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<dc:title>115 S23 IS: Biological Implant Tracking and Veteran Safety Act of 2017</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2017-01-04</dc:date>
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<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>
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<distribution-code display="yes">II</distribution-code><congress>115th CONGRESS</congress><session>1st Session</session><legis-num>S. 23</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20170104">January 4, 2017</action-date><action-desc><sponsor name-id="S373">Mr. Cassidy</sponsor> introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSVA00">Committee on Veterans' Affairs</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To amend title 38, United States Code, to direct the Secretary of Veterans Affairs to adopt and
			 implement a standard identification protocol for use in the tracking and
			 procurement of biological implants by the Department of Veterans Affairs,
			 and for other purposes.</official-title></form>
	<legis-body display-enacting-clause="yes-display-enacting-clause" id="H26FB890A09364009A334FE5ACA66F5DC" style="OLC">
 <section id="HF783BA6D61B14701B20CA3110A4A0B81" 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>Biological Implant Tracking and Veteran Safety Act of 2017</short-title></quote>.</text> </section><section id="H6D2636D0C1434ECDB77C62FB4FC4B206"><enum>2.</enum><header>Identification and tracking of biological implants used in Department of Veterans Affairs medical facilities</header> <subsection id="HDF3855D00EB647859392CF2A142606C1"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Subchapter II of <external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/38/73">chapter 73</external-xref> of title 38, United States Code, is amended by adding at the end the following new section:</text>
				<quoted-block display-inline="no-display-inline" id="HD37A15F294904751BFBE6AFAB8FF32D7" style="USC">
					<section id="HB533FF7B942F400E8E983C4805B0B6E4"><enum>7330B.</enum><header>Identification and tracking of biological implants</header>
 <subsection id="HBFFCD6EFAE324FA6AF6AA030956EAAF0"><enum>(a)</enum><header>Standard identification system for biological implants</header><paragraph commented="no" display-inline="yes-display-inline" id="HF0E578C4E66A42E3AF2B8222464BE0DA"><enum>(1)</enum><text>The Secretary shall adopt the unique device identification system developed for medical devices by the Food and Drug Administration under section 519(f) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/360i">21 U.S.C. 360i(f)</external-xref>), or implement a comparable standard identification system, for use in identifying biological implants intended for use in medical procedures conducted in medical facilities of the Department.</text>
 </paragraph><paragraph id="HCF9B5B7058594CF58E69D66875E1B7F6" indent="up1"><enum>(2)</enum><text>In adopting or implementing a standard identification system for biological implants under paragraph (1), the Secretary shall permit a vendor to use any of the accredited entities identified by the Food and Drug Administration as an issuing agency pursuant to section 830.100 of title 21, Code of Federal Regulations, or any successor regulation.</text>
 </paragraph></subsection><subsection id="H5868021537154DCA9EB7D8FE6A832B9A"><enum>(b)</enum><header>Biological implant tracking system</header><paragraph commented="no" display-inline="yes-display-inline" id="H2E3DAC656BE046D48918ABA13763BF1F"><enum>(1)</enum><text>The Secretary shall implement a system for tracking the biological implants described in subsection (a) from human donor or animal source to implantation.</text>
 </paragraph><paragraph id="id7E61EBE7A67740D99D957E680022A5C5" indent="up1"><enum>(2)</enum><text>The tracking system implemented under paragraph (1) shall be compatible with the identification system adopted or implemented under subsection (a).</text>
 </paragraph><paragraph id="H6FEEEA55F4714E10829C90FDFEE32644" indent="up1"><enum>(3)</enum><text>The Secretary shall implement inventory controls compatible with the tracking system implemented under paragraph (1) so that all patients who have received, in a medical facility of the Department, a biological implant subject to a recall can be notified of the recall if, based on the evaluation by appropriate medical personnel of the Department of the risks and benefits, the Secretary determines such notification is appropriate.</text>
 </paragraph></subsection><subsection id="H3DA5F9CD86E848B9B411C70BF3E0CC62"><enum>(c)</enum><header>Consistency with Food and Drug Administration regulations</header><text display-inline="yes-display-inline">To the extent that a conflict arises between this section and a provision of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/301">21 U.S.C. 301 et seq.</external-xref>) or sections 351 or 361 of the Public Health Service Act (42 U.S.C. 262 and 264) (including any regulations issued under such provisions), the provision of the Federal Food, Drug, and Cosmetic Act or Public Health Service Act (including any regulations issued under such provisions) shall apply.</text>
 </subsection><subsection id="HE1E394D21A28465D8EF2F006BC3C0B18"><enum>(d)</enum><header>Biological implant defined</header><text>In this section, the term <term>biological implant</term> means any human cell, tissue, or cellular or tissue-based product or animal product—</text> <paragraph id="H4C4A3B5EA6AD4CD69E1239961194A2B6"><enum>(1)</enum><text display-inline="yes-display-inline">under the meaning given the term <term>human cells, tissues, or cellular or tissue-based products</term> in section 1271.3 of title 21, Code of Federal Regulations, or any successor regulation; or</text>
 </paragraph><paragraph id="HB17F515ACDF948FCA3C899C4565023B8"><enum>(2)</enum><text display-inline="yes-display-inline">that is regulated as a device under section 201(h) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/321">21 U.S.C. 321(h)</external-xref>).</text></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
 </subsection><subsection id="H61BB07FBF0C347C8B60C1187D58DD5DB"><enum>(b)</enum><header>Clerical amendment</header><text>The table of sections at the beginning of such chapter is amended by inserting after the item relating to section 7330A the following new item:</text>
				<quoted-block display-inline="no-display-inline" id="H0FC1A9CA04C746C4A4F7D84438CF9C78" style="USC"><toc regeneration="no-regeneration"><toc-entry level="section">7330B. Identification and tracking of biological implants.</toc-entry></toc><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection id="HE77D4EA694B841519DB3D1C42C611485"><enum>(c)</enum><header>Implementation deadlines</header>
 <paragraph id="HA1D8D8D0B4E147DDB32D216DA87E916C"><enum>(1)</enum><header>Standard identification system</header><text>The Secretary of Veterans Affairs shall adopt or implement the standard identification system for biological implants required by subsection (a) of section 7330B of title 38, United States Code, as added by subsection (a), with respect to biological implants described in—</text>
 <subparagraph id="id5258052D94544D5FA2081F0D6DF24A84"><enum>(A)</enum><text>subsection (d)(1) of such section, by not later than the date that is 180 days after the date of the enactment of this Act; and</text>
 </subparagraph><subparagraph id="H45B18BC0F6C245B2A895BAFAEC7551E8"><enum>(B)</enum><text display-inline="yes-display-inline">subsection (d)(2) of such section, in compliance with the compliance dates established by the Food and Drug Administration under section 519(f) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/360i">21 U.S.C. 360i(f)</external-xref>).</text>
 </subparagraph></paragraph><paragraph id="HD7F577C987974529BA7A0A1938F8C1AA"><enum>(2)</enum><header>Tracking system</header><text display-inline="yes-display-inline">The Secretary of Veterans Affairs shall implement the biological implant tracking system required by section 7330B(b) of title 38, United States Code, as added by subsection (a), by not later than the date that is 180 days after the date of the enactment of this Act.</text>
				</paragraph></subsection><subsection id="H3759D96865A74B7293E01080D98B91F7"><enum>(d)</enum><header>Reporting requirement</header>
 <paragraph id="id6D92B4451134476E95E1DA9755D2BD4D"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">If the biological implant tracking system required by section 7330B(b) of title 38, United States Code, as added by subsection (a), is not operational by the date that is 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a written explanation on why the system is not operational for each month until such time as the system is operational.</text>
 </paragraph><paragraph id="idC9BCF4944A2B47CEB0C97E5F4377E4B7"><enum>(2)</enum><header>Elements</header><text display-inline="yes-display-inline">Each explanation submitted under paragraph (1) shall include a description of the following:</text> <subparagraph id="idD1A69954B6D44392B98E491ACE6DCF80"><enum>(A)</enum><text display-inline="yes-display-inline">Each impediment to the implementation of the system described in such paragraph.</text>
 </subparagraph><subparagraph id="idA8A3B21C90F240479A051CE20CF451E4"><enum>(B)</enum><text display-inline="yes-display-inline">Steps being taken to remediate each such impediment.</text>
 </subparagraph><subparagraph id="id64DC5B6E846A42FC8C4F7EFF642A85F5"><enum>(C)</enum><text display-inline="yes-display-inline">Target dates for a solution to each such impediment.</text> </subparagraph></paragraph></subsection></section><section id="H63A28304FDB34EB8A0AC1176787DBB77"><enum>3.</enum><header>Procurement of biological implants used in Department of Veterans Affairs medical facilities</header> <subsection id="H2AF8F125A7314D73BD5FD97E978715BC"><enum>(a)</enum><header>Procurement</header> <paragraph id="HAD364AC49530404C829CBFF98C9E826F"><enum>(1)</enum><header>In general</header><text>Subchapter II of chapter 81 of such title is amended by adding at the end the following new section:</text>
					<quoted-block display-inline="no-display-inline" id="H8981B1031C58475A928E25B8F159E8BF" style="USC">
						<section id="H7EBD40EC33BA49E09730B99921B1DBF9"><enum>8129.</enum><header>Procurement of biological implants</header>
 <subsection id="HA45C68E09821482B9722FAC87DA67495"><enum>(a)</enum><header>In general</header><paragraph commented="no" display-inline="yes-display-inline" id="H05702553D73445B0BEC107C0F5413CBC"><enum>(1)</enum><text>The Secretary may procure biological implants of human origin only from vendors that meet the following conditions:</text>
 <subparagraph id="HD77550E3575F4A109104922E049A53D5" indent="up1"><enum>(A)</enum><text>The vendor uses the standard identification system adopted or implemented by the Secretary under section 7330B(a) of this title and has safeguards to ensure that a distinct identifier has been in place at each step of distribution of each biological implant from its donor.</text>
 </subparagraph><subparagraph id="H7B23259BD1F14798A404CC7313D874A8" indent="up1"><enum>(B)</enum><text>The vendor is registered as required by the Food and Drug Administration under subpart B of part 1271 of title 21, Code of Federal Regulations, or any successor regulation, and in the case of a vendor that uses a tissue distribution intermediary or a tissue processor, the vendor provides assurances that the tissue distribution intermediary or tissue processor is registered as required by the Food and Drug Administration.</text>
 </subparagraph><subparagraph id="H3F5C528DEEEF42FEB990FF1CD40F071F" indent="up1"><enum>(C)</enum><text>The vendor ensures that donor eligibility determinations and such other records as the Secretary may require accompany each biological implant at all times, regardless of the country of origin of the donor of the biological material.</text>
 </subparagraph><subparagraph id="H82B54E018DD0476FB65433B7E80F8BAE" indent="up1"><enum>(D)</enum><text>The vendor agrees to cooperate with all biological implant recalls conducted on the initiative of the vendor, on the initiative of the original product manufacturer used by the vendor, by the request of the Food and Drug Administration, or by a statutory order of the Food and Drug Administration.</text>
 </subparagraph><subparagraph id="HD61A5519031849AF88CC207FFB320DC6" indent="up1"><enum>(E)</enum><text>The vendor agrees to notify the Secretary of any adverse event or reaction report it provides to the Food and Drug Administration, as required by sections 1271.3 and 1271.350 of title 21, Code of Federal Regulations, or any successor regulation, or any warning letter from the Food and Drug Administration issued to the vendor or a tissue processor or tissue distribution intermediary used by the vendor by not later than 60 days after the vendor receives such report or warning letter.</text>
 </subparagraph><subparagraph id="HEAF3057890194BCE8A620C3C1DC8A382" indent="up1"><enum>(F)</enum><text>The vendor agrees to retain all records associated with the procurement of a biological implant by the Department for at least 10 years after the date of the procurement of the biological implant.</text>
 </subparagraph><subparagraph id="HF656B44201B7435FAEB575773602CC1F" indent="up1"><enum>(G)</enum><text>The vendor provides assurances that the biological implants provided by the vendor are acquired only from tissue processors that maintain active accreditation with the American Association of Tissue Banks or a similar national accreditation specific to biological implants.</text>
 </subparagraph></paragraph><paragraph id="H71B55A7A6C634825904AD60E3CBFBBEF" indent="up1"><enum>(2)</enum><text display-inline="yes-display-inline">The Secretary may procure biological implants of non-human origin only from vendors that meet the following conditions:</text>
 <subparagraph id="HB19276F8AEB94E8091DB2E39D9CF438F"><enum>(A)</enum><text>The vendor uses the standard identification system adopted or implemented by the Secretary under section 7330B(a) of this title.</text>
 </subparagraph><subparagraph id="H3F5590A72D0D4689B91694848176A25E"><enum>(B)</enum><text>The vendor is registered as an establishment as required by the Food and Drug Administration under sections 807.20 and 807.40 of title 21, Code of Federal Regulations, or any successor regulation (or is not required to register pursuant to section 807.65(a) of such title, or any successor regulation), and in the case of a vendor that is not the original product manufacturer of such implants, the vendor provides assurances that the original product manufacturer is registered as required by the Food and Drug Administration (or is not required to register).</text>
 </subparagraph><subparagraph id="HBBC8B38F344E4B72871B713B0E03E488"><enum>(C)</enum><text>The vendor agrees to cooperate with all biological implant recalls conducted on the initiative of the vendor, on the initiative of the original product manufacturer used by the vendor, by the request of the Food and Drug Administration, or by a statutory order of the Food and Drug Administration.</text>
 </subparagraph><subparagraph id="H9A6D38AC4FE246929207C87AA9EB453F"><enum>(D)</enum><text>The vendor agrees to notify the Secretary of any adverse event report it provides to the Food and Drug Administration as required under part 803 of title 21, Code of Federal Regulations, or any successor regulation, or any warning letter from the Food and Drug Administration issued to the vendor or the original product manufacturer used by the vendor by not later than 60 days after the vendor receives such report or warning letter.</text>
 </subparagraph><subparagraph id="HA6853C5B6443438FA214C99C4FCF8122"><enum>(E)</enum><text>The vendor agrees to retain all records associated with the procurement of a biological implant by the Department for at least 10 years after the date of the procurement of the biological implant.</text>
 </subparagraph></paragraph><paragraph id="H97E3736EF8404B769BD2AB4D1FD42499" indent="up1"><enum>(3)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id416642E225704D52A3DD0CF493C7F716"><enum>(A)</enum><text>The Secretary shall procure biological implants under the Federal Supply Schedules of the General Services Administration unless such implants are not available under such Schedules.</text>
 </subparagraph><subparagraph id="idD4648FF1F9064EBEB641F1DD04E633E3" indent="up1"><enum>(B)</enum><text>With respect to biological implants listed on the Federal Supply Schedules, the Secretary shall accommodate reasonable vendor requests to undertake outreach efforts to educate medical professionals of the Department about the use and efficacy of such biological implants.</text>
 </subparagraph><subparagraph id="HCDA65BDCCF354124AEB0A9AB6E2B0A99" indent="up1"><enum>(C)</enum><text>In the case of biological implants that are unavailable for procurement under the Federal Supply Schedules, the Secretary shall procure such implants using competitive procedures in accordance with applicable law and the Federal Acquisition Regulation.</text>
 </subparagraph></paragraph><paragraph id="HEB05EEF5B13942E0AD0C3C68838E1917" indent="up1"><enum>(4)</enum><text>Section 8123 of this title shall not apply to the procurement of biological implants.</text> </paragraph></subsection><subsection id="HD34FB652EE004817867A8BB8DBC87CEC"><enum>(b)</enum><header>Penalties</header><text>In addition to any applicable penalty under any other provision of law, any procurement employee of the Department who is found responsible for a biological implant procurement transaction with intent to avoid or with reckless disregard of the requirements of this section shall be ineligible to hold a certificate of appointment as a contracting officer or to serve as the representative of an ordering officer, contracting officer, or purchase card holder.</text>
 </subsection><subsection id="H06BE7A9B207747148D53A15F020BA9F9"><enum>(c)</enum><header>Definitions</header><text display-inline="yes-display-inline">In this section:</text> <paragraph id="HF80FF1FB5D8F4D6B9AFF671CB9E481E2"><enum>(1)</enum><text>The term <term>biological implant</term> has the meaning given such term in section 7330B(d) of this title.</text>
 </paragraph><paragraph id="H7171E4F7B81E42F6ABB45377A7F50887"><enum>(2)</enum><text display-inline="yes-display-inline">The term <term>distinct identifier</term> means a distinct identification code that—</text> <subparagraph id="H248431FF732543BFB5D4243AB9AB7476"><enum>(A)</enum><text>relates a biological implant to the human donor of the implant and to all records pertaining to the implant;</text>
 </subparagraph><subparagraph id="H74A0717E4D0A42FE9815A4168FC2DADA"><enum>(B)</enum><text>includes information designed to facilitate effective tracking, using the distinct identification code, from the donor to the recipient and from the recipient to the donor; and</text>
 </subparagraph><subparagraph id="HEEF14B5FA82F4C00A64012CBC29969EE"><enum>(C)</enum><text>satisfies the requirements of section 1271.290(c) of title 21, Code of Federal Regulations, or any successor regulation.</text>
 </subparagraph></paragraph><paragraph id="HE32ADD8901744462BE4D177962175F0C"><enum>(3)</enum><text display-inline="yes-display-inline">The term <term>tissue distribution intermediary</term> means an agency that acquires and stores human tissue for further distribution and performs no other tissue banking functions.</text>
 </paragraph><paragraph id="H801A1B93D3F1413DBE00AA11CF335115"><enum>(4)</enum><text display-inline="yes-display-inline">The term <term>tissue processor</term> means an entity processing human tissue for use in biological implants, including activities performed on tissue other than donor screening, donor testing, tissue recovery and collection functions, storage, or distribution.</text></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
 </paragraph><paragraph id="H388A53215D794DFBAC03EEDF2D15C688"><enum>(2)</enum><header>Clerical amendment</header><text>The table of sections at the beginning of such chapter is amended by inserting after the item relating to section 8128 the following new item:</text>
					<quoted-block display-inline="no-display-inline" id="H0DA8B6DC56CC4E6ABFF5CE1C60F42A85" style="USC"><toc regeneration="no-regeneration"><toc-entry level="section">8129. Procurement of biological implants.</toc-entry></toc><after-quoted-block>.</after-quoted-block></quoted-block>
 </paragraph></subsection><subsection id="HC12CA209208342B991075432B5FDF253"><enum>(b)</enum><header>Effective date</header><text>Section 8129 of title 38, United States Code, as added by subsection (a), shall take effect on the date that is 180 days after the date on which the tracking system required under section 7330B(b) of such title, as added by section 2(a), is implemented.</text>
 </subsection><subsection id="HF7E43BA646A545C69DCED8131AA742B7"><enum>(c)</enum><header>Special rule for cryopreserved products</header><text>During the three-year period beginning on the effective date of section 8129 of title 38, United States Code, as added by subsection (a), biological implants produced and labeled before that effective date may be procured by the Department of Veterans Affairs without relabeling under the standard identification system adopted or implemented under section 7330B of such title, as added by section 2(a).</text></subsection></section></legis-body></bill>


