Us Congress 2025-2026 Regular Session

Us Congress Senate Bill SB652 Compare Versions

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11 II
22 119THCONGRESS
33 1
44 STSESSION S. 652
55 To provide for the regulation of certain communications regarding prescription
66 drugs.
77 IN THE SENATE OF THE UNITED STATES
88 FEBRUARY20, 2025
99 Mr. D
1010 URBIN(for himself and Mr. MARSHALL) introduced the following bill;
1111 which was read twice and referred to the Committee on Health, Edu-
1212 cation, Labor, and Pensions
1313 A BILL
1414 To provide for the regulation of certain communications
1515 regarding prescription drugs.
1616 Be it enacted by the Senate and House of Representa-1
1717 tives of the United States of America in Congress assembled, 2
1818 SECTION 1. SHORT TITLE. 3
1919 This Act may be cited as the ‘‘Protecting Patients 4
2020 from Deceptive Drug Ads Act’’. 5
2121 SEC. 2. REGULATION OF CERTAIN COMMUNICATIONS RE-6
2222 GARDING PRESCRIPTION DRUGS. 7
2323 (a) R
2424 EGULATION OFCOMMUNICATIONS.— 8
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2828 (1) IN GENERAL.—Section 303 of the Federal 1
2929 Food, Drug, and Cosmetic Act (21 U.S.C. 333) is 2
3030 amended by adding at the end the following: 3
3131 ‘‘(h)(1) In the case of a social media influencer or 4
3232 health care provider who makes false or misleading com-5
3333 munications regarding a drug approved under section 505 6
3434 or licensed under section 351 of the Public Health Service 7
3535 Act, and subject to section 503(b), or compounded in ac-8
3636 cordance with section 503A or 503B, shall be liable to the 9
3737 United States for a civil penalty in an amount described 10
3838 in paragraph (g)(1), in accordance with a process similar 11
3939 to the process described in paragraph (g)(2). 12
4040 ‘‘(2) For purposes of this paragraph— 13
4141 ‘‘(A) the term ‘false or misleading communica-14
4242 tions’— 15
4343 ‘‘(i) means advertisements or promotional 16
4444 communications on a social media platform 17
4545 from which there is a financial benefit to the 18
4646 person engaging in such communications re-19
4747 garding such drug— 20
4848 ‘‘(I)(aa) that are made knowingly or 21
4949 recklessly; and 22
5050 ‘‘(bb) contain a false or inaccurate 23
5151 statement or material omission of fact re-24
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5555 garding a drug described in subparagraph 1
5656 (1); or 2
5757 ‘‘(II) fail to include information in 3
5858 brief summary relating to side effects, con-4
5959 traindications, and effectiveness of the 5
6060 drug in the same manner and to the same 6
6161 extent as such information is required in 7
6262 prescription drug advertisements pursuant 8
6363 to section 502(n); and 9
6464 ‘‘(ii) does not include— 10
6565 ‘‘(I) statements that take place in the 11
6666 course of bona fide patient care or medical 12
6767 research that are made by professionals 13
6868 engaged in such patient care or medical re-14
6969 search; or 15
7070 ‘‘(II) statements that describe the per-16
7171 son’s own experience, opinion, or value 17
7272 judgment; and 18
7373 ‘‘(B) the term ‘social media influencer’ means a 19
7474 private individual who has perceived credibility or 20
7575 popularity and who expresses their opinions, beliefs, 21
7676 findings, recommendations, or experience on social 22
7777 media platforms to an audience, including in a man-23
7878 ner conveying trust or expertise on a topic, for the 24
7979 purpose to promoting or advertising certain informa-25
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8383 tion or products or inducing behavior by the audi-1
8484 ence.’’. 2
8585 (2) G
8686 UIDANCE.—Not later than 180 days after 3
8787 the date of enactment of this Act, the Secretary of 4
8888 Health and Human Services (referred to in this sec-5
8989 tion as the ‘‘Secretary’’) shall issue guidance on how 6
9090 the Secretary will administer paragraph (h) of sec-7
9191 tion 303 of the Federal Food, Drug, and Cosmetic 8
9292 Act (21 U.S.C. 333), as added by paragraph (1), in-9
9393 cluding with respect to the factors that will be con-10
9494 sidered in determining whether a communication is 11
9595 false or misleading communication, as defined in 12
9696 such paragraph (h), including— 13
9797 (A) the various types of statements or 14
9898 omission of facts regarding a prescription drug 15
9999 that would constitute false or misleading, such 16
100100 as statements or omissions related to safety, ef-17
101101 ficacy, approved or unapproved uses, directions 18
102102 for use from the label approved by the Food 19
103103 and Drug Administration, scientific informa-20
104104 tion, or other similar attributes; 21
105105 (B) whether the inclusion of the informa-22
106106 tion in brief summary described in paragraph 23
107107 (h)(2)(A)(i)(III) of section 303 of the Federal 24
108108 Food, Drug, and Cosmetic Act (21 U.S.C. 25
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112112 333), as added by paragraph (1), alone is suffi-1
113113 cient in each circumstance to avoid such a de-2
114114 termination; 3
115115 (C) actions taken by the social media 4
116116 influencer, health care provider, or other person 5
117117 to demonstrate compliance with such paragraph 6
118118 (h); and 7
119119 (D) characteristics specific to various so-8
120120 cial media platforms, and the speed of dissemi-9
121121 nation of the content on such platform. 10
122122 (3) A
123123 DDITIONAL REQUIREMENTS FOR TELE -11
124124 HEALTH PROVIDERS.— 12
125125 (A) I
126126 N GENERAL.—Section 502(n) of the 13
127127 Federal Food, Drug, and Cosmetic Act (21 14
128128 U.S.C. 352(n)) is amended by adding at the 15
129129 end the following: ‘‘For purposes of this para-16
130130 graph, ‘manufacturer, packer, or distributor’ in-17
131131 cludes a person who issues or causes to be 18
132132 issued an advertisement or other descriptive 19
133133 printed matter with respect to a specific drug 20
134134 subject to section 503(b)(1) or compounded in 21
135135 accordance with section 503A or 503B, and 22
136136 who directly or indirectly offers to bring to-23
137137 gether a potential patient and a prescriber or 24
138138 dispenser through use of electronic information 25
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142142 and telecommunication technologies to engage 1
143143 in prescribing or dispensing of any drug subject 2
144144 to section 503(b)(1). Nothing in this paragraph 3
145145 shall apply to a private communication between 4
146146 a practitioner licensed by law to prescribe or 5
147147 dispense a prescription drug (or an individual 6
148148 under the direct supervision of such a practi-7
149149 tioner) and an individual patient or their rep-8
150150 resentative.’’. 9
151151 (B) R
152152 EGULATIONS.—Not later than 1 year 10
153153 after the date of enactment of this Act, the Sec-11
154154 retary shall update the regulations promulgated 12
155155 to carry out section 502(n) of the Federal 13
156156 Food, Drug, and Cosmetic Act (21 U.S.C. 14
157157 352(n)) in accordance with the amendments 15
158158 made by subparagraph (A). 16
159159 (4) R
160160 ULE OF CONSTRUCTION .—Nothing in this 17
161161 subsection, including the amendments made by this 18
162162 subsection, precludes a drug manufacturer from tak-19
163163 ing any corrective action to mitigate the potential 20
164164 for patient harm from false or misleading commu-21
165165 nications described in paragraph (h)(2)(A) of section 22
166166 303 of the Federal Food, Drug, and Cosmetic Act 23
167167 (21 U.S.C. 353), as added by paragraph (1). 24
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171171 (5) EFFECTIVE DATE.—The amendments made 1
172172 by paragraphs (1) and (3) shall take effect 180 days 2
173173 after the date on which the regulations described in 3
174174 paragraph (3)(B) are finalized. 4
175175 (b) R
176176 EPORTINGREQUIREMENT.— 5
177177 (1) I
178178 N GENERAL.—Any payment described in 6
179179 paragraph (2) with respect to the promotion of, or 7
180180 communications regarding, a covered drug shall be 8
181181 treated as a payment from an applicable manufac-9
182182 turer to a covered recipient for purposes of section 10
183183 1128G of the Social Security Act (42 U.S.C. 1320a– 11
184184 7h), and shall be reported to the Secretary of Health 12
185185 and Human Services by the drug manufacturer or 13
186186 health care provider making the payment and made 14
187187 publicly available by the Secretary in accordance 15
188188 with such section 1128G. 16
189189 (2) P
190190 AYMENTS DESCRIBED .—A payment de-17
191191 scribed in this paragraph is— 18
192192 (A) a payment by a drug manufacturer to 19
193193 a health care provider, including a telehealth 20
194194 company or other similar entity, or social media 21
195195 influencer; or 22
196196 (B) a payment by a health care provider, 23
197197 including a telehealth provider or other similar 24
198198 entity, to a social media influencer. 25
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202202 (3) DEFINITIONS.—In this subsection— 1
203203 (A) the terms ‘‘applicable manufacturer’’ 2
204204 and ‘‘covered recipient’’ have the meanings 3
205205 given such terms in section 1128G(e) of the So-4
206206 cial Security Act (42 U.S.C. 1320a–7h); and 5
207207 (B) the term ‘‘covered drug’’ means any 6
208208 drug, including a biological product (as defined 7
209209 in section 351(i) of the Public Health Service 8
210210 Act (42 U.S.C. 262(i))), for which payment is 9
211211 available under title XVIII of the Social Secu-10
212212 rity Act (42 U.S.C. 1395 et seq.) or a State 11
213213 plan under title XIX or XXI of such Act (42 12
214214 U.S.C. 1396 et seq.; 42 U.S.C. 1397aa et seq.) 13
215215 (or a waiver of such a plan). 14
216216 (c) M
217217 ARKETSURVEILLANCE OF PRESCRIPTION 15
218218 D
219219 RUGADVERTISING ORPROMOTION.— 16
220220 (1) I
221221 N GENERAL.—The Secretary may conduct 17
222222 market surveillance activities regarding any pro-18
223223 motion of prescription drugs on social media plat-19
224224 forms. The activities under this section may in-20
225225 clude— 21
226226 (A) activities, carried out directly or by 22
227227 contract, relating to— 23
228228 (i) aggregating and analysis of public 24
229229 communications (which may involve the 25
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233233 use of artificial intelligence applications), 1
234234 including to establish any relationship be-2
235235 tween a manufacturer of a prescription 3
236236 drug and individuals engaging in commu-4
237237 nications about such drug; 5
238238 (ii) analytical tools to review submis-6
239239 sions of promotional communications; 7
240240 (iii) engagement with representatives 8
241241 of social media platforms on strategies and 9
242242 opportunities to address false or mis-10
243243 leading promotion of prescription drugs, 11
244244 including through methods of technology 12
245245 or functionality to identify and assess false 13
246246 or misleading communications; and 14
247247 (iv) developing and disseminating pub-15
248248 lic facing communications and educational 16
249249 materials and programs for prescription 17
250250 drug manufacturers, social media plat-18
251251 forms, and the public, which may include 19
252252 communications and educational materials 20
253253 and programs regarding the Bad Ad pro-21
254254 gram of the Food and Drug Administra-22
255255 tion; 23
256256 (B) hiring additional staff for the Office of 24
257257 Prescription Drug Promotion of the Center for 25
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261261 Drug Evaluation and Research and the Adver-1
262262 tising and Promotional Labeling Branch of the 2
263263 Center for Biologics Evaluation and Research 3
264264 for the review of advertising or promotion of 4
265265 prescription drugs on digital platforms, such as 5
266266 social media, and such other purposes as the 6
267267 Secretary determines appropriate; and 7
268268 (C) establishing a task force, jointly with 8
269269 the Federal Trade Commission, to coordinate 9
270270 and enhance communication between the Fed-10
271271 eral Trade Commission and the Food and Drug 11
272272 Administration related to monitoring of, and 12
273273 compliance activities relating to, prescription 13
274274 drug advertising or promotion. 14
275275 (2) R
276276 ULE OF CONSTRUCTION .—Nothing in 15
277277 paragraph (1) shall be construed to affect the au-16
278278 thority of the Secretary to carry out activities de-17
279279 scribed in such paragraph pursuant to other provi-18
280280 sions of law. 19
281281 (3) FDA
282282 NOTICE TO MANUFACTURERS .—The 20
283283 Secretary may establish a process for providing in-21
284284 formation to the holder of an approved application 22
285285 of a prescription drug under section 505 of this Act 23
286286 or section 351 of the Public Health Service Act for 24
287287 the purpose of notifying such holder of instances of 25
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291291 communications by health care providers or social 1
292292 media influencers that fail to include information in 2
293293 brief summary relating to side effects, contraindica-3
294294 tions, and effectiveness of the drug in the same 4
295295 manner and to the same extent as such information 5
296296 is required in prescription drug advertisements pur-6
297297 suant to section 502(n) of the Federal Food, Drug, 7
298298 and Cosmetic Act (21 U.S.C. 352(n)). 8
299299 (4) R
300300 EPORTING.—The Secretary shall— 9
301301 (A) not later than 2 years after the date 10
302302 of enactment of this Act, submit to Congress a 11
303303 report on the activities carried out under this 12
304304 subsection; 13
305305 (B) not later than 4 years after the date 14
306306 of enactment of this Act, submit to Congress, 15
307307 and make publicly available, a report on the ac-16
308308 tivities carried out under this subsection; and 17
309309 (C) make publicly available on the website 18
310310 of the Food and Drug Administration notice of 19
311311 all enforcement actions taken under paragraph 20
312312 (h) of section 303 of the Federal Food, Drug, 21
313313 and Cosmetic Act (21 U.S.C. 333), as added by 22
314314 subsection (a). 23
315315 (5) A
316316 UTHORIZATION OF APPROPRIATIONS .—To 24
317317 carry out this subsection, there are authorized to be 25
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321321 appropriated $15,000,000 for each of fiscal years 1
322322 2025 through 2029. 2
323323 (d) S
324324 OCIALMEDIAINFLUENCER.—In this section, 3
325325 the term ‘‘social media influencer’’ has the meaning given 4
326326 such term in paragraph (h) of section 303 of the Federal 5
327327 Food, Drug, and Cosmetic Act (21 U.S.C. 333), as added 6
328328 by subsection (a). 7
329329 (e) S
330330 EVERABILITY.—If any provision of this Act or 8
331331 of any amendment made by this Act, or the application 9
332332 of such provision or amendment to any person or cir-10
333333 cumstance, is held to be invalid, the remainder of the pro-11
334334 visions of this Act and of the amendments made by this 12
335335 Act and the remainder of the provisions of the Federal 13
336336 Food, Drug, and Cosmetic Act (21 U.S.C. 301 et seq.), 14
337337 and the application of any such provision or amendment 15
338338 to other persons not similarly situated or to other cir-16
339339 cumstances, shall not be affected. 17
340340 Æ
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