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. 1632 |
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5 | 5 | | To amend the Federal Food, Drug, and Cosmetic Act to provide for reciprocal |
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6 | 6 | | marketing approval of certain drugs, biological products, and devices |
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7 | 7 | | that are authorized to be lawfully marketed abroad, and for other pur- |
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8 | 8 | | poses. |
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9 | 9 | | IN THE HOUSE OF REPRESENTATIVES |
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10 | 10 | | FEBRUARY26, 2025 |
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11 | 11 | | Mr. R |
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12 | 12 | | OYintroduced the following bill; which was referred to the Committee |
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13 | 13 | | on Energy and Commerce, and in addition to the Committee on Rules, |
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14 | 14 | | for a period to be subsequently determined by the Speaker, in each case |
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15 | 15 | | for consideration of such provisions as fall within the jurisdiction of the |
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16 | 16 | | committee concerned |
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17 | 17 | | A BILL |
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18 | 18 | | To amend the Federal Food, Drug, and Cosmetic Act to |
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19 | 19 | | provide for reciprocal marketing approval of certain |
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20 | 20 | | drugs, biological products, and devices that are author- |
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21 | 21 | | ized to be lawfully marketed abroad, and for other pur- |
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22 | 22 | | poses. |
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23 | 23 | | Be it enacted by the Senate and House of Representa-1 |
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24 | 24 | | tives of the United States of America in Congress assembled, 2 |
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25 | 25 | | SECTION 1. SHORT TITLE. 3 |
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26 | 26 | | This Act may be cited as the ‘‘Reciprocity Ensures 4 |
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27 | 27 | | Streamlined Use of Lifesaving Treatments Act of 2025’’. 5 |
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29 | 29 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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30 | 30 | | •HR 1632 IH |
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31 | 31 | | SEC. 2. RECIPROCAL MARKETING APPROVAL FOR CERTAIN 1 |
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32 | 32 | | DRUGS, BIOLOGICAL PRODUCTS, AND DE-2 |
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33 | 33 | | VICES. 3 |
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34 | 34 | | The Federal Food, Drug, and Cosmetic Act is amend-4 |
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35 | 35 | | ed by inserting after section 524B of such Act (21 U.S.C. 5 |
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36 | 36 | | 360n–2) the following: 6 |
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37 | 37 | | ‘‘SEC. 524C. RECIPROCAL MARKETING APPROVAL. 7 |
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38 | 38 | | ‘‘(a) I |
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39 | 39 | | NGENERAL.—A covered product with recip-8 |
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40 | 40 | | rocal marketing approval in effect under this section is 9 |
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41 | 41 | | deemed to be subject to an application or premarket notifi-10 |
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42 | 42 | | cation for which an approval or clearance is in effect under 11 |
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43 | 43 | | section 505(c), 510(k), or 515 of this Act or section 12 |
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44 | 44 | | 351(a) of the Public Health Service Act, as applicable. 13 |
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45 | 45 | | ‘‘(b) E |
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46 | 46 | | LIGIBILITY.—The Secretary shall, with respect 14 |
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47 | 47 | | to a covered product, grant reciprocal marketing approval 15 |
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48 | 48 | | if— 16 |
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49 | 49 | | ‘‘(1) the sponsor of the covered product submits 17 |
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50 | 50 | | a request for reciprocal marketing approval; and 18 |
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51 | 51 | | ‘‘(2) the request demonstrates to the Sec-19 |
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52 | 52 | | retary’s satisfaction that— 20 |
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53 | 53 | | ‘‘(A) the covered product is authorized to 21 |
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54 | 54 | | be lawfully marketed in one or more of the 22 |
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55 | 55 | | countries included in the list under section 23 |
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56 | 56 | | 802(b)(1) or in the United Kingdom; 24 |
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58 | 58 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 |
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59 | 59 | | •HR 1632 IH |
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60 | 60 | | ‘‘(B) absent reciprocal marketing approval, 1 |
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61 | 61 | | the covered product is not approved or cleared 2 |
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62 | 62 | | for marketing, as described in subsection (a); 3 |
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63 | 63 | | ‘‘(C) the Secretary has not, because of any 4 |
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64 | 64 | | concern relating to the safety or effectiveness of 5 |
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65 | 65 | | the covered product, rescinded or withdrawn 6 |
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66 | 66 | | any such approval or clearance; 7 |
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67 | 67 | | ‘‘(D) the authorization to market the cov-8 |
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68 | 68 | | ered product in one or more of the countries in-9 |
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69 | 69 | | cluded in the list under section 802(b)(1) or in 10 |
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70 | 70 | | the United Kingdom has not, because of any 11 |
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71 | 71 | | concern relating to the safety or effectiveness of 12 |
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72 | 72 | | the covered product, been rescinded or with-13 |
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73 | 73 | | drawn; 14 |
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74 | 74 | | ‘‘(E) the covered product is not a banned 15 |
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75 | 75 | | device under section 516; and 16 |
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76 | 76 | | ‘‘(F) there is a public health or unmet 17 |
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77 | 77 | | medical need for the covered product in the 18 |
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78 | 78 | | United States. 19 |
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79 | 79 | | ‘‘(c) S |
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80 | 80 | | AFETY ANDEFFECTIVENESS.— 20 |
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81 | 81 | | ‘‘(1) I |
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82 | 82 | | N GENERAL.—The Secretary— 21 |
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83 | 83 | | ‘‘(A) may decline to grant reciprocal mar-22 |
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84 | 84 | | keting approval under this section with respect 23 |
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85 | 85 | | to a covered product if the Secretary affirma-24 |
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86 | 86 | | tively determines that the covered product— 25 |
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88 | 88 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 |
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89 | 89 | | •HR 1632 IH |
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90 | 90 | | ‘‘(i) is a drug that is not safe and ef-1 |
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91 | 91 | | fective; or 2 |
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92 | 92 | | ‘‘(ii) is a device for which there is no 3 |
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93 | 93 | | reasonable assurance of safety and effec-4 |
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94 | 94 | | tiveness; and 5 |
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95 | 95 | | ‘‘(B) may condition reciprocal marketing 6 |
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96 | 96 | | approval under this section on the conduct of 7 |
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97 | 97 | | specified postmarket studies, which may include 8 |
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98 | 98 | | such studies pursuant to a risk evaluation and 9 |
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99 | 99 | | mitigation strategy under section 505–1. 10 |
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100 | 100 | | ‘‘(2) R |
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101 | 101 | | EPORT TO CONGRESS .—Upon declining 11 |
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102 | 102 | | to grant reciprocal marketing approval under this 12 |
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103 | 103 | | section with respect to a covered product, the Sec-13 |
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104 | 104 | | retary shall— 14 |
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105 | 105 | | ‘‘(A) include the denial in a list of such de-15 |
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106 | 106 | | nials for each month; and 16 |
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107 | 107 | | ‘‘(B) not later than the end of the respec-17 |
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108 | 108 | | tive month, submit the list to the Committee on 18 |
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109 | 109 | | Energy and Commerce of the House of Rep-19 |
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110 | 110 | | resentatives and the Committee on Health, 20 |
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111 | 111 | | Education, Labor, and Pensions of the Senate. 21 |
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112 | 112 | | ‘‘(d) R |
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113 | 113 | | EQUEST.—A request for reciprocal marketing 22 |
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114 | 114 | | approval shall— 23 |
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115 | 115 | | ‘‘(1) be in such form, be submitted in such 24 |
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116 | 116 | | manner, and contain such information as the Sec-25 |
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118 | 118 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 5 |
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119 | 119 | | •HR 1632 IH |
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120 | 120 | | retary deems necessary to determine whether the cri-1 |
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121 | 121 | | teria listed in subsection (b)(2) are met; and 2 |
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122 | 122 | | ‘‘(2) include, with respect to each country in-3 |
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123 | 123 | | cluded in the list under section 802(b)(1) where the 4 |
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124 | 124 | | covered product is authorized to be lawfully mar-5 |
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125 | 125 | | keted, as described in subsection (b)(2)(A), an 6 |
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126 | 126 | | English translation of the dossier issued by such 7 |
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127 | 127 | | country to authorize such marketing. 8 |
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128 | 128 | | ‘‘(e) T |
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129 | 129 | | IMING.—The Secretary shall issue an order 9 |
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130 | 130 | | granting, or declining to grant, reciprocal marketing ap-10 |
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131 | 131 | | proval with respect to a covered product not later than 11 |
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132 | 132 | | 30 days after the Secretary’s receipt of a request under 12 |
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133 | 133 | | subsection (b)(1) for the product. An order issued under 13 |
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134 | 134 | | this subsection shall take effect subject to Congressional 14 |
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135 | 135 | | disapproval under subsection (g). 15 |
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136 | 136 | | ‘‘(f) L |
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137 | 137 | | ABELING; DEVICECLASSIFICATION.—During 16 |
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138 | 138 | | the 30-day period described in subsection (e)— 17 |
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139 | 139 | | ‘‘(1) the Secretary and the sponsor of the cov-18 |
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140 | 140 | | ered product shall expeditiously negotiate and final-19 |
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141 | 141 | | ize the form and content of the labeling for a cov-20 |
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142 | 142 | | ered product for which reciprocal marketing ap-21 |
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143 | 143 | | proval is to be granted; and 22 |
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144 | 144 | | ‘‘(2) in the case of a device for which reciprocal 23 |
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145 | 145 | | marketing approval is to be granted, the Secretary 24 |
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146 | 146 | | shall— 25 |
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149 | 149 | | •HR 1632 IH |
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150 | 150 | | ‘‘(A) classify the device pursuant to section 1 |
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151 | 151 | | 513; and 2 |
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152 | 152 | | ‘‘(B) determine whether, absent reciprocal 3 |
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153 | 153 | | marketing approval, the device would need to be 4 |
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154 | 154 | | cleared pursuant to section 510(k) or approved 5 |
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155 | 155 | | pursuant to section 515 to be lawfully marketed 6 |
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156 | 156 | | under this Act. 7 |
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157 | 157 | | ‘‘(g) C |
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158 | 158 | | ONGRESSIONAL DISAPPROVAL OF FDA OR-8 |
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159 | 159 | | DERS.— 9 |
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160 | 160 | | ‘‘(1) I |
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161 | 161 | | N GENERAL.—A decision of the Secretary 10 |
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162 | 162 | | to decline to grant reciprocal marketing approval 11 |
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163 | 163 | | under this section shall not take effect if a joint res-12 |
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164 | 164 | | olution of disapproval of the decision is enacted. 13 |
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165 | 165 | | ‘‘(2) P |
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166 | 166 | | ROCEDURE.— 14 |
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167 | 167 | | ‘‘(A) I |
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168 | 168 | | N GENERAL.—Subject to subpara-15 |
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169 | 169 | | graph (B), the procedures described in sub-16 |
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170 | 170 | | sections (b) through (g) of section 802 of title 17 |
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171 | 171 | | 5, United States Code, shall apply to the con-18 |
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172 | 172 | | sideration of a joint resolution under this sub-19 |
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173 | 173 | | section. 20 |
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174 | 174 | | ‘‘(B) T |
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175 | 175 | | ERMS.—For purposes of this sub-21 |
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176 | 176 | | section— 22 |
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177 | 177 | | ‘‘(i) the reference to ‘section 23 |
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178 | 178 | | 801(a)(1)’ in section 802(b)(2)(A) of title 24 |
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181 | 181 | | •HR 1632 IH |
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182 | 182 | | 5, United States Code, shall be considered 1 |
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183 | 183 | | to refer to subsection (c)(2); and 2 |
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184 | 184 | | ‘‘(ii) the reference to ‘section 3 |
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185 | 185 | | 801(a)(1)(A)’ in section 802(e)(2) of title 4 |
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186 | 186 | | 5, United States Code, shall be considered 5 |
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187 | 187 | | to refer to subsection (c)(2). 6 |
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188 | 188 | | ‘‘(3) E |
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189 | 189 | | FFECT OF CONGRESSIONAL DIS -7 |
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190 | 190 | | APPROVAL.—Reciprocal marketing approval under 8 |
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191 | 191 | | this section with respect to the applicable covered 9 |
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192 | 192 | | product shall take effect upon enactment of a joint 10 |
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193 | 193 | | resolution of disapproval under this subsection. 11 |
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194 | 194 | | ‘‘(h) A |
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195 | 195 | | PPLICABILITY OFRELEVANTPROVISIONS.— 12 |
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196 | 196 | | The provisions of this Act shall apply with respect to a 13 |
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197 | 197 | | covered product for which reciprocal marketing approval 14 |
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198 | 198 | | is in effect to the same extent and in the same manner 15 |
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199 | 199 | | as such provisions apply with respect to a product for 16 |
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200 | 200 | | which approval or clearance of an application or pre-17 |
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201 | 201 | | market notification under section 505(c), 510(k), or 515 18 |
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202 | 202 | | of this Act or section 351(a) of the Public Health Service 19 |
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203 | 203 | | Act, as applicable, is in effect. 20 |
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204 | 204 | | ‘‘(i) F |
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205 | 205 | | EES FORREQUEST.—For purposes of imposing 21 |
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206 | 206 | | fees under chapter VII, a request for reciprocal marketing 22 |
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207 | 207 | | approval under this section shall be treated as an applica-23 |
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208 | 208 | | tion or premarket notification for approval or clearance 24 |
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210 | 210 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 8 |
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211 | 211 | | •HR 1632 IH |
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212 | 212 | | under section 505(c), 510(k), or 515 of this Act or section 1 |
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213 | 213 | | 351(a) of the Public Health Service Act, as applicable. 2 |
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214 | 214 | | ‘‘(j) O |
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215 | 215 | | UTREACH.—The Secretary shall conduct an 3 |
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216 | 216 | | outreach campaign to encourage the sponsors of covered 4 |
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217 | 217 | | products that are potentially eligible for reciprocal mar-5 |
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218 | 218 | | keting approval to request such approval. 6 |
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219 | 219 | | ‘‘(k) C |
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220 | 220 | | OVEREDPRODUCTDEFINED.—In this section, 7 |
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221 | 221 | | the term ‘covered product’ means a drug, biological prod-8 |
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222 | 222 | | uct, or device.’’. 9 |
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223 | 223 | | Æ |
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