which

the Secretary receives the notice, unless the Secretary within such 30-day period notifies the

holder that the notice is not adequate and describes such further information or action that is

required for acceptance of such change. If the Secretary notifies the holder that a

supplemental application is required, the Secretary shall review the supplement within 135

days after the receipt of the supplement. The time used by the Secretary to review the notice

of the manufacturing change shall be deducted from the 135-day review period if the notice

meets appropriate content requirements for Premarket approval supplements.

(B)(i) Subject to clause (ii), in reviewing a supplement to an approved application, for an

incremental change to the design of a device that affects safety or effectiveness, the Secretary

shall approve such supplement if—

(I) nonclinical data demonstrate that the design modification creates the intended additional

capacity, function, or performance of the device; and

(II) clinical data from the approved application and any supplement to the approved application

provide a reasonable assurance of safety and effectiveness for the changed device.

(ii) The Secretary may require, when necessary, additional clinical data to evaluate the design

modification of the device to provide a reasonable assurance of safety and effectiveness.

(e) Withdrawal and Temporary Suspension of Approval of Application

(1) The Secretary shall, upon obtaining, where appropriate, advice on scientific matters from a

panel or panels under section 513, and after due notice and opportunity for informal hearing to

the holder of an approved application for a device, issue an order withdrawing approval of the

application if the Secretary finds—

(A) that such device is unsafe or ineffective under the conditions of use prescribed,

recommended, or suggested in the labeling thereof;

(B) on the basis of new information before him with respect to such device, evaluated together

with the evidence available to him when the application was approved, that there is a lack of a

showing of reasonable assurance that the device is safe or effective under the conditions of

use prescribed, recommended, or suggested in the labeling thereof;

(C) that the application contained or was accompanied by an untrue statement of a material

fact;

(D) that the applicant (i) has failed to establish a system for maintaining records, or has

repeatedly or deliberately failed to maintain records or to make reports, required by an

applicable regulation under section 519(a), (ii) has refused to permit access to, or copying or

verification of, such records as required by section 704, or (iii) has not complied with the

requirements of section 510;

(E) on the basis of new information before him with respect to such device, evaluated together

with the evidence before him when the application was approved, that the methods used in, or

the facilities and controls used for, the manufacture, processing, packing, or installation of

such device do not conform with the requirements of section 520(f) and were not brought into

conformity with such requirements within a reasonable time after receipt of written notice from

the Secretary of nonconformity;

(F) on the basis of new information before him, evaluated together with the evidence before

him when the application was approved, that the labeling of such device, based on a fair

evaluation of all material facts, is false or misleading in any particular and was not corrected

within a reasonable time after receipt of written notice from the Secretary of such fact; or

(G) on the basis of new information before him, evaluated together with the evidence before

him when the application was approved, that such device is not shown to conform in all

respects to a performance standard which is in effect under section 514 compliance with which

was a condition to approval of the application and that there is a lack of adequate information

to justify the deviation from such standard.

(2) The holder of an application subject to an order issued under paragraph (1) withdrawing

approval of the application may, by petition filed on or before the thirtieth day after the date

upon which he receives notice of such withdrawal, obtain review thereof in accordance with

either paragraph (1) or (2) of subsection (g).

(3) If, after providing an opportunity for an informal hearing, the Secretary determines there is

reasonable probability that the continuation of distribution of a device under an approved

application would cause serious, adverse health consequences or death, the Secretary shall

by order temporarily suspend the approval of the application approved under this section. If the

Secretary issues such an order, the Secretary shall proceed expeditiously under paragraph (1)

to withdraw such application.

(f) Product Development Protocol

(1) In the case of a class III device which is required to have an approval of an application

submitted under subsection (c), such device shall be considered as having such an approval if

a notice of completion of testing conducted in accordance with a product development protocol

approved under paragraph (4) has been declared completed under paragraph (6).

(2) Any person may submit to the Secretary a proposed product development protocol with

respect to a device. Such a protocol shall be accompanied by data supporting it. If, within thirty

days of the receipt of such a protocol, the Secretary determines that it appears to be

appropriate to apply the requirements of this subsection to the device with respect to which the

protocol is submitted, the Secretary—

(A) may, at the initiative of the Secretary, refer the proposed protocol to the appropriate panel

under section 513 for its recommendation respecting approval of the protocol; or

(B) shall so refer such protocol upon the request of the submitter, unless the Secretary finds

that the proposed protocol and accompanying data which would be reviewed by such panel

substantially duplicate a product development protocol and accompanying data which have

previously been reviewed by such a panel.

(3) A proposed product development protocol for a device may be approved only if—

(A) the Secretary determines that it is appropriate to apply the requirements of this subsection

to the device in lieu of the requirement of approval of an application submitted under

subsection (c); and

(B) the Secretary determines that the proposed protocol provides—

(i) a description of the device and the changes which may be made in the device,

(ii) a description of the preclinical trials (if any) of the device and a specification of (I) the results

from such trials to be required before the commencement of clinical trials of the device, and (II)

any permissible variations in preclinical trials and the results therefrom,

(iii) a description of the clinical trials (if any) of the device and a specification of (I) the results

from such trials to be required before the filing of a notice of completion of the requirements of

the protocol, and (II) any permissible variations in such trials and the results therefrom,

(iv) a description of the methods to be used in, and the facilities and controls to be used for, the

manufacture, processing, and when relevant, packing and installation of the device,

(v) an identifying reference to any performance standard under section 514 to be applicable to

any aspect of such device,

(vi) if appropriate, specimens of the labeling proposed to be used for such device,

(vii) such other information relevant to the subject matter of the protocol as the Secretary, with

the concurrence of the appropriate panel or panels under section 513, may require, and

(viii) a requirement for submission of progress reports and, when completed, records of the

trials conducted under the protocol which records are adequate to show compliance with the

protocol.

(4) The Secretary shall approve or disapprove a proposed product development protocol

submitted under paragraph (2) within one hundred and twenty days of its receipt unless an

additional period is agreed upon by the Secretary and the person who submitted the protocol.

Approval of a protocol or denial of approval of a protocol is final agency action subject to

judicial review under chapter 7 of title 5, United States Code.

(5) At any time after a product development protocol for a device has been approved pursuant

to paragraph (4), the person for whom the protocol was approved may submit a notice of

completion—

(A) stating

(i) his determination that the requirements of the protocol have been fulfilled and that, to the

best of his knowledge, there is no reason bearing on safety or effectiveness why the notice of

completion should not become effective, and

(ii) the data and other information upon which such determination was made, and

(B) setting forth the results of the trials required by the protocol and all the information required

by subsection (c)(1).

(6)(A) The Secretary may, after providing the person who has an approved protocol an

opportunity for an informal hearing and at any time prior to receipt of notice of completion of

such protocol, issue a final order to revoke such protocol if he finds that—

(i) such person has failed substantially to comply with the requirements of the protocol,

(ii) the results of the trials obtained under the protocol differ so substantially from the results

required by the protocol that further trials cannot be justified, or

(iii) the results of the trials conducted under the protocol or available new information do not

demonstrate that the device tested under the protocol does not present an unreasonable risk

to health and safety.

(B) After the receipt of a notice of completion of an approved protocol the Secretary shall,

within the ninety-day period beginning on the date such notice is received, by order either

declare the protocol completed or declare it not completed. An order declaring a protocol not

completed may take effect only after the Secretary has provided the person who has the

protocol opportunity for an informal hearing on the order. Such an order may be issued only if

the Secretary finds—

(i) such person has failed substantially to comply with the requirements of the protocol,

(ii) the results of the trials obtained under the protocol differ substantially from the results

required by the protocol, or

(iii) there is a lack of a showing of reasonable assurance of the safety and effectiveness of the

device under the conditions of use prescribed, recommended, or suggested in the proposed

labeling thereof.

(C) A final order issued under subparagraph (A) or (B) shall be in writing and shall contain the

reasons to support the conclusions thereof.

(7) At any time after a notice of completion has become effective, the Secretary may issue an

order (after due notice and opportunity for an informal hearing to the person for whom the

notice is effective) revoking the approval of a device provided by a notice of completion which

has become effective as provided in subparagraph (B) if he finds that any of the grounds listed

in subparagraphs (A) through (G) of subsection (e)(1) of this section apply. Each reference in

such subparagraphs to an application shall be considered for purposes of this paragraph as a

reference to a protocol and the notice of completion of such protocol, and each reference to

the time when an application was approved shall be considered for purposes of this paragraph

as a reference to the time when a notice of completion took effect.

(8) A person who has an approved protocol subject to an order issued under paragraph (6)(A)

revoking such protocol, a person who has an approved protocol with respect to which an order

under paragraph (6)(B) was issued declaring that the protocol had not been completed, or a

person subject to an order issued under paragraph

(7) revoking the approval of a device may, by petition filed on or before the thirtieth day after

the date upon which he receives notice of such order, obtain review thereof in accordance with

either paragraph (1) or (2) of subsection (g).

(g) Review

(1) Upon petition for review of—

(A) an order under subsection (d) approving or denying approval of an application or an order

under subsection (e) withdrawing approval of an application, or

(B) an order under subsection (f)(6)(A) revoking an approved protocol, under subsection

(f)(6)(B) declaring that an approved protocol has not been completed, or under subsection (f)(7)

revoking the approval of a device,

the Secretary shall, unless he finds the petition to be without good cause or unless a petition

for review of such order has been submitted under paragraph (2), hold a hearing, in

accordance with section 554 of title 5 of the United States Code, on the order. The panel or

panels which considered the application, protocol, or device subject to such order shall

designate a member to appear and testify at any such hearing upon request of the Secretary,

the petitioner, or the officer conducting the hearing, but this requirement does not preclude any

other member of the panel or panels from appearing and testifying at any such hearing. Upon

completion of such hearing and after considering the record established in such hearing, the

Secretary shall issue an order either affirming the order subject to the hearing or reversing

such order and, as appropriate, approving or denying approval of the application, reinstating

the application’s approval, approving the protocol, or placing in effect a notice of completion.

(2)(A) Upon petition for review of—

(i) an order under subsection (d) approving or denying approval of an application or an order

under subsection (e) withdrawing approval of an application, or

(ii) an order under subsection (f)(6)(A) revoking an approved protocol, under subsection

(f)(6)(B) declaring that an approved protocol has not been completed, or under subsection (f)(7)

revoking the approval of a device,

the Secretary shall refer the application or protocol subject to the order and the basis for the

order to an advisory committee of experts established pursuant to subparagraph (B) for a

report and recommendation with respect to the order. The advisory committee shall, after

independent study of the data and information furnished to it by the Secretary and other data

and information before it, submit to the Secretary a report and recommendation, together with

all underlying data and information and a statement of the reasons or basis for the

recommendation. A copy of such report shall be promptly supplied by the Secretary to any

person who petitioned for such referral to the advisory committee.

(B) The Secretary shall establish advisory committees (which may not be panels under section

513) to receive referrals under subparagraph (A). The Secretary shall appoint as members of

any such advisory committee persons qualified in the subject matter to be referred to the

committee and of appropriately diversified professional backgrounds, except that the

Secretary may not appoint to such a committee any individual who is in the regular full-time

employ of the United States and engaged in the administration of this Act. Members of an

advisory committee (other than officers or employees of the United States), while attending

conferences or meetings of their committee or otherwise serving at the request of the

Secretary, shall be entitled to receive compensation at rates to be fixed by the Secretary which

rates may not exceed the daily equivalent for grade GS–18 of the General Schedule for each

day (including travel time) they are so engaged; and while so serving away from their homes or

regular places of business each member may be allowed travel expenses, including per diem

in lieu of subsistence, as authorized by section 5703 of title 5 of the United States Code for

persons in the Government service employed intermittently. The Secretary shall designate the

chairman of an advisory committee from its members. The Secretary shall furnish each

advisory committee with clerical and other assistance, and shall by regulation prescribe the

procedures to be followed by each such committee in acting on referrals made under

subparagraph (A).

(C) The Secretary shall make public the report and recommendation made by an advisory

committee with respect to an application and shall by order, stating the reasons therefor, either

affirm the order referred to the advisory committee or reverse such order and, if appropriate,

approve or deny approval of the application, reinstate the application’s approval, approve the

protocol, or place in effect a notice of completion.

(h) Service of Orders. Orders of the Secretary under this section shall be served (1) in person

by any officer or employee of the department designated by the Secretary, or (2) by mailing the

order by registered mail or certified mail addressed to the applicant at his last known address

in the records of the Secretary.

(i) Revision

(1) Before December 1, 1995, the Secretary shall by order require manufacturers of devices,

which were introduced or delivered for introduction into interstate commerce for commercial

distribution before May 28, 1976, and which are subject to revision of classification under

paragraph (2), to submit to the Secretary a summary of and citation to any information known

or otherwise available to the manufacturer respecting such devices, including adverse safety

or effectiveness information which has not been submitted under section 519. The Secretary

may require the manufacturer to submit the adverse safety or effectiveness data for which a

summary and citation were submitted, if such data are available to the manufacturer.

(2) After the issuance of an order under paragraph (1) but before December 1, 1995, the

Secretary shall publish a regulation in the Federal Register for each device—

(A) which the Secretary has classified as a class III device, and

(B) for which no final regulation has been promulgated under section 515(b),

revising the classification of the device so that the device is classified into class I or class II,

unless the regulation requires the device to remain in class III. In determining whether to revise

the classification of a device or to require a device to remain in class III, the Secretary shall

apply the criteria set forth in section 513(a). Before the publication of a regulation requiring a

device to remain in class III or revising its classification, the Secretary shall publish a proposed

regulation respecting the classification of a device under this paragraph and provide

reasonable opportunity for the submission of comments on any such regulation. No regulation

requiring a device to remain in class III or revising its classification may take effect before the

expiration of 90 days from the date of its publication in the Federal Register as a proposed

regulation.

(3) The Secretary shall, as promptly as is reasonably achievable, but not later than 12 months

after the effective date of the regulation requiring a device to remain in class III, establish a

schedule for the promulgation of a section 515(b) regulation for each device which is subject to

the regulation requiring the device to remain in class III.

BANNED DEVICES

SEC. 516. [21 U.S.C. 360f ] (a) General Rule. Whenever the Secretary finds, on the basis of all

available data and information, that—

(1) a device intended for human use presents substantial deception or an unreasonable and

substantial risk of illness or injury; and

(2) in the case of substantial deception or an unreasonable and substantial risk of illness or

injury which the Secretary determined could be corrected or eliminated by labeling or change

in labeling and with respect to which the Secretary provided written notice to the manufacturer

specifying the deception or risk of illness or injury, the labeling or change in labeling to correct

the deception or eliminate or reduce such risk, and the period within which such labeling or

change in labeling was to be done, such labeling or change in labeling was not done within

such period;

he may initiate a proceeding to promulgate a regulation to make such device a banned device.

(b) Special Effective Date. The Secretary may declare a proposed regulation under subsection

(a) to be effective upon its publication in the Federal Register and until the effective date of any

final action taken respecting such regulation if (1) he determines, on the basis of all available

data and information, that the deception or risk of illness or injury associated with the use of

the device which is subject to the regulation presents an unreasonable, direct, and substantial

danger to the health of individuals, and (2) before the date of the publication of such regulation,

the Secretary notifies the manufacturer of such device that such regulation is to be made so

effective. If the Secretary makes a proposed regulation so effective, he shall, as expeditiously

as possible, give interested persons prompt notice of his action under this subsection, provide

reasonable opportunity for an informal hearing on the proposed regulation, and either affirm,

modify, or revoke such proposed regulation.

JUDICIAL REVIEW

SEC. 517. [21 U.S.C. 360g ] (a) Application of Section. Not later than thirty days after—

(1) the promulgation of a regulation under section 513 classifying a device in class I or

changing the classification of a device to class I or an order under subsection (f)(2) of such

section reclassifying a device or denying a petition for reclassification of a device,

(2) the promulgation of a regulation under section 514 establishing, amending, or revoking a

performance standard for a device,

(3) the issuance of an order under section 514(b)(2) or 515 (b)(2)(B) denying a request for

reclassification of a device,

(4) the promulgation of a regulation under paragraph (3) of section 515(b) requiring a device to

have an approval of a premarket application, a regulation under paragraph (4) of that section

amending or revoking a regulation under paragraph (3), or an order pursuant to section

515(g)(1) or 515(g)(2)(C),

(5) the promulgation of a regulation under section 516 (other than a proposed regulation made

effective under subsection (b) of such section upon the regulation’s publication) making a

device a banned device,

(6) the issuance of an order under section 520(f)(2),

(7) an order under section 520(g)(4) disapproving an application for an exemption of a device

for investigational use or an order under section 520(g)(5) withdrawing such an exemption for

a device,

(8) an order pursuant to section 513(i), or

(9) a regulation under section 515(i)(2) or 520(l)(5)(B),

any person adversely affected by such regulation or order may file a petition with the United

States Court of Appeals for the District of Columbia or for the circuit wherein such person

resides or has his principal place of business for Judicial review of such regulation or order. A

copy of the petition shall be transmitted by the clerk of the court to the Secretary or other

officer designated by him for that purpose. The Secretary shall file in the court the record of the

proceedings on which the Secretary based his regulation or order as provided in section 2112

of title 28, United States Code. For purposes of this section, the term "record" means all

notices and other matter published in the Federal Register with respect to the regulation or

order reviewed, all information submitted to the Secretary with respect to such regulation or

order, proceedings of any panel or advisory committee with respect to such regulation or order,

any hearing held with respect to such regulation or order, and any other information identified

by the Secretary, in the administrative proceeding held with respect to such regulation or order,

as being relevant to such regulation or order.

(b) Additional Data, Views, and Arguments. If the petitioner applies to the court for leave to

adduce additional data, views, or arguments respecting the regulation or order being reviewed

and shows to the satisfaction of the court that such additional data, views, or arguments are

material and that there were reasonable grounds for the petitioner’s failure to adduce such

data, views, or arguments in the proceedings before the Secretary, the court may order the

Secretary to provide additional opportunity for the oral presentation of data, views, or

arguments and for written submissions. The Secretary may modify his findings, or make new

findings by reason of the additional data, views, or arguments so taken and shall file with the

court such modified or new findings, and his recommendation, if any, for the modification or

setting aside of the regulation or order being reviewed, with the return of such additional data,

views, or arguments.

(c) Standard for Review. Upon the filing of the petition under subsection (a) of this section for

judicial review of a regulation or order, the court shall have jurisdiction to review the regulation

or order in accordance with chapter 7 of title 5, United States Code, and to grant appropriate

relief, including interim relief, as provided in such chapter. A regulation described in paragraph

(2) or (5) of subsection (a) and an order issued after the review provided by section 515(g)

shall not be affirmed if it is found to be unsupported by substantial evidence on the record

taken as a whole.

(d) Finality of Judgments, The judgment of the court affirming or setting aside, in whole or in

part, any regulation or order shall be final, subject to review by the Supreme Court of the

United States upon certiorari or certification, as provided in section 1254 of title 28 of the

United States Code.

(e) Other Remedies. The remedies provided for in this section shall be in addition to and not in

lieu of any other remedies provided by law.

(f) Statement of Reasons. To facilitate judicial review under this section or under any other

provision of law of a regulation or order issued under section 513, 514, 515, 516, 518, 519,

520, or 521 each such regulation or order shall contain a statement of the reasons for its

issuance and the basis, in the record of the proceedings held in connection with its issuance,

for its issuance.

NOTIFICATION AND OTHER REMEDIES

SEC. 518. [21 U.S.C. 360h ] (a) Notification. If the Secretary determines that—

(1) a device intended for human use which is introduced or delivered for introduction into

interstate commerce for commercial distribution presents an unreasonable risk of substantial

harm to the public health, and

(2) notification under this subsection is necessary to eliminate the unreasonable risk of such

harm and no more practicable means is available under the provisions of this Act (other than

this section) to eliminate such risk,

the Secretary may issue such order as may be necessary to assure that adequate notification

is provided in an appropriate form, by the persons and means best suited under the

circumstances involved, to all health professionals who prescribe or use the device and to any

other person (including manufacturers, importers, distributors, retailers, and device users) who

should properly receive such notification in order to eliminate such risk. An order under this

subsection shall require that the individuals subject to the risk with respect to which the order is

to be issued be included in the persons to be notified of the risk unless the Secretary

determines that notice to such individuals would present a greater danger to the health of such

individuals than no such notification. If the Secretary makes such a determination with respect

to such individuals, the order shall require that the health professionals who prescribe or use

the device provide for the notification of the individuals whom the health professionals treated

with the device of the risk presented by the device and of any action which may be taken by or

on behalf of such individuals to eliminate or reduce such risk. Before issuing an order under

this subsection, the Secretary shall consult with the persons who are to give notice under the

order.

(b) Repair, Replacement, or Refund

(1)(A) If, after affording opportunity for an informal hearing, the Secretary determines that—

(i) a device intended for human use which is introduced or delivered for introduction into

interstate commerce for commercial distribution presents an unreasonable risk of substantial

harm to the public health.

(ii) there are reasonable grounds to believe that the device was not properly designed or

manufactured with reference to the state of the art as it existed at the time of its design or

manufacture,

(iii) there are reasonable grounds to believe that the unreasonable risk was not caused by

failure of a person other than a manufacturer, importer, distributor, or retailer of the device to

exercise due care in the installation, maintenance, repair, or use of the device, and

(iv) the notification authorized by subsection (a) would not by itself be sufficient to eliminate the

unreasonable risk and action described in paragraph (2) of this subsection is necessary to

eliminate such risk,

the Secretary may order the manufacturer, importer, or any distributor of such device, or any

combination of such persons, to submit to him within a reasonable time a plan for taking one or

more of the actions described in paragraph (2). An order issued under the preceding sentence

which is directed to more than one person shall specify which person may decide which action

shall be taken under such plan and the person specified shall be the person who the Secretary

determines bears the principal, ultimate financial responsibility for action taken under the plan

unless the Secretary cannot determine who bears such responsibility or the Secretary

determines that the protection of the public health requires that such decision be made by a

person (including a device user or health professional) other than the person he determines

bears such responsibility.

(B) The Secretary shall approve a plan submitted pursuant to an order issued under

subparagraph (A) unless he determines (after affording opportunity for an informal hearing)

that the action or actions to be taken under the plan or the manner in which such action or

actions are to be taken under the plan will not assure that the unreasonable risk with respect to

which such order was issued will be eliminated. If the Secretary disapproves a plan, he shall

order a revised plan to be submitted to him within a reasonable time. If the Secretary

determines (after affording opportunity for an informal hearing) that the revised plan is

unsatisfactory or if no revised plan or no initial plan has been submitted to the Secretary within

the prescribed time, the Secretary shall (i) prescribe a plan to be carried out by the person or

persons to whom the order issued under subparagraph (A) was directed, or (ii) after affording

an opportunity for an informal hearing, by order prescribe a plan to be carried out by a person

who is a manufacturer, importer, distributor, or retailer of the device with respect to which the

order was issued but to whom the order under subparagraph (A) was not directed.

(2) The actions which may be taken under a plan submitted under an order issued under

paragraph (1) are as follows:

(A) To repair the device so that it does not present the unreasonable risk of substantial harm

with respect to which the order under paragraph (1) was issued.

(B) To replace the device with a like or equivalent device which is in conformity with all

applicable requirements of this Act.

(C) To refund the purchase price of the device (less a reasonable allowance for use if such

device has been in the possession of the device user for one year or more—

(i) at the time of notification ordered under subsection (a), or

(ii) at the time the device user receives actual notice of the unreasonable risk with respect to

which the order was issued under paragraph (1), whichever first occurs).

(3) No charge shall be made to any person (other than a manufacturer, importer, distributor or

retailer) for availing himself of any remedy, described in paragraph (2) and provided under an

order issued under paragraph (1), and the person subject to the order shall reimburse each

person (other than a manufacturer, importer, distributor, or retailer) who is entitled to such a

remedy for any reasonable and foreseeable expenses actually incurred by such person in

availing himself of such remedy.

(c) Reimbursement. An order issued under subsection (b) with respect to a device may require

any person who is a manufacturer, importer, distributor, or retailer of the device to reimburse

any other person who is a manufacturer, importer, distributor, or retailer of such device for

such other person’s expenses actually incurred in connection with carrying out the order if the

Secretary determines such reimbursement is required for the protection of the public health.

Any such requirement shall not affect any rights or obligations under any contract to which the

person receiving reimbursement or the person making such reimbursement is a party.

(d) Effect on Other Liability. Compliance with an order issued under this section shall not

relieve any person from liability under Federal or State law. In awarding damages for economic

loss in an action brought for the enforcement of any such liability, the value to the plaintiff in

such action of any remedy provided him under such order shall be taken into account.

(e) Recall Authority

(1) If the Secretary finds that there is a reasonable probability that a device intended for human

use would cause serious, adverse health consequences or death, the Secretary shall issue an

order requiring the appropriate person (including the manufacturers, importers, distributors, or

retailers of the device)—

(A) to immediately cease distribution of such device, and

(B) to immediately notify health professionals and device user facilities of the order and to

instruct such professionals and facilities to cease use of such device.

The order shall provide the person subject to the order with an opportunity for an informal

hearing, to be held not later than 10 days after the date of the issuance of the order, on the

actions required by the order and on whether the order should be amended to require a recall

of such device. If, after providing an opportunity for such a hearing, the Secretary determines

that inadequate grounds exist to support the actions required by the order, the Secretary shall

vacate the order.

(2)(A) If, after providing an opportunity for an informal hearing under paragraph (1), the

Secretary determines that the order should be amended to include a recall of the device with

respect to which the order was issued, the Secretary shall, except as provided in

subparagraphs (B) and (C), amend the order to require a recall. The Secretary shall specify a

timetable in which the device recall will occur and shall require periodic reports to the

Secretary describing the progress of the recall.

(B) An amended order under subparagraph (A)—

(i) shall—

(I) not include recall of a device from individuals, and

(II) not include recall of a device from device user facilities if the Secretary determines that the

risk of recalling such device from the facilities presents a greater health risk than the health risk

of not recalling the device from use, and

(ii) shall provide for notice to individuals subject to the risks associated with the use of such

device.

In providing the notice required by clause (ii), the Secretary may use the assistance of health

professionals who prescribed or used such a device for individuals. If a significant number of

such individuals cannot be identified, the Secretary shall notify such individuals pursuant to

section 705(b).

(3) The remedy provided by this subsection shall be in addition to remedies provided by

subsections (a), (b), and (c).

RECORDS AND REPORTS ON DEVICES

SEC. 519. [21 U.S.C. 360i ] (a) General Rule. Every person who is a manufacturer or importer

of a device intended for human use shall establish and maintain such records, make such

reports, and provide such information, as the Secretary may by regulation reasonably require

to assure that such device is not adulterated or misbranded and to otherwise assure its safety

and effectiveness. Regulations prescribed under the preceding sentence—

(1) shall require a device manufacturer or importer to report to the Secretary whenever the

manufacturer or importer receives or otherwise becomes aware of information that reasonably

suggests that one of its marketed devices—

(A) may have caused or contributed to a death or serious injury, or

(B) has malfunctioned and that such device or a similar device marketed by the manufacturer

or importer would be likely to cause or contribute to a death or serious injury if the malfunction

were to recur;

(2) shall define the term "serious injury" to mean an injury that—

(A) is life threatening,

(B) results in permanent impairment of a body function or permanent damage to a body

structure, or

(C) necessitates medical or surgical intervention to preclude permanent impairment of a body

function or permanent damage to a body structure;

(3) shall require reporting of other significant adverse device experiences as determined by the

Secretary to be necessary to be reported;

(4) shall not impose requirements unduly burdensome to a device manufacturer or importer

taking into account his cost of complying with such requirements and the need for the

protection of the public health and the implementation of this Act;

(5) which prescribe the procedure for making requests for reports or information shall require

that each request made under such regulations for submission of a report or information to the

Secretary state the reason or purpose for such request and identify to the fullest extent

practicable such report or information;

(6) which require submission of a report or information to the Secretary shall state the reason

or purpose for the submission of such report or information and identify to the fullest extent

practicable such report or information;

(7) may not require that the identity of any patient be disclosed in records, reports, or

information required under this subsection unless required for the medical welfare of an

individual, to determine the safety or effectiveness of a device, or to verify a record, report, or

information submitted under this Act; and

(8) may not require a manufacturer or importer of a class I device to—

(A) maintain for such a device records respecting information not in the possession of the

manufacturer or importer, or

(B) to submit for such a device to the Secretary any report or information—

(i) not in the possession of the manufacturer or importer, or

(ii) on a periodic basis,

unless such report or information is necessary to determine if the device should be reclassified

or if the device is adulterated or misbranded. and 3

In prescribing such regulations, the Secretary shall have due regard for the professional ethics

of the medical profession and the interests of patients. The prohibitions of paragraph (7) of this

subsection continue to apply to records, reports, and information concerning any individual

who has been a patient, irrespective of whether or when he ceases to be a patient. The

Secretary shall by regulation require distributors to keep records and make such records

available to the Secretary upon request. Paragraphs (4) and (8) apply to distributors to the

same extent and in the same manner as such paragraphs apply to manufacturers and

importers.

(b) User Reports

(1)(A) Whenever a device user facility receives or otherwise becomes aware of information

that reasonably suggests that a device has or may have caused or contributed to the death of

a patient of the facility, the facility shall, as soon as practicable but not later than 10 working

days after becoming aware of the information, report the information to the Secretary and, if

the identity of the manufacturer is known, to the manufacturer of the device. In the case of

deaths, the Secretary may by regulation prescribe a shorter period for the reporting of such

information.

(B) Whenever a device user facility receives or otherwise becomes aware of—

(i) information that reasonably suggests that a device has or may have caused or contributed

to the serious illness of, or serious injury to, a patient of the facility, or

(ii) other significant adverse device experiences as determined by the Secretary by regulation

to be necessary to be reported,

shall, as soon as practicable but not later than 10 working days after becoming aware of the

information, report the information to the manufacturer of the device or to the Secretary if the

identity of the manufacturer is not known.

(C) Each device user facility shall submit to the Secretary on an annual basis a summary of the

reports made under subparagraphs (A) and (B). Such summary shall be submitted on January

1 of each year. The summary shall be in such form and contain such information from such

reports as the Secretary may require and shall include—

(i) sufficient information to identify the facility which made the reports for which the summary is

submitted,

(ii) in the case of any product which was the subject of a report, the product name, serial

number, and model number,

(iii) the name and the address of the manufacturer of such device, and

(iv) a brief description of the event reported to the manufacturer.

(D) For purposes of subparagraphs (A), (B), and (C), a device user facility shall be treated as

having received or otherwise become aware of information with respect to a device of that

facility when medical personnel who are employed by or otherwise formally affiliated with the

facility receive or otherwise become aware of information with respect to that device in the

course of their duties.

(2) The Secretary may not disclose the identity of a device user facility which makes a report

under paragraph (1) except in connection with—

(A) an action brought to enforce section 301(q), or

(B) a communication to a manufacturer of a device which is the subject of a report under

paragraph (1).

This paragraph does not prohibit the Secretary from disclosing the identity of a device user

facility making a report under paragraph (1) or any information in such a report to employees of

the Department of Health and Human Services, to the Department of Justice, or to the duly

authorized committees and subcommittees of the Congress.

(3) No report made under paragraph (1) by—

(A) a device user facility,

(B) an individual who is employed by or otherwise formally affiliated with such a facility, or

(C) a physician who is not required to make such a report,

shall be admissible into evidence or otherwise used in any civil action involving private parties

unless the facility, individual, or physician who made the report had knowledge of the falsity of

the information contained in the report.

(4) A report made under paragraph (1) does not affect any obligation of a manufacturer who

receives the report to file a report as required under subsection (a).

(5) With respect to device user facilities:

(A) The Secretary shall by regulation plan and implement a program under which the

Secretary limits user reporting under paragraphs (1) through (4) to a subset of user facilities

that constitutes a representative profile of user reports for device deaths and serious illnesses

or serious injuries.

(B) During the period of planning the program under subparagraph (A), paragraphs (1) through

(4) continue to apply.

(C) During the period in which the Secretary is providing for a transition to the full

implementation of the program, paragraphs (1) through (4) apply except to the extent that the

Secretary determines otherwise.

(D) On and after the date on which the program is fully implemented, paragraphs (1) through

(4) do not apply to a user facility unless the facility is included in the subset referred to in

subparagraph (A).

(E) Not later than 2 years after the date of the enactment of the Food and Drug Administration

Modernization Act of1997, the Secretary shall submit to the Committee on Commerce of the

House of Representatives, and to the Committee on Labor and Human Resources of the

Senate, a report describing the plan developed by the Secretary under subparagraph (A) and

the progress that has been made toward the implementation of the plan.

(6) For purposes of this subsection:

(A) The term "device user facility" means a hospital, ambulatory surgical facility, nursing home,

or outpatient treatment facility which is not a physician’s office. The Secretary may by

regulation include an outpatient diagnostic facility which is not a physician’s office in such term.

(B) The terms "serious illness" and "serious injury" mean illness or injury, respectively, that—

(i) is life threatening,

(ii) results in permanent impairment of a body function or permanent damage to a body stru(iii)

necessitates medical or surgical intervention to preclude permanent impairment of a body

function or permanent damage to a body structure.cture, or

(c) Persons Exempt. Subsection (a) shall not apply to—

(1) any practitioner who is licensed by law to prescribe or administer devices intended for use

in humans and who manufactures or imports devices solely for use in the course of his

professional practice;

(2) any person who manufactures or imports devices intended for use in humans solely for

such person’s use in research or teaching and not for sale (including any person who uses a

device under an exemption granted under section 520(g)); and

(3) any other class of persons as the Secretary may by regulation exempt from subsection (a)

upon a finding that compliance with the requirements of such subsection by such class with

respect to a device is not necessary to (A) assure that a device is not adulterated or

misbranded or (B) otherwise to assure its safety and effectiveness.

[(d) Repealed by Pub. L. 105–115, November 21, 1997. ]

(e) Device Tracking

(1) The Secretary may by order require a manufacturer to

(A) the failure of which would be reasonably likely to have serious adverse health

consequences; or

(B) which is—

(i) intended to be implanted in the human body for more than one year, or

(ii) a life sustaining or life supporting device used outside a device user facility.

(2) Any patient receiving a device subject to tracking under paragraph (1) may refuse to

release, or refuse permission to release, the patient’s name, address, social security number,

or other identifying information for the purpose of tracking.

(f) Reports of Removals and Corrections

(1) Except as provided in paragraph (2), the Secretary shall by regulation require a

manufacturer or importer of a device to report promptly to the Secretary any correction or

removal of a device undertaken by such manufacturer or importer if the removal or correction

was undertaken—

(A) to reduce a risk to health posed by the device, or

(B) to remedy a violation of this Act caused by the device which may present a risk to health.

A manufacturer or importer of a device who undertakes a correction or removal of a device

which is not required to be reported under this paragraph shall keep a record of such

correction or removal.

(2) No report of the corrective action or removal of a device may be required under paragraph

(1) if a report of the corrective action or removal is required and has been submitted under

subsection (a).

(3) For purposes of paragraphs (1) and (2), the terms "correction" and "removal" do not include

routine servicing.

GENERAL PROVISIONS RESPECTING CONTROL OF DEVICES INTENDED FOR HUMAN

USE

SEC. 520. [21 USC 360j ] (a) General rule. Any requirement authorized by or under section

501, 502, 510, or 519 applicable to a device intended for human use shall apply to such device

until the applicability of the requirement to the device has been changed by action taken under

section 513, 514, or 515 or under subsection (g) of this section, and any requirement

established by or under section 501, 502, 510, or 519 which is inconsistent with a requirement

imposed on such device under section 514 or 515 or under subsection (g) of this section shall

not apply to such device.

(b) Custom devices. Sections 514 and 515 do not apply to any device which, in order to

comply with the order of an individual physician or dentist (or any other specially qualified

person designated under regulations promulgated by the Secretary after an opportunity for an

oral hearing) necessarily deviates from an otherwise applicable performance standard or

requirement prescribed by or under section 515 if

(1) the device is not generally available in finished form for purchase or for dispensing upon

prescription and is not offered through labeling or advertising by the manufacturer, importer, or

distributor thereof for commercial distribution, and

(2) such device

(A)(i) is intended for use by an individual patient named in such order of such physician or

dentist (or other specially qualified person so designated) and is to be made in a specific form

for such patient, or

(ii) is intended to meet the special needs of such physician or dentist (or other specially

qualified person so designated) in the course of the professional practice of such physician or

dentist (or other specially qualified person so designated), and

(B) is not generally available to or generally used by other physicians or dentists (or other

specially qualified persons so designated).

(c) Trade secrets. Any information reported to or otherwise obtained by the Secretary or his

representative under section 513, 514, 515, 516, 518, 519, or 704 or under subsection (f) or (g)

of this section which is exempt from disclosure pursuant to subsection (a) of section 552 of title

5, United States Code, by reason of subsection (b)(4) of such section shall be considered

confidential and shall not be disclosed and may not be used by the Secretary as the basis for

the reclassification of a device from class III to class II or class I or as the basis for the

establishment or amendment of a performance standard under section 514 for a device

reclassified from class III to class II, except (1) in accordance with subsection (h), and (2) that

such information may be disclosed to other officers or employees concerned with carrying out

this Act or when relevant in any proceeding under this Act (other than section 513 or 514

thereof).

(d) Notices and findings. Each notice of proposed rulemaking under section 513, 514, 515, 516,

518, or 519, or under this section, any other notice which is published in the Federal Register

with respect to any other action taken under any such section and which states the reasons for

such action, and each publication of findings required to be made in connection with

rulemaking under any such section shall set forth

(1) the manner in which interested persons may examine data and other information on which

the notice or findings is based, and

(2) the period within which interested persons may present their comments on the notice or

findings (including the need therefor) orally or in writing, which period shall be at least sixty

days but may not exceed ninety days unless the time is extended by the Secretary by a notice

published in the Federal Register stating good cause therefor.

(e) Restricted devices.

(1) The Secretary may by regulation require that a device be restricted to sale, distribution, or

use

(A) only upon the written or oral authorization of a practitioner licensed by law to administer or

use such device, or

(B) upon such other conditions as the Secretary may prescribe in such regulation,

if, because of its potentiality for harmful effect or the collateral measures necessary to its use,

the Secretary determines that there cannot otherwise be reasonable assurance of its safety

and effectiveness. No condition prescribed under subparagraph (B) may restrict the use of a

device to persons with specific training or experience in its use or to persons for use in certain

facilities unless the Secretary determines that such a restriction is required for the safe and

effective use of the device. No such condition may exclude a person from using a device solely

because the person does not have the training or experience to make him eligible for

certification by a certifying board recognized by the American Board of Medical Specialties or

has not been certified by such a Board. A device subject to a regulation under this subsection

is a restricted device.

(2) The label of a restricted device shall bear such appropriate statements of the restrictions

required by a regulation under paragraph (1) as the Secretary may in such regulation

prescribe.

(f) Good manufacturing practice requirements.

(1)(A) The Secretary may, in accordance with subparagraph (B), prescribe regulations

requiring that the methods used in, and the facilities and controls used for, the manufacture,

pre-production design validation (including a process to assess the performance of a device

but not including an evaluation of the safety or effectiveness of a device), packing, storage,

and installation of a device conform to current good manufacturing practice, as prescribed in

such regulations, to assure that the device will be safe and effective and otherwise in

compliance with this Act.

(B) Before the Secretary may promulgate any regulation under subparagraph (A) he shall

(i) afford the advisory committee established under paragraph (3) an opportunity to submit

recommendations to him with respect to the regulation proposed to be promulgated;

(ii) afford opportunity for an oral hearing; and

(iii) ensure that such regulation conforms, to the extent practicable, with internationally

recognized standards defining quality systems, or parts of the standards, for medical devices.

The Secretary shall provide the advisory committee a reasonable time to make its

recommendation with respect to proposed regulations under subparagraph (A).

(2)(A) Any person subject to any requirement prescribed by regulations under paragraph (1)

may petition the Secretary for an exemption or variance from such requirement. Such a

petition shall be submitted to the Secretary in such form and manner as he shall prescribe and

shall—

(i) in the case of a petition for an exemption from a requirement, set forth the basis for the

petitioner’s determination that compliance with the requirement is not required to assure that

the device will be safe and effective and otherwise in compliance with this Act,

(ii) in the case of a petition for a variance from a requirement, set forth the methods proposed

to be used in, and the facilities and controls proposed to be used for, the manufacture, packing,

storage, and installation of the device in lieu of the methods, facilities, and controls prescribed

by the requirement, and

(iii) contain such other information as the Secretary shall prescribe.

(B) The Secretary may refer to the advisory committee established under paragraph (3) any

petition submitted under subparagraph (A). The advisory committee shall report its

recommendations to the Secretary with respect to a petition referred to it within sixty days of

the date of the petition’s referral. Within sixty days after

(i) the date the petition was submitted to the Secretary under subparagraph (A), or

(ii) if the petition was referred to an advisory committee, the expiration of the sixty-day period

beginning on the date the petition was referred to the advisory committee,

whichever occurs later, the Secretary shall by order either deny the petition or approve it.

(C) The Secretary may approve

(i) a petition for an exemption for a device from a requirement if he determines that compliance

with such requirement is not required to assure that the device will be safe and effective and

otherwise in compliance with this Act, and

(ii) a petition for a variance for a device from a requirement if he determines that the methods

to be used in, and the facilities and controls to be used for, the manufacture, packing, storage,

and installation of the device in lieu of the methods, controls, and facilities prescribed by the

requirement are sufficient to assure that the device will be safe and effective and otherwise in

compliance with this Act.

An order of the Secretary approving a petition for a variance shall prescribe such conditions

respecting the methods used in, and the facilities and controls used for, the manufacture,

packing, storage, and installation of the device to be granted the variance under the petition as

may be necessary to assure that the device will be safe and effective and otherwise in

compliance with this Act.

(D) After the issuance of an order under subparagraph (B) respecting a petition, the petitioner

shall have an opportunity for an informal hearing on such order.

(3) The Secretary shall establish an advisory committee for the purpose of advising and

making recommendations to him with respect to regulations proposed to be promulgated

under paragraph (1)(A) and the approval or disapproval of petitions submitted under

paragraph (2). The advisory committee shall be composed of nine members as follows:

(A) Three of the members shall be appointed from persons who are officers or employees of

any State or local government or of the Federal Government.

(B) Two of the members shall be appointed from persons who are representative of interests

of the device manufacturing industry; two of the members shall be appointed from persons

who are representative of the interests of physicians and other health professionals; and two of

the members shall be representative of the interests of the general public.

Members of the advisory committee who are not officers or employees of the United States,

while attending conferences or meetings of the committee or otherwise engaged in its

business, shall be entitled to receive compensation at rates to be fixed by the Secretary, which

rates may not exceed the daily equivalent of the rate in effect for grade GS-18 of the General

Schedule 4 , for each day (including travel time) they are so engaged; and while so serving

away from their homes or regular places of business each member may be allowed travel

expenses, including per diem in lieu of subsistence, as authorized by section 5703 of title 5 of

the United States Code for persons in the Government service employed intermittently. The

Secretary shall designate one of the members of the advisory committee to serve as its

chairman. The Secretary shall furnish the advisory committee with clerical and other

assistance. Section 14 of the Federal Advisory Committee Act shall not apply with respect to

the duration of the advisory committee established under this paragraph.

(g) Exemption for devices for investigational use.

(1) It is the purpose of this subsection to encourage, to the extent consistent with the protection

of the public health and safety and with ethical standards, the discovery and development of

useful devices intended for human use and to that end to maintain optimum freedom for

scientific investigators in their pursuit of that purpose.

(2)(A) The Secretary shall, within the one hundred and twenty day period beginning on the

date of the enactment of this section [enacted May 28, 1976], by regulation prescribe

procedures and conditions under which devices intended for human use may upon application

be granted an exemption from the requirements of section 502, 510, 514, 515, 516, 519, or

721 or subsection (e) or (f) of this section or from any combination of such requirements to

permit the investigational use of such devices by experts qualified by scientific training and

experience to investigate the safety and effectiveness of such devices.

(B) The conditions prescribed pursuant to subparagraph (A) shall include the following:

(i) A requirement that an application be submitted to the Secretary before an exemption may

be granted and that the application be submitted in such form and manner as the Secretary

shall specify.

(ii) A requirement that the person applying for an exemption for a device assure the

establishment and maintenance of such records, and the making of such reports to the

Secretary of data obtained as a result of the investigational use of the device during the

exemption, as the Secretary determines will enable him to assure compliance with such

conditions, review the progress of the investigation, and evaluate the safety and effectiveness

of the device.

(iii) Such other requirements as the Secretary may determine to be necessary for the

protection of the public health and safety.

(C) Procedures and conditions prescribed pursuant to subparagraph (A) for an exemption may

appropriately vary depending on (i) the scope and duration of clinical testing to be conducted

under such exemption, (ii) the number of human subjects that are to be involved in such

testing, (iii) the need to permit changes to be made in the device subject to the exemption

during testing conducted in accordance with a clinical testing plan required under paragraph

(3)(A), and (iv) whether the clinical testing of such device is for the purpose of developing data

to obtain approval for the commercial distribution of such device.

(3) Procedures and conditions prescribed pursuant to paragraph (2)(A) shall require, as a

condition to the exemption of any device to be the subject of testing involving human subjects,

that the person applying for the exemption

(A) submit a plan for any proposed clinical testing of the device and a report of prior

investigations of the device (including, where appropriate, tests on animals) adequate to justify

the proposed clinical testing

(i) to the local institutional review committee which has been established in accordance with

regulations of the Secretary to supervise clinical testing of devices in the facilities where the

proposed clinical testing is to be conducted, or

(ii) to the Secretary, if

(I) no such committee exists, or

(II) the Secretary finds that the process of review by such committee is inadequate (whether or

not the plan for such testing has been approved by such committee),

for review for adequacy to justify the commencement of such testing; and, unless the plan and

report are submitted to the Secretary, submit to the Secretary a summary of the plan and a

report of prior investigations of the device (including, where appropriate, tests on animals);

(B) promptly notify the Secretary (under such circumstances and in such manner as the

Secretary prescribes) of approval by a local institutional review committee of any clinical

testing plan submitted to it in accordance with subparagraph (A);

(C) in the case of a device to be distributed to investigators for testing, obtain signed

agreements from each of such investigators that any testing of the device involving human

subjects will be under such investigator’s supervision and in accordance with subparagraph (D)

and submit such agreements to the Secretary; and

(D) assure that informed consent will be obtained from each human subject (or his

representative) of proposed clinical testing involving such device, except where subject to

such conditions as the Secretary may prescribe, the investigator conducting or supervising the

proposed clinical testing of the device determines in writing that there exists a life threatening

situation involving the human subject of such testing which necessitates the use of such

device and it is not feasible to obtain informed consent from the subject and there is not

sufficient time to obtain such consent from his representative.

The determination required by subparagraph (D) shall be concurred in by a licensed physician

who is not involved in the testing of the human subject with respect to which such

determination is made unless immediate use of the device is required to save the life of the

human subject of such testing and there is not sufficient time to obtain such concurrence.

(4)(A) An application, submitted in accordance with the procedures prescribed by regulations

under paragraph (2), for an exemption for a device (other than an exemption from section 516)

shall be deemed approved on the thirtieth day after the submission of the application to the

Secretary unless on or before such day the Secretary by order disapproves the application and

notifies the applicant of the disapproval of the application.

(B) The Secretary may disapprove an application only if he finds that the investigation with

respect to which the application is submitted does not conform to procedures and conditions

prescribed under regulations under paragraph (2). Such a notification shall contain the order of

disapproval and a complete statement of the reasons for the Secretary’s disapproval of the

application and afford the applicant opportunity for an informal hearing on the disapproval

order.

(5) The Secretary may by order withdraw an exemption granted under this subsection for a

device if the Secretary determines that the conditions applicable to the device under this

subsection for such exemption are not met. Such an order may be issued only after

opportunity for an informal hearing, except that such an order may be issued before the

provision of an opportunity for an informal hearing if the Secretary determines that the

continuation of testing under the exemption with respect to which the order is to be issued will

result in an unreasonable risk to the public health.

(6)(A) Not later than 1 year after the date of the enactment of the Food and Drug

Administration Modernization Act of 1997 [enacted Nov. 21, 1997], the Secretary shall by

regulation establish, with respect to a device for which an exemption under this subsection is

in effect, procedures and conditions that, without requiring an additional approval of an

application for an exemption or the approval of a supplement to such an application, permit

(i) developmental changes in the device (including manufacturing changes) that do not

constitute a significant change in design or in basic principles of operation and that are made

in response to information gathered during the course of an investigation; and

(ii) changes or modifications to clinical protocols that do not affect

(I) the validity of data or information resulting from the completion of an approved protocol, or

the relationship of likely patient risk to benefit relied upon to approve a protocol;

(II) the scientific soundness of an investigational plan submitted under paragraph (3)(A); or

(III) the rights, safety, or welfare of the human subjects involved in the investigation.

(B) Regulations under subparagraph (A) shall provide that a change or modification described

in such subparagraph may be made if

(i) the sponsor of the investigation determines, on the basis of credible information (as defined

by the Secretary) that the applicable conditions under subparagraph (A) are met; and

(ii) the sponsor submits to the Secretary, not later than 5 days after making the change or

modification, a notice of the change or modification.

(7)(A) In the case of a person intending to investigate the safety or effectiveness of a class III

device or any implantable device, the Secretary shall ensure that the person has an

opportunity, prior to submitting an application to the Secretary or to an institutional review

committee, to submit to the Secretary, for review, an investigational plan (including a clinical

protocol). If the applicant submits a written request for a meeting with the Secretary regarding

such review, the Secretary shall, not later than 30 days after receiving the request, meet with

the applicant for the purpose of reaching agreement regarding the investigational plan

(including a clinical protocol). The written request shall include a detailed description of the

device, a detailed description of the proposed conditions of use of the device, a proposed plan

(including a clinical protocol) for determining whether there is a reasonable assurance of

effectiveness, and, if available, information regarding the expected performance from the

device.

(B) Any agreement regarding the parameters of an investigational plan (including a clinical

protocol) that is reached between the Secretary and a sponsor or applicant shall be reduced to

writing and made part of the administrative record by the Secretary. Any such agreement shall

not be changed, except

(i) with the written agreement of the sponsor or applicant; or

(ii) pursuant to a decision, made in accordance with subparagraph (C) by the director of the

office in which the device involved is reviewed, that a substantial scientific issue essential to

determining the safety or effectiveness of the device involved has been identified.

(C) A decision under subparagraph (B)(ii) by the director shall be in writing, and may be made

only after the Secretary has provided to the sponsor or applicant an opportunity for a meeting

at which the director and the sponsor or applicant are present and at which the director

documents the scientific issue involved.

(h) Release of information respecting safety and effectiveness.

(1) The Secretary shall promulgate regulations under which a detailed summary of information

respecting the safety and effectiveness of a device which information was submitted to the

Secretary and which was the basis for

(A) an order under section 515(d)(1)(A) approving an application for premarket approval for

the device or denying approval of such an application or an order under section 515(e)

withdrawing approval of such an application for the device,

(B) an order under section 515(f)(6)(A) revoking an approved protocol for the device, an order

under section515(f)(6)(B) declaring a protocol for the device completed or not completed, or

an order under section 515(f)(7) revoking the approval of the device, or

(C) an order approving an application under subsection (g) for an exemption for the device

from section 516 or an order disapproving, or withdrawing approval of, an application for an

exemption under such subsection for the device,

shall be made available to the public upon issuance of the order. Summaries of information

made available pursuant to this paragraph respecting a device shall include information

respecting any adverse effects on health of the device.

(2) The Secretary shall promulgate regulations under which each advisory committee

established under section 515(g)(2)(B) shall make available to the public a detailed summary

of information respecting the safety and effectiveness of a device which information was

submitted to the advisory committee and which was the basis for its recommendation to the

Secretary made pursuant to section 515(g)(2)(A). A summary of information upon which such

a recommendation is based shall be made available pursuant to this paragraph only after the

issuance of the order with respect to which the recommendation was made and each summary

shall include information respecting any adverse effect on health of the device subject to such

order.

(3) Except as provided in paragraph (4), any information respecting a device which is made

available pursuant to paragraph (1) or (2) of this subsection (A) may not be used to establish

the safety or effectiveness of another device for purposes of this Act by any person other than

the person who submitted the information so made available, and (B) shall be made available

subject to subsection (c) of this section.

(4)(A) Any information contained in an application for Premarket approval filed with the

Secretary pursuant to section 515(c) (including information from clinical and preclinical tests or

studies that demonstrate the safety and effectiveness of a device, but excluding descriptions

of methods of manufacture and product composition and other trade secrets) shall be

available, 6 years after the application has been approved by the Secretary, for use by the

Secretary in

(i) approving another device;

(ii) determining whether a product development protocol has been completed, under section

515 for another device;

(iii) establishing a performance standard or special control under this Act; or

(iv) classifying or reclassifying another device under section 513 and subsection (l)(2).

(B) The publicly available detailed summaries of information respecting the safety and

effectiveness of devices required by paragraph (1)(A) shall be available for use by the

Secretary as the evidentiary basis for the agency actions described in subparagraph (A).

(i) Proceedings of advisory panels and committees. Each panel under section 513 and each

advisory committee established under section 514(b)(5)(B) or 515(g) or under subsection (f) of

this section shall make and maintain a transcript of any proceeding of the panel or committee.

Each such panel and committee shall delete from any transcript made pursuant to this

subsection information which under subsection (c) of this section is to be considered

confidential.

(j) Traceability. Except as provided in section 519(e), no regulation under this Act may impose

on a type or class of device requirements for the traceability of such type or class of device

unless such requirements are necessary to assure the protection of the public health.

(k) Research and development. The Secretary may enter into contracts for research, testing,

and demonstrations respecting devices and may obtain devices for research, testing, and

demonstration purposes without regard to sections 3648 and 3709 of the Revised Statutes (31

U.S.C. 529, 41 U.S.C. 5) 5 .

(l) Transitional provisions for devices considered as new drugs.

(1) Any device intended for human use

(A) for which on the date of enactment of the Medical Device Amendments of 1976 [enacted

May 28, 1976] 6 (hereinafter in this subsection referred to as the "enactment date") an

approval of an application submitted under section 505(b) was in effect;

(B) for which such an application was filed on or before the enactment date [enacted May 28,

1976] and with respect to which application no order of approval or refusing to approve had

been issued on such date under subsection (c) or (d) of such section;

(C) for which on the enactment date [enacted May 28, 1976] an exemption under subsection (i)

of such section was in effect;

(D) which is within a type of device described in subparagraph (A), (B), or (C) and is

substantially equivalent to another device within that type;

(E) which the Secretary in a notice published in the Federal Register before the enactment

date [enacted May 28, 1976] has declared to be a new drug subject to section 505; or

(F) with respect to which on the enactment date [enacted May 28, 1976] an action is pending

in a United States court under section 302, 303, or 304 for an alleged violation of a provision of

section 301 which enforces a requirement of section 505 or for an alleged violation of section

505(a),

is classified in class III unless the Secretary in response to a petition submitted under

paragraph (2) has classified such device in class I or II.

(2) The Secretary may initiate the reclassification of a device classified into class III under

paragraph (1) of this subsection or the manufacturer or importer of a device classified under

paragraph (1) may petition the Secretary (in such form and manner as he shall prescribe) for

the issuance of an order classifying the device in class I or class II. Within thirty days of the

filing of such a petition, the Secretary shall notify the petitioner of any deficiencies in the

petition which prevent the Secretary from making a decision on the petition. Except as

provided in paragraph (3)(D)(ii), within one hundred and eighty days after the filing of a petition

under this paragraph, the Secretary shall, after consultation with the appropriate panel under

section 513, by order either deny the petition or order the classification, in accordance with the

criteria prescribed by section 513(a)(1)(A) or 513(a)(1)(B), of the device in class I or class II.

(3)(A) In the case of a device which is described in paragraph (1)(A) and which is in class III—

(i) such device shall on the enactment date [enacted May 28, 1976] be considered a device

with an approved application under section 515, and

(ii) the requirements applicable to such device before the enactment date [enacted May 28,

1976] under section 505 shall continue to apply to such device until changed by the Secretary

as authorized by this Act.

(B) In the case of a device which is described in paragraph (1)(B) and which is in class III, an

application for such device shall be considered as having been filed under section 515 on the

enactment date [enacted May 28, 1976]. The period in which the Secretary shall act on such

application in accordance with section 515(d)(1) shall be one hundred and eighty days from

the enactment date [enacted May 28, 1976] (or such greater period as the Secretary and the

applicant may agree upon after the Secretary has made the finding required by section

515(d)(1)(B)(i)) less the number of days in the period beginning on the date an application for

such device was filed under section 505 and ending on the enactment date [enacted May 28,

1976]. After the expiration of such period such device is required, unless exempt under

subsection (g), to have in effect an approved application under section 515.

(C) A device which is described in paragraph (1)(C) and which is in class III shall be

considered a new drug until the expiration of the ninety-day period beginning on the date of the

promulgation of regulations under subsection (g) of this section. After the expiration of such

period such device is required, unless exempt under subsection (g), to have in effect an

approved application under section 515.

(D)(i) Except as provided in clauses (ii) and (iii), a device which is described in subparagraph

(D), (E), or (F) of paragraph (1) and which is in class III is required, unless exempt under

subsection (g) of this section, to have on and after sixty days after the enactment date

[enacted May 28, 1976] in effect an approved application under section 515.

(ii) If—

(I) a petition is filed under paragraph (2) for a device described in subparagraph (D), (E), or (F)

of paragraph (1), or

(II) an application for premarket approval is filed under section 515 for such a device,

within the sixty-day period beginning on the enactment date [enacted May 28, 1976] (or within

such greater period as the Secretary, after making the finding required under section

515(d)(1)(B), and the petitioner or applicant may agree upon), the Secretary shall act on such

petition or application in accordance with paragraph (2) or section 515 except that the period

within which the Secretary must act on the petition or application shall be within the one

hundred and twenty-day period beginning on the date the petition or application is filed. If such

a petition or application is filed within such sixty-day (or greater) period, clause (i) of this

subparagraph shall not apply to such device before the expiration of such one hundred and

twenty day period, or if such petition is denied or such application is denied approval, before

the date of such denial, whichever occurs first.

(iii) In the case of a device which is described in subparagraph (E) of paragraph (1), which the

Secretary in a notice published in the Federal Register after March 31, 1976, declared to be a

new drug subject to section 505, and which is in class III—

(I) the device shall, after eighteen months after the enactment date, have in effect an approved

application under section 515 unless exempt under subsection (g) of this section, and

(II) the Secretary may, during the period beginning one hundred and eighty days after the

enactment date [enacted May 28, 1976] and ending eighteen months after such date, restrict

the use of the device to investigational use by experts qualified by scientific training and

experience to investigate the safety and effectiveness of such device, and to investigational

use in accordance with the requirements applicable under regulations under subsection (g) of

this section to investigational use of devices granted an exemption under such subsection.

If the requirements under subsection (g) of this section are made applicable to the

investigational use of such a device, they shall be made applicable in such a manner that the

device shall be made reasonably available to physicians meeting appropriate qualifications

prescribed by the Secretary.

(4) [Deleted] [Repealed by Pub. L. 105–115, November 21, 1997. ]

(5)(A) Before December 1, 1991, the Secretary shall by order require manufacturers of

devices described in paragraph (1), which are subject to revision of classification under

subparagraph (B), to submit to the Secretary a summary of and citation to any information

known or otherwise available to the manufacturers respecting the devices, including adverse

safety or effectiveness information which has not been submitted under section 519. The

Secretary may require a manufacturer to submit the adverse safety or effectiveness data for

which a summary and citation were submitted, if such data are available to the manufacturer.

(B) Except as provided in subparagraph (C), after the issuance of an order under

subparagraph (A) but before December 1, 1992, the Secretary shall publish a regulation in the

Federal Register for each device which is classified in class III under paragraph (1) revising

the classification of the device so that the device is classified into class I or class II, unless the

regulation requires the device to remain in class III. In determining whether to revise the

classification of a device or to require a device to remain in class III, the Secretary shall apply

the criteria set forth in section 513(a). Before the publication of a regulation requiring a device

to remain in class III or revising its classification, the Secretary shall publish a proposed

regulation respecting the classification of a device under this subparagraph and provide an

opportunity for the submission of comments on any such regulation. No regulation under this

subparagraph requiring a device to remain in class III or revising its classification may take

effect before the expiration of 90 days from the date of the publication in the Federal Register

of the proposed regulation.

(C) The Secretary may by notice published in the Federal Register extend the period

prescribed by subparagraph (B) for a device for an additional period not to exceed 1 year.

(m) Humanitarian device exemption.

(1) To the extent consistent with the protection of the public health and safety and with ethical

standards, it is the purpose of this subsection to encourage the discovery and use of devices

intended to benefit patients in the treatment and diagnosis of diseases or conditions that affect

fewer than 4,000 individuals in the United States.

(2) The Secretary may grant a request for an exemption from the effectiveness requirements

of sections 514 and 515 for a device for which the Secretary finds that—

(A) the device is designed to treat or diagnose a disease or condition that affects fewer than

4,000 individuals in the United States,

(B) the device would not be available to a person with a disease or condition referred to in

subparagraph (A) unless the Secretary grants such an exemption and there is no comparable

device, other than under this exemption, available to treat or diagnose such disease or

condition, and

(C) the device will not expose patients to an unreasonable or significant risk of illness or injury

and the probable benefit to health from the use of the device outweighs the risk of injury or

illness from its use, taking into account the probable risks and benefits of currently available

devices or alternative forms of treatment.

The request shall be in the form of an application submitted to the Secretary. Not later than 75

days after the date of the receipt of the application, the Secretary shall issue an order

approving or denying the application.

(3) No person granted an exemption under paragraph (2) with respect to a device may sell the

device for an amount that exceeds the costs of research and development, fabrication, and

distribution of the device.

(4) Devices granted an exemption under paragraph (2) may only be used—

(A) in facilities that have established, in accordance with regulations of the Secretary, a local

institutional review committee to supervise clinical testing of devices in the facilities, and

(B) if, before the use of a device, an institutional review committee approves the use in the

treatment or diagnosis of a disease or condition referred to in paragraph (2)(A), unless a

physician determines in an emergency situation that approval from a local institutional review

committee can not be obtained in time to prevent serious harm or death to a patient.

In a case described in subparagraph (B) in which a physician uses a device without an

approval from an institutional review committee, the physician shall, after the use of the device,

notify the chairperson of the local institutional review committee of such use. Such notification

shall include the identification of the patient involved, the date on which the device was used,

and the reason for the use.

(5) The Secretary may require a person granted an exemption under paragraph (2) to

demonstrate continued compliance with the requirements of this subsection if the Secretary

believes such demonstration to be necessary to protect the public health or if the Secretary

has reason to believe that the criteria for the exemption are no longer met.

(6) The Secretary may suspend or withdraw an exemption from the effectiveness requirements

of sections 514 and 515 for a humanitarian device only after providing notice and an

opportunity for an informal hearing.

(n) Regulation of contact lens as devices.

(1) All contact lenses shall be deemed to be devices under section 201(h).

(2) Paragraph (1) shall not be construed as bearing on or being relevant to the question of

whether any product other than a contact lens is a device as defined by section 201(h) or a

drug as defined by section 201(g).

STATE AND LOCAL REQUIREMENTS RESPECTING DEVICES

SEC. 521. [21 U.S.C. 360k ] (a) General Rule. Except as provided in subsection (b), no State

or political subdivision of a State may establish or continue in effect with respect to a device

intended for human use any requirement—

(1) which is different from, or in addition to, any requirement applicable under this Act to the

device, and

(2) which relates to the safety or effectiveness of the device or to any other matter included in a

requirement applicable to the device under this Act.

(b) Exempt Requirements. Upon application of a State or a political subdivision thereof, the

Secretary may, by regulation promulgated after notice and opportunity for an oral hearing,

exempt from subsection (a), under such conditions as may be prescribed in such regulation, a

requirement of such State or political subdivision applicable to a device intended for human

use if—

(1) the requirement is more stringent than a requirement under this Act which would be

applicable to the device if an exemption were not in effect under this subsection; or

(2) the requirement—

(A) is required by compelling local conditions, and

(B) compliance with the requirement would not cause the device to be in violation of any

applicable requirement under this Act.

POSTMARKET SURVEILLANCE

SEC. 522. 7 [21 U.S.C. 360l ] (a) IN GENERAL.—The Secretary may by order require a

manufacturer to conduct postmarket surveillance for any device of the manufacturer which is a

class II or class III device the failure of which would be reasonably likely to have serious

adverse health consequences or which is intended to be—

(1) implanted in the human body for more than one year, or

(2) a life sustaining or life supporting device used outside a device user facility.

(b) SURVEILLANCE APPROVAL.—Each manufacturer required to conduct a surveillance of a

device shall, within 30 days of receiving an order from the Secretary prescribing that the

manufacturer is required under this section to conduct such surveillance, submit, for the

approval of the Secretary, a plan for the required surveillance. The Secretary, within 60 days of

the receipt of such plan, shall determine if the person designated to conduct the surveillance

has appropriate qualifications and experience to undertake such surveillance and if the plan

will result in the collection of useful data that can reveal unforeseen adverse events or other

information necessary to protect the public health. The Secretary, in consultation with the

manufacturer, may by order require a prospective surveillance period of up to 36 months. Any

determination by the Secretary that a longer period is necessary shall be made by mutual

agreement between the Secretary and the manufacturer or, if no agreement can be reached,

after the completion of a dispute resolution process as described in section 562.

ACCREDITED PERSONS.

SEC. 523. [21 U.S.C. 360m] (a) IN GENERAL.—

(1) REVIEW AND CLASSIFICATION OF DEVICES.—Not later than 1 year after the date of

the enactment of the Food and Drug Administration Modernization Act of 1997, the Secretary

shall, subject to paragraph (3), accredit persons for the purpose of reviewing reports submitted

under section 510(k) and making recommendations to the Secretary regarding the initial

classification of devices under section 513(f)(1).

(2) REQUIREMENTS REGARDING REVIEW.—

(A) IN GENERAL.—In making a recommendation to the Secretary under paragraph (1), an

accredited person shall notify the Secretary in writing of the reasons for the recommendation.

(B) TIME PERIOD FOR REVIEW.—Not later than 30 days after the date on which the

Secretary is notified under subparagraph (A) by an accredited person with respect to a

recommendation of an initial classification of a device, the Secretary shall make a

determination with respect to the initial classification.

(C) SPECIAL RULE.—The Secretary may change the initial classification under section

513(f)(1) that is recommended under paragraph (1) by an accredited person, and in such case

shall provide to such person, and the person who submitted the report under section 510(k) for

the device, a statement explaining in detail the reasons for the change.

(3) CERTAIN DEVICES.—

(A) IN GENERAL.—An accredited person may not be used to perform a review of—

(i) a class III device;

(ii) a class II device which is intended to be permanently implantable or life sustaining or life

supporting; or

(iii) a class II device which requires clinical data in the report submitted under section 510(k)

for the device, except that the number of class II devices to which the Secretary applies this

clause for a year, less the number of such reports to which clauses (i) and (ii) apply, may not

exceed 6 percent of the number that is equal to the total number of reports submitted to the

Secretary under such section for such year less the number of such reports to which such

clauses apply for such year.

(B) ADJUSTMENT.—In determining for a year the ratio described in subparagraph (A)(iii), the

Secretary shall not include in the numerator class III devices that the Secretary reclassified

into class II, and the Secretary shall include in the denominator class II devices for which

reports under section 510(k) were not required to be submitted by reason of the operation of

section 510(m).

(b) ACCREDITATION.—

(1) PROGRAMS.—The Secretary shall provide for such accreditation through programs

administered by the Food and Drug Administration, other government agencies, or by other

qualified non government organizations.

(2) ACCREDITATION.—

(A) IN GENERAL.—Not later than 180 days after the date of the enactment of the Food and

Drug Administration Modernization Act of 1997, the Secretary shall establish and publish in the

Federal Register criteria to accredit or deny accreditation to persons who request to perform

the duties specified in subsection (a). The Secretary shall respond to a request for

accreditation within 60 days of the receipt of the request. The accreditation of such person

shall specify the particular activities under subsection (a) for which such person is accredited.

(B) WITHDRAWAL OF ACCREDITATION.—The Secretary may suspend or withdraw

accreditation of any person accredited under this paragraph, after providing notice and an

opportunity for an informal hearing, when such person is substantially not in compliance with

the requirements of this section or poses a threat to public health or fails to act in a manner

that is consistent with the purposes of this section.

(C) PERFORMANCE AUDITING.—To ensure that persons accredited under this section will

continue to meet the standards of accreditation, the Secretary shall—

(i) make onsite visits on a periodic basis to each accredited person to audit the performance of

such person; and

(ii) take such additional measures as the Secretary determines to be appropriate.

(D) ANNUAL REPORT.—The Secretary shall include in the annual report required under

section 903(g) the names of all accredited persons and the particular activities under

subsection (a) for which each such person is accredited and the name of each accredited

person whose accreditation has been withdrawn during the year.

(3) QUALIFICATIONS.—An accredited person shall, at a minimum, meet the following

requirements:

(A) Such person may not be an employee of the Federal Government.

(B) Such person shall be an independent organization which is not owned or controlled by a

manufacturer, supplier, or vendor of devices and which has no organizational, material, or

financial affiliation with such a manufacturer, supplier, or vendor.

(C) Such person shall be a legally constituted entity permitted to conduct the activities for

which it seeks accreditation.

(D) Such person shall not engage in the design, manufacture, promotion, or sale of devices.

(E) The operations of such person shall be in accordance with generally accepted professional

and ethical business practices and shall agree in writing that as a minimum it will—

(i) certify that reported information accurately reflects data reviewed;

(ii) limit work to that for which competence and capacity are available;

(iii) treat information received, records, reports, and recommendations as proprietary

information;

(iv) promptly respond and attempt to resolve complaints regarding its activities for which it is

accredited; and

(v) protect against the use, in carrying out subsection (a) with respect to a device, of any officer

or employee of the person who has a financial conflict of interest regarding the device, and

annually make available to the public disclosures of the extent to which the person, and the

officers and employees of the person, have maintained compliance with requirements under

this clause relating to financial conflicts of interest.

(4) SELECTION OF ACCREDITED PERSONS.—The Secretary shall provide each person

who chooses to use an accredited person to receive a section 510(k) report a panel of at least

two or more accredited persons from which the regulated person may select one for a specific

regulatory function.

(5) COMPENSATION OF ACCREDITED PERSONS.—Compensation for an accredited

person shall be determined by agreement between the accredited person and the person who

engages the services of the accredited person, and shall be paid by the person who engages

such services.

(c) DURATION.— The authority provided by this section terminates October 1, 2007.

(d) REPORT.--Not later than January 10, 2007, the Secretary shall conduct a study based on

the experience under the program under this section and submit to the Committee on Energy

and Commerce of the House of Representatives, and the Committee on Health, Education,

Labor, and Pensions of the Senate, a report describing the findings of the study. The

objectives of the study shall include determining--

(1) the number of devices reviewed under this section;

(2) the number of devices reviewed under this section that were ultimately cleared by the

Secretary;

(3) the number of devices reviewed under this section that were ultimately not cleared by the

Secretary;

(4) the average time period for a review under this section (including the time it takes for the

Secretary to review a recommendation of an accredited person under subsection (a) and

determine the initial device classification);

(5) the average time period identified in paragraph (4) compared to the average time period for

review of devices solely by the Secretary pursuant to section 510(k);

(6) if there is a difference in the average time period under paragraph (4) and the average time

period under paragraph (5), the reasons for such difference;

(7) whether the quality of reviews under this section for devices for which no guidance has

been issued is qualitatively inferior to reviews by the Secretary for devices for which no

guidance has been issued;

(8) whether the quality of reviews under this section of devices for which no guidance has been

issued is qualitatively inferior to reviews under this section of devices for which guidance has

been issued;

(9) whether this section has in any way jeopardized or improved the public health;

(10) any impact of this section on resources available to the Secretary to review reports under

section 510(k); and

(11) any suggestions for continuation, modification (including contraction or expansion of

device eligibility), or termination of this section that the Secretary determines to be appropriate.

Footnotes: Sections 513-523

1. The General Schedule under section 5332 of title 5, United States Code, no longer includes

the grade GS-18. The grades are GS-1 through GS-15.

2. The General Schedule under section 5332 of title 5, United States Code, no longer includes

the grade GS-18. The grades are GS-1 through GS-15.

3. So in law. See section 213(a)(1)(D)(ii) of Public Law 105–115 (111 Stat. 2347). That section

struck former paragraph (9), and amended paragraph (8) "by striking the semicolon at the end

and inserting a period", rather than by striking "; and"; and inserting a period.

4. The General Schedule under section 5332 of title 5, United States Code, no longer includes

the grade GS-18. The grades are GS-1 through GS-15.

5. Section 3648 of the Revised Statutes has been superseded by subsections (a) and (b) of

section 3324 of title 31, United States Code. See Public Law 97–258.

6. Public Law 94–295, enacted May 28, 1976.

7. Section 212 of Public Law 107–250 (116 Stat. 1614), as amended by section 2(d)(3)(C) of

Public Law 108–214 (118 Stat. 577), provides for a study whose purpose is determining

whether the system under the Federal Food, Drug, and Cosmetic Act for the postmarket

surveillance of medical devices provides adequate safeguards regarding the use of devices in

pediatric populations. The study is required to be submitted not later than four years after the

date of the enactment of Public Law 107–250, which was enacted October 26, 2002.

CHAPTER V--DRUGS AND DEVICES

SUBCHAPTER B--DRUGS FOR RARE DISEASES OR CONDITIONS

RECOMMENDATIONS FOR INVESTIGATIONS OF DRUGS FOR RARE DISEASES OR

CONDITIONS 1

SEC. 525 . [21 U.S.C. 360aa] (a) The sponsor of a drug for a disease or condition which is rare

in the States may request the Secretary to provide written recommendations for the nonclinical

and clinical investigations which must be conducted with the drug before—

(1) it may be approved for such disease or condition under section 505, or

(2) if the drug is a biological product, it may be licensed for such disease or condition under

section 351 of the Public Health Service Act.

If the Secretary has reason to believe that a drug for which a request is made under this

section is a drug for a disease or condition which is rare in the States, the Secretary shall

provide the person making the request written recommendations for the nonclinical and clinical

investigations which the Secretary believes, on the basis of information available to the

Secretary at the time of the request under this section, would be necessary for approval of

such drug for such disease or condition under section 505 or licensing of such drug for such

disease or condition under section 351 of the Public Health Service Act.

(b) The Secretary shall by regulation promulgate procedures for the implementation of

subsection (a).

DESIGNATION OF DRUGS FOR RARE DISEASES OR CONDITIONS

SEC. 526 . [21 U.S.C. 360bb] (a)(1) The manufacturer or the sponsor of a drug may request

the Secretary to designate the drug as a drug for a rare disease or condition. A request for

designation of a drug shall be made before the submission of an application under section

505(b) for the drug, or the submission of an application for licensing of the drug under section

351 of the Public Health Service Act. If the Secretary finds that a drug for which a request is

submitted under this subsection is being or will be investigated for a rare disease or condition

and—

(A) if an application for such drug is approved under section 505, or

(B) if a license for such drug is issued under section 351of the Public Health Service Act, the

approval, certification, or license would be for use for such disease or condition, the Secretary

shall designate the drug as a drug for such disease or condition. A request for a designation of

a drug under this subsection shall contain the consent of the applicant to notice being given by

the Secretary under subsection (b) respecting the designation of the drug.

(2) For purposes of paragraph (1), the term ‘‘rare disease or condition’’ means any disease or

condition which (A) affects less than 200,000 persons in the United States, or (B) affects more

than 200,000 in the United States and for which there is no reasonable expectation that the

cost of developing and making available in the United States a drug for such disease or

condition will be recovered from sales in the United States of such drug. Determinations under

the preceding sentence with respect to any drug shall be made on the basis of the facts and

circumstances as of the date the request for designation of the drug under this subsection is

made.

(b) A designation of a drug under subsection (a) shall be subject to the condition that—

(1) if an application was approved for the drug under section 505(b) or a license was issued for

the drug under section 351 of the Public Health Service Act, the manufacturer of the drug will

notify the Secretary of any discontinuance of the production of the drug at least one year

before discontinuance, and

(2) if an application has not been approved for the drug under section 505(b) or a license has

not been issued for the drug under section 351 of the Public Health Service Act and if

preclinical investigations or investigations under section 505(i) are being conducted with the

drug, the manufacturer or sponsor of the drug will notify the Secretary of any decision to

discontinue active pursuit of approval of an application under section 505(b) or approval of a

license under section 351 of the Public Health Service Act.

(c) Notice respecting the designation of a drug under subsection (a) shall be made available to

the public.

(d) The Secretary shall by regulation promulgate procedures for the implementation of

subsection (a).

PROTECTION FOR DRUGS FOR RARE DISEASES OR CONDITIONS

SEC. 527 . [21 U.S.C. 360cc] (a) Except as provided in subsection (b), if the Secretary—

(1) approves an application filed pursuant to section 505, or

(2) issues a license under section 351 of the Public Health Service Act for a drug designated

under section 526 for a rare disease or condition, the Secretary may not approve another

application under section 505 or issue another license under section 351 of the Public Health

Service Act for such drug for such disease or condition for a person who is not the holder of

such approved application, of or of such license until the expiration of seven years from the

date of the approval of the approved application, or the issuance of the license. Section

505(c)(2) does not apply to the refusal to approve an application under the preceding

sentence.

(b) If an application filed pursuant to section 505 is approved for a drug designated under

section 526 for a rare disease or condition or if a license is issued under section 351 of the

Public Health Service Act for such a drug, the Secretary may, during the seven year period

beginning on the date of the application approval or of the issuance of the license, approve

another application under section 505 or issue a license under section 351 of the Public Health

Service Act, for such drug for such disease or condition for a person who is not the holder of

such approved application or of such license if—

(1) the Secretary finds, after providing the holder notice and opportunity for the submission of

views, that in such period the holder of the approved application or of the license cannot

assure the availability of sufficient quantities of the drug to meet the needs of persons with the

disease or condition for which the drug was designated; or

(2) such holder provides the Secretary in writing the consent of such holder for the approval of

other applications or the issuance of other licenses before the expiration of such seven year

period.

OPEN PROTOCOLS FOR INVESTIGATIONS OF DRUGS FOR RARE DISEASES OR

CONDITIONS

SEC. 528 . [21 U.S.C. 360dd] If a drug is designated under section 526 as a drug for a rare

disease or condition and if notice of a claimed exemption under section 505(i) or regulations

issued thereunder is filed for such drug, the Secretary shall encourage the sponsor of such

drug to design protocols for clinical investigations of the drug which may be conducted under

the exemption to permit the addition to the investigations of persons with the disease or

condition who need the drug to treat the disease or condition and who cannot be satisfactorily

treated by available alternative drugs.

Footnotes: Chapter V, Subchapter B

1. Section 5 of the Orphan Drug Act (21 U.S.C. 360ee) (Public Law 97–414), which is included

in the appendix, establishes a program to make grants and enter into contracts regarding the

development of drugs for rare diseases and conditions. Authorizations of appropriations for

that program are currently provided through fiscal year 2006. See section 3 of Public Law

107–281 (116 Stat. 1993).

CHAPTER V--DRUGS AND DEVICES

SUBCHAPTER C—ELECTRONIC PRODUCT RADIATION CONTROL

DEFINITIONS

SEC. 531. [21 U.S.C. 360hh] As used in this subchapter—

(1) the term "electronic product radiation" means—

(A) any ionizing or non-ionizing electromagnetic or particulate radiation, or

(B) any sonic, infrasonic, or ultrasonic wave, which is emitted from an electronic product as the

result of the operation of an electronic circuit in such product;

(2) the term "electronic product" means (A) any manufactured or assembled product which,

when in operation, (i) contains or acts as part of an electronic circuit and (ii) emits (or in the

absence of effective shielding or other controls would emit) electronic product radiation, or (B)

any manufactured or assembled article which is intended for use as a component, part, or

accessory of a product described in clause (A) and which when in operation emits (or in the

absence of effective shielding or other controls would emit) such radiation;

(3) the term "manufacturer" means any person engaged in the business of manufacturing,

assembling, or importing of electronic products;

(4) the term "commerce" means (A) commerce between any place in any State and any place

outside thereof; and (B) commerce wholly within the District of Columbia; and

(5) the term "State" includes the District of Columbia, the Commonwealth of Puerto Rico, the

Northern Mariana Islands, the Virgin Islands, Guam, and American Samoa.

ELECTRONIC PRODUCT RADIATION CONTROL PROGRAM

SEC. 532. [21 U.S.C. 360ii] (a) The Secretary shall establish and carry out an electronic

product radiation control program designed to protect the public health and safety from

electronic product radiation. As a part of such program, he shall—

(1) pursuant to section 534, develop and administer performance standards for electronic

products;

(2) plan, conduct, coordinate, and support research, development, training, and operational

activities to minimize the emissions of and the exposure of people to, unnecessary electronic

product radiation;

(3) maintain liaison with and receive information from other Federal and State departments

and agencies with related interests, professional organizations, industry, industry and labor

associations, and other organizations on present and future potential electronic product

radiation;

(4) study and evaluate emissions of, and conditions of exposure to, electronic product

radiation and intense magnetic fields;

(5) develop, test, and evaluate the effectiveness of procedures and techniques for minimizing

exposure to electronic product radiation; and

(6) consult and maintain liaison with the Secretary of Commerce, the Secretary of Defense, the

Secretary of Labor, the Atomic Energy Commission, and other appropriate Federal

departments and agencies on (A) techniques, equipment, and programs for testing and

evaluating electronic product radiation, and (B) the development of performance standards

pursuant to section 534 to control such radiation emissions.

(b) In carrying out the purposes of subsection (a), the Secretary is authorized to—

(1)(A) collect and make available, through publications and other appropriate means, the

results of, and other information concerning, research and studies relating to the nature and

extent of the hazards and control of electronic product radiation; and (B) make such

recommendations relating to such hazards and control as he considers appropriate;

(2) make grants to public and private agencies, organizations, and institutions, and to

individuals for the purposes stated in paragraphs (2), (4), and (5) of subsection (a) of this

section;

(3) contract with public or private agencies, institutions, and organizations, and with individuals,

without regard to section 3324 of title 31, United States Code, and section 3709 of the Revised

Statutes of the United States (41 U.S.C. 5); and

(4) procure (by negotiation or otherwise) electronic products for research and testing purposes,

and sell or otherwise dispose of such products.

(c)(1) Each recipient of assistance under this subchapter pursuant to grants or contracts

entered into under other than competitive bidding procedures shall keep such records as the

Secretary shall prescribe, including records which fully disclose the amount and disposition by

such recipient of the proceeds of such assistance, the total cost of the project or undertaking in

connection with which such assistance is given or used, and the amount of that portion of the

cost of the project or undertaking supplied by other sources, and such other records as will

facilitate an effective audit.

(2) The Secretary and the Comptroller General of the United States, or any of their duly

authorized representatives, shall have access for the purpose of audit and examination to any

books, documents, papers, and records of the recipient that are pertinent to the grants or

contracts entered into under this subchapter under other than competitive bidding procedures.

STUDIES BY THE SECRETARY

SEC. 533. [21 U.S.C. 360jj] (a) The Secretary shall conduct the following studies, and shall

make a report or reports of the results of such studies to the Congress on or before January 1,

1970, and from time to time thereafter as he may find necessary, together with such

recommendations for legislation as he may deem appropriate:

(1) A study of present State and Federal control of health hazards from electronic product

radiation and other types of ionizing radiation, which study shall include, but not be limited to—

(A) control of health hazards from radioactive materials other than materials regulated under

the Atomic Energy Act of 1954;

(B) any gaps and inconsistencies in present controls;

(C) the need for controlling the sale of certain used electronic products, particularly antiquated

X-ray equipment, without upgrading such products to meet the standards for new products or

separate standards for used products;

(D) measures to assure consistent and effective control of the aforementioned health hazards;

(E) measures to strengthen radiological health programs of State governments; and

(F) the feasibility of authorizing the Secretary to enter into arrangements with individual States

or groups of States to define their respective functions and responsibilities for the control of

electronic product radiation and other ionizing radiation;

(2) A study to determine the necessity for the development of standards for the use of

nonmedical electronic products for commercial and industrial purposes; and

(3) A study of the development of practicable procedures for the detection and measurement

of electronic product radiation which may be emitted from electronic products manufactured or

imported prior to the effective date of any applicable standard established pursuant to this

subchapter.

(b) In carrying out these studies, the Secretary shall invite the participation of other Federal

departments and agencies having related responsibilities and interests, State

governments—particularly those of States which regulate radioactive materials under section

274 of the Atomic Energy Act of 1954, as amended, and interested professional, labor, and

industrial organizations. Upon request from congressional committees interested in these

studies, the Secretary shall keep these committees currently informed as to the progress of the

studies and shall permit the committees to send observers to meetings of the study groups.

(c) The Secretary or his designee shall organize the studies and the participation of the invited

participants as he deems best. Any dissent from the findings and recommendations of the

Secretary shall be included in the report if so requested by the dissenter.

PERFORMANCE STANDARDS FOR ELECTRONIC PRODUCTS

SEC. 534. [21 U.S.C. 360kk] (a)(1) The Secretary shall by regulation prescribe performance

standards for electronic products to control the emission of electronic product radiation from

such products if he determines that such standards are necessary for the protection of the

public health and safety. Such standards may include provisions for the testing of such

products and the measurement of their electronic product radiation emissions, may require the

attachment of warning signs and labels, and may require the provision of instructions for the

installation, operation, and use of such products. Such standards may be prescribed from time

to time whenever such determinations are made, but the first of such standards shall be

prescribed prior to January 1, 1970. In the development of such standards, the Secretary shall

consult with Federal and State departments and agencies having related responsibilities or

interests and with appropriate professional organizations and interested persons, including

representatives of industries and labor organizations which would be affected by such

standards, and shall give consideration to—

(A) the latest available scientific and medical data in the field of electronic product radiation;

(B) the standards currently recommended by (i) other Federal agencies having responsibilities

relating to the control and measurement of electronic product radiation, and (ii) public or

private groups having an expertise in the field of electronic product radiation;

(C) the reasonableness and technical feasibility of such standards as applied to a particular

electronic product;

(D) the adaptability of such standards to the need for uniformity and reliability of testing and

measuring procedures and equipment; and

(E) in the case of a component, or accessory described in paragraph (2)(B) of section 531, the

performance of such article in the manufactured or assembled product for which it is designed.

(2) The Secretary may prescribe different and individual performance standards, to the extent

appropriate and feasible, for different electronic products so as to recognize their different

operating characteristics and uses.

(3) The performance standards prescribed under this section shall not apply to any electronic

product which is intended solely for export if (A) such product and the outside of any shipping

container used in the export of such product are labeled or tagged to show that such product is

intended for export, and (B) such product meets all the applicable requirements of the country

to which such product is intended for export.

(4) The Secretary may by regulation amend or revoke any performance standard prescribed

under this section.

(5) The Secretary may exempt from the provisions of this section any electronic product

intended for use by departments or agencies of the United States provided such department or

agency has prescribed procurement specifications governing emissions of electronic product

radiation and provided further that such product is of a type used solely or predominantly by

departments or agencies of the United States.

(b) The provisions of subchapter II of chapter 5 of title 5 of the United States Code (relating to

the administrative procedure for rulemaking), and of chapter 7 of such title (relating to judicial

review), shall apply with respect to any regulation prescribing, amending, or revoking any

standard prescribed under this section.

(c) Each regulation prescribing, amending, or revoking a standard shall specify the date on

which it shall take effect which, in the case of any regulation prescribing, or amending any

standard, may not be sooner than one year or not later than two years after the date on which

such regulation is issued, unless the Secretary finds, for good cause shown, that an earlier or

later effective date is in the public interest and publishes in the Federal Register his reason for

such finding, in which case such earlier or later date shall apply.

(d)(1) In a case of actual controversy as to the validity of any regulation issued under this

section prescribing, amending, or revoking a performance standard, any person who will be

adversely affected by such regulation when it is effective may at any time prior to the sixtieth

day after such regulation is issued file a petition with the United States court of appeals for the

circuit wherein such person resides or has his principal place of business, for a judicial review

of such regulation. A copy of the petition shall be forthwith transmitted by the clerk of the court

to the Secretary or other officer designated by him for that purpose. The Secretary thereupon

shall file in the court the record of the proceedings on which the Secretary based the regulation,

as provided in section 2112 of title 28 of the United States Code.

(2) If the petitioner applies to the court for leave to adduce additional evidence, and shows to

the satisfaction of the court that such additional evidence is material and that there were

reasonable grounds for the failure to adduce such evidence in the proceeding before the

Secretary, the court may order such additional evidence (and evidence in rebuttal thereof) to

be taken before the Secretary, and to be adduced upon the hearing, in such manner and upon

such terms and conditions as to the court may seem proper. The Secretary may modify his

findings, or make new findings, by reason of the additional evidence so taken, and he shall file

such modified or new findings, and his recommendations, if any, for the modification or setting

aside of his original regulation, with the return of such additional evidence.

(3) Upon the filing of the petition referred to in paragraph (1) of this subsection, the court shall

have jurisdiction to review the regulation in accordance with chapter 7 of title 5 of the United

States Code and to grant appropriate relief as provided in such chapter.

(4) The judgment of the court affirming or setting aside, in whole or in part, any such regulation

of the Secretary shall be final, subject to review by the Supreme Court of the United States

upon certiorari or certification as provided in section 1254 of title 28 of the United States Code.

(5) Any action instituted under this subsection shall survive, notwithstanding any change in the

person occupying the office of Secretary or any vacancy in such office.

(6) The remedies provided for in this subsection shall be in addition to and not in substitution

for any other remedies provided by law.

(e) A certified copy of the transcript of the record and administrative proceedings under this

section shall be furnished by the Secretary to any interested party at his request, and payment

of the costs thereof, and shall be admissible in any criminal, exclusion of imports, or other

proceeding arising under or in respect of this subchapter, irrespective of whether proceedings

with respect to the regulation have previously been initiated or become final under this section.

(f)(1)(A) The Secretary shall establish a Technical Electronic Product Radiation Safety

Standards Committee (hereafter in this subchapter referred to as the Committee") which he

shall consult before prescribing any standard under this section. The Committee shall be

appointed by the Secretary, after consultation with public and private agencies concerned with

the technical aspect of electronic product radiation safety, and shall be composed of fifteen

members each of whom shall be technically qualified by training and experience in one or

more fields of science or engineering applicable to electronic product radiation safety, as

follows:

(i) Five members shall be selected from governmental agencies, including State and Federal

Governments;

(ii) Five members shall be selected from the affected industries after consultation with industry

representatives; and

(iii) Five members shall be selected from the general public, of which at least one shall be a

representative of organized labor.

(B) The Committee may propose electronic product radiation safety standards to the Secretary

for his consideration. All proceedings of the Committee shall be recorded and the record of

each such proceeding shall be available for public inspection.

(2) Payments to members of the Committee who are not officers or employees of the United

States pursuant to subsection (c) of section 208 of the Public Health Service Act shall not

render members of the Committee officers or employees of the United States for any purpose.

(g) The Secretary shall review and evaluate on a continuing basis testing programs carried out

by industry to assure the adequacy of safeguards against hazardous electronic product

radiation and to assure that electronic products comply with standards prescribed under this

section.

(h) Every manufacturer of an electronic product to which is applicable a standard in effect

under this section shall furnish to the distributor or dealer at the time of delivery of such

product, in the form of a label or tag permanently affixed to such product or in such manner as

approved by the Secretary, the certification that such product conforms to all applicable

standards under this section. Such certification shall be based upon a test, in accordance with

such standard, of the individual article to which it is attached or upon a testing program which

is in accord with good manufacturing practice and which has not been disapproved by the

Secretary (in such manner as he shall prescribe by regulation) on the grounds that it does not

assure the adequacy of safeguards against hazardous electronic product radiation or that it

does not assure that electronic products comply with the standards prescribed under this

section.

NOTIFICATION OF DEFECTS IN, AND REPAIR OR REPLACEMENT OF ELECTRONIC

PRODUCTS

SEC. 535. [21 U.S.C. 360ll] (a)(1) Every manufacturer of electronic products, who discovers

that an electronic product produced, assembled, or imported by him has a defect which relates

to the safety of use of such product by reason of the emission of electronic product radiation,

or that an electronic product produced, assembled, or imported by him on or after the effective

date of an applicable standard prescribed pursuant to section 534 fails to comply with such

standard, shall immediately notify the Secretary of such defect or failure to comply if such

product has left the place of manufacture and shall (except as authorized by paragraph (2))

with reasonable promptness furnish notification of such defect or failure to the persons (where

known to the manufacturer) specified in subsection (b) of this section.

(2) If, in the opinion of such manufacturer, the defect or failure to comply is not such as to

create a significant risk of injury, including genetic injury, to any person, he may, at the time of

giving notice to the Secretary of such defect or failure to comply, apply to the Secretary for an

exemption from the requirement of notice to the persons specified in subsection (b). If such

application states reasonable grounds for such exemption, the Secretary shall afford such

manufacturer an opportunity to present his views and evidence in support of the application,

the burden of proof being on the manufacturer. If, after such presentation, the Secretary is

satisfied that such defect or failure to comply is not such as to create a significant risk of injury,

including genetic injury, to any person, he shall exempt such manufacturer from the

requirement of notice to the persons specified in subsection (b) of this section and from the

requirements of repair or replacement imposed by subsection (f) of this section.

(b) The notification (other than to the Secretary) required by paragraph (1) of subsection (a) of

this section shall be accomplished—

(1) by certified mail to the first purchaser of such product for purposes other than resale, and to

any subsequent transferee of such product; and

(2) by certified mail or other more expeditious means to the dealers or distributors of such

manufacturer to whom such product was delivered.

(c) The notifications required by paragraph (1) of subsection (a) of this section shall contain a

clear description of such defect or failure to comply with an applicable standard, an evaluation

of the hazard reasonably related to such defect or failure to comply, and a statement of the

measures to be taken to repair such defect. In the case of a notification to a person referred to

in subsection (b) of this section, the notification shall also advise the person of his rights under

subsection (f) of this section.

(d) Every manufacturer of electronic products shall furnish to the Secretary a true or

representative copy of all notices, bulletins, and other communications to the dealers or

distributors of such manufacturer or to purchasers (or subsequent transferees) of electronic

products of such manufacturer regarding any such defect in such product or any such failure to

comply with a standard applicable to such product. The Secretary shall disclose to the public

so much of the information contained in such notice or other information obtained under

section 537 as he deems will assist in carrying out the purposes of this subchapter, but he

shall not disclose any information which contains or relates to a trade secret or other matter

referred to in section 1905 of title 18 of the United States Code unless he determines that it is

necessary to carry out the purposes of this subchapter.

(e) If through testing, inspection, investigation, or research carried out pursuant to this

subchapter, or examination of reports submitted pursuant to section 537, or otherwise, the

Secretary determines that any electronic product—

(1) does not comply with an applicable standard prescribed pursuant to section 534; or

(2) contains a defect which relates to the safety of use of such product by reason of the

emission of electronic product radiation;

he shall immediately notify the manufacturer of such product of such defect or failure to comply.

The notice shall contain the findings of the Secretary and shall include all information upon

which the findings are based. The Secretary shall afford such manufacturer an opportunity to

present his views and evidence in support thereof, to establish that there is no failure of

compliance or that the alleged defect does not exist or does not relate to safety of use of the

product by reason of the emission of such radiation hazard. If after such presentation by the

manufacturer the Secretary determines that such product does not comply with an applicable

standard prescribed pursuant to section 534, or that it contains a defect which relates to the

safety of use of such product by reason of the emission of electronic product radiation, the

Secretary shall direct the manufacturer to furnish the notification specified in subsection (c) of

this section to the persons specified in paragraphs (1) and (2) of subsection (b) of this section

(where known to the manufacturer), unless the manufacturer has applied for an exemption

from the requirement of such notification on the ground specified in paragraph (2) of

subsection (a) and the Secretary is satisfied that such noncompliance or defect is not such as

to create a significant risk of injury, including genetic injury, to any person.

(f) If any electronic product is found under subsection (a) or (e) to fail to comply with an

applicable standard prescribed under this subchapter or to have a defect which relates to the

safety of use of such product, and the notification specified in subsection (c) is required to be

furnished on account of such failure or defect, the manufacturer of such product shall (1)

without charge, bring such product into conformity with such standard or remedy such defect

and provide reimbursement for any expenses for transportation of such product incurred in

connection with having such product brought into conformity or having such defect remedied,

(2) replace such product with a like or equivalent product which complies with each applicable

standard prescribed under this subchapter and which has no defect relating to the safety of its

use, or (3) make a refund of the cost of such product. The manufacturer shall take the action

required by this subsection in such manner, and with respect to such persons, as the

Secretary by regulations shall prescribe.

(g) This section shall not apply to any electronic product that was manufactured before the

date of the enactment of this subchapter 1 .

IMPORTS

SEC. 536. [21 U.S.C. 360mm] (a) Any electronic product offered for importation into the United

States which fails to comply with an applicable standard prescribed under this subchapter, or

to which is not affixed a certification in the form of a label or tag in conformity with section

534(h) shall be refused admission into the United States. The Secretary of the Treasury shall

deliver to the Secretary of Health and Human Services, upon the latter’s request, samples of

electronic products which are being imported or offered for import into the United States, giving

notice thereof to the owner or consignee, who may have a hearing before the Secretary of

Health and Human Services. If it appears from an examination of such samples or otherwise

that any electronic product fails to comply with applicable standards prescribed pursuant to

section 534, then, unless subsection (b) of this section applies and is complied with, (1) such

electronic product shall be refused admission, and (2) the Secretary of the Treasury shall

cause the destruction of such electronic product unless such article is exported, under

regulations prescribed by the Secretary of the Treasury, within 90 days after the date of notice

of refusal of admission or within such additional time as may be permitted by such regulations.

(b) If it appears to the Secretary of Health and Human Services that any electronic product

refused admission pursuant to subsection (a) of this section can be brought into compliance

with applicable standards prescribed pursuant to section 534, final determination as to

admission of such electronic product may be deferred upon filing of timely written application

by the owner or consignee and the execution by him of a good and sufficient bond providing

for the payment of such liquidated damages in the event of default as the Secretary of Health

and Human Services may by regulation prescribe. If such application is filed and such bond is

executed the Secretary of Health and Human Services may, in accordance with rules

prescribed by him, permit the applicant to perform such operations with respect to such

electronic product as may be specified in the notice of permission.

(c) All expenses (including travel, per diem or subsistence, and salaries of officers or

employees of the United States) in connection with the destruction provided for in subsection

(a) of this section and the supervision of operations provided for in subsection (b) of this

section, and all expenses in connection with the storage, cartage, or labor with respect to any

electronic product refused admission pursuant to subsection (a) of this section, shall be paid

by the owner or consignee, and, in event of default, shall constitute a lien against any future

importations made by such owner or consignee.

(d) It shall be the duty of every manufacturer offering an electronic product for importation into

the United States to designate in writing an agent upon whom service of all administrative and

judicial processes, notices, orders, decisions, and requirements may be made for and on

behalf of said manufacturer, and to file such designation with the Secretary, which designation

may from time to time be changed by like writing, similarly filed. Service of all administrative

and judicial processes, notices, orders, decisions, and requirements may be made upon said

manufacturer by service upon such designated agent at his office or usual place of residence

with like effect as if made personally upon said manufacturer, and in default of such

designation of such agent, service of process, notice, order, requirement, or decision in any

proceeding before the Secretary or in any judicial proceeding for enforcement of this

subchapter or any standards prescribed pursuant to this subchapter may be made by posting

such process, notice, order, requirement, or decision in the Office of the Secretary or in a place

designated by him by regulation.

INSPECTION AND REPORTS

SEC. 537. [21 U.S.C. 360nn] (a) If the Secretary finds for good cause that the methods, tests,

or programs related to electronic product radiation safety in a particular factory, warehouse, or

establishment in which electronic products are manufactured or held, may not be adequate or

reliable, officers or employees duly designated by the Secretary, upon presenting appropriate

credentials and a written notice to the owner, operator, or agent in charge, are thereafter

authorized (1) to enter, at reasonable times, any area in such factory, warehouse, or

establishment in which the manufacturer’s tests (or testing programs) required by section

534(h) are carried out, and (2) to inspect, at reasonable times and within reasonable limits and

in a reasonable manner, the facilities and procedures within such area which are related to

electronic product radiation safety. Each such inspection shall be commenced and completed

with reasonable promptness. In addition to other grounds upon which good cause may be

found for purposes of this subsection, good cause will be considered to exist in any case

where the manufacturer has introduced into commerce any electronic product which does not

comply with an applicable standard prescribed under this subchapter and with respect to

which no exemption from the notification requirements has been granted by the Secretary

under section 535(a)(2) or 535(e).

(b) Every manufacturer of electronic products shall establish and maintain such records

(including testing records), make such reports, and provide such information, as the Secretary

may reasonably require to enable him to determine whether such manufacturer has acted or is

acting in compliance with this subchapter and standards prescribed pursuant to this

subchapter and shall, upon request of an officer or employee duly designated by the Secretary,

permit such officer or employee to inspect appropriate books, papers, records, and documents

relevant to determining whether such manufacturer has acted or is acting in compliance with

standards prescribed pursuant to this subchapter.

(c) Every manufacturer of electronic products shall provide to the Secretary such performance

data and other technical data related to safety as may be required to carry out the purposes of

this subchapter. The Secretary is authorized to require the manufacturer to give such

notification of such performance and technical data at the time of original purchase to the

ultimate purchaser of the electronic product, as he determines necessary to carry out the

purposes of this subchapter after consulting with the affected industry.

(d) Accident and investigation reports made under this subchapter by any officer, employee, or

agent of the Secretary shall be available for use in any civil, criminal, or other judicial

proceeding arising out of such accident. Any such officer, employee, or agent may be required

to testify in such proceedings as to the fact developed in such investigations. Any such report

shall be made available to the public in a manner which need not identify individuals. All

reports on research projects, demonstration projects, and other related activities shall be

public information.

(e) The Secretary or his representative shall not disclose any information reported to or

otherwise obtained by him, pursuant to subsection (a) or (b) of this section, which concerns

any information which contains or relates to a trade secret or other matter referred to in section

1905 of title 18 of the United States Code, except that such information may be disclosed to

other officers or employees of the Department and of other agencies concerned with carrying

out this subchapter or when relevant in any proceeding under this subchapter. Nothing in this

section shall authorize the withholding of information by the Secretary, or by any officers or

employees under his control, from the duly authorized committees of the Congress.

(f) The Secretary may by regulation (1) require dealers and distributors of electronic products,

to which there are applicable standards prescribed under this subchapter and the retail prices

of which is not less than $50, to furnish manufacturers of such products such information as

may be necessary to identify and locate, for purposes of section 535, the first purchasers of

such products for purposes other than resale, and (2) require manufacturers to preserve such

information. Any regulation establishing a requirement pursuant to clause (1) of the preceding

sentence shall (A) authorize such dealers and distributors to elect, in lieu of immediately

furnishing such information to the manufacturer, to hold and preserve such information until

advised by the manufacturer or Secretary that such information is needed by the manufacturer

for purposes of section 535, and (B) provide that the dealer or distributor shall, upon making

such election, give prompt notice of such election (together with information identifying the

notifier and the product) to the manufacturer and shall, when advised by the manufacturer or

Secretary, of the need therefor for the purposes of section 535, immediately furnish the

manufacturer with the required information. If a dealer or distributor discontinues the dealing in

or distribution of electronic products, he shall turn the information over to the manufacturer.

Any manufacturer receiving information pursuant to this subsection concerning first

purchasers of products for purposes other than resale shall treat it as confidential and may use

it only if necessary for the purpose of notifying persons pursuant to section 535(a).

PROHIBITED ACTS

SEC. 538. [21 U.S.C. 360oo] (a) It shall be unlawful—

(1) for any manufacturer to introduce, or to deliver for introduction, into commerce, or to import

into the United States, any electronic product which does not comply with an applicable

standard prescribed pursuant to section 534;

(2) for any person to fail to furnish any notification or other material or information required by

section 535 or 537; or to fail to comply with the requirements of section 535(f);

(3) for any person to fail or to refuse to establish or maintain records required by this

subchapter or to permit access by the Secretary or any of his duly authorized representatives

to, or the copying of, such records, or to permit entry or inspection, as required by or pursuant

to section 537;

(4) for any person to fail or to refuse to make any report required pursuant to section 537(b) or

to furnish or preserve any information required pursuant to section 537(f); or

(5) for any person (A) to fail to issue a certification as required by section 534(h), or (B) to

issue such a certification when such certification is not based upon a test or testing program

meeting the requirements of section 534(h) or when the issuer, in the exercise of due care,

would have reason to know that such certification is false or misleading in a material respect.

(b) The Secretary may exempt any electronic product, or class thereof, from all or part of

subsection (a), upon such conditions as he may find necessary to protect the public health or

welfare, for the purpose of research, investigations, studies, demonstrations, or training, or for

reasons of national security.

ENFORCEMENT

SEC. 539. [21 U.S.C. 360pp] (a) The district courts of the United States shall have jurisdiction,

for cause shown, to restrain violations of section 538 and to restrain dealers and distributors of

electronic products from selling or otherwise disposing of electronic products which do not

conform to an applicable standard prescribed pursuant to section 534 except when such

products are disposed of by returning them to the distributor or manufacturer from whom they

were obtained. The district courts of the United States shall also have jurisdiction in

accordance with section 1355 of title 28 of the United States Code to enforce the provisions of

subsection (b) of this section.

(b)(1) Any person who violates section 538 shall be subject to a civil penalty of not more than

$1,000. For purposes of this subsection, any such violation shall with respect to each

electronic product involved, or with respect to each act or omission made unlawful by section

538, constitute a separate violation, except that the maximum civil penalty imposed on any

person under this subsection for any related series of violations shall not exceed $300,000.

(2) Any such civil penalty may on application be remitted or mitigated by the Secretary. In

determining the amount of such penalty, or whether it should be remitted or mitigated and in

what amount, the appropriateness of such penalty to the size of the business of the person

charged and the gravity of the violation shall be considered. The amount of such penalty, when

finally determined, may be deducted from any sums owing by the United States to the person

charged.

(c) Actions under subsections (a) and (b) of this section may be brought in the district court of

the United States for the district wherein any act or omission or transaction constituting the

violation occurred, or in such court for the district where the defendant is found or transacts

business, and process in such cases may be served in any other district of which the

defendant is an inhabitant or wherever the defendant may be found.

(d) Nothing in this subchapter shall be construed as requiring the Secretary to report for the

institution of proceedings minor violations of this subchapter whenever he believes that the

public interest will be adequately served by a suitable written notice or warning.

(e) Except as provided in the first sentence of section 542, compliance with this subchapter or

any regulations issued thereunder shall not relieve any person from liability at common law or

under statutory law.

(f) The remedies provided for in this subchapter shall be in addition to and not in substitution

for any other remedies provided by law.

[Sec. 540 repealed by P.L. 105–362, § 601(a)(2)(A).]

FEDERAL-STATE COOPERATION

SEC. 541. 2 [21 U.S.C. 360rr] The Secretary is authorized (1) to accept from State and local

authorities engaged in activities related to health or safety or consumer protection, on a

reimbursable basis or otherwise, any assistance in the administration and enforcement of this

subchapter which he may request and which they may be able and willing to provide and, if so

agreed, may pay in advance or otherwise for the reasonable cost of such assistance, and (2)

he may, for the purpose of conducting examinations, investigations, and inspections,

commission any officer or employee of any such authority as an officer of the Department.

EFFECT ON STATE STANDARDS

SEC. 542. [21 U.S.C. 360ss] Whenever any standard prescribed pursuant to section 534 with

respect to an aspect of performance of an electronic product is in effect, no State or political

subdivision of a State shall have any authority either to establish, or to continue in effect, any

standard which is applicable to the same aspect of performance of such product and which is

not identical to the Federal standard. Nothing in this subchapter shall be construed to prevent

the Federal Government or the government of any State or political subdivision thereof from

establishing a requirement with respect to emission of radiation from electronic products

procured for its own use if such requirement imposes a more restrictive standard than that

required to comply with the otherwise applicable Federal standard.

Footnotes: Chapter V, Subchapter C

1. This subchapter was enacted by Public Law 90–602, which was enacted October 18, 1968.

(The subchapter was originally enacted as part of the Public Health Service Act, and was

transferred to this Act by section 19 of Public Law 101–629.)

2. Section 540 was repealed by section 601(a)(2)(A) of Public Law 105–362 (112 Stat. 3285).

CHAPTER V--DRUGS AND DEVICES

SUBCHAPTER D —DISSEMINATION OF TREATMENT INFORMATION 1

SEC. 551. [21 U.S.C. 360aaa] REQUIREMENTS FOR DISSEMINATION OF TREATMENT

INFORMATION ON DRUGS OR DEVICES.

(a) IN GENERAL.—Notwithstanding sections 301(d), 502(f), and 505, and section 351 of the

Public Health Service Act (42 U.S.C. 262), a manufacturer may disseminate to—

(1) a health care practitioner;

(2) a pharmacy benefit manager;

(3) a health insurance issuer;

(4) a group health plan; or

(5) a Federal or State governmental agency;

written information concerning the safety, effectiveness, or benefit of a use not described in the

approved labeling of a drug or device if the manufacturer meets the requirements of

subsection (b).

(b) SPECIFIC REQUIREMENTS.—A manufacturer may disseminate information under

subsection (a) on a new use only if—

(1)(A) in the case of a drug, there is in effect for the drug an application filed under subsection

(b) or (j) of section 505 or a biologics license issued under section 351 of the Public Health

Service Act; or

(B) in the case of a device, the device is being commercially distributed in accordance with a

regulation under subsection (d) or (e) of section 513, an order under subsection (f) of such

section, or the approval of an application under section 515;

(2) the information meets the requirements of section 552;

(3) the information to be disseminated is not derived from clinical research conducted by

another manufacturer or if it was derived from research conducted by another manufacturer,

the manufacturer disseminating the information has the permission of such other manufacturer

to make the dissemination;

(4) the manufacturer has, 60 days before such dissemination, submitted to the Secretary—

(A) a copy of the information to be disseminated; and

(B) any clinical trial information the manufacturer has

relating to the safety or effectiveness of the new use, any reports of clinical experience

pertinent to the safety of the new use, and a summary of such information;

(5) the manufacturer has complied with the requirements of section 554 (relating to a

supplemental application for such use);

(6) the manufacturer includes along with the information to be disseminated under this

subsection—

(A) a prominently displayed statement that discloses—

(i) that the information concerns a use of a drug or device that has not been approved or

cleared by the Food and Drug Administration;

(ii) if applicable, that the information is being disseminated at the expense of the manufacturer;

(iii) if applicable, the name of any authors of the information who are employees of, consultants

to, or have received compensation from, the manufacturer, or who have a significant financial

interest in the manufacturer;

(iv) the official labeling for the drug or device and all updates with respect to the labeling;

(v) if applicable, a statement that there are products or treatments that have been approved or

cleared for the use that is the subject of the information being disseminated pursuant to

subsection (a)(1); and

(vi) the identification of any person that has provided funding for the conduct of a study relating

to the new use of a drug or device for which such information is being disseminated; and

(B) a bibliography of other articles from a scientific reference publication or scientific or medical

journal that have been previously published about the use of the drug or device covered by the

information disseminated (unless the information already includes such bibliography).

(c) ADDITIONAL INFORMATION.—If the Secretary determines, after providing notice of such

determination and an opportunity for a meeting with respect to such determination, that the

information submitted by a manufacturer under subsection (b)(3)(B), with respect to the use of

a drug or device for which the manufacturer intends to disseminate information, fails to provide

data, analyses, or other written matter that is objective and balanced, the Secretary may

require the manufacturer to disseminate—

(1) additional objective and scientifically sound information that pertains to the safety or

effectiveness of the use and is necessary to provide objectivity and balance, including any

information that the manufacturer has submitted to the Secretary or, where appropriate, a

summary of such information or any other information that the Secretary has authority to make

available to the public; and

(2) an objective statement of the Secretary, based on data or other scientifically sound

information available to the Secretary, that bears on the safety or effectiveness of the new use

of the drug or device.

SEC. 552. [21 U.S.C. 360aaa–1] INFORMATION AUTHORIZED TO BE DISSEMINATED.

(a) AUTHORIZED INFORMATION.—A manufacturer may disseminate information under

section 551 on a new use only if the information—

(1) is in the form of an unabridged—

(A) reprint or copy of an article, peer-reviewed by experts qualified by scientific training or

experience to evaluate the safety or effectiveness of the drug or device involved, which was

published in a scientific or medical journal (as defined in section 556(5)), which is about a

clinical investigation with respect to the drug or device, and which would be considered to be

scientifically sound by such experts; or

(B) reference publication, described in subsection (b), that includes information about a clinical

investigation with respect to the drug or device that would be considered to be scientifically

sound by experts qualified by scientific training or experience to evaluate the safety or

effectiveness of the drug or device that is the subject of such a clinical investigation; and

(2) is not false or misleading and would not pose a significant risk to the public health.

(b) REFERENCE PUBLICATION.—A reference publication referred to in subsection (a)(1)(B)

is a publication that—

(1) has not been written, edited, excerpted, or published specifically for, or at the request of, a

manufacturer of a drug or device;

(2) has not been edited or significantly influenced by such a manufacturer;

(3) is not solely distributed through such a manufacturer but is generally available in

bookstores or other distribution channels where medical textbooks are sold;

(4) does not focus on any particular drug or device of a manufacturer that disseminates

information under section 551and does not have a primary focus on new uses of drugs or

devices that are marketed or under investigation by a manufacturer supporting the

dissemination of information; and

(5) presents materials that are not false or misleading.

SEC. 553. [21 U.S.C. 360aaa–2] ESTABLISHMENT OF LIST OF ARTICLES AND

PUBLICATIONS DISSEMINATED AND LIST OF PROVIDERS THAT RECEIVED ARTICLES

AND REFERENCE PUBLICATIONS.

(a) IN GENERAL.—A manufacturer may disseminate information under section 551 on a new

use only if the manufacturer prepares and submits to the Secretary biannually—

(1) a list containing the titles of the articles and reference publications relating to the new use

of drugs or devices that were disseminated by the manufacturer to a person described in

section 551(a) for the 6-month period preceding the date on which the manufacturer submits

the list to the Secretary; and

(2) a list that identifies the categories of providers (as described in section 551(a)) that

received the articles and reference publications for the 6-month period described in paragraph

(1).

(b) RECORDS.—A manufacturer that disseminates information under section 551 shall keep

records that may be used by the manufacturer when, pursuant to section 555, such

manufacturer is required to take corrective action and shall be made available to the Secretary,

upon request, for purposes of ensuring or taking corrective action pursuant to such section.

Such records, at the Secretary’s discretion, may identify the recipient of information provided

pursuant to section 551 or the categories of such recipients.

SEC. 554. [21 U.S.C. 360aaa–3] REQUIREMENT REGARDING SUBMISSION OF

SUPPLEMENTAL APPLICATION FOR NEW USE; EXEMPTION FROM REQUIREMENT.

(a) IN GENERAL.—A manufacturer may disseminate information under section 551 on a new

use only if—

(1)(A) the manufacturer has submitted to the Secretary a supplemental application for such

use; or

(B) the manufacturer meets the condition described in subsection (b) or (c) (relating to a

certification that the manufacturer will submit such an application); or

(2) there is in effect for the manufacturer an exemption under subsection (d) from the

requirement of paragraph (1).

(b) CERTIFICATION ON SUPPLEMENTAL APPLICATION; CONDITION IN CASE OF

COMPLETED STUDIES.—For purposes of subsection (a)(1)(B), a manufacturer may

disseminate information on a new use if the manufacturer has submitted to the Secretary an

application containing a certification that—

(1) the studies needed for the submission of a supplemental application for the new use have

been completed; and

(2) the supplemental application will be submitted to the Secretary not later than 6 months

after the date of the initial dissemination of information under section 551.

(c) CERTIFICATION ON SUPPLEMENTAL APPLICATION; CONDITION IN CASE OF

PLANNED STUDIES.—

(1) IN GENERAL.—For purposes of subsection (a)(1)(B), a manufacturer may disseminate

information on a new use if—

(A) the manufacturer has submitted to the Secretary an application containing—

(i) a proposed protocol and schedule for conducting the studies needed for the submission of a

supplemental application for the new use; and

(ii) a certification that the supplemental application will be submitted to the Secretary not later

than 36 months after the date of the initial dissemination of information under section 551 (or,

as applicable, not later than such date as the Secretary may specify pursuant to an extension

under paragraph (3)); and

(B) the Secretary has determined that the proposed protocol is adequate and that the schedule

for completing such studies is reasonable.

(2) PROGRESS REPORTS ON STUDIES.—A manufacturer that submits to the Secretary an

application under paragraph (1) shall submit to the Secretary periodic reports describing the

status of the studies involved.

(3) EXTENSION OF TIME REGARDING PLANNED STUDIES.—The period of 36 months

authorized in paragraph (1)(A)(ii) for the completion of studies may be extended by the

Secretary if—

(A) the Secretary determines that the studies needed to submit such an application cannot be

completed and submitted within 36 months; or

(B) the manufacturer involved submits to the Secretary a written request for the extension and

the Secretary determines that the manufacturer has acted with due diligence to conduct the

studies in a timely manner, except that an extension under this subparagraph may not be

provided for more than 24 additional months.

(d) EXEMPTION FROM REQUIREMENT OF SUPPLEMENTAL APPLICATION.—

(1) IN GENERAL.—For purposes of subsection (a)(2), a manufacturer may disseminate

information on a new use if—

(A) the manufacturer has submitted to the Secretary an application for an exemption from

meeting the requirement of subsection (a)(1); and

(B)(i) the Secretary has approved the application in accordance with paragraph (2); or

(ii) the application is deemed under paragraph (3)(A) to have been approved (unless such

approval is terminated pursuant to paragraph (3)(B)).

(2) CONDITIONS FOR APPROVAL.—The Secretary may approve an application under

paragraph (1) for an exemption if the Secretary makes a determination described in

subparagraph (A) or (B), as follows:

(A) The Secretary makes a determination that, for reasons defined by the Secretary, it would

be economically prohibitive with respect to such drug or device for the manufacturer to incur

the costs necessary for the submission of a supplemental application. In making such

determination, the Secretary shall consider (in addition to any other considerations the

Secretary finds appropriate)—

(i) the lack of the availability under law of any period during which the manufacturer would

have exclusive marketing rights with respect to the new use involved; and

(ii) the size of the population expected to benefit from approval of the supplemental

application.

(B) The Secretary makes a determination that, for reasons defined by the Secretary, it would

be unethical to conduct the studies necessary for the supplemental application. In making

such determination, the Secretary shall consider (in addition to any other considerations the

Secretary finds appropriate) whether the new use involved is the standard of medical care for

a health condition.

(3) TIME FOR CONSIDERATION OF APPLICATION; DEEMED APPROVAL.—

(A) IN GENERAL.—The Secretary shall approve or deny an application under paragraph (1)

for an exemption not later than 60 days after the receipt of the application. If the Secretary

does not comply with the preceding sentence, the application is deemed to be approved.

(B) TERMINATION OF DEEMED APPROVAL.—If pursuant to a deemed approval under

subparagraph (A) a manufacturer disseminates written information under section 551 on a

new use, the Secretary may at any time terminate such approval and under section 555(b)(3)

order the manufacturer to cease disseminating the information.

(e) REQUIREMENTS REGARDING APPLICATIONS.—Applications under this section shall

be submitted in the form and manner prescribed by the Secretary.

SEC. 555. [21 U.S.C. 360aaa–4] CORRECTIVE ACTIONS; CESSATION OF

DISSEMINATION.

(a) POSTDISSEMINATION DATA REGARDING SAFETY AND EFFECTIVENESS.—

(1) CORRECTIVE ACTIONS.—With respect to data received by the Secretary after the

dissemination of information under section 551 by a manufacturer has begun (whether

received pursuant to paragraph (2) or otherwise), if the Secretary determines that the data

indicate that the new use involved may not be effective or may present a significant risk to

public health, the Secretary shall, after consultation with the manufacturer, take such action

regarding the dissemination of the information as the Secretary determines to be appropriate

for the protection of the public health, which may include ordering that the manufacturer cease

the dissemination of the information.

(2) RESPONSIBILITIES OF MANUFACTURERS TO SUBMIT DATA.—After a manufacturer

disseminates information under section 551, the manufacturer shall submit to the Secretary a

notification of any additional knowledge of the manufacturer on clinical research or other data

that relate to the safety or effectiveness of the new use involved. If the manufacturer is in

possession of the data, the notification shall include the data. The Secretary shall by regulation

establish the scope of the responsibilities of manufacturers under this paragraph, including

such limits on the responsibilities as the Secretary determines to be appropriate.

(b) CESSATION OF DISSEMINATION.—

(1) FAILURE OF MANUFACTURER TO COMPLY WITH REQUIREMENTS.— The Secretary

may order a manufacturer to cease the dissemination of information pursuant to section 551 if

the Secretary determines that the information being disseminated does not comply with the

requirements established in this subchapter. Such an order may be issued only after the

Secretary has provided notice to the manufacturer of the intent of the Secretary to issue the

order and (unless paragraph (2)(B) applies) has provided an opportunity for a meeting with

respect to such intent. If the failure of the manufacturer constitutes a minor violation of this

subchapter, the Secretary shall delay issuing the order and provide to the manufacturer an

opportunity to correct the violation.

(2) SUPPLEMENTAL APPLICATIONS.—The Secretary may order a manufacturer to cease

the dissemination of information pursuant to section 551 if—

(A) in the case of a manufacturer that has submitted a supplemental application for a new use

pursuant to section 554(a)(1), the Secretary determines that the supplemental application

does not contain adequate information for approval of the new use for which the application

was submitted;

(B) in the case of a manufacturer that has submitted a certification under section 554(b), the

manufacturer has not, within the 6-month period involved, submitted the supplemental

application referred to in the certification; or

(C) in the case of a manufacturer that has submitted a certification under section 554(c) but

has not yet submitted the supplemental application referred to in the certification, the

Secretary determines, after an informal hearing, that the manufacturer is not acting with due

diligence to complete the studies involved.

(3) TERMINATION OF DEEMED APPROVAL OF EXEMPTION REGARDING

SUPPLEMENTAL APPLICATIONS.—If under section 554(d)(3) the Secretary terminates a

deemed approval of an exemption, the Secretary may order the manufacturer involved to

cease disseminating the information. A manufacturer shall comply with an order under the

preceding sentence not later than 60 days after the receipt of the order.

(c) CORRECTIVE ACTIONS BY MANUFACTURERS.—

(1) IN GENERAL.—In any case in which under this section the Secretary orders a

manufacturer to cease disseminating information, the Secretary may order the manufacturer to

take action to correct the information that has been disseminated, except as provided in

paragraph (2).

(2) TERMINATION OF DEEMED APPROVAL OF EXEMPTION REGARDING

SUPPLEMENTAL APPLICATIONS.—In the case of an order under subsection (b)(3) to cease

disseminating information, the Secretary may not order the manufacturer involved to take

action to correct the information that has been disseminated unless the Secretary determines

that the new use described in the information would pose a significant risk to the public health.

SEC. 556. [21 U.S.C. 360aaa–5] DEFINITIONS.

For purposes of this subchapter:

(1) The term "health care practitioner" means a physician, or other individual who is a provider

of health care, who is licensed under the law of a State to prescribe drugs or devices.

(2) The terms "health insurance issuer" and "group health plan" have the meaning given such

terms under section 2791 of the Public Health Service Act.

(3) The term "manufacturer" means a person who manufactures a drug or device, or who is

licensed by such person to distribute or market the drug or device.

(4) The term "new use"—

(A) with respect to a drug, means a use that is not included in the labeling of the approved drug;

and

(B) with respect to a device, means a use that is not included in the labeling for the approved

or cleared device.

(5) The term "scientific or medical journal" means a scientific or medical publication—

(A) that is published by an organization—

(i) that has an editorial board;

(ii) that utilizes experts, who have demonstrated expertise in the subject of an article under

review by the organization and who are independent of the organization, to review and

objectively select, reject, or provide comments about proposed articles; and

(iii) that has a publicly stated policy, to which the organization adheres, of full disclosure of any

conflict of interest or biases for all authors or contributors involved with the journal or

organization;

(B) whose articles are peer-reviewed and published in accordance with the regular

peer-review procedures of the organization;

(C) that is generally recognized to be of national scope and reputation;

(D) that is indexed in the Index Medicus of the National Library of Medicine of the National

Institutes of Health; and

(E) that is not in the form of a special supplement that has been funded in whole or in part by

one or more manufacturers.

SEC. 557. [21 U.S.C. 360aaa–6] RULES OF CONSTRUCTION.

(a) UNSOLICITED REQUEST.—Nothing in section 551 shall be construed as prohibiting a

manufacturer from disseminating information in response to an unsolicited request from a

health care practitioner.

(b) DISSEMINATION OF INFORMATION ON DRUGS OR DEVICES NOT EVIDENCE OF

INTENDED USE.—Notwithstanding subsection (a), (f), or (o) of section 502, or any other

provision of law, the dissemination of information relating to a new use of a drug or device, in

accordance with section 551, shall not be construed by the Secretary as evidence of a new

intended use of the drug or device that is different from the intended use of the drug or device

set forth in the official labeling of the drug or device. Such dissemination shall not be

considered by the Secretary as labeling, adulteration, or misbranding of the drug or device.

(c) PATENT PROTECTION.—Nothing in section 551 shall affect patent rights in any manner.

(d) AUTHORIZATION FOR DISSEMINATION OF ARTICLES AND FEES FOR REPRINTS OF

ARTICLES.—Nothing in section 551 shall be construed as prohibiting an entity that publishes

a scientific journal (as defined in section 556(5)) from requiring authorization from the entity to

disseminate an article published by such entity or charging fees for the purchase of reprints of

published articles from such entity.

Footnotes: Chapter V, Subchapter D

1. This subchapter was added by section 401(a) of P.L. 105–115. Subsections (d) and (e) of

such section provides the following:

(d) EFFECTIVE DATE.—The amendments made by this section shall take effect 1 year after

the date of enactment of this Act, or upon the Secretary’s issuance of final regulations

pursuant to subsection (c), whichever is sooner.

(e) SUNSET.—The amendments made by this section cease to be effective September 30,

2006, or 7 years after the date on which the Secretary promulgates the regulations described

in subsection (c), whichever is later.

CHAPTER V--DRUGS AND DEVICES

SUBCHAPTER E--GENERAL PROVISIONS RELATING TO DRUGS AND DEVICES

SEC. 561. [21 U.S.C. 360bbb] EXPANDED ACCESS TO UNAPPROVED THERAPIES AND

DIAGNOSTICS.

(a) EMERGENCY SITUATIONS. The Secretary may, under appropriate conditions determined

by the Secretary, authorize the shipment of investigational drugs or investigational devices for

the diagnosis, monitoring, or treatment of a serious disease or condition in emergency

situations.

(b) INDIVIDUAL PATIENT ACCESS TO INVESTIGATIONAL PRODUCTS INTENDED FOR

SERIOUS DISEASES. Any person, acting through a physician licensed in accordance with

State law, may request from a manufacturer or distributor, and any manufacturer or distributor

may, after complying with the provisions of this subsection, provide to such physician an

investigational drug or investigational device for the diagnosis, monitoring, or treatment of a

serious disease or condition if

(1) the licensed physician determines that the person has no comparable or satisfactory

alternative therapy available to diagnose, monitor, or treat the disease or condition involved,

and that the probable risk to the person from the investigational drug or investigational device

is not greater than the probable risk from the disease or condition;

(2) the Secretary determines that there is sufficient evidence of safety and effectiveness to

support the use of the investigational drug or investigational device in the case described in

paragraph (1);

(3) the Secretary determines that provision of the investigational drug or investigational device

will not interfere with the initiation, conduct, or completion of clinical investigations to support

marketing approval; and

(4) the sponsor, or clinical investigator, of the investigational drug or investigational device

submits to the Secretary a clinical protocol consistent with the provisions of section 505(i) or

520(g), including any regulations promulgated under section 505(i) or 520(g), describing the

use of the investigational drug or investigational device in a single patient or a small group of

patients.

(c) TREATMENT INVESTIGATIONAL NEW DRUG APPLICATIONS AND TREATMENT

INVESTIGATIONAL DEVICE EXEMPTIONS. Upon submission by a sponsor or a physician of

a protocol intended to provide widespread access to an investigational drug or investigational

device for eligible patients (referred to in this subsection as an "expanded access protocol"),

the Secretary shall permit such investigational drug or investigational device to be made

available for expanded access under a treatment investigational new drug application or

treatment investigational device exemption if the Secretary determines that

(1) under the treatment investigational new drug application or treatment investigational device

exemption, the investigational drug or investigational device is intended for use in the

diagnosis, monitoring, or treatment of a serious or immediately life-threatening disease or

condition;

(2) there is no comparable or satisfactory alternative therapy available to diagnose, monitor, or

treat that stage of disease or condition in the population of patients to which the investigational

drug or investigational device is intended to be administered;

(3)(A) the investigational drug or investigational device is under investigation in a controlled

clinical trial for the use described in paragraph (1) under an investigational drug application in

effect under section 505(i) or investigational device exemption in effect under section 520(g);

or

(B) all clinical trials necessary for approval of that use of the investigational drug or

investigational device have been completed;

(4) the sponsor of the controlled clinical trials is actively pursuing marketing approval of the

investigational drug or investigational device for the use described in paragraph (1) with due

diligence;

(5) in the case of an investigational drug or investigational device described in paragraph

(3)(A), the provision of the investigational drug or investigational device will not interfere with

the enrollment of patients in ongoing clinical investigations under section 505(i) or 520(g);

(6) in the case of serious diseases, there is sufficient evidence of safety and effectiveness to

support the use described in paragraph (1); and

(7) in the case of immediately life-threatening diseases, the available scientific evidence, taken

as a whole, provides a reasonable basis to conclude that the investigational drug or

investigational device may be effective for its intended use and would not expose patients to

an unreasonable and significant risk of illness or injury.

A protocol submitted under this subsection shall be subject to the provisions of section 505(i)

or 520(g), including regulations promulgated under section 505(i) or 520(g). The Secretary

may inform national, State, and local medical associations and societies, voluntary health

associations, and other appropriate persons about the availability of an investigational drug or

investigational device under expanded access protocols submitted under this subsection. The

information provided by the Secretary, in accordance with the preceding sentence, shall be the

same type of information that is required by section 402(j)(3) of the Public Health Service Act.

(d) TERMINATION. The Secretary may, at any time, with respect to a sponsor, physician,

manufacturer, or distributor described in this section, terminate expanded access provided

under this section for an investigational drug or investigational device if the requirements

under this section are no longer met.

(e) DEFINITIONS. In this section, the terms "investigational drug", "investigational device",

"treatment investigational new drug application", and "treatment investigational device

exemption" shall have the meanings given the terms in regulations prescribed by the

Secretary.

SEC. 562. [21 U.S.C. 360bbb–1] DISPUTE RESOLUTION.

If, regarding an obligation concerning drugs or devices under this Act or section 351 of the

Public Health Service Act, there is a scientific controversy between the Secretary and a person

who is a sponsor, applicant, or manufacturer and no specific provision of the Act involved,

including a regulation promulgated under such Act, provides a right of review of the matter in

controversy, the Secretary shall, by regulation, establish a procedure under which such

sponsor, applicant, or manufacturer may request a review of such controversy, including a

review by an appropriate scientific advisory panel described in section 505(n) or an advisory

committee described in section 515(g)(2)(B). Any such review shall take place in a timely

manner. The Secretary shall promulgate such regulations within 1 year after the date of the

enactment of the Food and Drug Administration Modernization Act of 1997.

SEC. 563. [21 U.S.C. 360bbb–2] CLASSIFICATION OF PRODUCTS.

(a) REQUEST. A person who submits an application or submission (including a petition,

notification, and any other similar form of request) under this Act for a product, may submit a

request to the Secretary respecting the classification of the product as a drug, biological

product, device, or a combination product subject to section 503(g) or respecting the

component of the Food and Drug Administration that will regulate the product. In submitting

the request, the person shall recommend a classification for the product, or a component to

regulate the product, as appropriate.

(b) STATEMENT. Not later than 60 days after the receipt of the request described in

subsection (a), the Secretary shall determine the classification of the product under subsection

(a), or the component of the Food and Drug Administration that will regulate the product, and

shall provide to the person a written statement that identifies such classification or such

component, and the reasons for such determination. The Secretary may not modify such

statement except with the written consent of the person, or for public health reasons based on

scientific evidence.

(c) INACTION OF SECRETARY. If the Secretary does not provide the statement within the

60-day period described in subsection (b), the recommendation made by the person under

subsection (a) shall be considered to be a final determination by the Secretary of such

classification of the product, or the component of the Food and Drug Administration that will

regulate the product, as applicable, and may not be modified by the Secretary except with the

written consent of the person, or for public health reasons based on scientific evidence.

SEC. 564. [21 USC 360bbb-3]- AUTHORIZATION FOR MEDICAL PRODUCTS FOR USE IN

EMERGENCIES.

(a) In General. (1) Emergency uses. Notwithstanding sections 505, 510(k), and 515 of this Act

and section 351 of the Public Health Service Act, and subject to the provisions of this section,

the Secretary may authorize the introduction into interstate commerce, during the effective

period of a declaration under subsection (b), of a drug, device, or biological product intended

for use in an actual or potential emergency (referred to in this section as an "emergency use").

(2) Approval status of product. An authorization under paragraph (1) may authorize an

emergency use of a product that

(A) is not approved, licensed, or cleared for commercial distribution under a provision of law

referred to in such paragraph (referred to in this section as an "unapproved product"); or

(B) is approved, licensed, or cleared under such a provision, but which use is not under such

provision an approved, licensed, or cleared use of the product (referred to in this section as an

"unapproved use of an approved product").

(3) Relation to other uses. An emergency use authorized under paragraph (1) for a product is

in addition to any other use that is authorized for the product under a provision of law referred

to in such paragraph.

(4) Definitions. For purposes of this section:

(A) The term "biological product" has the meaning given such term in section 351 of the Public

Health Service Act.

(B) The term "emergency use" has the meaning indicated for such term in paragraph (1).

(C) The term "product" means a drug, device, or biological product.

(D) The term "unapproved product" has the meaning indicated for such term in paragraph

(2)(A).

(E) The term "unapproved use of an approved product" has the meaning indicated for such

term in paragraph (2)(B).

(b) DECLARATION OF EMERGENCY.

(1) IN GENERAL. The Secretary may declare an emergency justifying the authorization under

this subsection for a product on the basis of

(A) a determination by the Secretary of Homeland Security that there is a domestic emergency,

or a significant potential for a domestic emergency, involving a heightened risk of attack with a

specified biological, chemical, radiological, or nuclear agent or agents;

(B) a determination by the Secretary of Defense that there is a military emergency, or a

significant potential for a military emergency, involving a heightened risk to United States

military forces of attack with a specified biological, chemical, radiological, or nuclear agent or

agents; or

(C) a determination by the Secretary of a public health emergency under section 319 of the

Public Health Service Act that affects, or has a significant potential to affect, national security,

and that involves a specified biological, chemical, radiological, or nuclear agent or agents, or a

specified disease or condition that may be attributable to such agent or agents.

(2) Termination of declaration.

(A) In general. A declaration under this subsection shall terminate upon the earlier of

(i) a determination by the Secretary, in consultation with the Secretary of Defense, that the

circumstances described in paragraph (1) have ceased to exist; or

(ii) the expiration of the one-year period beginning on the date on which the declaration is

made.

(B) Renewal. Notwithstanding subparagraph (A), the Secretary may renew a declaration under

this subsection, and this paragraph shall apply to any such renewal.

(C) Disposition of product. If an authorization under this section with respect to an unapproved

product ceases to be effective as a result of a termination under subparagraph (A) of this

paragraph, the Secretary shall consult with the manufacturer of such product with respect to

the appropriate disposition of the product.

(3) Advance notice of termination. The Secretary shall provide advance notice that a

declaration under this subsection will be terminated. The period of advance notice shall be a

period reasonably determined to provide

(A) in the case of an unapproved product, a sufficient period for disposition of the product,

including the return of such product (except such quantities of product as are necessary to

provide for continued use consistent with subsection (f)(2)) to the manufacturer (in the case of

a manufacturer that chooses to have such product returned); and

(B) in the case of an unapproved use of an approved product, a sufficient period for the

disposition of any labeling, or any information under subsection (e)(2)(B)(ii), as the case may

be, that was provided with respect to the emergency use involved.

(4) Publication. The Secretary shall promptly publish in the Federal Register each declaration,

determination, advance notice of termination, and renewal under this subsection.

(c) Criteria for Issuance of Authorization. The Secretary may issue an authorization under this

section with respect to the emergency use of a product only if, after consultation with the

Director of the National Institutes of Health and the Director of the Centers for Disease Control

and Prevention (to the extent feasible and appropriate given the circumstances of the

emergency involved), the Secretary concludes

(1) that an agent specified in a declaration under subsection (b) can cause a serious or

life-threatening disease or condition;

(2) that, based on the totality of scientific evidence available to the Secretary, including data

from adequate and well-controlled clinical trials, if available, it is reasonable to believe that

(A) the product may be effective in diagnosing, treating, or preventing

(i) such disease or condition; or

(ii) a serious or life-threatening disease or condition caused by a product authorized under this

section, approved or cleared under this Act, or licensed under section 351 of the Public Health

Service Act, for diagnosing, treating, or preventing such a disease or condition caused by such

an agent; and

(B) the known and potential benefits of the product, when used to diagnose, prevent, or treat

such disease or condition, outweigh the known and potential risks of the product;

(3) that there is no adequate, approved, and available alternative to the product for diagnosing,

preventing, or treating such disease or condition; and

(4) that such other criteria as the Secretary may by regulation prescribe are satisfied.

(d) Scope of Authorization. An authorization of a product under this section shall state (1) each

disease or condition that the product may be used to diagnose, prevent, or treat within the

scope of the authorization;

(2) the Secretary's conclusions, made under subsection (c)(2)(B), that the known and potential

benefits of the product, when used to diagnose, prevent, or treat such disease or condition,

outweigh the known and potential risks of the product; and

(3) the Secretary's conclusions, made under subsection (c), concerning the safety and

potential effectiveness of the product in diagnosing, preventing, or treating such diseases or

conditions, including an assessment of the available scientific evidence.

(e) Conditions of Authorization.

(1) Unapproved product.

(A) Required conditions. With respect to the emergency use of an unapproved product, the

Secretary, to the extent practicable given the circumstances of the emergency, shall, for a

person who carries out any activity for which the authorization is issued, establish such

conditions on an authorization under this section as the Secretary finds necessary or

appropriate to protect the public health, including the following:

(i) Appropriate conditions designed to ensure that health care professionals administering the

product are informed

(I) that the Secretary has authorized the emergency use of the product;

(II) of the significant known and potential benefits and risks of the emergency use of the

product, and of the extent to which such benefits and risks are unknown; and

(III) of the alternatives to the product that are available, and of their benefits and risks.

(ii) Appropriate conditions designed to ensure that individuals to whom the product is

administered are informed

(I) that the Secretary has authorized the emergency use of the product;

(II) of the significant known and potential benefits and risks of such use, and of the extent to

which such benefits and risks are unknown; and

(III) of the option to accept or refuse administration of the product, of the consequences, if any,

of refusing administration of the product, and of the alternatives to the product that are

available and of their benefits and risks.

(iii) Appropriate conditions for the monitoring and reporting of adverse events associated with

the emergency use of the product.

(iv) For manufacturers of the product, appropriate conditions concerning recordkeeping and

reporting, including records access by the Secretary, with respect to the emergency use of the

product.

(B) Authority for additional conditions. With respect to the emergency use of an unapproved

product, the Secretary may, for a person who carries out any activity for which the

authorization is issued, establish such conditions on an authorization under this section as the

Secretary finds necessary or appropriate to protect the public health, including the following:

(i) Appropriate conditions on which entities may distribute the product with respect to the

emergency use of the product (including limitation to distribution by government entities), and

on how distribution is to be performed.

(ii) Appropriate conditions on who may administer the product with respect to the emergency

use of the product, and on the categories of individuals to whom, and the circumstances under

which, the product may be administered with respect to such use.

(iii) Appropriate conditions with respect to the collection and analysis of information, during the

period when the authorization is in effect, concerning the safety and effectiveness of the

product with respect to the emergency use of such product.

(iv) For persons other than manufacturers of the product, appropriate conditions concerning

recordkeeping and reporting, including records access by the Secretary, with respect to the

emergency use of the product.

(2) Unapproved use. With respect to the emergency use of a product that is an unapproved

use of an approved product:

(A) For a manufacturer of the product who carries out any activity for which the authorization is

issued, the Secretary shall, to the extent practicable given the circumstances of the

emergency, establish conditions described in clauses (i) and (ii) of paragraph (1)(A), and may

establish conditions described in clauses (iii) and (iv) of such paragraph.

(B)(i) If the authorization under this section regarding the emergency use authorizes a change

in the labeling of the product, but the manufacturer of the product chooses not to make such

change, such authorization may not authorize distributors of the product or any other person to

alter or obscure the labeling provided by the manufacturer.

(ii) In the circumstances described in clause (i), for a person who does not manufacture the

product and who chooses to act under this clause, an authorization under this section

regarding the emergency use shall, to the extent practicable given the circumstances of the

emergency, authorize such person to provide appropriate information with respect to such

product in addition to the labeling provided by the manufacturer, subject to compliance with

clause (i). While the authorization under this section is effective, such additional information

shall not be considered labeling for purposes of section 502.

(C) The Secretary may establish with respect to the distribution and administration of the

product for the unapproved use conditions no more restrictive than those established by the

Secretary with respect to the distribution and administration of the product for the approved

use.

(3) Good manufacturing practice. With respect to the emergency use of a product for which an

authorization under this section is issued (whether an unapproved product or an unapproved

use of an approved product), the Secretary may waive or limit, to the extent appropriate given

the circumstances of the emergency, requirements regarding current good manufacturing

practice otherwise applicable to the manufacture, processing, packing, or holding of products

subject to regulation under this Act, including such requirements established under section

501.

(4) Advertising. The Secretary may establish conditions on advertisements and other

promotional descriptive printed matter that relate to the emergency use of a product for which

an authorization under this section is issued (whether an unapproved product or an

unapproved use of an approved product), including, as appropriate

(A) with respect to drugs and biological products, requirements applicable to prescription drugs

pursuant to section 502(n); or

(B) with respect to devices, requirements applicable to restricted devices pursuant to section

502(r).

(f) Duration of Authorization.

(1) In general. Except as provided in paragraph (2), an authorization under this section shall be

effective until the earlier of the termination of the declaration under subsection (b) or a

revocation under subsection (g).

(2) Continued use after end of effective period. Notwithstanding the termination of the

declaration under subsection (b) or a revocation under subsection (g), an authorization shall

continue to be effective to provide for continued use of an unapproved product with respect to

a patient to whom it was administered during the period described by paragraph (1), to the

extent found necessary by such patient's attending physician.

(g) Revocation of Authorization.

(1) Review. The Secretary shall periodically review the circumstances and the appropriateness

of an authorization under this section.

(2) Revocation. The Secretary may revoke an authorization under this section if the criteria

under subsection (c) for issuance of such authorization are no longer met or other

circumstances make such revocation appropriate to protect the public health or safety.

(h) Publication; Confidential Information.

(1) Publication. The Secretary shall promptly publish in the Federal Register a notice of each

authorization, and each termination or revocation of an authorization under this section, and

an explanation of the reasons therefore (which may include a summary of data or information

that has been submitted to the Secretary in an application under section 505(i) or section

520(g), even if such summary may indirectly reveal the existence of such application).

(2) Confidential information. Nothing in this section alters or amends section 1905 of title 18,

United States Code, or section 552(b)(4) of title 5 of such Code.

(i) Actions Committed to Agency Discretion. Actions under the authority of this section by the

Secretary or by the Secretary of Defense are committed to agency discretion.

(j) Rules of Construction. The following applies with respect to this section:

(1) Nothing in this section impairs the authority of the President as Commander in Chief of the

Armed Forces of the United States under article II, section 2 of the United States Constitution.

(2) Nothing in this section impairs the authority of the Secretary of Defense with respect to the

Department of Defense, including the armed forces, under other provisions of Federal law.

(3) Nothing in this section (including any exercise of authority by a manufacturer under

subsection (e)(2)) impairs the authority of the United States to use or manage quantities of a

product that are owned or controlled by the United States (including quantities in the stockpile

maintained under section 319F-2 of the Public Health Service Act).

(k) Relation to Other Provisions. If a product is the subject of an authorization under this

section, the use of such product within the scope of the authorization shall not be considered

to constitute a clinical investigation for purposes of section 505(i), section 520(g), or any other

provision of this Act or section 351 of the Public Health Service Act.

(l) Option to Carry Out Authorized Activities. Nothing in this section provides the Secretary any

authority to require any person to carry out any activity that becomes lawful pursuant to an

authorization under this section, and no person is required to inform the Secretary that the

person will not be carrying out such activity, except that a manufacturer of a sole-source

unapproved product authorized for emergency use shall report to the Secretary within a

reasonable period of time after the issuance by the Secretary of such authorization if such

manufacturer does not intend to carry out any activity under the authorization. This section

only has legal effect on a person who carries out an activity for which an authorization under

this section is issued. This section does not modify or affect activities carried out pursuant to

other provisions of this Act or section 351 of the Public Health Service Act. Nothing in this

subsection may be construed as restricting the Secretary from imposing conditions on persons

who carry out any activity pursuant to an authorization under this section.

SEC. 565 [21 USC § 360bbb-4] TECHNICAL ASSISTANCE.

The Secretary, in consultation with the Commissioner of Food and Drugs, shall establish within

the Food and Drug Administration a team of experts on manufacturing and regulatory activities

(including compliance with current Good Manufacturing Practice) to provide both off-site and

on-site technical assistance to the manufacturers of qualified countermeasures (as defined in

section 319F-1 of the Public Health Service Act [42 USC § 247d-6a]), security

countermeasures (as defined in section 319F-2 of such Act [42 USC § 247d-6b]), or vaccines,

at the request of such a manufacturer and at the discretion of the Secretary, if the Secretary

determines that a shortage or potential shortage may occur in the United States in the supply

of such vaccines or countermeasures and that the provision of such assistance would be

beneficial in helping alleviate or avert such shortage.

CHAPTER V--Drugs and Devices Subchapter F--New Animal Drugs for Minor Use and Minor Species

SEC. 571. 1 [21 U.S.C. 360ccc] CONDITIONAL APPROVAL OF NEW ANIMAL DRUGS FOR

MINOR USE AND MINOR SPECIES.

(a)(1) Except as provided in paragraph (3) of this section, any person may file with the

Secretary an application for conditional approval of a new animal drug intended for a minor

use or a minor species. Such an application may not be a supplement to an application

approved under section 512. Such application must comply in all respects with the provisions

of section 512 of this Act except sections 512(a)(4), 512(b)(2), 512(c)(1), 512(c)(2), 512(c)(3),

512(d)(1), 512(e), 512(h), and 512(n) unless otherwise stated in this section, and any

additional provisions of this section. New animal drugs are subject to application of the same

safety standards that would be applied to such drugs under section 512(d) (including, for

antimicrobial new animal drugs, with respect to antimicrobial resistance).

(2) The applicant shall submit to the Secretary as part of an application for the conditional

approval of a new animal drug—

(A) all information necessary to meet the requirements of section 512(b)(1) except section

512(b)(1)(A);

(B) full reports of investigations which have been made to show whether or not such drug is

safe under section 512(d) (including, for an antimicrobial new animal drug, with respect to

antimicrobial resistance) and there is a reasonable expectation of effectiveness for use;

(C) data for establishing a conditional dose;

(D) projections of expected need and the justification for that expectation based on the best

information available;

(E) information regarding the quantity of drug expected to be distributed on an annual basis to

meet the expected need; and

(F) a commitment that the applicant will conduct additional investigations to meet the

requirements for the full demonstration of effectiveness under section 512(d)(1)(E) within 5

years.

(3) A person may not file an application under paragraph (1) if—

(A) the application seeks conditional approval of a new animal drug that is contained in, or is a

product of, a transgenic animal.

(B) the person has previously filed an application for conditional approval under paragraph (1)

for the same drug in the same dosage form for the same intended use whether or not

subsequently conditionally approved by the Secretary under subsection (b), or

(C) the person obtained the application, or data or other information contained therein, directly

or indirectly from the person who filed for conditional approval under paragraph (1) for the

same drug in the same dosage form for the same intended use whether or not subsequently

conditionally approved by the Secretary under subsection (b).

(b) Within 180 days after the filing of an application pursuant to subsection (a), or such

additional period as may be agreed upon by the Secretary and the applicant, the Secretary

shall either—

(1) issue an order, effective for one year, conditionally approving the application if the

Secretary finds that none of the grounds for denying conditional approval, specified in

subsection (c) of this section applies and publish a Federal Register notice of the conditional

approval, or

(2) give the applicant notice of an opportunity for an informal hearing on the question whether

such application can be conditionally approved.

(c) If the Secretary finds, after giving the applicant notice and an opportunity for an informal

hearing, that—

(1) any of the provisions of section 512(d)(1) (A) through (D) or (F) through (I) are applicable;

(2) the information submitted to the Secretary as part of the application and any other

information before the Secretary with respect to such drug, is insufficient to show that there is

a reasonable expectation that the drug will have the effect it purports or is represented to have

under the conditions of use prescribed, recommended, or suggested in the proposed labeling

thereof; or

(3) another person has received approval under section 512 for the same drug in the same

dosage form for the same intended use, and that person is able to assure the availability of

sufficient quantities of the drug to meet the needs for which the drug is intended;

the Secretary shall issue an order refusing to conditionally approve the application. If, after

such notice and opportunity for an informal hearing, the Secretary finds that paragraphs (1)

through (3) do not apply, the Secretary shall issue an order conditionally approving the

application effective for one year and publish a Federal Register notice of the conditional

approval. Any order issued under this subsection refusing to conditionally approve an

application shall state the findings upon which it is based.

(d) A conditional approval under this section is effective for a 1-year period and is thereafter

renewable by the Secretary annually for up to 4 additional 1-year terms. A conditional approval

shall be in effect for no more than 5 years from the date of approval under subsection (b)(1) or

(c) of this section unless extended as provided for in subsection (h) of this section. The

following shall also apply:

(1) No later than 90 days from the end of the 1-year period for which the original or renewed

conditional approval is effective, the applicant may submit a request to renew a conditional

approval for an additional 1-year term.

(2) A conditional approval shall be deemed renewed at the end of the 1-year period, or at the

end of a 90-day extension that the Secretary may, at the Secretary’s discretion, grant by letter

in order to complete review of the renewal request, unless the Secretary determines before the

expiration of the 1-year period or the 90-day extension that—

(A) the applicant failed to submit a timely renewal request;

(B) the request fails to contain sufficient information to show that—

(i) the applicant is making sufficient progress toward meeting approval requirements under

section 512(d)(1)(E), and is likely to be able to fulfill those requirements and obtain an

approval under section 512 before the expiration of the 5-year maximum term of the

conditional approval;

(ii) the quantity of the drug that has been distributed is consistent with the conditionally

approved intended use and conditions of use, unless there is adequate explanation that

ensures that the drug is only used for its intended purpose; or

(iii) the same drug in the same dosage form for the same intended use has not received

approval under section 512, or if such a drug has been approved, that the holder of the

approved application is unable to assure the availability of sufficient quantities of the drug to

meet the needs for which the drug is intended; or

(C) any of the provisions of section 512(e)(1) (A) through (B) or (D) through (F) are applicable.

(3) If the Secretary determines before the end of the 1-year period or the 90-day extension, if

granted, that a conditional approval should not be renewed, the Secretary shall issue an order

refusing to renew the conditional approval, and such conditional approval shall be deemed

withdrawn and no longer in effect. The Secretary shall thereafter provide an opportunity for an

informal hearing to the applicant on the issue whether the conditional approval shall be

reinstated.

(e)(1) The Secretary shall issue an order withdrawing conditional approval of an application

filed pursuant to subsection (a) if the Secretary finds that another person has received

approval under section 512 for the same drug in the same dosage form for the same intended

use and that person is able to assure the availability of sufficient quantities of the drug to meet

the needs for which the drug is intended.

(2) The Secretary shall, after due notice and opportunity for an informal hearing to the

applicant, issue an order withdrawing conditional approval of an application filed pursuant to

subsection (a) if the Secretary finds that—

(A) any of the provisions of section 512(e)(1) (A) through (B) or (D) through (F) are applicable;

or

(B) on the basis of new information before the Secretary with respect to such drug, evaluated

together with the evidence available to the Secretary when the application was conditionally

approved, that there is not a reasonable expectation that such drug will have the effect it

purports or is represented to have under the conditions of use prescribed, recommended, or

suggested in the labeling thereof.

(3) The Secretary may also, after due notice and opportunity for an informal hearing to the

applicant, issue an order withdrawing conditional approval of an application filed pursuant to

subsection (a) if the Secretary finds that any of the provisions of section 512(e)(2) are

applicable.

(f)(1) The label and labeling of a new animal drug with a conditional approval under this section

shall—

(A) bear the statement, "conditionally approved by FDA pending a full demonstration of

effectiveness under application number"; and

(B) contain such other information as prescribed by the Secretary.

(2) An intended use that is the subject of a conditional approval under this section shall not be

included in the same product label with any intended use approved under section 512.

(g) A conditionally approved new animal drug application may not be amended or

supplemented to add indications for use.

(h) 180 days prior to the termination date established under subsection (d) of this section, an

applicant shall have submitted all the information necessary to support a complete new animal

drug application in accordance with section 512(b)(1) or the conditional approval issued under

this section is no longer in effect. Following review of this information, the Secretary shall

either—

(1) issue an order approving the application under section 512(c) if the Secretary finds that

none of the grounds for denying approval specified in section 512(d)(1) applies, or

(2) give the applicant an opportunity for a hearing before the Secretary under section 512(d)

on the question whether such application can be approved.

Upon issuance of an order approving the application, product labeling and administrative

records of approval shall be modified accordingly. If the Secretary has not issued an order

under section 512(c) approving such application prior to the termination date established

under subsection (d) of this section, the conditional approval issued under this section is no

longer in effect unless the Secretary grants an extension of an additional 180-day period so

that the Secretary can complete review of the application. The decision to grant an extension

is committed to the discretion of the Secretary and not subject to judicial review.

(i) The decision of the Secretary under subsection (c), (d), or (e) of this section refusing or

withdrawing conditional approval of an application shall constitute final agency action subject

to judicial review.

(j) In this section and section 572, the term "transgenic animal" means an animal whose

genome contains a nucleotide sequence that has been intentionally modified in vitro, and the

progeny of such an animal; Provided that the term "transgenic animal" does not include an

animal of which the nucleotide sequence of the genome has been modified solely by selective

breeding.

SEC. 572. 2 [21 U.S.C. 360ccc-1] INDEX OF LEGALLY MARKETED UNAPPROVED NEW

ANIMAL DRUGS FOR MINOR SPECIES.

(a)(1) The Secretary shall establish an index limited to—

(A) new animal drugs intended for use in a minor species for which there is a reasonable

certainty that the animal or edible products from the animal will not be consumed by humans or

food-producing animals; and

(B) new animal drugs intended for use only in a hatchery, tank, pond, or other similar

contained man-made structure in an early, non-food life stage of a food-producing minor

species, where safety for humans is demonstrated in accordance with the standard of section

512(d) (including, for an antimicrobial new animal drug, with respect to antimicrobial

resistance).

(2) The index shall not include a new animal drug that is contained in or a product of a

transgenic animal.

(b) Any person intending to file a request under this section shall be entitled to one or more

conferences to discuss the requirements for indexing a new animal drug.

(c)(1) Any person may submit a request to the Secretary for a determination whether a new

animal drug may be eligible for inclusion in the index. Such a request shall include—

(A) information regarding the need for the new animal drug, the species for which the new

animal drug is intended, the proposed intended use and conditions of use, and anticipated

annual distribution;

(B) information to support the conclusion that the proposed use meets the conditions of

subparagraph (A) or (B) of subsection (a)(1) of this section;

(C) information regarding the components and composition of the new animal drug;

(D) a description of the methods used in, and the facilities and controls used for, the

manufacture, processing, and packing of such new animal drug;

(E) an environmental assessment that meets the requirements of the National Environmental

Policy Act of 1969, as amended, and as defined in 21 CFR Part 25, as it appears on the date

of enactment of this provision 3 and amended thereafter or information to support a categorical

exclusion from the requirement to prepare an environmental assessment;

(F) information sufficient to support the conclusion that the proposed use of the new animal

drug is safe under section 512(d) with respect to individuals exposed to the new animal drug

through its manufacture or use; and

(G) such other information as the Secretary may deem necessary to make this eligibility

determination.

(2) Within 90 days after the submission of a request for a determination of eligibility for

indexing based on subsection (a)(1)(A) of this section, or 180 days for a request submitted

based on subsection (a)(1)(B) of this section, the Secretary shall grant or deny the request,

and notify the person who requested such determination of the Secretary's decision. The

Secretary shall grant the request if the Secretary finds that—

(A) the same drug in the same dosage form for the same intended use is not approved or

conditionally approved;

(B) the proposed use of the drug meets the conditions of subparagraph (A) or (B) of subsection

(a)(1), as appropriate;

(C) the person requesting the determination has established appropriate specifications for the

manufacture and control of the new animal drug and has demonstrated an understanding of

the requirements of current good manufacturing practices;

(D) the new animal drug will not significantly affect the human environment; and

(E) the new animal drug is safe with respect to individuals exposed to the new animal drug

through its manufacture or use.

If the Secretary denies the request, the Secretary shall thereafter provide due notice and an

opportunity for an informal conference. A decision of the Secretary to deny an eligibility

request following an informal conference shall constitute final agency action subject to judicial

review.

(d)(1) With respect to a new animal drug for which the Secretary has made a determination of

eligibility under subsection (c), the person who made such a request may ask that the

Secretary add the new animal drug to the index established under subsection (a). The request

for addition to the index shall include—

(A) a copy of the Secretary's determination of eligibility issued under subsection (c);

(B) a written report that meets the requirements in subsection (d)(2) of this section;

(C) a proposed index entry;

(D) facsimile labeling;

(E) anticipated annual distribution of the new animal drug;

(F) a written commitment to manufacture the new animal drug and animal feeds bearing or

containing such new animal drug according to current good manufacturing practices;

(G) a written commitment to label, distribute, and promote the new animal drug only in

accordance with the index entry;

(H) upon specific request of the Secretary, information submitted to the expert panel described

in paragraph (3); and

(I) any additional requirements that the Secretary may prescribe by general regulation or

specific order.

(2) The report required in paragraph (1) shall—

(A) be authored by a qualified expert panel;

(B) include an evaluation of all available target animal safety and effectiveness information,

including anecdotal information;

(C) state the expert panel's opinion regarding whether the benefits of using the new animal

drug for the proposed use in a minor species outweigh its risks to the target animal, taking into

account the harm being caused by the absence of an approved or conditionally approved new

animal drug for the minor species in question;

(D) include information from which labeling can be written; and

(E) include a recommendation regarding whether the new animal drug should be limited to use

under the professional supervision of a licensed veterinarian.

(3) A qualified expert panel, as used in this section, is a panel that—

(A) is composed of experts qualified by scientific training and experience to evaluate the target

animal safety and effectiveness of the new animal drug under consideration;

(B) operates external to FDA 4 ; and

(C) is not subject to the Federal Advisory Committee Act, 5 U.S.C. App. 2.

The Secretary shall define the criteria for selection of a qualified expert panel and the

procedures for the operation of the panel by regulation.

(4) Within 180 days after the receipt of a request for listing a new animal drug in the index, the

Secretary shall grant or deny the request. The Secretary shall grant the request if the request

for indexing continues to meet the eligibility criteria in subsection (a) and the Secretary finds,

on the basis of the report of the qualified expert panel and other information available to the

Secretary, that the benefits of using the new animal drug for the proposed use in a minor

species outweigh its risks to the target animal, taking into account the harm caused by the

absence of an approved or conditionally-approved new animal drug for the minor species in

question. If the Secretary denies the request, the Secretary shall thereafter provide due notice

and the opportunity for an informal conference. The decision of the Secretary following an

informal conference shall constitute final agency action subject to judicial review.

(e)(1) The index established under subsection (a) shall include the following information for

each listed drug—

(A) the name and address of the person who holds the index listing;

(B) the name of the drug and the intended use and conditions of use for which it is being

indexed;

(C) product labeling; and

(D) conditions and any limitations that the Secretary deems necessary regarding use of the

drug.

(2) The Secretary shall publish the index, and revise it periodically.

(3) The Secretary may establish by regulation a process for reporting changes in the

conditions of manufacturing or labeling of indexed products.

(f)(1) If the Secretary finds, after due notice to the person who requested the index listing and

an opportunity for an informal conference, that—

(A) the expert panel failed to meet the requirements as set forth by the Secretary by regulation;

(B) on the basis of new information before the Secretary, evaluated together with the evidence

available to the Secretary when the new animal drug was listed in the index, the benefits of

using the new animal drug for the indexed use do not outweigh its risks to the target animal;

(C) the conditions of subsection (c)(2) of this section are no longer satisfied;

(D) the manufacture of the new animal drug is not in accordance with current good

manufacturing practices;

(E) the labeling, distribution, or promotion of the new animal drug is not in accordance with the

index entry;

(F) the conditions and limitations of use associated with the index listing have not been

followed; or

(G) the request for indexing contains any untrue statement of material fact,

the Secretary shall remove the new animal drug from the index. The decision of the Secretary

following an informal conference shall constitute final agency action subject to judicial review.

(2) If the Secretary finds that there is a reasonable probability that the use of the drug would

present a risk to the health of humans or other animals, the Secretary may—

(A) suspend the listing of such drug immediately;

(B) give the person listed in the index prompt notice of the Secretary's action; and

(C) afford that person the opportunity for an informal conference.

The decision of the Secretary following an informal conference shall constitute final agency

action subject to judicial review.

(g) For purposes of indexing new animal drugs under this section, to the extent consistent with

the public health, the Secretary shall promulgate regulations for exempting from the operation

of section 512 minor species new animal drugs and animal feeds bearing or containing new

animal drugs intended solely for investigational use by experts qualified by scientific training

and experience to investigate the safety and effectiveness of minor species animal drugs.

Such regulations may, at the discretion of the Secretary, among other conditions relating to the

protection of the public health, provide for conditioning such exemption upon the establishment

and maintenance of such records, and the making of such reports to the Secretary, by the

manufacturer or the sponsor of the investigation of such article, of data (including but not

limited to analytical reports by investigators) obtained as a result of such investigational use of

such article, as the Secretary finds will enable the Secretary to evaluate the safety and

effectiveness of such article in the event of the filing of a request for an index listing pursuant to

this section.

(h) The labeling of a new animal drug that is the subject of an index listing shall state,

prominently and conspicuously—

(1) "NOT APPROVED BY FDA.—Legally marketed as an FDA indexed product. Extra-label

use is prohibited.";

(2) except in the case of new animal drugs indexed for use in an early life stage of a

food-producing animal, "This product is not to be used in animals intended for use as food for

humans or other animals."; and

(3) such other information as may be prescribed by the Secretary in the index listing.

(i)(1) In the case of any new animal drug for which an index listing pursuant to subsection (a) is

in effect, the person who has an index listing shall establish and maintain such records, and

make such reports to the Secretary, of data relating to experience, and other data or

information, received or otherwise obtained by such person with respect to such drug, or with

respect to animal feeds bearing or containing such drug, as the Secretary may by general

regulation, or by order with respect to such listing, prescribe on the basis of a finding that such

records and reports are necessary in order to enable the Secretary to determine, or facilitate a

determination, whether there is or may be ground for invoking subsection (f). Such regulation

or order shall provide, where the Secretary deems it to be appropriate, for the examination,

upon request, by the persons to whom such regulation or order is applicable, of similar

information received or otherwise obtained by the Secretary.

(2) Every person required under this subsection to maintain records, and every person in

charge or custody thereof, shall, upon request of an officer or employee designated by the

Secretary, permit such officer or employee at all reasonable times to have access to and copy

and verify such records.

(j)(1) Safety and effectiveness data and information which has been submitted in support of a

request for a new animal drug to be indexed under this section and which has not been

previously disclosed to the public shall be made available to the public, upon request, unless

extraordinary circumstances are shown—

(A) if no work is being or will be undertaken to have the drug indexed in accordance with the

request,

(B) if the Secretary has determined that such drug cannot be indexed and all legal appeals

have been exhausted,

(C) if the indexing of such drug is terminated and all legal appeals have been exhausted, or

(D) if the Secretary has determined that such drug is not a new animal drug.

(2) Any request for data and information pursuant to paragraph (1) shall include a verified

statement by the person making the request that any data or information received under such

paragraph shall not be disclosed by such person to any other person—

(A) for the purpose of, or as part of a plan, scheme, or device for, obtaining the right to make,

use, or market, or making, using, or marketing, outside the United States, the drug identified in

the request for indexing; and

(B) without obtaining from any person to whom the data and information are disclosed an

identical verified statement, a copy of which is to be provided by such person to the Secretary,

which meets the requirements of this paragraph.

SEC. 573. 5 [21 U.S.C. 360ccc-2] DESIGNATED NEW ANIMAL DRUGS FOR MINOR USE

OR MINOR SPECIES.

(a) DESIGNATION.—

(1) The manufacturer or the sponsor of a new animal drug for a minor use or use in a minor

species may request that the Secretary declare that drug a "designated new animal drug". A

request for designation of a new animal drug shall be made before the submission of an

application under section 512(b) or section 571 for the new animal drug.

(2) The Secretary may declare a new animal drug a "designated new animal drug" if—

(A) it is intended for a minor use or use in a minor species; and

(B) the same drug in the same dosage form for the same intended use is not approved under

section 512 or 571 or designated under this section at the time the request is made.

(3) Regarding the termination of a designation—

(A) the sponsor of a new animal drug shall notify the Secretary of any decision to discontinue

active pursuit of approval under section 512 or 571 of an application for a designated new

animal drug. The Secretary shall terminate the designation upon such notification;

(B) the Secretary may also terminate designation if the Secretary independently determines

that the sponsor is not actively pursuing approval under section 512 or 571 with due diligence;

(C) the sponsor of an approved designated new animal drug shall notify the Secretary of any

discontinuance of the manufacture of such new animal drug at least one year before

discontinuance. The Secretary shall terminate the designation upon such notification; and

(D) the designation shall terminate upon the expiration of any applicable exclusivity period

under subsection (c).

(4) Notice respecting the designation or termination of designation of a new animal drug shall

be made available to the public.

(b) GRANTS AND CONTRACTS FOR DEVELOPMENT OF DESIGNATED NEW ANIMAL

DRUGS.—

(1) The Secretary may make grants to and enter into contracts with public and private entities

and individuals to assist in defraying the costs of qualified safety and effectiveness testing

expenses and manufacturing expenses incurred in connection with the development of

designated new animal drugs.

(2) For purposes of paragraph (1) of this section—

(A) The term ‘qualified safety and effectiveness testing’ means testing—

(i) which occurs after the date such new animal drug is designated under this section and

before the date on which an application with respect to such drug is submitted under section

512; and

(ii) which is carried out under an investigational exemption under section 512(j).

(B) The term "manufacturing expenses" means expenses incurred in developing processes

and procedures associated with manufacture of the designated new animal drug which occur

after the new animal drug is designated under this section and before the date on which an

application with respect to such new animal drug is submitted under section 512 or 571.

(c) EXCLUSIVITY FOR DESIGNATED NEW ANIMAL DRUGS.—

(1) Except as provided in subsection (c)(2), if the Secretary approves or conditionally approves

an application for a designated new animal drug, the Secretary may not approve or

conditionally approve another application submitted for such new animal drug with the same

intended use as the designated new animal drug for another applicant before the expiration of

seven years from the date of approval or conditional approval of the application.

(2) If an application filed pursuant to section 512 or section 571 is approved for a designated

new animal drug, the Secretary may, during the 7-year exclusivity period beginning on the date

of the application approval or conditional approval, approve or conditionally approve another

application under section 512 or section 571 for such drug for such minor use or minor species

for another applicant if—

(A) the Secretary finds, after providing the holder of such an approved application notice and

opportunity for the submission of views, that in the granted exclusivity period the holder of the

approved application cannot assure the availability of sufficient quantities of the drug to meet

the needs for which the drug was designated; or

(B) such holder provides written consent to the Secretary for the approval or conditional

approval of other applications before the expiration of such exclusivity period.

Footnotes: Chapter V, Subchapter F

1. This subchapter, consisting of sections 571 through 573, was added by section 102(b)(4) of

Public Law 108–282. Section 102(b)(6) of the Public Law concerns regulations to implement

sections 571 through 573 and is included in the appendix to this compiliation under the

heading "Section 102(b)(6) of Minor Use and Minor Species Animal Health Act of 2004".

2. See footnote for section 571.

3. Provision was added by section 102(b)(4) of Public Law 108–282, which was enacted

August

2, 2004.

4. So in law. See section 102(b)(4) of Public Law 108-282. Probably should be "the Food and

Drug Administration".

5. See footnote for section 571.

CHAPTER VI —COSMETICS

ADULTERATED COSMETICS

SEC. 601. [21 U.S.C. 361] A cosmetic shall be deemed to be adulterated— 1

(a) If it bears or contains any poisonous or deleterious substance which may render it injurious

to users under the conditions of use prescribed in the labeling thereof, or, under such

conditions of use as are customary or usual, except that this provision shall not apply to

coal-tar hair dye, the label of which bears the following legend conspicuously displayed

thereon: ‘‘Caution—This product contains ingredients which may cause skin irritation on

certain individuals and a preliminary test according to accompanying directions should first be

made. This product must not be used for dyeing the eyelashes or eyebrows; to do so may

cause blindness.’’, and the labeling of which bears adequate directions for such preliminary

testing. For the purposes of this paragraph and paragraph (e) the term ‘‘hair dye’’ shall not

include eyelash dyes or eyebrow dyes.

(b) If it consists in whole or in part of any filthy, putrid, or decomposed substance.

(c) If it has been prepared, packed, or held under insanitary conditions whereby it may have

become contaminated with filth, or whereby it may have been rendered injurious to health.

(d) If its container is composed, in whole or in part, of any poisonous or deleterious substance

which may render the contents injurious to health.

(e) If it is not a hair dye and it is, or it bears or contains, a color additive which is unsafe within

the meaning of section 721(a).

MISBRANDED COSMETICS

SEC. 602. [21 U.S.C. 362] A cosmetic shall be deemed to be misbranded—

(a) If its labeling is false or misleading in any particular.

(b) If in package form unless it bears a label containing (1) the name and place of business of

the manufacturer, packer, or distributor; and (2) an accurate statement of the quantity of the

contents in terms of weight, measure, or numerical count: Provided, That under clause (2) of

this paragraph reasonable variations shall be permitted, and exemptions as to small packages

shall be established, by regulations prescribed by the Secretary.

(c) If any word, statement, or other information required by or under authority of this Act to

appear on the label or labeling is not prominently placed thereon with such conspicuousness

(as compared with other words, statements, designs, or devices in the labeling) and in such

terms as to render it likely to be read and understood by the ordinary individual under

customary conditions of purchase and use.

(d) If its container is so made, formed, or filled as to be misleading.

(e) If it is a color additive, unless its packaging and labeling are in conformity with such

packaging and labeling requirements, applicable to such color additive, as may be contained

in regulations issued under section 721. This paragraph shall not apply to packages of color

additives which, with respect to their use for cosmetics, are marketed and intended for use

only in or on hair dyes (as defined in the last sentence of section 601(a)).

(f) If its packaging or labeling is in violation of an applicable regulation issued pursuant to

section 3 or 4 of the Poison Prevention Packaging Act of 1970.

REGULATIONS MAKING EXEMPTIONS

SEC. 603 . [21 U.S.C. 363] The Secretary shall promulgate regulations exempting from any

labeling requirement of this Act cosmetics which are, in accordance with the practice of the

trade, to be processed, labeled, or repacked in substantial quantities at