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<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="HEA367D0501F54DFE8B821C161D1C78A9" public-private="public">
	<metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>113 HR 4709 IH: Ensuring Patient Access and Effective Drug Enforcement Act of 2014</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2014-05-21</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
</dublinCore>
</metadata>
<form>
		<distribution-code display="yes">I</distribution-code>
		<congress>113th CONGRESS</congress>
		<session>2d Session</session>
		<legis-num>H. R. 4709</legis-num>
		<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber>
		<action>
			<action-date date="20140521">May 21, 2014</action-date>
			<action-desc><sponsor name-id="M001179">Mr. Marino</sponsor> (for himself, <cosponsor name-id="B001243">Mrs. Blackburn</cosponsor>, <cosponsor name-id="W000800">Mr. Welch</cosponsor>, and <cosponsor name-id="C001080">Ms. Chu</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name>, and in addition to the Committee on the <committee-name committee-id="HJU00">Judiciary</committee-name>, for a period to be subsequently determined by the Speaker, in each case for consideration of such
			 provisions as fall within the jurisdiction of the committee concerned</action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To improve enforcement efforts related to prescription drug diversion and abuse, and for other
			 purposes.</official-title>
	</form>
	<legis-body id="HAEF97E493D1940C693F84A1B5D02C1F7" style="OLC">
		<section id="H1A3C234A6A3F4180915AF86882056194" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Ensuring Patient Access and Effective Drug Enforcement Act of 2014</short-title></quote>.</text>
		</section><section id="H4060093F474B4460B925E04FF2CDB367"><enum>2.</enum><header>Registration process under Controlled Substances Act</header>
			<subsection id="H4EB98953CE494279B2FD203A93FFEFC7"><enum>(a)</enum><header>Definitions</header>
				<paragraph id="H0370E1D6A08C47EDB9469C9E40E80F5F"><enum>(1)</enum><header>Consistent with the public health and safety</header><text>Section 303 of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/823">21 U.S.C. 823</external-xref>) is amended by adding at the end the
			 following:</text>
					<quoted-block display-inline="no-display-inline" id="HC23ABE5D37C8466EAE9E17D77747E71E" style="OLC">
						<subsection id="HE28889F9321B4D70A71D108F4ABE5AC8"><enum>(j)</enum><text display-inline="yes-display-inline">In this section, the phrase <quote>consistent with the public health and safety</quote> means having a substantial relationship to this Act’s purpose of preventing diversion and abuse of
			 controlled substances.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
				</paragraph><paragraph id="H443A13BAB1724614B4ECAFDCE19ECCD8"><enum>(2)</enum><header>Imminent danger</header><text>Section 304(d) of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/824">21 U.S.C. 824(d)</external-xref>) is amended—</text>
					<subparagraph id="H037E8677CDEE4ABBAB3BA33818469E4E"><enum>(A)</enum><text>by striking <quote>(d) The Attorney General</quote> and inserting <quote>(d)(1) The Attorney General</quote>; and</text>
					</subparagraph><subparagraph id="HBF5766243F734476A119A6AFE9AA7584"><enum>(B)</enum><text>by adding at the end the following:</text>
						<quoted-block display-inline="no-display-inline" id="HED80E5E3A6764205894F08031973576D" style="OLC">
							<paragraph id="H6592CF50EB9D496AB6E7B49DC0D781B3" indent="up1"><enum>(2)</enum><text display-inline="yes-display-inline">In this subsection, the term <term>imminent danger</term> means a significant and present risk of death or serious bodily harm that is more likely than not
			 to occur in the absence of an immediate suspension order.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
					</subparagraph></paragraph></subsection><subsection id="H01AF43FDA0544A5891C84C2D41E0F74B"><enum>(b)</enum><header>Opportunity To submit corrective action plan prior to revocation or suspension</header><text display-inline="yes-display-inline">Section 304(c) of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/824">21 U.S.C. 824(c)</external-xref>) is amended—</text>
				<paragraph id="H956C0DD8D9ED4FD19550497D8856FF6A"><enum>(1)</enum><text>by striking <quote>(c) Before</quote> and inserting <quote>(c)(1) Before</quote>; and</text>
				</paragraph><paragraph id="H220F20C5379948E6A45770A8E42E1FFD"><enum>(2)</enum><text>by adding at the end the following:</text>
					<quoted-block display-inline="no-display-inline" id="H6AC7CBF4B286487BB12E6DB4518CA348" style="OLC">
						<paragraph id="HF219B3BF3994423FB7475743E97DBE98" indent="up1"><enum>(2)</enum><text display-inline="yes-display-inline">Before revoking or suspending a registration pursuant to section 303, the Attorney General shall—</text>
							<subparagraph id="H84E80B237D604876A695192524179377"><enum>(A)</enum><text display-inline="yes-display-inline">provide—</text>
								<clause id="H9C396F22141D4DD68423451F80345B6F"><enum>(i)</enum><text>notice to the registrant of the grounds for revocation or suspension; and</text>
								</clause><clause id="HE801358AE73945C7B04DC956526E2979"><enum>(ii)</enum><text>in the case of any such grounds consisting of a violation of law, a specific citation to such law;</text>
								</clause></subparagraph><subparagraph id="H80D6EE276EAF4F208ED63B5BDFB12E7E"><enum>(B)</enum><text>give the registrant an opportunity to submit a corrective action plan within a reasonable period of
			 time to demonstrate how the registrant plans to correct the grounds for
			 revocation or suspension; and</text>
							</subparagraph><subparagraph id="HFA7822B206BF4CDE81D4806C3EFA14A1"><enum>(C)</enum><text>determine whether—</text>
								<clause id="H378CE9AA98CC45FBB1F79B1083F44D25"><enum>(i)</enum><text>in light of the plan, revocation or suspension proceedings should be discontinued or deferred; or</text>
								</clause><clause id="H86DB9FE2BC64447C973EA4C2BE887B25"><enum>(ii)</enum><text>additional changes need to be made in the corrective action plan.</text></clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</paragraph></subsection></section><section id="HCEC36C4C60924DCA81E8A1F4CF6A15ED"><enum>3.</enum><header>Report to Congress on effects of law enforcement activities on patient access to medications</header>
			<subsection id="H1FC368A2150A4B75A00B35564B3B3EA5"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Not later than one year after the date of enactment of this Act, the Secretary of Health and Human
			 Services, acting through the Commissioner of Food and Drugs and the
			 Director of the Centers for Disease Control and Prevention, and in
			 consultation with the Administrator of the Drug Enforcement Administration
			 and the Director of National Drug Control Policy, shall submit a report to
			 the Congress—</text>
				<paragraph id="H1EA96BC8B3C849B194E82FF66FAC86D9"><enum>(1)</enum><text>assessing how patient access to medications could be adversely impacted by Federal and State law
			 enforcement activities; and</text>
				</paragraph><paragraph id="H97341524A9394C228233DE5C3E94A9F4"><enum>(2)</enum><text>identifying how collaboration between agencies and stakeholders can benefit patients and prevent
			 diversion and abuse of controlled substances.</text>
				</paragraph></subsection><subsection id="HFC2A3FC57C8B43E9A761B737B4BA19E1"><enum>(b)</enum><header>Consultation</header><text display-inline="yes-display-inline">The report under subsection (a) shall incorporate feedback and recommendations from the following:</text>
				<paragraph id="H94C2CFF0AB8F4E5DB9276D016E6B9727"><enum>(1)</enum><text>Patient groups.</text>
				</paragraph><paragraph id="HD5B2D934E0B94E2DBE024AF816BEBD70"><enum>(2)</enum><text>Pharmacies.</text>
				</paragraph><paragraph id="H6EA61D081A79404F9116785DC1DA7449"><enum>(3)</enum><text>Manufacturers of drugs.</text>
				</paragraph><paragraph id="H8C70C2F24CE24B5A91AB1ED0B99C9806"><enum>(4)</enum><text>Common or contract carriers and warehousemen.</text>
				</paragraph><paragraph id="HE71DBCE805E14D23A1EBDF3D4DF06209"><enum>(5)</enum><text>Hospitals, physicians, and other health care providers.</text>
				</paragraph><paragraph id="H22777373DAD84350BA84457C14F5EE00"><enum>(6)</enum><text>State attorneys general.</text>
				</paragraph><paragraph id="H491EB40AA18F4A76B6BACEF67FD1690F"><enum>(7)</enum><text>Law enforcement officials, including local law enforcement officials.</text>
				</paragraph><paragraph id="H3C55551E65F3487DB77033BBC119FFA7"><enum>(8)</enum><text>Health benefit plans and entities that provide pharmacy benefit management services on behalf of a
			 health benefit plan.</text>
				</paragraph><paragraph id="H58AFF0710FC943F48919AB6E2D259531"><enum>(9)</enum><text>Wholesale drug distributors.</text>
				</paragraph></subsection></section></legis-body>
</bill>


