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<bill bill-stage="Introduced-in-House" dms-id="H5012EDE295E347F7B786A9D4F67600B7" public-private="public" bill-type="olc"> 
<form> 
<distribution-code display="yes">I</distribution-code> 
<congress>108th CONGRESS</congress>
<session>2d Session</session>
<legis-num>H. R. 4151</legis-num> 
<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber> 
<action> 
<action-date date="20040402">April 2, 2004</action-date> 
<action-desc><sponsor name-id="K000363">Mr. Kline</sponsor> (for himself, <cosponsor name-id="K000358">Mr. Kennedy of Minnesota</cosponsor>, <cosponsor name-id="M001143">Ms. McCollum</cosponsor>, <cosponsor name-id="R000033">Mr. Ramstad</cosponsor>, <cosponsor name-id="P000258">Mr. Peterson of Minnesota</cosponsor>, <cosponsor name-id="G000536">Mr. Gutknecht</cosponsor>, <cosponsor name-id="S000005">Mr. Sabo</cosponsor>, <cosponsor name-id="O000006">Mr. Oberstar</cosponsor>, <cosponsor name-id="M001152">Mrs. Musgrave</cosponsor>, <cosponsor name-id="M000477">Mr. McInnis</cosponsor>, <cosponsor name-id="H000444">Mr. Hefley</cosponsor>, and <cosponsor name-id="B001240">Mr. Beauprez</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name></action-desc>
</action> 
<legis-type>A BILL</legis-type> 
<official-title>To amend the Public Health Service Act to authorize the Commissioner of Food and Drugs to conduct oversight of any entity engaged in the recovery, screening, testing, processing, storage, or distribution of human tissue or human tissue-based products.</official-title> 
</form> 
<legis-body id="HC78BCB947A4348F0BDCF551293F9A4D0" style="OLC"> 
<section section-type="section-one" id="H77410623A1794DF1BA1999B51FAC07F0"> <enum>1.</enum> <header>Short title</header> <text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>&short-title1;</short-title></quote>.</text> </section> 
<section id="H516BF843A4354713A8C3B91644DE0293"> <enum>2.</enum> <header>Oversight of entities engaging in activities relating to human cell, tissue, or cellular or Tissue-Based products</header> <text display-inline="no-display-inline">Section 361 of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/264">42 U.S.C. 264</external-xref>) is amended—</text> 
<paragraph id="H96777529EA23456C8E8D200097A3EAC"> <enum>(1)</enum> <text>by striking the section heading and all that follows through <quote>(a) The</quote> and inserting the following:</text> 
<quoted-block id="H639D19682080476DA6B062FE64096FDA"> 
<section id="H48A1B346D34D48EE9ECBD239F57D55AA"> <enum>361.</enum> <header>Control of communicable diseases</header> 
<subsection id="H3E47BFDC75ED46BF9B33545E75267342"> <enum>(a)</enum> <header>Prevention of communicable diseases</header> 
<paragraph id="HBBEF19CB7F1C4FDD97FA9B2E100553A4"> <enum>(1)</enum> <header>In general</header> <text>The</text> </paragraph> </subsection> </section> <after-quoted-block>;</after-quoted-block> </quoted-block> </paragraph> 
<paragraph id="H21CD4E876503458F85F92FF2C5564C15"> <enum>(2)</enum> <text>in subsection (b), by striking <quote>(b) Regulations prescribed under this section</quote> and inserting the following:</text> 
<quoted-block id="H4CE2FAF76D6E4CD2B61BCCCF847BC891"> 
<paragraph id="H19915625EA4D4D69A960CA53CA80045"> <enum>(2)</enum> <header>Limitation on purpose</header> <text>Regulations prescribed under this subsection</text> </paragraph> <after-quoted-block>;</after-quoted-block> </quoted-block> </paragraph> 
<paragraph id="HBEF90B9148A04EC9BA7105E3FA732326"> <enum>(3)</enum> <text>in subsection (c), by striking <quote>(c) Except as provided in subsection (d), regulations prescribed under this section</quote> and inserting the following:</text> 
<quoted-block id="HEF94E825CF73426BA894006E49EDB86D"> 
<paragraph id="HA54737690F8446E49DA4CB8E73799B2E"> <enum>(3)</enum> <header>Limitation on individuals</header> <text>Except as provided in paragraph (4), regulations prescribed under this subsection</text> </paragraph> <after-quoted-block>;</after-quoted-block> </quoted-block> </paragraph> 
<paragraph id="H72CAD2F1D35445A59F03381BB34D16B6"> <enum>(4)</enum> <text>in subsection (d)—</text> 
<subparagraph id="HA28F5A9B6ADA48A1A0D370CEDF143C8E"> <enum>(A)</enum> <text>by striking the third sentence and all that follows through the end and inserting the following:</text> 
<quoted-block id="HCC3563FA811F4F63A3D43465C4392B9E"> 
<subparagraph id="H279BED9C925E487681661111211FBAE"> <enum>(B)</enum> <header>Definitions</header> <text>In this paragraph:</text> 
<clause id="H0DF963410823478F96089BF2D9404684"> <enum>(i)</enum> <header>Qualifying stage</header> <text>The term <term>qualifying stage</term>, with respect to a communicable disease, means that such disease—</text> 
<subclause id="H42CD8B8931544B5BA9B5BFCCEF4EF3F7"> <enum>(I)</enum> <text>is in a communicable stage; or</text> </subclause> 
<subclause id="HF693774A00B8451AAD1ECD3866EAD4FB"> <enum>(II)</enum> <text>is in a precommunicable stage, if the disease would be likely to cause a public health emergency if transmitted to other individuals.</text> </subclause> </clause> 
<clause id="H389B3DF54B61497589A81DEC37A09C00"> <enum>(ii)</enum> <header>State</header> <text>The term <term>State</term> includes, in addition to the several States, only the District of Columbia.</text> </clause> </subparagraph> <after-quoted-block>;</after-quoted-block> </quoted-block> </subparagraph> 
<subparagraph id="HD14BF19C0B2A4A12B9AEDC23D72F2C81"> <enum>(B)</enum> <text>in paragraph (1), by redesignating subparagraphs (A) and (B) as clauses (i) and (ii), respectively; and</text> </subparagraph> 
<subparagraph id="HEF25C6CA81574081B1F83B67036771BB"> <enum>(C)</enum> <text>by striking <quote>(d)(1) Regulations prescribed under this section</quote> and inserting the following:</text> 
<quoted-block id="HB8EF6DE36FBD4F22908502B838AFB72E"> 
<paragraph id="HD5C8904F789E4FF0AB78E04B513B65F9"> <enum>(4)</enum> <header>Circumstances of quarantine</header> 
<subparagraph id="H1D49FDE3C0D042E99FC7F7B4D51C156B"> <enum>(A)</enum> <header>In general</header> <text>Regulations prescribed under this subsection</text> </subparagraph> </paragraph> <after-quoted-block>;</after-quoted-block> </quoted-block> </subparagraph> </paragraph> 
<paragraph id="H0BBEACD4EFB54531A61D117F2BE94139"> <enum>(5)</enum> <text>in subsection (e)—</text> 
<subparagraph id="H1AB93E2C070A4E6993C653E2003056BB"> <enum>(A)</enum> <text>by striking <quote>(e) Nothing in this section</quote> and inserting the following:</text> 
<quoted-block id="H8D00E2678D1449FE907F247DA3552899"> 
<paragraph id="H7C719B29D8294A788BCC7CF53F85FDEA"> <enum>(5)</enum> <header>Construction</header> <text>Nothing in this subsection</text> </paragraph> <after-quoted-block>;</after-quoted-block> </quoted-block> </subparagraph> 
<subparagraph id="H6B51BB1EC9584616AE56C3F1452876D1"> <enum>(B)</enum> <text>by striking <quote>such sections</quote> and inserting <quote>this subsection or section 363</quote>; and</text> </subparagraph> 
<subparagraph id="HC31105D518CE4EC8A7E3739F1400A85"> <enum>(C)</enum> <text>by striking <quote>under this section</quote> and inserting <quote>under this subsection</quote>; and</text> </subparagraph> </paragraph> 
<paragraph id="H1C3593889467468984B35300CB50F9BF"> <enum>(6)</enum> <text>by adding at the end the following:</text> 
<quoted-block id="HC8F24A541035447789F8AB840056156C"> 
<subsection id="H5E3DCB9FF09F4A3C86D1D9E0D0DA2892"> <enum>(b)</enum> <header>Oversight of entities engaging in activities relating to human cell, tissue, or cellular or Tissue-Based products</header> 
<paragraph id="HEFED7B235F034CE189549F934D7300BA"> <enum>(1)</enum> <header>Definitions</header> <text>In this subsection:</text> 
<subparagraph id="H3FE19772355F414DA2773414DE241309"> <enum>(A)</enum> <header>Commissioner</header> <text>The term <term>Commissioner</term> means the Commissioner of Food and Drugs.</text> </subparagraph> 
<subparagraph id="HC554FCA6BBB84D5090310036D32B51AE"> <enum>(B)</enum> <header>Covered entity</header> <text>The term <term>covered entity</term> means any entity or person (as defined in section 201 of the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/21/321">21 U.S.C. 321</external-xref>)) that engages in the recovery, screening or testing (including donor eligibility screening or testing), processing, storage, labeling, packaging, or distribution of a human cell, tissue, or cellular or tissue-based product in a manner that affects interstate commerce.</text> </subparagraph> 
<subparagraph id="H1BEAAF1C2AE647D1ADBDC2FD615747BE"> <enum>(C)</enum> <header>Human cell, tissue, or cellular or Tissue-Based product</header> <text>The term <term>human cell, tissue, or cellular or tissue-based product</term> means 1 of the articles defined as <quote>human cells, tissues, or cellular or tissue-based products</quote> in <external-xref legal-doc="cfr" parsable-cite="cfr/21/1271.3">section 1271.3(d)(2)</external-xref> of title 21, Code of Federal Regulations.</text> </subparagraph> </paragraph> 
<paragraph id="H9BC88E17F8DF4EEEA09EF1B6B5CF9138"> <enum>(2)</enum> <header>Oversight of entities</header> 
<subparagraph id="HE12A5E8D893642B7AA2FD1B0ABF3B6E5"> <enum>(A)</enum> <header>In general</header> <text>No covered entity shall engage in an activity described in paragraph (1)(B) unless the entity is in compliance with this paragraph and the regulations promulgated under paragraph (3).</text> </subparagraph> 
<subparagraph id="H8EAE62A497EB4CB6952ED591B08E21B0"> <enum>(B)</enum> <header>Registration and listing</header> <text>Each covered entity shall submit to the Commissioner a request for registration and listing and shall submit, for such registration and listing, such information relating to the identity and operations of the covered entity as the Commissioner may require.</text> </subparagraph> 
<subparagraph id="H151D1239B7F847EF84F6F74C378700EF"> <enum>(C)</enum> <header>Inspection</header> <text>The Commissioner may conduct such inspections of covered entities as the Commissioner determines are appropriate to evaluate and ensure compliance with—</text> 
<clause id="HB933247A52B24016BCE3CBFD13AD77D1"> <enum>(i)</enum> <text>this paragraph; and</text> </clause> 
<clause id="HF423D03D22CE49ABAD73485F769C3450"> <enum>(ii)</enum> <text>regulations promulgated under paragraph (3).</text> </clause> </subparagraph> 
<subparagraph id="H34E84C78E6B949DCBFE8B9FA1F39EF05"> <enum>(D)</enum> <header>Adverse reactions</header> 
<clause id="HC298F46E53D24F70AFD5FF9729ED73AC"> <enum>(i)</enum> <header>In general</header> <text>If an adverse reaction (as defined by the Commissioner) relating to a human cell, tissue, or cellular or tissue-based product occurs at the facility of a covered entity and the covered entity receives notification of the adverse reaction, the covered entity shall report the adverse reaction to the Commissioner not later than 15 calendar days after the date on which the covered entity receives the notification.</text> </clause> 
<clause id="H4CE6A66E3BC0433FACE0BBC49E00D877"> <enum>(ii)</enum> <header>Reporting mechanism; database</header> <text>As soon as practicable, the Commissioner, in consultation with the Director of the Centers for Disease Control and Prevention, shall develop—</text> 
<subclause id="H5AB03B55E4BE4FED9364C0E2D0AA873F"> <enum>(I)</enum> <text>a single, simple reporting mechanism for use in reporting adverse reactions under clause (i); and</text> </subclause> 
<subclause id="H84C7ADC85790448DA9B3002E04E10795"> <enum>(II)</enum> <text>a database for information received in relation to any adverse reaction reported under clause (i).</text> </subclause> </clause> </subparagraph> </paragraph> 
<paragraph id="HDCD695BF8F254CC1B13F9DC3522B4BB"> <enum>(3)</enum> <header>Regulations</header> 
<subparagraph id="H42E1344E3D964AA78CFF8CD377838473"> <enum>(A)</enum> <header>In general</header> <text>Not later than 90 days after the date of enactment of the Human Tissue Transplant Safety Act of 2003, the Commissioner shall promulgate regulations to carry out this subsection, including—</text> 
<clause id="HC9F06300A63E49AC801CE2C7F31BE7EB"> <enum>(i)</enum> <text>regulations specifying a description of the information required to be submitted for the registration and listing of a covered entity under paragraph (2)(B);</text> </clause> 
<clause id="H85320BCFCBB94AE58DF5C945AC34F737"> <enum>(ii)</enum> <text>regulations specifying a definition of the term <term>adverse reaction</term> for purposes of paragraph (2)(D);</text> </clause> 
<clause id="HBC5BF938E5F845F787BE2F91036D86A3"> <enum>(iii)</enum> <text>regulations specifying procedures for donor eligibility screening and testing, good tissue practices, and procedures for inspection, enforcement, and any other reasonable means to ensure that a human cell, tissue, or cellular or tissue-based product is free from communicable disease and maintains function and integrity during recovery, screening, testing, processing, storage, labeling, packaging, and distribution to a patient; and</text> </clause> 
<clause id="H67C4F8CFAE3A469D94477BCC292B6923"> <enum>(iv)</enum> <text>such other regulations relating to the operation of covered entities as the Commissioner determines are necessary.</text> </clause> </subparagraph> 
<subparagraph id="HCA9C2BED92B64C558BDF8BA08254C573"> <enum>(B)</enum> <header>Enforcement</header> <text>If the Commissioner determines that a covered entity has violated paragraph (2) or a regulation promulgated under subparagraph (A), the Commissioner (including a designee of the Commissioner) may after providing notice and an opportunity for a hearing—</text> 
<clause id="H4B348515DB7A45D6A98D439600B68EC4"> <enum>(i)</enum> <text>issue an order requiring—</text> 
<subclause id="H29260303372543209FA4FD7DB09C85F4"> <enum>(I)</enum> <text>any person that distributed the human cell, tissue, or cellular or tissue-based product involved in the violation to recall or destroy the cell, tissue, or product, as appropriate; and</text> </subclause> 
<subclause id="HDC67890B852B4DBEA583B8076B15C1FC"> <enum>(II)</enum> <text>any covered entity in possession of the cell, tissue, or product to retain it until—</text> 
<item id="H5F5250BEA7C54CA48C57283590B8AA9"> <enum>(aa)</enum> <text>the cell, tissue or product is recalled by the manufacturer or is destroyed or disposed of as specified by the Commissioner; or</text> </item> 
<item id="HD6A28F75A0BF482E934963C99B1183F"> <enum>(bb)</enum> <text>the safety of the cell, tissue, or product is confirmed by the Commissioner;</text> </item> </subclause> </clause> 
<clause id="H20FFFE215ABA4693824997779D44D6B3"> <enum>(ii)</enum> <text>condemn, and seize or destroy, the cell, tissue, or product;</text> </clause> 
<clause id="H44BE3258047C4100B952C68F87DEC66E"> <enum>(iii)</enum> <text>issue an order requiring the covered entity to cease the activity that resulted in the violation so that the covered entity is in compliance with the regulation; or</text> </clause> 
<clause id="HADCB273EF1E44565B839CFC32F88007D"> <enum>(iv)</enum> <text>suspend or revoke the registration and listing under this subsection of the covered entity that violated the regulation.</text> </clause> </subparagraph> </paragraph> 
<paragraph id="H78875F32F64B411B91574DA73415576C"> <enum>(4)</enum> <header>Applicability</header> <text>Nothing in this subsection shall be construed to affect the regulation of human cell, tissue, or cellular or tissue-based products as biological products under section 351 or drugs or devices under the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/21/301">21 U.S.C. 301 et seq.</external-xref>).</text> </paragraph> 
<paragraph id="H73A4E9D3B7214D94B69C0900E78924FB"> <enum>(5)</enum> <header>Authorization of appropriations</header> <text>There are authorized to be appropriated to carry out this subsection such sums as may be necessary.</text> </paragraph> </subsection> <after-quoted-block>.</after-quoted-block> </quoted-block> </paragraph> </section> 
<section id="H96DAEEBA2E5246D6B57868486E306FF1"> <enum>3.</enum> <header>Conforming amendments</header> 
<subsection id="HEA70A837BFAA45F38516E99D80AEA9CB"> <enum>(a)</enum> <header>Federal food, drug, and Cosmetic Act</header> <text>Section 801(d)(4) of the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/21/381">21 U.S.C. 381(d)(4)</external-xref>) is amended by striking <quote>section 361</quote> and inserting <quote>section 361(a)</quote>.</text> </subsection> 
<subsection id="H1B908E21BC5D447BA2BB50C640AFFE3E"> <enum>(b)</enum> <header><act-name parsable-cite="PHSA">Public Health Service Act</act-name></header> 
<paragraph id="H835CCAED616C4596ADBCCB197D6CBA8"> <enum>(1)</enum> <text>Section 2(f) of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/201">42 U.S.C. 201(f)</external-xref>) is amended by striking <quote>361(d),</quote> and inserting <quote>361(a)(4),</quote>.</text> </paragraph> 
<paragraph id="H7CA542A8C6E84A0F88AD8C8C19785B1"> <enum>(2)</enum> <text>Section 363 of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/266">42 U.S.C. 266</external-xref>) is amended by striking <quote>subsection (b) of section 361</quote> and inserting <quote>section 361(a)(2)</quote>.</text> </paragraph> 
<paragraph id="H4FD98903BC2245F184DC098D1E13ACC0"> <enum>(3)</enum> <text>Section 368 of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/271">42 U.S.C. 271</external-xref>) is amended by striking <quote>361</quote> and inserting <quote>361(a)</quote>.</text> </paragraph> </subsection> 
<subsection id="H9E9634D8C2184933B09D128F6D261726"> <enum>(c)</enum> <header>Title <enum-in-header>49</enum-in-header>, United States Code</header> <text><external-xref legal-doc="usc" parsable-cite="usc/49/24301">Section 24301(m)(2)</external-xref> of title 49, United States Code is amended by striking <quote>Section 361</quote> and inserting <quote>Section 361(a)</quote>.</text> </subsection> </section> 
</legis-body> 
</bill> 



