II 118THCONGRESS 1 STSESSION S. 3557 To require the Secretary of Health and Human Services to prepare a report that outlines a plan for completing a review of approved opioid analgesic drugs that considers the public health effects of such opioid drugs. IN THE SENATE OF THE UNITED STATES DECEMBER19, 2023 Mr. M URPHY(for himself and Mr. BRAUN) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To require the Secretary of Health and Human Services to prepare a report that outlines a plan for completing a review of approved opioid analgesic drugs that con- siders the public health effects of such opioid drugs. Be it enacted by the Senate and House of Representa-1 tives of the United States of America in Congress assembled, 2 SECTION 1. REVIEW OF OPIOID DRUGS AND ACTIONS. 3 Not later than one year after the date of enactment 4 of this Act, the Secretary of Health and Human Services 5 (referred to in this section as the ‘‘Secretary’’) shall pub-6 lish on the website of the Food and Drug Administration 7 (referred to in this section as the ‘‘FDA’’) a report that 8 VerDate Sep 11 2014 01:48 Dec 20, 2023 Jkt 049200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S3557.IS S3557 kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 •S 3557 IS outlines a plan for completing a review of opioid analgesic 1 drugs that are approved under section 505 of the Federal 2 Food, Drug, and Cosmetic Act (21 U.S.C. 355) that con-3 siders the public health effects of such opioid drugs as part 4 of the benefit-risk assessment, and that addresses the ac-5 tivities of the FDA that relate to increasing the develop-6 ment of non-addictive medical products intended to treat 7 pain or addiction. Such report shall include— 8 (1) an opportunity for public input concerning 9 the regulation by the FDA of opioid analgesic drugs, 10 including scientific evidence that relates to condi-11 tions of use, safety, or benefit-risk assessment (in-12 cluding consideration of the public health effects) of 13 such opioid drugs; 14 (2) an update on the actions taken by the FDA 15 to review the effectiveness, safety, benefit-risk profile 16 (which may include public health effects), and use of 17 approved opioid analgesic drugs; 18 (3) a timeline for an assessment of the potential 19 need, as appropriate, for labeling changes, revised or 20 additional postmarketing requirements, enforcement 21 actions, or withdrawals for opioid analgesic drugs; 22 (4) an overview of the steps that the FDA has 23 taken to support the development and approval of 24 non-addictive medical products intended to treat 25 VerDate Sep 11 2014 01:48 Dec 20, 2023 Jkt 049200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S3557.IS S3557 kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 •S 3557 IS pain or addiction, and actions planned to further 1 support the development and approval of such prod-2 ucts; and 3 (5) an overview of the consideration by the 4 FDA of clinical trial methodologies for analgesic 5 drugs, including the enriched enrollment randomized 6 withdrawal methodology, and the benefits and draw-7 backs associated with different trial methodologies 8 for such drugs, incorporating any public input re-9 ceived under paragraph (1). 10 Æ VerDate Sep 11 2014 01:48 Dec 20, 2023 Jkt 049200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 E:\BILLS\S3557.IS S3557 kjohnson on DSK7ZCZBW3PROD with $$_JOB