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<bill bill-stage="Introduced-in-Senate" public-private="public">
	<form>
		<distribution-code display="yes">II</distribution-code>
		<congress>111th CONGRESS</congress>
		<session>1st Session</session>
		<legis-num>S. 558</legis-num>
		<current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber>
		<action>
			<action-date date="20090310">March 10, 2009</action-date>
			<action-desc><sponsor name-id="S277">Mr. Carper</sponsor> (for himself,
			 <cosponsor name-id="S288">Ms. Murkowski</cosponsor>, <cosponsor name-id="S300">Mr. Burr</cosponsor>, <cosponsor name-id="S258">Ms.
			 Landrieu</cosponsor>, <cosponsor name-id="S282">Mr. Nelson of
			 Florida</cosponsor>, and <cosponsor name-id="S271">Mr. Voinovich</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 display="yes">To amend the Federal Food, Drug, and
		  Cosmetic Act with respect to nutrition labeling of food offered for sale in
		  food service establishments.</official-title>
	</form>
	<legis-body>
		<section commented="no" display-inline="no-display-inline" id="S1" section-type="section-one"><enum>1.</enum><header display-inline="yes-display-inline">Short title; table of contents</header>
			<subsection commented="no" display-inline="no-display-inline" id="id8934F8AFD67E4D51B1D4D3B25662124C"><enum>(a)</enum><header display-inline="yes-display-inline">Short title</header><text display-inline="yes-display-inline">This Act may be cited as the
			 <quote><short-title>Labeling Education and Nutrition Act
			 of 2009</short-title></quote> or the <quote><short-title>LEAN Act of 2009</short-title></quote>.</text>
			</subsection><subsection commented="no" display-inline="no-display-inline" id="id1F65C5F6D63542C4A6B1D4DEF1510DEE"><enum>(b)</enum><header display-inline="yes-display-inline">Table of contents</header><text display-inline="yes-display-inline">The table of contents of this Act is as
			 follows:</text>
				<toc>
					<toc-entry bold="off" idref="S1" level="section">Sec. 1. Short title;
				table of contents.</toc-entry>
					<toc-entry bold="off" idref="ID590202ebad134163aa0ed0db634d4a76" level="section">Sec. 2. Findings.</toc-entry>
					<toc-entry bold="off" idref="ID87fce640adbc42f39c4da71f356673ae" level="section">Sec. 3. Definitions.</toc-entry>
					<toc-entry bold="off" idref="IDa0ade29769914e39b25365cf0fad6168" level="section">Sec. 4. Nutrition labeling exemption.</toc-entry>
					<toc-entry bold="off" idref="id4C9132E9D67C4CE2B907838778C355A5" level="section">Sec. 5. Voluntary nutrition labeling.</toc-entry>
					<toc-entry bold="off" idref="ID689fddde31ee4a95be61ba52b68cbfe7" level="section">Sec. 6. Mandatory nutrition labeling.</toc-entry>
					<toc-entry bold="off" idref="ID3d7272f9f16742c39aea3156eebdcb46" level="section">Sec. 7. National uniformity.</toc-entry>
					<toc-entry bold="off" idref="id4A2C4574BE4B4E88AB5FF638AE6A1F12" level="section">Sec. 8. Implementing regulations.</toc-entry>
					<toc-entry bold="off" idref="ID1e2d709dd65e4f8192ec71e0682b7ae7" level="section">Sec. 9. Effective dates.</toc-entry>
					<toc-entry bold="off" idref="ID877e0551d5bb490ba398e01f254dbfef" level="section">Sec. 10. Technical and conforming amendments.</toc-entry>
				</toc>
			</subsection></section><section commented="no" display-inline="no-display-inline" id="ID590202ebad134163aa0ed0db634d4a76" section-type="subsequent-section"><enum>2.</enum><header display-inline="yes-display-inline">Findings</header><text display-inline="no-display-inline">Congress finds that—</text>
			<paragraph commented="no" display-inline="no-display-inline" id="IDe40b8bbddd0b455eb388c0d3f7e4d399"><enum>(1)</enum><text display-inline="yes-display-inline">a healthy lifestyle includes a balanced
			 diet as well as physical activity;</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID13b44cea87da400fbb6372d8e2c73625"><enum>(2)</enum><text display-inline="yes-display-inline">more than 60 percent of American adults and
			 30 percent of American children suffer from being overweight and obese, which
			 can lead to many chronic health risks, including diabetes, heart disease, and
			 hypertension;</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID090307dbe8784f0d87cc69fe50b5a787"><enum>(3)</enum><text display-inline="yes-display-inline">the United States ranks last among nations
			 in reducing the number of preventable deaths resulting from obesity-related
			 chronic illnesses;</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID638887dc660f44518c0d10a282699652"><enum>(4)</enum><text display-inline="yes-display-inline">during the 2-decade period preceding the
			 date of enactment of this Act, there has been a significant increase in the
			 number of meals prepared or eaten outside the home;</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDe19a0dcc439549ed94273efc0ff9d1e8"><enum>(5)</enum><text display-inline="yes-display-inline">nutrition labeling pursuant to the
			 Nutrition Labeling and Education Act of 1990 has increased significantly
			 American consumers' access to nutrition information regarding the foods they
			 consume;</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID98d0898255894ecb9da1a86438db335e"><enum>(6)</enum><text display-inline="yes-display-inline">the Department of Agriculture and leading
			 health groups recognize that many individuals require different information
			 based on individual and specific health needs and risks;</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDdba206e05be6429cb0762f8e9b2fa855"><enum>(7)</enum><text display-inline="yes-display-inline">the nutrients provided pursuant to the
			 Nutrition Labeling and Education Act of 1990 (Public Law 101–535) provides
			 consumers with all the tools needed to make healthy choices;</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID017463c6f8c143af9777913b8ed8c3df"><enum>(8)</enum><text display-inline="yes-display-inline">as of 2008, nutrition information for
			 standard food items is voluntarily provided by various delivery methods at many
			 major chains of food service establishments;</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDa0cf81f56b8643aa88d01e1735c95176"><enum>(9)</enum><text display-inline="yes-display-inline">the nutrient content of a food offered for
			 sale in a food service establishment can be determined with appropriate
			 accuracy by consulting nutrient databases, cookbooks, laboratory analyses, or
			 other sources that provide a reasonable basis for information regarding the
			 nutrient content of a food, notwithstanding variability in the portion size,
			 formulation, and other characteristics of such food or its preparation method;
			 and</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID39451faa9d004115a82b98716a46da68"><enum>(10)</enum><text display-inline="yes-display-inline">public health and welfare are advanced if
			 food service establishment nutrition information is not subject to frivolous
			 litigation.</text>
			</paragraph></section><section commented="no" display-inline="no-display-inline" id="ID87fce640adbc42f39c4da71f356673ae" section-type="subsequent-section"><enum>3.</enum><header display-inline="yes-display-inline">Definitions</header><text display-inline="no-display-inline">Section 403(q) of the Federal Food, Drug,
			 and Cosmetic Act (21 U.S.C. 343(q)) is amended by adding at the end the
			 following:</text>
			<quoted-block display-inline="no-display-inline" id="idB9211E628CD949698B4FDA2FE06CF266" style="OLC">
				<paragraph commented="no" display-inline="no-display-inline" id="ID023dc5d60bd843e2926f9bc2af860f1f"><enum>(6)</enum><header display-inline="yes-display-inline">Definitions</header><text display-inline="yes-display-inline">For purposes of subparagraphs (7) and
				(8):</text>
					<subparagraph commented="no" display-inline="no-display-inline" id="IDe624e9c551a74414848212dfc1247643"><enum>(A)</enum><text display-inline="yes-display-inline">The term <term>standard food item</term>
				means a food offered for sale at least 90 days per calendar year, but does not
				include food not separately offered for sale or food exempt under subparagraph
				(5)(C).</text>
					</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID1f9769a452154e67af4fc681cd24b910"><enum>(B)</enum><text display-inline="yes-display-inline">The term <term>menu</term> or <term>menu
				board</term> means the primary writing on the premises of the food service
				establishment from which consumers make their order selection.</text>
					</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDc2daec08d07e4a588e8dff4dd6834272"><enum>(C)</enum><text display-inline="yes-display-inline">The term <term>reasonable basis</term>
				means any means of determining nutrition information for a standard food item
				made without an intent to deceive, including nutrient databases, cookbooks,
				laboratory analyses, and other reasonable means.</text>
					</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID263b4e41289d4a0c908e7841cb660974"><enum>(D)</enum><text display-inline="yes-display-inline">The term <term>food service
				establishment</term> means an establishment that offers for sale food described
				in subclause (i) or (ii) of subparagraph
				(5)(A).</text>
					</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
		</section><section commented="no" display-inline="no-display-inline" id="IDa0ade29769914e39b25365cf0fad6168" section-type="subsequent-section"><enum>4.</enum><header display-inline="yes-display-inline">Nutrition labeling exemption</header><text display-inline="no-display-inline">Section 403(q)(5)(A) of the Federal Food,
			 Drug, and Cosmetic Act (21 U.S.C. 343(q)(5)(A)) is amended—</text>
			<paragraph commented="no" display-inline="no-display-inline" id="ID40a99ba635f243ddace116c3bf06b04c"><enum>(1)</enum><text display-inline="yes-display-inline">by adding at the end of subclause (i) the
			 following: <quote>except that such food shall not be considered exempt under
			 this subclause for purposes of providing nutrition information under
			 subparagraph (7) or (8),</quote>; and</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id898A1DF414934E7D91CF7A0DCA22D7DE"><enum>(2)</enum><text display-inline="yes-display-inline">by adding at the end of subclause (ii) the
			 following: <quote>except that such food shall not be considered exempt under
			 this subclause for purposes of providing nutrition information under
			 subparagraph (7) or (8),</quote>.</text>
			</paragraph></section><section commented="no" display-inline="no-display-inline" id="id4C9132E9D67C4CE2B907838778C355A5" section-type="subsequent-section"><enum>5.</enum><header display-inline="yes-display-inline">Voluntary nutrition labeling</header><text display-inline="no-display-inline">Section 403(q) of the Federal Food, Drug,
			 and Cosmetic Act (21 U.S.C. 343(q)), as amended by section 3, is further
			 amended by adding at the end the following:</text>
			<quoted-block display-inline="no-display-inline" id="idE2AD745745274BDD8A74E57271D625C6" style="OLC">
				<paragraph commented="no" display-inline="no-display-inline" id="ID4da9b2511ff64bd0a7caf0c6fbb09c3e"><enum>(7)</enum><header display-inline="yes-display-inline">Voluntary nutrition labeling of food
				service establishment food</header><text display-inline="yes-display-inline">A
				food service establishment may provide nutrition information for a food item
				under this subparagraph by meeting the following requirements:</text>
					<subparagraph commented="no" display-inline="no-display-inline" id="id029CEBA5D60047FC943B3CFB831CEAE7"><enum>(A)</enum><text display-inline="yes-display-inline">Providing nutrition information for all of
				the nutrients required by subparagraphs (1)(C) and (1)(D), determined with a
				reasonable basis.</text>
					</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idC597F35F294D4EAEAC9B482B95D9164C"><enum>(B)</enum><text display-inline="yes-display-inline">Disclosing such information in written form
				on the premises of the food service establishment.</text>
					</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id9C0D87F3088B46A19982E5478048B3F7"><enum>(C)</enum><text display-inline="yes-display-inline">Making such disclosure available upon
				request prior to
				purchase.</text>
					</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
		</section><section commented="no" display-inline="no-display-inline" id="ID689fddde31ee4a95be61ba52b68cbfe7" section-type="subsequent-section"><enum>6.</enum><header display-inline="yes-display-inline">Mandatory nutrition labeling</header><text display-inline="no-display-inline">Section 403(q) of the Federal Food, Drug,
			 and Cosmetic Act (21 U.S.C. 343(q)), as amended by section 5, is further
			 amended by adding at the end the following:</text>
			<quoted-block display-inline="no-display-inline" id="id7500F7EB20B54CD1BE191EE7A23E3270" style="OLC">
				<paragraph commented="no" display-inline="no-display-inline" id="ID1ce21498683d478c82b62741251dc16d"><enum>(8)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">The labeling of a standard food item served
				or offered for sale in a food service establishment that is part of a chain
				that operates 20 or more establishments under the same trade name (regardless
				of the type of ownership of the establishments) shall, except as provided in
				clause (E), disclose, in a clear and conspicuous manner in accordance with
				paragraph (f), the following information, determined with a reasonable basis,
				as follows:</text>
					<subparagraph commented="no" display-inline="no-display-inline" id="idFF0CDCA50FCA4ECD8A263F4CC6330947"><enum>(A)</enum><header display-inline="yes-display-inline">Disclosure of calories</header>
						<clause commented="no" display-inline="no-display-inline" id="ID90945aae2da44205983d13ba80c5cf74"><enum>(i)</enum><header display-inline="yes-display-inline">Calories on the menu board</header><text display-inline="yes-display-inline">The number of calories shall be disclosed
				prior to the point of purchase by 1 of the following means:</text>
							<subclause commented="no" display-inline="no-display-inline" id="ID897da823c31c40ffae09e134e47bfda3"><enum>(I)</enum><text display-inline="yes-display-inline">On the menu board.</text>
							</subclause><subclause commented="no" display-inline="no-display-inline" id="ID63d40fc6a8584215bed7ae83fb284bf0"><enum>(II)</enum><text display-inline="yes-display-inline">On a sign presenting standard food items in
				a manner similar to the menu board and located on the same wall as the menu
				board.</text>
							</subclause><subclause commented="no" display-inline="no-display-inline" id="ID8bc74e4188844d5d88b839eb8f5d264d"><enum>(III)</enum><text display-inline="yes-display-inline">On a sign at eye level in the consumer
				queue prior to the point of purchase.</text>
							</subclause></clause><clause commented="no" display-inline="no-display-inline" id="ID5e3fe48bddca489bbcbfb4d86e4a7f8c"><enum>(ii)</enum><header display-inline="yes-display-inline">Calories on the menu</header><text display-inline="yes-display-inline">The number of calories shall be disclosed
				prior to the point of purchase by 1 of the following means:</text>
							<subclause commented="no" display-inline="no-display-inline" id="IDb7274c00d5ae4cc5afadf9fdf351bd4f"><enum>(I)</enum><text display-inline="yes-display-inline">In the menu.</text>
							</subclause><subclause commented="no" display-inline="no-display-inline" id="ID44a2bde20a234b6eb9032f5fe267aa15"><enum>(II)</enum><text display-inline="yes-display-inline">In an insert that accompanies the
				menu.</text>
							</subclause><subclause commented="no" display-inline="no-display-inline" id="ID0a78c499957d48abb79f98a89eb3952e"><enum>(III)</enum><text display-inline="yes-display-inline">In an appendix that is attached to the back
				of the menu.</text>
							</subclause><subclause commented="no" display-inline="no-display-inline" id="ID7598b66f312d4b0482e8fc462a442adf"><enum>(IV)</enum><text display-inline="yes-display-inline">In a supplemental menu that accompanies the
				menu.</text>
							</subclause></clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDc4dc6513e51649088d73936111ab60b6"><enum>(B)</enum><header display-inline="yes-display-inline">Additional nutrition
				information</header><text display-inline="yes-display-inline">The nutrition
				information for all nutrients required by subparagraphs (1)(C) and (1)(D) shall
				be located on the premises of the food service establishment, in writing, and
				available to the consumer upon request prior to the point of purchase.</text>
					</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID60adfb631c484fb6a6d6deb4e161f903"><enum>(C)</enum><header display-inline="yes-display-inline">Referral statement</header><text display-inline="yes-display-inline">A menu, menu board, or other writing prior
				to the point of purchase shall bear a statement directing the consumer to the
				availability of additional nutrition information required under clause
				(B).</text>
					</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID8972f9dd07c64a9b819fac8d01e4c7a0"><enum>(D)</enum><header display-inline="yes-display-inline">Calorie information statement</header><text display-inline="yes-display-inline">If calories are not listed directly on a
				menu or menu board pursuant to subclause (i)(I), (i)(II), or (ii)(I) of clause
				(A), then the menu or menu board shall state the suggested daily caloric intake
				as 2000 calories or an alternative statement prescribed by the Secretary
				through guidance.</text>
					</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDbcf54c9b71e342faa0d4e60780ea596a"><enum>(E)</enum><header display-inline="yes-display-inline">Applicability</header><text display-inline="yes-display-inline">This subparagraph shall not apply
				to—</text>
						<clause commented="no" display-inline="no-display-inline" id="id3778DDCBBCF54081B76AF4C0343C3865"><enum>(i)</enum><text display-inline="yes-display-inline">food offered for sale in a nonprofit food
				service establishment;</text>
						</clause><clause commented="no" display-inline="no-display-inline" id="id201696C130F4422BBA3174F47B840B88"><enum>(ii)</enum><text display-inline="yes-display-inline">food that is not food described in
				subclause (i) or (ii) of subparagraph (5)(A); and</text>
						</clause><clause commented="no" display-inline="no-display-inline" id="idC4A2426093C140CAB33B05A5B4071E87"><enum>(iii)</enum><text display-inline="yes-display-inline">such other food as the Secretary may exempt
				by regulation.</text>
						</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID0041923531e8444ea139169e5fea8bd0"><enum>(F)</enum><header display-inline="yes-display-inline">Violations</header><text display-inline="yes-display-inline">A person shall have knowingly or willfully
				violated the requirements of this paragraph if the person—</text>
						<clause commented="no" display-inline="no-display-inline" id="idA3C36CEB71C84D27AE029BF61AE22773"><enum>(i)</enum><text display-inline="yes-display-inline">purposefully failed to make a disclosure
				required by this paragraph; or</text>
						</clause><clause commented="no" display-inline="no-display-inline" id="id9939F2D73D6640509F521E583D6601F0"><enum>(ii)</enum><text display-inline="yes-display-inline">made a disclosure under this paragraph with
				an intent to deceive.</text>
						</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idA859B20D96784DCDBD466A4C7A70DE81"><enum>(G)</enum><header display-inline="yes-display-inline">One determination per item</header><text display-inline="yes-display-inline">A reasonable basis determination of
				nutrition information shall be required only once per standard food item if the
				portion size is reasonably consistent and the food service establishment
				follows a standardized recipe and trains to a consistent method of
				preparation.</text>
					</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
		</section><section commented="no" display-inline="no-display-inline" id="ID3d7272f9f16742c39aea3156eebdcb46" section-type="subsequent-section"><enum>7.</enum><header display-inline="yes-display-inline">National uniformity</header><text display-inline="no-display-inline">Section 403A(a)(4) of the Federal Food,
			 Drug, and Cosmetic Act (21 U.S.C. 343–1(a)(4)) is amended to read as
			 follows:</text>
			<quoted-block display-inline="no-display-inline" id="id20774929B0494A1A97C3051E43850BDD" style="OLC">
				<paragraph commented="no" display-inline="no-display-inline" id="IDdff0a5f0f41542af9a7bdba3d45c215d"><enum>(4)</enum><text display-inline="yes-display-inline">any requirement for nutrition labeling of
				food that is not identical to the requirement of section 403(q), except a
				requirement for nutrition labeling of food which is exempt under subclause (i)
				or (ii) of section 403(q)(5)(A), other than food served in an establishment
				that is not part of a chain that operates 20 or more establishments under the
				same trade name,
				or</text>
				</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
		</section><section commented="no" display-inline="no-display-inline" id="id4A2C4574BE4B4E88AB5FF638AE6A1F12" section-type="subsequent-section"><enum>8.</enum><header display-inline="yes-display-inline">Implementing regulations</header><text display-inline="no-display-inline">The Secretary of Health and Human Services
			 (referred to in this section as the <quote>Secretary</quote>) shall carry out
			 the following:</text>
			<paragraph commented="no" display-inline="no-display-inline" id="idDB91922BCCB547C6AACFDA07C546064A"><enum>(1)</enum><text display-inline="yes-display-inline">Not later than 1 year after the date of
			 enactment of this Act, the Secretary shall promulgate proposed regulations to
			 mandate nutrition labeling of food service establishment food in accordance
			 with section 403(q)(8) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.
			 343(q)(8)) (as added by section 6).</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID3420982778dd40c093db148de3e141bd"><enum>(2)</enum><text display-inline="yes-display-inline">Not later than 2 years after the date of
			 enactment of this Act, the Secretary shall promulgate final regulations to
			 mandate nutrition labeling of food service establishment food in accordance
			 with section 403(q)(8) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.
			 343(q)(8)) (as added by section 6).</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID4fbcde935c5a4defa4dbc687f42c7cd8"><enum>(3)</enum><text display-inline="yes-display-inline">If the Secretary determines that a nutrient
			 other than a nutrient required by section 403(q)(8) of the Federal Food, Drug,
			 and Cosmetic Act (21 U.S.C. 343(q)(8)) should be included in the labeling of
			 food menu items subject to such section 403(q)(8) for purposes of providing
			 information regarding the nutritional value of such food that will assist
			 consumers in maintaining healthy dietary practices, the Secretary may by
			 regulation require that information relating to such an additional nutrient be
			 included in the labeling of such food items.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID1762f109aa1445d2ab297393cdb83a79"><enum>(4)</enum><text display-inline="yes-display-inline">If the Secretary determines that the
			 information relating to a nutrient required by section 403(q)(8) of the Federal
			 Food, Drug, and Cosmetic Act (21 U.S.C. 343(q)(8)) or paragraph (3) of this
			 section to be included in the labeling of food menu items is not necessary to
			 assist consumers in maintaining healthy dietary practices, the Secretary may by
			 regulation strike the requirement to include such information relating to such
			 nutrient.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDa625991ad0114a97a967bb5a2820f2d9"><enum>(5)</enum><text display-inline="yes-display-inline">The Secretary may prescribe by regulation
			 alternative clear and conspicuous means of meeting the requirements of section
			 403(q)(8)(A) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.
			 343(q)(8)(A)) (as added by section 6).</text>
			</paragraph></section><section commented="no" display-inline="no-display-inline" id="ID1e2d709dd65e4f8192ec71e0682b7ae7" section-type="subsequent-section"><enum>9.</enum><header display-inline="yes-display-inline">Effective dates</header><text display-inline="no-display-inline">The amendments made by this Act shall take
			 effect on the date of enactment of this Act, except that the amendment made by
			 section 6 shall take effect 180 days after the Secretary of Health and Human
			 Services promulgates final regulations under section 8(2).</text>
		</section><section commented="no" display-inline="no-display-inline" id="ID877e0551d5bb490ba398e01f254dbfef" section-type="subsequent-section"><enum>10.</enum><header display-inline="yes-display-inline">Technical and conforming
			 amendments</header>
			<subsection commented="no" display-inline="no-display-inline" id="id00BAEC272A0340E2B45900319702323B"><enum>(a)</enum><text display-inline="yes-display-inline">Section 403(q)(1) of the Federal Food,
			 Drug, and Cosmetic Act (21 U.S.C. 343(q)(1)) is amended by striking
			 <quote>subparagraphs (3), (4), and (5)</quote> and inserting
			 <quote>subparagraphs (3), (4), (5), (7), and (8).</quote></text>
			</subsection><subsection commented="no" display-inline="no-display-inline" id="id3C194E69272242B9BCCF32D32CD13EF6"><enum>(b)</enum><text display-inline="yes-display-inline">Section 403(q)(5)(G) of the Federal Food,
			 Drug, and Cosmetic Act (21 U.S.C. 343(q)(5)(G)) is amended by striking
			 <quote>Subparagraphs (1), (2), (3) and (4)</quote> and inserting
			 <quote>Subparagraphs (1), (2), (3), (4), (7) and (8).</quote></text>
			</subsection></section></legis-body>
</bill>
