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<bill bill-stage="Reported-in-Senate" public-private="public">
	<form>
		<distribution-code>II</distribution-code>
		<calendar>Calendar No. 586</calendar>
		<congress>109th CONGRESS</congress>
		<session>2d Session</session>
		<legis-num>S. 3546</legis-num>
		<associated-doc role="report">[Report No. 109–324]</associated-doc>
		<current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber>
		<action>
			<action-date date="20060621">June 21, 2006</action-date>
			<action-desc><sponsor name-id="S118">Mr. Hatch</sponsor> (for himself,
			 <cosponsor name-id="S253">Mr. Durbin</cosponsor>, <cosponsor name-id="S172">Mr.
			 Harkin</cosponsor>, <cosponsor name-id="S254">Mr. Enzi</cosponsor>,
			 <cosponsor name-id="S055">Mr. Kennedy</cosponsor>, and
			 <cosponsor name-id="S287">Mr. Cornyn</cosponsor>) introduced the following
			 bill; which was read twice and referred to the
			 <committee-name added-display-style="italic" committee-id="SSHR00" deleted-display-style="strikethrough">Committee on Health, Education, Labor,
			 and Pensions</committee-name></action-desc>
		</action>
		<action stage="Reported-in-Senate">
			<action-date date="20060905">September 5, 2006</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>To amend the Federal Food, Drug, and Cosmetic Act with
		  respect to serious adverse event reporting for dietary supplements and
		  nonprescription drugs, and for other purposes.</official-title>
	</form>
	<legis-body>
		<section changed="deleted" committee-id="SSHR00" id="ID873208C2BAF84A049C1BAE326C2C9EA1" 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>Dietary
			 Supplement and Nonprescription Drug Consumer Protection Act</quote>.</text>
		</section><section changed="deleted" committee-id="SSHR00" id="ID947A369B254347788A59272AAD6F7FA6" reported-display-style="strikethrough"><enum>2.</enum><header>Serious adverse
			 event reporting for nonprescription drugs</header>
			<subsection id="ID673F5C9A82EB46019245F1C840307CB8"><enum>(a)</enum><header>In General</header><text>Chapter
			 VII of the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic
			 Act</act-name> (21 U.S.C. 371 et seq.) is amended by adding at the end the
			 following:</text>
				<quoted-block act-name="Federal Food, Drug, and Cosmetic Act" committee-id="SSHR00" id="ID26A494A166B64CCAB03207AFD1BCA4E8" style="OLC">
					<subchapter id="ID9F0C2A35308940BF92FD18CF25E9BAAA"><enum>H</enum><header>Serious Adverse
				Event Reports</header>
						<section changed="deleted" committee-id="SSHR00" id="ID3467063D5B8C44F8A64FAE520FFDD07C" reported-display-style="strikethrough"><enum>760.</enum><header>Serious adverse
				event reporting for nonprescription drugs</header>
							<subsection changed="deleted" committee-id="SSHR00" id="ID865095B1412147C18869B242307D44E5" reported-display-style="strikethrough"><enum>(a)</enum><header>Definitions</header><text>In
				this section:</text>
								<paragraph changed="deleted" committee-id="SSHR00" id="ID64465ADC36044E62943CA4C7CD01BE73" reported-display-style="strikethrough"><enum>(1)</enum><header>Adverse
				event</header><text>The term <term>adverse event</term> means any
				health-related event associated with the use of a nonprescription drug that is
				adverse, including—</text>
									<subparagraph changed="deleted" id="IDE38B7978A3204E1B9EA77A92B3858651" reported-display-style="strikethrough"><enum>(A)</enum><text>an event occurring
				from an overdose of the drug, whether accidental or intentional;</text>
									</subparagraph><subparagraph changed="deleted" id="IDE409E28A2FB242EE9DCF000D85CA8716" reported-display-style="strikethrough"><enum>(B)</enum><text>an event occurring
				from abuse of the drug;</text>
									</subparagraph><subparagraph changed="deleted" id="ID1BB9D1BDA17E451793E90B6A5DB3F438" reported-display-style="strikethrough"><enum>(C)</enum><text>an event occurring
				from withdrawal from the drug; and</text>
									</subparagraph><subparagraph changed="deleted" id="ID06F34A4907624685AEB4B1ECEF226742" reported-display-style="strikethrough"><enum>(D)</enum><text>any failure of
				expected pharmacological action of the drug.</text>
									</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="IDDC6072DEB18F4C3D80747F6FF2B2DC02" reported-display-style="strikethrough"><enum>(2)</enum><header>Nonprescription
				drug</header><text>The term <term>nonprescription drug</term> means a drug that
				is—</text>
									<subparagraph changed="deleted" id="IDCF8A8AE19BF344A1A906F59166F04F63" reported-display-style="strikethrough"><enum>(A)</enum><text>not subject to
				section 503(b); and</text>
									</subparagraph><subparagraph changed="deleted" id="ID71B2E62BC8D04D9384ECC24D1D7AA939" reported-display-style="strikethrough"><enum>(B)</enum><text>not subject to
				approval in an application submitted under section 505.</text>
									</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="IDD609BF72C63E4479A5CD65ACAD163469" reported-display-style="strikethrough"><enum>(3)</enum><header>Serious adverse
				event</header><text>The term <term>serious adverse event</term> is an adverse
				event that—</text>
									<subparagraph changed="deleted" committee-id="SSHR00" id="IDDF29EDE4D10C4659A4CBC88462F39401" reported-display-style="strikethrough"><enum>(A)</enum><text>results in—</text>
										<clause changed="deleted" id="IDE211042F96DC4736AFEA33B1DF55D99E" reported-display-style="strikethrough"><enum>(i)</enum><text>death;</text>
										</clause><clause changed="deleted" id="ID9F74D779ED244F9C8B6F3822F4265126" reported-display-style="strikethrough"><enum>(ii)</enum><text>a
				life-threatening experience;</text>
										</clause><clause changed="deleted" id="ID72B8394722F14458A219052C9CAC2589" reported-display-style="strikethrough"><enum>(iii)</enum><text>inpatient
				hospitalization;</text>
										</clause><clause changed="deleted" id="ID1D86B34C66CF4FAAA7F34296F95FF43E" reported-display-style="strikethrough"><enum>(iv)</enum><text>a persistent or
				significant disability or incapacity; or</text>
										</clause><clause changed="deleted" id="ID836256D3C26B40578B37FDD041316D10" reported-display-style="strikethrough"><enum>(v)</enum><text>a congenital
				anomaly or birth defect; or</text>
										</clause></subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="ID237573CCC3C54630BF9A403FD3A31342" reported-display-style="strikethrough"><enum>(B)</enum><text>requires, based on
				reasonable medical judgment, a medical or surgical intervention to prevent an
				outcome described under subparagraph (A).</text>
									</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID8358B3D803E146CCB17B0FC876D55B9A" reported-display-style="strikethrough"><enum>(4)</enum><header>Serious adverse
				event report</header><text>The term <term>serious adverse event report</term>
				means a report that is required to be submitted to the Secretary under
				subsection (b).</text>
								</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="IDC090CD2F86014BB19F13251892CAD414" reported-display-style="strikethrough"><enum>(b)</enum><header>Reporting
				Requirement</header><text>The manufacturer, packer, or distributor whose name
				(pursuant to section 502(b)(1)) appears on the label of a nonprescription drug
				marketed in the United States (referred to in this section as the
				<quote>responsible person</quote>) shall submit to the Secretary any report
				received of a serious adverse event associated with such drug when used in the
				United States, accompanied by a copy of the label on or within the retail
				package of such drug.</text>
							</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID6BFA35926D824A529C52232EA90D7FE0" reported-display-style="strikethrough"><enum>(c)</enum><header>Submission of
				Reports</header>
								<paragraph changed="deleted" id="ID3696AC97A8B74CCAB8ABB05CB56974CB" reported-display-style="strikethrough"><enum>(1)</enum><header>Timing of
				reports</header><text>The responsible person shall submit to the Secretary a
				serious adverse event report no later than 15 business days after the report is
				received through the address or phone number described in section
				502(x).</text>
								</paragraph><paragraph changed="deleted" id="IDE2EAD7FC9BD5498DB54793F96E7235FE" reported-display-style="strikethrough"><enum>(2)</enum><header>New medical
				information</header><text>The responsible person shall submit to the Secretary
				any new medical information, related to a submitted serious adverse event
				report that is received by the responsible person within 1 year of the initial
				report, no later than 15 business days after the new information is received by
				the responsible person.</text>
								</paragraph><paragraph changed="deleted" id="ID8B7B42BCB3AE4D4EA6BFADB605F29D53" reported-display-style="strikethrough"><enum>(3)</enum><header>Consolidation of
				reports</header><text>The Secretary shall develop systems to ensure that
				duplicate reports of, and new medical information related to, a serious adverse
				event shall be consolidated into a single report.</text>
								</paragraph><paragraph changed="deleted" id="IDBB1F1760D4D942338716AF2947F7D304" reported-display-style="strikethrough"><enum>(4)</enum><header>Exemption</header><text>The
				Secretary, after providing notice and an opportunity for comment from
				interested parties, may establish an exemption to the requirements under
				paragraphs (1) and (2) if the Secretary determines that such exemption would
				have no adverse effect on public health.</text>
								</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="IDF1C5C1880DE74CD9AB04F3DF9C327214" reported-display-style="strikethrough"><enum>(d)</enum><header>Contents of
				Reports</header><text>Each serious adverse event report under this section
				shall be submitted to the Secretary using the MedWatch form, which may be
				modified by the Secretary for nonprescription drugs, and may be accompanied by
				additional information.</text>
							</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID0972D980CBB84CC49BF97779BDBBF733" reported-display-style="strikethrough"><enum>(e)</enum><header>Maintenance and
				Inspection of Records</header>
								<paragraph changed="deleted" committee-id="SSHR00" id="ID636148E58E8749389FBA51AAC744BE49" reported-display-style="strikethrough"><enum>(1)</enum><header>Maintenance</header><text>The
				responsible person shall maintain records related to each report of an adverse
				event received by the responsible person for a period of 6 years.</text>
								</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID13E9148DA6A543309C509805484DB0F1" reported-display-style="strikethrough"><enum>(2)</enum><header>Records
				inspection</header>
									<subparagraph changed="deleted" committee-id="SSHR00" id="ID3B027E138BA04B86B298C021FA905ACA" reported-display-style="strikethrough"><enum>(A)</enum><header>In
				general</header><text>The responsible person shall permit an authorized person
				to have access to records required to be maintained under this section, during
				an inspection pursuant to section 704.</text>
									</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="ID5E92162AB1004DC4997BA35E4083FC0C" reported-display-style="strikethrough"><enum>(B)</enum><header>Authorized
				person</header><text>For purposes of this paragraph, the term <term>authorized
				person</term> means an officer or employee of the Department of Health and
				Human Services who has—</text>
										<clause changed="deleted" id="ID2ADF73B7D7224608B6ACE32DEBD5B6AB" reported-display-style="strikethrough"><enum>(i)</enum><text>appropriate
				credentials, as determined by the Secretary; and</text>
										</clause><clause changed="deleted" id="ID3B49D1718A3B426B8EEE3DA26FFDC5FC" reported-display-style="strikethrough"><enum>(ii)</enum><text>been duly
				designated by the Secretary to have access to the records required under this
				section.</text>
										</clause></subparagraph></paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="ID4C34361DB7564245A8DFFCE1D02A5B70" reported-display-style="strikethrough"><enum>(f)</enum><header>Protected
				Information</header><text>A serious adverse event report submitted to the
				Secretary under this section, including any new medical information submitted
				under subsection (c)(2), or an adverse event report voluntarily submitted to
				the Secretary shall be considered to be—</text>
								<paragraph changed="deleted" id="ID62FA3A79267A478EA800C55D18C6D4E9" reported-display-style="strikethrough"><enum>(1)</enum><text>a safety report
				under section 756 and may be accompanied by a statement, which shall be a part
				of any report that is released for public disclosure, that denies that the
				report or the records constitute an admission that the product involved caused
				or contributed to the adverse event; and</text>
								</paragraph><paragraph changed="deleted" id="ID6FBD798AD06744F1A812060D8EAD14A3" reported-display-style="strikethrough"><enum>(2)</enum><text>a record about an
				individual under section 552a of title 5, United States Code (commonly referred
				to as the <quote>Privacy Act of 1974</quote>) and a medical or similar file the
				disclosure of which would constitute a violation of section 552 of such title 5
				(commonly referred to as the <quote>Freedom of Information Act</quote>), and
				shall not be publicly disclosed unless all personally identifiable information
				is redacted.</text>
								</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="IDB7BB097178CD4B198E11F8A35714BF70" reported-display-style="strikethrough"><enum>(g)</enum><header>Rule of
				Construction</header><text>The submission of any adverse event report in
				compliance with this section shall not be construed as an admission that the
				nonprescription drug involved caused or contributed to the adverse
				event.</text>
							</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID0A9699D59A514161903D7418A16687C3" reported-display-style="strikethrough"><enum>(h)</enum><header>Preemption</header>
								<paragraph changed="deleted" committee-id="SSHR00" id="id1E46B7900559423CA0804BE39D0FCCCA" reported-display-style="strikethrough"><enum>(1)</enum><header>In
				general</header><text>No State or local government shall establish or continue
				in effect any law, regulation, order, or other requirement, related to a
				mandatory system for adverse event reports for nonprescription drugs, that is
				different from, in addition to, or otherwise not identical to, this
				section.</text>
								</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="idB0D2C9143CF444C68FA79C4AFEFA7ECA" reported-display-style="strikethrough"><enum>(2)</enum><header>Effect of
				section</header>
									<subparagraph changed="deleted" committee-id="SSHR00" id="idB2A7D22D3D374BF8A2277952D015A45E" reported-display-style="strikethrough"><enum>(A)</enum><header>In
				general</header><text>Nothing in this section shall affect the authority of the
				Secretary to provide adverse event reports and information to any health, food,
				or drug officer or employee of any State, territory, or political subdivision
				of a State or territory, under a memorandum of understanding between the
				Secretary and such State, territory, or political subdivision.</text>
									</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="idD1F9A4E1189F4C0BA29657056F0F9912" reported-display-style="strikethrough"><enum>(B)</enum><header>Personally-identifiable
				information</header><text>Notwithstanding any other provision of law,
				personally-identifiable information in adverse event reports provided by the
				Secretary to any health, food, or drug officer or employee of any State,
				territory, or political subdivision of a State or territory, shall not—</text>
										<clause changed="deleted" id="id6AD3017E509A4B0C99F0C38D2092969F" reported-display-style="strikethrough"><enum>(i)</enum><text>be made publicly
				available pursuant to any State or other law requiring disclosure of
				information or records; or</text>
										</clause><clause changed="deleted" id="id8921216B3024465A826CC710C1DBFC5B" reported-display-style="strikethrough"><enum>(ii)</enum><text>otherwise be
				disclosed or distributed to any party without the written consent of the
				Secretary and the person submitting such information to the Secretary.</text>
										</clause></subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="id1E0DD89A62B245A79469A84DB620FB9F" reported-display-style="strikethrough"><enum>(C)</enum><header>Use of safety
				reports</header><text>Nothing in this section shall permit a State, territory,
				or political subdivision of a State or territory, to use any safety report
				received from the Secretary in a manner inconsistent with subsection (g) or
				section 756.</text>
									</subparagraph></paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="idC1285437093D452BB9232623D62FE7D5" reported-display-style="strikethrough"><enum>(i)</enum><header>Authorization of
				appropriations</header><text>There are authorized to be appropriated to carry
				out this section such sums as may be
				necessary.</text>
							</subsection></section></subchapter><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID9EE75CFA81E749D2BD746A3175A11A1B" reported-display-style="strikethrough"><enum>(b)</enum><header>Modifications</header><text>The
			 Secretary of Health and Human Services may modify requirements under the
			 amendments made by this section in accordance with section 553 of title 5,
			 United States Code, to maintain consistency with international harmonization
			 efforts over time.</text>
			</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID5DCE29D780D34A11A065941FCB37C55A" reported-display-style="strikethrough"><enum>(c)</enum><header>Prohibited
			 Act</header><text>Section 301(e) of the <act-name parsable-cite="FFDCA">Federal
			 Food, Drug, and Cosmetic Act</act-name> (21 U.S.C. 331(e)) is amended
			 by—</text>
				<paragraph id="ID483B314C2A244276A4D6A87ECB1DA1C8"><enum>(1)</enum><text>striking <quote>, or
			 704(a);</quote> and inserting <quote>, 704(a), or 760;</quote>; and</text>
				</paragraph><paragraph id="ID2C8BF4B3A70E4F5BA97F1ADDB5CEF597"><enum>(2)</enum><text>striking <quote>, or 564</quote>
			 and inserting <quote>, 564, or 760</quote>.</text>
				</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="ID6F04B70ECBD8473CA2EE10FD7F5B4AE7" reported-display-style="strikethrough"><enum>(d)</enum><header>Misbranding</header><text>Section
			 502 of the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic
			 Act</act-name> (21 U.S.C. 352) is amended by adding at the end the
			 following:</text>
				<quoted-block act-name="Federal Food, Drug, and Cosmetic Act" changed="deleted" committee-id="SSHR00" id="IDC88CB8B9E95A4172B398F22CCBC0734A" reported-display-style="strikethrough" style="OLC">
					<subsection id="IDF4C60646DD5E45ACB5F61C920ACB6D49"><enum>(x)</enum><text>If it is a
				nonprescription drug (as defined in section 760) that is marketed in the United
				States, unless the label of such drug includes an address or phone number
				through which the responsible person (as described in section 760) may receive
				a report of a serious adverse event (as defined in section 760) with such
				drug.</text>
					</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID6CB1C891BC444ED09BAB88025E714ECE" reported-display-style="strikethrough"><enum>(e)</enum><header>Effective
			 Dates</header>
				<paragraph id="ID5BA681B57D224B2FB0C18F630E46E145"><enum>(1)</enum><header>In general</header><text>Except
			 as provided in paragraph (2), the amendments made by this section shall take
			 effect 1 year after the date of enactment of this Act.</text>
				</paragraph><paragraph id="ID92FBBB5E31ED49E1A1A1BF035D360DB7"><enum>(2)</enum><header>Misbranding</header><text>Section
			 502(x) of the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic
			 Act</act-name> (as added by this section) shall apply to any nonprescription
			 drug (as defined in such section 502(x)) labeled on or after the date that is 1
			 year after the date of enactment of this Act.</text>
				</paragraph><paragraph id="ID73A950246E68438FBE2E2B75762E10F5"><enum>(3)</enum><header>Guidance</header><text>Not later
			 than 270 days after the date of enactment of this Act, the Secretary of Health
			 and Human Services shall issue guidance on the minimum data elements that
			 should be included in a serious adverse event report described under the
			 amendments made by this Act.</text>
				</paragraph></subsection></section><section changed="deleted" committee-id="SSHR00" id="ID854BDDCE03A5407E984891997D7F3C7A" reported-display-style="strikethrough"><enum>3.</enum><header>Serious adverse
			 event reporting for dietary supplements</header>
			<subsection id="ID43904D2F7F384C40A4D12A1000A7EDCC"><enum>(a)</enum><header>In General</header><text>Chapter
			 VII of the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic
			 Act</act-name> (21 U.S.C. 371 et seq.) is amended by adding at the end the
			 following:</text>
				<quoted-block act-name="Federal Food, Drug, and Cosmetic Act" committee-id="SSHR00" id="ID479D03AB4897414088CF5ADE84CFB1AF" style="OLC">
					<section id="IDEB99B112F26C4D17938E4806AB7C013D"><enum>761.</enum><header>Serious adverse
				event reporting for dietary supplements</header>
						<subsection changed="deleted" committee-id="SSHR00" id="IDD5565DC745B1434D92CB2EA684CCA1E0" reported-display-style="strikethrough"><enum>(a)</enum><header>Definitions</header><text>In
				this section:</text>
							<paragraph changed="deleted" committee-id="SSHR00" id="ID7A2992DCE22B4354AACD85B0146F08F3" reported-display-style="strikethrough"><enum>(1)</enum><header>Adverse
				event</header><text>The term <term>adverse event</term> means any
				health-related event associated with the use of a dietary supplement that is
				adverse.</text>
							</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID58EA7CB8BD26415B93DD4A3CC19FA098" reported-display-style="strikethrough"><enum>(2)</enum><header>Serious adverse
				event</header><text>The term <term>serious adverse event</term> is an adverse
				event that—</text>
								<subparagraph changed="deleted" committee-id="SSHR00" id="IDBEE041D050AE4FD5B8C694310C911C99" reported-display-style="strikethrough"><enum>(A)</enum><text>results in—</text>
									<clause changed="deleted" id="IDA0E9B0339222466B826A125E1BEFBB96" reported-display-style="strikethrough"><enum>(i)</enum><text>death;</text>
									</clause><clause changed="deleted" id="ID9343B47D6A514A3E9E5955D2EB9E1B19" reported-display-style="strikethrough"><enum>(ii)</enum><text>a
				life-threatening experience;</text>
									</clause><clause changed="deleted" id="ID0BFC14A7D5784955A9D953B21536C4FE" reported-display-style="strikethrough"><enum>(iii)</enum><text>inpatient
				hospitalization;</text>
									</clause><clause changed="deleted" id="ID7B9659CDCFDE4EF8B86D9639DD3A920E" reported-display-style="strikethrough"><enum>(iv)</enum><text>a persistent or
				significant disability or incapacity; or</text>
									</clause><clause changed="deleted" id="ID737F5FB6E2FA425EAAB10733E42D862F" reported-display-style="strikethrough"><enum>(v)</enum><text>a congenital
				anomaly or birth defect; or</text>
									</clause></subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="ID267AA35509494C519C19DC06AE0D0F8F" reported-display-style="strikethrough"><enum>(B)</enum><text>requires, based on
				reasonable medical judgment, a medical or surgical intervention to prevent an
				outcome described under subparagraph (A).</text>
								</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID6CD9DD47716B4B2EBD3FDF38C136877C" reported-display-style="strikethrough"><enum>(3)</enum><header>Serious adverse
				event report</header><text>The term <term>serious adverse event report</term>
				means a report that is required to be submitted to the Secretary under
				subsection (b).</text>
							</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="ID2C72A616A6684B0186AB8742205C6F97" reported-display-style="strikethrough"><enum>(b)</enum><header>Reporting
				Requirement</header>
							<paragraph changed="deleted" id="ID7385E5D26BB74061B136BB3994234D83" reported-display-style="strikethrough"><enum>(1)</enum><header>In
				general</header><text>The manufacturer, packer, or distributor of a dietary
				supplement whose name (pursuant to section 403(e)(1)) appears on the label of a
				dietary supplement marketed in the United States (referred to in this section
				as the <quote>responsible person</quote>) shall submit to the Secretary any
				report received of a serious adverse event associated with such dietary
				supplement when used in the United States, accompanied by a copy of the label
				on or within the retail packaging of such dietary supplement.</text>
							</paragraph><paragraph changed="deleted" id="IDE717A8CC349448FFBBD7263CCBDA3BAE" reported-display-style="strikethrough"><enum>(2)</enum><header>Retailer</header><text>A
				retailer whose name appears on the label described in paragraph (1) as a
				distributor may, by agreement, authorize the manufacturer or packer of the
				dietary supplement to submit the required reports for such dietary supplements
				to the Secretary so long as the retailer directs to the manufacturer or packer
				all adverse events associated with such dietary supplement that are reported to
				the retailer through the address or telephone number described in section
				403(y).</text>
							</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="ID6235A39564DD4F8A94046BE524C9C1C4" reported-display-style="strikethrough"><enum>(c)</enum><header>Submission of
				Reports</header>
							<paragraph changed="deleted" id="IDA5FEB9D07F7F4FE1B781C78F92AF1E1D" reported-display-style="strikethrough"><enum>(1)</enum><header>Timing of
				reports</header><text>The responsible person shall submit to the Secretary a
				serious adverse event report no later than 15 business days after the report is
				received through the address or phone number described in section
				403(y).</text>
							</paragraph><paragraph changed="deleted" id="ID4DACCD9471D9464FB9B1C4E46C8095EC" reported-display-style="strikethrough"><enum>(2)</enum><header>New medical
				information</header><text>The responsible person shall submit to the Secretary
				any new medical information, related to a submitted serious adverse event
				report that is received by the responsible person within 1 year of the initial
				report, no later than 15 business days after the new information is received by
				the responsible person.</text>
							</paragraph><paragraph changed="deleted" id="ID49114BBBE10E4B8C88F58ED31A5DC5A6" reported-display-style="strikethrough"><enum>(3)</enum><header>Consolidation of
				reports</header><text>The Secretary shall develop systems to ensure that
				duplicate reports of, and new medical information related to, a serious adverse
				event shall be consolidated into a single report.</text>
							</paragraph><paragraph changed="deleted" id="IDABB85163389148C1B0A4526340A89567" reported-display-style="strikethrough"><enum>(4)</enum><header>Exemption</header><text>The
				Secretary, after providing notice and an opportunity for comment from
				interested parties, may establish an exemption to the requirements under
				paragraphs (1) and (2) if the Secretary determines that such exemption would
				have no adverse effect on public health.</text>
							</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="ID0051B253C7F0442A8ED8F8C5B6CBB1CF" reported-display-style="strikethrough"><enum>(d)</enum><header>Contents of
				Reports</header><text>Each serious adverse event report under this section
				shall be submitted to the Secretary using the MedWatch form, which may be
				modified by the Secretary for dietary supplements, and may be accompanied by
				additional information.</text>
						</subsection><subsection changed="deleted" committee-id="SSHR00" id="IDFF04F4EBBDF542C89BB09CA106927744" reported-display-style="strikethrough"><enum>(e)</enum><header>Maintenance and
				Inspection of Records</header>
							<paragraph changed="deleted" committee-id="SSHR00" id="ID3DD9C1763E8144F88FA7835BCF94A79C" reported-display-style="strikethrough"><enum>(1)</enum><header>Maintenance</header><text>The
				responsible person shall maintain records related to each report of an adverse
				event received by the responsible person for a period of 6 years.</text>
							</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID9706B261A0B3400BBDD26D61DF22AAA3" reported-display-style="strikethrough"><enum>(2)</enum><header>Records
				inspection</header>
								<subparagraph changed="deleted" committee-id="SSHR00" id="ID08E5DB3650DF42D6A4E0605E4AE9F86E" reported-display-style="strikethrough"><enum>(A)</enum><header>In
				general</header><text>The responsible person shall permit an authorized person
				to have access to records required to be maintained under this section during
				an inspection pursuant to section 704.</text>
								</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="IDC9521C2D0EE6469EA02736EE53BA0457" reported-display-style="strikethrough"><enum>(B)</enum><header>Authorized
				person</header><text>For purposes of this paragraph, the term <term>authorized
				person</term> means an officer or employee of the Department of Health and
				Human Services, who has—</text>
									<clause changed="deleted" id="IDD41F2797F4EF4D9DAA1C5D9B104EF35F" reported-display-style="strikethrough"><enum>(i)</enum><text>appropriate
				credentials, as determined by the Secretary; and</text>
									</clause><clause changed="deleted" id="ID6A8CA31742234A4EAB99FD17AEC782F4" reported-display-style="strikethrough"><enum>(ii)</enum><text>been duly
				designated by the Secretary to have access to the records required under this
				section.</text>
									</clause></subparagraph></paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="IDA54775A6EBDC4B54BEEF58E957B000C7" reported-display-style="strikethrough"><enum>(f)</enum><header>Protected
				Information</header><text>A serious adverse event report submitted to the
				Secretary under this section, including any new medical information submitted
				under subsection (c)(2), or an adverse event report voluntarily submitted to
				the Secretary shall be considered to be—</text>
							<paragraph changed="deleted" id="IDB2D21DA883BF48188A7E07705B654911" reported-display-style="strikethrough"><enum>(1)</enum><text>a safety report
				under section 756 and may be accompanied by a statement, which shall be a part
				of any report that is released for public disclosure, that denies that the
				report or the records constitute an admission that the product involved caused
				or contributed to the adverse event; and</text>
							</paragraph><paragraph changed="deleted" id="ID361150AE00EF4A7C8132B86834743DC2" reported-display-style="strikethrough"><enum>(2)</enum><text>a record about an
				individual under section 552a of title 5, United States Code (commonly referred
				to as the <quote>Privacy Act of 1974</quote>) and a medical or similar file the
				disclosure of which would constitute a violation of section 552 of such title 5
				(commonly referred to as the <quote>Freedom of Information Act</quote>), and
				shall not be publicly disclosed unless all personally identifiable information
				is redacted.</text>
							</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="IDE79C1FB23663433DBE24E0FF9FBDFAC9" reported-display-style="strikethrough"><enum>(g)</enum><header>Rule of
				Construction</header><text>The submission of any adverse event report in
				compliance with this section shall not be construed as an admission that the
				dietary supplement involved caused or contributed to the adverse event.</text>
						</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID620806CBD8634F8696FCBBF0F0942EB0" reported-display-style="strikethrough"><enum>(h)</enum><header>Preemption</header>
							<paragraph changed="deleted" committee-id="SSHR00" id="id5A70874417094CEAAF9177A5B3B4CD51" reported-display-style="strikethrough"><enum>(1)</enum><header>In
				general</header><text>No State or local government shall establish or continue
				in effect any law, regulation, order, or other requirement, related to a
				mandatory system for adverse event reports for dietary supplements, that is
				different from, in addition to, or otherwise not identical to, this
				section.</text>
							</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="idE4407A60B6B64D9F9C635BBBD151ABC7" reported-display-style="strikethrough"><enum>(2)</enum><header>Effect of
				section</header>
								<subparagraph changed="deleted" committee-id="SSHR00" id="id49C31AC56A0F4329A43B1DAC6F001181" reported-display-style="strikethrough"><enum>(A)</enum><header>In
				general</header><text>Nothing in this section shall affect the authority of the
				Secretary to provide adverse event reports and information to any health, food,
				or drug officer or employee of any State, territory, or political subdivision
				of a State or territory, under a memorandum of understanding between the
				Secretary and such State, territory, or political subdivision.</text>
								</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="ID308291981edb4b99899d0c1d4c9ac2bc" reported-display-style="strikethrough"><enum>(B)</enum><header>Personally-identifiable
				information</header><text>Notwithstanding any other provision of law,
				personally-identifiable information in adverse event reports provided by the
				Secretary to any health, food, or drug officer or employee of any State,
				territory, or political subdivision of a State or territory, shall not—</text>
									<clause changed="deleted" id="ID43d20606499f47458b61f9d616897bb6" reported-display-style="strikethrough"><enum>(i)</enum><text>be made publicly
				available pursuant to any State or other law requiring disclosure of
				information or records; or</text>
									</clause><clause changed="deleted" id="ID31adbadc752f4f80845e693b08c01b3a" reported-display-style="strikethrough"><enum>(ii)</enum><text>otherwise be
				disclosed or distributed to any party without the written consent of the
				Secretary and the person submitting such information to the Secretary.</text>
									</clause></subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="ID061156e30dd941a8a2b09a1f87609303" reported-display-style="strikethrough"><enum>(C)</enum><header>Use of safety
				reports</header><text>Nothing in this section shall permit a State, territory,
				or political subdivision of a State or territory, to use any safety report
				received from the Secretary in a manner inconsistent with subsection (g) or
				section 756.</text>
								</subparagraph></paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="id0E2804752E0B4FF2BF5AEB79E1584B2F" reported-display-style="strikethrough"><enum>(i)</enum><header>Authorization of
				appropriations</header><text>There are authorized to be appropriated to carry
				out this section such sums as may be
				necessary.</text>
						</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection changed="deleted" committee-id="SSHR00" id="IDF208A4B3A15E469886F49C76C1312B55" reported-display-style="strikethrough"><enum>(b)</enum><header>Prohibited
			 Act</header><text>Section 301(e) of the <act-name parsable-cite="FFDCA">Federal
			 Food, Drug, and Cosmetic Act</act-name> (21 U.S.C. 331(e)) is amended
			 by—</text>
				<paragraph id="IDEFB8C07595704990B51A8AB19CEB0AE2"><enum>(1)</enum><text>striking <quote>, or 760;</quote>
			 and inserting <quote>, 760, or 761;</quote>; and</text>
				</paragraph><paragraph id="IDA9E76DA379044F428BF588B89CFF6B9F"><enum>(2)</enum><text>striking <quote>, or 760</quote>
			 and inserting <quote>, 760, or 761</quote>.</text>
				</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="IDFC535D5E0ACF4763BEC70179776B2310" reported-display-style="strikethrough"><enum>(c)</enum><header>Misbranding</header><text>Section
			 403 of the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic
			 Act</act-name> (21 U.S.C. 343) is amended by adding at the end the
			 following:</text>
				<quoted-block act-name="Federal Food, Drug, and Cosmetic Act" changed="deleted" committee-id="SSHR00" id="ID89A6ACFE635F40C88010CFEAA717C020" reported-display-style="strikethrough" style="OLC">
					<subsection id="ID3E7609F8E4694B5CBCA36B45C0B356EC"><enum>(y)</enum><text>If it is a dietary
				supplement that is marketed in the United States, unless the label of such
				dietary supplement includes an address or phone number through which the
				responsible person (as described in section 761) may receive a report of a
				serious adverse event with such dietary
				supplement.</text>
					</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection changed="deleted" committee-id="SSHR00" id="IDA8DAFB6191E7476D89BC9DF783AEBCA3" reported-display-style="strikethrough"><enum>(d)</enum><header>Effective
			 date</header>
				<paragraph id="IDC41126D382B845F584781BAEFBA643E2"><enum>(1)</enum><header>In general</header><text>Except
			 as provided in paragraph (2), the amendments made by this section shall take
			 effect 1 year after the date of enactment of this Act.</text>
				</paragraph><paragraph id="IDB4D1FEB97C06440AAA6881AAB29E27BF"><enum>(2)</enum><header>Misbranding</header><text>Section
			 403(y) of the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic
			 Act</act-name> (as added by this section) shall apply to any dietary supplement
			 labeled on or after the date that is 1 year after the date of enactment of this
			 Act.</text>
				</paragraph><paragraph id="ID7A9DC1501DFF4833BC887EEFA95F6A1E"><enum>(3)</enum><header>Guidance</header><text>Not later
			 than 270 days after the date of enactment of this Act, the Secretary of Health
			 and Human Services shall issue guidance on the minimum data elements that
			 should be included in a serious adverse event report as described under the
			 amendments made by this Act.</text>
				</paragraph></subsection></section><section changed="deleted" committee-id="SSHR00" id="ID5CB524BD922A473F8C167D2611AA28D6" reported-display-style="strikethrough"><enum>4.</enum><header>Prohibition of
			 falsification of reports</header>
			<subsection id="ID8D4239E3AC654E42902C307CDB95ACD4"><enum>(a)</enum><header>In General</header><text>Section
			 301 of the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic
			 Act</act-name> (21 U.S.C. 331) is amended by adding at the end the
			 following:</text>
				<quoted-block act-name="Federal Food, Drug, and Cosmetic Act" changed="deleted" committee-id="SSHR00" id="IDE3E3C0A3583844E095BA2FC52F10EFF8" reported-display-style="strikethrough" style="OLC">
					<clause id="ID4EF7EB245F1048938F3A72D0BC4B0ED7" indent="up3"><enum>(ii)</enum><text>The falsification
				of a report of a serious adverse event submitted to a responsible person (as
				defined under section 760 or 761) or the falsification of a serious adverse
				event report (as defined under section 760 or 761) submitted to the
				Secretary.</text>
					</clause><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID8B84B32EAF49475D81D9DCEC5F669C3F" reported-display-style="strikethrough"><enum>(b)</enum><header>Effective
			 Date</header><text>The amendment made by this section shall take effect 1 year
			 after the date of enactment of this Act.</text>
			</subsection></section></legis-body>
	<legis-body display-enacting-clause="no-display-enacting-clause">
		<section changed="added" committee-id="SSHR00" id="id140a2437-766b-4dbf-8918-9427817249f0" 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>Dietary
			 Supplement and Nonprescription Drug Consumer Protection Act</quote>.</text>
		</section><section changed="added" committee-id="SSHR00" id="id13d48722-5dc9-4f66-abda-9082ac589cd1" reported-display-style="italic"><enum>2.</enum><header>Serious adverse event
			 reporting for nonprescription drugs</header>
			<subsection id="id98938064-14da-4cbb-a736-ca79772e9763"><enum>(a)</enum><header>In General</header><text>Chapter
			 VII of the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic
			 Act</act-name> (21 U.S.C. 371 et seq.) is amended by adding at the end the
			 following:</text>
				<quoted-block act-name="Federal Food, Drug, and Cosmetic Act" committee-id="SSHR00" id="id6f225501-6c2f-46d9-82f1-3505ece1bc33" style="OLC">
					<subchapter id="idf2ad2dbf-8d00-40b1-ad54-2280f53f1838"><enum>H</enum><header>Serious Adverse Event
				Reports</header>
						<section changed="added" committee-id="SSHR00" id="id21ad1f43-9c69-4aa3-a335-12597747731c" reported-display-style="italic"><enum>760.</enum><header>Serious adverse event
				reporting for nonprescription drugs</header>
							<subsection changed="added" committee-id="SSHR00" id="ide50d2e9b-05d4-400b-8884-268d323037bc" reported-display-style="italic"><enum>(a)</enum><header>Definitions</header><text>In
				this section:</text>
								<paragraph changed="added" committee-id="SSHR00" id="id5885cc36-cb21-4264-b6ae-c227d7198db6" reported-display-style="italic"><enum>(1)</enum><header>Adverse
				event</header><text>The term <term>adverse event</term> means any
				health-related event associated with the use of a nonprescription drug that is
				adverse, including—</text>
									<subparagraph changed="added" id="id676014a8-caaf-4fc2-a36b-425d30b7da0f" reported-display-style="italic"><enum>(A)</enum><text>an event
				occurring from an overdose of the drug, whether accidental or
				intentional;</text>
									</subparagraph><subparagraph changed="added" id="idb3918595-e816-4c1a-ac26-c0446f8d7849" reported-display-style="italic"><enum>(B)</enum><text>an event
				occurring from abuse of the drug;</text>
									</subparagraph><subparagraph changed="added" id="idf7fa7a92-a92c-4fc7-97d1-c6a02e1cf9bb" reported-display-style="italic"><enum>(C)</enum><text>an event
				occurring from withdrawal from the drug; and</text>
									</subparagraph><subparagraph changed="added" id="id17c59847-7cb7-428c-9e0f-b41393c1d18b" reported-display-style="italic"><enum>(D)</enum><text>any
				failure of expected pharmacological action of the drug.</text>
									</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id503ca3e7-51a5-40e5-af94-37e475809c38" reported-display-style="italic"><enum>(2)</enum><header>Nonprescription
				drug</header><text>The term <term>nonprescription drug</term> means a drug that
				is—</text>
									<subparagraph changed="added" id="id76acad4f-39e5-404c-91b6-2e6acaf72152" reported-display-style="italic"><enum>(A)</enum><text>not
				subject to section 503(b); and</text>
									</subparagraph><subparagraph changed="added" id="id07af7c5c-b8fb-4767-adaf-26f1aa8fe465" reported-display-style="italic"><enum>(B)</enum><text>not
				subject to approval in an application submitted under section 505.</text>
									</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id8db98591-f52b-4a42-bd6c-b3bee60bc33d" reported-display-style="italic"><enum>(3)</enum><header>Serious adverse
				event</header><text>The term <term>serious adverse event</term> is an adverse
				event that—</text>
									<subparagraph changed="added" committee-id="SSHR00" id="id8525631b-5364-4470-9c6d-373833a4142e" reported-display-style="italic"><enum>(A)</enum><text>results in—</text>
										<clause changed="added" id="idc2b98230-9790-4c24-8c01-9efb42448834" reported-display-style="italic"><enum>(i)</enum><text>death;</text>
										</clause><clause changed="added" id="id403aeca6-cc00-4cfd-97f5-4fac26f9fd6a" reported-display-style="italic"><enum>(ii)</enum><text>a life-threatening
				experience;</text>
										</clause><clause changed="added" id="id1dd820eb-30c1-4f62-aced-264553daeebd" reported-display-style="italic"><enum>(iii)</enum><text>inpatient
				hospitalization;</text>
										</clause><clause changed="added" id="idd33a3677-84aa-43f5-a6ff-04da74f4b7af" reported-display-style="italic"><enum>(iv)</enum><text>a persistent or
				significant disability or incapacity; or</text>
										</clause><clause changed="added" id="id73deee5a-f563-40d7-8299-930aea42ed9e" reported-display-style="italic"><enum>(v)</enum><text>a congenital anomaly or
				birth defect; or</text>
										</clause></subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id89fe6fa3-6502-47ac-a6c0-6cff647cfeae" reported-display-style="italic"><enum>(B)</enum><text>requires, based on
				reasonable medical judgment, a medical or surgical intervention to prevent an
				outcome described under subparagraph (A).</text>
									</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id947d4417-587d-4535-a250-d68a8756739b" reported-display-style="italic"><enum>(4)</enum><header>Serious adverse event
				report</header><text>The term <term>serious adverse event report</term> means a
				report that is required to be submitted to the Secretary under subsection
				(b).</text>
								</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id6b90f002-ce58-42d5-834e-277e6bced1c8" reported-display-style="italic"><enum>(b)</enum><header>Reporting
				Requirement</header>
								<paragraph changed="added" id="id186030A62EDF4967AAC9C31FC7560A0C" reported-display-style="italic"><enum>(1)</enum><header>In
				general</header><text>The manufacturer, packer, or distributor whose name
				(pursuant to section 502(b)(1)) appears on the label of a nonprescription drug
				marketed in the United States (referred to in this section as the
				<quote>responsible person</quote>) shall submit to the Secretary any report
				received of a serious adverse event associated with such drug when used in the
				United States, accompanied by a copy of the label on or within the retail
				package of such drug.</text>
								</paragraph><paragraph changed="added" id="id30D34105A5A84F4AAB763FB9EBAB8CE7" reported-display-style="italic"><enum>(2)</enum><header>Retailer</header><text>A
				retailer whose name appears on the label described in paragraph (1) as a
				distributor may, by agreement, authorize the manufacturer or packer of the
				nonprescription drug to submit the required reports for such drugs to the
				Secretary so long as the retailer directs to the manufacturer or packer all
				adverse events associated with such drug that are reported to the retailer
				through the address or telephone number described in section 502(x).</text>
								</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="iddf130e68-794d-4c2c-991d-2b896e8d2d41" reported-display-style="italic"><enum>(c)</enum><header>Submission of
				Reports</header>
								<paragraph changed="added" id="id646cb00f-9c3d-4329-8400-4654fc40b06d" reported-display-style="italic"><enum>(1)</enum><header>Timing of
				reports</header><text>The responsible person shall submit to the Secretary a
				serious adverse event report no later than 15 business days after the report is
				received through the address or phone number described in section
				502(x).</text>
								</paragraph><paragraph changed="added" id="id38703e56-86c4-4a55-b0da-32433eb9f775" reported-display-style="italic"><enum>(2)</enum><header>New medical
				information</header><text>The responsible person shall submit to the Secretary
				any new medical information, related to a submitted serious adverse event
				report that is received by the responsible person within 1 year of the initial
				report, no later than 15 business days after the new information is received by
				the responsible person.</text>
								</paragraph><paragraph changed="added" id="idc69cdcf4-ba2b-42de-b314-8bb4bbe8fe22" reported-display-style="italic"><enum>(3)</enum><header>Consolidation of
				reports</header><text>The Secretary shall develop systems to ensure that
				duplicate reports of, and new medical information related to, a serious adverse
				event shall be consolidated into a single report.</text>
								</paragraph><paragraph changed="added" id="id30735569-db17-4e84-bc57-973e8bd2e8ed" reported-display-style="italic"><enum>(4)</enum><header>Exemption</header><text>The
				Secretary, after providing notice and an opportunity for comment from
				interested parties, may establish an exemption to the requirements under
				paragraphs (1) and (2) if the Secretary determines that such exemption would
				have no adverse effect on public health.</text>
								</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id5511176e-b251-4358-993b-3d7b96a92745" reported-display-style="italic"><enum>(d)</enum><header>Contents of
				Reports</header><text>Each serious adverse event report under this section
				shall be submitted to the Secretary using the MedWatch form, which may be
				modified by the Secretary for nonprescription drugs, and may be accompanied by
				additional information.</text>
							</subsection><subsection changed="added" committee-id="SSHR00" id="id6a285630-54ab-43e4-9c04-c0ee9f3200c0" reported-display-style="italic"><enum>(e)</enum><header>Maintenance and
				Inspection of Records</header>
								<paragraph changed="added" committee-id="SSHR00" id="id0e200b01-d3a7-42bd-9621-577b289f86a5" reported-display-style="italic"><enum>(1)</enum><header>Maintenance</header><text>The
				responsible person shall maintain records related to each report of an adverse
				event received by the responsible person for a period of 6 years.</text>
								</paragraph><paragraph changed="added" committee-id="SSHR00" id="idabe43d16-4c79-4f55-996b-717572ee9bc4" reported-display-style="italic"><enum>(2)</enum><header>Records
				inspection</header>
									<subparagraph changed="added" committee-id="SSHR00" id="id56eaa34a-c3db-4062-9e35-75ad66b2a685" reported-display-style="italic"><enum>(A)</enum><header>In
				general</header><text>The responsible person shall permit an authorized person
				to have access to records required to be maintained under this section, during
				an inspection pursuant to section 704.</text>
									</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id803f55be-db9d-4524-8fb5-78d9313e1f28" reported-display-style="italic"><enum>(B)</enum><header>Authorized
				person</header><text>For purposes of this paragraph, the term <term>authorized
				person</term> means an officer or employee of the Department of Health and
				Human Services who has—</text>
										<clause changed="added" id="id5d60d4a8-a459-4dce-a179-d438892fc59d" reported-display-style="italic"><enum>(i)</enum><text>appropriate credentials,
				as determined by the Secretary; and</text>
										</clause><clause changed="added" id="iddda9f044-a772-4fef-8ed8-088ee7818f30" reported-display-style="italic"><enum>(ii)</enum><text>been duly designated by
				the Secretary to have access to the records required under this section.</text>
										</clause></subparagraph></paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id44b6759f-5165-4ec0-9b8a-c32a841871b1" reported-display-style="italic"><enum>(f)</enum><header>Protected
				Information</header><text>A serious adverse event report submitted to the
				Secretary under this section, including any new medical information submitted
				under subsection (c)(2), or an adverse event report voluntarily submitted to
				the Secretary shall be considered to be—</text>
								<paragraph changed="added" id="id614e78d2-20a2-4158-91e9-f98c2603aafe" reported-display-style="italic"><enum>(1)</enum><text>a safety report under
				section 756 and may be accompanied by a statement, which shall be a part of any
				report that is released for public disclosure, that denies that the report or
				the records constitute an admission that the product involved caused or
				contributed to the adverse event; and</text>
								</paragraph><paragraph changed="added" id="id9137b52e-5586-44f4-bd42-770cd7ac0597" reported-display-style="italic"><enum>(2)</enum><text>a record about an
				individual under section 552a of title 5, United States Code (commonly referred
				to as the <quote>Privacy Act of 1974</quote>) and a medical or similar file the
				disclosure of which would constitute a violation of section 552 of such title 5
				(commonly referred to as the <quote>Freedom of Information Act</quote>), and
				shall not be publicly disclosed unless all personally identifiable information
				is redacted.</text>
								</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id1835396b-4a3f-44b0-9f15-ec74d55c3973" reported-display-style="italic"><enum>(g)</enum><header>Rule of
				Construction</header><text>The submission of any adverse event report in
				compliance with this section shall not be construed as an admission that the
				nonprescription drug involved caused or contributed to the adverse
				event.</text>
							</subsection><subsection changed="added" committee-id="SSHR00" id="ide13d2d4f-4937-445b-85ef-ee79e17a6df1" reported-display-style="italic"><enum>(h)</enum><header>Preemption</header>
								<paragraph changed="added" committee-id="SSHR00" id="id84b8c535-b52d-4249-92af-996b46422b03" reported-display-style="italic"><enum>(1)</enum><header>In
				general</header><text>No State or local government shall establish or continue
				in effect any law, regulation, order, or other requirement, related to a
				mandatory system for adverse event reports for nonprescription drugs, that is
				different from, in addition to, or otherwise not identical to, this
				section.</text>
								</paragraph><paragraph changed="added" committee-id="SSHR00" id="id8c487c00-cd31-403a-b277-ace34c2dbdf8" reported-display-style="italic"><enum>(2)</enum><header>Effect of
				section</header>
									<subparagraph changed="added" committee-id="SSHR00" id="id9236de51-992a-4b30-9e20-c14479e78bbe" reported-display-style="italic"><enum>(A)</enum><header>In
				general</header><text>Nothing in this section shall affect the authority of the
				Secretary to provide adverse event reports and information to any health, food,
				or drug officer or employee of any State, territory, or political subdivision
				of a State or territory, under a memorandum of understanding between the
				Secretary and such State, territory, or political subdivision.</text>
									</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id1e8e19d0-f0ad-4574-a935-772eeb6109c7" reported-display-style="italic"><enum>(B)</enum><header>Personally-identifiable
				information</header><text>Notwithstanding any other provision of law,
				personally-identifiable information in adverse event reports provided by the
				Secretary to any health, food, or drug officer or employee of any State,
				territory, or political subdivision of a State or territory, shall not—</text>
										<clause changed="added" id="idf5869132-f607-4739-8d65-97171e397ecc" reported-display-style="italic"><enum>(i)</enum><text>be made publicly
				available pursuant to any State or other law requiring disclosure of
				information or records; or</text>
										</clause><clause changed="added" id="id6d9c0e07-d03b-4cea-9a66-3e6eee74a3b6" reported-display-style="italic"><enum>(ii)</enum><text>otherwise be disclosed
				or distributed to any party without the written consent of the Secretary and
				the person submitting such information to the Secretary.</text>
										</clause></subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id04170bcc-0cf0-446a-90cc-631b43bc30a9" reported-display-style="italic"><enum>(C)</enum><header>Use of safety
				reports</header><text>Nothing in this section shall permit a State, territory,
				or political subdivision of a State or territory, to use any safety report
				received from the Secretary in a manner inconsistent with subsection (g) or
				section 756.</text>
									</subparagraph></paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id4973ed5c-b792-4971-8da4-36d1fded13c0" reported-display-style="italic"><enum>(i)</enum><header>Authorization of
				appropriations</header><text>There are authorized to be appropriated to carry
				out this section such sums as may be
				necessary.</text>
							</subsection></section></subchapter><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection changed="added" committee-id="SSHR00" id="idf3ed5862-71b0-4db7-ba22-f2c3fb0d29e7" reported-display-style="italic"><enum>(b)</enum><header>Modifications</header><text>The
			 Secretary of Health and Human Services may modify requirements under the
			 amendments made by this section in accordance with section 553 of title 5,
			 United States Code, to maintain consistency with international harmonization
			 efforts over time.</text>
			</subsection><subsection changed="added" committee-id="SSHR00" id="id8af89f82-3166-4f44-8f2a-c98903d4df3a" reported-display-style="italic"><enum>(c)</enum><header>Prohibited
			 Act</header><text>Section 301(e) of the <act-name parsable-cite="FFDCA">Federal
			 Food, Drug, and Cosmetic Act</act-name> (21 U.S.C. 331(e)) is amended
			 by—</text>
				<paragraph id="ide98b84bd-0d07-41ca-8355-aafd93e86ff1"><enum>(1)</enum><text>striking <quote>, or
			 704(a);</quote> and inserting <quote>, 704(a), or 760;</quote>; and</text>
				</paragraph><paragraph id="idb1e8cd2b-abfd-4a95-9dce-381a16ef0cbc"><enum>(2)</enum><text>striking <quote>, or 564</quote>
			 and inserting <quote>, 564, or 760</quote>.</text>
				</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id82cf1240-3c45-4486-80d9-2dedb942f7c2" reported-display-style="italic"><enum>(d)</enum><header>Misbranding</header><text>Section
			 502 of the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic
			 Act</act-name> (21 U.S.C. 352) is amended by adding at the end the
			 following:</text>
				<quoted-block act-name="Federal Food, Drug, and Cosmetic Act" changed="added" committee-id="SSHR00" id="idf0ed5dd9-0287-4be7-99b3-5da1c20699b0" reported-display-style="italic" style="OLC">
					<subsection id="idfae50eea-fee3-433c-878c-52824ebb1fc0"><enum>(x)</enum><text>If it is a
				nonprescription drug (as defined in section 760) that is marketed in the United
				States, unless the label of such drug includes a domestic address or domestic
				phone number through which the responsible person (as described in section 760)
				may receive a report of a serious adverse event (as defined in section 760)
				with such
				drug.</text>
					</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection changed="added" committee-id="SSHR00" id="id9dfa50d1-a4a0-4d74-a2dc-35f3d2af19fe" reported-display-style="italic"><enum>(e)</enum><header>Effective
			 Dates</header>
				<paragraph id="id9a454b6d-2663-4db0-a473-d4335615c108"><enum>(1)</enum><header>In general</header><text>Except
			 as provided in paragraph (2), the amendments made by this section shall take
			 effect 1 year after the date of enactment of this Act.</text>
				</paragraph><paragraph id="id097534b0-d7ff-431d-b3d7-8df133c6b19b"><enum>(2)</enum><header>Misbranding</header><text>Section
			 502(x) of the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic
			 Act</act-name> (as added by this section) shall apply to any nonprescription
			 drug (as defined in such section 502(x)) labeled on or after the date that is 1
			 year after the date of enactment of this Act.</text>
				</paragraph><paragraph id="id0e5a3e56-3e30-475b-9972-1c857e10ff0e"><enum>(3)</enum><header>Guidance</header><text>Not later
			 than 270 days after the date of enactment of this Act, the Secretary of Health
			 and Human Services shall issue guidance on the minimum data elements that
			 should be included in a serious adverse event report described under the
			 amendments made by this Act.</text>
				</paragraph></subsection></section><section changed="added" committee-id="SSHR00" id="idd08a75ef-b26c-41d4-9dfa-c2d5ad9b587f" reported-display-style="italic"><enum>3.</enum><header>Serious adverse event
			 reporting for dietary supplements</header>
			<subsection id="id4ed4a314-c787-43ba-b68b-9dcb54316b11"><enum>(a)</enum><header>In General</header><text>Chapter
			 VII of the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic
			 Act</act-name> (21 U.S.C. 371 et seq.) is amended by adding at the end the
			 following:</text>
				<quoted-block act-name="Federal Food, Drug, and Cosmetic Act" committee-id="SSHR00" id="idc10ad661-a17a-478b-8660-90d25a4216d8" style="OLC">
					<section id="id8a361667-9a01-40a5-a632-8caac11cb417"><enum>761.</enum><header>Serious adverse event
				reporting for dietary supplements</header>
						<subsection changed="added" committee-id="SSHR00" id="id4a626676-473b-40b8-9c15-2ad53bae6d30" reported-display-style="italic"><enum>(a)</enum><header>Definitions</header><text>In
				this section:</text>
							<paragraph changed="added" committee-id="SSHR00" id="idc53590b1-f310-430c-8cc0-69f572871ebc" reported-display-style="italic"><enum>(1)</enum><header>Adverse
				event</header><text>The term <term>adverse event</term> means any
				health-related event associated with the use of a dietary supplement that is
				adverse.</text>
							</paragraph><paragraph changed="added" committee-id="SSHR00" id="id779c052e-15f3-4714-ba30-7ce6ea607dec" reported-display-style="italic"><enum>(2)</enum><header>Serious adverse
				event</header><text>The term <term>serious adverse event</term> is an adverse
				event that—</text>
								<subparagraph changed="added" committee-id="SSHR00" id="id093e71a0-70e7-4f34-a1b9-63030ade9e4e" reported-display-style="italic"><enum>(A)</enum><text>results in—</text>
									<clause changed="added" id="id9fdaa860-3d45-4b8e-962e-5e0cfa29bba2" reported-display-style="italic"><enum>(i)</enum><text>death;</text>
									</clause><clause changed="added" id="ida5d7e41c-2eb2-40f5-a600-bf5958fe5162" reported-display-style="italic"><enum>(ii)</enum><text>a life-threatening
				experience;</text>
									</clause><clause changed="added" id="id559758ff-cdf4-45fc-8298-a0261a52d10e" reported-display-style="italic"><enum>(iii)</enum><text>inpatient
				hospitalization;</text>
									</clause><clause changed="added" id="ide7dbb49d-0ab2-48fa-9c70-3d50336e10ba" reported-display-style="italic"><enum>(iv)</enum><text>a persistent or
				significant disability or incapacity; or</text>
									</clause><clause changed="added" id="id54025add-b608-4745-ab18-b41b1ba876d9" reported-display-style="italic"><enum>(v)</enum><text>a congenital anomaly or
				birth defect; or</text>
									</clause></subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id3be8470b-f263-44cb-9eab-ed15acc28d73" reported-display-style="italic"><enum>(B)</enum><text>requires, based on
				reasonable medical judgment, a medical or surgical intervention to prevent an
				outcome described under subparagraph (A).</text>
								</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="ide163b44f-cc3b-4552-bb2a-ab4d86d7bf08" reported-display-style="italic"><enum>(3)</enum><header>Serious adverse event
				report</header><text>The term <term>serious adverse event report</term> means a
				report that is required to be submitted to the Secretary under subsection
				(b).</text>
							</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id50dfa8d6-6174-4eb9-afbf-867f9809e751" reported-display-style="italic"><enum>(b)</enum><header>Reporting
				Requirement</header>
							<paragraph changed="added" id="id570d4f5d-e926-4b92-b972-c5df03c3141c" reported-display-style="italic"><enum>(1)</enum><header>In
				general</header><text>The manufacturer, packer, or distributor of a dietary
				supplement whose name (pursuant to section 403(e)(1)) appears on the label of a
				dietary supplement marketed in the United States (referred to in this section
				as the <quote>responsible person</quote>) shall submit to the Secretary any
				report received of a serious adverse event associated with such dietary
				supplement when used in the United States, accompanied by a copy of the label
				on or within the retail packaging of such dietary supplement.</text>
							</paragraph><paragraph changed="added" id="id65c5209c-612b-4a1e-8cb4-7395649fbadc" reported-display-style="italic"><enum>(2)</enum><header>Retailer</header><text>A
				retailer whose name appears on the label described in paragraph (1) as a
				distributor may, by agreement, authorize the manufacturer or packer of the
				dietary supplement to submit the required reports for such dietary supplements
				to the Secretary so long as the retailer directs to the manufacturer or packer
				all adverse events associated with such dietary supplement that are reported to
				the retailer through the address or telephone number described in section
				403(y).</text>
							</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id00bed18f-3b75-446d-9a07-f554e2400256" reported-display-style="italic"><enum>(c)</enum><header>Submission of
				Reports</header>
							<paragraph changed="added" id="id4d9c91ba-0518-45b3-9585-8dda1262a784" reported-display-style="italic"><enum>(1)</enum><header>Timing of
				reports</header><text>The responsible person shall submit to the Secretary a
				serious adverse event report no later than 15 business days after the report is
				received through the address or phone number described in section
				403(y).</text>
							</paragraph><paragraph changed="added" id="idccf145f0-c205-4d23-8772-7c9c2833102e" reported-display-style="italic"><enum>(2)</enum><header>New medical
				information</header><text>The responsible person shall submit to the Secretary
				any new medical information, related to a submitted serious adverse event
				report that is received by the responsible person within 1 year of the initial
				report, no later than 15 business days after the new information is received by
				the responsible person.</text>
							</paragraph><paragraph changed="added" id="id16a9bc52-0e5a-4389-adbe-509f4e418969" reported-display-style="italic"><enum>(3)</enum><header>Consolidation of
				reports</header><text>The Secretary shall develop systems to ensure that
				duplicate reports of, and new medical information related to, a serious adverse
				event shall be consolidated into a single report.</text>
							</paragraph><paragraph changed="added" id="id5cfac216-3b18-4162-b697-2442d522ea49" reported-display-style="italic"><enum>(4)</enum><header>Exemption</header><text>The
				Secretary, after providing notice and an opportunity for comment from
				interested parties, may establish an exemption to the requirements under
				paragraphs (1) and (2) if the Secretary determines that such exemption would
				have no adverse effect on public health.</text>
							</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id58ba7b20-a5a3-4148-99c8-7eaac8cd4a0f" reported-display-style="italic"><enum>(d)</enum><header>Contents of
				Reports</header><text>Each serious adverse event report under this section
				shall be submitted to the Secretary using the MedWatch form, which may be
				modified by the Secretary for dietary supplements, and may be accompanied by
				additional information.</text>
						</subsection><subsection changed="added" committee-id="SSHR00" id="id59c4063c-fd4d-45e8-b506-51c5e9ae0be2" reported-display-style="italic"><enum>(e)</enum><header>Maintenance and
				Inspection of Records</header>
							<paragraph changed="added" committee-id="SSHR00" id="id2b79114c-1ecf-48cb-b162-6f851e5dae59" reported-display-style="italic"><enum>(1)</enum><header>Maintenance</header><text>The
				responsible person shall maintain records related to each report of an adverse
				event received by the responsible person for a period of 6 years.</text>
							</paragraph><paragraph changed="added" committee-id="SSHR00" id="id9b48cb91-6af5-4424-8b0e-8c1bd58b6080" reported-display-style="italic"><enum>(2)</enum><header>Records
				inspection</header>
								<subparagraph changed="added" committee-id="SSHR00" id="id513b466a-e2d5-4f66-a00d-8678cd8e133b" reported-display-style="italic"><enum>(A)</enum><header>In
				general</header><text>The responsible person shall permit an authorized person
				to have access to records required to be maintained under this section during
				an inspection pursuant to section 704.</text>
								</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="iddeceaed4-42d5-4bbd-bc30-29f520443790" reported-display-style="italic"><enum>(B)</enum><header>Authorized
				person</header><text>For purposes of this paragraph, the term <term>authorized
				person</term> means an officer or employee of the Department of Health and
				Human Services, who has—</text>
									<clause changed="added" id="idd3529c82-9158-4e44-b165-a0919b097102" reported-display-style="italic"><enum>(i)</enum><text>appropriate credentials,
				as determined by the Secretary; and</text>
									</clause><clause changed="added" id="id6106bba6-212a-42b7-b89b-7ae99db909f5" reported-display-style="italic"><enum>(ii)</enum><text>been duly designated by
				the Secretary to have access to the records required under this section.</text>
									</clause></subparagraph></paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="ida1d81426-5a94-4110-93a5-a8a6f8ab9773" reported-display-style="italic"><enum>(f)</enum><header>Protected
				Information</header><text>A serious adverse event report submitted to the
				Secretary under this section, including any new medical information submitted
				under subsection (c)(2), or an adverse event report voluntarily submitted to
				the Secretary shall be considered to be—</text>
							<paragraph changed="added" id="id8f0b7a5c-4be5-4de4-a8ef-f7beb4ea10bd" reported-display-style="italic"><enum>(1)</enum><text>a safety report under
				section 756 and may be accompanied by a statement, which shall be a part of any
				report that is released for public disclosure, that denies that the report or
				the records constitute an admission that the product involved caused or
				contributed to the adverse event; and</text>
							</paragraph><paragraph changed="added" id="id947bafb6-fbb0-48e1-b6eb-525e01eb645c" reported-display-style="italic"><enum>(2)</enum><text>a record about an
				individual under section 552a of title 5, United States Code (commonly referred
				to as the <quote>Privacy Act of 1974</quote>) and a medical or similar file the
				disclosure of which would constitute a violation of section 552 of such title 5
				(commonly referred to as the <quote>Freedom of Information Act</quote>), and
				shall not be publicly disclosed unless all personally identifiable information
				is redacted.</text>
							</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="ide6191f43-04f4-48cb-8b73-9677d6e0ed06" reported-display-style="italic"><enum>(g)</enum><header>Rule of
				Construction</header><text>The submission of any adverse event report in
				compliance with this section shall not be construed as an admission that the
				dietary supplement involved caused or contributed to the adverse event.</text>
						</subsection><subsection changed="added" committee-id="SSHR00" id="idcd23b31a-4b66-4f7c-b144-da9c8274f5aa" reported-display-style="italic"><enum>(h)</enum><header>Preemption</header>
							<paragraph changed="added" committee-id="SSHR00" id="id7a0c677f-4dca-4feb-84fb-6aa405ad4639" reported-display-style="italic"><enum>(1)</enum><header>In
				general</header><text>No State or local government shall establish or continue
				in effect any law, regulation, order, or other requirement, related to a
				mandatory system for adverse event reports for dietary supplements, that is
				different from, in addition to, or otherwise not identical to, this
				section.</text>
							</paragraph><paragraph changed="added" committee-id="SSHR00" id="id36240014-a469-4edd-872d-549853c35138" reported-display-style="italic"><enum>(2)</enum><header>Effect of
				section</header>
								<subparagraph changed="added" committee-id="SSHR00" id="id2178147a-2dca-4cfd-a9ee-dcc05b05f2e5" reported-display-style="italic"><enum>(A)</enum><header>In
				general</header><text>Nothing in this section shall affect the authority of the
				Secretary to provide adverse event reports and information to any health, food,
				or drug officer or employee of any State, territory, or political subdivision
				of a State or territory, under a memorandum of understanding between the
				Secretary and such State, territory, or political subdivision.</text>
								</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="idd7e4da4f-2000-4eea-afca-4a67aaed03f5" reported-display-style="italic"><enum>(B)</enum><header>Personally-identifiable
				information</header><text>Notwithstanding any other provision of law,
				personally-identifiable information in adverse event reports provided by the
				Secretary to any health, food, or drug officer or employee of any State,
				territory, or political subdivision of a State or territory, shall not—</text>
									<clause changed="added" id="id7296c4e7-32ce-4151-b391-232a6cbc8b82" reported-display-style="italic"><enum>(i)</enum><text>be made publicly
				available pursuant to any State or other law requiring disclosure of
				information or records; or</text>
									</clause><clause changed="added" id="idfa999f0f-ad23-44f5-8c9b-fbf9dfb7e80c" reported-display-style="italic"><enum>(ii)</enum><text>otherwise be disclosed
				or distributed to any party without the written consent of the Secretary and
				the person submitting such information to the Secretary.</text>
									</clause></subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id8e1f986a-5b65-470e-b588-d3ec42e63900" reported-display-style="italic"><enum>(C)</enum><header>Use of safety
				reports</header><text>Nothing in this section shall permit a State, territory,
				or political subdivision of a State or territory, to use any safety report
				received from the Secretary in a manner inconsistent with subsection (g) or
				section 756.</text>
								</subparagraph></paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id2188dc4a-cb2c-4086-89c3-673f2ef8cb20" reported-display-style="italic"><enum>(i)</enum><header>Authorization of
				appropriations</header><text>There are authorized to be appropriated to carry
				out this section such sums as may be
				necessary.</text>
						</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection changed="added" committee-id="SSHR00" id="id75ae8ed7-2990-408d-985a-1721ca041ed5" reported-display-style="italic"><enum>(b)</enum><header>Prohibited
			 Act</header><text>Section 301(e) of the <act-name parsable-cite="FFDCA">Federal
			 Food, Drug, and Cosmetic Act</act-name> (21 U.S.C. 331(e)) is amended
			 by—</text>
				<paragraph id="id93b10b1c-2ca2-4c8a-a87d-5ee0a87d5ee9"><enum>(1)</enum><text>striking <quote>, or 760;</quote>
			 and inserting <quote>, 760, or 761;</quote>; and</text>
				</paragraph><paragraph id="id3cdd511e-e31f-4426-8e30-accf83b1741b"><enum>(2)</enum><text>striking <quote>, or 760</quote>
			 and inserting <quote>, 760, or 761</quote>.</text>
				</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id54c4c7c7-71f8-439c-9c98-55356464ffda" reported-display-style="italic"><enum>(c)</enum><header>Misbranding</header><text>Section
			 403 of the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic
			 Act</act-name> (21 U.S.C. 343) is amended by adding at the end the
			 following:</text>
				<quoted-block act-name="Federal Food, Drug, and Cosmetic Act" changed="added" committee-id="SSHR00" id="idc24a6779-5f42-499e-b308-d69859e54a90" reported-display-style="italic" style="OLC">
					<subsection id="idb4c912f8-0c12-4d89-ae43-93eb667fa003"><enum>(y)</enum><text>If it is a dietary
				supplement that is marketed in the United States, unless the label of such
				dietary supplement includes a domestic address or domestic phone number through
				which the responsible person (as described in section 761) may receive a report
				of a serious adverse event with such dietary
				supplement.</text>
					</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection changed="added" committee-id="SSHR00" id="id0e5add7c-f1b7-4771-8cea-472762542749" reported-display-style="italic"><enum>(d)</enum><header>Effective date</header>
				<paragraph id="id24701ec8-d645-42d8-9ab9-479e4e5ca0d7"><enum>(1)</enum><header>In general</header><text>Except
			 as provided in paragraph (2), the amendments made by this section shall take
			 effect 1 year after the date of enactment of this Act.</text>
				</paragraph><paragraph id="id661cfc01-f82d-4bbe-9186-c68941a25062"><enum>(2)</enum><header>Misbranding</header><text>Section
			 403(y) of the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic
			 Act</act-name> (as added by this section) shall apply to any dietary supplement
			 labeled on or after the date that is 1 year after the date of enactment of this
			 Act.</text>
				</paragraph><paragraph id="id28abd461-094f-498f-80e1-ba0f801b398c"><enum>(3)</enum><header>Guidance</header><text>Not later
			 than 270 days after the date of enactment of this Act, the Secretary of Health
			 and Human Services shall issue guidance on the minimum data elements that
			 should be included in a serious adverse event report as described under the
			 amendments made by this Act.</text>
				</paragraph></subsection></section><section changed="added" committee-id="SSHR00" id="id1c498c87-46a2-4f02-8cb9-cdfb09e46e50" reported-display-style="italic"><enum>4.</enum><header>Prohibition of
			 falsification of reports</header>
			<subsection id="id3a0d3b37-7510-4cc2-9e55-4f2229d3863b"><enum>(a)</enum><header>In General</header><text>Section
			 301 of the <act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic
			 Act</act-name> (21 U.S.C. 331) is amended by adding at the end the
			 following:</text>
				<quoted-block act-name="Federal Food, Drug, and Cosmetic Act" changed="added" committee-id="SSHR00" id="id22b9299f-7519-4950-9c08-506e80881ffd" reported-display-style="italic" style="OLC">
					<clause id="idbd275f4f-a049-41d3-9075-0591edba6f9b" indent="up3"><enum>(ii)</enum><text>The
				falsification of a report of a serious adverse event submitted to a responsible
				person (as defined under section 760 or 761) or the falsification of a serious
				adverse event report (as defined under section 760 or 761) submitted to the
				Secretary.</text>
					</clause><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id16d4bce4-daef-4bc7-bbaf-d4414d4ca621" reported-display-style="italic"><enum>(b)</enum><header>Effective
			 Date</header><text>The amendment made by this section shall take effect 1 year
			 after the date of enactment of this Act.</text>
			</subsection></section><section changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idBD9B91CB67734EC783B1B4B18F78C61C" reported-display-style="italic"><enum>5.</enum><header>Importation of certain
			 nonprescription drugs and dietary supplements</header>
			<subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id59A671EE02BB4A2DA41C18A408C65E18" reported-display-style="italic"><enum>(a)</enum><header>In
			 general</header><text display-inline="yes-display-inline">Section 801 of the
			 Federal Food, Drug, and Cosmetic Act (21 U.S.C. 381) is amended—</text>
				<paragraph changed="added" committee-id="SSHR00" id="IDc5de378fdb044b6ab3b015db321923f7" reported-display-style="italic"><enum>(1)</enum><text>in subsection (a), by
			 inserting after the third sentence the following: “If such article is subject
			 to a requirement under section 760 or 761 and if the Secretary has credible
			 evidence or information indicating that the responsible person (as defined in
			 such section 760 or 761) has not complied with a requirement of such section
			 760 or 761 with respect to any such article, or has not allowed access to
			 records described in such section 760 or 761, then such article shall be
			 refused admission, except as provided in subsection (b) of this section.”;
			 and</text>
				</paragraph><paragraph changed="added" committee-id="SSHR00" id="ID4114f78806e4498d987907dfdab815fe" reported-display-style="italic"><enum>(2)</enum><text>in the second sentence of
			 subsection (b)—</text>
					<subparagraph id="id1EB8D417281849F68E13EEE76F1B363A"><enum>(A)</enum><text>by
			 inserting <quote>(1)</quote> before <quote>an article included</quote>;</text>
					</subparagraph><subparagraph id="idE4F037D64C9D4C10830BB76CD8C1F362"><enum>(B)</enum><text>by
			 inserting before <quote>final determination</quote> the following: <quote>or
			 (2) with respect to an article included within the provision of the fourth
			 sentence of subsection (a), the responsible person (as defined in section 760
			 or 761) can take action that would assure that the responsible person is in
			 compliance with section 760 or 761, as the case may be,</quote>; and</text>
					</subparagraph><subparagraph id="ID8163eddaf8f84496a7572422faa1b605"><enum>(C)</enum><text>by
			 inserting <quote>, or, with respect to clause (2), the responsible
			 person,</quote> before <quote>to perform</quote>.</text>
					</subparagraph></paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id7A5BC91AE9964E6D9A8DB19A790BAC26" reported-display-style="italic"><enum>(b)</enum><header>Effective
			 Date</header><text>The amendments made by this section shall take effect 1 year
			 after the date of enactment of this Act.</text>
			</subsection></section></legis-body>
	<endorsement>
		<action-date date="20060905">September 5, 2006</action-date>
		<action-desc>Reported with an amendment</action-desc>
	</endorsement>
</bill>
