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<bill bill-stage="Introduced-in-Senate" dms-id="A1" public-private="public">
	<form>
		<distribution-code display="yes">II</distribution-code>
		<congress>110th CONGRESS</congress>
		<session>2d Session</session>
		<legis-num>S. 3409</legis-num>
		<current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber>
		<action>
			<action-date date="20080731">July 31, 2008</action-date>
			<action-desc><sponsor name-id="S198">Mr. Reid</sponsor> (for
			 <cosponsor name-id="S055">Mr. Kennedy</cosponsor> (for himself and
			 <cosponsor name-id="S153">Mr. Grassley</cosponsor>)) introduced the following
			 bill; which was read twice and referred to the
			 <committee-name committee-id="SSHR00">Committee on Health, Education, Labor,
			 and Pensions</committee-name></action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To amend the Federal Food, Drug, and Cosmetic Act to
		  ensure the safety and quality of medical products and enhance the authorities
		  of the Food and Drug Administration, and for other purposes.</official-title>
	</form>
	<legis-body>
		<section id="S1" 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>Drug and Device Accountability Act
			 of 2008</short-title></quote>.</text>
		</section><section id="id5DBB2DC42F04459A8C84901907D9B8EF" section-type="subsequent-section"><enum>2.</enum><header>Table of contents;
			 references in Act</header>
			<subsection id="id78E6A569B4B64AAFAF732B8CD6CEB799"><enum>(a)</enum><header>Table of
			 contents</header><text display-inline="yes-display-inline">The table of
			 contents for this Act is as follows:</text>
				<toc>
					<toc-entry idref="S1" level="section">Sec. 1. Short
				title.</toc-entry>
					<toc-entry idref="id5DBB2DC42F04459A8C84901907D9B8EF" level="section">Sec. 2. Table of contents; references in Act.</toc-entry>
					<toc-entry idref="idE8E4F87F7A7D49FD8C1BC0EAA66C6DF3" level="title">TITLE I—Ensuring the safety and quality of medical products and
				their components</toc-entry>
					<toc-entry idref="id3CB9CB47C8F5442E9BB32472AB0F6FBD" level="subtitle">Subtitle A—Enhanced registration and inspection of drug and
				device establishments</toc-entry>
					<toc-entry idref="idE5B4FFB174CE4921BFE46687848A2275" level="section">Sec. 101. Registration of drug and device
				establishments.</toc-entry>
					<toc-entry idref="IDc61872104e44448685efd3ac46920ac2" level="section">Sec. 102. Registration and licensing of drug
				importers.</toc-entry>
					<toc-entry idref="IDc23e53900bac418f825f5405b6a9d9da" level="section">Sec. 103. Inspection of drug and device
				establishments.</toc-entry>
					<toc-entry idref="ID91efb273b67f4be9908e571a1e77ad1b" level="section">Sec. 104. Listing of drugs and devices; enhanced information
				technology system for registration and listing.</toc-entry>
					<toc-entry idref="IDf20a361322294efcb0fa7d271a026783" level="section">Sec. 105. Registration and inspection fees for drug and device
				establishments.</toc-entry>
					<toc-entry idref="id3DF6E1F2EAEA43A3A50717A97F4CAB34" level="section">Sec. 106. Technical and conforming amendments.</toc-entry>
					<toc-entry idref="id82C3F8CD1F104B25B046B488499EF602" level="section">Sec. 107. Effective date.</toc-entry>
					<toc-entry idref="id485C76082B844F919D95A977C2F50766" level="subtitle">Subtitle B—Ensuring identity and sourcing of drug
				ingredients</toc-entry>
					<toc-entry idref="id7CF1F4C873964B07AEE73C4BC3216EED" level="section">Sec. 111. Testing of drug purity and identity.</toc-entry>
					<toc-entry idref="id5EDCFA243B584B32BDDAB87F39647A74" level="section">Sec. 112. Manufacturer responsibility for source and quality of
				drug ingredients.</toc-entry>
					<toc-entry idref="id1004EC7BFEA8473F9B4AA65191B05F5A" level="section">Sec. 113. Current manufacturing science.</toc-entry>
					<toc-entry idref="idB9F387D771C44025A9219090908E7CC1" level="section">Sec. 114. Electronic pedigree for drug ingredients.</toc-entry>
					<toc-entry idref="ID0efe7195a21a462491b0d2dd264016fd" level="section">Sec. 115. Country of origin labeling.</toc-entry>
					<toc-entry idref="idB02DC32A6FD44FFEABEFD7D9F0B91201" level="section">Sec. 116. Effective date.</toc-entry>
					<toc-entry idref="id571E71FE7B154F4EB7689DF50ED19813" level="subtitle">Subtitle C—Ensuring standards for imported drugs</toc-entry>
					<toc-entry idref="id1C6F1AF00C614F8789DB9512722D8A1C" level="section">Sec. 121. Good distribution and import practices.</toc-entry>
					<toc-entry idref="idA1D22A7EC1B64FC8898B6B75C14E264A" level="section">Sec. 122. Standards for admission of imported drugs and drug
				ingredients.</toc-entry>
					<toc-entry idref="id887C686AA4764506A90C0AC5713FF4D5" level="section">Sec. 123. Prohibition on use of drugs and drug ingredients not
				declared as drugs on importation.</toc-entry>
					<toc-entry idref="id9E220DD44DD6498F840270640293E701" level="section">Sec. 124. Destruction of unsafe products refused
				admission.</toc-entry>
					<toc-entry idref="id3CF4160CF4234BD4BAF3F6EFEA92F75C" level="section">Sec. 125. Effective date.</toc-entry>
					<toc-entry idref="idFA74E701798542378D5BA7CA7DD1F6C4" level="subtitle">Subtitle D—Enhanced response to unsafe drugs</toc-entry>
					<toc-entry idref="idE217A816AED042C4ADA8E54D46A138C1" level="section">Sec. 131. Administrative detention of drugs.</toc-entry>
					<toc-entry idref="ID2f2a60e5c5a540d59a6dac93daefe669" level="section">Sec. 132. Mandatory recall authority for drugs.</toc-entry>
					<toc-entry idref="idB0E45277AD724787A299F4177F5EDD76" level="section">Sec. 133. Records and reports of drug defects and destruction
				of defective drugs that cannot be reconditioned.</toc-entry>
					<toc-entry idref="ID3835ca32ca0c42799780085253b1f8cc" level="section">Sec. 134. Civil money penalties.</toc-entry>
					<toc-entry idref="id94C2349123DA4C1AB4C1C6C69838F9E7" level="subtitle">Subtitle E—Additional provisions related to medical
				products</toc-entry>
					<toc-entry idref="id2666CAF310F24D14B716AA9213BEA507" level="section">Sec. 141. Certification of information.</toc-entry>
					<toc-entry level="section">Sec. 142. Whistleblower
				protections.</toc-entry>
					<toc-entry idref="id23AC37A0207948EA863E3EC5734E7D99" level="title">TITLE II—General authorities to enhance food and drug
				administration oversight of products from a global market</toc-entry>
					<toc-entry idref="id2B9320052B084C41BD63648F00BB9940" level="section">Sec. 201. Dedicated foreign inspectorate.</toc-entry>
					<toc-entry idref="ID3e3138f3dce545c09e3bd497639778b0" level="section">Sec. 202. Authority to exchange confidential information with
				foreign government officials.</toc-entry>
					<toc-entry idref="idBA054046D42746D3AB722B9E619F00D4" level="section">Sec. 203. Subpoena authority.</toc-entry>
					<toc-entry idref="id06608464342441ABA9B5EFDE044E77C1" level="section">Sec. 204. Information reporting.</toc-entry>
				</toc>
			</subsection><subsection id="id9E5BF55041E14250A4F122A6889AADE0"><enum>(b)</enum><header>References in
			 Act</header><text>Except as otherwise specified, amendments made by this Act to
			 a section or other provision of law are amendments to such section or other
			 provision of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 301 et
			 seq.).</text>
			</subsection></section><title id="idE8E4F87F7A7D49FD8C1BC0EAA66C6DF3"><enum>I</enum><header>Ensuring the
			 safety and quality of medical products and their components</header>
			<subtitle id="id3CB9CB47C8F5442E9BB32472AB0F6FBD"><enum>A</enum><header>Enhanced
			 registration and inspection of drug and device establishments</header>
				<section id="idE5B4FFB174CE4921BFE46687848A2275"><enum>101.</enum><header>Registration
			 of drug and device establishments</header>
					<subsection id="ID6455c262532b4c9ba5a53803603d7f53"><enum>(a)</enum><header>Enforcement of
			 registration of foreign establishments</header><text>Section 502(o) (21 U.S.C.
			 352(o)) is amended by striking <quote>in any State</quote>.</text>
					</subsection><subsection id="ID97de5da58d804ac28c32d4b5ab72ff13"><enum>(b)</enum><header>Registration of
			 establishments for drug precursor and inactive ingredients</header>
						<paragraph id="ID4a6c12b0fe5a45d69a33c52a31da46c3"><enum>(1)</enum><header>Registration</header><text>Section
			 510(a) (21 U.S.C. 360(a)) is amended—</text>
							<subparagraph id="idF9FC9597212846D984EB99455E0E98F4"><enum>(A)</enum><text>in the matter
			 preceding paragraph (1), by striking <quote>As used</quote> and inserting
			 <quote><header-in-text level="subsection" style="OLC">Definitions</header-in-text>.—As used</quote>;</text>
							</subparagraph><subparagraph id="idAA75ECDD774A460B8DB0AA537A38E500"><enum>(B)</enum><text>by redesignating
			 paragraphs (1) and (2) as paragraphs (2) and (3), respectively; and</text>
							</subparagraph><subparagraph id="idCB839C5EEEE04E3491C8AA00E212FDFB"><enum>(C)</enum><text>by inserting
			 after <quote>this section—</quote> the following:</text>
								<quoted-block display-inline="no-display-inline" id="id8BDFF7A1617145BBA4A9CCFE8723B2D6" style="OLC">
									<paragraph id="id8B3E39726042425C957DE1D95F5E5151"><enum>(1)</enum><header>Drug</header><text>The
				term <term>drug</term> includes a precursor
				ingredient.</text>
									</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
							</subparagraph></paragraph><paragraph id="id50A3B902D1DF4780B183A5B0D76142AF"><enum>(2)</enum><header>Precursor
			 ingredient</header><text>Section 201 (21 U.S.C. 321) is amended by adding at
			 the end the following:</text>
							<quoted-block display-inline="no-display-inline" id="id81F87CC4DC9948978C555B9D0C1E8A08" style="OLC">
								<subsection id="id6C30C49CD1D74FB7905DC387C0FDC29E"><enum>(rr)</enum><text>The term
				<term>precursor ingredient</term>, with respect to a component of a drug, means
				an article that is a material—</text>
									<paragraph id="id4B99F663ADC04CDCA7A5C07D2687A3E1"><enum>(1)</enum><text>of animal origin
				from which such component is derived; or</text>
									</paragraph><paragraph id="idA7C2A1A0DF624C6CBFE708F3DF48600D"><enum>(2)</enum><text>used in the final
				stage of synthesis or purification of such
				component.</text>
									</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
						</paragraph><paragraph id="ID91cf4a2576c14994ac246c44705c7568"><enum>(3)</enum><header>Termination of
			 effect of regulation</header><text>On the date that is 180 days after the date
			 of enactment of this Act, the exemption from registration in subsection (e) of
			 section 207.10 of title 21, Code of Federal Regulations, shall cease to have
			 force or effect.</text>
						</paragraph></subsection><subsection id="ID8f5d5c5dfea4450aa488971f34cacb43"><enum>(c)</enum><header>Registration of
			 domestic establishments</header><text>Section 510 (21 U.S.C. 360) is
			 amended—</text>
						<paragraph id="id66C0835F84244A3F8E6C728A3BF35E82"><enum>(1)</enum><text>by striking
			 subsection (b) and inserting the following:</text>
							<quoted-block display-inline="no-display-inline" id="id8C12EAB9619D49819254D4E025259133" style="OLC">
								<subsection id="id225AEE1F176342C8AFB9B063B1A60C6A"><enum>(b)</enum><header>Registration of
				domestic establishments</header><text>Any person who owns or operates any
				establishment in any State engaged in the manufacture, preparation,
				propagation, compounding, or processing of a drug or device shall—</text>
									<paragraph id="id09DED1F0712E4262AC0B018807A91729"><enum>(1)</enum><text>upon first
				engaging in any such activity, immediately submit a registration to the
				Secretary that includes the name of such person, places of business of such
				person, all such establishments, the D-U-N-S number of each such establishment,
				an e-mail address for use in an emergency, and payment of any registration and
				inspection fee for each such establishment required under section 741;</text>
									</paragraph><paragraph id="ID6f573a5c38f048b78690a985198cb43b"><enum>(2)</enum><text>thereafter
				immediately submit a registration that includes the information and fee
				described in paragraph (1) for any additional establishment owned or operated
				by such person in any State in which such person begins the manufacture,
				preparation, propagation, compounding, or processing of a drug or device;
				and</text>
									</paragraph><paragraph id="id18B6B3FBD0C7475FA8C15C22655A14FF"><enum>(3)</enum><text>thereafter—</text>
										<subparagraph id="idA999A814368444218892F6A066BD81FD"><enum>(A)</enum><text>with respect to
				such drugs, submit a registration described in paragraph (1) to the Secretary
				on or before December 31 of each year; and</text>
										</subparagraph><subparagraph id="id83D4423278C2459DBCC317F70BC48CC9"><enum>(B)</enum><text>with respect to
				such devices, submit a registration described in paragraph (1) to the Secretary
				during the period beginning on October 1 and ending on December 31 of each
				year.</text>
										</subparagraph></paragraph></subsection><after-quoted-block>;
				and</after-quoted-block></quoted-block>
						</paragraph><paragraph id="idAAD711C45EAF43F886B33024151BFE6C"><enum>(2)</enum><text>by striking
			 subsections (c) and (d).</text>
						</paragraph></subsection><subsection id="idCC8BA99FCAD54CA3AD709C5CE64773E7"><enum>(d)</enum><header>Registration of
			 foreign establishments</header><text>Section 510 (U.S.C. 360) is
			 amended—</text>
						<paragraph id="id1821BA55DDB34DDEA3A109665C694091"><enum>(1)</enum><text>by transferring
			 subsection (i) so as to appear after subsection (b) (as amended by subsection
			 (c)); and</text>
						</paragraph><paragraph id="id525892AF20774A0999B56BD7022ECCDF"><enum>(2)</enum><text>in subsection (i)
			 (as so transferred)—</text>
							<subparagraph id="id08676CBD7E3C488F8B48A47BB41042AB"><enum>(A)</enum><text>by striking
			 <quote>(i) (1)</quote> and all that follows through <quote>of each
			 year.</quote> and inserting the following:</text>
								<quoted-block display-inline="no-display-inline" id="idA2B73D5639014876B8B063CA29928916" style="OLC">
									<subsection id="idC1B3382218D04BDAA1F381ADA04D5530"><enum>(c)</enum><header>Registration of
				foreign establishments</header>
										<paragraph id="idF5BEBBC290924C36A97D4DF9BAA58D63"><enum>(1)</enum><header>In
				general</header><text>Any person who owns or operates any establishment within
				any foreign country engaged in the manufacture, preparation, propagation,
				compounding, or processing of a drug or device that is imported or offered for
				import into the United States shall—</text>
											<subparagraph id="id4329A054522440E0B49F403092F09037"><enum>(A)</enum><text>upon first
				engaging in any such activity, immediately submit a registration to the
				Secretary that includes the name and place of business of such person, all such
				establishments, the D-U-N-S number of each such establishment, an e-mail
				address for use in an emergency, payment of any registration and inspection fee
				for each such establishment required under section 741, the name of the United
				States agent of each such establishment, the name of each importer of such drug
				or device in the United States that is known to each such establishment, and
				the name of each person who imports or offers for import such drug or device to
				the United States for purposes of importation;</text>
											</subparagraph><subparagraph id="id4122D84C92184DBBBD72B52FE54422D1"><enum>(B)</enum><text>thereafter
				immediately submit a registration that includes the information and fee
				described in paragraph (1) for any additional establishment owned or operated
				by such person within any foreign country in which such person begins the
				manufacture, preparation, propagation, compounding, or processing of such a
				drug or device; and</text>
											</subparagraph><subparagraph id="id2F1B8F9C3D4E411CB1E7DE90AE62C48F"><enum>(C)</enum><text>thereafter—</text>
												<clause id="idCA63331B034B4C259B7E702CB7FEF8D5"><enum>(i)</enum><text>with respect to
				drugs, submit a registration described in subparagraph (A) to the Secretary on
				or before December 31 of each year; and</text>
												</clause><clause id="id3FF0F9C2BA264057892A8F5E79BE5AB0"><enum>(ii)</enum><text>with respect to
				devices, submit a registration described in subparagraph (A) to the Secretary
				during the period beginning on October 1 and ending on December 31 of each
				year.</text>
												</clause></subparagraph></paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
							</subparagraph><subparagraph id="idC1335A36E1754425B599452CC3BDFDC0"><enum>(B)</enum><text>by striking
			 paragraph (2);</text>
							</subparagraph><subparagraph id="id0FF6A6DC18D64A40B91597DB67464026"><enum>(C)</enum><text>in paragraph (3),
			 by striking <quote>(3) The</quote> and inserting <quote>(2)
			 <header-in-text level="paragraph" style="OLC">Cooperative
			 arrangements</header-in-text>.—</quote>; and</text>
							</subparagraph><subparagraph id="id2C394D98903642AE8C2C49F3E7A9FA90"><enum>(D)</enum><text>by moving the
			 indentation of paragraph (2), as amended, 2 ems to the right.</text>
							</subparagraph></paragraph></subsection></section><section id="IDc61872104e44448685efd3ac46920ac2"><enum>102.</enum><header>Registration
			 and licensing of drug importers</header><text display-inline="no-display-inline">Section 510 (21 U.S.C. 360), as amended by
			 section 101, is further amended by inserting after subsection (c) the
			 following:</text>
					<quoted-block display-inline="no-display-inline" id="idBDA2083317C6420280EC704BB00EB439" style="OLC">
						<subsection id="IDea50adc8430e4d5eafc075fb6c1fe9a1"><enum>(d)</enum><header>Registration
				and licensing of drug importers</header>
							<paragraph id="idCEFC4F2A4F9C4D7D89ACAA0C65852411"><enum>(1)</enum><header>In
				general</header><text>Any person who owns or operates any establishment engaged
				in the importation, filing for importation, or brokering for importation of
				drugs into the United States shall—</text>
								<subparagraph id="id58F770C4B8B0438EA3E21F4746BC0E3E"><enum>(A)</enum><text>upon first
				engaging in any such activity, immediately submit a registration to the
				Secretary that includes the name of such person, places of business of such
				person, all such establishments, the D-U-N-S number of each such establishment,
				and an e-mail address for use in an emergency;</text>
								</subparagraph><subparagraph id="IDee9db661b60a42b7acaa8325f523d295"><enum>(B)</enum><text>thereafter
				immediately submit a registration that includes the information described in
				subparagraph (A) for any additional establishment owned or operated by such
				person in which such person begins any such activity; and</text>
								</subparagraph><subparagraph id="IDf10fd63ea7f0434883b70331968365b3"><enum>(C)</enum><text>thereafter submit
				a registration described in subparagraph (A) to the Secretary during the period
				beginning on October 1 and ending on December 31 of each year.</text>
								</subparagraph></paragraph><paragraph id="ID79370f6f8ca3404c8c75224031d8c64c"><enum>(2)</enum><header>Licensing</header>
								<subparagraph id="IDf9d7c1aae7e34d11869c679ff22df7f7"><enum>(A)</enum><header>In
				general</header><text>The Secretary may require any person engaged in the
				importation, filing for importation, or brokering for importation of a drug
				into the United States, before engaging in those activities, to obtain a
				license to be issued by the Secretary.</text>
								</subparagraph><subparagraph id="ID919e7903ac1f45468c291db4d2a55310"><enum>(B)</enum><header>Bond</header><text>The
				Secretary may require as a condition of a license for a person under
				subparagraph (A) that the person post a bond subject to forfeiture if the
				person has, in connection with the importation, filing for importation, or
				brokering for importation of a drug into the United States—</text>
									<clause id="ID2746f193d1094e33be20ef87d5144e3a"><enum>(i)</enum><text>violated, or
				caused the violation, of this Act; or</text>
									</clause><clause id="IDabeae993b8cf484db23bc184a6a63294"><enum>(ii)</enum><text>made, or caused
				to be made, a false or misleading statement.</text>
									</clause></subparagraph><subparagraph id="idEC6B37A40239402DB459FE37BCE6D87D"><enum>(C)</enum><header>Amount of
				bond</header><text>The Secretary shall ensure that the amount of any bond
				required under subparagraph (B) for a person is sufficient to deter such person
				from, in connection with the importation, filing for importation, or brokering
				for importation of a drug into the United States—</text>
									<clause id="id26AACB8D389B416593347BC36AC0BDA2"><enum>(i)</enum><text>violating, or
				causing the violation of, this Act; or</text>
									</clause><clause id="idEF8A4A273BB44666AC3024A25CBC2D50"><enum>(ii)</enum><text>making, or
				causing to be made, a false or misleading statement.</text>
									</clause></subparagraph><subparagraph id="ID238bfa6de64f435192f1294609db0d18"><enum>(D)</enum><header>Revocation</header><text>The
				Secretary may revoke the license for a person under subparagraph (A) if the
				Secretary finds that, in connection with the importation, filing for
				importation, or brokering for importation of a drug into the United States,
				such person has—</text>
									<clause id="IDce9b64e3f1b04105be088010462e2c3d"><enum>(i)</enum><text>violated, or
				caused the violation of, this Act; or</text>
									</clause><clause id="ID3dedc8f36e1d45818401862dcf186788"><enum>(ii)</enum><text>made, or caused
				to be made, a false or misleading
				statement.</text>
									</clause></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
				</section><section id="IDc23e53900bac418f825f5405b6a9d9da"><enum>103.</enum><header>Inspection of
			 drug and device establishments</header>
					<subsection id="ID3f46bd19cc424134bc83f9c457ec0b50"><enum>(a)</enum><header>Requiring equal
			 treatment of domestic and foreign establishments</header><text>Section 510(h)
			 (21 U.S.C. 360(h)) is amended by—</text>
						<paragraph id="ID74fbc320ab8e4309b57e62f81680192e"><enum>(1)</enum><text>striking
			 <quote>Every</quote> and inserting:
			 <header-in-text level="subsection" style="OLC">“Inspections.—</header-in-text></text>
							<quoted-block display-inline="no-display-inline" id="id7B11DDF8D7E340B386223C14AB94EB82" style="OLC">
								<paragraph id="idE342A2DFBCB1403EB55F94BF290E075B"><enum>(1)</enum><header>In
				general</header><text>Every</text>
								</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
						</paragraph><paragraph id="ID60c241ad6689437bb850c34fcc927eb8"><enum>(2)</enum><text>striking
			 <quote>in any State</quote>;</text>
						</paragraph><paragraph id="ID547e61cb086a42b981923768455a228c"><enum>(3)</enum><text>striking
			 <quote>section shall</quote> and
			 inserting:</text>
							<quoted-block display-inline="yes-display-inline" id="idAB969FC6B4CB4DD3B149BDF2315D91AB" style="OLC">
								<text>section—</text><subparagraph id="ID95dd3bfde3674680bab57c282e251d5c"><enum>(A)</enum><text>shall</text>
								</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
						</paragraph><paragraph id="ID56482f76ed4c47a5bb4717fe66e2921a"><enum>(4)</enum><text>striking
			 <quote>704 and every such</quote> and
			 inserting</text>
							<quoted-block display-inline="yes-display-inline" id="idD144185477A54D27B7CDB711DB8BFAB3" style="OLC">
								<text>704;</text><subparagraph id="ID042859dcac2d429db8a92702a4e4924f"><enum>(B)</enum><text>except as
				provided in paragraph (2), and for establishments that manufacture, prepare,
				propagate, compound, or process only inactive ingredients,
				every</text>
								</subparagraph><after-quoted-block>;
				and</after-quoted-block></quoted-block>
						</paragraph><paragraph id="ID6edd130333fa48539f258fbc79497d05"><enum>(5)</enum><text>striking
			 <quote>thereafter.</quote> and
			 inserting</text>
							<quoted-block display-inline="yes-display-inline" id="id3DFB2742CDBD4FB0B799B16C09833FC4" style="OLC">
								<text>thereafter;
			 and</text><subparagraph id="ID116820f38dcc420bbd8fea2263af3bca"><enum>(C)</enum><text>shall not be
				considered duly registered under this section if an inspection of such
				establishment by the Secretary is refused, delayed, or limited by—</text>
									<clause id="ID44016f202b55416fa4b27bd2024de8ef"><enum>(i)</enum><text>the person who
				owns or operates such establishment, or any agent or employee of such person;
				or</text>
									</clause><clause id="ID8c90da7dc5f74ac4b93434b64cd1436b"><enum>(ii)</enum><text>any agent of a
				governmental authority in the foreign country within which such establishment
				is
				located.</text>
									</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
						</paragraph></subsection><subsection id="ID968f361cadfb46aaba45ef14753ccd37"><enum>(b)</enum><header>Providing for
			 risk-based inspections of establishments</header><text>Section 510(h) (21
			 U.S.C. 360(h)), as amended by subsection (a), is further amended by adding at
			 the end the following:</text>
						<quoted-block display-inline="no-display-inline" id="idB62365EEB7874F93818C0BA04806876A" style="OLC">
							<paragraph id="IDea4a0dd75b624de183e2ee031540afc2"><enum>(2)</enum><header>Risk-based
				inspection schedule</header>
								<subparagraph id="ID5e6b6ac80f1944c7a68dd24fb88ecb70"><enum>(A)</enum><header>In
				general</header><text>The Secretary may by regulation provide for an inspection
				schedule for establishments described in paragraph (1) (including those
				establishments that manufacture, prepare, propagate, compound, or process only
				inactive ingredients) different from that required by such paragraph.</text>
								</subparagraph><subparagraph id="ID82dce79be2d3400786af1cb98d7dfd75"><enum>(B)</enum><header>Inspection
				frequency and risk-based factors</header><text>In providing for an inspection
				schedule under subparagraph (A), the Secretary—</text>
									<clause id="ID21511a43788e4e3486520e6fb745ef21"><enum>(i)</enum><text>may require
				inspections of an establishment more frequently than once in every successive
				2-year period;</text>
									</clause><clause id="IDf3c6a28d630b43bf9a658e209049fd6c"><enum>(ii)</enum><text>shall require
				inspections of an establishment at least once in every successive 5-year
				period; and</text>
									</clause><clause id="ID005e1618a34b4ed9b07d49287f7ab838"><enum>(iii)</enum><text>shall
				consider—</text>
										<subclause id="ID3236bae409304cf2800e4ee36195f31a"><enum>(I)</enum><text>the risks of the
				drug or drugs, or the device or devices, manufactured, prepared, propagated,
				compounded, or processed by an establishment (including whether the drug is a
				finished dosage form, an active ingredient, a precursor ingredient, or an
				inactive ingredient; the route of administration of the drug; whether the
				device is intended to be implanted, permanently implantable, life sustaining,
				or life supporting; and the use or uses for which the drug or device is
				approved or cleared under this Act or licensed under section 351 of the Public
				Health Service Act);</text>
										</subclause><subclause id="IDb22d29209cb34899abbe25d7000c2d3f"><enum>(II)</enum><text>whether or not
				an establishment is within a foreign country with a governmental authority
				responsible for drugs or devices, as applicable, deemed adequate by the
				Secretary;</text>
										</subclause><subclause id="ID3344843f687048db87b5728ab5b3d9bd"><enum>(III)</enum><text>whether or not,
				and the frequency with which, an establishment is subject to inspection by a
				governmental authority responsible for drugs or devices, as applicable, deemed
				adequate by the Secretary; and</text>
										</subclause><subclause id="IDb16d5ac4ab844a01a8f74913a8ce8e88"><enum>(IV)</enum><text>such other
				factors as the Secretary determines are relevant to determining an inspection
				schedule for establishments.</text>
										</subclause></clause></subparagraph><subparagraph id="IDcb9e54cb443d4050883656343abf0cc7"><enum>(C)</enum><header>Risk-based
				factors for modifying frequency of inspections of an
				establishment</header><text>The Secretary may inspect an establishment at a
				frequency different than that required by the inspection schedule under
				subparagraph (A) by considering—</text>
									<clause id="IDe3bec434b0c3496094e777f26d74ed67"><enum>(i)</enum><text>the history of
				any safety problems with drugs or devices manufactured, prepared, propagated,
				compounded, or processed by the establishment;</text>
									</clause><clause id="IDa69ffb621cf647f1bc417bd17067ef70"><enum>(ii)</enum><text>the record of
				inspections by the Secretary of the establishment;</text>
									</clause><clause id="ID90928f6d3f02488195f652a8bb6432dd"><enum>(iii)</enum><text>with respect to
				a drug that is not a finished dosage form, the record of inspections by a
				governmental authority responsible for drugs deemed adequate by the
				Secretary;</text>
									</clause><clause id="IDa712dafbb0454d9ab51eeb663134d279"><enum>(iv)</enum><text>with respect to
				a drug that is an inactive ingredient, a quality certification by a private
				entity, if the Secretary has agreed to accept such a certification; and</text>
									</clause><clause id="IDa8803c98c05a467b8a7ac0734ac5349b"><enum>(v)</enum><text>such other
				factors as the Secretary determines are relevant to assessing the risk
				presented by the
				establishment.</text>
									</clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
					</subsection><subsection id="ID13ba77c6dfe545748fe2c33866221148"><enum>(c)</enum><header>Annual report
			 on inspections of establishments</header><text>Section 510(h) (21 U.S.C.
			 360(h)), as amended by subsection (b), is further amended by adding at the end
			 the following:</text>
						<quoted-block display-inline="no-display-inline" id="id46EADB8FE4DC49D696D2B5F373A471E4" style="OLC">
							<paragraph id="ID76a5c94bdf1c495caf33d500ebdfe26a"><enum>(3)</enum><header>Annual report
				on inspections of establishments</header><text>Not later than February 1 of
				each year, the Secretary shall submit a report to the Congress about—</text>
								<subparagraph id="ID4428f0d8b9554cd2bfef428d9929620a"><enum>(A)</enum><text>the
				appropriations used to inspect establishments registered pursuant to this
				section in the previous fiscal year;</text>
								</subparagraph><subparagraph id="IDc9c3d221d7bf4624b7952f3bd0ad223f"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="id0B3D37AF3752451E9E6676470CD8BA01"><enum>(i)</enum><text>the number and
				identities of domestic and foreign establishments registered pursuant to this
				section that the Secretary inspected in the previous fiscal year; and</text>
									</clause><clause id="idD720427058964B22B4F87FDEB45048C3" indent="up1"><enum>(ii)</enum><text>if the Secretary has provided for
				a schedule under paragraph (2)(A) with different frequencies of inspection for
				different classes of establishments, the numbers and identities for each such
				class;</text>
									</clause></subparagraph><subparagraph id="IDba8a7d3c79ca491187677fc1b018f8f0"><enum>(C)</enum><clause commented="no" display-inline="yes-display-inline" id="id312C77AEB37E4A6B87E82EE58DE8F2EB"><enum>(i)</enum><text>the number of domestic
				and foreign establishments registered pursuant to this section that the
				Secretary did not inspect in the previous fiscal year; and</text>
									</clause><clause id="id9A394FA985D34175A88E9EDA37840BA2" indent="up1"><enum>(ii)</enum><text>if the Secretary has provided for
				a schedule under paragraph (2)(A) with expected frequencies of inspection for
				different classes of establishments, the numbers for each such class;</text>
									</clause></subparagraph><subparagraph id="ID57d8cb9b1b404fe7a207f72ee9ffce9f"><enum>(D)</enum><text>information on
				the performance in the previous fiscal year of the foreign inspectorate
				established under section 704(h) including—</text>
									<clause id="id45C8979685C14F82A818A48E0E293F83"><enum>(i)</enum><text>the number of
				inspections conducted with and without personnel who are fluent in the language
				used in the establishment under inspection;</text>
									</clause><clause id="ID781551f24a624b5793a964df1a7d2bf8"><enum>(ii)</enum><text>the number of
				personnel in such inspectorate;</text>
									</clause><clause id="ID5e2b8911f2e841bda27c5e689f06c1ea"><enum>(iii)</enum><text>the countries
				in which such personnel conduct inspections;</text>
									</clause><clause id="IDd134fbb4b7214f5484a58f8e94e709ed"><enum>(iv)</enum><text>the offices in
				foreign countries where such personnel are permanently stationed;</text>
									</clause><clause id="ID6a7b29ea3d744408bfea78ade7f7ba94"><enum>(v)</enum><text>the number of
				personnel conducting inspections in each country who are fluent in the language
				or languages used in the establishments of that country; and</text>
									</clause><clause id="ID974d69b8fdba4af78459f89316814697"><enum>(vi)</enum><text>the number of
				personnel who are permanently stationed in each in-country office who are
				fluent in the language or languages used in the establishments of that
				country;</text>
									</clause></subparagraph><subparagraph id="ID12f572b26e7542ae840b33070329bbbb"><enum>(E)</enum><text>the number of
				domestic and foreign establishments registered with the Secretary under this
				section during the previous calendar year; and</text>
								</subparagraph><subparagraph id="IDaf691437d5544dedaf3a2fe08b4c3fc8"><enum>(F)</enum><text>other information
				deemed relevant by the Secretary.</text>
								</subparagraph></paragraph><paragraph id="idD99A9CB2EFD94B1BA38EEE58C1D6B879"><enum>(4)</enum><header>Public
				availability of annual reports</header><text>The Secretary shall make the
				report required under paragraph (3) available to the public on the Internet Web
				site of the Food and Drug
				Administration.</text>
							</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
					</subsection></section><section id="ID91efb273b67f4be9908e571a1e77ad1b"><enum>104.</enum><header>Listing of
			 drugs and devices; enhanced information technology system for registration and
			 listing</header>
					<subsection id="ID4e5e4808cf1f41a090730ff73d65f0a7"><enum>(a)</enum><header>In
			 general</header><text>Section 510 (21 U.S.C. 360) is amended—</text>
						<paragraph id="idF79AD82422D04AF0866D12C3DE5DF4B8"><enum>(1)</enum><text>in subsection
			 (j)—</text>
							<subparagraph id="id4BBD4E5F79D146139E7385568CC8281C"><enum>(A)</enum><text>by striking
			 <quote>(j)(1) Every person who registers with the Secretary under subsection
			 (b), (c), (d), or (i)</quote> and inserting the following:</text>
								<quoted-block display-inline="no-display-inline" id="id8447060F4C594971BEF49AA3080CDF31" style="OLC">
									<subsection id="idCEE5FDC249ED41F7855F03C6A9167204"><enum>(i)</enum><header>Submission of
				list of drugs and devices</header>
										<paragraph id="idA813EB6D6BA74CB1B5E0B072267F9C08"><enum>(1)</enum><header>In
				general</header><text>Every person who registers with the Secretary under
				subsection (b) or
				(c)</text>
										</paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
							</subparagraph><subparagraph id="id9233AE113DEB4165AF461AAA5E443C83"><enum>(B)</enum><text>in paragraph
			 (1)—</text>
								<clause id="idDCA0AE02240545FD9A82E4DE714F23D5"><enum>(i)</enum><text>by
			 moving the indentation of subparagraphs (A) through (D) 2 ems to the right;
			 and</text>
								</clause><clause id="idCE3458CEC02D4F41AB39E2E6A22274AA"><enum>(ii)</enum><text>in
			 subparagraph (B), by moving the indentation of clauses (i) and (ii) 2 ems to
			 the right;</text>
								</clause></subparagraph><subparagraph id="id5849E4D0F228406EAAB3312707933D8A"><enum>(C)</enum><text>in paragraph
			 (2)—</text>
								<clause id="id45C2B38215484D1E820D9C8C2BE3069F"><enum>(i)</enum><text>by
			 striking <quote>(2) Each person who registers with the Secretary under this
			 section</quote> and inserting the following:</text>
									<quoted-block display-inline="no-display-inline" id="id4C0F97BAAD2447F5BA3EBA49D772C919" style="OLC">
										<paragraph id="id31DF3C9A52C44F5F90F916286F15F28D"><enum>(2)</enum><header>Report to
				Secretary</header><text>Every person who registers with the Secretary under
				subsection (b) or (c)</text>
										</paragraph><after-quoted-block>;
				and</after-quoted-block></quoted-block>
								</clause><clause id="id218ACA9E505844F4BC038BA15B28640D"><enum>(ii)</enum><text>by
			 moving the indentation of subparagraphs (A) through (D) 2 ems to the
			 right;</text>
								</clause></subparagraph><subparagraph id="idA7D28CE74E564BB483259F1A8F954D18"><enum>(D)</enum><text>in paragraph (3),
			 by striking <quote>(3) The Secretary</quote> and inserting the
			 following:</text>
								<quoted-block display-inline="no-display-inline" id="idB9373A87CBD042DBAFBCCFDDF7775FC9" style="OLC">
									<paragraph id="id795FFCD8D4BC4CC4B98D8CC473EE38D8"><enum>(3)</enum><header>Additional
				list</header><text>The Secretary</text>
									</paragraph><after-quoted-block>;
				and</after-quoted-block></quoted-block>
							</subparagraph><subparagraph id="id5DD3CD4E6ADA4843BAB13FA0C44758DC"><enum>(E)</enum><text>by adding at the
			 end the following:</text>
								<quoted-block display-inline="no-display-inline" id="id9FFA0FBE119D46CF897FC09569A400C5" style="OLC">
									<paragraph id="id83CFCFC5A4684821A6D9BC6854504864"><enum>(4)</enum><header>Submission for
				finished dosage form</header><text>Every person who files a list under
				paragraph (1) or reports a list under paragraph (2) shall submit with such
				list, for any drug that is a finished dosage form, the identity of each
				establishment engaged in the manufacture, preparation, propagation,
				compounding, or processing of—</text>
										<subparagraph id="IDcf9087d083e24ac5ab734e034f492425"><enum>(A)</enum><text>the finished
				dosage form;</text>
										</subparagraph><subparagraph id="ID55251c841d564d36a085dfeacc75e6e8"><enum>(B)</enum><text>any active
				ingredient of the drug;</text>
										</subparagraph><subparagraph id="ID50b721f135ab4f6e8c05d567a547ca7e"><enum>(C)</enum><text>any inactive
				ingredient of the drug; or</text>
										</subparagraph><subparagraph id="IDaf53311e5f154aafab0fff772bd4b3a6"><enum>(D)</enum><text>any precursor
				ingredient of any such active or inactive ingredient.</text>
										</subparagraph></paragraph><paragraph id="id4593D8F35FCB49B5ACA792F9F62D9AF6"><enum>(5)</enum><header>Electronic
				submission and maintenance of information</header><text>The Secretary shall
				establish and maintain—</text>
										<subparagraph id="IDdc61cd48ba3c40189387e48eef641f02"><enum>(A)</enum><text>an Internet-based
				portal through which information to register establishments under subsection
				(b), (c), and (d) and to list drugs and devices under this subsection shall be
				submitted to the Secretary; and</text>
										</subparagraph><subparagraph id="ID45b128bdd357489cb961b388166a8440"><enum>(B)</enum><text>an electronic
				database (which shall not be subject to inspection under subsection (f))
				populated with the information submitted under subparagraph (A) that—</text>
											<clause id="ID2d9e4fca250f488eb9bab18cb4eaffb8"><enum>(i)</enum><text>includes
				appropriate links between registered establishments and between such
				establishments and listed drugs and devices sufficient to enable the Secretary
				to track and assess the establishments and articles involved in the
				manufacture, preparation, propagation, compounding, or processing of each drug
				that is a finished dosage form or an active ingredient and each device;</text>
											</clause><clause id="ID1dfcac4075f4485a848a067fa4ecaa63"><enum>(ii)</enum><text>includes the
				date of each inspection by the Secretary (with the Secretary’s report on and
				assessment of the inspection) for each such establishment and such other
				information on the inspectional record and compliance history of the
				establishment as the Secretary deems necessary and appropriate to assess the
				compliance history of the establishment and, if applicable, apply the
				inspection schedule under subsection (h)(2) to such establishment; and</text>
											</clause><clause id="ID3f36428a0047478daa7f4eb8d5b8ebe4"><enum>(iii)</enum><text>is
				interoperable and communicates with other relevant databases within the Food
				and Drug
				Administration.</text>
											</clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
							</subparagraph></paragraph></subsection></section><section id="IDf20a361322294efcb0fa7d271a026783"><enum>105.</enum><header>Registration
			 and inspection fees for drug and device establishments</header>
					<subsection id="id4FD8E98DA919470DB1A90232C4D97AC6"><enum>(a)</enum><header>Redesignation</header><text display-inline="yes-display-inline">Chapter VII (21 U.S.C. 371 et seq.) is
			 amended by redesignating sections 741, 742, and 746 as sections 746, 747, and
			 749, respectively.</text>
					</subsection><subsection id="id0F7A8B3B231541179D486F8EFAF81D46"><enum>(b)</enum><header>Fees related to
			 establishment inspections</header><text>Subchapter C of chapter VII (21 U.S.C.
			 379f et seq.) is amended by adding at the end the following:</text>
						<quoted-block display-inline="no-display-inline" id="idDFF3AC3A1C4D43D6B6671F073B4EF02A" style="OLC">
							<part id="id3BC3599998E24E17B949FCF904DBE387"><enum>5</enum><header>Fees related to
				establishment inspections</header>
								<section id="id0467736ED9DD4FC38D03665E6F1EF618"><enum>741.</enum><header>Authority to
				assess and use fees</header>
									<subsection id="ID202e16f9188346deb4b52914d2e7c735"><enum>(a)</enum><header>Types of
				fees</header>
										<paragraph id="IDb0e00f5f981044728ed9011431346040"><enum>(1)</enum><header>Drug
				registration and inspection fees</header><text>Beginning in fiscal year 2009,
				the Secretary shall collect drug registration and inspection fees in accordance
				with this section as follows:</text>
											<subparagraph id="ID55b70632e5d34a46a335981efbdf622a"><enum>(A)</enum><header>In
				general</header><text>Except as provided under subparagraphs (B), (C), and (D),
				each person that during a fiscal year registers a drug establishment under
				subsection (b) or (c) of section 510 shall be subject to a drug registration
				and inspection fee established under subsection (b)(1).</text>
											</subparagraph><subparagraph id="ID1edc6b53a2d34d2898e5fc02f22bf4f5"><enum>(B)</enum><header>Reduction for
				positron emission tomography drugs</header><text>The drug registration and
				inspection fee for a drug establishment engaged solely in the manufacture,
				preparation, propagation, compounding, or processing of 1 or more drugs to
				which section 736(a)(2)(C)(i) applies shall be one-sixth of the drug
				registration and inspection fee otherwise applicable to such establishment
				under subsection (b)(1).</text>
											</subparagraph><subparagraph id="ID97f8cd310dad4c9faf6f77f8fd945c17"><enum>(C)</enum><header>Exemption for
				certain positron emission tomography drugs and certain orphan
				drugs</header><text>A drug establishment engaged solely in the manufacture,
				preparation, propagation, compounding, or processing of 1 or more drugs to
				which section 736(a)(2)(C)(ii) or section 736(k) applies shall not be assessed
				a drug registration and inspection fee.</text>
											</subparagraph><subparagraph id="IDbb1d6fada1e040b0b20654fecf09c76e"><enum>(D)</enum><header>Waiver or
				reduction</header><text>The Secretary shall grant a waiver from or reduction of
				the drug registration and inspection fee as provided for under section
				736(d).</text>
											</subparagraph></paragraph><paragraph id="IDa0b9c4fe9e394ef79ec4fc0f236de244"><enum>(2)</enum><header>Device
				registration and inspection fees</header><text>Beginning in fiscal year 2009,
				the Secretary shall collect device registration and inspection fees in
				accordance with this section as follows:</text>
											<subparagraph id="ID401a692e1ead413b87efe06b1579d465"><enum>(A)</enum><header>In
				general</header><text>Except as provided under subparagraphs (B) and (C), each
				person that during a fiscal year registers a device establishment under
				subsection (b) or (c) of section 510 shall pay a device registration and
				inspection fee established under subsection (b)(2).</text>
											</subparagraph><subparagraph id="ID7dd8fd3e91274e28b66eabe0622d58bb"><enum>(B)</enum><header>Reduction for
				small businesses</header><text>The device registration and inspection fee for a
				device establishment owned or operated by an entity that qualifies as a small
				business under section 738(d)(2) shall be one-fourth of the device registration
				and inspection fee otherwise applicable to such establishment under subsection
				(b)(2).</text>
											</subparagraph><subparagraph id="IDbb07f9152ca44802ae3e068bdba388e4"><enum>(C)</enum><header>Exemption for
				certain State or Federal government establishments</header><text>A device
				establishment operated by a State or Federal government entity shall not be
				assessed a device registration and inspection fee unless a device classified in
				class II or class III manufactured by the establishment is to be distributed
				commercially.</text>
											</subparagraph></paragraph></subsection><subsection id="ID12c0b19d47e647ec854169e019e8f38b"><enum>(b)</enum><header>Fee
				amounts</header>
										<paragraph id="IDe10d0fa24295418eac0157b8158c82d5"><enum>(1)</enum><header>Drug
				registration and inspection fee amounts</header>
											<subparagraph id="IDac1611ab9cb149a882e4fc8e185eca05"><enum>(A)</enum><header>In
				general</header><text>Beginning with fiscal year 2009, the Secretary shall, not
				later than 30 days after the amount has been appropriated for a fiscal year in
				an appropriations Act as described in subsection (d), establish for such fiscal
				year, and publish in the Federal Register, drug registration and inspection
				fees, based on the amount provided for in advance in appropriations Acts for
				such fees as described in subsection (d), considering—</text>
												<clause id="IDddebb50746ec4f92a8d402f6352546a1"><enum>(i)</enum><subclause commented="no" display-inline="yes-display-inline" id="idED8A7BF1289B42BFB8CEE2019984F481"><enum>(I)</enum><text>the registration and
				inspection fee for a drug establishment that under the inspection schedule
				provided for under section 510(h)(2)(A) is to be inspected more frequently than
				once in every 2-year period shall be more than the registration and inspection
				fee for a drug establishment that under such schedule is to be inspected once
				in every 2-year period, in proportion to the factor by which such drug
				establishment to be is inspected more frequently than once in every 2-year
				period; and</text>
													</subclause><subclause id="idC66731AFFC0C4463932D6BAE5C6AA748" indent="up1"><enum>(II)</enum><text>the registration and inspection fee for
				a drug establishment that under the inspection schedule provided for under
				section 510(h)(2)(A) is to be inspected less frequently than once in every
				2-year period shall be less than the registration and inspection fee for a drug
				establishment that under such schedule is to be inspected once in every 2-year
				period, in proportion to the factor by which such establishment is to be
				inspected less frequently than once in every 2-year period;</text>
													</subclause></clause><clause id="ID0c1a26ca8e3543d6933a0a4de49b4746"><enum>(ii)</enum><text>the reductions
				required under subparagraphs (B) and (D) of subsection (a)(1); and</text>
												</clause><clause id="IDc64c48f04eca4957a3b4d5f628cf382f"><enum>(iii)</enum><text>the number of
				drug establishments subject to such a fee, considering subparagraphs (C) and
				(D) of subsection (a)(1).</text>
												</clause></subparagraph><subparagraph id="ID230a6b1e242a42a2bfc210ec7313dbce"><enum>(B)</enum><header>Foreign drug
				establishment</header><text>For a foreign drug establishment, the drug
				registration and inspection fee shall be—</text>
												<clause id="ID6f337ddc57274bfbb396b8779d67a049"><enum>(i)</enum><text>the applicable
				drug registration and inspection fee under subparagraph (A), plus</text>
												</clause><clause id="ID677bc11cbd0d4ab9942129c288c0c8c0"><enum>(ii)</enum><text>the pro rata
				costs, if any, of—</text>
													<subclause id="idF9E13B56CCCD4207874F8688EE50F183"><enum>(I)</enum><text>travel to and
				within, and lodging in, the country in which the establishment is located for
				the individual or individuals who conduct the inspection of the establishment;
				and</text>
													</subclause><subclause id="ID240398d096684b42bb4354771d9e2d0b"><enum>(II)</enum><text>a translator for
				the inspection of the establishment.</text>
													</subclause></clause></subparagraph></paragraph><paragraph id="ID76bd856c1a2d46eeb8dd925428f10b9d"><enum>(2)</enum><header>Device
				registration and inspection fee amounts</header>
											<subparagraph id="ID60c4f5e2b61f42829cfd0a06e1732b65"><enum>(A)</enum><header>In
				general</header><text>Beginning with fiscal year 2009, the Secretary shall, not
				later than 30 days after the amount has been appropriated for a fiscal year in
				an appropriations Act as described in subsection (d) establish for such fiscal
				year, and publish in the Federal Register device registration and inspection
				fees, based on the amount provided for in advance in appropriations Acts for
				such fees and considering—</text>
												<clause id="id04F296AC7D6D4D07A1AC6F7A06E3AD5A"><enum>(i)</enum><subclause commented="no" display-inline="yes-display-inline" id="id25DED54DBA5A4F25B3BED79509961830"><enum>(I)</enum><text>the registration and
				inspection fee for a device establishment that under the inspection schedule
				provided for under section 510(h)(2)(A) is to be inspected more frequently than
				once in every 2-year period shall be more than the registration and inspection
				fee for a device establishment that under such schedule is to be inspected once
				in every 2-year period, in proportion to the factor by which such device
				establishment is to be inspected more frequently than once in every 2-year
				period; and</text>
													</subclause><subclause id="idADB86BCF7B914B9896AE8CA263D3FD84" indent="up1"><enum>(II)</enum><text>the registration and inspection fee for
				a device establishment that under the inspection schedule provided for under
				section 510(h)(2)(A) is to be inspected less frequently than once in every
				2-year period shall be less than the registration and inspection fee for a
				device establishment that under such schedule is to be inspected once in every
				2-year period, in proportion to the factor by which such establishment is to be
				inspected less frequently than once in every 2-year period;</text>
													</subclause></clause><clause id="IDf998c971c06e48a1b0fa730ade498fa0"><enum>(ii)</enum><text>the reduction
				required under subsection (a)(2)(B); and</text>
												</clause><clause id="IDa5e74d3a667c492eb23f024b29c74ece"><enum>(iii)</enum><text>the number of
				device establishments subject to such a fee, considering subsection
				(a)(2)(C).</text>
												</clause></subparagraph><subparagraph id="ID2efefe3a9cc94ab5a963e90f9eef8dfa"><enum>(B)</enum><header>Foreign device
				establishment</header><text>For a foreign device establishment, the device
				registration and inspection fee shall be—</text>
												<clause id="IDcd108df80a8a4098bd7b8ff564e78e1f"><enum>(i)</enum><text>the applicable
				device registration and inspection fee under subparagraph (A), plus</text>
												</clause><clause id="IDf3774443eb544d56942227d7d1732aba"><enum>(ii)</enum><text>the pro rata
				costs, if any, of—</text>
													<subclause id="idEE1178EE048D4BD9A35CDF500BE7D519"><enum>(I)</enum><text>travel to and
				within, and lodging in, the country in which the establishment is located for
				the individual or individuals who conduct the inspection of the establishment;
				and</text>
													</subclause><subclause id="ID99b3e19055aa4410b5bf83f9950131a5"><enum>(II)</enum><text>a translator for
				the inspection of the establishment.</text>
													</subclause></clause></subparagraph></paragraph></subsection><subsection id="ID5bc72893f2864b55ba11380574dbc524"><enum>(c)</enum><header>Effect of
				failure To pay fees</header>
										<paragraph id="IDc326ed898adb4fb1887fca2f5b70fba0"><enum>(1)</enum><header>Drug
				registration and inspection fee</header><text>An establishment subject to a
				drug registration and inspection fee under subsection (a) shall be considered
				not to be registered under section 510 until all registration and inspection
				fees under this section owed by the person required to register such
				establishment have been paid.</text>
										</paragraph><paragraph id="ID41f0e8bc68154a86b0dfdeec8b5feb92"><enum>(2)</enum><header>Device
				registration and inspection fee</header><text>An establishment subject to a
				device registration and inspection fee under subsection (a) shall be considered
				not to be registered under section 510 until all registration and inspection
				fees under this section owed by the person required to register such
				establishment have been paid.</text>
										</paragraph></subsection><subsection id="ID58be81c8273c4e36abe5146506b9698d"><enum>(d)</enum><header>Crediting and
				availability of fees</header>
										<paragraph id="ID684fd62a44ac48e9ba075a319a9658da"><enum>(1)</enum><header>Drug
				registration and inspection fees</header><text>Drug registration and inspection
				fees authorized under subsection (a) shall be collected and available for
				obligation only to the extent and in the amount provided in advance in
				appropriations Acts. Such fees are authorized to remain available until
				expended. Such sums as may be necessary may be transferred from the Food and
				Drug Administration salaries and expenses appropriation account without fiscal
				year limitation to such appropriation account for salaries and expenses with
				such fiscal year limitation. The sums transferred shall be available solely for
				drug registration and inspection activities.</text>
										</paragraph><paragraph id="IDa23f695151d34bd28bbb9dca35ba09c0"><enum>(2)</enum><header>Device
				registration and inspection fees</header><text>Device registration and
				inspection fees authorized under subsection (a) shall be collected and
				available for obligation only to the extent and in the amount provided in
				advance in appropriations Acts. Such fees are authorized to remain available
				until expended. Such sums as may be necessary may be transferred from the Food
				and Drug Administration salaries and expenses appropriation account without
				fiscal year limitation to such appropriation account for salaries and expenses
				with such fiscal year limitation. The sums transferred shall be available
				solely for device registration and inspection activities.</text>
										</paragraph><paragraph id="ID4abe4fd35ff64f849c687e344c2ace3f"><enum>(3)</enum><header>Authorization
				of appropriations</header>
											<subparagraph id="ID4b7b00420192477fa080903fe351d9d5"><enum>(A)</enum><header>Drug
				registration and inspection fees</header><text>Beginning in fiscal year 2009,
				there is authorized to be appropriated for each fiscal year for drug
				registration and inspection fees under this section such sums as may be
				necessary to carry out drug registration and inspection activities for such
				fiscal year, except that such sums may be no greater than the lesser of—</text>
												<clause id="ID205810009a464424a2844e19b2fbfae1"><enum>(i)</enum><text>the amount
				appropriated (excluding fees) for such activities for such fiscal year;
				or</text>
												</clause><clause id="ID821fda183a5a48c59baecf69a3693e07"><enum>(ii)</enum><text>one-half of the
				amount necessary to carry out such activities for such fiscal year.</text>
												</clause></subparagraph><subparagraph id="ID0d6569866e914ce9b9319ece062a53af"><enum>(B)</enum><header>Device
				registration and inspection fees</header><text>Beginning in fiscal year 2009,
				there is authorized to be appropriated for each fiscal year for device
				registration and inspection fees under this section such sums as may be
				necessary to carry out device registration and inspection activities for such
				fiscal year, except that such sums may be no greater than the lesser of—</text>
												<clause id="IDfd236b734ced49588c540a0fc9930e7b"><enum>(i)</enum><text>the amount
				appropriated (excluding fees) for such activities for such fiscal year;
				or</text>
												</clause><clause id="ID32504c4422564d02b598f207e1330dd9"><enum>(ii)</enum><text>one-half of the
				amount necessary to carry out such activities for such fiscal year.</text>
												</clause></subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="IDD48B38247D32408982CF15E546F0E8DE"><enum>(e)</enum><header display-inline="yes-display-inline">Authority</header><text display-inline="yes-display-inline">If the Secretary does not assess fees under
				subsection (a) during any portion of a fiscal year and if at a later date in
				such fiscal year the Secretary may assess such fees, the Secretary may assess
				and collect such fees, without any modification in the rate, at any time in
				such fiscal year notwithstanding the provisions of subsections (b) and (c) of
				section 510 relating to the date fees are to be paid.</text>
									</subsection><subsection id="ID93d935c632a54988bc61d28d67416001"><enum>(f)</enum><header>Collection of
				unpaid fees</header><text>In any case where the Secretary does not receive
				payment of a registration and inspection fee required to be paid under
				subsection (a) within 30 days after it is due, such fee shall be treated as a
				claim of the United States Government subject to subchapter II of chapter 37 of
				title 31, United States Code.</text>
									</subsection><subsection id="ID55ba196b7f2a4875b464e228cdcfea22"><enum>(g)</enum><header>Reports</header>
										<paragraph id="ID3775a327c9884ace98ef2366f4a85380"><enum>(1)</enum><header>Performance
				report</header><text>Beginning for fiscal year 2009, not later than 120 days
				after the end of each fiscal year for which drug registration and inspection
				fees and device registration and inspection fees are collected under this
				section, the Secretary shall prepare and submit 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 a report concerning the
				performance of the Food and Drug Administration with respect to—</text>
											<subparagraph id="IDcc65215040674054af003bfd8b20475c"><enum>(A)</enum><text>drug registration
				and inspection activities during such fiscal year; and</text>
											</subparagraph><subparagraph id="ID6e633d46527246a68f7b50814c85dad5"><enum>(B)</enum><text>device
				registration and inspection activities during such fiscal year.</text>
											</subparagraph></paragraph><paragraph id="ID17788efb11e14d4487dc5013dc6d9b62"><enum>(2)</enum><header>Fiscal
				report</header><text>Beginning for fiscal year 2009, not later than 120 days
				after the end of each fiscal year for which drug registration and inspection
				fees and device registration and inspection fees are collected under this
				section, the Secretary shall prepare and submit 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 a report on the implementation
				of the authority for such fees during such fiscal year and the use, by the Food
				and Drug Administration, of the fees collected for such fiscal year.</text>
										</paragraph><paragraph id="ID3d4e9a2734644467b3a223666a786dfc"><enum>(3)</enum><header>Public
				availability</header><text>The Secretary shall make the reports required under
				paragraphs (1) and (2) available to the public on the Internet Web site of the
				Food and Drug Administration.</text>
										</paragraph></subsection><subsection id="IDba386be70edc4b8bb1854c132f730572"><enum>(h)</enum><header>Definitions</header><text>In
				this section:</text>
										<paragraph id="ID6712ae436ad74a75aed88b6ae070e2f3"><enum>(1)</enum><header>Affiliate</header><text>The
				term <term>affiliate</term> means a business entity that has a relationship
				with a second business entity if, directly or indirectly—</text>
											<subparagraph id="IDb8b897c2d0ee43dba045299df28c432c"><enum>(A)</enum><text>one business
				entity controls, or has the power to control, the other business entity;
				or</text>
											</subparagraph><subparagraph id="IDf03289f0954046f393055f12f2eba993"><enum>(B)</enum><text>a third business
				entity controls, or has the power to control, both of the business
				entities.</text>
											</subparagraph></paragraph><paragraph id="ID0701da4e4fd94ae1bdbe5a24a16913df"><enum>(2)</enum><header>Device
				establishment</header><text>The term <term>device establishment</term>
				means—</text>
											<subparagraph id="ID450d961d2b3746878b52fd5d7c4aa7e5"><enum>(A)</enum><text>an establishment
				in any State that is engaged in the manufacture, preparation, propagation,
				compounding, or processing of a device classified in class II or class III;
				or</text>
											</subparagraph><subparagraph id="IDa79c5b44f0e4482c92139476146a6506"><enum>(B)</enum><text>an establishment
				within any foreign country that is engaged in the manufacture, preparation,
				propagation, compounding, or processing of a device classified in class II or
				class III that is imported or offered for import into the United States.</text>
											</subparagraph></paragraph><paragraph id="IDdb81733bc851416e879f7fa328c99b10"><enum>(3)</enum><header>Device
				registration and inspection activities</header><text>The term <term>device
				registration and inspection activities</term> means the following activities of
				the Secretary:</text>
											<subparagraph id="ID582cbf7ce61c4d45a01c2650a3973f4b"><enum>(A)</enum><text>The registration
				of device establishments under subsections (b) and (c) of section 510.</text>
											</subparagraph><subparagraph id="ID8602c24edba84ff7bdca79af01e2e7b7"><enum>(B)</enum><text>The listing of
				devices under section 510(i), including the activities for devices described in
				section 510(i)(5).</text>
											</subparagraph><subparagraph id="IDb2d62c47f1ec47c88f5729efe4d222e8"><enum>(C)</enum><text>The inspection of
				device establishments under section 510(h)(1)(B) or, if applicable, section
				510(h)(2).</text>
											</subparagraph><subparagraph id="IDbea5c0649f114a4aa6843d2347ae64fd"><enum>(D)</enum><text>The review of
				inspection reports from such inspections.</text>
											</subparagraph><subparagraph id="ID029791e582f14da391ad68dd96cf31ae"><enum>(E)</enum><text>Any action under
				this Act pursuant to such registration, listing, inspections, and
				reviews.</text>
											</subparagraph></paragraph><paragraph id="ID6fb34a7556da4542b81b91fe7c4086f3"><enum>(4)</enum><header>Drug
				establishment</header><text>The term <term>drug establishment</term>
				means—</text>
											<subparagraph id="IDe556f38bc82b44c09c2d0d989738025e"><enum>(A)</enum><text>an establishment
				in any State that is—</text>
												<clause id="idF07132C18B3B4D7E815D7F667EFBF70C"><enum>(i)</enum><text>engaged in the
				manufacture, preparation, propagation, compounding, or processing of a drug;
				and</text>
												</clause><clause commented="no" id="idE50CFB70C3F142D0947096623A425FA1"><enum>(ii)</enum><text>subject to
				inspection under subsection (h)(1)(B) or (h)(2) of section 510, as applicable;
				or</text>
												</clause></subparagraph><subparagraph id="ID3a6d0134f0a34b5e8caddb8ec45756d2"><enum>(B)</enum><text>an establishment
				within any foreign country that is—</text>
												<clause id="id6B36A01720174AAF8281C666773AE6DA"><enum>(i)</enum><text>engaged in the
				manufacture, preparation, propagation, compounding, or processing of a drug;
				and</text>
												</clause><clause commented="no" id="id9B3703881F964103AD7A92467C04A22B"><enum>(ii)</enum><text>subject to
				inspection under subsection (h)(1)(B) or (h)(2) of section 510, as
				applicable.</text>
												</clause></subparagraph></paragraph><paragraph id="ID51b7afbe29334e438139fe7db0059f56"><enum>(5)</enum><header>Drug
				registration and inspection activities</header><text>The term <term>drug
				registration and inspection activities</term> means the following activities of
				the Secretary:</text>
											<subparagraph id="ID137729fdc2b84c7fb71aeb04b093ffb1"><enum>(A)</enum><text>The registration
				of drug establishments under subsections (b) and (c) of section 510.</text>
											</subparagraph><subparagraph id="IDc7badd9436174f1ebf36081cc40eed70"><enum>(B)</enum><text>The listing of
				drugs under section 510(i), including the activities for drugs described in
				section 510(i)(5).</text>
											</subparagraph><subparagraph id="ID24e260c6ee434ee9b4eb292f733ed6a8"><enum>(C)</enum><text>The inspection of
				drug establishments under section 510(h)(1)(B) or, if applicable, section
				510(h)(2).</text>
											</subparagraph><subparagraph id="IDe6311831f0d541f7bef5b926ee1200f4"><enum>(D)</enum><text>The review of
				inspection reports from such inspections.</text>
											</subparagraph><subparagraph id="ID4f6de7f6a46943dcb4d19ecd8f4e9e26"><enum>(E)</enum><text>Any action under
				this Act pursuant to such registration, listing, inspections, and
				reviews.</text>
											</subparagraph></paragraph><paragraph id="IDe43259ba91ab4b788cb85c7a65777213"><enum>(6)</enum><header>Person</header><text>The
				term <quote>person</quote> includes an affiliate
				thereof.</text>
										</paragraph></subsection></section></part><after-quoted-block>.</after-quoted-block></quoted-block>
					</subsection></section><section id="id3DF6E1F2EAEA43A3A50717A97F4CAB34"><enum>106.</enum><header>Technical and
			 conforming amendments</header>
					<subsection id="id0FD2CC0F7EFE4AA39011E14A7D01F7B1"><enum>(a)</enum><header>Section
			 510</header>
						<paragraph id="idF6EA8A6E1DB6405AB847CEA30EBC4E52"><enum>(1)</enum><header>Listing
			 numbers</header><text>Section 510(e) (21 U.S.C. 360(e)) is amended—</text>
							<subparagraph id="id1FA0C9C63E7B4DFCA7698D395DBD71E8"><enum>(A)</enum><text>by striking
			 <quote>(e) The Secretary</quote> and all that follows through <quote>Any
			 number</quote> and inserting the following:</text>
								<quoted-block display-inline="no-display-inline" id="idB7A088A33F924D5DAF6E3CA536075F41" style="OLC">
									<subsection id="idA498C5ACA74F470BB6F6D864DC6799A1"><enum>(e)</enum><header>Listing
				number</header><text>The Secretary may assign a listing number to each drug or
				class of drugs listed under subsection (i). Any
				number</text>
									</subsection><after-quoted-block>;
				and</after-quoted-block></quoted-block>
							</subparagraph><subparagraph id="id103DD86FA23F4658806DA553D0CA01E4"><enum>(B)</enum><text>by striking
			 <quote>subsection (j)</quote> and inserting <quote>subsection
			 (i)</quote>.</text>
							</subparagraph></paragraph><paragraph id="id35D1709F446149EAB05AA814C24D9D30"><enum>(2)</enum><header>Inspection by
			 public of registration</header><text>Section 510(f) (21 U.S.C. 360(f)) is
			 amended—</text>
							<subparagraph id="idA0E0F3807DD2415CB6870774B082E56E"><enum>(A)</enum><text>by striking
			 <quote>(f) The Secretary</quote> and inserting the following:</text>
								<quoted-block display-inline="no-display-inline" id="idBCAE9FF0F19B44B380E44CC416B6A76B" style="OLC">
									<subsection id="id00D2825016CD4B2AA3B4C5A527C32E1D"><enum>(f)</enum><header>Inspection by
				public of registration</header>
									</subsection><after-quoted-block>;
				and</after-quoted-block></quoted-block>
							</subparagraph><subparagraph id="id4E34A62BEC1C4E858A49D320A7213C02"><enum>(B)</enum><text>by striking
			 <quote>subsection (j)</quote> and inserting <quote>subsection
			 (i)</quote>.</text>
							</subparagraph></paragraph><paragraph id="id35C040B89017485FA0CB5CA95D99C658"><enum>(3)</enum><header>Exemptions</header><text>Section
			 510(g) (21 U.S.C. 360(g)) is amended—</text>
							<subparagraph id="idADA85E4CECAA4F0E9412F60CA48A1391"><enum>(A)</enum><text>by striking
			 <quote>(g) The foregoing</quote> and inserting the following:</text>
								<quoted-block display-inline="no-display-inline" id="idD13C6A16166644B88EE38D3FCBEB5306" style="OLC">
									<subsection id="id1317C449FFBA4FEBA1BFFE53A63D1BE0"><enum>(g)</enum><header>Exemptions</header><text>The
				foregoing</text>
									</subsection><after-quoted-block>;
				and</after-quoted-block></quoted-block>
							</subparagraph><subparagraph id="id21F16D52FCA54446B3A1F57D85B8855F"><enum>(B)</enum><text>by moving the
			 indentation of paragraphs (1) through (5) 2 ems to the right.</text>
							</subparagraph></paragraph><paragraph id="id33F9F1D1C2294AACA324B533161B3E12"><enum>(4)</enum><header>Electronic
			 submission</header><text>Section 510 (21 U.S.C. 360) is amended by inserting
			 after subsection (i) (as redesignated by section 104) the following:</text>
							<quoted-block display-inline="no-display-inline" id="id977F6477715145AB9AC3F3C23DBA9C50" style="OLC">
								<subsection commented="no" display-inline="no-display-inline" id="ID5F8B19D4FBF04CD8848E6DE47A0D96A5"><enum>(j)</enum><header>Electronic
				submission</header><text display-inline="yes-display-inline">Registrations and
				listings under this section (including the submission of updated information)
				shall be submitted to the Secretary by electronic means unless the Secretary
				grants a request for waiver of such requirement because use of electronic means
				is not reasonable for the person requesting such
				waiver.</text>
								</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
						</paragraph><paragraph id="id91F9D6C6752346DC84DA0DF330471B9F"><enum>(5)</enum><header>Device
			 reports</header><text>Section 510(k) (21 U.S.C. 360(k)) is amended—</text>
							<subparagraph id="id5A533EAC67A24684ACB944065670B448"><enum>(A)</enum><text>by striking
			 <quote>(k) Each person</quote> and inserting the following:</text>
								<quoted-block display-inline="no-display-inline" id="idCDCC8584E9CB41598DE5913A989CC7E0" style="OLC">
									<subsection id="idBDEE973C1A6A4699BB815259E63A747D"><enum>(k)</enum><header>Device
				reports</header><text>Each person</text>
									</subsection><after-quoted-block>;
				and</after-quoted-block></quoted-block>
							</subparagraph><subparagraph id="id0EA573AD81B94CA0814106B0E61CC190"><enum>(B)</enum><text>by moving the
			 indentation of paragraphs (1) and (2) 2 ems to the right.</text>
							</subparagraph></paragraph><paragraph id="idF9DE649A192A47B1A8DA5577DB8BCD39"><enum>(6)</enum><header>No report
			 required</header><text>Section 510(l) (21 U.S.C. 360(l)) is amended by striking
			 <quote>(l) A report</quote> and inserting the following:</text>
							<quoted-block display-inline="no-display-inline" id="idBEC25AF5AD6A465593DC4EE865EB68C7" style="OLC">
								<subsection id="idEF2B46F1E2E44B078ECD8F8CCD06D610"><enum>(l)</enum><header>No report
				required</header><text>A
				report</text>
								</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
						</paragraph><paragraph id="idAF137D1277EB470CB23BE46D2EDC37BB"><enum>(7)</enum><header>Exemptions for
			 Class II devices</header><text>Section 510(m) (21 U.S.C. 360(m)) is
			 amended—</text>
							<subparagraph id="id289116B1EE194B6D82B7EC516F9728B4"><enum>(A)</enum><text>by striking
			 <quote>(m)(1) Not later than</quote> and inserting the following:</text>
								<quoted-block display-inline="no-display-inline" id="id5710104DA5DD445F936972517AD1ABE1" style="OLC">
									<subsection id="idCFB3254F17434CCA834642833469BE43"><enum>(m)</enum><header>Exemptions for
				Class II devices</header>
										<paragraph id="id2251778943FB4BDAA450826B72295757"><enum>(1)</enum><header>List of
				exempted devices</header><text>Not later
				than</text>
										</paragraph></subsection><after-quoted-block>;
				and</after-quoted-block></quoted-block>
							</subparagraph><subparagraph id="id604A0C708C58461BB32419A25D048A08"><enum>(B)</enum><text>by striking
			 <quote>(2) Beginning</quote> and inserting the following:</text>
								<quoted-block display-inline="no-display-inline" id="id840916202D304E22BB935CC970EF7E90" style="OLC">
									<paragraph id="idD48254A451F14707B75EB65E9813C104"><enum>(2)</enum><header>Other exempted
				devices</header><text>Beginning</text>
									</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
							</subparagraph></paragraph><paragraph id="id832807CE52D74CDB93ABF182A318FDBB"><enum>(8)</enum><header>Review of
			 report</header><text>Section 510(n) (21 U.S.C. 360(n)) is amended by striking
			 <quote>(n) The Secretary</quote> and inserting the following:</text>
							<quoted-block display-inline="no-display-inline" id="idA327CBCACCCD4FEF941498CEE77E4A04" style="OLC">
								<subsection id="id6BD0C609878C40CEB504B6A93CFCBE71"><enum>(n)</enum><header>Review of
				report</header><text>The
				Secretary</text>
								</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
						</paragraph><paragraph id="idFB63AACED11545DD9DE663411C70F355"><enum>(9)</enum><header>Reprocessed
			 single-use devices</header><text>Section 510(o) (21 U.S.C. 360(o)) is
			 amended—</text>
							<subparagraph id="idC34984D0E62F43F2818F22DD7C095F96"><enum>(A)</enum><text>by striking
			 <quote>(o)(1) With respect to</quote> and inserting the following:</text>
								<quoted-block display-inline="no-display-inline" id="id9436B57C649B4F8D994CF1D501426C57" style="OLC">
									<subsection id="id8D0C3E4BDB2C4AF09B06F4BC501D0250"><enum>(o)</enum><header>Reprocessed
				single-use devices</header>
										<paragraph id="idC9D18E18FB7B4910929A4D1704184559"><enum>(1)</enum><header>Reprocessed
				single-use devices for which reports are required</header><text>With respect
				to</text>
										</paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
							</subparagraph><subparagraph id="idEBFE5F6F86E648BD95A0AA7088B92092"><enum>(B)</enum><text>in paragraph (1),
			 by moving the indentation of subparagraphs (A) through (D) 2 ems to the
			 right;</text>
							</subparagraph><subparagraph id="id1F906C1CF9324DEFA80688CA3110D495"><enum>(C)</enum><text>by striking
			 <quote>(2) With respect to</quote> and inserting the following:</text>
								<quoted-block display-inline="no-display-inline" id="idFF484029EDA44D12B2678A93050D86FE" style="OLC">
									<paragraph id="id886025B2E5514589A1F50F7C3A90A692"><enum>(2)</enum><header>Critical and
				semicritical Reprocessed single-use devices</header><text>With respect
				to</text>
									</paragraph><after-quoted-block>; and</after-quoted-block></quoted-block>
							</subparagraph><subparagraph id="id90B868DB6ED5443A89EEB9242E994AAC"><enum>(D)</enum><text>in paragraph (2),
			 by moving the indentation of subparagraphs (A) through (E) 2 ems to the
			 right.</text>
							</subparagraph></paragraph><paragraph id="id4F68D4BACB044F3AAD80A39A0812ED91"><enum>(10)</enum><header>Electronic
			 submission</header><text>Section 510 (21 U.S.C. 360) is amended by striking
			 subsection (p).</text>
						</paragraph></subsection><subsection id="id57BD0ED3266544759C4D8BC2ED71C851"><enum>(b)</enum><header>Other
			 provisions</header><text>The Federal Food, Drug, and Cosmetic Act (21 U.S.C.
			 301 et seq.) is amended—</text>
						<paragraph id="idE3DB0CC5D9E24C6C939FCFB4C1919C52"><enum>(1)</enum><text>by striking
			 <quote>510(i)</quote> each place it appears and inserting
			 <quote>510(c)</quote>;</text>
						</paragraph><paragraph id="id82200B93F7E046FAB556EE0894AFDBE5"><enum>(2)</enum><text>in section
			 301—</text>
							<subparagraph commented="no" id="id7F4F9955DB2042AB98F89A7216E29DA0"><enum>(A)</enum><text>in subsection
			 (p)—</text>
								<clause commented="no" id="id588CE9DCEAF447A6A2287493739AEE31"><enum>(i)</enum><text>by striking
			 <quote>510(j),</quote> and inserting <quote>510(i),</quote>; and</text>
								</clause><clause commented="no" id="idA06806467C094B9FBFFCF044CC0CBF7D"><enum>(ii)</enum><text>by striking
			 <quote>510(j)(2)</quote> and inserting <quote>510(i)(2)</quote>; and</text>
								</clause></subparagraph><subparagraph id="id02C07BBB9A0B464BBC843AFB5C41DCD1"><enum>(B)</enum><text>in subsection
			 (o), by striking <quote>510(j)</quote> and inserting <quote>510(i)</quote>;
			 and</text>
							</subparagraph></paragraph><paragraph id="id4FB6C1A968234AC4948CC03E490C058D"><enum>(3)</enum><text>in section
			 801(a), by striking <quote>subsection (i) of section 510</quote> and inserting
			 <quote>subsection (c) of section 510</quote>.</text>
						</paragraph></subsection></section><section id="id82C3F8CD1F104B25B046B488499EF602"><enum>107.</enum><header>Effective
			 date</header><text display-inline="no-display-inline">This subtitle, and the
			 amendments made by this subtitle, shall take effect on October 1, 2008.</text>
				</section></subtitle><subtitle id="id485C76082B844F919D95A977C2F50766"><enum>B</enum><header>Ensuring identity
			 and sourcing of drug ingredients</header>
				<section id="id7CF1F4C873964B07AEE73C4BC3216EED"><enum>111.</enum><header>Testing of
			 drug purity and identity</header>
					<subsection id="id297F3C849384452BA1266EDED691DD5F"><enum>(a)</enum><header>In
			 general</header><text display-inline="yes-display-inline">Section 501 (21
			 U.S.C. 351) is amended by adding at the end the following:</text>
						<quoted-block display-inline="no-display-inline" id="idEBCAD64E499B4C5DAC102507C99FB0A2" style="OLC">
							<subsection id="ID881e139aff66419d92c5d4caa8cd6354"><enum>(j)</enum><text>If it is a
				drug—</text>
								<paragraph id="idCA182EAE5AD74199A45DD5816C11FED6"><enum>(1)</enum><text>and it bears or
				contains an article, unless the manufacturer of such drug verifies the purity
				and identity of such article using scientifically sound and appropriate methods
				of sufficient analytical precision and specificity to detect and quantify the
				article separate from—</text>
									<subparagraph id="id15C1E94EAAC54B9D9E39743C4B53F74E"><enum>(A)</enum><text>impurities;
				and</text>
									</subparagraph><subparagraph id="id567F5B898451467EBC7BF33A71FAB1ED"><enum>(B)</enum><text>contaminants and
				adulterants reasonably likely to be present in or on such article;</text>
									</subparagraph></paragraph><paragraph id="ID2855026deb994ffd901ae0b3accb3ea8"><enum>(2)</enum><text>unless the
				manufacturer of such drug periodically evaluates the impurity profile of each
				active ingredient of such drug to verify that such profile is substantially
				similar to the profile of the lot or lots of such ingredient used in the
				clinical investigations or toxicological evaluations of such drug submitted to
				the Secretary under section 505 or section 351 of the Public Health Service
				Act; and</text>
								</paragraph><paragraph id="ID4fc5404d759b4ffdbe3f275185143f71"><enum>(3)</enum><text>unless the
				manufacturer of such drug reports to the Secretary—</text>
									<subparagraph id="ID21f0704e51ae459fa41456c2eebc9cb2"><enum>(A)</enum><text>any deviation
				from purity and identity identified under paragraph (1) or (2); and</text>
									</subparagraph><subparagraph id="ID4e72ff84def34d2bbd49afc674e49faf"><enum>(B)</enum><text>any necessary
				actions in response to such a deviation to assure the safety and effectiveness
				of the
				drug.</text>
									</subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
					</subsection><subsection id="idFB551C02217348DC99D0479994512450"><enum>(b)</enum><header>Compendial
			 modernization</header><text>Section 501(b) (21 U.S.C. 351(b)) is amended
			 by—</text>
						<paragraph id="id58275A93AB9F4C41B3276063393671AA"><enum>(1)</enum><text>inserting
			 <quote>or of the appropriate body charged with the revision of such
			 compendium</quote> after <quote>in the judgment of the
			 Secretary</quote>;</text>
						</paragraph><paragraph id="idE42D6CFC32C949D286A0497D836384FA"><enum>(2)</enum><text>inserting
			 <quote>(1)</quote> after <quote>insufficient for the making of such
			 determination,</quote>;</text>
						</paragraph><paragraph id="id651D1DA1BB584C2C88003CE5C6AB7508"><enum>(3)</enum><text>striking
			 <quote>attention of the appropriate body charged with the revision of such
			 compendium</quote> and inserting <quote>attention of such body</quote>;
			 and</text>
						</paragraph><paragraph id="idB7D2E14247334879B4CB4E3C38B43E71"><enum>(4)</enum><text>inserting
			 <quote>, or (2) such body shall bring such fact to the attention of the
			 Secretary, and the Secretary shall work with such body to develop approaches
			 that will allow such body to establish sufficient standards</quote> after
			 <quote>purity shall be made</quote>.</text>
						</paragraph></subsection><subsection id="idE8BA6023655F4041B98C6626164DF028"><enum>(c)</enum><header>Rulemaking</header><text>Section
			 701(e)(1) (21 U.S.C. 371(e)(1)) is amended in the first sentence by deleting
			 <quote>501(b),</quote>.</text>
					</subsection><subsection id="idBF42912774124634989372DD63D7F24A"><enum>(d)</enum><header>Assessment</header><text>The
			 Secretary of Health and Human Services, in consultation with the United States
			 Pharmacopeia, other drug regulatory agencies, academic experts, and industry,
			 shall periodically assess the tests and methods of assay for drugs found in
			 official compendia to determine whether, considering current scientific
			 methods, such tests and methods of assay remain scientifically sound and
			 appropriate and of sufficient analytical precision and specificity for their
			 purpose.</text>
					</subsection></section><section id="id5EDCFA243B584B32BDDAB87F39647A74"><enum>112.</enum><header>Manufacturer
			 responsibility for source and quality of drug ingredients</header><text display-inline="no-display-inline">Section 501 (21 U.S.C. 351), as amended by
			 section 111, is further amended by adding at the end the following:</text>
					<quoted-block display-inline="no-display-inline" id="id08E1B8E2228B41E5919192D802555C6A" style="OLC">
						<subsection id="ID8d7c7cd2e9aa4623ae20e2cc67abc556"><enum>(k)</enum><text>If it is a drug
				and the manufacturer or importer fails to establish and maintain for a period
				of time determined by the Secretary documentation adequate to—</text>
							<paragraph id="ID8d53b6bfc02a4f98a78e8b4aa80e600c"><enum>(1)</enum><text>identify each
				establishment that manufactured, processed, packed, or held each article that
				is a component of the drug or a precursor ingredient of such a component;
				and</text>
							</paragraph><paragraph id="ID6b3d3828ee7146c58ba485c9778de075"><enum>(2)</enum><text>establish,
				including through appropriate and periodic audits of the establishments
				described in paragraph (1), that the drug and each such article is not
				adulterated under this section or misbranded under section
				502.</text>
							</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
				</section><section id="id1004EC7BFEA8473F9B4AA65191B05F5A"><enum>113.</enum><header>Current
			 manufacturing science</header><text display-inline="no-display-inline">Section
			 501(a) (21 U.S.C. 351(a)) is amended by striking <quote>; or (3)</quote> and
			 inserting the following: <quote>or (D) if it is manufactured in a manner that
			 is inconsistent with current manufacturing technologies, including quality
			 risk-management practices, in-process controls, and relation of quality
			 standards to clinical performance of the drug or device, as determined by the
			 Secretary; or (3)</quote>.</text>
				</section><section id="idB9F387D771C44025A9219090908E7CC1"><enum>114.</enum><header>Electronic
			 pedigree for drug ingredients</header><text display-inline="no-display-inline">Section 502 (21 U.S.C. 352) is amended by
			 inserting after subsection (c) the following:</text>
					<quoted-block display-inline="no-display-inline" id="id5B0C84EE129149FE82A8BD48162DB3EE" style="OLC">
						<subsection id="IDe6271f5d2eea4ea5920152b038f1a874"><enum>(d)</enum><text>If it is a drug
				and any article that is a component of the drug or a precursor ingredient of
				such a component was distributed by a person, unless such person distributed
				with the article an electronic statement (in such form and containing such
				information as the Secretary may require by guidance or regulation) identifying
				each prior sale, purchase, or trade of the article (including the date of the
				transaction and the names and addresses of all parties to the
				transaction).</text>
						</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
				</section><section id="ID0efe7195a21a462491b0d2dd264016fd"><enum>115.</enum><header>Country of
			 origin labeling</header><text display-inline="no-display-inline">Section 502
			 (21 U.S.C. 352) is amended by inserting at the end the following:</text>
					<quoted-block display-inline="no-display-inline" id="id95C7D1BFBF3845A28AC395C11B9F44D9" style="OLC">
						<subsection commented="no" id="ID124fc9247f6a4971b738e5ac4a32f2e8"><enum>(aa)</enum><text>If it is a drug
				in final dosage form or device for use on or by patients unless its label
				bears, and the Internet Web site of the manufacturer of the drug or device
				lists, the identity of—</text>
							<paragraph commented="no" id="IDaf6fb2e2c8cc4731b68a7fad78ea5b8a"><enum>(1)</enum><text>the country of
				manufacture of the drug or device; and</text>
							</paragraph><paragraph commented="no" id="ID59e83d75d2214892927959bcac2ce041"><enum>(2)</enum><text>if it is a drug,
				the country of manufacture of each active ingredient in the
				drug.</text>
							</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
				</section><section id="idB02DC32A6FD44FFEABEFD7D9F0B91201"><enum>116.</enum><header>Effective
			 date</header><text display-inline="no-display-inline">This subtitle, and the
			 amendments made by this subtitle, shall take effect on the date that is 180
			 days after the date of enactment of this Act.</text>
				</section></subtitle><subtitle id="id571E71FE7B154F4EB7689DF50ED19813"><enum>C</enum><header>Ensuring
			 standards for imported drugs</header>
				<section id="id1C6F1AF00C614F8789DB9512722D8A1C"><enum>121.</enum><header>Good
			 distribution and import practices</header>
					<subsection id="id45F95EE1024C4A2B9EA937A5F0D8F800"><enum>(a)</enum><header>Good
			 distribution and import practices</header><text>Section 501(a) (21 U.S.C.
			 351(a)), as amended by section 113, is further amended by striking <quote>; or
			 (3)</quote> and inserting <quote>or (E) if it is a drug and it is not
			 distributed, shipped, warehoused, brokered, imported, or conveyed in conformity
			 with current good distribution and import practices to assure the identity,
			 strength, quality, and purity of the drug; or (3)</quote>.</text>
					</subsection><subsection id="id135D73FFB36244A09E125DF74EF529C8"><enum>(b)</enum><header>Inspection of
			 importers and distributors of drugs</header><text>Section 704 (21 U.S.C. 374)
			 is amended—</text>
						<paragraph id="id5010ACAF7DD6485583EC713B588FFB38"><enum>(1)</enum><text>in subsection
			 (a)—</text>
							<subparagraph id="idB31CB6FB92D74FFEAE82C75E69B65132"><enum>(A)</enum><text>in paragraph
			 (1)(A), by inserting <quote>(and in the case of drugs, distributed, shipped,
			 warehoused, or conveyed)</quote> after <quote>or held,</quote>; and</text>
							</subparagraph><subparagraph id="id4194E67DFDF448538F278E05576C12C7"><enum>(B)</enum><text>in the third
			 sentence—</text>
								<clause id="id0129E3FB357649D4B756246362D63220"><enum>(i)</enum><text>by
			 inserting <quote>(and in the case of drugs, distributed, shipped, warehoused,
			 or conveyed)</quote> after <quote>packed, or held,</quote>; and</text>
								</clause><clause id="idE3D81A44503E4805BBE927AD282C0755"><enum>(ii)</enum><text>by
			 inserting <quote>, (and in the case of drugs, distributed, shipped, warehoused,
			 or conveyed)</quote> after <quote>transported, or held</quote>; and</text>
								</clause></subparagraph></paragraph><paragraph id="idFD84CAF2B6644BB382DBAE9AA11C3778"><enum>(2)</enum><text>in subsection
			 (e), by striking <quote>519 or</quote> and inserting <quote>502(a)(2)(E), 519,
			 or</quote>.</text>
						</paragraph></subsection></section><section id="idA1D22A7EC1B64FC8898B6B75C14E264A"><enum>122.</enum><header>Standards for
			 admission of imported drugs and drug ingredients</header><text display-inline="no-display-inline">Section 801 (21 U.S.C. 381) is
			 amended—</text>
					<paragraph id="IDb825945ea2dd43cda0f6fae5218efa17"><enum>(1)</enum><text>in subsection
			 (o), by striking <quote>drug or</quote>; and</text>
					</paragraph><paragraph id="ID11701596f70a4624bb3566322d8f16bd"><enum>(2)</enum><text>by adding at the
			 end the following:</text>
						<quoted-block display-inline="no-display-inline" id="idE8FC6D02F5D84AE0AA3B97D5B59364AE" style="OLC">
							<subsection id="ID7cbf27fae2574bc18497b9996d083a76"><enum>(p)</enum><text>Except as
				provided in subsection (g), a drug, or an article that appears to be a drug, in
				finished dosage form, an article that is intended to be a component of a drug,
				or an article that is intended to be a precursor ingredient of such a component
				that is being imported or offered for import into the United States shall be
				refused admission unless the person importing or offering for import such drug
				or article provides to the Secretary, at the time of being imported or offered
				for import—</text>
								<paragraph id="ID915bf8e636384c06b360e3066a05d0eb"><enum>(1)</enum><text>all information
				submitted to U.S. Customs and Border Protection in the entry declaration for
				such drug or such article;</text>
								</paragraph><paragraph id="ID6d999fb2110d49a3a2c4880a4e3625c7"><enum>(2)</enum><text>for a drug, or an
				article that appears to be a drug, in finished dosage form—</text>
									<subparagraph id="IDe8cbd935972a4c64a799e700f36ddfc5"><enum>(A)</enum><text>the listing
				number under section 510(e) of such drug;</text>
									</subparagraph><subparagraph id="ID8ea5fc1101e24c009b2380d5b1bddc1a"><enum>(B)</enum><text>the D-U-N-S
				number of each establishment in which such drug was manufactured, prepared,
				propagated, compounded, or processed;</text>
									</subparagraph><subparagraph id="ID5266e95b8330465e862cd72bd49c976d"><enum>(C)</enum><text>the new drug
				application number, the abbreviated new drug application number, or the drug
				monograph number, as applicable;</text>
									</subparagraph><subparagraph id="IDf4007a99e49e436da64a8792fe322004"><enum>(D)</enum><text>the label
				required by the new drug application, abbreviated new drug application, or drug
				monograph, as applicable; and</text>
									</subparagraph><subparagraph id="ID78ce0b07285c4b80a151b1763f1c4572"><enum>(E)</enum><text>the record of
				inspections by the Secretary;</text>
									</subparagraph></paragraph><paragraph id="ID51e4c98801034141abf22121a488c429"><enum>(3)</enum><text>for an article
				that is an active ingredient of a drug, or an article that is a precursor
				ingredient of an active ingredient—</text>
									<subparagraph id="ID76099305132c402c97898689ac21bba1"><enum>(A)</enum><text>the listing
				number under section 510(e) of such article;</text>
									</subparagraph><subparagraph id="ID3810b5a86551448a84408ca6baabdd1c"><enum>(B)</enum><text>the D-U-N-S
				number of each establishment in which such article was manufactured, prepared,
				propagated, compounded, or processed;</text>
									</subparagraph><subparagraph id="ID0b19e89643be4f5b80687b01da739cd8"><enum>(C)</enum><text>the new drug
				application number, the abbreviated new drug application number, or the drug
				monograph number, as applicable, of the finished dosage form for which such
				article is intended;</text>
									</subparagraph><subparagraph id="ID35f652ce740c43d7ab991528877f07d0"><enum>(D)</enum><text>the label under a
				regulatory exemption from section 502(f)(1); and</text>
									</subparagraph><subparagraph id="ID77c1a01c80b04a28a00bb2ea3a182d61"><enum>(E)</enum><text>the record of
				inspections by the Secretary or by a governmental authority responsible for
				drugs deemed adequate by the Secretary; and</text>
									</subparagraph></paragraph><paragraph id="ID9fc63ba35729408caa0f404d7e3c37ea"><enum>(4)</enum><text>for an article
				(other than an active ingredient) that is intended to be a component of a drug,
				or an article that is a precursor ingredient of any such component—</text>
									<subparagraph id="IDbe5f30e1071b4b798a57deafb77fe171"><enum>(A)</enum><text>the listing
				number under section 510(e) of such article;</text>
									</subparagraph><subparagraph id="IDaf32ee3289db46c7a03a11bf0a36b6a8"><enum>(B)</enum><text>the D-U-N-S
				number of each establishment in which such article was manufactured, prepared,
				propagated, compounded, or processed;</text>
									</subparagraph><subparagraph id="ID30e59b0e19a84e4e8215c2b99b56d278"><enum>(C)</enum><text>the new drug
				application number, the abbreviated new drug application number, or the drug
				monograph number, as applicable, of the finished dosage form for which such
				article is intended; and</text>
									</subparagraph><subparagraph id="ID443fff35141b45d8a00b798ee9e26196"><enum>(D)</enum><clause commented="no" display-inline="yes-display-inline" id="idEF1EA96CF04A4228A98C8E8E4CED1665"><enum>(i)</enum><text>the record of
				inspections by the Secretary or by a governmental authority responsible for
				drugs deemed adequate by the Secretary;</text>
										</clause><clause id="IDdb953a07db9e4c88981ce306e520762c" indent="up1"><enum>(ii)</enum><text>a quality certification by a
				private entity, if the Secretary has agreed to accept such a certification;
				and</text>
										</clause><clause id="ID910ea5156e2547c4a8079560d0945ea3" indent="up1"><enum>(iii)</enum><text>other evidence of quality that
				the Secretary has deemed acceptable by
				regulation.</text>
										</clause></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
					</paragraph></section><section id="id887C686AA4764506A90C0AC5713FF4D5"><enum>123.</enum><header>Prohibition on
			 use of drugs and drug ingredients not declared as drugs on
			 importation</header><text display-inline="no-display-inline">Section 502 (21
			 U.S.C. 352), as amended by section 115, is further amended by adding at the end
			 the following:</text>
					<quoted-block display-inline="no-display-inline" id="idC4439C39656F47FC86793A8BE217B9C2" style="OLC">
						<subsection id="ID209ccbb9f7614c50b5dd8211628bfb32"><enum>(bb)</enum><text>If it is a drug
				and it is, bears, or contains an article that, when imported or offered for
				import into the United States is intended to be a drug or a component of a
				drug, unless—</text>
							<paragraph id="idCDEFB91F34374957822F3EB52872FEEF"><enum>(1)</enum><text>the label of such
				article, when so imported or offered for import, contains the statement
				<quote>for drug use</quote>; and</text>
							</paragraph><paragraph id="id1E3299103A294B27ABC05DB548B7341A"><enum>(2)</enum><text>the article is
				declared when so imported or offered for import as <quote>for drug
				use</quote>.</text>
							</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
				</section><section id="id9E220DD44DD6498F840270640293E701"><enum>124.</enum><header>Destruction of
			 unsafe products refused admission</header><text display-inline="no-display-inline">Section 801(a) (21 U.S.C. 381(a)) is amended
			 by striking the sixth sentence and inserting the following: <quote>The
			 Secretary of the Treasury shall cause the destruction of any such article
			 refused admission (1) if the Secretary of Health and Human Services informs the
			 Secretary of the Treasury that such article appears to pose a risk of injury or
			 death; or (2) if such article is not exported, under regulations prescribed by
			 the Secretary of the Treasury, within 90 days of the date of notice of such
			 refusal or within such additional time as may be permitted pursuant to such
			 regulations. The preceding sentence shall not apply to drugs to which
			 subsection (g) applies.</quote>.</text>
				</section><section id="id3CF4160CF4234BD4BAF3F6EFEA92F75C"><enum>125.</enum><header>Effective
			 date</header><text display-inline="no-display-inline">This subtitle, and the
			 amendments made by this subtitle, shall take effect on the date that is 30 days
			 after the date of enactment of this Act.</text>
				</section></subtitle><subtitle id="idFA74E701798542378D5BA7CA7DD1F6C4"><enum>D</enum><header>Enhanced response
			 to unsafe drugs</header>
				<section id="idE217A816AED042C4ADA8E54D46A138C1"><enum>131.</enum><header>Administrative
			 detention of drugs</header>
					<subsection id="id0D440DF5E43B4AE5BA879B599CB17635"><enum>(a)</enum><header>In
			 general</header><text display-inline="yes-display-inline">Section 304(g) (21
			 U.S.C. 334(g)) is amended—</text>
						<paragraph id="id556EC51F5F3B41FF8C71C3CF7DA95F20"><enum>(1)</enum><text>in paragraph
			 (1)—</text>
							<subparagraph id="idBB0F7A3B50184A0686C662B6117B7B77"><enum>(A)</enum><text>by inserting
			 <quote>drug or</quote> before <quote>device</quote> each place it appears;
			 and</text>
							</subparagraph><subparagraph id="idFCB82C04E03F4D6A9C4910DD3CE43285"><enum>(B)</enum><text>by inserting
			 <quote>, or, in the case of a drug, which the officer or employee making the
			 inspection has reason to believe is in violation of section 505,</quote> after
			 <quote>or misbranded</quote>; and</text>
							</subparagraph></paragraph><paragraph id="id40CA5C3F050B4B89BEA349726B97A315"><enum>(2)</enum><text>in paragraph (2),
			 by inserting <quote>drug or</quote> before <quote>device</quote> each place it
			 appears.</text>
						</paragraph></subsection><subsection id="idC561415E959B4F97A4302FBEDB705417"><enum>(b)</enum><header>Technical
			 amendments</header><text>Section 304(g)(1) (21 U.S.C. 334(g)(1)), as amended by
			 subsection (a), is further amended by—</text>
						<paragraph id="idAE3A057C4B8540B79994BC87E517F636"><enum>(1)</enum><text>striking
			 <quote>(1) If</quote> and inserting <quote>(1)(A) If</quote>;</text>
						</paragraph><paragraph id="idC823ACA42A5049BFA615ACE5F08733E7"><enum>(2)</enum><text>striking
			 <quote>thirty days. Regulations</quote> and inserting the following: “thirty
			 days.</text>
							<quoted-block display-inline="no-display-inline" id="id52752D56B03C4DF693CED9BC87F4D4C9" style="OLC">
								<subparagraph id="id7ADDA0B106B5451AA261A69C429A3308" indent="up2"><enum>(B)</enum><text>Regulations</text>
								</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
						</paragraph><paragraph id="id7E18DA68AAFE4F61A603AFC225D41325"><enum>(3)</enum><text>striking
			 <quote>such order. A detention</quote> and inserting the following: “such
			 order.</text>
							<quoted-block display-inline="no-display-inline" id="id0874A82C8E484C049C1DA9F094D11F24" style="OLC">
								<subparagraph id="id2BD9E7FE70E540328FE873F27C958932" indent="up2"><enum>(C)</enum><text>A
				detention</text>
								</subparagraph><after-quoted-block>;
				and</after-quoted-block></quoted-block>
						</paragraph><paragraph id="id6A28006A34B149C582A5D9C18C9F8EBC"><enum>(4)</enum><text>striking
			 <quote>as detained. Any person</quote> and inserting the following: “as
			 detained.</text>
							<quoted-block display-inline="no-display-inline" id="id01A21DF6CC144724A76655A574C12B25" style="OLC">
								<subparagraph id="id21D83CEDB52B488BBEAAE8064DBC8CA7" indent="up2"><enum>(D)</enum><text>Any
				person</text>
								</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
						</paragraph></subsection><subsection commented="no" id="idC898F912BB8347B0A6EB796BD4F4C4AC"><enum>(c)</enum><header>Regulations</header><text>Until
			 the date that the Secretary of Health and Human Services issues a final
			 regulation to implement the amendments to section 304(g) of the Federal Food,
			 Drug, and Cosmetic Act (as made by subsection (a)), the regulations on
			 administrative detention in section 800.55 of title 21, Code of Federal
			 Regulations, shall apply to any administrative detention of a drug under such
			 section 304(g).</text>
					</subsection></section><section id="ID2f2a60e5c5a540d59a6dac93daefe669"><enum>132.</enum><header>Mandatory
			 recall authority for drugs</header>
					<subsection id="idAFBD0F198F5546B6AC39B22099A8366D"><enum>(a)</enum><header>In
			 general</header><text>Chapter V (21 U.S.C. 351 et seq.) is amended by inserting
			 after section 506C the following:</text>
						<quoted-block display-inline="no-display-inline" id="id26271493D1DC493C812C7E8B8E11D8FD" style="OLC">
							<section id="idF612EE5F14484A5699F9710235BA1859"><enum>507.</enum><header>Mandatory
				recall authority for drugs</header>
								<subsection id="id4B8BD1062B154908ACC438B21232F05C"><enum>(a)</enum><header>Order To cease
				distribution; notification; process</header>
									<paragraph id="id0613332E70F74497BF632FC158AEDB24"><enum>(1)</enum><header>Order To cease
				distribution; notification</header><text>If the Secretary finds that there is a
				reasonable probability that a drug intended for human use would cause serious,
				adverse health consequences or death, the Secretary shall issue an order
				requiring the appropriate person (including the manufacturers, importers,
				distributors, or retailers of the drug)—</text>
										<subparagraph id="id1F9632E20B5D43BB86A64B3710819CA7"><enum>(A)</enum><text>to immediately
				cease distribution of such drug; and</text>
										</subparagraph><subparagraph id="idAA668CF5E12D4AEE9B94785BBFF3F040"><enum>(B)</enum><text>to immediately
				notify health professionals and hospitals and other health care facilities of
				the order and to instruct such professionals and facilities to cease use of
				such drug.</text>
										</subparagraph></paragraph><paragraph id="id9819F95282DE47F1A32912D33C6623C7"><enum>(2)</enum><header>Process</header><text>The
				order under paragraph (1) shall provide the person subject to the order with an
				opportunity for an informal hearing, to be held not later than 10 days after
				the date of the issuance of the order, on the actions required by the order and
				on whether the order should be amended to require a recall of such drug. If,
				after providing an opportunity for such a hearing, the Secretary determines
				that inadequate grounds exist to support the actions required by the order, the
				Secretary shall vacate the order.</text>
									</paragraph></subsection><subsection id="idD82EB1FB86AC4FD3901A0F13EA6CA3D5"><enum>(b)</enum><header>Order To
				recall</header>
									<paragraph id="id7A27DF70D31E4F5BA40B0FE371829D4B"><enum>(1)</enum><header>In
				general</header><text>If, after providing an opportunity for an informal
				hearing under subsection (a), the Secretary determines that the order should be
				amended to include a recall of the drug with respect to which the order was
				issued, the Secretary shall, except as provided in paragraph (2), amend the
				order to require a recall. The Secretary shall specify a timetable in which the
				drug recall will occur and shall require periodic reports to the Secretary
				describing the progress of the recall.</text>
									</paragraph><paragraph id="id1ECFBEEEF2A542ABA4D9E7856AB9876B"><enum>(2)</enum><header>Amended
				order</header><text>An amended order under paragraph (1)—</text>
										<subparagraph id="idAD0D3C2FD7AB4580ADC9D59A50613846"><enum>(A)</enum><text>shall—</text>
											<clause id="id834299F1937340259A97A8219958E1A3"><enum>(i)</enum><text>not include
				recall of a drug from individuals; and</text>
											</clause><clause id="id59DFA316BF444ECC981864DA73E4A602"><enum>(ii)</enum><text>not include
				recall of a drug from hospitals and other health care facilities if the
				Secretary determines that the risk of recalling such drug from the facilities
				presents a greater health risk than the health risk of not recalling the drug
				from use; and</text>
											</clause></subparagraph><subparagraph id="id3276D61B51594ACAA98969A252A49D70"><enum>(B)</enum><text>shall provide for
				notice to individuals subject to the risks associated with the use of such
				drug.</text>
										</subparagraph></paragraph><paragraph id="id541472145FE648B4BA3292B60A173A7B"><enum>(3)</enum><header>Assistance</header><text>In
				providing the notice required by paragraph (2), the Secretary may use the
				assistance of health professionals who prescribed or used such a drug for
				individuals. If a significant number of such individuals cannot be identified,
				the Secretary shall notify such individuals pursuant to section
				705(b).</text>
									</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
					</subsection><subsection commented="no" id="id9D0E1D4C9AA248E2BA3398C061BAE709"><enum>(b)</enum><header>Regulations</header><text>Until
			 the date that the Secretary of Health and Human Services issues a final
			 regulation to implement section 507 of the Federal Food, Drug, and Cosmetic Act
			 (as added by subsection (a)), the regulations on medical device recall
			 authority in part 810 of title 21, Code of Federal Regulations, shall apply to
			 any recall of a drug under such section 507.</text>
					</subsection></section><section commented="no" id="idB0E45277AD724787A299F4177F5EDD76"><enum>133.</enum><header>Records and
			 reports of drug defects and destruction of defective drugs that cannot be
			 reconditioned</header>
					<subsection commented="no" id="id9399449241444DFF9E5741C0CFA233CA"><enum>(a)</enum><header>In
			 general</header><text>Section 503 (21 U.S.C. 353) is amended by adding at the
			 end the following:</text>
						<quoted-block display-inline="no-display-inline" id="idFBC6B99F41934A8EAB16988E20B94BEB" style="OLC">
							<subsection commented="no" id="idA2ACAFBDED0E461E87925DB972EC5740"><enum>(h)</enum><header>Drug
				defects</header>
								<paragraph commented="no" id="id251E56661B1844C39B59B7B5EEF9CAB4"><enum>(1)</enum><header>Records and
				reports</header><text>The manufacturer of a drug shall make and maintain
				records, and promptly submit reports to the Secretary, about any defect of the
				drug.</text>
								</paragraph><paragraph id="ID8fdc47033544499aacf614d30df69c69"><enum>(2)</enum><header>Investigation
				and corrective action</header><text>The manufacturer of a drug shall—</text>
									<subparagraph id="ID24fbf53b08b64d3f82fc62d74ecee38a"><enum>(A)</enum><text>investigate the
				cause of any defect of the drug; and</text>
									</subparagraph><subparagraph id="IDb31b18e185994115906e21a53da7d675"><enum>(B)</enum><text>take appropriate
				corrective action.</text>
									</subparagraph></paragraph><paragraph commented="no" id="idA81FCB3E9B514ABA99240C6E1C117F7F"><enum>(3)</enum><header>Destruction</header><text>If
				a drug may cause injury or death because of a defect, the manufacturer shall,
				after the investigation of the defect required under paragraph (2), destroy the
				drug and shall not recondition the drug.</text>
								</paragraph><paragraph commented="no" id="id901A67973CD04C62A21F9BD6C801D874"><enum>(4)</enum><header>Defect</header><text>For
				purposes of this subsection, a drug shall be considered to have a defect if the
				manufacturer rejects the drug for manufacturing or distribution because
				of—</text>
									<subparagraph id="ID5dbb0708d4fb46b4879261f4d519dc0a"><enum>(A)</enum><text>microbiological
				or other contamination;</text>
									</subparagraph><subparagraph id="IDde68e26781994aaaaef752c5ffb14c9f"><enum>(B)</enum><text>significant
				chemical, physical, or other change or deterioration; or</text>
									</subparagraph><subparagraph id="ID268fe9e5bff4478da7ee1b5fac0593a6"><enum>(C)</enum><text>any failure of 1
				or more batches of the drug to meet a specification established for
				it.</text>
									</subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
					</subsection><subsection commented="no" id="id972BD276CF904C9DA1F59B1846F5DA63"><enum>(b)</enum><header>Prohibited
			 acts</header><text>Section 301 (21 U.S.C. 331) is amended—</text>
						<paragraph commented="no" id="id03A8034ED7AB495B8982F326F5D38631"><enum>(1)</enum><text>in subsection
			 (d), by striking <quote>505</quote> and inserting <quote>503(h), 505</quote>;
			 and</text>
						</paragraph><paragraph commented="no" id="idCA5CBDA624974E3FA79A01DE6D8EB214"><enum>(2)</enum><text>in subsection
			 (e), by striking <quote>504</quote> and inserting <quote>503(h),
			 504</quote>.</text>
						</paragraph></subsection><subsection id="id0F878650D3AC4CF48DD984BE6FFFF168"><enum>(c)</enum><header>Effective
			 date</header><text display-inline="yes-display-inline">The amendments made by
			 this section shall take effect on the date that is 180 days after the date of
			 enactment of this Act.</text>
					</subsection></section><section commented="no" id="ID3835ca32ca0c42799780085253b1f8cc"><enum>134.</enum><header>Civil money
			 penalties</header>
					<subsection commented="no" id="ID99c113cb33c84f47ad0e1c070671b39f"><enum>(a)</enum><header>In
			 general</header><text>Section 303(f) (21 U.S.C. 333) is amended—</text>
						<paragraph id="id5D5D8A9CB4A642D3B9C07AB0FE2AA6A3"><enum>(1)</enum><text>by redesignating
			 paragraphs (5), (6), and (7) as paragraphs (6), (7), and (8),
			 respectively;</text>
						</paragraph><paragraph id="id6D52A52EB8704DD1A2596D8DC43F267E"><enum>(2)</enum><text>in paragraph (4),
			 by striking <quote>or 505–1</quote> each place it appears and inserting
			 <quote>505–1, 505A, or 523A</quote>;</text>
						</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idD46666EC9AC34590B51B5C7B62F767D5"><enum>(3)</enum><text>by inserting
			 after paragraph (4) the following:</text>
							<quoted-block display-inline="no-display-inline" id="id581736F036A84E78A7172698D62F3641" style="OLC">
								<paragraph commented="no" id="ID102276cad7c741bf82807c6eb8fc22f2"><enum>(5)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id6B200E46C259426FB5FA166B363B7680"><enum>(A)</enum><clause commented="no" display-inline="yes-display-inline" id="id900BAC0C6DA642B99313D7F4DEB44BB9"><enum>(i)</enum><text>Any manufacturer,
				distributor, importer, broker, or filer that violates a requirement of this Act
				that relates to drugs for human use (except a requirement referred to in
				paragraph (4) or subsection (g)) shall be liable to the United States for a
				civil penalty not to exceed $100,000 per violation.</text>
										</clause><clause commented="no" id="idF48E10EF18C547CF912323D403B3A602" indent="up2"><enum>(ii)</enum><text>Each day during which a violation
				continues shall be considered a separate violation under clause (i).</text>
										</clause></subparagraph><subparagraph commented="no" id="id01E300179CE04C9CAFFCB8AB12551263" indent="up1"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="idBBA937B90DEB43D7AD26041905A533D0"><enum>(i)</enum><text>Any manufacturer,
				distributor, importer, broker, or filer that knowingly reports or enters false
				or misleading data on documents related to the importation of a drug shall be
				liable to the United States for a civil penalty not to exceed $150,000.</text>
										</clause><clause commented="no" id="id071129378D0D462EBA64AE2AD9A2773C" indent="up1"><enum>(ii)</enum><text>Each act of reporting or entering
				false data shall be considered a separate violation under clause
				(i).</text>
										</clause></subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
						</paragraph><paragraph id="id4543FA31B51C4181BDCA4A5762639BC1"><enum>(4)</enum><text>in paragraph (6),
			 as so redesignated, by striking <quote>, or (4)</quote> each place it appears
			 and inserting <quote>(4), or (5)</quote>;</text>
						</paragraph><paragraph id="id777B6C5C672B4F2AA8E17DC021034DD0"><enum>(5)</enum><text>in paragraph (7),
			 as so redesignated, by striking <quote>(5)(A)</quote> and inserting
			 <quote>(6)(A)</quote>; and</text>
						</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id8AFB2A7F08F340028003E153CF9F6884"><enum>(6)</enum><text>in paragraph (8),
			 as so redesignated, by striking <quote>paragraph (6)</quote> each place it
			 appears and inserting <quote>paragraph (7)</quote>.</text>
						</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id2C468B96DB7144ADAF3A1DD47D911DDC"><enum>(b)</enum><header>Applicability</header><text>Section
			 303(f)(5) (as amended by subsection (a)), shall apply to violations described
			 in such section that occur after the date of enactment of this Act.</text>
					</subsection></section></subtitle><subtitle id="id94C2349123DA4C1AB4C1C6C69838F9E7"><enum>E</enum><header>Additional
			 provisions related to medical products</header>
				<section id="id2666CAF310F24D14B716AA9213BEA507"><enum>141.</enum><header>Certification
			 of information</header>
					<subsection id="id56A3C35A4AA04937B86200717C7B8603"><enum>(a)</enum><header>Drugs</header><text display-inline="yes-display-inline">Chapter V (21 U.S.C. 351 et seq.) is
			 amended by inserting after section 505D the following:</text>
						<quoted-block display-inline="no-display-inline" id="id034CDF7AB7474C32A212D9B80BDB6DA5" style="OLC">
							<section id="id7D11F87D8EC14600A63C402A3E19296F"><enum>505E.</enum><header>Certification
				of drug information</header>
								<subsection id="ID9134268505df427885f3bb0b0a01abaf"><enum>(a)</enum><header>Certification</header>
									<paragraph id="idF5BF06601D6B4EEB9ED689012384B88A"><enum>(1)</enum><header>In
				general</header><text>A new drug application under section 505(b), an
				abbreviated new drug application under section 505(j), a biologics license
				application under section 351 of the Public Health Service Act, an application
				for an investigational new drug exemption under section 505(i), a new animal
				drug application under section 512(b), an abbreviated new animal drug
				application under section 512(b), an application under section 571, a request
				under section 572, an amendment, supplement, or other information submitted to
				the Secretary with respect to any such application or request, or a record or
				report related to the safety or effectiveness of a drug subject to section 505
				or such section 351, to an adverse event under section 505(k) or 760, or to a
				postapproval study or postapproval clinical trial under section 505(o), when
				submitted to the Secretary, shall include a certification, in writing and under
				penalty of perjury, by the responsible person that—</text>
										<subparagraph id="IDf6ccc891f2444328bbbac3768be83f9a"><enum>(A)</enum><text>such person has
				actual knowledge of the requirements under this Act and, if applicable, such
				section 351, with respect to the drug that is the subject of such
				submission;</text>
										</subparagraph><subparagraph id="IDa134cb76ae7844e8bed053b6cb17fb41"><enum>(B)</enum><text>such person has
				actual knowledge of the information related to such drug;</text>
										</subparagraph><subparagraph id="ID3dee4e9a73bf4a31992ddba49852e643"><enum>(C)</enum><text>such person has
				actual knowledge of the information in such submission;</text>
										</subparagraph><subparagraph id="ID0c6ecdc0d005449a963394d027865cff"><enum>(D)</enum><text>the information
				in such submission complies with such requirements;</text>
										</subparagraph><subparagraph id="IDffc88766ffd04911a52c7858dc72bcc3"><enum>(E)</enum><text>the information
				in such submission is not false or misleading; and</text>
										</subparagraph><subparagraph id="ID0b4c5cbdfcec4c4281f9efaa265ef02a"><enum>(F)</enum><text>full reports of
				all clinical trials and postmarket studies (whether conducted within or outside
				the United States) related to the safety or effectiveness of the drug under
				review that were funded by the sponsor of such submission, or the full reports
				of which the sponsor of such submission had access, have been submitted to the
				Food and Drug Administration.</text>
										</subparagraph></paragraph><paragraph id="ID22d013c53d65432bbdcd5f796e8aac95"><enum>(2)</enum><header>Responsible
				person</header><text>A responsible person under this section is, with respect
				to a submission described under paragraph (1), a senior officer or director of
				the sponsor of such submission with knowledge of, and management responsibility
				for, such submission.</text>
									</paragraph></subsection><subsection id="id1E86B99E75774A43AC79A6A8AA62885C"><enum>(b)</enum><header>Inspections</header>
									<paragraph id="id35505B621D2149D78434BBBE5A1ACEF9"><enum>(1)</enum><header>In
				general</header><text>If the Secretary determines, after notice and opportunity
				for an informal hearing, that a sponsor described in paragraph (2)(A) knew or
				should have known that the information in a submission described in subsection
				(a)(1) did not comply with the requirements of this Act or was false or
				misleading, the Secretary may provide that any factory, warehouse,
				establishment, or consulting laboratory related to such noncompliance or such
				false or misleading information shall be inspected periodically by officers or
				employees duly designated by the Secretary for a period of time determined by
				the Secretary, not to exceed 5 years.</text>
									</paragraph><paragraph id="id27803915C1984C6B92B87CB0D6E4443F"><enum>(2)</enum><header>Costs</header><text>The
				Secretary shall assess the costs of such inspections to such
				sponsor.</text>
									</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
					</subsection><subsection id="id729E71C72C914435943CBAA62FC0EE7C"><enum>(b)</enum><header>Devices</header><text>Chapter
			 V (21 U.S.C. 351 et seq.) is amended by inserting after section 523 the
			 following:</text>
						<quoted-block display-inline="no-display-inline" id="idE37D26382F6444B4AD4C63ADA42A4F66" style="OLC">
							<section id="idEF60060826C0477CB5BF676BCFF69FD2"><enum>523A.</enum><header>Certification
				of device information</header>
								<subsection id="id0164AD79901E4F9CBAD9CE3797757014"><enum>(a)</enum><header>Certification</header>
									<paragraph id="idBF9B3FC574A54A0E941887FE7724E9A9"><enum>(1)</enum><header>Certification
				by sponsor</header><text>An application or report for premarket approval under
				section 515, an application for an investigational device exemption under
				section 520(g), a report under section 510(k), an application for a
				humanitarian device exemption under section 520(m), an amendment, supplement,
				or other information submitted to the Secretary with respect to any such
				application or report, or a record or report related to an adverse event, a
				report, or postmarket surveillance under section 519 or 522, when submitted to
				the Secretary, shall include a certification, in writing and under penalty of
				perjury, by the responsible person that—</text>
										<subparagraph id="IDf453a7773f6345d0a7dff7cc9d84e639"><enum>(A)</enum><text>such person has
				actual knowledge of the requirements under this Act with respect to the device
				that is the subject of such submission;</text>
										</subparagraph><subparagraph id="ID64d6832f8f9943f38f1db41e92bb5f7f"><enum>(B)</enum><text>such person has
				actual knowledge of the information related to such device;</text>
										</subparagraph><subparagraph id="ID61f96ac2b635463fa9012a19dc59b0a6"><enum>(C)</enum><text>such person has
				actual knowledge of the information in such submission;</text>
										</subparagraph><subparagraph id="IDa1b47142b5d7495a9c726f341bc66d1e"><enum>(D)</enum><text>the information
				in such submission complies with such requirements;</text>
										</subparagraph><subparagraph id="ID1fc87b0e375c479fb06c9e79c3b1cd66"><enum>(E)</enum><text>the information
				in such submission is not false or misleading; and</text>
										</subparagraph><subparagraph id="IDd3cbefe8c18e43479ac11d20c8628aa7"><enum>(F)</enum><text>full reports of
				all clinical trials and postmarket studies (whether conducted within or outside
				the United States) related to the safety or effectiveness of the device under
				review that were funded by the sponsor of such submission, or the full reports
				of which the sponsor of such submission had access, have been submitted to the
				Food and Drug Administration.</text>
										</subparagraph></paragraph><paragraph id="IDeff59cd0898f418985bb0227370123c5"><enum>(2)</enum><header>Responsible
				person</header><text>A responsible person under this section is, with respect
				to a submission described under paragraph (1), a senior officer or director of
				the sponsor of such submission with knowledge of, and management responsibility
				for, such submission.</text>
									</paragraph></subsection><subsection id="id033968BF931A4A8D81C2D03582E54D3B"><enum>(b)</enum><header>Inspections</header>
									<paragraph id="ID6396fb82d8cb4a4194c6242a8e904b39"><enum>(1)</enum><header>In
				general</header><text>If the Secretary determines, after notice and opportunity
				for an informal hearing, that a sponsor described in paragraph (a)(2) knew or
				should have known that the information in a submission described in subsection
				(a)(1) did not comply with the requirements of this Act or was false or
				misleading, the Secretary may provide that any factory, warehouse,
				establishment, or consulting laboratory related to such noncompliance or such
				false or misleading information shall be inspected periodically by officers or
				employees duly designated by the Secretary for a period of time determined by
				the Secretary, not to exceed 5 years.</text>
									</paragraph><paragraph id="ID549ff18d7aa24d848d5a6df6ee853080"><enum>(2)</enum><header>Costs</header><text>The
				Secretary shall assess the costs of such inspections to such
				sponsor.</text>
									</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
					</subsection><subsection id="id0A3BB48B72E949ECAEB9664716103671"><enum>(c)</enum><header>Criminal
			 penalties</header><text>Chapter 47 of title 18, United States Code, is amended
			 by adding at the end the following:</text>
						<quoted-block display-inline="no-display-inline" id="idAD5567EE2090478689EF345669B9A865" style="USC">
							<section id="idF6B546E2B40743CE822ED0D45187199F"><enum>1041.</enum><header>Certifications
				related to drug and device information</header>
								<subsection id="id7E7F7C4061094A3DAAB8E17BAB3FCF00"><enum>(a)</enum><text>If a responsible
				person—</text>
									<paragraph id="idE66D6A3C7E484D558E40EAFE180DD3C7"><enum>(1)</enum><text>certifies any
				submission as set forth in section 505E or 523A of the Federal Food, Drug, and
				Cosmetic Act knowing that a component of such certification is false or
				misleading, then—</text>
										<subparagraph id="idE420798F90534C909610C0C2D70FB5C3"><enum>(A)</enum><text>the sponsor of
				such submission shall be fined not more than $1,000,000; and</text>
										</subparagraph><subparagraph id="idA935127D0D4D437BA91CAE788D96FDAC"><enum>(B)</enum><text>such responsible
				person shall be fined not more than $1,000,000, imprisoned for not more than 10
				years, or both; or</text>
										</subparagraph></paragraph><paragraph id="id2E473FDA30CA4036984AFE48D2BD59F5"><enum>(2)</enum><text>willfully
				certifies any submission as set forth in section 505E or 523A of the Federal
				Food, Drug, and Cosmetic Act knowing that a component of such certification is
				false or misleading, then—</text>
										<subparagraph id="idDDD6DB70F1214A1EAA8FE10624956CD3"><enum>(A)</enum><text>the sponsor of
				such submission shall be fined not more than $5,000,000; and</text>
										</subparagraph><subparagraph id="id26DD409952354F16BCE40E320A2317F7"><enum>(B)</enum><text>such responsible
				person shall be fined not more than $5,000,000, imprisoned not more than 20
				years, or both.</text>
										</subparagraph></paragraph></subsection><subsection id="idEA302D683AA24E6CADF015331693A634"><enum>(b)</enum><text>In this
				section:</text>
									<paragraph id="idDC4847EF29344915A2F847EE38FD9C47"><enum>(1)</enum><text>The term
				<term>responsible person</term>—</text>
										<subparagraph id="id61823BA665D3458E9E955F8CEAA2198D"><enum>(A)</enum><text>with respect to a
				submission related to a drug, has the meaning given that term in section
				505E(a)(2) of the Federal Food, Drug, and Cosmetic Act; and</text>
										</subparagraph><subparagraph id="idBD525D305DA645FF88F9E6A2C40BED30"><enum>(B)</enum><text>with respect to a
				submission related to device, has the meaning given that term in section
				523A(a)(2) of such Act.</text>
										</subparagraph></paragraph><paragraph id="idBEDBD8586CB74C868E6E8A6071E912A3"><enum>(2)</enum><text>The term
				<term>submission</term> means—</text>
										<subparagraph id="id830F5A74D2AC4DBF8C2B8DD82A3BBE69"><enum>(A)</enum><text>with respect to a
				drug—</text>
											<clause id="id331F8AEFCF7C486F9262DAECF7AEBC83"><enum>(i)</enum><text>a
				new drug application under section 505(b) of the Federal Food, Drug, and
				Cosmetic Act;</text>
											</clause><clause id="idFA433A5DC1784335AD634B30D8102F8B"><enum>(ii)</enum><text>an abbreviated
				new drug application under section 505(j) of such Act;</text>
											</clause><clause id="idEC18A364B2C84206B53254EB0031466E"><enum>(iii)</enum><text>a biologics
				license application under section 351 of the Public Health Service Act;</text>
											</clause><clause id="idCF027C8A4A0E4D2AA5218A56ED14C599"><enum>(iv)</enum><text>an application
				for an investigational new drug exemption under section 505(i) of the Federal
				Food, Drug, and Cosmetic Act;</text>
											</clause><clause id="id3B5C26B21DF14E61A825FE8EBE7F714B"><enum>(v)</enum><text>a
				new animal drug application under section 512(b) of the Federal Food, Drug, and
				Cosmetic Act;</text>
											</clause><clause id="id86BD80DF9C7A4F1A8A55394B3F707673"><enum>(vi)</enum><text>an abbreviated
				new animal drug application under section 512(b) of such Act;</text>
											</clause><clause id="idFADF29DB20F64A5AA4ED04BC19699AE0"><enum>(vii)</enum><text>an application
				under section 571 of such Act;</text>
											</clause><clause id="id2A1D1BA553A54E3CBE15270E30AE0B1F"><enum>(viii)</enum><text>a request
				under section 572 of such Act;</text>
											</clause><clause id="id6BEBE471770C4C3A87E4DA1FDEA29195"><enum>(ix)</enum><text>an amendment,
				supplement, or other information submitted to the Secretary with respect to any
				application or request described in clauses (i) through (viii); or</text>
											</clause><clause id="idB5CB8ED9BC8042038559FE34E0B67BBC"><enum>(x)</enum><text>a
				record or report related to the safety or effectiveness of a drug subject to
				section 505 of such Act or section 351 of the Public Health Service Act, to an
				adverse event under section 505(k) or 760 of the Federal Food, Drug, and
				Cosmetic Act, or to a postapproval study or postapproval clinical trial under
				section 505(o) of such Act; and</text>
											</clause></subparagraph><subparagraph id="id6F89145CAA054BDA99DE3121AE8B0B8B"><enum>(B)</enum><text>with respect to a
				device—</text>
											<clause id="id79BD5E258E354213B43391556123A950"><enum>(i)</enum><text>an application or
				report for premarket approval under section 515 of the Federal Food, Drug, and
				Cosmetic Act;</text>
											</clause><clause id="idD0F483F962F4449FB48DCC1886655B0E"><enum>(ii)</enum><text>an application
				for an investigational device exemption under section 520(g) of such
				Act;</text>
											</clause><clause id="id81AFD6029265481192B7A9498985FF8F"><enum>(iii)</enum><text>a report under
				section 510(k) of such Act;</text>
											</clause><clause id="id4E05708744904949A9171651E7C614A0"><enum>(iv)</enum><text>an application
				for a humanitarian device exemption under section 520(m) of such Act;</text>
											</clause><clause id="id777E4725E10F4AFFA85A9AC3302F7514"><enum>(v)</enum><text>an amendment,
				supplement, or other information submitted to the Secretary with respect to any
				application or report described in clauses (i) through (iv); or</text>
											</clause><clause id="id6221C5B0352643A1BA985E135869B3AC"><enum>(vi)</enum><text>a record or
				report related to an adverse event, a report, or postmarket surveillance under
				section 519 or 522 of such
				Act.</text>
											</clause></subparagraph></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
					</subsection><subsection commented="no" id="idA086B3264D844781BC1AD99CDA9A3427"><enum>(d)</enum><header>Conforming
			 amendment</header><text>The table of sections for chapter 47 of title 18,
			 United States Code, is amended by inserting after the item relating to section
			 1040 the following:</text>
						<quoted-block display-inline="no-display-inline" id="idA56450F905554AD0BA16A40B5343E92E" style="OLC">
							<toc>
								<toc-entry bold="off" level="section">1041. Certification of drug and
				device
				information.</toc-entry>
							</toc>
							<after-quoted-block>.</after-quoted-block></quoted-block>
					</subsection></section><section id="id1ABB3E9DDA5C46E4828005937226CF08"><enum>142.</enum><header>Whistleblower
			 protections</header><text display-inline="no-display-inline">Chapter IX (21
			 U.S.C. 391 et seq.) is amended by adding at the end the following:</text>
					<quoted-block display-inline="no-display-inline" id="id15BDB10C088740CAB1D65527DC651362" style="OLC">
						<section id="id110E5287C7074E71A589F7131DBEECDE"><enum>911.</enum><header>Protections
				for employees who refuse to violate, or who disclose violations of, this Act or
				section 351 of the public health service act</header>
							<subsection id="id5A2CC6C0DCA7481B8A8B2D4BE6E21F2F"><enum>(a)</enum><header>In
				general</header><text>No person that submits or is required to submit to the
				Secretary, a new drug application under section 505(b), an abbreviated new drug
				application under section 505(j), a biologics license application under section
				351 of the Public Health Service Act, an application for an investigational new
				drug exemption under section 505(i), a new animal drug application under
				section 512(b), an abbreviated new animal drug application under section
				512(b), an application under section 571, a request under section 572, an
				application or report for premarket approval under section 515, an application
				for an investigational device exemption under section 520(g), a report under
				section 510(k), an application for a humanitarian device exemption under
				section 520(m), an amendment, supplement, or other submission with respect to
				any such application or report, or a record or report related to an adverse
				event, a postapproval study, a postapproval clinical trial, a report, or
				postmarket surveillance under section 505(k), 505(o), 519, 522, or 760, or any
				officer, employee, contractor, subcontractor, or agent of such a person, may
				discharge, demote, suspend, threaten, harass, or in any other manner
				discriminate against an employee in the terms and conditions of employment
				because of any lawful act done by the employee, including within the ordinary
				course of the job duties of such employee—</text>
								<paragraph id="IDf6776fadc53445989c42b6e6ac243b4b"><enum>(1)</enum><text>to provide
				information, cause information to be provided, or otherwise assist in any
				investigation regarding any conduct which the employee reasonably believes
				constitutes a violation of any such section of this Act or such section 351 of
				the Public Health Service Act, any other provision of Federal law relating to
				the safety or effectiveness of a drug, biological product, or device, or any
				provision of Federal law prohibiting fraud against the Food and Drug
				Administration, if the information or assistance is provided to, or an
				investigation stemming from the provided information is conducted by—</text>
									<subparagraph id="ID1bd551167ae444f8a40a80042b2b3ccc"><enum>(A)</enum><text>a Federal
				regulatory or law enforcement agency;</text>
									</subparagraph><subparagraph id="IDb3d3267ab1db47a19e66d18ca558b510"><enum>(B)</enum><text>any Member of
				Congress or any committee of Congress; or</text>
									</subparagraph><subparagraph id="IDe110f42084104028bcc6d4beb8943ee1"><enum>(C)</enum><text>a person with
				supervisory authority over the employee (or such other person working for the
				employer who has the authority to investigate, discover, or terminate the
				misconduct);</text>
									</subparagraph></paragraph><paragraph id="ID18dbd52f25364c3fbba86c223416567b"><enum>(2)</enum><text>to file, cause to
				be filed, testify, participate in, or otherwise assist in a proceeding filed or
				about to be filed (with any knowledge of the employer) relating to an alleged
				violation of any such section of this Act or such section 351 of the Public
				Health Service Act, any other provision of Federal law relating to the safety
				or effectiveness of a drug, biological product, or device, or any provision of
				Federal law prohibiting fraud against the Food and Drug Administration;
				or</text>
								</paragraph><paragraph id="ID4cc26a4ea2654e04ab5dc0fcf1226511"><enum>(3)</enum><text>to refuse to
				violate or assist in the violation of any such section of this Act or such
				section 351 of the Public Health Service Act, any other provision of Federal
				law relating to the safety or effectiveness of a drug, biological product, or
				device, or any provision of Federal law prohibiting fraud against the Food and
				Drug Administration.</text>
								</paragraph></subsection><subsection id="id3BAC2DBBF79247E3B3F6DBA44864233A"><enum>(b)</enum><header>Enforcement
				action</header>
								<paragraph id="idAFCC78E92B09439BAD67948EF63B8016"><enum>(1)</enum><header>In
				general</header><text>An employee who alleges discharge, or other
				discrimination in violation of subsection (a), may seek relief in accordance
				with the provisions of subsection (c), by—</text>
									<subparagraph id="ID27b66d7e8c12442198f257b730bc49a6"><enum>(A)</enum><text>filing a
				complaint with the Secretary of Labor; or</text>
									</subparagraph><subparagraph id="ID1a14c09cd8d94f1281c4055759004688"><enum>(B)</enum><text>if the Secretary
				of Labor has not issued a final decision within 210 days of the filing of the
				complaint and there is no showing that such delay is due to the bad faith of
				the claimant, bringing an action at law or equity for de novo review in the
				appropriate district court of the United States, which shall have jurisdiction
				over such an action without regard to the amount in controversy.</text>
									</subparagraph></paragraph><paragraph id="id161D28185E6F4644A9E27F90A3267C12"><enum>(2)</enum><header>Procedure</header>
									<subparagraph id="IDf35fb9b85715495d8964dd414ae78a05"><enum>(A)</enum><header>In
				general</header><text>Any action under paragraph (1) shall be governed under
				the rules and procedures set forth in section 42121(b) of title 49, United
				States Code.</text>
									</subparagraph><subparagraph commented="no" id="IDf68d63af79b84e2ebcef6322d248cd29"><enum>(B)</enum><header>Exception</header><text>Notification
				in an action under paragraph (1) shall be made in accordance with section
				42121(b)(1) of title 49, United States Code, except that such notification
				shall be made to the person named in the complaint and to the employer.</text>
									</subparagraph><subparagraph id="ID84ac18db56c347c1b7e012f6a25a014b"><enum>(C)</enum><header>Burdens of
				proof</header><text>An action brought under paragraph (1)(B) shall be governed
				by the legal burdens of proof set forth in section 42121(b) of title 49, United
				States Code.</text>
									</subparagraph><subparagraph id="ID4c985ae193eb4979be150f8b4ad28112"><enum>(D)</enum><header>Statute of
				limitations</header><text>An action under paragraph (1) shall be commenced not
				later than 180 days after the date on which the violation occurs.</text>
									</subparagraph></paragraph></subsection><subsection id="id540BCD7C7D554FDD91D70BC2D8DB7DDD"><enum>(c)</enum><header>Remedies</header>
								<paragraph id="ID015149dce9d24e2298a2e71f3a794873"><enum>(1)</enum><header>In
				general</header><text>An employee prevailing in any action under subsection
				(b)(1) shall be entitled to all relief necessary to make the employee
				whole.</text>
								</paragraph><paragraph id="ID1bfab9b6b5bc40a8b391c8f0654fec0d"><enum>(2)</enum><header>Compensatory
				damages</header><text>Relief in an action under subsection (b) shall
				include—</text>
									<subparagraph id="ID86cfe5e99440448f81e31b5cf1a4cc31"><enum>(A)</enum><text>reinstatement
				with the same seniority status that the employee would have had, but for the
				discrimination;</text>
									</subparagraph><subparagraph id="IDa5653118e2c64a37808a94a21c25801d"><enum>(B)</enum><text>the amount of
				backpay owed to the employee, with interest; and</text>
									</subparagraph><subparagraph id="ID1361ec9f96aa4d0686cbc5be1ffea558"><enum>(C)</enum><text>compensation for
				any special damages sustained as a result of the discrimination, including
				litigation costs, expert witness fees, and reasonable attorney fees.</text>
									</subparagraph></paragraph></subsection><subsection id="idE1AF2812E1F44E0395DF3B818776D8EC"><enum>(d)</enum><header>Rights retained
				by employee</header><text>Nothing in this section shall be deemed to diminish
				the rights, privileges, or remedies of any employee under any Federal or State
				law or under any collective bargaining agreement. The rights and remedies in
				this section may not be waived by any agreement, policy, form, or condition of
				employment.</text>
							</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
				</section></subtitle></title><title id="id23AC37A0207948EA863E3EC5734E7D99"><enum>II</enum><header>General
			 authorities to enhance food and drug administration oversight of products from
			 a global market</header>
			<section id="id2B9320052B084C41BD63648F00BB9940"><enum>201.</enum><header>Dedicated
			 foreign inspectorate</header><text display-inline="no-display-inline">Section
			 704 (21 U.S.C. 374) is amended by adding at the end the following:</text>
				<quoted-block display-inline="no-display-inline" id="id1391E5B61DF94B6F9A2EDBC1630573A9" style="OLC">
					<subsection commented="no" id="IDee97b57f67e146e5b22f5262170ca982"><enum>(h)</enum><header>Foreign
				inspectorate</header>
						<paragraph commented="no" id="idFBE9A4FC44AC481EA960FCBA9E2A8893"><enum>(1)</enum><header>In
				general</header><text>The Secretary shall establish and maintain a corps of
				inspectors dedicated to inspections of foreign establishments registered under
				section 510 and foreign facilities registered under section 415. Such corps
				shall include personnel, in numbers sufficient to act as inspectors or
				translators for inspectors on each inspection by such corps, who are able to
				understand and speak the language used in the establishment or facility under
				inspection.</text>
						</paragraph><paragraph id="ID1d523e03e79c4457a81f233935e02d74"><enum>(2)</enum><header>Organization</header><text>The
				corps established under paragraph (1) shall be organized into the following 4
				units:</text>
							<subparagraph id="IDaf7e40f8b88b41aeafb600675e3ed81b"><enum>(A)</enum><text>A unit with
				expertise in inspections of food facilities.</text>
							</subparagraph><subparagraph id="ID1bfeb93533a44391ad3a48c18f5b7815"><enum>(B)</enum><text>A unit with
				expertise in inspections of human drug establishments.</text>
							</subparagraph><subparagraph id="ID93926606f7e0479fbb8f04db731c7aed"><enum>(C)</enum><text>A unit with
				expertise in inspections of animal drug establishments.</text>
							</subparagraph><subparagraph id="ID1ab3a2a5fcda408886ec0fb8a490f6e6"><enum>(D)</enum><text>A unit with
				expertise in inspections of medical device establishments.</text>
							</subparagraph></paragraph><paragraph id="ID2430d373ed6f4185aef3cff615f617fe"><enum>(3)</enum><header>Staffing and
				funding</header><text>Each unit shall be staffed and funded by the Secretary at
				a level sufficient to allow the unit to conduct inspections, as
				applicable—</text>
							<subparagraph id="IDa420b43cf97e40f7b55f95acfd82be17"><enum>(A)</enum><text>of foreign
				establishments registered under section 510 at a frequency, considering risk,
				that is comparable to the inspection rate of domestic establishments registered
				under section 510; or</text>
							</subparagraph><subparagraph id="ID43aa799ccd6649c4a7bcb8420ad2b3a9"><enum>(B)</enum><text>of foreign
				facilities registered under section 415 at a frequency, considering risk, that
				is comparable to the inspection rate of domestic facilities registered under
				section 415.</text>
							</subparagraph></paragraph><paragraph id="ID6f1964c3c3f648fbb0bc1c453caabb70"><enum>(4)</enum><header>Distribution</header><text>The
				Secretary shall distribute the staff of each unit described in paragraph (2) in
				countries, and may modify such distribution over time, considering—</text>
							<subparagraph id="ID006e25b8064648ea866d14915b4bafaf"><enum>(A)</enum><text>the volume of
				product exported from such country to the United States;</text>
							</subparagraph><subparagraph id="IDbb8fc08805e6412182da8ef5ecf77fad"><enum>(B)</enum><text>an assessment of
				the effectiveness of the regulatory oversight provided by such country for such
				products;</text>
							</subparagraph><subparagraph id="IDe96056d115c94c0193a354899bbf9c7e"><enum>(C)</enum><text>an assessment of
				the risk posed by such products; and</text>
							</subparagraph><subparagraph id="IDcc76d9cedcc445fa89a32577cfd382dc"><enum>(D)</enum><text>such other
				factors as the Secretary determines are relevant to such
				distribution.</text>
							</subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
			</section><section id="ID3e3138f3dce545c09e3bd497639778b0"><enum>202.</enum><header>Authority to
			 exchange confidential information with foreign government officials</header>
				<subsection id="ID5f6befb9ef284fba8dc6ea9ed33548e3"><enum>(a)</enum><header>Authority To
			 exchange confidential information with foreign government
			 officials</header><text>Section 803 (21 U.S.C. 383) is amended by adding the
			 following:</text>
					<quoted-block display-inline="no-display-inline" id="id8DA05FD1A53D42F1828004EA077B51C1" style="OLC">
						<subsection id="IDd822f538740546508b793da92d24ccd2"><enum>(d)</enum><header>Exchange of
				confidential information</header>
							<paragraph id="IDe4611212e7ef477eae3b55652af63f47"><enum>(1)</enum><header>Disclosure by
				Secretary</header><text>The Secretary may disclose information about food,
				drugs, devices, and cosmetics to officials of a foreign government if—</text>
								<subparagraph id="IDac86c32219c94e1b8a4239d8256030b3"><enum>(A)</enum><text>such government
				is able, and agrees, to guard the confidentiality and guarantee nondisclosure
				of such information; and</text>
								</subparagraph><subparagraph id="ID5c8ed639a1004e04a671cec78e2ed41d"><enum>(B)</enum><text>the Secretary
				determines that such disclosure is necessary to promote a regulatory,
				enforcement, or other public health function.</text>
								</subparagraph></paragraph><paragraph id="IDe93d8796854d46119f8ec23088aeb79a"><enum>(2)</enum><header>Disclosure to
				Secretary</header><text>The Secretary may receive information from officials of
				foreign governments under conditions of confidentiality. Such information shall
				be exempt from disclosure under section 552 of title 5, United States
				Code.</text>
							</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
				</subsection><subsection id="ID5bd9750ffe744453adefd406198c46b7"><enum>(b)</enum><header>Conforming
			 amendment</header><text>Section 301(j) (21 U.S.C. 331(j)) is amended by
			 inserting <quote>or pursuant to section 803(d),</quote> after <quote>judicial
			 proceeding under this Act,</quote>.</text>
				</subsection></section><section id="idBA054046D42746D3AB722B9E619F00D4"><enum>203.</enum><header>Subpoena
			 authority</header><text display-inline="no-display-inline">Section 702 (21
			 U.S.C. 372) is amended by adding at the end the following:</text>
				<quoted-block display-inline="no-display-inline" id="idDC228EA07F6143B19C86AF4B14A2C53F" style="OLC">
					<subsection id="idAEB036F910CA4211A52E2553E41FA7EB"><enum>(f)</enum><paragraph commented="no" display-inline="yes-display-inline" id="id3950924F6B39425CAD70438450DECD9E"><enum>(1)</enum><text>The Secretary may
				conduct investigations as the Secretary deems necessary—</text>
							<subparagraph id="id18B2AF0B216044BEAE34E5411102F6FA" indent="up1"><enum>(A)</enum><text>to carry out the authority of the
				Secretary under this Act or section 351 of the Public Health Service Act;
				or</text>
							</subparagraph><subparagraph id="idABC1A2E3D47A48448936ED68DD4F94EE" indent="up1"><enum>(B)</enum><text>to determine whether any person has
				engaged or is about to engage in any act that constitutes or will constitute a
				violation of this Act or such section 351.</text>
							</subparagraph></paragraph><paragraph id="idE47EA4834F7C4400A8C15198EF2A7120" indent="up1"><enum>(2)</enum><text>For the purpose of any investigation
				conducted under paragraph (1), the Secretary may administer oaths and
				affirmations, subpoena witnesses, compel the attendance of such witnesses, take
				evidence, and require the production of any books, papers, documents, or other
				materials that are relevant to the investigation.</text>
						</paragraph><paragraph id="id79789976201D4DCF9D2D2F4F9C794A23" indent="up1"><enum>(3)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id68A3DB2D8FE048C99E21C2F113F33949"><enum>(A)</enum><text>In case of contumacy or
				refusal to obey a subpoena issued under paragraph (2), the district court of
				the United States for the judicial district in which such investigation or
				proceeding is conducted, or in which the subpoenaed person resides or conducts
				business, may issue an order requiring such person to appear before the
				Secretary, testify, or produce books, papers, documents, or other materials
				that are relevant to the investigation. All process in any such case may be
				served in the judicial district in which such person resides or may be
				found.</text>
							</subparagraph><subparagraph id="id4C62A4DC6CA14F78819B1B383920CC09" indent="up1"><enum>(B)</enum><text>Any failure to obey an order issued
				under subparagraph (A) may be punished by the court as contempt of
				court.</text>
							</subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
			</section><section id="id06608464342441ABA9B5EFDE044E77C1"><enum>204.</enum><header>Information
			 reporting</header><text display-inline="no-display-inline">Subchapter G of
			 chapter VII (21 U.S.C. 379v et seq.) is amended by adding at the end the
			 following:</text>
				<quoted-block display-inline="no-display-inline" id="idB341C70E1E2A4F188C089FB39832D6FA" style="OLC">
					<section id="idDF88E496EA024A2A9F3ACE02C3BD2C28"><enum>757.</enum><header>Information
				reporting</header>
						<subsection id="IDac89b8d8a4ed4005be3bf97c351fbb33"><enum>(a)</enum><header>Notification of
				settlements or judgments</header><text>If a particular product regulated by the
				Secretary under this Act or section 351 of the Public Health Service Act is the
				subject of at least 3 civil actions that have been filed in Federal or State
				court alleging death, serious injury, or serious illness caused in whole or in
				part by such product which, in any 24-month period, result in either a final
				settlement involving the manufacturer or a court judgment in favor of the
				plaintiff, the manufacturer of such product shall, in accordance with
				subsection (b), report to the Secretary each such civil action not later than
				30 days after the final settlement or court judgment in the third of such civil
				actions, and report to the Secretary any other such action not later than 30
				days after any subsequent such settlement or judgment that—</text>
							<paragraph id="idDAF40935AB8448C28ABD8C3EEE2DCEB2"><enum>(1)</enum><text>occurs within 24
				months of any other 2 such settlements or judgments; and</text>
							</paragraph><paragraph id="id71F412BAEA4D427EB8B67E3F3BFCF65B"><enum>(2)</enum><text>has not been
				previously reported to the Secretary under this section.</text>
							</paragraph></subsection><subsection id="id61F960C541C345AABB590C9CAD97266A"><enum>(b)</enum><header>Information To
				be reported</header>
							<paragraph id="ID78a2e3f5bc2d415a9e0acc7e31e4e77a"><enum>(1)</enum><header>Required
				information</header><text>The information required by subsection (a) to be
				reported to the Secretary, with respect to each civil action described in such
				subsection, shall include and, in addition to any voluntary information
				provided under paragraph (2), shall be limited to the following:</text>
								<subparagraph id="ID1cc76bb7950c42509c8bd042bf86c2d0"><enum>(A)</enum><text>The name and
				address of the manufacturer.</text>
								</subparagraph><subparagraph id="ID1a326cd6032f41dea234e57fbb88dbd0"><enum>(B)</enum><text>The name or model
				of the product subject to the civil action.</text>
								</subparagraph><subparagraph id="ID62559d46bbd344729a9e0e585808fd19"><enum>(C)</enum><text>A statement as to
				whether the civil action alleged death, injury, or illness and in the case of
				an allegation of injury, a statement of the category of such injury.</text>
								</subparagraph><subparagraph id="ID2cf225d47a714ee7abd0cf4825cfe9b1"><enum>(D)</enum><text>A statement as to
				whether the civil action resulted in a final settlement or a judgment in favor
				of the plaintiff.</text>
								</subparagraph><subparagraph id="ID952f7d7caaa341e9936034c7010f1a2b"><enum>(E)</enum><text>In the case of a
				judgment in favor of the plaintiff, the name of the civil action, the number
				assigned the civil action, and the court in which the civil action was
				filed.</text>
								</subparagraph></paragraph><paragraph id="ID7d9f07c0f3874ee885f7d9e062b208f0"><enum>(2)</enum><header>Voluntary
				information</header><text>A manufacturer furnishing the report required by
				paragraph (1) may include—</text>
								<subparagraph id="ID22703ff4d68c4b28bd13b38d1c856b8a"><enum>(A)</enum><text>a statement as to
				whether any judgment in favor of the plaintiff is under appeal or is expected
				to be appealed; or</text>
								</subparagraph><subparagraph id="ID27175d4f36de473c97315c686de61764"><enum>(B)</enum><text>any other
				information which the manufacturer chooses to provide.</text>
								</subparagraph></paragraph></subsection><subsection id="ID82ed3287bad443c581b02b687b01a3cf"><enum>(c)</enum><header>Safety
				report</header><text>A report of a civil action described in subsection (a)
				shall be considered a safety report under section 756 and may be accompanied by
				a statement, which shall be part of any report released for public disclosure,
				that denies that the report constitutes an admission that the product involved
				caused or contributed to a death, serious injury, or serious illness.</text>
						</subsection><subsection id="id7EB1822B2AD548ED9700C012671FD6AA"><enum>(d)</enum><header>Admission</header><text>A
				report of a civil action described in subsection (a) shall not be considered an
				admission that the product involved is adulterated or caused or contributed to
				a death, serious injury, or serious illness.</text>
						</subsection><subsection id="id4F1E417EF9CD40F8A17BCE407855A2C9"><enum>(e)</enum><header>Definitions</header><text>The
				terms <term>serious illness</term> and <quote>serious injury</quote> mean
				illness or injury, respectively, that—</text>
							<paragraph id="IDD94E090636FD432295C193E236B55365"><enum>(1)</enum><text>is life
				threatening,</text>
							</paragraph><paragraph id="ID838760A874CB4E18BA7504E8573D5947"><enum>(2)</enum><text>results in
				permanent impairment of a body function or permanent damage to a body
				structure, or</text>
							</paragraph><paragraph id="ID854C29015FF44DB4BCC3FC5C74A6EAE1"><enum>(3)</enum><text>necessitates
				medical or surgical intervention to preclude permanent impairment of a body
				function or permanent damage to a body
				structure.</text>
							</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
			</section></title></legis-body>
</bill>
