II Calendar No. 107 118THCONGRESS 1 STSESSION S. 1067 To amend the Federal Food, Drug, and Cosmetic Act with respect to citizen petitions. IN THE SENATE OF THE UNITED STATES MARCH29, 2023 Mrs. S HAHEEN(for herself, Ms. COLLINS, Mr. BENNET, Mr. RUBIO, Ms. B ALDWIN, and Mr. BRAUN) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions J UNE22, 2023 Reported by Mr. S ANDERS, with an amendment [Strike out all after the enacting clause and insert the part printed in italic] A BILL To amend the Federal Food, Drug, and Cosmetic Act with respect to citizen petitions. Be it enacted by the Senate and House of Representa-1 tives of the United States of America in Congress assembled, 2 SECTION1.SHORTTITLE. 3 ThisActmaybecitedasthe‘‘EnsuringTimelyAc-4 cesstoGenericsActof2023’’. 5 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6401 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB 2 •S 1067 RS SEC.2.ENSURING TIMELYACCESSTOGENERICS. 1 Section505(q)oftheFederalFood,Drug,andCos-2 meticAct(21U.S.C.355(q))isamended— 3 (1)inparagraph(1)— 4 (A)insubparagraph(A)(i),byinserting‘‘, 5 10.31,’’after‘‘10.30’’; 6 (B)insubparagraph(E)— 7 (i)bystriking‘‘applicationand’’and 8 inserting‘‘applicationor’’; 9 (ii)bystriking‘‘IftheSecretary’’and 10 insertingthefollowing: 11 ‘‘(i)INGENERAL.—IftheSecretary’’; 12 (iii)bystrikingthesecondsentence 13 andinsertingthefollowing: 14 ‘‘(ii)PRIMARYPURPOSE OFDELAY-15 ING.— 16 ‘‘(I)INGENERAL.—Indeter-17 miningwhetherapetitionwassub-18 mittedwiththeprimarypurposeof 19 delayinganapplication,theSecretary 20 mayconsiderthefollowingfactors: 21 ‘‘(aa)Whetherthepetition 22 wassubmittedinaccordancewith 23 paragraph(2)(B),basedonwhen 24 thepetitionerkneworreasonably 25 shouldhaveknowntherelevant 26 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6401 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB 3 •S 1067 RS informationreliedupontoform 1 thebasisofsuchpetition. 2 ‘‘(bb)Whetherthepetitioner 3 hassubmittedmultipleorserial 4 petitionsorsupplementstopeti-5 tionsraisingissuesthatreason-6 ablycouldhavebeenknownto 7 thepetitioneratthetimeofsub-8 missionoftheearlierpetitionor 9 petitions. 10 ‘‘(cc)Whetherthepetition 11 wassubmittedcloseintimetoa 12 known,firstdateuponwhichan 13 applicationundersubsection 14 (b)(2)or(j)ofthissectionor 15 section351(k)ofthePublic 16 HealthServiceActcouldbeap-17 proved. 18 ‘‘(dd)Whetherthepetition 19 wassubmittedwithoutrelevant 20 dataorinformationinsupportof 21 thescientificpositionsforming 22 thebasisofsuchpetition. 23 ‘‘(ee)Whetherthepetition 24 raisesthesameorsubstantially 25 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6401 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB 4 •S 1067 RS similarissuesasapriorpetition 1 towhichtheSecretaryhasre-2 spondedsubstantivelyalready,in-3 cludingifthesubsequentsubmis-4 sionfollowssuchresponsefrom 5 theSecretarycloselyintime. 6 ‘‘(ff)Whetherthepetition 7 requestschangingtheapplicable 8 standardsthatotherapplicants 9 arerequiredtomeet,including 10 requestingtesting,data,orlabel-11 ingstandardsthataremoreon-12 erousorrigorousthanthestand-13 ardstheSecretaryhasdeter-14 minedtobeapplicabletothelist-15 eddrug,referenceproduct,orpe-16 titioner’sversionofthesame 17 drug. 18 ‘‘(gg)Thepetitioner’srecord 19 ofsubmittingpetitionstothe 20 FoodandDrugAdministration 21 thathavebeendeterminedbythe 22 Secretarytohavebeensubmitted 23 withtheprimarypurposeof 24 delay. 25 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6401 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB 5 •S 1067 RS ‘‘(hh)Otherrelevantand 1 appropriatefactors,whichthe 2 Secretaryshalldescribeinguid-3 ance. 4 ‘‘(II)GUIDANCE.—TheSecretary 5 mayissueorupdateguidance,asap-6 propriate,todescribefactorstheSec-7 retaryconsidersinaccordancewith 8 subclause(I).’’;and 9 (iv)byaddingattheendthefol-10 lowing: 11 ‘‘(iii)REFERRAL TOTHEFEDERAL 12 TRADECOMMISSION.—TheSecretaryshall 13 establishproceduresforreferringtothe 14 FederalTradeCommissionanypetitionor 15 supplementtoapetitionthattheSecretary 16 determineswassubmittedwiththeprimary 17 purposeofdelayingapprovalofanapplica-18 tion.Suchproceduresshallincludenotifi-19 cationtothepetitionerbytheSecretary.’’; 20 (C)bystrikingsubparagraph(F); 21 (D)byredesignatingsubparagraphs(G) 22 through(I)assubparagraphs(F)through(H), 23 respectively;and 24 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6401 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB 6 •S 1067 RS (E)insubparagraph(H),assoredesig-1 nated,bystriking‘‘submissionofthispetition’’ 2 andinserting‘‘submissionofthisdocument’’; 3 (2)inparagraph(2)— 4 (A)byredesignatingsubparagraphs(A) 5 through(C)assubparagraphs(C)through(E), 6 respectively; 7 (B)byinsertingbeforesubparagraph(C), 8 assoredesignated,thefollowing: 9 ‘‘(A)INGENERAL.—Apersonshallsubmit 10 apetitiontotheSecretaryunderparagraph(1) 11 beforefilingacivilactioninwhichtheperson 12 seekstosetaside,delay,rescind,withdraw,or 13 preventsubmission,review,orapprovalofan 14 applicationsubmittedundersubsection(b)(2) 15 or(j)ofthissectionorsection351(k)ofthe 16 PublicHealthServiceAct.Suchpetitionand 17 anysupplementtosuchapetitionshalldescribe 18 allinformationandargumentsthatformthe 19 basisofthereliefrequestedinanycivilaction 20 describedintheprevioussentence. 21 ‘‘(B)TIMELYSUBMISSIONOFCITIZENPE-22 TITION.—Apetitionandanysupplementtoa 23 petitionshallbesubmittedwithin60daysafter 24 thepersonknew,orreasonablyshouldhave 25 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6401 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB 7 •S 1067 RS known,theinformationthatformsthebasisof 1 therequestmadeinthepetitionorsupple-2 ment.’’; 3 (C)insubparagraph(C),assoredesig-4 nated— 5 (i)intheheading,bystriking‘‘WITH-6 IN150DAYS’’; 7 (ii)inclause(i),bystriking‘‘during 8 the150-dayperiodreferredtoinpara-9 graph(1)(F),’’;and 10 (iii)byamendingclause(ii)toreadas 11 follows: 12 ‘‘(ii)onorafterthedatethatis151 13 daysafterthedateofsubmissionofthe 14 petition,theSecretaryapprovesorhasap-15 provedtheapplicationthatisthesubject 16 ofthepetitionwithouthavingmadesucha 17 finaldecision.’’; 18 (D)byamendingsubparagraph(D),asso 19 redesignated,toreadasfollows: 20 ‘‘(D)DISMISSALOFCERTAINCIVILAC-21 TIONS.— 22 ‘‘(i)PETITION.—Ifapersonfilesa 23 civilactionagainsttheSecretaryinwhich 24 apersonseekstosetaside,delay,rescind, 25 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6401 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB 8 •S 1067 RS withdraw,orpreventsubmission,review,or 1 approvalofanapplicationsubmittedunder 2 subsection(b)(2)or(j)ofthissectionor 3 section351(k)ofthePublicHealthService 4 Actwithoutcomplyingwiththerequire-5 mentsofsubparagraph(A),thecourtshall 6 dismisswithoutprejudicetheactionfor 7 failuretoexhaustadministrativeremedies. 8 ‘‘(ii)TIMELINESS.—Ifapersonfilesa 9 civilactionagainsttheSecretaryinwhich 10 apersonseekstosetaside,delay,rescind, 11 withdraw,orpreventsubmission,review,or 12 approvalofanapplicationsubmittedunder 13 subsection(b)(2)or(j)ofthissectionor 14 section351(k)ofthePublicHealthService 15 Actwithoutcomplyingwiththerequire-16 mentsofsubparagraph(B),thecourtshall 17 dismisswithprejudicetheactionforfail-18 uretotimelyfileapetition. 19 ‘‘(iii)FINALRESPONSE.—Ifacivilac-20 tionisfiledagainsttheSecretarywithre-21 specttoanyissueraisedinapetitiontime-22 lyfiledunderparagraph(1)inwhichthe 23 petitionerrequeststhattheSecretarytake 24 anyformofactionthatcould,iftaken,set 25 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6401 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB 9 •S 1067 RS aside,delay,rescind,withdraw,orprevent 1 submission,review,orapprovalofanappli-2 cationsubmittedundersubsection(b)(2) 3 or(j)ofthissectionorsection351(k)of 4 thePublicHealthServiceActbeforethe 5 Secretaryhastakenfinalagencyactionon 6 thepetitionwithinthemeaningofsub-7 paragraph(C),thecourtshalldismiss 8 withoutprejudicetheactionforfailureto 9 exhaustadministrativeremedies.’’;and 10 (E)inclause(iii)ofsubparagraph(E),as 11 soredesignated,bystriking‘‘asdefinedunder 12 subparagraph(2)(A)’’andinserting‘‘withinthe 13 meaningofsubparagraph(C)’’;and 14 (3)inparagraph(4)— 15 (A)bystriking‘‘EXCEPTIONS’’inthe 16 paragraphheadingandallthatfollowsthrough 17 ‘‘Thissubsectiondoes’’andinserting‘‘EXCEP-18 TIONS.—Thissubsectiondoes’’; 19 (B)bystrikingsubparagraph(B);and 20 (C)byredesignatingclauses(i)and(ii)as 21 subparagraphs(A)and(B),respectively,and 22 adjustingthemarginsaccordingly. 23 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6401 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB 10 •S 1067 RS SECTION 1. SHORT TITLE. 1 This Act may be cited as the ‘‘Ensuring Timely Access 2 to Generics Act of 2023’’. 3 SEC. 2. ENSURING TIMELY ACCESS TO GENERICS. 4 Section 505(q) of the Federal Food, Drug, and Cos-5 metic Act (21 U.S.C. 355(q)) is amended— 6 (1) in paragraph (1)— 7 (A) in subparagraph (A)(i), by inserting ‘‘, 8 10.31,’’ after ‘‘10.30’’; 9 (B) in subparagraph (E)— 10 (i) by striking ‘‘application and’’ and 11 inserting ‘‘application or’’; 12 (ii) by striking ‘‘If the Secretary’’ and 13 inserting the following: 14 ‘‘(i) I N GENERAL.—If the Secretary’’; 15 and 16 (iii) by striking the second sentence 17 and inserting the following: 18 ‘‘(ii) P RIMARY PURPOSE OF DELAY -19 ING.— 20 ‘‘(I) I N GENERAL.—In deter-21 mining whether a petition was sub-22 mitted with the primary purpose of de-23 laying an application, the Secretary 24 may consider the following factors: 25 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6203 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB 11 •S 1067 RS ‘‘(aa) Whether the petition 1 was submitted in accordance with 2 paragraph (2)(B), based on when 3 the petitioner knew the relevant 4 information relied upon to form 5 the basis of such petition. 6 ‘‘(bb) When the petition was 7 submitted in relation to when the 8 petitioner reasonably should have 9 known the relevant information 10 relied upon to form the basis of 11 such petition. 12 ‘‘(cc) Whether the petitioner 13 has submitted multiple or serial 14 petitions or supplements to peti-15 tions raising issues that reason-16 ably could have been known to the 17 petitioner at the time of submis-18 sion of the earlier petition or peti-19 tions. 20 ‘‘(dd) Whether the petition 21 was submitted close in time to a 22 known, first date upon which an 23 application under subsection 24 (b)(2) or (j) of this section or sec-25 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00011 Fmt 6652 Sfmt 6203 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB 12 •S 1067 RS tion 351(k) of the Public Health 1 Service Act could be approved. 2 ‘‘(ee) Whether the petition 3 was submitted without relevant 4 data or information in support of 5 the scientific positions forming the 6 basis of such petition. 7 ‘‘(ff) Whether the petition 8 raises the same or substantially 9 similar issues as a prior petition 10 to which the Secretary has re-11 sponded substantively already, in-12 cluding if the subsequent submis-13 sion follows such response from 14 the Secretary closely in time. 15 ‘‘(gg) Whether the petition 16 requests changing the applicable 17 standards that other applicants 18 are required to meet, including re-19 questing testing, data, or labeling 20 standards that are more onerous 21 or rigorous than the standards the 22 Secretary has determined to be 23 applicable to the listed drug, ref-24 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00012 Fmt 6652 Sfmt 6203 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB 13 •S 1067 RS erence product, or petitioner’s 1 version of the same drug. 2 ‘‘(hh) The petitioner’s record 3 of submitting petitions to the 4 Food and Drug Administration 5 that have been determined by the 6 Secretary to have been submitted 7 with the primary purpose of 8 delay. 9 ‘‘(ii) Other relevant and ap-10 propriate factors, which the Sec-11 retary shall describe in guidance. 12 ‘‘(II) G UIDANCE.—The Secretary 13 may issue or update guidance, as ap-14 propriate, to describe factors the Sec-15 retary considers in accordance with 16 subclause (I).’’; 17 (C) by striking subparagraph (F); 18 (D) by redesignating subparagraphs (G) 19 through (I) as subparagraphs (F) through (H), 20 respectively; and 21 (E) in subparagraph (H), as so redesig-22 nated, by striking ‘‘submission of this petition’’ 23 and inserting ‘‘submission of this document’’; 24 (2) in paragraph (2)— 25 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6203 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB 14 •S 1067 RS (A) by redesignating subparagraphs (A) 1 through (C) as subparagraphs (C) through (E), 2 respectively; 3 (B) by inserting before subparagraph (C), 4 as so redesignated, the following: 5 ‘‘(A) I N GENERAL.—A person shall submit a 6 petition to the Secretary under paragraph (1) 7 before filing a civil action in which the person 8 seeks to set aside, delay, rescind, withdraw, or 9 prevent submission, review, or approval of an 10 application submitted under subsection (b)(2) or 11 (j) of this section or section 351(k) of the Public 12 Health Service Act. Such petition and any sup-13 plement to such a petition shall describe all in-14 formation and arguments that form the basis of 15 the relief requested in any civil action described 16 in the previous sentence. 17 ‘‘(B) T IMELY SUBMISSION OF CITIZEN PETI -18 TION.—A petition and any supplement to a peti-19 tion shall be submitted within 180 days after the 20 person knew the information that forms the basis 21 of the request made in the petition or supple-22 ment.’’; 23 (C) in subparagraph (C), as so redesig-24 nated— 25 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00014 Fmt 6652 Sfmt 6203 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB 15 •S 1067 RS (i) in the heading, by striking ‘‘WITHIN 1 150 DAYS’’; 2 (ii) in clause (i), by striking ‘‘during 3 the 150-day period referred to in paragraph 4 (1)(F),’’; and 5 (iii) by amending clause (ii) to read as 6 follows: 7 ‘‘(ii) on or after the date that is 151 8 days after the date of submission of the peti-9 tion, the Secretary approves or has ap-10 proved the application that is the subject of 11 the petition without having made such a 12 final decision.’’; 13 (D) by amending subparagraph (D), as so 14 redesignated, to read as follows: 15 ‘‘(D) D ISMISSAL OF CERTAIN CIVIL AC -16 TIONS.— 17 ‘‘(i) P ETITION.—If a person files a 18 civil action against the Secretary in which 19 a person seeks to set aside, delay, rescind, 20 withdraw, or prevent submission, review, or 21 approval of an application submitted under 22 subsection (b)(2) or (j) of this section or sec-23 tion 351(k) of the Public Health Service Act 24 without complying with the requirements of 25 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00015 Fmt 6652 Sfmt 6203 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB 16 •S 1067 RS subparagraph (A), the court shall dismiss 1 without prejudice the action for failure to 2 exhaust administrative remedies. 3 ‘‘(ii) T IMELINESS.—If a person files a 4 civil action against the Secretary in which 5 a person seeks to set aside, delay, rescind, 6 withdraw, or prevent submission, review, or 7 approval of an application submitted under 8 subsection (b)(2) or (j) of this section or sec-9 tion 351(k) of the Public Health Service Act 10 without complying with the requirements of 11 subparagraph (B), the court shall dismiss 12 with prejudice the action for failure to time-13 ly file a petition. 14 ‘‘(iii) F INAL RESPONSE.—If a civil ac-15 tion is filed against the Secretary with re-16 spect to any issue raised in a petition time-17 ly filed under paragraph (1) in which the 18 petitioner requests that the Secretary take 19 any form of action that could, if taken, set 20 aside, delay, rescind, withdraw, or prevent 21 submission, review, or approval of an appli-22 cation submitted under subsection (b)(2) or 23 (j) of this section or section 351(k) of the 24 Public Health Service Act before the Sec-25 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00016 Fmt 6652 Sfmt 6203 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB 17 •S 1067 RS retary has taken final agency action on the 1 petition within the meaning of subpara-2 graph (C), the court shall dismiss without 3 prejudice the action for failure to exhaust 4 administrative remedies.’’; and 5 (E) in clause (iii) of subparagraph (E), as 6 so redesignated, by striking ‘‘as defined under 7 subparagraph (2)(A)’’ and inserting ‘‘within the 8 meaning of subparagraph (C)’’; and 9 (3) in paragraph (4)— 10 (A) by striking ‘‘E XCEPTIONS’’ in the para-11 graph heading and all that follows through ‘‘This 12 subsection does’’ and inserting ‘‘E XCEPTIONS.— 13 This subsection does’’; 14 (B) by striking subparagraph (B); and 15 (C) by redesignating clauses (i) and (ii) as 16 subparagraphs (A) and (B), respectively, and 17 adjusting the margins accordingly. 18 VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00017 Fmt 6652 Sfmt 6203 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB Calendar No. 107 118 TH CONGRESS 1 ST S ESSION S. 1067 A BILL To amend the Federal Food, Drug, and Cosmetic Act with respect to citizen petitions. J UNE 22, 2023 Reported with an amendment VerDate Sep 11 2014 00:12 Jun 23, 2023 Jkt 039200 PO 00000 Frm 00018 Fmt 6651 Sfmt 6651 E:\BILLS\S1067.RS S1067 pbinns on DSKJLVW7X2PROD with $$_JOB