[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4865 Reported in House (RH)]

                                                 Union Calendar No. 410

103d CONGRESS

  2d Session

                               H. R. 4865

                          [Report No. 103-746]

_______________________________________________________________________

                                 A BILL

 To amend the Federal Food, Drug, and Cosmetic Act, the Public Health 
 Service Act, and the Orphan Drug Act to revise the provisions of such 
                     Acts relating to orphan drugs.

_______________________________________________________________________

                           September 26, 1994

  Reported with an amendment, committed to the Committee of the Whole 
       House on the State of the Union, and ordered to be printed
                                                 Union Calendar No. 410
103d CONGRESS
  2d Session
                                H. R. 4865

                          [Report No. 103-746]

 To amend the Federal Food, Drug, and Cosmetic Act, the Public Health 
 Service Act, and the Orphan Drug Act to revise the provisions of such 
                     Acts relating to orphan drugs.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             August 1, 1994

Mr. Waxman (for himself and Mr. Studds) introduced the following bill; 
       which was referred to the Committee on Energy and Commerce

                           September 26, 1994

  Reported with an amendment, committed to the Committee of the Whole 
       House on the State of the Union, and ordered to be printed
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]
[For text of introduced bill, see copy of bill as introduced on August 
                                1, 1994]

_______________________________________________________________________

                                 A BILL


 
 To amend the Federal Food, Drug, and Cosmetic Act, the Public Health 
 Service Act, and the Orphan Drug Act to revise the provisions of such 
                     Acts relating to orphan drugs.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE AND REFERENCE.

    (a) Short Title.--This Act may be cited as the ``Orphan Drug Act 
Amendments of 1994''.
    (b) Reference.--Whenever in this Act (other than sections 5 and 6) 
an amendment or repeal is expressed in terms of an amendment to, or 
repeal of, a section or other provision, the reference shall be 
considered to be made to a section or other provision of the Federal 
Food, Drug, and Cosmetic Act.

SEC. 2. PERIOD OF EXCLUSIVITY.

    (a) Initial Period.--Subsection (a) of section 527 (21 U.S.C. 
360cc) is amended--
            (1) by inserting ``(1)'' after ``(a)'',
            (2) by redesignating paragraphs (1), (2), and (3) as 
        subparagraphs (A), (B), and (C), respectively,
            (3) by striking ``seven years'' and inserting ``4 years'', 
        and
            (4) by striking ``505(c)(2)'' and inserting 
        ``505(c)(1)(B)''.
    (b) Additional Period.--Subsection (a) of such section 527 (21 
U.S.C. 360cc) (as amended by subsection (a)) is amended by adding at 
the end the following:
    ``(2) The holder of the approved application, certification, or 
license of a drug to which the 4-year period of exclusivity applies 
under paragraph (1) may, after the expiration of 3\1/2\ years of such 
period but not later than 90 days before the expiration of such period, 
apply to the Secretary for a 3-year extension of such period. Such an 
application shall contain such information as the Secretary determines 
is necessary to evaluate such application.
    ``(3) The Secretary shall approve an application submitted under 
paragraph (2) if the applicant--
            ``(A) demonstrates that the drug has a limited commercial 
        potential, as determined under regulations of the Secretary, on 
        the basis of--
                    ``(i) total sales revenue for such drug during the 
                4-year period of exclusivity under paragraph (1), or
                    ``(ii) factors other than total sales revenue 
                identified by the Secretary, and
            ``(B) makes such demonstration on the basis of the 
        regulations of the Secretary referred to in subparagraph (A) 
        which were in effect--
                    ``(i) on the date--
                            ``(I) such drug received its designation 
                        under section 526(a)(1), or
                            ``(II) such applicant applied for an 
                        exemption for such drug under section 505(i) or 
                        clause (3) of section 507(d),
                whichever first occurs, or
                    ``(ii) if the date under clause (i) occurred before 
                the date such regulations were in effect, on the date 
                such regulations were in effect.''.
    (c) Conforming Amendments.--Section 527(b) (21 U.S.C. 360cc(b)) is 
amended--
            (1) by striking ``during the seven-year period'' and 
        inserting ``during the applicable period of exclusivity under 
        subsection (a)'',
            (2) in paragraph (2), by striking ``such seven year 
        period'' and inserting ``the applicable period of exclusivity 
        under subsection (a)'',
            (3) by striking ``507,,'' and inserting ``507,'', and
            (4) in paragraph (1), by striking ``The Secretary'' and 
        inserting ``the Secretary''.
    (d) Effective Date.--The amendments made by subsections (a) and (b) 
shall not apply to a drug--
            (1) for which an application under section 505 or 507 of 
        the Federal Food, Drug, and Cosmetic Act or section 351 of the 
        Public Health Service Act was submitted or approved before 
        March 1, 1994, or
            (2) for which an exemption under section 505(i) or clause 
        (3) of section 507(d) of the Federal Food, Drug, and Cosmetic 
        Act was in effect before March 1, 1994, for which human 
        clinical trials were actively being conducted before such date, 
        and for which an application for designation under section 526 
        of such Act was submitted before the date of enactment of the 
        Orphan Drug Act Amendments of 1994.
The 7-year period of exclusivity provided by section 527(a) of the 
Federal Food, Drug, and Cosmetic Act before the date of the enactment 
of this Act shall, after such date, apply to a drug described in 
paragraph (1) or (2).
    (e) Regulations.--The Secretary shall issue final regulations to 
implement paragraphs (2) and (3) of section 527(a) of the Federal Food, 
Drug, and Cosmetic Act (21 U.S.C. 360cc) (as added by subsection (b)) 
not later than 6 months after the date of the enactment of this Act.

SEC. 3. DESIGNATIONS.

    (a) In General.--Section 526(a)(2) (21 U.S.C. 360bb(a)(2)) is 
amended to read as follows:
    ``(2) For purposes of paragraph (1), the term `rare disease or 
condition' means any disease or condition which--
            ``(A) affects fewer than 200,000 persons in the United 
        States determined on the basis of--
                    ``(i) the facts and circumstances as of the date 
                the request for designation of the drug under this 
                subsection is made, and
                    ``(ii) projections as to the number of persons who 
                will be affected by the disease or condition on a date 
                which is 3 years from date such request was made, or
            ``(B) affects more than 200,000 persons in the United 
        States and for which there is no reasonable expectation that 
        the cost of developing and making available in the United 
        States a drug for such disease or condition will be recovered 
        from sales in the United States of such drug.''.
    (b) Exclusivity.--Section 527(b) (21 U.S.C. 360cc(b)) is amended--
            (1) by striking ``or'' at the end of paragraph (1),
            (2) by striking the period at the end of paragraph (2) and 
        inserting a semicolon, and
            (3) by adding at the end the following:
            ``(3) such drug was designated under section 526(a)(1) for 
        a rare disease or condition described in paragraph (2) of 
        section 526(a) and, after such designation, it is determined 
        that such disease or condition affects more than 200,000 
        persons in the United States; or''.

SEC. 4. SIMULTANEOUS DEVELOPMENT.

    (a) In General.--Section 527(b) (21 U.S.C. 360cc(b)), as amended by 
section 3(b), is amended by inserting ``(1)'' after ``(b)'', by 
redesignating paragraphs (1), (2), and (3) as subparagraphs (A), (B), 
and (C), respectively, by striking ``for a person who is not'' and by 
inserting ``for an applicant who is not'', and by adding at the end the 
following:
            ``(D) the Secretary finds, after providing the holder, such 
        applicant, and any other interested person an opportunity to 
        present their views, that the drugs of the holder and such 
        applicant were developed simultaneously.
The Secretary shall make a decision on a request for a finding under 
subparagraph (D) not later than 60 days after the filing of the 
request.
    ``(2) For purposes of paragraph (1)(D), drugs of a holder and an 
applicant shall be considered to be developed simultaneously only if--
            ``(A) the applicant requested that its drug be designated 
        under section 526 no later than 6 months after publication of 
        the designation under section 526(c) of the holder's drug,
            ``(B) the applicant initiated the human clinical trials 
        that the applicant relied on in its application for such 
        approval, certification, or license not more than 12 months 
        after the date the holder initiated the human clinical trials 
        that the holder relied on in its application for such approval, 
        certification, or license, and
            ``(C) the applicant submitted such application, including 
        the reports of the clinical and animal studies necessary for 
        approval, certification, or license, not more than 12 months 
        after the holder submitted its application, including such 
        reports, for such action.
    ``(3) Paragraph (1)(D) does not apply to a drug--
            ``(A) for which an application under section 505 or 507 or 
        section 351 of the Public Health Service Act was submitted or 
        approved before March 1, 1994, or
            ``(B) for which an exemption under section 505(i) or clause 
        (3) of section 507(d) was in effect before March 1, 1994, for 
        which human clinical trials were actively being conducted 
        before such date, and for which an application for designation 
        under section 526 was submitted before the date of enactment of 
        the Orphan Drug Act Amendments of 1994.''.
    (b) Publication.--Section 526(c) (21 U.S.C. 360bb(c)) is amended--
            (1) by inserting ``for a rare disease or condition'' after 
        ``(a)'', and
            (2) by striking out ``shall be made available to the 
        public'' and inserting in lieu thereof ``shall be promptly 
        published in the Federal Register and otherwise made available 
        to the public in a manner designed to notify persons who have 
        such disease or condition''.

SEC. 5. OFFICE FOR ORPHAN DISEASES AND CONDITIONS.

    Section 227 of the Public Health Service Act (42 U.S.C. 236) is 
amended--
            (1) by amending subsection (a) to read as follows:
    ``(a) There is established in the Department of Health and Human 
Services an Office for Orphan Diseases and Conditions. Such Office 
shall be established at a level within the Department with sufficient 
authority to assure full implementation of the functions and 
responsibilities established by this section.'',
            (2) by striking ``Board'' each place the term appears and 
        inserting ``Office'',
            (3) by striking ``drugs and devices'' in subsection (b) and 
        inserting ``drugs, devices, and medical foods'',
            (4) by inserting ``of chapter V'' after ``subchapter B'' in 
        subsection (c)(1)(A),
            (5) by adding at the end the following new subsection:
    ``(f)(1) There is established in the Office an advisory committee 
to advise the Office in carrying out the functions of the Office under 
this section.
    ``(2) The advisory committee shall be comprised of 11 members 
appointed by the Secretary, in consultation with the Office and the 
Commissioner of Food and Drugs, from persons knowledgeable about rare 
diseases and conditions, including--
            ``(A) 5 representatives of organizations of persons with 
        rare diseases or conditions;
            ``(B) 3 research scientists; and
            ``(C) 3 representatives of health-related companies.
    ``(3) The Secretary shall also appoint, as liaisons to the advisory 
committee, individuals from the Food and Drug Administration, the 
National Institutes of Health, and other appropriate Federal agencies.
    ``(4) Vacancies occurring in the membership of the advisory 
committee shall be filled in the same manner as the original 
appointment for the position being vacated. Vacancies shall not affect 
the power of the remaining members to execute the duties of the 
advisory committee.
    ``(5) Members of the advisory committee, and liaisons to the 
advisory committee, shall not be compensated, but shall receive travel 
expenses, including per diem in lieu of subsistence, at rates 
authorized for employees of agencies under subchapter 1 of chapter 57 
of title 5, United States Code, for each day the member or liaison is 
engaged in the performance of duties away from the home or regular 
place of business of the member or liaison.
    ``(6) Notwithstanding section 1342 of title 31, United States Code, 
the advisory committee may accept the voluntary services provided by a 
member of the advisory committee or a liaison to the advisory 
committee.'', and
            (6) by amending the section heading to read as follows: 
        ``office for orphan diseases and conditions''.

SEC. 6. AUTHORIZATION FOR ORPHAN DRUG ACT.

    Section 5(c) of the Orphan Drug Act (21 U.S.C. 360ee(c)) is amended 
by striking ``$10,000,000'' and all that follows and inserting 
``$20,000,000 for fiscal year 1995, $25,000,000 for fiscal year 1996, 
and $30,000,000 for fiscal year 1997.''.