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<dc:title>118 S3733 IS: Shandra Eisenga Human Cell and Tissue Product Safety Act</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2024-02-05</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>118th CONGRESS</congress><session>2d Session</session><legis-num>S. 3733</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20240205">February 5, 2024</action-date><action-desc><sponsor name-id="S380">Mr. Peters</sponsor> (for himself and <cosponsor name-id="S284">Ms. Stabenow</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSHR00">Committee on Health, Education, Labor, and Pensions</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To require the Secretary of Health and Human Services to conduct a national, evidence-based education campaign to increase public and health care provider awareness regarding the potential risks and benefits of human cell and tissue products transplants, and for other purposes. </official-title></form><legis-body display-enacting-clause="yes-display-enacting-clause"><section section-type="section-one" id="S1"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Shandra Eisenga Human Cell and Tissue Product Safety Act</short-title></quote>.</text></section><section id="id5fc81494d09e43eb9e97e5d0cb9e6446"><enum>2.</enum><header>Definitions</header><text display-inline="no-display-inline">In this Act:</text><paragraph commented="no" display-inline="no-display-inline" id="ida67be7515ef643b485a9d583372ee35a"><enum>(1)</enum><header display-inline="yes-display-inline">Human cell and tissue establishment</header><text>The term <term>human cell and tissue establishment<added-phrase></added-phrase></term> means an establishment (as defined in section 1271.3(b) of title 21, Code of Federal Regulations (or a successor regulation)) regulated by the Center for Biologics Evaluation and Research under part 1271 of title 21, Code of Federal Regulations. </text></paragraph><paragraph id="id035f7fba0bd7462ea5810b4bc006f1cb"><enum>(2)</enum><header>Human cell and tissue products</header><text>The term <term>human cell and tissue products</term> has the meaning given the term <term>human cells, tissues, or cellular or tissue-based products</term> in section 1271.3(d) of title 21, Code of Federal Regulations (or a successor regulation).</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id51bf95b407f24fbcb8de7fd0f07096eb"><enum>(3)</enum><header>Secretary</header><text>The term <term>Secretary</term> means the Secretary of Health and Human Services. </text></paragraph></section><section id="id71607a7f02e94b38bbc4010bdadf9a99"><enum>3.</enum><header>Human cell and tissue products transplant public awareness campaign</header><subsection id="id3af04543266148c195c549e7abb0f9e9"><enum>(a)</enum><header>In general</header><text>The Secretary shall conduct a national, evidence-based education campaign to increase public and health care provider awareness regarding the potential risks and benefits of human cell and tissue products transplants.</text></subsection><subsection id="id113a087b71124e76a224a795ea5c71d2"><enum>(b)</enum><header>Consideration of advice of stakeholder experts</header><text>The Secretary shall develop the education campaign under subsection (a) after taking into consideration the advice of stakeholder experts, including the Centers for Disease Control and Prevention and professional associations that represent stakeholders of human cell and tissue establishments that manufacture human cell and tissue products with the highest risk of transmitting infections to their patients.</text></subsection><subsection commented="no" display-inline="no-display-inline" id="id902ce8cfe02142ada61ace622ad78c88"><enum>(c)</enum><header>Grants</header><paragraph commented="no" display-inline="no-display-inline" id="id976bdb1a8b2b407bb2be25015a815702"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">The Secretary may award grants to nonprofit organizations to carry out activities described in paragraph (2).</text></paragraph><paragraph id="id47bbb9b98ff643618718374db5ea1b6f"><enum>(2)</enum><header>Use of funds</header><text>A recipient of a grant under paragraph (1) shall use the grant funds—</text><subparagraph commented="no" display-inline="no-display-inline" id="id954627bd515245e5b882dc7913daf693"><enum>(A)</enum><text display-inline="yes-display-inline">to increase the knowledge and awareness of the public about the potential risks and benefits of human cell and tissue products transplants, including the risks that such transplants may lead to infectious diseases, including tuberculosis, latent tuberculosis infection, and sepsis; or</text></subparagraph><subparagraph id="id9ee0a6da7ba144b39d0f69e8b2b15dbf"><enum>(B)</enum><text>to increase the knowledge and awareness of health care providers and health care leaders about the potential risks and benefits of human cell and tissue products transplants, including the risks that such transplants may lead to infectious diseases, including tuberculosis, latent tuberculosis infection, and sepsis. </text></subparagraph></paragraph></subsection><subsection id="id0db8d9175fcc43648c1680e0d1c518a2"><enum>(d)</enum><header>Media campaigns</header><paragraph commented="no" display-inline="no-display-inline" id="id3848177eee8d427d939a13a642bd8606"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">In carrying out the education campaign under subsection (a), the Secretary, after taking into consideration the advice of stakeholder experts, may award grants to, or enter into contracts with, entities to establish national multimedia campaigns to increase public and health care provider awareness regarding the potential risks of human cell and tissue products transplants.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="ida0e087e1a77f4a2282f8c88c0c0ec2b2"><enum>(2)</enum><header>Inclusions</header><text display-inline="yes-display-inline">The multimedia campaigns under paragraph (1) may include advertising through television, radio, print media, billboards, posters, all forms of existing and emerging social networking media, other internet media, and any other medium determined appropriate by the Secretary.</text></paragraph></subsection></section><section id="ide7a6812bf71c45ff994950eeccaee9c5"><enum>4.</enum><header> Civil penalties for violation of requirements for human cell and tissue products</header><subsection commented="no" display-inline="no-display-inline" id="idcc5712317eb246b890a919e03b5b5310"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Any person who violates a requirement of section 361 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/264">42 U.S.C. 264</external-xref>) or part 1271 of title 21, Code of Federal Regulations (or successor regulations) with respect to human cell or tissue products shall be liable to the United States for a civil penalty in an amount not to exceed the sum of—</text><paragraph commented="no" display-inline="no-display-inline" id="id2ec77c4141db42f9925a919893984bfd"><enum>(1)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id4a442d0dc7d8479d86d86adf8a09da38"><enum>(A)</enum><text display-inline="yes-display-inline">$20,000 for each violation; or</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idd62446a50dc24bc587f6beb0a3e1f2e3" indent="up1"><enum>(B)</enum><text display-inline="yes-display-inline">$20,000 for each day of a continuing violation; and </text></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id7483db58892b4ad9a80f1c6f6d983acb"><enum>(2)</enum><text display-inline="yes-display-inline">an amount equal to the retail value of the human cell and tissue products that are the subject of the violation. </text></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id523eda62bf034287ae8efd0077bded7e"><enum>(b)</enum><header>Maximum penalty</header><text display-inline="yes-display-inline">The total civil penalty under subsection (a) shall not exceed $10,000,000 for all such violations adjudicated in a single proceeding.</text></subsection></section><section id="id724c98f63bd344869d439d84f58afe29"><enum>5.</enum><header>Report to Congress</header><text display-inline="no-display-inline">Not later than 2 years after the date of enactment of this Act, the Secretary shall submit to Congress a report that describes actions Congress and the Food and Drug Administration could take to improve the safety of human cell and tissue products, including—</text><paragraph id="id091831b39e1f4820b0f68d3e8faeb0c9"><enum>(1)</enum><text>an examination of existing regulations and guidance relating to human cell and tissue products;</text></paragraph><paragraph id="id23feaaf638b848299305034f8b2b7676"><enum>(2)</enum><text>documentation of the number of human cell and tissue establishments that have registered with the Food and Drug Administration since 1998; </text></paragraph><paragraph id="idee6d6255197a4fd89bd9610bec9b580b"><enum>(3)</enum><text>how often the Food and Drug Administration has inspected human cell and tissue establishments since 1998, including a comparison of the inspection rates for blood establishments and Source Plasma establishments with the inspection rates for such human cell and tissue establishments, potential causes of declines in such inspections, if applicable, and recommendations to increase Food and Drug Administration resources, if applicable; and</text></paragraph><paragraph id="ida2fe92adde754aac904238720d1f454e"><enum>(4)</enum><text>recommendations on potential guidance or regulations that could be issued or promulgated, as applicable, to improve donor screening for human cell and tissue products.</text></paragraph></section><section id="idcce4fb4e001540aeba54e6f47b67cf52"><enum>6.</enum><header>Review and update of existing guidance</header><text display-inline="no-display-inline">The Secretary, acting through the Commissioner of Food and Drugs, shall—</text><paragraph commented="no" display-inline="no-display-inline" id="id8c6996aa30a5418095eb7a747da4f6c2"><enum>(1)</enum><text display-inline="yes-display-inline">not later than 1 year after the date of enactment of this Act, initiate an internal review of existing guidance for determining eligibility of donors of human cell and tissue products; and</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id175131bb59ae4796aee41ffc94e4aa36"><enum>(2)</enum><text display-inline="yes-display-inline">not later than 3 years after the date of enactment of this Act, issue updated guidance for determining eligibility of donors of human cell and tissue products to comply with part 1271 of title 21, Code of Federal Regulations (or successor regulations), including compliance in determining donor eligibility in accordance with subpart C of part 1271 of title 21, Code of Federal Regulations (or successor regulations).</text></paragraph></section></legis-body></bill> 

