1 | 1 | | I |
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2 | 2 | | 119THCONGRESS |
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3 | 3 | | 1 |
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4 | 4 | | STSESSION H. R. 1532 |
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5 | 5 | | To amend the Federal Food, Drug, and Cosmetic Act to establish a process |
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6 | 6 | | for externally led, science-focused drug development meetings, and for |
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7 | 7 | | other purposes. |
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8 | 8 | | IN THE HOUSE OF REPRESENTATIVES |
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9 | 9 | | FEBRUARY24, 2025 |
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10 | 10 | | Ms. M |
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11 | 11 | | ATSUI(for herself and Mr. BILIRAKIS) introduced the following bill; |
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12 | 12 | | which was referred to the Committee on Energy and Commerce |
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13 | 13 | | A BILL |
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14 | 14 | | To amend the Federal Food, Drug, and Cosmetic Act to |
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15 | 15 | | establish a process for externally led, science-focused |
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16 | 16 | | drug development meetings, and for other purposes. |
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17 | 17 | | Be it enacted by the Senate and House of Representa-1 |
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18 | 18 | | tives of the United States of America in Congress assembled, 2 |
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19 | 19 | | SECTION 1. SHORT TITLE. 3 |
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20 | 20 | | This Act may be cited as the ‘‘Scientific External 4 |
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21 | 21 | | Process for Educated Review of Therapeutics Act of 5 |
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22 | 22 | | 2025’’ or the ‘‘Scientific EXPERT Act of 2025’’. 6 |
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24 | 24 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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25 | 25 | | •HR 1532 IH |
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26 | 26 | | SEC. 2. SCIENCE-FOCUSED DRUG DEVELOPMENT MEET-1 |
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27 | 27 | | INGS. 2 |
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28 | 28 | | The Federal Food, Drug, and Cosmetic Act (21 3 |
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29 | 29 | | U.S.C. 301 et seq.) is amended by inserting after section 4 |
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30 | 30 | | 770 (21 U.S.C. 379dd) the following: 5 |
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31 | 31 | | ‘‘SEC. 770A. SCIENCE-FOCUSED DRUG DEVELOPMENT 6 |
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32 | 32 | | MEETINGS. 7 |
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33 | 33 | | ‘‘(a) I |
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34 | 34 | | NGENERAL.—The Secretary shall develop and 8 |
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35 | 35 | | implement a process for externally led, science-focused 9 |
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36 | 36 | | drug development meetings to provide an opportunity for 10 |
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37 | 37 | | medical experts, drug sponsors, scientific organizations, 11 |
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38 | 38 | | and patient organizations to— 12 |
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39 | 39 | | ‘‘(1) discuss science-related challenges impact-13 |
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40 | 40 | | ing the development of drugs for rare diseases and 14 |
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41 | 41 | | conditions; 15 |
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42 | 42 | | ‘‘(2) identify scientific approaches and opportu-16 |
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43 | 43 | | nities to facilitate the development, review, and ap-17 |
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44 | 44 | | proval of such drugs; and 18 |
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45 | 45 | | ‘‘(3) align on novel approaches for the develop-19 |
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46 | 46 | | ment of drugs for particular diseases, including ap-20 |
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47 | 47 | | propriate clinical trial designs and metrics, manufac-21 |
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48 | 48 | | turing standards, patient populations, clinical 22 |
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49 | 49 | | endpoints, the use of biomarkers as surrogate 23 |
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50 | 50 | | endpoints, and natural history as a control, to ad-24 |
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51 | 51 | | vance treatment options to address unmet medical 25 |
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52 | 52 | | needs. 26 |
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54 | 54 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 |
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55 | 55 | | •HR 1532 IH |
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56 | 56 | | ‘‘(b) ARRANGEMENT.— 1 |
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57 | 57 | | ‘‘(1) Q |
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58 | 58 | | UALIFIED THIRD PARTY CONVENOR .— 2 |
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59 | 59 | | The Secretary shall enter into an arrangement with 3 |
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60 | 60 | | the Reagan-Udall Foundation for the Food and 4 |
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61 | 61 | | Drug Administration (in this section referred to as 5 |
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62 | 62 | | the ‘Foundation’) under which the Foundation 6 |
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63 | 63 | | agrees to convene EL–SFDD meetings in accord-7 |
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64 | 64 | | ance with this section. 8 |
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65 | 65 | | ‘‘(2) M |
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66 | 66 | | INIMUM NUMBER OF MEETINGS .—The 9 |
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67 | 67 | | Foundation shall convene no fewer than four EL– 10 |
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68 | 68 | | SFDD meetings each year, with each such meeting 11 |
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69 | 69 | | focused on addressing a different rare disease or 12 |
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70 | 70 | | condition or a different group of rare diseases and 13 |
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71 | 71 | | conditions. 14 |
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72 | 72 | | ‘‘(3) S |
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73 | 73 | | TEERING COMMITTEE .— 15 |
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74 | 74 | | ‘‘(A) I |
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75 | 75 | | N GENERAL.—The Foundation shall 16 |
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76 | 76 | | establish and maintain a permanent steering 17 |
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77 | 77 | | committee, to be known as the Science-Focused 18 |
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78 | 78 | | Drug Development Multistakeholder Steering 19 |
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79 | 79 | | Committee, to advise the Foundation on imple-20 |
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80 | 80 | | mentation of this section, including by— 21 |
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81 | 81 | | ‘‘(i) establishing a process by which 22 |
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82 | 82 | | medical experts, drug sponsors, scientific 23 |
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83 | 83 | | organizations, patient organizations, and 24 |
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86 | 86 | | •HR 1532 IH |
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87 | 87 | | other entities can provide suggested meet-1 |
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88 | 88 | | ing topics to the Foundation; 2 |
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89 | 89 | | ‘‘(ii) reviewing such suggested meeting 3 |
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90 | 90 | | topics for EL–SFDD meetings; and 4 |
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91 | 91 | | ‘‘(iii) based on the criteria under sub-5 |
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92 | 92 | | paragraph (B), recommending to the 6 |
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93 | 93 | | Foundation topics for EL–SFDD meet-7 |
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94 | 94 | | ings. 8 |
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95 | 95 | | ‘‘(B) C |
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96 | 96 | | RITERIA FOR MEETINGS .—In for-9 |
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97 | 97 | | mulating recommendations under subparagraph 10 |
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98 | 98 | | (A), the Foundation shall consider— 11 |
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99 | 99 | | ‘‘(i) unmet therapeutic needs; 12 |
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100 | 100 | | ‘‘(ii) the size of the patient population 13 |
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101 | 101 | | of the rare disease or condition; 14 |
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102 | 102 | | ‘‘(iii) whether there were or are mul-15 |
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103 | 103 | | tiple products in development to prevent or 16 |
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104 | 104 | | treat the rare disease or condition involved; 17 |
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105 | 105 | | ‘‘(iv) whether there is a need for in-18 |
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106 | 106 | | creased regulatory flexibility to facilitate 19 |
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107 | 107 | | the development of products; 20 |
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108 | 108 | | ‘‘(v) whether the disease or condition 21 |
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109 | 109 | | involved would benefit from clarity and 22 |
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110 | 110 | | alignment on drug development questions 23 |
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111 | 111 | | (such as clinical trial design, natural his-24 |
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112 | 112 | | tory as a control, appropriate clinical 25 |
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115 | 115 | | •HR 1532 IH |
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116 | 116 | | endpoints, biomarkers that may serve as 1 |
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117 | 117 | | surrogate endpoints, and other approaches) 2 |
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118 | 118 | | to expedite drug development for such dis-3 |
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119 | 119 | | ease or condition; and 4 |
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120 | 120 | | ‘‘(vi) whether the discussions about 5 |
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121 | 121 | | such rare disease or condition may have 6 |
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122 | 122 | | broader impact on other rare diseases and 7 |
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123 | 123 | | conditions. 8 |
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124 | 124 | | ‘‘(C) M |
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125 | 125 | | EMBERSHIP.—The members of the 9 |
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126 | 126 | | Steering Committee shall be subject to all rel-10 |
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127 | 127 | | evant conflict of interest policies of the Founda-11 |
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128 | 128 | | tion and shall include— 12 |
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129 | 129 | | ‘‘(i) representatives of the Center for 13 |
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130 | 130 | | Drug Evaluation and Research, the Center 14 |
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131 | 131 | | for Biologics Evaluation and Research, and 15 |
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132 | 132 | | the Center for Devices and Radiological 16 |
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133 | 133 | | Health; 17 |
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134 | 134 | | ‘‘(ii) academic and medical experts; 18 |
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135 | 135 | | ‘‘(iii) patient representatives; and 19 |
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136 | 136 | | ‘‘(iv) industry representatives engaged 20 |
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137 | 137 | | in the development of drugs for rare dis-21 |
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138 | 138 | | eases and conditions. 22 |
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139 | 139 | | ‘‘(4) P |
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140 | 140 | | LANNING PROCESS.—In planning an EL– 23 |
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141 | 141 | | SFDD meeting under this section, the Foundation, 24 |
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144 | 144 | | •HR 1532 IH |
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145 | 145 | | in consultation with the stakeholders listed in para-1 |
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146 | 146 | | graph (5), shall develop— 2 |
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147 | 147 | | ‘‘(A) a list of the specific objectives of the 3 |
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148 | 148 | | meeting related to key drug development issues 4 |
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149 | 149 | | for the rare disease or condition, or group of 5 |
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150 | 150 | | rare diseases and conditions, with a goal of ex-6 |
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151 | 151 | | pediting drug development; 7 |
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152 | 152 | | ‘‘(B) a proposed agenda for the meeting; 8 |
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153 | 153 | | and 9 |
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154 | 154 | | ‘‘(C) a list of medical experts, drug spon-10 |
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155 | 155 | | sors, scientific organizations, patient organiza-11 |
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156 | 156 | | tions, and other entities to be invited to partici-12 |
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157 | 157 | | pate in the meeting. 13 |
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158 | 158 | | ‘‘(5) A |
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159 | 159 | | GENCY AND STAKEHOLDER ENGAGE -14 |
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160 | 160 | | MENT.—Throughout the process of planning an EL– 15 |
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161 | 161 | | SFDD meeting, the Foundation shall consult with— 16 |
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162 | 162 | | ‘‘(A) appropriate staff of the Food and 17 |
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163 | 163 | | Drug Administration; 18 |
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164 | 164 | | ‘‘(B) the Steering Committee established 19 |
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165 | 165 | | under this subsection; 20 |
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166 | 166 | | ‘‘(C) industry representatives engaged in 21 |
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167 | 167 | | the development of products for rare diseases 22 |
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168 | 168 | | and conditions to be discussed at such EL– 23 |
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169 | 169 | | SFDD meeting; 24 |
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172 | 172 | | •HR 1532 IH |
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173 | 173 | | ‘‘(D) patient representatives of rare dis-1 |
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174 | 174 | | eases and conditions under discussion in such 2 |
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175 | 175 | | EL–SFDD meeting; and 3 |
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176 | 176 | | ‘‘(E) other appropriate stakeholders. 4 |
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177 | 177 | | ‘‘(6) P |
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178 | 178 | | OST-MEETING REPORTS.— 5 |
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179 | 179 | | ‘‘(A) I |
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180 | 180 | | N GENERAL.—Within 180 days after 6 |
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181 | 181 | | an EL–SFDD meeting, the Foundation shall 7 |
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182 | 182 | | make publicly available on the website of the 8 |
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183 | 183 | | Food and Drug Administration— 9 |
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184 | 184 | | ‘‘(i) a transcript and recording of the 10 |
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185 | 185 | | meeting; and 11 |
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186 | 186 | | ‘‘(ii) in consultation with the stake-12 |
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187 | 187 | | holders listed in paragraph (5), a summary 13 |
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188 | 188 | | analysis of the input received during the 14 |
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189 | 189 | | meeting that is relevant to approval or li-15 |
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190 | 190 | | censing of drugs for the rare disease or 16 |
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191 | 191 | | condition involved. 17 |
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192 | 192 | | ‘‘(B) C |
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193 | 193 | | ONTENTS.—Each publication under 18 |
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194 | 194 | | subparagraph (A) shall include a clear identi-19 |
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195 | 195 | | fication of— 20 |
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196 | 196 | | ‘‘(i) areas of consensus; 21 |
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197 | 197 | | ‘‘(ii) areas where additional clarifica-22 |
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198 | 198 | | tion or information is needed to reach con-23 |
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199 | 199 | | sensus; and 24 |
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202 | 202 | | •HR 1532 IH |
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203 | 203 | | ‘‘(iii) next steps agreed upon with the 1 |
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204 | 204 | | Food and Drug Administration. 2 |
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205 | 205 | | ‘‘(c) R |
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206 | 206 | | EPRESENTATIVES OF FDA REVIEWDIVI-3 |
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207 | 207 | | SIONS.—The Secretary shall require appropriate rep-4 |
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208 | 208 | | resentatives of the review divisions of the Food and Drug 5 |
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209 | 209 | | Administration to participate in each EL–SFDD meeting 6 |
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210 | 210 | | under this section. 7 |
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211 | 211 | | ‘‘(d) R |
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212 | 212 | | ULES OFCONSTRUCTION.—Nothing in this 8 |
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213 | 213 | | section shall be construed— 9 |
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214 | 214 | | ‘‘(1) to prevent other third-party organizations 10 |
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215 | 215 | | from organizing similarly structured EL–SFDD-like 11 |
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216 | 216 | | meetings to discuss challenges in rare disease drug 12 |
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217 | 217 | | development; 13 |
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218 | 218 | | ‘‘(2) to require the Food and Drug Administra-14 |
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219 | 219 | | tion to participate in additional meetings described 15 |
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220 | 220 | | in paragraph (1); 16 |
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221 | 221 | | ‘‘(3) to alter the protections offered by laws, 17 |
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222 | 222 | | regulations, or policies governing disclosure of con-18 |
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223 | 223 | | fidential commercial or trade secret information and 19 |
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224 | 224 | | any other information exempt from disclosure pursu-20 |
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225 | 225 | | ant to section 552(b) of title 5, United States Code; 21 |
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226 | 226 | | ‘‘(4) to limit the ability of the Secretary to con-22 |
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227 | 227 | | sult with individuals and organizations; 23 |
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230 | 230 | | •HR 1532 IH |
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231 | 231 | | ‘‘(5) to create a legal right for consultation on 1 |
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232 | 232 | | any matter or require the Secretary to meet with 2 |
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233 | 233 | | any particular expert or stakeholder; 3 |
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234 | 234 | | ‘‘(6) to alter agreed-upon goals and procedures 4 |
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235 | 235 | | identified in the letters described in section 1001(b) 5 |
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236 | 236 | | of the FDA User Fee Reauthorization Act of 2022; 6 |
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237 | 237 | | or 7 |
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238 | 238 | | ‘‘(7) to increase the number of review cycles for 8 |
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239 | 239 | | drugs. 9 |
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240 | 240 | | ‘‘(e) D |
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241 | 241 | | EFINITIONS.—In this section: 10 |
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242 | 242 | | ‘‘(1) The term ‘EL–SFDD meeting’ means an 11 |
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243 | 243 | | externally led, science-focused drug development 12 |
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244 | 244 | | meeting. 13 |
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245 | 245 | | ‘‘(2) The terms ‘rare diseases and conditions’ 14 |
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246 | 246 | | and ‘rare disease or condition’ refer to a rare disease 15 |
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247 | 247 | | or condition as that term is defined in section 526. 16 |
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248 | 248 | | ‘‘(3) The term ‘Steering Committee’ means the 17 |
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249 | 249 | | Science-Focused Drug Development Multistake-18 |
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250 | 250 | | holder Steering Committee established under sub-19 |
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251 | 251 | | section (b)(3). 20 |
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252 | 252 | | ‘‘(f) A |
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253 | 253 | | UTHORIZATION OFAPPROPRIATIONS.— 21 |
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254 | 254 | | ‘‘(1) I |
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255 | 255 | | N GENERAL.—To carry out this section, 22 |
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256 | 256 | | there is authorized to be appropriated $1,000,000 23 |
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257 | 257 | | for each of fiscal years 2026 through 2030. 24 |
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260 | 260 | | •HR 1532 IH |
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261 | 261 | | ‘‘(2) RULE OF CONSTRUCTION .—Nothing in 1 |
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262 | 262 | | this section shall be construed to prohibit the Foun-2 |
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263 | 263 | | dation from soliciting or accepting funds pursuant to 3 |
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264 | 264 | | section 770(i) for the purposes of planning or oper-4 |
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265 | 265 | | ating an EL–SFDD meeting authorized by this sec-5 |
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266 | 266 | | tion. 6 |
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267 | 267 | | ‘‘SEC. 770B. REQUIRED ACTIONS FOLLOWING EL–SFDD 7 |
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268 | 268 | | MEETINGS. 8 |
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269 | 269 | | ‘‘(a) I |
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270 | 270 | | NCORPORATION OF INPUTINTORISK-BENEFIT 9 |
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271 | 271 | | A |
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272 | 272 | | SSESSMENTS.—In approving or licensing a drug under 10 |
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273 | 273 | | subsection (c) or (j) of section 505 of this Act or sub-11 |
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274 | 274 | | section (a) or (k) of section 351 of the Public Health Serv-12 |
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275 | 275 | | ice Act, the Secretary shall make public a brief state-13 |
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276 | 276 | | ment— 14 |
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277 | 277 | | ‘‘(1) stating whether any EL–SFDD meeting 15 |
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278 | 278 | | under section 770A was held that was relevant to 16 |
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279 | 279 | | such approval or licensure; and 17 |
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280 | 280 | | ‘‘(2) if so, including a description of how the 18 |
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281 | 281 | | Secretary incorporated input from such meeting in 19 |
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282 | 282 | | the risk-benefit assessment described in section 20 |
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283 | 283 | | 505(d). 21 |
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284 | 284 | | ‘‘(b) A |
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285 | 285 | | NNUALREPORT.—On an annual basis, the 22 |
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286 | 286 | | Secretary shall submit a report to the Congress summa-23 |
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287 | 287 | | rizing— 24 |
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290 | 290 | | •HR 1532 IH |
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291 | 291 | | ‘‘(1) the number and topics of EL–SFDD 1 |
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292 | 292 | | meetings held during the reporting period; 2 |
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293 | 293 | | ‘‘(2) the extent of participation in such meet-3 |
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294 | 294 | | ings from the review divisions of the Food and Drug 4 |
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295 | 295 | | Administration; 5 |
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296 | 296 | | ‘‘(3) the impact of EL–SFDD meetings on the 6 |
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297 | 297 | | workload and resources of the Food and Drug Ad-7 |
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298 | 298 | | ministration; and 8 |
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299 | 299 | | ‘‘(4) an assessment of how the input received 9 |
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300 | 300 | | during such meetings was used in— 10 |
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301 | 301 | | ‘‘(A) deliberations throughout the drug de-11 |
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302 | 302 | | velopment lifecycle; 12 |
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303 | 303 | | ‘‘(B) regulatory decisionmaking; and 13 |
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304 | 304 | | ‘‘(C) formulating recommendations for fu-14 |
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305 | 305 | | ture meetings. 15 |
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306 | 306 | | ‘‘(c) D |
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307 | 307 | | EFINITION.—In this section, the term ‘EL– 16 |
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308 | 308 | | SFDD meeting’ has the meaning given to that term in 17 |
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309 | 309 | | section 770A. 18 |
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310 | 310 | | ‘‘(d) A |
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311 | 311 | | UTHORIZATION OF APPROPRIATIONS.—To 19 |
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312 | 312 | | carry out this section, there is authorized to be appro-20 |
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313 | 313 | | priated $1,000,000 for each of fiscal years 2026 through 21 |
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314 | 314 | | 2030.’’. 22 |
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315 | 315 | | Æ |
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