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<bill bill-stage="Reported-in-Senate" bill-type="olc" dms-id="A1" public-private="public" star-print="no-star-print">

	<form display="yes">

		<distribution-code display="yes">II</distribution-code>

		<calendar>Calendar No. 173</calendar>

		<congress display="yes">109th CONGRESS</congress>

		<session display="yes">1st Session</session>

		<legis-num>S. 1420</legis-num>

		<associated-doc role="report">[Report No. 109–107]</associated-doc>

		<current-chamber display="yes">IN THE SENATE OF THE UNITED

		  STATES</current-chamber>

		<action display="yes">

			<action-date date="20050718">July 18, 2005</action-date>

			<action-desc><sponsor name-id="S254">Mr. Enzi</sponsor> (for himself,

			 <cosponsor name-id="S055">Mr. Kennedy</cosponsor>, <cosponsor name-id="S300">Mr. Burr</cosponsor>, <cosponsor name-id="S240">Mr.

			 DeWine</cosponsor>, <cosponsor name-id="S182">Ms. Mikulski</cosponsor>,

			 <cosponsor name-id="S150">Mr. Dodd</cosponsor>, <cosponsor name-id="S229">Mrs.

			 Murray</cosponsor>, and <cosponsor name-id="S118">Mr. Hatch</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>

		<action stage="Reported-in-Senate">

			<action-date>July 25, 2005</action-date>

			<action-desc>Reported by <sponsor name-id="S254">Mr. Enzi</sponsor>,

			 with an amendment</action-desc>

			<action-instruction>Strike out all after the enacting clause and insert

			 the part printed in italic</action-instruction>

		</action>

		<legis-type>A BILL</legis-type>

		<official-title display="yes">To amend the Federal Food, Drug, and

		  Cosmetic Act with respect to medical device user fees.</official-title>

	</form>

	<legis-body display-enacting-clause="yes-display-enacting-clause" style="OLC">

		<section changed="deleted" commented="no" display-inline="no-display-inline" id="idF1C72CF4492942BEB76F0A03717BDE11" reported-display-style="strikethrough" 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>Medical Device User Fee Stabilization

			 Act of 2005</short-title></quote>.</text>

		</section><section changed="deleted" commented="no" display-inline="no-display-inline" id="idD349EDA8CF584CAE84C5C1C7FEB8087A" reported-display-style="strikethrough" section-type="subsequent-section"><enum>2.</enum><header>Amendments to the

			 Federal Food, Drug, and Cosmetic Act</header>

			<subsection changed="deleted" commented="no" display-inline="no-display-inline" id="idE2E47372EB70446ABB61B5CFE6517591" reported-display-style="strikethrough"><enum>(a)</enum><header>Device user

			 fees</header><text display-inline="yes-display-inline">Section 738 of the

			 Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379j) is amended—</text>

				<paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id2906E8833BA54044921C0D270D488859" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (b)—</text>

					<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="idDEAA35BFCA714BBA895391C411C93342" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">after <quote>2004;</quote>, by inserting

			 <quote>and</quote>; and</text>

					</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id007D7C2EAB7942BF9C37385378A32F76" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">by striking <quote>2005;</quote> and all

			 that follows through <quote>2007</quote> and inserting

			 <quote>2005</quote>;</text>

					</subparagraph></paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="idEEDD626E8FC342B68E6810DEFCC10DDA" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (c)—</text>

					<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id93F7CDE1971C40CF949EA0DFE6CE1514" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">by striking paragraphs (1), (2), and

			 (3);</text>

					</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id4D60927A1B0E4BDCA7FBB3E6E568F727" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">by redesignating paragraphs (4), (5), and

			 (6) as paragraphs (1), (2), and (3), respectively;</text>

					</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id8F187A9B6AB140C78E7DD8B8A55E207C" reported-display-style="strikethrough"><enum>(C)</enum><text display-inline="yes-display-inline">in paragraph (1), as so redesignated,

			 by—</text>

						<clause changed="deleted" commented="no" display-inline="no-display-inline" id="id42F22ECA85C14013945EF5CA3D0DEBA0" reported-display-style="strikethrough"><enum>(i)</enum><text display-inline="yes-display-inline">striking the paragraph heading and

			 inserting <quote><header-in-text level="paragraph" style="OLC">2007

			 increase</header-in-text></quote>;</text>

						</clause><clause changed="deleted" commented="no" display-inline="no-display-inline" id="idDF683A48774D43229FD890457036DD81" reported-display-style="strikethrough"><enum>(ii)</enum><text display-inline="yes-display-inline">striking <quote>, in addition to

			 adjustments under paragraphs (1) and (2), further</quote>;</text>

						</clause><clause changed="deleted" commented="no" display-inline="no-display-inline" id="id2F627529CD464937907B26DF1D98ABAB" reported-display-style="strikethrough"><enum>(iii)</enum><text display-inline="yes-display-inline">striking <quote>established in subsection

			 (b)</quote> and inserting <quote>under subsection (a)</quote>; and</text>

						</clause><clause changed="deleted" commented="no" display-inline="no-display-inline" id="idC972DC7800B74773BEC10A585E948119" reported-display-style="strikethrough"><enum>(iv)</enum><text display-inline="yes-display-inline">striking <quote>adjustment</quote> each

			 place it appears and inserting <quote>increase</quote>; and</text>

						</clause></subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id3423F2A2276E4083A0527B89D8634062" reported-display-style="strikethrough"><enum>(D)</enum><text display-inline="yes-display-inline">in paragraph (2), as so redesignated,

			 by—</text>

						<clause changed="deleted" commented="no" display-inline="no-display-inline" id="id6503D1C2B6784E68A1871611A404B306" reported-display-style="strikethrough"><enum>(i)</enum><text display-inline="yes-display-inline">striking <quote>establish, for the next

			 fiscal year, and</quote> and all that follows through <quote>the fees</quote>

			 and inserting <quote>publish in the Federal Register fees under subsection (a).

			 The fees</quote>;</text>

						</clause><clause changed="deleted" commented="no" display-inline="no-display-inline" id="idD07E441590BA4742878A51C900E37427" reported-display-style="strikethrough"><enum>(ii)</enum><text display-inline="yes-display-inline">striking <quote>2003</quote> and inserting

			 <quote>2006</quote>; and</text>

						</clause><clause changed="deleted" commented="no" display-inline="no-display-inline" id="id3C48FE63B77D46D2849283C8B9D5E93E" reported-display-style="strikethrough"><enum>(iii)</enum><text display-inline="yes-display-inline">striking <quote>$154,000.</quote> and

			 inserting <quote>$259,600, and the fees established for fiscal year 2007 shall

			 be based on a premarket application fee of $281,600.</quote>;</text>

						</clause></subparagraph></paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id73BAEED1D46D4CB4821C737464AECFE2" reported-display-style="strikethrough"><enum>(3)</enum><text display-inline="yes-display-inline">in subsection (d)(2)(A)—</text>

					<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id80DF98D3209A4BF6A2E2C185BA4C067F" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">in clause (i), by striking

			 <quote>$30,000,000</quote> and inserting <quote>$75,000,000</quote>; and</text>

					</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id0B37C34DB6AA4A0B96ADA4756DB2CAA2" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">by striking clause (ii) and inserting the

			 following:</text>

						<quoted-block changed="deleted" display-inline="no-display-inline" id="idEC04F6D2F2DA4E70BAEB73B13D79B9E0" reported-display-style="strikethrough" style="OLC">

							<clause changed="deleted" commented="no" display-inline="no-display-inline" id="id64628D08764D451191F4507E7149E103" reported-display-style="strikethrough"><enum>(ii)</enum><header>Adjustments</header>

								<subclause changed="deleted" commented="no" display-inline="no-display-inline" id="id6B3702D766444653B7F3C3F424B736C7" reported-display-style="strikethrough"><enum>(I)</enum><header>In

				general</header><text display-inline="yes-display-inline">If the Secretary has

				evidence from actual experience that the $75,000,000 threshold established in

				clause (i) results in a reduction in revenues from premarket applications,

				premarket reports, and supplements that is 26 percent or more than would occur

				without small business exemptions and lower fee rates, the Secretary

				may—</text>

									<item changed="deleted" commented="no" display-inline="no-display-inline" id="id10B0AA24870E421C95D8F34F8508B70D" reported-display-style="strikethrough"><enum>(aa)</enum><text display-inline="yes-display-inline">use the operating reserves in an amount not

				to exceed the lesser of—</text>

										<subitem changed="deleted" commented="no" display-inline="no-display-inline" id="id4B7032187AAC47378CFBA389A538FEE4" reported-display-style="strikethrough"><enum>(AA)</enum><text display-inline="yes-display-inline">10 percent of the fees collected in fiscal

				year 2005; or</text>

										</subitem><subitem changed="deleted" commented="no" display-inline="no-display-inline" id="id702E1F65AE2E463D9C60D1A33B5D4561" reported-display-style="strikethrough"><enum>(BB)</enum><text display-inline="yes-display-inline">$2,500,000; and</text>

										</subitem></item><item changed="deleted" commented="no" display-inline="no-display-inline" id="idD2970706DC1D4FAA97E9991C1383F489" reported-display-style="strikethrough"><enum>(bb)</enum><text display-inline="yes-display-inline">upon the exhaustion of the amount described

				under item (aa), adjust the $75,000,000 threshold as provided for under

				subclause (II).</text>

									</item></subclause><subclause changed="deleted" commented="no" display-inline="no-display-inline" id="id0B325A789DB54D52BCFF42A7FA6AFBD9" reported-display-style="strikethrough"><enum>(II)</enum><header>Adjustment of

				threshold</header><text display-inline="yes-display-inline">To adjust the

				threshold described in subclause (I)(bb), the Secretary shall publish a notice

				in the Federal Register setting out the rationale for the adjustment, and the

				new threshold. Such adjusted threshold may not be less than $30,000,000 and may

				not be

				retroactive.</text>

								</subclause></clause><after-quoted-block>;</after-quoted-block></quoted-block>

					</subparagraph></paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id317470B7681A488B90CCF0584B3D0DA7" reported-display-style="strikethrough"><enum>(4)</enum><text display-inline="yes-display-inline">in subsection (e)(2)(A), by striking

			 <quote>$30,000,000</quote> and inserting <quote>$75,000,000</quote>;</text>

				</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id5CFAEED9503C445A9579247272F45CA9" reported-display-style="strikethrough"><enum>(5)</enum><text display-inline="yes-display-inline">in subsection (g)(1)—</text>

					<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id0BB89A59080B45A1BBA6DF36FB7ED9BB" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">in subparagraph (B)—</text>

						<clause changed="deleted" commented="no" display-inline="no-display-inline" id="id21044FA8283745AA91E33D35C8A9D2E3" reported-display-style="strikethrough"><enum>(i)</enum><text display-inline="yes-display-inline">by striking clause (i) and inserting the

			 following:</text>

							<quoted-block changed="deleted" display-inline="no-display-inline" id="id2BE1668EE0994040BB3DEB1FB2ED172F" reported-display-style="strikethrough" style="OLC">

								<clause changed="deleted" commented="no" display-inline="no-display-inline" id="id71CF35F5D47B4B9FA56D8523D5C27E09" reported-display-style="strikethrough"><enum>(i)</enum><text display-inline="yes-display-inline">For fiscal year 2005, the Secretary is

				expected to meet all of the performance goals identified for the fiscal year if

				the amount so appropriated for such fiscal year, excluding the amount of fees

				appropriated for such fiscal year, is equal to or greater than $205,720,000

				multiplied by the adjustment factor applicable to the fiscal

				year.</text>

								</clause><after-quoted-block>;

				and</after-quoted-block></quoted-block>

						</clause><clause changed="deleted" commented="no" display-inline="no-display-inline" id="idE10B5C049E4C4D4B8958A8E6525226DB" reported-display-style="strikethrough"><enum>(ii)</enum><text display-inline="yes-display-inline">in clause (ii), by striking the matter

			 preceding subclause (I) and inserting the following:</text>

							<quoted-block changed="deleted" display-inline="no-display-inline" id="idAE305266A2284E979D912D081AB87ECE" reported-display-style="strikethrough" style="OLC">

								<clause changed="deleted" commented="no" display-inline="no-display-inline" id="idC5D047FE120A414DB5A1EC5E6C0D85B7" reported-display-style="strikethrough"><enum>(ii)</enum><text display-inline="yes-display-inline">For fiscal year 2005, if the amount so

				appropriated for such fiscal year, excluding the amount of fees appropriated

				for such fiscal year, is more than 1 percent less than the amount that applies

				under clause (i), the following

				applies:</text>

								</clause><after-quoted-block>;

				and</after-quoted-block></quoted-block>

						</clause></subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id2B0DA56CA5804B598CD95716181D42E9" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">in subparagraph (C)—</text>

						<clause changed="deleted" commented="no" display-inline="no-display-inline" id="id6BB192F0DB2345E3BC094733372F54EE" reported-display-style="strikethrough"><enum>(i)</enum><text display-inline="yes-display-inline">in the matter preceding clause (i),

			 by—</text>

							<subclause changed="deleted" commented="no" display-inline="no-display-inline" id="idDDE0D49BDEA54FB4A3840F832867F7E6" reported-display-style="strikethrough"><enum>(I)</enum><text display-inline="yes-display-inline">striking <quote>2003 through</quote> and

			 inserting <quote>2005 and</quote>; and</text>

							</subclause><subclause changed="deleted" commented="no" display-inline="no-display-inline" id="idBBFEFD8C6C994F40B6C1C1AABD43A739" reported-display-style="strikethrough"><enum>(II)</enum><text display-inline="yes-display-inline">inserting <quote>more than 1

			 percent</quote> after <quote>years, is</quote>; and</text>

							</subclause></clause><clause changed="deleted" commented="no" display-inline="no-display-inline" id="idD99F74E07F77484EB8A405FEB6CC40F2" reported-display-style="strikethrough"><enum>(ii)</enum><text display-inline="yes-display-inline">in clause (ii), by striking

			 <quote>sum</quote> and inserting <quote>amount</quote>;</text>

						</clause></subparagraph></paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="idD357B2F6A99240CA9EF9775A37816AE9" reported-display-style="strikethrough"><enum>(6)</enum><text display-inline="yes-display-inline">in subsection (h)(3)—</text>

					<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id9451F046335840E798C32352E2FB924B" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">in subparagraph (C), by striking the

			 semicolon and inserting <quote>; and</quote>; and</text>

					</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id861A6651741440EC90BB3320C710D60F" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">by striking subparagraphs (D) and (E) and

			 inserting the following:</text>

						<quoted-block changed="deleted" display-inline="no-display-inline" id="id4C7F0E477C484A589E5C2382C6DC36B8" reported-display-style="strikethrough" style="OLC">

							<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id2310060FCA0B40FB940C74D4068B57D6" reported-display-style="strikethrough"><enum>(D)</enum><text display-inline="yes-display-inline">such sums as may be necessary for each of

				fiscal years 2006 and 2007.</text>

							</subparagraph><after-quoted-block>;

				and</after-quoted-block></quoted-block>

					</subparagraph></paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id0F49F6B455E44AABAC1B651D552497D0" reported-display-style="strikethrough"><enum>(7)</enum><text display-inline="yes-display-inline">by striking <quote>subsection

			 (c)(5)</quote> each place it appears and inserting <quote>subsection

			 (c)(2)</quote>.</text>

				</paragraph></subsection><subsection changed="deleted" commented="no" display-inline="no-display-inline" id="idF265BF8E8B204703A258F6A7E08A5735" reported-display-style="strikethrough"><enum>(b)</enum><header>Misbranded

			 devices</header>

				<paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="idA677B24BBF914E75A5A6B98175F49F8C" reported-display-style="strikethrough"><enum>(1)</enum><header>Reprocessed

			 devices</header><text display-inline="yes-display-inline">Section 502(u) of the

			 Federal Food, Drug, and Cosmetic Act (21 U.S.C. 352(u)) is amended to read as

			 follows:</text>

					<quoted-block changed="deleted" display-inline="no-display-inline" id="id43C57EB2AB95491A8675D52D9901C247" reported-display-style="strikethrough" style="OLC">

						<subsection changed="deleted" commented="no" display-inline="no-display-inline" id="idE80AF539041A408EB7C64C8FA92CA659" reported-display-style="strikethrough"><enum>(u)</enum><paragraph commented="no" display-inline="yes-display-inline" id="idC19A4287BC2C4ED4921698703F47CC88"><enum>(1)</enum><text display-inline="yes-display-inline">Subject to paragraph (2), if it is a

				reprocessed single-use device, unless it, or an attachment thereto, prominently

				and conspicuously bears the name of the manufacturer of the reprocessed device,

				a generally recognized abbreviation of such name, or a unique and generally

				recognized symbol identifying such manufacturer.</text>

							</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="idD8CF12EE5BF8473D9DB53B0FEAD56B35" indent="up1" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">The Secretary may by guidance waive any

				requirement under paragraph (1) for a reprocessed device or category of

				reprocessed devices if the Secretary determines that compliance with such a

				requirement—</text>

								<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id3CEFAC13ADBE435AB56609DFDC62C962" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">is not feasible due to the physical

				characteristics of the device or category of devices; or</text>

								</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="idF188B3DD2DB14C34B3815793A8F42FC5" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">would compromise the provision of

				reasonable assurance of the safety or effectiveness of the device or category

				of

				devices.</text>

								</subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>

				</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="idE401D96E252A4967A78A443C3ECC7794" reported-display-style="strikethrough"><enum>(2)</enum><header>Guidance</header><text display-inline="yes-display-inline">Not later than 150 days after the date of

			 enactment of this Act, the Secretary of Health and Human Services shall issue

			 guidance specifying the device or category of devices that qualify for a waiver

			 under section 502(u) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.

			 352(u)) (as amended by paragraph (1)).</text>

				</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id90E789179920431A8F603C1D3C3D7282" reported-display-style="strikethrough"><enum>(3)</enum><header>Effective

			 date</header><text display-inline="yes-display-inline">Section 301(b) of Public

			 Law 107–250 (116 Stat. 1616), as amended by section 2(c) of Public Law 108–214

			 (118 Stat. 575), is amended by—</text>

					<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id4C1592F206CC40F19935A8303448871A" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">striking <quote>36 months after the date of

			 enactment of this Act</quote> and inserting <quote>9 months after the date of

			 enactment of the <short-title>Medical Device User Fee

			 Stabilization Act of 2005</short-title></quote>; and</text>

					</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id377B12A8974146B4A09EB2FAAD776ABC" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">inserting <quote>reprocessed and</quote>

			 before <quote>introduced</quote>.</text>

					</subparagraph></paragraph></subsection></section></legis-body>

	<legis-body display-enacting-clause="no-display-enacting-clause">

		<section changed="added" id="ide958abab-4634-43dd-af36-fa18cdf5f009" reported-display-style="italic" 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>Medical Device User Fee Stabilization

			 Act of 2005</short-title></quote>.</text>

		</section><section changed="added" id="id24862769-10e3-4c48-bbf7-5d2a1f473363" reported-display-style="italic" section-type="subsequent-section"><enum>2.</enum><header>Amendments to the

			 Federal Food, Drug, and Cosmetic Act</header>

			<subsection changed="added" id="id1bed6779-5e3f-4ae6-b734-41532a830ecc" reported-display-style="italic"><enum>(a)</enum><header>Device user

			 fees</header><text>Section 738 of the Federal Food, Drug, and Cosmetic Act (21

			 U.S.C. 379j) is amended—</text>

				<paragraph changed="added" id="id4dfc5f63-6d06-4f88-92df-f128d430fcf0" reported-display-style="italic"><enum>(1)</enum><text>in subsection (b)—</text>

					<subparagraph changed="added" id="ida4928f16-a485-4d00-9c67-e3b3322d8cf3" reported-display-style="italic"><enum>(A)</enum><text>after

			 <quote>2004;</quote>, by inserting <quote>and</quote>; and</text>

					</subparagraph><subparagraph changed="added" id="idde103086-511c-48bf-99b3-b4b615f0e3cf" reported-display-style="italic"><enum>(B)</enum><text>by striking

			 <quote>2005;</quote> and all that follows through <quote>2007</quote> and

			 inserting <quote>2005</quote>;</text>

					</subparagraph></paragraph><paragraph changed="added" id="id12d447fd-588c-4a2c-a461-84eff070dfe6" reported-display-style="italic"><enum>(2)</enum><text>in subsection (c)—</text>

					<subparagraph changed="added" id="id91099B0499B74A5180C0A125484DF2CC" reported-display-style="italic"><enum>(A)</enum><text>by striking the heading

			 and inserting <quote><header-in-text level="subsection" style="OLC">Annual Fee

			 Setting.—</header-in-text></quote>;</text>

					</subparagraph><subparagraph changed="added" id="id0bd0c636-7d61-4e94-b5b8-9443d69c0ac6" reported-display-style="italic"><enum>(B)</enum><text>by striking paragraphs

			 (1), (2), (3), and (4);</text>

					</subparagraph><subparagraph changed="added" id="id6b5fa069-a1f3-4e26-98bf-319537c8e7a3" reported-display-style="italic"><enum>(C)</enum><text>by redesignating

			 paragraphs (5) and (6) as paragraphs (1) and (2), respectively;</text>

					</subparagraph><subparagraph changed="added" id="idb4642abe-399c-4a8b-afe8-cee7c83f50da" reported-display-style="italic"><enum>(D)</enum><text>in paragraph (1), as so

			 redesignated, by—</text>

						<clause changed="added" id="id5E4A3063435747A1B1F57870CA00FD1B" reported-display-style="italic"><enum>(i)</enum><text>striking the heading and

			 inserting <quote><header-in-text level="paragraph" style="OLC">In

			 general.—</header-in-text></quote>;</text>

						</clause><clause changed="added" id="id3ed2b2f6-4849-45e0-8ef9-5933ba545270" reported-display-style="italic"><enum>(ii)</enum><text>striking

			 <quote>establish, for the next fiscal year, and</quote> and all that follows

			 through <quote>the fees</quote> and inserting <quote>publish in the Federal

			 Register fees under subsection (a). The fees</quote>;</text>

						</clause><clause changed="added" id="ide05690dc-ffba-4db6-9866-b87140e4f179" reported-display-style="italic"><enum>(iii)</enum><text>striking

			 <quote>2003</quote> and inserting <quote>2006</quote>; and</text>

						</clause><clause changed="added" id="id11084c79-98fa-40f2-ac71-db2cc4a7078a" reported-display-style="italic"><enum>(iv)</enum><text>striking

			 <quote>$154,000.</quote> and inserting <quote>$259,600, and the fees

			 established for fiscal year 2007 shall be based on a premarket application fee

			 of $281,600.</quote>; and</text>

						</clause></subparagraph><subparagraph changed="added" id="id5DC11CDC1E844B69AD5EEC45E46F99E0" reported-display-style="italic"><enum>(E)</enum><text>by adding at the end the

			 following:</text>

						<quoted-block changed="added" display-inline="no-display-inline" id="id6CB766E8677E4731AA493017725316DB" reported-display-style="italic" style="OLC">

							<paragraph changed="added" id="id79768428D611463D87C36BC560245593" reported-display-style="italic"><enum>(3)</enum><header>Supplement</header>

								<subparagraph changed="added" id="idF3222767ADB94FE98B145BE9CE452E50" reported-display-style="italic"><enum>(A)</enum><header>In

				general</header><text>For fiscal years 2006 and 2007, the Secretary may use

				unobligated carryover balances from fees collected in previous fiscal years to

				ensure that sufficient fee revenues are available in that fiscal year, so long

				as the Secretary maintains unobligated carryover balances of not less than 1

				month of operating reserves for the first month of fiscal year 2008.</text>

								</subparagraph><subparagraph changed="added" id="idB1CB3C08FFBA42A381BD0AFDF9281A6A" reported-display-style="italic"><enum>(B)</enum><header>Notice to

				Congress</header><text>Not later than 14 days before the Secretary anticipates

				the use of funds described in subparagraph (A), the Secretary shall provide

				notice to the Committee on Health, Education, Labor, and Pensions and the

				Committee on Appropriations of the Senate and the Committee on Energy and

				Commerce and the Committee on Appropriations of the House of

				Representatives.</text>

								</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>

					</subparagraph></paragraph><paragraph changed="added" id="id85100c2e-4385-41c1-99a3-8411f198607f" reported-display-style="italic"><enum>(3)</enum><text>in subsection (d)—</text>

					<subparagraph changed="added" id="id6DEE3475A992482B865F0A1A80912772" reported-display-style="italic"><enum>(A)</enum><text>in paragraph (1), by

			 inserting after the first sentence the following: <quote>For the purposes of

			 this paragraph, the term <quote>small business</quote> means an entity that

			 reported $30,000,000 or less of gross receipts or sales in its most recent

			 Federal income tax return for a taxable year, including such returns of all of

			 its affiliates, partners, and parent firms.</quote>; and</text>

					</subparagraph><subparagraph changed="added" id="idCDE3E2167D2441F9B41A0C5E4477B2C9" reported-display-style="italic"><enum>(B)</enum><text>in paragraph (2)(A),

			 by—</text>

						<clause changed="added" id="id85809A384D6C4EBFA096EE1019215A03" reported-display-style="italic"><enum>(i)</enum><text>striking <quote>(i)

			 <header-in-text level="clause" style="OLC">In

			 general.—</header-in-text></quote>;</text>

						</clause><clause changed="added" id="id95A8C2894A38483785175E9C37FDE756" reported-display-style="italic"><enum>(ii)</enum><text>striking

			 <quote>subsection,</quote> and inserting <quote>paragraph,</quote>;</text>

						</clause><clause changed="added" id="id941bc61b-7a65-45b6-9e6b-79d71cf4f012" reported-display-style="italic"><enum>(iii)</enum><text>striking

			 <quote>$30,000,000</quote> and inserting <quote>$100,000,000</quote>;

			 and</text>

						</clause><clause changed="added" id="id0c4888ed-edd6-41f7-8943-6d648d9be81c" reported-display-style="italic"><enum>(iv)</enum><text>striking clause

			 (ii);</text>

						</clause></subparagraph></paragraph><paragraph changed="added" id="id7a6b55da-e51e-4533-9830-912bd560a762" reported-display-style="italic"><enum>(4)</enum><text>in subsection (e)(2)(A),

			 by striking <quote>$30,000,000</quote> and inserting

			 <quote>$100,000,000</quote>;</text>

				</paragraph><paragraph changed="added" id="id96a74c53-4fab-4fff-b28f-2825cd5b6974" reported-display-style="italic"><enum>(5)</enum><text>in subsection

			 (g)(1)—</text>

					<subparagraph changed="added" id="idc6d70995-8ef1-4bd5-af83-e932bda1e172" reported-display-style="italic"><enum>(A)</enum><text>in subparagraph

			 (B)—</text>

						<clause changed="added" id="id119bd8f0-be24-4e15-a190-1e29a6469236" reported-display-style="italic"><enum>(i)</enum><text>by striking clause (i)

			 and inserting the following:</text>

							<quoted-block changed="added" display-inline="no-display-inline" id="ida54957ff-9593-45d1-882c-40d59fb4a935" reported-display-style="italic" style="OLC">

								<clause changed="added" id="id7a503250-a57b-4087-89af-bc99fe3c4a73" reported-display-style="italic"><enum>(i)</enum><text>For fiscal year 2005, the

				Secretary is expected to meet all of the performance goals identified for the

				fiscal year if the amount so appropriated for such fiscal year, excluding the

				amount of fees appropriated for such fiscal year, is equal to or greater than

				$205,720,000 multiplied by the adjustment factor applicable to the fiscal

				year.</text>

								</clause><after-quoted-block>;

				and</after-quoted-block></quoted-block>

						</clause><clause changed="added" id="id7f047e59-1457-4bd9-9a67-e2ab486c4905" reported-display-style="italic"><enum>(ii)</enum><text>in clause (ii), by

			 striking the matter preceding subclause (I) and inserting the following:</text>

							<quoted-block changed="added" display-inline="no-display-inline" id="id802b36e6-7832-4d38-94d0-e22e410ebccc" reported-display-style="italic" style="OLC">

								<clause changed="added" id="idc2db5670-fa33-4c92-a509-9ca870bd1c26" reported-display-style="italic"><enum>(ii)</enum><text>For fiscal year 2005, if

				the amount so appropriated for such fiscal year, excluding the amount of fees

				appropriated for such fiscal year, is more than 1 percent less than the amount

				that applies under clause (i), the following

				applies:</text>

								</clause><after-quoted-block>;</after-quoted-block></quoted-block>

						</clause></subparagraph><subparagraph changed="added" id="id13f03551-995e-4ad2-bf0b-bf41a9c11521" reported-display-style="italic"><enum>(B)</enum><text>in subparagraph

			 (C)—</text>

						<clause changed="added" id="idb8756ae9-5060-4dd8-b020-02c4bf1e17a8" reported-display-style="italic"><enum>(i)</enum><text>in the matter preceding

			 clause (i), by—</text>

							<subclause changed="added" id="id6f3fa2e4-16f1-42d7-86e7-bb5b55456168" reported-display-style="italic"><enum>(I)</enum><text>striking <quote>2003

			 through</quote> and inserting <quote>2005 and</quote>; and</text>

							</subclause><subclause changed="added" id="id9c548845-84ab-4cce-9e64-558a636c99cb" reported-display-style="italic"><enum>(II)</enum><text>inserting <quote>more

			 than 1 percent</quote> after <quote>years, is</quote>; and</text>

							</subclause></clause><clause changed="added" id="idada492fa-ba1e-4803-9d6c-cc4f3d4c6b45" reported-display-style="italic"><enum>(ii)</enum><text>in clause (ii), by

			 striking <quote>sum</quote> and inserting <quote>amount</quote>; and</text>

						</clause></subparagraph><subparagraph changed="added" id="id2658C43F4CE64D218C94DE2137518BED" reported-display-style="italic"><enum>(C)</enum><text>in subparagraph (D)(i),

			 by inserting <quote>more than 1 percent</quote> after <quote>year,

			 is</quote>;</text>

					</subparagraph></paragraph><paragraph changed="added" id="ide2dd44a7-3c92-46d6-b254-9c77cf1a6a5e" reported-display-style="italic"><enum>(6)</enum><text>in subsection

			 (h)(3)—</text>

					<subparagraph changed="added" id="ida7121882-1392-4270-870f-bc86b3be34c2" reported-display-style="italic"><enum>(A)</enum><text>in subparagraph (C), by

			 striking the semicolon and inserting <quote>; and</quote>; and</text>

					</subparagraph><subparagraph changed="added" id="idc0bbb0d5-7c48-4bf3-ba68-18b9d9c80e94" reported-display-style="italic"><enum>(B)</enum><text>by striking subparagraphs

			 (D) and (E) and inserting the following:</text>

						<quoted-block changed="added" display-inline="no-display-inline" id="id25268d73-e939-465f-a639-a5b70892c377" reported-display-style="italic" style="OLC">

							<subparagraph changed="added" id="id48b45a8c-4a34-43e1-906b-86e6d9b9d325" reported-display-style="italic"><enum>(D)</enum><text>such sums as may be

				necessary for each of fiscal years 2006 and

				2007.</text>

							</subparagraph><after-quoted-block>;

				and</after-quoted-block></quoted-block>

					</subparagraph></paragraph><paragraph changed="added" id="idd551d1fe-056e-4c92-bb3d-ea6472fae199" reported-display-style="italic"><enum>(7)</enum><text>by striking

			 <quote>subsection (c)(5)</quote> each place it appears and inserting

			 <quote>subsection (c)(1)</quote>.</text>

				</paragraph></subsection><subsection changed="added" commented="no" display-inline="no-display-inline" id="id5ADA52729EE84620BCCC8F6FC3C932A1" reported-display-style="italic"><enum>(b)</enum><header>Annual

			 reports</header><text>Section 103 of the Medical Device User Fee and

			 Modernization Act of 2002 (Public Law 107–250 (116 Stat. 1600)) is

			 amended—</text>

				<paragraph changed="added" commented="no" display-inline="no-display-inline" id="idDC1900AA84B2420AA79CE62FF82D2336" reported-display-style="italic"><enum>(1)</enum><text>by striking

			 <quote>Beginning with</quote> and inserting <quote>(a)

			 <header-in-text level="subsection" style="OLC">In

			 general.</header-in-text>—Beginning with</quote>; and</text>

				</paragraph><paragraph changed="added" commented="no" display-inline="no-display-inline" id="id708CC7565065492F99186357B153323E" reported-display-style="italic"><enum>(2)</enum><text>by adding at the end the

			 following:</text>

					<quoted-block changed="added" display-inline="no-display-inline" id="idD49FD5B62C1F45EC82C8C8D32485D020" reported-display-style="italic" style="OLC">

						<subsection changed="added" commented="no" display-inline="no-display-inline" id="id6790AD9B32ED4C538E5C104446D43E6F" reported-display-style="italic"><enum>(b)</enum><header>Additional

				information</header><text>For fiscal years 2006 and 2007, the report described

				under subsection (a)(2) shall include—</text>

							<paragraph changed="added" commented="no" display-inline="no-display-inline" id="id11DE7555DFA34799BDA311719DB7C1E2" reported-display-style="italic"><enum>(1)</enum><text>information on the number

				of different types of applications and notifications, and the total amount of

				fees paid for each such type of application or notification, from businesses

				with gross receipts or sales from $0 to $100,000,000, with such businesses

				categorized in $10,000,000 intervals; and</text>

							</paragraph><paragraph changed="added" commented="no" display-inline="no-display-inline" id="id25F406E63F7949D5A869ED7DEFC93DDD" reported-display-style="italic"><enum>(2)</enum><text>a certification by the

				Secretary that the amounts appropriated for salaries and expenses of the Food

				and Drug Administration for such fiscal year and obligated by the Secretary for

				the performance of any function relating to devices that is not for the process

				for the review of device applications, as defined in paragraph (5) of section

				737 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379i), are not less

				than such amounts for fiscal year 2002 multiplied by the adjustment factor, as

				defined in paragraph (7) of such section

				737.</text>

							</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>

				</paragraph></subsection><subsection changed="added" id="id63063e68-97ca-42cb-a5a6-378b09acc8f8" reported-display-style="italic"><enum>(c)</enum><header>Misbranded

			 devices</header>

				<paragraph changed="added" id="id501652E9E79A40E893B330E58450440E" reported-display-style="italic"><enum>(1)</enum><header>In

			 general</header><text>Section 502(u) of the Federal Food, Drug, and Cosmetic

			 Act (21 U.S.C. 352(u)) is amended to read as follows:</text>

					<quoted-block changed="added" display-inline="no-display-inline" id="id2779E3EDF0EB4339AB8030EA346FF3A0" reported-display-style="italic" style="OLC">

						<subsection changed="added" id="id2ebfc5ca-1d8d-475b-be4c-3b47b641e4ed" reported-display-style="italic"><enum>(u)</enum><paragraph commented="no" display-inline="yes-display-inline" id="id27f0a2ba-4fb9-4975-80d1-f4d8dbb302cd"><enum>(1)</enum><text>Subject to

				paragraph (2), if it is a reprocessed single-use device, unless it, or an

				attachment thereto, prominently and conspicuously bears the name of the

				manufacturer of the reprocessed device, a generally recognized abbreviation of

				such name, or a unique and generally recognized symbol identifying such

				manufacturer.</text>

							</paragraph><paragraph changed="added" id="idD5379548871645DB999E2B38B8BC14D3" indent="up1" reported-display-style="italic"><enum>(2)</enum><text>If

				the original device or an attachment thereto does not prominently and

				conspicuously bear the name of the manufacturer of the original device, a

				generally recognized abbreviation of such name, or a unique and generally

				recognized symbol identifying such manufacturer, a reprocessed device may

				satisfy the requirements of paragraph (1) through the use of a detachable label

				on the packaging that identifies the manufacturer and is intended to be affixed

				to the medical record of a

				patient.</text>

							</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>

				</paragraph><paragraph changed="added" id="id718D735A590E4AB783B491B04B36CBA4" reported-display-style="italic"><enum>(2)</enum><header>Guidance</header><text>Not

			 later than 180 days after the date of enactment of this Act, the Secretary of

			 Health and Human Services shall issue guidance to identify circumstances in

			 which the name of the manufacturer of the original device, a generally

			 recognized abbreviation of such name, or a unique and generally recognized

			 symbol identifying such manufacturer, is not <quote>prominent and

			 conspicuous</quote>, as used in section 502(u) of Federal Food, Drug, and

			 Cosmetic Act (as amended by paragraph (1)).</text>

				</paragraph></subsection><subsection changed="added" commented="no" display-inline="no-display-inline" id="id72b12bde-e03e-410e-83ae-b66c4c604740" reported-display-style="italic"><enum>(d)</enum><header>Effective

			 date</header><text>Section 301(b) of the Medical Device User Fee and

			 Modernization Act of 2002 (Public Law 107–250 (116 Stat. 1616)), as amended by

			 section 2(c) of Public Law 108–214 (118 Stat. 575), is amended to read as

			 follows:</text>

				<quoted-block changed="added" display-inline="no-display-inline" id="id3E826AD7E3C94D89A1281BB24D064673" reported-display-style="italic" style="OLC">

					<subsection changed="added" commented="no" display-inline="no-display-inline" id="id3E34B99C597A458094CF49A1A0DCFC50" reported-display-style="italic"><enum>(b)</enum><header>Effective

				date</header><text>Section 502(u) of the Federal Food, Drug, and Cosmetic Act

				(as amended by section 2(c) of the <short-title>Medical

				Device User Fee Stabilization Act of 2005</short-title>)—</text>

						<paragraph changed="added" commented="no" display-inline="no-display-inline" id="id3E6317478D48432BA3715566C6E0FCF1" reported-display-style="italic"><enum>(1)</enum><text>shall be

				effective—</text>

							<subparagraph changed="added" commented="no" display-inline="no-display-inline" id="idD08AB2BFC5E944D7A10D5E9A47A82409" reported-display-style="italic"><enum>(A)</enum><text>with respect to devices

				described under paragraph (1) of such section, 12 months after the date of

				enactment of the <short-title>Medical Device User Fee

				Stabilization Act of 2005</short-title>, or the date on which the original

				device first bears the name of the manufacturer of the original device, a

				generally recognized abbreviation of such name, or a unique and generally

				recognized symbol identifying such manufacturer, whichever is later; and</text>

							</subparagraph><subparagraph changed="added" commented="no" display-inline="no-display-inline" id="idA2AC47D4E24E403C911D2A8AE7C4AC27" reported-display-style="italic"><enum>(B)</enum><text>with respect to devices

				described under paragraph (2) of such section 502(u), 12 months after such date

				of enactment; and</text>

							</subparagraph></paragraph><paragraph changed="added" commented="no" display-inline="no-display-inline" id="idFAEC602027C14637AEE5AAF3A5113C4E" reported-display-style="italic"><enum>(2)</enum><text>shall apply only to

				devices reprocessed and introduced or delivered for introduction in interstate

				commerce after such applicable effective

				date.</text>

						</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>

			</subsection></section></legis-body>

	<endorsement>

		<action-date>July 25, 2005</action-date>

		<action-desc>Reported with an amendment</action-desc>

	</endorsement>

</bill>

