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<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="H71B09D3DBF554124B23B53C1C698EED" public-private="public">
	<form>
		<distribution-code display="yes">I</distribution-code>
		<congress>111th CONGRESS</congress>
		<session>1st Session</session>
		<legis-num>H. R. 1427</legis-num>
		<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber>
		<action>
			<action-date date="20090311">March 11, 2009</action-date>
			<action-desc><sponsor name-id="W000215">Mr. Waxman</sponsor> (for
			 himself, <cosponsor name-id="P000034">Mr. Pallone</cosponsor>,
			 <cosponsor name-id="D000168">Mr. Deal of Georgia</cosponsor>, and
			 <cosponsor name-id="E000172">Mrs. Emerson</cosponsor>) introduced the following
			 bill; which was referred to the <committee-name committee-id="HIF00">Committee
			 on Energy and Commerce</committee-name>, and in addition to the Committee on
			 the <committee-name committee-id="HJU00">Judiciary</committee-name>, for a
			 period to be subsequently determined by the Speaker, in each case for
			 consideration of such provisions as fall within the jurisdiction of the
			 committee concerned</action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To amend the Public Health Service Act to provide for the
		  licensing of biosimilar and biogeneric biological products, and for other
		  purposes.</official-title>
	</form>
	<legis-body id="HE73B56650FFF49EDBED8DE36DEE23010" style="OLC">
		<section display-inline="no-display-inline" id="HE6F0D7FCD7304640ADA003DD36AA7D49" 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>Promoting Innovation and Access to
			 Life-Saving Medicine Act</short-title></quote>.</text>
		</section><section id="H7D44351DBB914FE08FF6FEEA41005F1D" section-type="subsequent-section"><enum>2.</enum><header>Definitions</header>
			<subsection id="H2F351E22E9B742068BA2CC1D0053AF02"><enum>(a)</enum><header>Licensure</header><text display-inline="yes-display-inline">Section 351(i) of the Public Health Service
			 Act (42 U.S.C. 262(i)) is amended—</text>
				<paragraph id="H54DC0EB0608F4C938E46A250218E7520"><enum>(1)</enum><text>by striking
			 <quote>In this section, the term <term>biological product</term> means</quote>
			 and inserting the following:</text>
					<quoted-block display-inline="yes-display-inline" id="H6B2038EDA6204FA5BF4797A053305FD" style="OLC">
						<text>In this
			 section:</text><paragraph id="HBE00C834EC554974BA9E58181400DFDE"><enum>(1)</enum><text>The term
				<term>biological product</term> means</text>
						</paragraph><after-quoted-block>;
				and</after-quoted-block></quoted-block>
				</paragraph><paragraph id="H3FE4FBF6E9D545018CA72D8F75D65974"><enum>(2)</enum><text>by adding at the
			 end the following:</text>
					<quoted-block display-inline="no-display-inline" id="H7CE30EC5CB1147729883AFD069F5AA00" style="OLC">
						<paragraph commented="no" id="HFFAD66842E3F43AFBA535593E7DB065E"><enum>(2)</enum><text display-inline="yes-display-inline">The term <term>abbreviated biological
				product application</term> means an abbreviated application for a license of a
				biological product that relies in part on data or information in an application
				for another biological product licensed under this section or approved under
				section 505 of the Federal Food, Drug, and Cosmetic Act.</text>
						</paragraph><paragraph id="H87350B511E904ABCBCA00A7387495B0"><enum>(3)</enum><text>The term
				<term>reference product</term> means the single licensed biological product,
				approved under subsection (a) or (k), against which a biological product is
				evaluated for demonstration of safety, potency, or purity.</text>
						</paragraph><paragraph id="HC4C5ECF11F604B9781AC4DA4F073407"><enum>(4)</enum><text display-inline="yes-display-inline">The term <term>final action</term> means,
				with respect to an abbreviated biological product application, the Secretary’s
				issuance of a final action letter to the sponsor of an abbreviated biological
				product application which—</text>
							<subparagraph id="HCCFC1713F4AE4B19ABDA77C282FE00B0"><enum>(A)</enum><text>approves the
				application; or</text>
							</subparagraph><subparagraph id="H47709AB582084F11A66F3EE06BD01700"><enum>(B)</enum><text>disapproves the
				application and sets forth in detail an enumeration of the specific
				deficiencies in the particular application and of the specific, enumerated
				actions the sponsor would be required to take in order for the sponsor to
				receive a final action letter that approves such application.</text>
							</subparagraph></paragraph><paragraph id="H437AA527264F44A6BFA1A636A3315520"><enum>(5)</enum><text display-inline="yes-display-inline">The term <term>final action date</term>
				means, with respect to an abbreviated biological product application, the date
				by which the Secretary must take a final action on the application pursuant to
				subsection (k)(13).</text>
						</paragraph><paragraph id="HE2E5F6DFA6F040F4BB1648525F27FD08"><enum>(6)</enum><text>The term
				<term>reviewing division</term> means the division responsible for the review
				of an application for approval of a biological product (including all
				scientific and medical matters, chemistry, manufacturing, and
				controls).</text>
						</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H65E412DBA2CA4DDAB195DF804F7A1683"><enum>(b)</enum><header>Fees</header>
				<paragraph commented="no" id="HA02DDA40DD254B9AA5F203A8A6523D96"><enum>(1)</enum><header>Rule of
			 construction</header><text>The definition of a human drug application in
			 section 735(1) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379g(1))
			 shall be construed to include applications under section 351(k) of the Public
			 Health Service Act, as added by section 3, in addition to applications under
			 section 351(a) of such Act.</text>
				</paragraph><paragraph commented="no" id="H0EC87C8B94E747E199848022345F1706"><enum>(2)</enum><header>Supplement</header><text>Section
			 735(2) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379g(2)) is
			 amended by adding at the end the following: <quote>Notwithstanding the
			 preceding sentence, any request for an interchangeability determination under
			 section 351(k) of the Public Health Service Act shall be treated as a
			 supplement for purposes of this part, irrespective of whether such request is
			 included in an application for licensure of a biological product or a
			 subsequent submission.</quote>.</text>
				</paragraph></subsection></section><section id="HC80CA0776F104CBC8F157AAE8330EC37"><enum>3.</enum><header>Regulation of
			 biosimilar and biogeneric biological products</header>
			<subsection id="HC7F97CEABFC8472081ACBE13C6C26DDE"><enum>(a)</enum><header>In
			 general</header><text>Section 351 of the Public Health Service Act (42 U.S.C.
			 262), as amended by section 2, is further amended—</text>
				<paragraph id="H1361EC75BB1644E19565CEF5D0ADECE3"><enum>(1)</enum><text>in subsection
			 (a)(1)(A), by inserting <quote>under this subsection or subsection (k)</quote>
			 after <quote>biologics license</quote>; and</text>
				</paragraph><paragraph id="HFE8083EE59BB4DD0BCD5D279B5E30400"><enum>(2)</enum><text>by adding at the
			 end the following subsection:</text>
					<quoted-block display-inline="no-display-inline" id="HAA18AECA37E9453685E68D9248D22679" style="OLC">
						<subsection id="H4710D19B6EB44E5B9664BFE53D73186A"><enum>(k)</enum><header>Regulation of
				biosimilar and interchangeable biological products</header>
							<paragraph id="H607A02638F6C4FC789592F600E40B62A"><enum>(1)</enum><header>Biosimilar</header><text>In
				this subsection, the term <term>biosimilar</term> or
				<term>biosimilarity</term>, in reference to a biological product, means no
				clinically meaningful differences between the biological product and the
				reference product would be expected in terms of the safety, purity, and potency
				if treatment were to be initiated with the biological product instead of the
				reference product.</text>
							</paragraph><paragraph id="HC28BBDA4D7D74961A4BA7EB50405F1E5"><enum>(2)</enum><header>Interchangeability</header><text>In
				this subsection, the term <term>interchangeable</term> or
				<term>interchangeability</term> means, with respect to a given condition of
				use, that—</text>
								<subparagraph id="H38C6466E37954FBFB6C82E9A5D4A4317"><enum>(A)</enum><text>the biological
				product is biosimilar to the reference product; and</text>
								</subparagraph><subparagraph id="H1728ECE98674415E92181FA3675E6224"><enum>(B)</enum><text>if the biological
				product is intended to be administered more than once to a given patient, the
				patient can be switched one or more times between the reference product and the
				biological product without an expected increase in the risk of adverse effects,
				including a clinically significant change in immunogenicity, or diminished
				effectiveness, compared to the expected risks from continuing to use the
				reference product without such switching.</text>
								</subparagraph></paragraph><paragraph id="HDE995BC03A2248A296740D95E05F3946"><enum>(3)</enum><header>Submission of an
				abbreviated biological product application</header><text>Any person may file
				with the Secretary an abbreviated biological product application. Any such
				application shall include the following:</text>
								<subparagraph id="H2B0353E6108249D8A0D559F49349EF55"><enum>(A)</enum><text>Information
				demonstrating that the biological product and reference product contain highly
				similar molecular structural features, notwithstanding minor differences in
				heterogeneity profile, impurities, or degradation patterns.</text>
								</subparagraph><subparagraph id="H76AB15170F78461B8101F65E5EBDF70C"><enum>(B)</enum><text>Information
				demonstrating that the biological product is biosimilar to (as defined in
				paragraph (1)) or interchangeable with (as defined in paragraph (2)) the
				reference product for the condition or conditions of use prescribed,
				recommended, or suggested in the proposed labeling based upon, in the
				discretion of the Secretary—</text>
									<clause id="HEE93EF1D1416476BA0DF7523D9770A2E"><enum>(i)</enum><text>information
				derived from chemical, physical, and biological assays, and other non-clinical
				laboratory studies; and</text>
									</clause><clause id="HE9432B478C4F48FBB6FA6D48F14723A7"><enum>(ii)</enum><text>information from
				any necessary clinical study or studies sufficient to confirm safety, purity,
				and potency.</text>
									</clause><continuation-text continuation-text-level="subparagraph">Any
				studies under clause (ii) shall be designed to avoid duplicative and unethical
				clinical testing.</continuation-text></subparagraph><subparagraph id="H47489D1C543642AE914A56C01275A8D2"><enum>(C)</enum><text>Information
				demonstrating that the biological product and reference product utilize the
				same mechanism or mechanisms of action for the condition or conditions of use
				prescribed, recommended, or suggested in the proposed labeling, but only to the
				extent the mechanism or mechanisms of action are known for the reference
				product or can reasonably be determined. If the applicant seeks to rely on a
				demonstration of biosimilarity or interchangeability for a single condition of
				use to support approval of additional conditions of use that share the same
				mechanism or mechanisms of action, information demonstrating that such reliance
				is scientifically appropriate.</text>
								</subparagraph><subparagraph id="H2A7890764A2942C19AEA69866AEB72DB"><enum>(D)</enum><text>Information to
				show that the condition or conditions of use prescribed, recommended, or
				suggested in the proposed labeling for the biological product have been
				previously approved for the reference product.</text>
								</subparagraph><subparagraph id="HE23819D66C8348E4833C4EE512A95837"><enum>(E)</enum><text>Information to
				show that the route of administration, the dosage form, and the strength of the
				biological product are the same as those of the reference product.</text>
								</subparagraph><subparagraph id="HC9379AFD354840318DBB6476B1E87FA2"><enum>(F)</enum><text>Information
				demonstrating that the facility in which the biological product is
				manufactured, processed, packed, or held meets standards designed to ensure
				that the biological product continues to be safe, pure, and potent.</text>
								</subparagraph></paragraph><paragraph id="H919325F6F734460A987188716A1566B8"><enum>(4)</enum><header>Other
				applications</header><text>Any person, including a person who has not conducted
				and does not have a right of reference to the studies in the application for a
				reference product, may submit an abbreviated biological product application
				under this paragraph for a biological product that differs from, or
				incorporates a change to, the reference product with respect to one or more
				characteristics described in subparagraphs (A) through (E) of paragraph (3),
				including a difference in safety, purity, or potency, so long as the
				application contains sufficient information to establish the safety, purity,
				and potency of the biological product for its proposed condition or conditions
				of use.</text>
							</paragraph><paragraph id="H771A7B80AECF473E9B0F7565B2CA9B4B"><enum>(5)</enum><header>Approval of
				biosimilar or interchangeable biological products</header>
								<subparagraph id="H2B9DF6C05176440CB1F15674DFFF29B6"><enum>(A)</enum><header>Determination of
				biosimilarity</header><text>Upon review of an application submitted under
				paragraph (3) for a biological product and any other information available to
				the Secretary, including information in the application for the reference
				product, the Secretary shall issue a biosimilar biological product license for
				the conditions of use prescribed, recommended, or suggested in the proposed
				labeling for the product, unless the Secretary finds and informs the applicant
				(including provision of a detailed explanation) that—</text>
									<clause id="HABCE6E9217724EBEAD2A3EBE37EC9C31"><enum>(i)</enum><text>information
				submitted in the application and any other information available to the
				Secretary is insufficient to show that the biological product and the reference
				product contain highly similar molecular structural features, notwithstanding
				minor differences in heterogeneity profile, impurities, or degradation
				patterns;</text>
									</clause><clause id="H6FFB12A3D5484488A0F89CC16FE42C21"><enum>(ii)</enum><text>information
				submitted in the application and any other information available to the
				Secretary is insufficient to show that the biological product is biosimilar to
				the reference product for the condition or conditions of use prescribed,
				recommended, or suggested in the labeling proposed in the application;</text>
									</clause><clause id="H7E0068BBB6D4485CA2413DE9BADBA815"><enum>(iii)</enum><text>information
				submitted in the application and any other information available to the
				Secretary is insufficient to show that the biological product and reference
				product utilize the same mechanism or mechanisms of action for the conditions
				of use prescribed, recommended, or suggested in the proposed labeling for the
				biological product, unless the mechanism or mechanisms of action are not known
				and cannot reasonably be determined for the reference product for such
				condition or conditions;</text>
									</clause><clause id="H5A9EFAF2906E42519CD183287479E7E9"><enum>(iv)</enum><text>if the applicant
				has demonstrated biosimilarity for a single condition of use sharing the same
				mechanism of action as other conditions of use of the reference product, and
				has sought approval of one or more such other conditions of use on the basis of
				such demonstration, information submitted in the application and any other
				information available to the Secretary is insufficient to show the safety,
				purity, and potency of one or more such other conditions of use;</text>
									</clause><clause id="H8FED22C0EA70419C8D274C6305B8067B"><enum>(v)</enum><text>information
				submitted in the application and any other information available to the
				Secretary is insufficient to show that the route of administration, the dosage
				form, and the strength of the biological product are the same as those of the
				reference product;</text>
									</clause><clause id="H23AC4BFFD41844FB95C40960AE1C5D44"><enum>(vi)</enum><text>information
				submitted in the application and any other information available to the
				Secretary is insufficient to show that the condition or conditions of use
				prescribed, recommended, or suggested in the proposed labeling for the
				biological product are limited to one or more of the same use or uses as have
				been previously approved for the reference product;</text>
									</clause><clause id="H036AA293C8114B3EB2E2DFAA6DB4C668"><enum>(vii)</enum><text>information
				submitted in the application and any other information available to the
				Secretary shows (I) the inactive ingredients of the biological product are
				unsafe for use under the conditions prescribed, recommended, or suggested in
				the proposed labeling for the biological product, or (II) the composition of
				the biological product is unsafe under such conditions because of the type or
				quantity of inactive ingredients included or the manner in which the inactive
				ingredients are included;</text>
									</clause><clause id="HB23ECEC3164C435DAB46E1BA15A39F09"><enum>(viii)</enum><text>information
				submitted in the application and any other information available to the
				Secretary fails to demonstrate that the facility in which the biological
				product is manufactured, processed, packed, or held meets standards designed to
				ensure that the biological product continues to be safe, pure, and
				potent;</text>
									</clause><clause id="HA9C4873DD48D4A78A5D99A6B77BAB953"><enum>(ix)</enum><text>the Secretary
				has, for reasons of safety, purity, or potency, other than reasons that are
				unique to the reference product—</text>
										<subclause id="H59D680A42F004D9B8793BA4ACAA1C0C8"><enum>(I)</enum><text>withdrawn or
				suspended the license of the reference product;</text>
										</subclause><subclause id="H9056BAEE452541819209BDE73441093D"><enum>(II)</enum><text>published a
				notice of opportunity for hearing to withdraw such license; or</text>
										</subclause><subclause id="H85CD776EBAEA4AB0A17E00151D78FBB2"><enum>(III)</enum><text>determined that
				the reference product has been withdrawn from sale; or</text>
										</subclause></clause><clause id="H7EF61D82E5E846038BD8F1D7D436B363"><enum>(x)</enum><text>the application
				contains an untrue statement of material fact.</text>
									</clause></subparagraph><subparagraph id="HE7FCF4354DE74B3FA34D714CAF26C4FD"><enum>(B)</enum><header>Determinations
				on interchangeability</header><text>Subject to subparagraph (C) and paragraph
				(11), upon issuing a product license for a biological product under
				subparagraph (A), the Secretary shall make and publish one of the following
				determinations:</text>
									<clause id="H512429263EC649898F92F55C8A3F8381"><enum>(i)</enum><text>Such product is
				interchangeable with the reference product for one or more specified conditions
				of use prescribed, recommended, or suggested in the labeling of the biological
				product.</text>
									</clause><clause id="H7C84D6148BDE4AEFA99E10CEED4175F8"><enum>(ii)</enum><text>Interchangeability
				has not been established, but the approved product is as safe and effective for
				its approved uses as the reference product.</text>
									</clause></subparagraph><subparagraph id="H10BB7610F26849B09E1E2B46F8F056AC"><enum>(C)</enum><header>Determination of
				interchangeability of subsequent biological product</header><text>If the
				Secretary determines that an application meets the approval requirements of
				subparagraph (A), and, prior to the issuance of a product license, the
				Secretary has made a determination of interchangeability of another biological
				product and the reference product for which the exclusivity period under
				paragraph (11) has not expired, the Secretary shall—</text>
									<clause id="HF80CCD49F6A8461EAE79AD051AC9ED5C"><enum>(i)</enum><text>issue the product
				license for the subsequent biological product; and</text>
									</clause><clause id="H2C170B58507B4A2793D2D71E36A685EC"><enum>(ii)</enum><text>defer issuing any
				determination of interchangeability as to the subsequent biological product and
				the reference product until the exclusivity period under paragraph (11) has
				expired.</text>
									</clause></subparagraph></paragraph><paragraph id="H60B8411990FC4907B1B6F4D275FCC7A9"><enum>(6)</enum><header>Designation of
				official name</header>
								<subparagraph id="H79C3E49628914F869C44AA3354E50237"><enum>(A)</enum><header>In
				general</header><text>If, pursuant to section 508 of the Federal Food, Drug,
				and Cosmetic Act, the Secretary determines that designation of an official name
				for a biosimilar biological product is necessary or desirable in the interests
				of usefulness or simplicity, the Secretary shall designate the same official
				name for the biosimilar biological product as the Secretary designated for the
				reference product.</text>
								</subparagraph><subparagraph id="H5E171907D579410A9C4E44B320736BB8"><enum>(B)</enum><header>Limitation</header><text>This
				paragraph shall not apply to products approved under paragraph (7).</text>
								</subparagraph><subparagraph id="HB8BDCAD089D44A219D374E7B8B7385F1"><enum>(C)</enum><header>Report to
				Congress</header><text display-inline="yes-display-inline">Not later than 5
				years after the date of the enactment of this subsection, the Comptroller
				General of the United States shall submit a report to the Congress on public
				health and economic impacts associated with practices for designating the
				official names of biosimilar biological products in the United States and in
				other countries that approve biosimilar biological products.</text>
								</subparagraph></paragraph><paragraph id="HD3E4005F9ADE4F03BCC6828127D197E1"><enum>(7)</enum><header>Other approval
				provisions</header><text>The Secretary shall approve an application for a
				license submitted under paragraph (4) if the application and any other
				information available to the Secretary, including information in the
				application for the reference product, are sufficient to establish the safety,
				purity, and potency of the biosimilar biological product for the proposed
				condition or conditions of use for such product.</text>
							</paragraph><paragraph id="HAAD524D411034045957EBDC7116FB63C"><enum>(8)</enum><header>Establishing
				interchangeability for biosimilar biological products</header>
								<subparagraph id="H278574613D1A4CA1933D4EBE45E1949F"><enum>(A)</enum><header>In
				general</header><text>In an original application or a supplement to an
				application under this subsection, an applicant may submit information to the
				Secretary to demonstrate the interchangeability of a biosimilar biological
				product and the reference product. An applicant may withdraw a request for an
				interchangeability determination at any time. A request for an
				interchangeability determination submitted after the filing of an application
				shall be considered a major amendment to the application. Except as provided in
				paragraph (11), nothing in this subsection shall be construed to prohibit the
				Secretary from making a determination of interchangeability at any time after
				approval.</text>
								</subparagraph><subparagraph id="HDAC84E9CDFEA46A2BF7260670BDE1354"><enum>(B)</enum><header>Guidance</header><text>Within
				2 years after enactment of this subsection, the Secretary shall issue guidance
				regarding standards and requirements for interchangeability. The Secretary is
				authorized to make determinations of interchangeability under paragraph (5)(B)
				prior to issuing guidance under this subparagraph.</text>
								</subparagraph></paragraph><paragraph id="H447B31530DFE4867ABD8010E4D062330"><enum>(9)</enum><header>Interchangeability
				labeling for interchangeable biological products</header><text>Except as
				provided in paragraph (11), upon a determination of interchangeability, the
				Secretary shall, at the request of the applicant, provide for the label of the
				interchangeable biological product to include a statement that the biological
				product is interchangeable with the reference product for the conditions of use
				prescribed, recommended, or suggested in the labeling for which
				interchangeability has been established.</text>
							</paragraph><paragraph id="H94FBD301593540C896422000E382C511"><enum>(10)</enum><header>Delay of
				approval</header>
								<subparagraph id="H0B825EE33CE3405F9C9650E609C9B075"><enum>(A)</enum><header>Applicable delay
				period</header>
									<clause id="H7A79EFC011824EDEA60D9A3A7941130B"><enum>(i)</enum><header>5-year
				period</header><text>If an application under this subsection refers to a
				biological product described in clause (i) of subparagraph (B), the Secretary
				may not approve such application before the expiration of—</text>
										<subclause id="HD9869A5CDD0B4001A4B2C4ED813FF2C3"><enum>(I)</enum><text>the 5-year period
				beginning on such product’s approval date; or</text>
										</subclause><subclause id="H17252363A97E46DC82E846316CEE55E1"><enum>(II)</enum><text>such period, as
				extended under subparagraph (D).</text>
										</subclause></clause><clause id="H99544C068E1C4D2A828D94AF68BA4797"><enum>(ii)</enum><header>3-year
				period</header><text>If an application under this subsection refers to a
				biological product described in subparagraph (C), the Secretary may not approve
				such application for the conditions of approval of such product before the
				expiration of—</text>
										<subclause id="H18A37D9298C14ADC8F386FE9DCA4D040"><enum>(I)</enum><text>the 3-year period
				beginning on such product’s approval date; or</text>
										</subclause><subclause id="H42A0D9FEF4C545E68D8C3C6DF7E1A1EC"><enum>(II)</enum><text>such period, as
				extended under subparagraph (D)</text>
										</subclause></clause></subparagraph><subparagraph id="HF1045DF403C44EC9BE01563DB7651E18"><enum>(B)</enum><header>No major
				substance previously approved</header>
									<clause id="HB7295086ABAE4C7A9C4D7AB617648272"><enum>(i)</enum><header>In
				general</header><text>A biological product is described in this clause
				if—</text>
										<subclause id="HD2C4F108C01E4357A59C18026F17A3F0"><enum>(I)</enum><text>an application is
				submitted for such product under subsection (a);</text>
										</subclause><subclause id="HED930938D93643F2B739DD4F9255486A"><enum>(II)</enum><text>no major
				substance of the product, nor any highly similar major substance, has been
				approved in any other application under subsection (a);</text>
										</subclause><subclause id="HD97BB7925B654410B7D6E1DD7ABBE5F9"><enum>(III)</enum><text>the application
				submitted for such product is approved after the date of the enactment of this
				subsection; and</text>
										</subclause><subclause id="HE9AB468119F54BEA89AA111188539EDF"><enum>(IV)</enum><text>the application
				submitted for such product could not and did not rely on any clinical safety,
				purity, or potency study in any other application approved under this section
				or any clinical safety or effectiveness study in any application approved under
				section 505 of the Federal Food, Drug, and Cosmetic Act.</text>
										</subclause></clause><clause id="HF4D038952CF8480791308B8981BDBE3B"><enum>(ii)</enum><header>Exclusions</header><text>Biological
				products not described in clause (i) include the following:</text>
										<subclause id="HCCC4139F13EA446EB7D8A285FAA39D4F"><enum>(I)</enum><text>Protein biological
				products that differ in structure solely due to post-translational events,
				infidelity of translation or transcription, or minor differences in amino acid
				sequence.</text>
										</subclause><subclause id="HC53A10DCB1C34C9F94C6DCC7A7B1265F"><enum>(II)</enum><text>Polysaccharide
				biological products with similar saccharide repeating units, even if the number
				of units differ and even if there are differences in post-polymerization
				modifications.</text>
										</subclause><subclause id="HDDDFD0286F6643158B15500CB08DF108"><enum>(III)</enum><text>Glycosylated
				protein products that differ in structure solely due to post-translational
				events, infidelity of translation or transcription, or minor differences in
				amino acid sequence, and if they had similar saccharide repeating units, even
				if the number of units differ and even if there were differences in
				post-polymerization modifications.</text>
										</subclause><subclause id="H311663ABD06B4C67B4DF66A96ED5924E"><enum>(IV)</enum><text>Polynucleotide
				biological products with identical sequence of purine and pyrimidine bases (or
				their derivatives) bound to an identical sugar backbone (ribose, deoxyribose,
				or modifications of these sugars).</text>
										</subclause><subclause id="H395C88AE78024FCB9C29DFEB0804F80B"><enum>(V)</enum><text>Closely related,
				complex partly definable biological products with similar therapeutic intent,
				such as live viral products for the same indication.</text>
										</subclause><continuation-text continuation-text-level="clause">The Secretary
				may by regulation identify additional biological products not described in
				clause (i).</continuation-text></clause></subparagraph><subparagraph id="HBB7A6F9BA9FB4271BD181E110171706C"><enum>(C)</enum><header>Major substance
				previously approved</header><text>A biological product is described in this
				subparagraph if—</text>
									<clause id="H408EE1CB779A466FB156F26C14208BF0"><enum>(i)</enum><text>an
				application is submitted for such product under subsection (a);</text>
									</clause><clause id="H0C5E66A467484782B90B0EFCA77B26EC"><enum>(ii)</enum><text>such product
				includes a major substance that has been approved in another application under
				subsection (a), or any highly similar major substance;</text>
									</clause><clause id="HB5A19407089643E59CD60E240C85BCB1"><enum>(iii)</enum><text>the application
				submitted for such product is approved after the date of the enactment of this
				subsection;</text>
									</clause><clause id="H78193130C34D4677A8EE62D34799681B"><enum>(iv)</enum><text>the application
				submitted for such product contains reports of new clinical investigations
				(other than pharmacokinetic or pharmacodynamic studies) essential to the
				approval of the application and conducted or sponsored by the applicant;
				and</text>
									</clause><clause id="HB34F370A19A142CD8D6B3D48799BE937"><enum>(v)</enum><text>the product
				represents a significant therapeutic advance, which may include demonstration
				of safety, purity, and potency for a significant new indication or
				subpopulation, other than a pediatric subpopulation.</text>
									</clause></subparagraph><subparagraph id="HD8D2956A850948808BC2A148166F05A7"><enum>(D)</enum><clause commented="no" display-inline="yes-display-inline" id="H5E5D7D2FA4764F4E9E62D6567AD0FE93"><enum>(i)</enum><header>Supplement</header><text>If
				a supplement to an application approved under subsection (a) is approved no
				later than 1 year before the expiration of a period to which the applicant is
				entitled under subparagraph (A), the period described in subparagraph (A)
				shall, except as provided in clause (ii), be extended by 6 months if—</text>
										<subclause id="H6A16D13129C342F3A9A216222F603504" indent="up1"><enum>(I)</enum><text>the supplement contains reports of new
				clinical investigations (other than pharmacokinetic or pharmacodynamic studies)
				essential to the approval of the supplement and conducted or sponsored by the
				person submitting the supplement; and</text>
										</subclause><subclause id="H0CA0B650CF21497C9AECF9B59F692D28" indent="up1"><enum>(II)</enum><text>the change provides a significant
				therapeutic advance, which may include demonstration of safety, purity, and
				potency for a significant new indication or subpopulation, other than a
				pediatric subpopulation.</text>
										</subclause></clause><clause id="HBF9202EFEA4645B1B71B564CF9903675" indent="up1"><enum>(ii)</enum><header>Adjustment</header><text>Any
				period of market exclusivity extended under subclause (I) or (II) of clause (i)
				for a biological product shall be reduced by 3 months if the organization
				designated under subparagraph (E) notifies the Secretary that, with respect to
				any major substance contained in the biological product, the combined annual
				gross sales in the United States for all biological products—</text>
										<subclause id="H4B730AAE283842E9BB83CF6EE2014581"><enum>(I)</enum><text>containing the major substance;
				and</text>
										</subclause><subclause id="H38A6BC421082459D8D05038DB1B91CE9"><enum>(II)</enum><text>owned or marketed by the applicant or
				its affiliates;</text>
										</subclause><continuation-text continuation-text-level="clause">exceeded
				$1,000,000,000 in the calendar year preceding approval of the supplement
				involved.</continuation-text></clause><clause id="H821934893B334C048991CB16669B6CCF" indent="up1"><enum>(iii)</enum><header>Limitation</header><text>Only
				one extension under this subparagraph may be granted for any biological
				product.</text>
									</clause></subparagraph><subparagraph id="H09A140DB3A2C4AA88C95A2FBD51A73FA"><enum>(E)</enum><clause commented="no" display-inline="yes-display-inline" id="H8FCFB7D6CE394CB19E3D236B4905C300"><enum>(i)</enum><header>Designation</header><text display-inline="yes-display-inline">The Secretary shall designate an
				organization other than the Food and Drug Administration to make the
				determination of combined annual gross sales described in clause (ii). Prior to
				designating such organization, the Secretary shall determine that such
				organization is independent and is qualified to evaluate the sales of
				pharmaceutical products. The Secretary shall re-evaluate the designation of
				such organization once every 3 years.</text>
									</clause><clause id="H709CFB74777E4533B064853ABC6878FE" indent="up1"><enum>(ii)</enum><header>Notification</header><text>The
				organization designated under clause (i) shall—</text>
										<subclause id="H1773D70F0A064FCF8AD6F838530726AE"><enum>(I)</enum><text>determine, with respect to each major
				substance contained in each biological product that is the subject of a pending
				supplement under subparagraph (D)(i), the amount of the combined annual gross
				sales in the United States in the preceding calendar year for all biological
				products—</text>
											<item id="HF25543196AD9403897A9D3F800D92BB7"><enum>(aa)</enum><text>containing the major substance;
				and</text>
											</item><item id="H079B6AD3A1204526A8AFA4FFB4C160E3"><enum>(bb)</enum><text>owned or marketed by the applicant or
				its affiliates; and</text>
											</item></subclause><subclause id="H3399EAA20211498CAA8347942AF1EE13"><enum>(II)</enum><text>notify the Secretary of such
				determination.</text>
										</subclause></clause></subparagraph><subparagraph id="H1343D56231BE43AC92D367659BEB092F"><enum>(F)</enum><header>Definition</header><text>In
				this paragraph, the term <term>approval date</term> means the date of approval
				of an application for the biological product under subsection (a).</text>
								</subparagraph></paragraph><paragraph id="HE64DEBECFFF841FC9DC037B968B45AB0"><enum>(11)</enum><header>Exclusivity</header>
								<subparagraph id="H1A56F2B6FE29492C93134C6052C0A984"><enum>(A)</enum><header>In
				general</header><text>Upon review of an abbreviated biological product
				application relying on the same reference product for which a prior biological
				product has received a determination of interchangeability for any condition of
				use, the Secretary shall not make a determination under paragraph (5)(B) that
				the second or subsequent biological product is interchangeable for any
				condition of use, and no holder of a biological product license approved under
				subsection (a) shall manufacture, market, sell, or distribute a rebranded
				interchangeable biological product, directly or indirectly, or authorize any
				other person to manufacture, market, sell, or distribute a rebranded
				interchangeable biological product, for any condition of use, until the earlier
				of—</text>
									<clause id="H21832FC5C21446D7AAE9C1971989CB04"><enum>(i)</enum><text>180 days after the
				first commercial marketing of the first interchangeable biological product to
				be approved as interchangeable for that reference product;</text>
									</clause><clause id="H50F211F37FAC4F8B9B5E33273153B3ED"><enum>(ii)</enum><text>one year
				after—</text>
										<subclause id="H26AB8E10BD794612AA2AEDD361DB7EA2"><enum>(I)</enum><text>a final court
				decision in favor of the applicant on all patents in suit in an action
				instituted under paragraph (18)(C) against the applicant that submitted the
				application for the first approved interchangeable biological product;
				or</text>
										</subclause><subclause id="H9952A18357A94A479EEF1A50AB58393F"><enum>(II)</enum><text>the dismissal
				with or without prejudice of an action instituted under paragraph (18)(C)
				against the applicant that submitted the application for the first approved
				interchangeable biological product; or</text>
										</subclause></clause><clause id="H6D78880E11784E759A1215C84A6BA22D"><enum>(iii)</enum><subclause commented="no" display-inline="yes-display-inline" id="H13F2533434D64AEDA28DC4E28CB42834"><enum>(I)</enum><text>36 months after approval
				of the first interchangeable biological product if the applicant has been sued
				under paragraph (18)(C) and such litigation is still ongoing within such
				36-month period; or</text>
										</subclause><subclause id="HE9FDC7311CDD4D2F96A11AC62B32FD38" indent="up1"><enum>(II)</enum><text>one year after approval in the event
				that the first approved interchangeable biological product applicant has not
				been sued under paragraph (18)(C).</text>
										</subclause><continuation-text continuation-text-level="clause">For purposes
				of this subparagraph, the term ‘final court decision’ means a final decision of
				a court from which no appeal (other than a petition to the United States
				Supreme Court for a writ of certiorari) has been or can be taken.</continuation-text></clause></subparagraph><subparagraph id="HA6AB2A378DFE4F67BE84271E99E693EE"><enum>(B)</enum><header>Rebranded
				interchangeable biological product</header><text>For purposes of this
				subsection, the term <term>rebranded interchangeable biological
				product</term>—</text>
									<clause id="H243B6FED1AB941C39BCA93697525E98C"><enum>(i)</enum><text>means any
				rebranded interchangeable version of the reference product involved that the
				holder of the biological product license approved under subsection (a) for that
				reference product seeks to commence marketing, selling, or distributing,
				directly or indirectly; and</text>
									</clause><clause id="H513E68A95588434D978FD59ED015076E"><enum>(ii)</enum><text>does not include
				any product to be marketed, sold, or distributed—</text>
										<subclause id="H914D4E3E63C1406D8F7167F805C2B481"><enum>(I)</enum><text>by an entity
				eligible for exclusivity with respect to such product under this paragraph;
				or</text>
										</subclause><subclause id="H9DD74BF2A8BC4460B31F20001C682080"><enum>(II)</enum><text>after expiration
				of any exclusivity with respect to such product under this paragraph.</text>
										</subclause></clause></subparagraph></paragraph><paragraph id="H3D21BC59ED0347CABB41E91D730F0044"><enum>(12)</enum><header>Hearing</header><text>If
				the Secretary decides to disapprove an abbreviated biological product
				application, the Secretary shall give the applicant notice of an opportunity
				for a hearing before the Secretary on the question of whether such application
				is approvable. If the applicant elects to accept the opportunity for hearing by
				written request within 30 days after such notice, such hearing shall commence
				not more than 90 days after the expiration of such 30 days unless the Secretary
				and the applicant otherwise agree. Any such hearing shall thereafter be
				conducted on an expedited basis, and the Secretary’s order thereon shall be
				issued within 90 days after the date fixed by the Secretary for filing final
				briefs.</text>
							</paragraph><paragraph id="HFF57DBA718064290A509629965EB5634"><enum>(13)</enum><header>Final action
				date</header>
								<subparagraph id="H408C1E02EC9247F4B8E7D477CB31A07E"><enum>(A)</enum><header>In
				general</header><text>The Secretary shall take a final action on an abbreviated
				biological product application by the date that is 10 calendar months following
				the sponsor’s submission of such application, or 180 days following the
				Secretary’s notification to the applicant that its application has been
				accepted for filing, whichever is earlier.</text>
								</subparagraph><subparagraph id="H4DAC7EC830804010AF897390CFDB567A"><enum>(B)</enum><header>Extension</header><text>The
				final action date provided by subparagraph (A) with respect to an application
				may be extended for such period of time as is agreed to by the Secretary and
				the applicant in a jointly executed written agreement that is counter-signed by
				the Secretary and the applicant no later than 30 days prior to—</text>
									<clause id="H1C505DE31178480CA9E115F7C3D12F9D"><enum>(i)</enum><text>such final action
				date; or</text>
									</clause><clause id="HB510381AFCFF4775931C347618D8201C"><enum>(ii)</enum><text>the date on which
				any prior extension under this subparagraph expires.</text>
									</clause></subparagraph></paragraph><paragraph id="HDF24BE961C77484F8157429630C3F775"><enum>(14)</enum><header>Request for
				delay of final action</header><text>Subject to paragraph (19)(A)(i) and
				notwithstanding any other provision of law, the Secretary shall not fail or
				refuse to take a final action on an abbreviated biological product application
				by the final action date on the basis that a person, other than the biosimilar
				biological product applicant, has requested (in a petition or otherwise) that
				the Secretary refuse to take or otherwise defer such final action, and no court
				shall enjoin the Secretary from taking final action or stay the effect of final
				action previously taken by the Secretary, except by issuance of a permanent
				injunction based upon an express finding of clear and convincing evidence that
				the person seeking to have the Secretary refuse to take or otherwise to defer
				final action by the final action date—</text>
								<subparagraph id="H7EECD6A50ADE456DB75ADB87E601A26D"><enum>(A)</enum><text>has prevailed on
				the merits of the person’s complaint against the Secretary;</text>
								</subparagraph><subparagraph id="H25EC32E546164807B9A59EDCC4ED9002"><enum>(B)</enum><text>will suffer
				imminent and actual irreparable injury, constituting more than irrecoverable
				economic loss, and that also will threaten imminent destruction of such
				person’s business; and</text>
								</subparagraph><subparagraph id="H47D698F890A14E8D954DB2B8CCF624D2"><enum>(C)</enum><text>has an interest
				that outweighs the overwhelming interest that the public has in obtaining
				prompt access to a biosimilar biological product.</text>
								</subparagraph></paragraph><paragraph id="H44308D557DDE4D1C8FD86DB76040B9C3"><enum>(15)</enum><header>Report on
				extensions of final action date</header><text>The Secretary shall prepare and
				submit to the President, the Committee on Energy and Commerce of the House of
				Representatives, and the Committee on Health, Education, Labor, and Pensions of
				the Senate a report regarding any jointly executed written agreement to extend
				the final action date under this Act within 15 calendar days after the joint
				execution of any such written agreement.</text>
							</paragraph><paragraph id="H435B4D88AAE048DE93D1C09686CB5CFC"><enum>(16)</enum><header>Report on
				failure to take final action</header><text>The Secretary shall prepare and
				submit annually to the President, the Committee on Energy and Commerce of the
				House of Representatives, and the Committee on Health, Education, Labor, and
				Pensions of the Senate a report detailing the specific and particularized
				reasons enumerated by the reviewing division for each instance of the
				Secretary’s failure to take final action by the final action date in the
				previous year.</text>
							</paragraph><paragraph id="H51AC95C000D44E2087E3143FBF47DA38"><enum>(17)</enum><header>Regulations</header><text>The
				Secretary shall establish, by regulation within 2 years after the date of the
				enactment of this subsection, requirements for the efficient review, approval,
				suspension, and revocation of abbreviated biological product applications under
				this subsection. The Secretary may not use the absence of final regulations as
				a basis for the Secretary to fail to act on an application submitted under this
				subsection.</text>
							</paragraph><paragraph id="HF7D4D13D1AA740A0825FDF51001B1B93"><enum>(18)</enum><header>Patents</header>
								<subparagraph id="H7F4FEFF791184E638CF39FD18BCB7D77"><enum>(A)</enum><header>Request for
				patent information</header>
									<clause id="H17A80868D1F14E9DB17F408DD37AB5A4"><enum>(i)</enum><header>In
				general</header><text>At any time, including at the initial stages of
				development, an applicant or a prospective applicant under this subsection may
				send a written request for patent information to the holder of the approved
				application for the reference product. The holder of the approved application
				for the reference product shall, not later than 60 days after the date on which
				the holder receives the request, provide to the applicant or prospective
				applicant a list of all those patents owned by, licensed to, or otherwise under
				the control of, the holder of the approved application that the holder believes
				in good faith relate to the reference product, including patents that claim the
				approved biological product, any formulation of such product, any method of
				using such product, any component of such product, or any method or process
				that can be used to manufacture such product or component, regardless of
				whether that method or process is used to manufacture the reference
				product.</text>
									</clause><clause id="H929D6E23B0654885A6F753E8A3FC83A9"><enum>(ii)</enum><header>Updates</header><text>For
				a period of 2 years beginning on the date on which the holder of the approved
				application for the reference product receives the request for information, the
				holder shall send to the applicant or prospective applicant updates of its
				response to the request for information by identifying all relevant patents
				issued or licensed to the holder after the initial response under clause (i).
				Any such update must be provided, in the case of a new patent, not later than
				30 days after the date on which the patent is issued and, in the case of a
				license, not later than 30 days after the date on which the holder obtains the
				license.</text>
									</clause><clause id="HC1773FB979384EBEAC22FC6E42829C39"><enum>(iii)</enum><header>Additional
				requests</header><text>The applicant may submit additional requests under
				clause (i) for patent information, and each such request shall be subject to
				the requirements of this paragraph.</text>
									</clause><clause id="HB67E77444B5C447392716715B110E493"><enum>(iv)</enum><header>Notification to
				patent holder</header><text>Within 30 days of receiving a request under this
				subparagraph, the holder of the approved application for the reference product
				shall give notice of such request to the owner of any patent licensed to, or
				otherwise under the control of, the holder that is identified by the holder
				pursuant to clause (i).</text>
									</clause></subparagraph><subparagraph id="HA74463D8B6A94AB68C0F01B08A6EFADA"><enum>(B)</enum><header>Patent
				notifications</header><text>At any time after submitting an application under
				this subsection, the applicant may provide a notice of the application with
				respect to any one or more patents identified by the holder of the reference
				product pursuant to subparagraph (A) or with respect to any one or more patents
				owned by, licensed to, or otherwise under the control of the holder of the
				approved application, but not identified pursuant to subparagraph (A). An
				applicant may submit additional notices at any time, and each notice shall be
				subject to the provisions of this subparagraph. Each notice shall—</text>
									<clause id="H5C28F6C43411438BA124AFA5D04970D8"><enum>(i)</enum><text>be
				sent to the holder of the approved application for the reference product and to
				the owner of any patent identified by the holder pursuant to subparagraph
				(A);</text>
									</clause><clause id="H45FD61512F5E461EAC60D2CC76B04A56"><enum>(ii)</enum><text>include a
				detailed statement of the factual and legal bases for the applicant’s belief
				that the patents included in the notice are invalid, are unenforceable, or will
				not be infringed by the commercial sale of the product for which approval is
				being sought under this subsection; and</text>
									</clause><clause id="HDA6D69C92280492584E47711772641AD"><enum>(iii)</enum><text>be submitted to
				the Federal Trade Commission, which shall treat such notice as
				confidential.</text>
									</clause></subparagraph><subparagraph id="H5D01BA615082455D8FAA99EB91EC0B44"><enum>(C)</enum><header>Action for
				infringement</header><text>Within 45 days after the date on which the holder of
				the approved application for the reference product, or the owner of a patent,
				receives a notice under subparagraph (B), the holder or patent owner may bring
				an action for infringement only with respect to the patent or patents included
				in the notice.</text>
								</subparagraph><subparagraph id="H8933B534A64344939C19EF7F2493B2C3"><enum>(D)</enum><header>Limitation on
				declaratory judgment actions</header><text>With respect to any patent relating
				to a product that is the subject of an application under this subsection, the
				recipient of a notice under subparagraph (B) with respect to that application
				may not, prior to the commercial marketing of the product, bring any action
				under section 2201 of title 28, United States Code, for a declaration of
				infringement, validity, or enforceability of any such patent that was not
				identified in the notice.</text>
								</subparagraph><subparagraph id="H3E5AFBE01EE74B1BB1667B052AECEBF2"><enum>(E)</enum><header>Declaratory
				judgment action</header>
									<clause id="HF7A481FE3E9D497DADEB156D2DE65240"><enum>(i)</enum><header>In
				general</header><text>With respect to any patent identified in a notification
				under subparagraph (A) or (B) for which the holder, or the owner of the
				patent—</text>
										<subclause id="H23270A9DCFAB43F19899782FEBD47E3B"><enum>(I)</enum><text>has not brought an
				action for infringement under subparagraph (C); or</text>
										</subclause><subclause id="H7BB785A00D5F41C087E083BA463141A4"><enum>(II)</enum><text>has brought an
				action for infringement under subparagraph (C), but subsequently dismissed that
				action without prejudice;</text>
										</subclause><continuation-text continuation-text-level="clause">the applicant
				may bring an action for a declaratory judgment under section 2201 of title 28,
				United States Code, that such patent is invalid or not infringed by the
				biological product at issue.</continuation-text></clause><clause id="HAAAAD27F7CAE4D289C3D153361745D01"><enum>(ii)</enum><header>Case or
				controversy</header><text>The courts of the United States shall have, and shall
				exercise, subject matter jurisdiction to hear such an action to the full extent
				permitted by Article III of the Constitution.</text>
									</clause></subparagraph><subparagraph id="H3370C0647CDE4274AB57925269EC7722"><enum>(F)</enum><header>Discretion of
				applicants</header><text>An applicant or prospective applicant for a biosimilar
				biological product under this subsection may not be compelled, by court order
				or otherwise, to initiate the procedures set forth in this paragraph. Nothing
				in this paragraph requires an applicant or a prospective applicant to invoke
				the procedures set forth in this paragraph.</text>
								</subparagraph></paragraph><paragraph id="H9F7CF2E35EB44E9BAF716F97C4F8548E"><enum>(19)</enum><header>Petitions and
				civil actions regarding approval of certain applications</header>
								<subparagraph id="H418B3072DFAA444189D5256A39F4D48B"><enum>(A)</enum><header>In
				general</header><text>With respect to a pending application submitted under
				paragraph (3) or (4), if a petition is submitted to the Secretary that seeks to
				have the Secretary take, or refrain from taking, any form of action relating to
				the approval of the application, including a delay in the effective date of the
				application, the following applies, subject to subparagraph (E):</text>
									<clause id="H7243AFC8D2EB4D249A0F6D67D60FF6AA"><enum>(i)</enum><subclause commented="no" display-inline="yes-display-inline" id="H5D49A5416EB2495D9F193283F3BBE5EE"><enum>(I)</enum><text>The Secretary may not,
				on the basis of the petition, delay approval of the application unless the
				Secretary determines, within 30 days after receiving the petition, that a delay
				is necessary to protect the public health. Consideration of a petition shall be
				separate and apart from the review and approval of the application.</text>
										</subclause><subclause id="H9C7AF5BC92944717A4931AC9CDF3FE40" indent="up1"><enum>(II)</enum><text>With respect to a determination by the
				Secretary under subclause (I) that a delay is necessary to protect the public
				health:</text>
											<item id="H0E1CC776BF5C4DB69EC9787D14514135"><enum>(aa)</enum><text>The Secretary shall publish on the
				Internet site of the Food and Drug Administration a statement providing the
				reasons underlying the determination.</text>
											</item><item id="HE33AF583F92D449D9560A003C3443780"><enum>(bb)</enum><text>Not later than 10 days after making
				the determination, the Secretary shall provide notice to the sponsor of the
				application and an opportunity for a meeting with the Commissioner to discuss
				the determination.</text>
											</item></subclause></clause><clause id="HB8611DB4C7BB49629E7F703AE4E0D464"><enum>(ii)</enum><text>The Secretary
				shall take final agency action on the petition not later than 180 days after
				the date on which the petition is submitted. The Secretary shall not extend
				such period, even with the consent of the petitioner, for any reason, including
				based upon the submission of comments relating to the petition or supplemental
				information supplied by the petitioner.</text>
									</clause><clause id="H8774153AC20D4CFC8ED8A5947902A3EA"><enum>(iii)</enum><text>The Secretary
				may not consider the petition for review unless it is signed and contains the
				following verification: <quote>I certify that, to my best knowledge and belief:
				(a) this petition includes all information and views upon which the petition
				relies; (b) this petition includes representative data and/or information known
				to the petitioner which are unfavorable to the petition; and (c) I have taken
				reasonable steps to ensure that any representative data and/or information
				which are unfavorable to the petition were disclosed to me. I further certify
				that the information upon which I have based the action requested herein first
				became known to the party on whose behalf this petition is submitted on or
				about the following date: [___]. I received or expect to receive payments,
				including cash and other forms of consideration, from the following persons or
				organizations to file this petition: [___]. I verify under penalty of perjury
				that the foregoing is true and correct.</quote>.</text>
									</clause></subparagraph><subparagraph id="H132568D3D09442EFB75C3AE595C74D9A"><enum>(B)</enum><header>Denial based on
				intent to delay</header><text>If the Secretary determines that a petition or
				supplement to the petition was submitted with the primary purpose of delaying
				the licensure or the approval of a condition of use for a biological product,
				the Secretary may deny the petition at any point based on such determination.
				The Secretary may issue guidance to describe the factors that will be used to
				determine under this subparagraph whether a petition is submitted with the
				primary purpose of delaying the approval of an application.</text>
								</subparagraph><subparagraph id="HBEAF58B8160A44BBB5C8D742D6F13534"><enum>(C)</enum><header>Exhaustion of
				administrative remedies</header>
									<clause id="HEBA7B3046B14439FA4C169A7D45311F4"><enum>(i)</enum><header>Final agency
				action within 180 days</header><text>The Secretary shall be considered to have
				taken final agency action on a petition referred to in subparagraph (A)
				if—</text>
										<subclause id="H7425427AC3B042EF922F5632FA5B2534"><enum>(I)</enum><text>during the 180-day
				period referred to in clause (ii) of such subparagraph, the Secretary makes a
				final decision within the meaning of section 10.45(d) of title 21, Code of
				Federal Regulations (or any successor regulations); or</text>
										</subclause><subclause id="H686FB9F642D045E4859BFE18382998C2"><enum>(II)</enum><text>such period
				expires without the Secretary having made such a final decision, in which case
				the petition shall be deemed to have been denied.</text>
										</subclause></clause><clause id="H7A355C1155424841BFB5DDFDFC8C9E23"><enum>(ii)</enum><header>Dismissal of
				certain civil actions</header><text>If a civil action is filed with respect to
				a petition referred to in subparagraph (A) before final agency action within
				the meaning of clause (i) has occurred, the court shall dismiss the action for
				failure to exhaust administrative remedies.</text>
									</clause></subparagraph><subparagraph id="H600C00AB8BB04A76B65C3C51B2D9A05C"><enum>(D)</enum><header>Applicability of
				certain regulations</header><text>The provisions of this section are in
				addition to the requirements for the submission of a petition to the Secretary
				that apply under section 10.30 or 10.35 of title 21, Code of Federal
				Regulations (or any successor regulations).</text>
								</subparagraph><subparagraph id="H53BE2A4BB24A45BCB989EFB7AD16EB56"><enum>(E)</enum><header>Annual report on
				delays in approvals per petitions</header><text>The Secretary shall annually
				submit to the Congress a report that specifies—</text>
									<clause id="HB182B4B973A64D9B96F9CB938E2A96B9"><enum>(i)</enum><text>the number of
				applications under this subsection that were approved during the preceding
				12-month period;</text>
									</clause><clause id="H60A5C7AD5F2549739809519C19B3AACB"><enum>(ii)</enum><text>the number of
				such applications whose effective dates were delayed by petitions referred to
				in subparagraph (A) during such period; and</text>
									</clause><clause id="H83747716D93746E1BC7F452CAE961E0A"><enum>(iii)</enum><text>the number of
				days by which the applications were so delayed.</text>
									</clause></subparagraph><subparagraph id="HC644D997C0994A718F22F748335B884E"><enum>(F)</enum><header>Exception</header><text>This
				paragraph does not apply to a petition that is made by the sponsor of an
				application under this subsection and that seeks only to have the Secretary
				take or refrain from taking any form of action with respect to that
				application.</text>
								</subparagraph><subparagraph id="HA09D4A301CF14F5C9428689865B0ED3B"><enum>(G)</enum><header>Definition</header><text>For
				purposes of this paragraph, the term <term>petition</term> includes any request
				to the Secretary, without regard to whether the request is characterized as a
				petition.</text>
								</subparagraph></paragraph><paragraph id="HBD1B395AE18C441B8C351B06BB3D031F"><enum>(20)</enum><header>Authorization
				of appropriations</header><text>To carry out this subsection, there are
				authorized to be appropriated such sums as may be necessary for fiscal years
				2010 and
				2011.</text>
							</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
				</paragraph></subsection><subsection id="H5D105254FABF4DE3B26405876CB0B1B5"><enum>(b)</enum><header>Additional
			 amendments</header>
				<paragraph id="H8BC379AE12654C5FB76756A73F277018"><enum>(1)</enum><header>Venue</header><text>Section
			 1404 of title 28, United States Code, is amended by adding at the end the
			 following:</text>
					<quoted-block id="H0A4FF68782E640D4B4F3D17225D2645D" style="OLC">
						<subsection id="H68D6EE0F31B64D8F9140A3B49F44E276"><enum>(e)</enum><header>Venue in certain
				patent infringement disputes</header>
							<paragraph id="HFC98245D3898426A879FBCB26EC7F18A"><enum>(1)</enum><header>In
				general</header><text>In any action for patent infringement brought by the
				holder or owner of the patent pursuant to section 351(k)(18)(C) of the Public
				Health Service Act, the defendant may move to transfer the action to any other
				district in which jurisdiction is proper.</text>
							</paragraph><paragraph id="HE8F405C7118A43898EA3AA7570945B1A"><enum>(2)</enum><header>Timing</header><text>The
				schedule applicable to a motion under paragraph (1) is as follows:</text>
								<subparagraph id="H509914BBAAE14822975A802D66EB9BCC"><enum>(A)</enum><text>A motion under
				paragraph (1) shall be filed by the defendant no later than 45 days after
				service of the complaint.</text>
								</subparagraph><subparagraph id="HDFBEF162339940ACA29AC889CDA5BC9A"><enum>(B)</enum><text>A response to such
				a motion, if any, shall be filed no later than 20 days after service of the
				motion.</text>
								</subparagraph><subparagraph id="H07D3ABFDF683465392400DF6237939AF"><enum>(C)</enum><text>A reply to such
				response, if any, shall be filed no later than 10 days after service of the
				response.</text>
								</subparagraph><subparagraph id="H2EC0BAB77050438F845776F39FE27350"><enum>(D)</enum><text>The schedule set
				forth in this paragraph may be modified only by agreement of all
				parties.</text>
								</subparagraph></paragraph><paragraph id="H1658D4FAC79C4799B87A6ADDD9AF3994"><enum>(3)</enum><header>Resolution</header><text>When
				ruling on any motion filed under paragraph (2), the greatest weight shall be
				given to the following factors:</text>
								<subparagraph id="HBB2C9A88CE0B4666BE9793363C272724"><enum>(A)</enum><text>The interest in
				identifying a district court in which the case will be adjudicated
				expeditiously.</text>
								</subparagraph><subparagraph id="HB13C527E5351476C840BB47C207A42B3"><enum>(B)</enum><text>The strong public
				interest in obtaining prompt judicial resolution of patent disputes so that the
				biological product which is the subject of the patent dispute may be brought to
				market as expeditiously as possible, consistent with fair and prompt resolution
				of patent disputes.</text>
								</subparagraph></paragraph><paragraph id="H9C8CA696C6074D0ABD9115F5A8684534"><enum>(4)</enum><header>No
				delay</header><text>An action described in paragraph (1) shall proceed as
				expeditiously as possible while the court considers a motion under this
				subsection, and the court may not stay the proceedings because a motion under
				this subsection has been
				filed.</text>
							</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
				</paragraph><paragraph id="H006D03C05A1E4D819C56E506B0330377"><enum>(2)</enum><header>Patents</header><text>Section
			 271(e) of title 35, United States Code, is amended—</text>
					<subparagraph id="HD84510CE8FA24793819FEAD00469E2F6"><enum>(A)</enum><text>in paragraph
			 (2)—</text>
						<clause id="HBBEA1F12C5734F8487A76A796690FC77"><enum>(i)</enum><text>by
			 striking <quote>or</quote> at the end of subparagraph (A);</text>
						</clause><clause id="H03CA1DFA165E4B7C811830ED03D6CC27"><enum>(ii)</enum><text>by
			 adding <quote>or</quote> at the end of subparagraph (B);</text>
						</clause><clause id="H91571C6972FF445BB25B981339257252"><enum>(iii)</enum><text>by
			 inserting after subparagraph (B) the following:</text>
							<quoted-block id="H4001BD07CF604BDF8D47D9A628C73724" style="OLC">
								<subparagraph id="H249ED63363E94A76A7154B4954FE7C87"><enum>(C)</enum><text>a notice described
				in section 351(k)(18)(B) of the Public Health Service Act, but only with
				respect to a patent identified in such
				notice,</text>
								</subparagraph><after-quoted-block>;
				and</after-quoted-block></quoted-block>
						</clause><clause id="H38023924C9C84B59B63BA817EC4DCEF9"><enum>(iv)</enum><text>in
			 the matter following subparagraph (C) (as inserted by clause (iii) of this
			 subparagraph), by inserting before the period the following: <quote>, or if the
			 notice described in subparagraph (C) is provided in connection with an
			 application to obtain a license to engage in the commercial manufacture, use,
			 or sale of a biological product claimed in a patent or the use of which is
			 claimed in a patent before the expiration of such patent</quote>;</text>
						</clause></subparagraph><subparagraph id="H34FA529467B4491EB5C94D95CE5285D0"><enum>(B)</enum><text>by adding at the
			 end the following paragraph:</text>
						<quoted-block id="H2E414447BF8B473394EBB6BF1A6ACD37" style="OLC">
							<paragraph id="HEACD1765028D44CF8045B15D8635D4E4"><enum>(6)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="H94E8D4795E664B7FB67E6A79425D6198"><enum>(A)</enum><text>This paragraph applies
				in the case of a patent—</text>
									<clause id="HFF1FA2D6C91349F6A8FFF975757B0D75" indent="up1"><enum>(i)</enum><text>which is disclosed in a response to
				a request for patent information pursuant to subparagraph (A) of section
				351(k)(18) of the Public Health Service Act;</text>
									</clause><clause id="HCE8191F2789142E89C933B8A1FC4B25E" indent="up1"><enum>(ii)</enum><text>with respect to which a notice was
				provided pursuant to subparagraph (B) of such section; and</text>
									</clause><clause id="H1C376D621078462782E47D68CD872832" indent="up1"><enum>(iii)</enum><text>for which an action for
				infringement of the patent—</text>
										<subclause id="H1F1FD133F4D34DE39B96FAB20A5FAD27"><enum>(I)</enum><text>was brought after the expiration of the
				45-day period described in subparagraph (C) of such section; or</text>
										</subclause><subclause id="H1BE1DD05C3D44B0AAEA0A2947DBC7D71"><enum>(II)</enum><text>was brought before the expiration of the
				45-day period described in subclause (I), but which was dismissed without
				prejudice or was not prosecuted to judgment in good faith.</text>
										</subclause></clause></subparagraph><subparagraph id="H3ADFDBE280BA4EA7A18803E176996678" indent="up1"><enum>(B)</enum><text>In an action for infringement of a
				patent described in subparagraph (A), the sole and exclusive remedy that may be
				granted by a court, upon a finding that the person who submitted the notice
				described in subparagraph (A)(ii) infringed the patent, or that any person
				induced or contributed to infringement of the patent, shall be a reasonable
				royalty.</text>
								</subparagraph><subparagraph id="HCDEB24BF23CF47F884EBEAA4B89A005C" indent="up1"><enum>(C)</enum><text>The owner or licensee of a patent that
				should have been disclosed in response to a request for patent information made
				by an applicant pursuant to subparagraph (A) of section 351(k)(18) of the
				Public Health Service Act, but that was not timely disclosed under that
				subparagraph, may not bring an action under this title for infringement of that
				patent.</text>
								</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
					</subparagraph><subparagraph id="H7F19AF21584F4F0CA3A59DAFB399470F"><enum>(C)</enum><text>in paragraph
			 (5)—</text>
						<clause id="HB94D0628C1564B2385E380E98693E696"><enum>(i)</enum><text>by
			 adding <quote>(A)</quote> in front of <quote>Where</quote>; and</text>
						</clause><clause id="H303F74155BCB499588FD9BFFB6FCDAE3"><enum>(ii)</enum><text>by
			 adding the following subparagraph:</text>
							<quoted-block id="HD1A9D19B164547B88A8D8CAD2E39AE74" style="OLC">
								<subparagraph id="HDEA07883AABA424282947ADD5AB6BF74"><enum>(B)</enum><text>Where a person has
				provided a notice described in subparagraph (B) of section 351(k)(18) of the
				Public Health Service Act, and neither the holder for the approved biological
				product or the owner of a patent identified in the notice brought an action for
				infringement of such patent before the expiration of 45 days after the date on
				which the notice was received, the courts of the United States shall, to the
				extent consistent with the Constitution, have and exercise subject matter
				jurisdiction in any action brought by such person under section 2201 of title
				28 for a declaratory judgement that such patent is invalid or not
				infringed.</text>
								</subparagraph><after-quoted-block>;
				and</after-quoted-block></quoted-block>
						</clause></subparagraph><subparagraph id="HA1C6817500A349C3A0542D6B53BFF95B"><enum>(D)</enum><text>in paragraph (4),
			 by striking <quote>in paragraph (2)</quote> in both places it appears and
			 inserting <quote>in subparagraphs (2)(A) or (2)(B)</quote>.</text>
					</subparagraph></paragraph><paragraph id="H87333456B3B943D6A7398DBA3A357CC5"><enum>(3)</enum><header>Conforming
			 amendments</header>
					<subparagraph id="H7431C64DFB024C57BDDB8BBA68C93CD1"><enum>(A)</enum><header>Title
			 28</header><text>Section 2201(b) of title 28, United States Code, is amended by
			 inserting before the period the following: <quote>, or section 351 of the
			 Public Health Service Act</quote>.</text>
					</subparagraph><subparagraph id="HF7B44DAF005F4455A93E615FF168CA5B"><enum>(B)</enum><header>Public health
			 service act</header><text>Subjection (j) of section 351 of the Public Health
			 Service Act (42 U.S.C. 262) is amended by inserting <quote>or subsection
			 (k)</quote> after <quote>subsection (a)</quote>.</text>
					</subparagraph></paragraph></subsection><subsection id="H573C9932F30A4F238AD921FD5B4BF67B"><enum>(c)</enum><header>Review of
			 applications submitted during exclusivity periods</header>
				<paragraph id="H841C6494A9674A9EA57F8AACB694952B"><enum>(1)</enum><header>User fee
			 goals</header>
					<subparagraph id="H169E382596D14E05810937DB2889FED4"><enum>(A)</enum><header>Revision</header><text>Within
			 180 days after the date of the enactment of this Act, the Secretary of Health
			 and Human Services, in consultation with the relevant stakeholders, shall
			 revise the PDUFA reauthorization performance goals and procedures with respect
			 to the user fee goals for abbreviated biological product applications under
			 section 351(k) of the Public Health Service Act, as added by subsection (a) of
			 this section, that are submitted more than 2 years in advance of the expiration
			 of any period of exclusive marketing to which the reference drug is entitled
			 under subsection (k)(10) or subsection (l) of section 351 of the Public Health
			 Service Act, as added by subsection (a) of this section and section 4
			 respectively.</text>
					</subparagraph><subparagraph id="HBA9FBE0864F44E6199CDAD1B30760BB8"><enum>(B)</enum><header>Considerations</header><text>In
			 revising the user fee goals for applications described in subparagraph (A), the
			 Secretary shall consider—</text>
						<clause id="HD4A20CCE13834EE2B731ED8EB28D5AEF"><enum>(i)</enum><text>the
			 need to provide sufficient time so that a decision on whether to approve the
			 application can be made in advance of the expiration of any exclusivity, and
			 considering the possibility that amendments will be necessary after the initial
			 decision and prior to approval; and</text>
						</clause><clause id="HD1E8F8EFB29B480586B8FF16AB6F5D9A"><enum>(ii)</enum><text>the
			 importance of conserving agency resources.</text>
						</clause></subparagraph></paragraph><paragraph id="HEFC778BDC9194743BB89E58EF6940E31"><enum>(2)</enum><header>Review
			 priorities</header><text>In setting priorities with respect to the review of
			 applications described in paragraph (1)(A), the Secretary shall take into
			 account the number of years in advance of the expiration of any exclusivity
			 granted to the reference drug that an application was submitted.</text>
				</paragraph><paragraph id="H54F37BA69A3547B68AD81C341C3115FD"><enum>(3)</enum><header>Submission of
			 revised performance goals to congress</header><text>The Secretary shall, within
			 30 days after revising the PDUFA reauthorization performance goals and
			 procedures under this subsection, submit to the Committee on Energy and
			 Commerce of the House of Representatives and the Committee on Health,
			 Education, Labor, and Pensions of the Senate a letter describing the revised
			 goals and the basis for such revisions.</text>
				</paragraph><paragraph id="H22E0DBDBEEA545B194D0A5536BDFB97B"><enum>(4)</enum><header>Definitions</header><text>In
			 this subsection:</text>
					<subparagraph id="H50D83018037248D2B02B996BF5766EE2"><enum>(A)</enum><text>The terms
			 <term>abbreviated biological product application</term> and <term>reference
			 product</term> have the meanings given to those terms in section 351(i) of the
			 Public Health Service Act, as amended by section 2(a).</text>
					</subparagraph><subparagraph id="H97AF8EA7A7084083837CDA8B1BAF1654"><enum>(B)</enum><text>The term
			 <term>PDUFA reauthorization performance goals and procedures</term> means the
			 performance goals and procedures of the Food and Drug Administration, agreed to
			 for purposes of the reauthorization of part 2 of subchapter C of chapter VII of
			 the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 279g et seq.; relating to
			 the prescription drug user fee program) for fiscal year 2008 and succeeding
			 fiscal years.</text>
					</subparagraph></paragraph></subsection></section><section id="H702277021E5C473284C013AADEE88BC3"><enum>4.</enum><header>Pediatric studies
			 of biological products</header><text display-inline="no-display-inline">Section
			 351 of the Public Health Service Act (42 U.S.C. 262), as amended by section 3,
			 is further amended by adding at the end the following:</text>
			<quoted-block display-inline="no-display-inline" id="H632D19ECF8024E9796797ECF15415298" style="OLC">
				<subsection id="H339E8F6C856A43808B4D63BAE05BC11F"><enum>(l)</enum><header>Pediatric
				studies</header>
					<paragraph id="H97F2D71B872C4BF383F198CC05591D15"><enum>(1)</enum><header>Application of
				certain provisions</header><text>The provisions of section 505A of the Federal
				Food, Drug, and Cosmetic Act shall, except as inconsistent with this section,
				apply to biological products approved under subsection (a) or (k) of this
				section to the same extent and in the same manner as such provisions apply to
				drugs approved under subsection (c) or (j), respectively, of section 505 of the
				Federal Food, Drug, and Cosmetic Act.</text>
					</paragraph><paragraph id="H736A411FD281422E8044DC303855008E"><enum>(2)</enum><header>Market
				exclusively for new biological products</header><text display-inline="yes-display-inline">If, prior to approval of an application
				that is submitted under subsection (a) of this section, the Secretary
				determines that information relating to the use of a new biological product in
				the pediatric population may produce health benefits in that population, the
				Secretary makes a written request for pediatric studies (which shall include a
				timeframe for completing such studies), the applicant agrees to the request,
				such studies are completed using appropriate formulations for each age group
				for which the study is requested within any such timeframe, and the reports
				thereof are submitted and accepted in accordance with section 505A(d)(3) of the
				Federal Food, Drug, and Cosmetic Act—</text>
						<subparagraph id="H73BD909CD11447469F7CDED9C752792"><enum>(A)</enum><text>the period for such
				biological product referred to in subparagraph (A) of subsection (k)(10),
				including any extension under subparagraph (D) of such subsection, is extended
				by 6 months; and</text>
						</subparagraph><subparagraph id="H8747E1C081DE49628F9EFAD200D91D00"><enum>(B)</enum><text>if the biological
				product is designated under section 526 for a rare disease or condition, the
				period for such biological product referred to in section 527(a) is deemed to
				be 7 years and 6 months rather than 7 years.</text>
						</subparagraph></paragraph><paragraph id="HF95238D2714A44A7B781DB6FD5C1D182"><enum>(3)</enum><header>Market
				exclusivity for already-marketed biological products</header><text display-inline="yes-display-inline">If the Secretary determines that
				information relating to the use of a licensed biological product in the
				pediatric population may produce health benefits in that population and makes a
				written request to the holder of an approved application under subsection (a)
				of this section for pediatric studies (which shall include a timeframe for
				completing such studies), the holder agrees to the request, such studies are
				completed using appropriate formulations for each age group for which the study
				is requested within any such timeframe, and the reports thereof are submitted
				and accepted in accordance with section 505A(d)(3) of the Federal Food, Drug,
				and Cosmetic Act—</text>
						<subparagraph id="H935FA93C9C9745F4ACFFF47D06853756"><enum>(A)</enum><text display-inline="yes-display-inline">the period for such biological product
				referred to in subparagraph (A) of subsection (k)(10), including any extension
				under subparagraph (D) of such subsection, is extended by 6 months; and</text>
						</subparagraph><subparagraph id="H076C585FEB6D4E42B8FC5CB1C08877B5"><enum>(B)</enum><text>if the biological
				product is designated under section 526 for a rare disease or condition, the
				period for such biological product referred to in section 527(a) is deemed to
				be 7 years and 6 months rather than 7 years.</text>
						</subparagraph></paragraph><paragraph id="HD1830FABA6954D348E05AC2DD200E3F2"><enum>(4)</enum><header>Exception</header><text>The
				Secretary shall not extend the period referred to in paragraph (2)(A), (2)(B),
				(3)(A), or (3)(B) if the determination under section 505A(d)(3) is made later
				than 9 months prior to the expiration of such
				period.</text>
					</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
		</section></legis-body>
</bill>
