II 118THCONGRESS 2 DSESSION S. 4635 To require a report and updated guidance on continued risk management for pharmaceutical supply chains of Department of Defense. IN THE SENATE OF THE UNITED STATES JULY8, 2024 Mr. P ETERS(for himself and Ms. ERNST) introduced the following bill; which was read twice and referred to the Committee on Armed Services A BILL To require a report and updated guidance on continued risk management for pharmaceutical supply chains of Department of Defense. Be it enacted by the Senate and House of Representa-1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Pharmaceutical Risk 4 Assessment and Mitigation Act of 2024’’. 5 VerDate Sep 11 2014 00:35 Aug 09, 2024 Jkt 049200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S4635.IS S4635 ssavage on LAPJG3WLY3PROD with BILLS 2 •S 4635 IS SEC. 2. REPORT AND UPDATED GUIDANCE ON CONTINUED 1 RISK MANAGEMENT FOR PHARMACEUTICAL 2 SUPPLY CHAINS OF DEPARTMENT OF DE-3 FENSE. 4 (a) I NGENERAL.—Not later than two years after the 5 date of the enactment of this Act, the Under Secretary 6 of Defense for Acquisition and Sustainment shall— 7 (1) submit to the Committees on Armed Serv-8 ices of the Senate and the House of Representatives 9 a report regarding— 10 (A) existing information streams within 11 the Federal Government, if any, for excipients 12 and key starting materials of drugs that may be 13 used to assess the reliance by the Department 14 of Defense on high-risk foreign suppliers ana-15 lyzed in the report required under section 16 860(a) of the James M. Inhofe National De-17 fense Authorization Act for Fiscal Year 2023 18 (Public Law 117–263; 10 U.S.C. 3241 note 19 prec.); 20 (B) active pharmaceutical ingredients, final 21 drug products, and respective excipients and 22 key starting materials analyzed in such report 23 that is produced by each manufacturer in a 24 high-risk foreign country, as determined by the 25 Secretary of Defense; 26 VerDate Sep 11 2014 00:35 Aug 09, 2024 Jkt 049200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S4635.IS S4635 ssavage on LAPJG3WLY3PROD with BILLS 3 •S 4635 IS (C) any limitations on the ability of the 1 Secretary to— 2 (i) obtain or analyze the information 3 identified under subparagraphs (A) and 4 (B); and 5 (ii) use data analytics to monitor 6 vulnerabilities in the pharmaceutical supply 7 chain of the Department; 8 (D) how the Secretary plans to address the 9 limitations identified under subparagraph (C); 10 and 11 (E) any recommendations of the Secretary 12 to address those limitations; and 13 (2) update risk management guidance developed 14 by the Under Secretary under section 860(a)(1) of 15 the James M. Inhofe National Defense Authoriza-16 tion Act for Fiscal Year 2023 (Public Law 117–263; 17 10 U.S.C. 3241 note prec.) to include any relevant 18 findings identified in paragraph (1). 19 (b) FDA D ETERMINATIONS.—The Department of 20 Defense shall rely upon determinations of excipients and 21 key starting materials for final drug products that are 22 made by the Food and Drug Administration (FDA) or 23 that align with FDA regulations. 24 Æ VerDate Sep 11 2014 00:35 Aug 09, 2024 Jkt 049200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 E:\BILLS\S4635.IS S4635 ssavage on LAPJG3WLY3PROD with BILLS