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<dc:title>116 HR 5133 IH: Affordable Prescriptions for Patients Through Promoting Competition Act of 2019</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2019-11-18</dc:date>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">116th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 5133</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20191118">November 18, 2019</action-date><action-desc><sponsor name-id="C001084">Mr. Cicilline</sponsor> (for himself, <cosponsor name-id="C001093">Mr. Collins of Georgia</cosponsor>, <cosponsor name-id="N000002">Mr. Nadler</cosponsor>, and <cosponsor name-id="S000244">Mr. Sensenbrenner</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HJU00">Committee on the Judiciary</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To amend the Federal Trade Commission Act to prohibit anticompetitive behaviors by drug product
			 manufacturers, and for other purposes.</official-title></form>
	<legis-body id="H2B8A71CB060B484781D9747E056E4557" style="OLC">
 <section id="H760EDF9E72C042388D33C8E01F53D9A1" 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>Affordable Prescriptions for Patients Through Promoting Competition Act of 2019</short-title></quote>.</text> </section><section id="H95629F94B42D4A24A4DBE97C3D545EDA"><enum>2.</enum><header>Product hopping</header> <subsection id="HAC5F957854884357930639D9F216F727"><enum>(a)</enum><header>In general</header><text>The Federal Trade Commission Act (<external-xref legal-doc="usc" parsable-cite="usc/15/41">15 U.S.C. 41</external-xref> et seq.) is amended by inserting after section 26 (<external-xref legal-doc="usc" parsable-cite="usc/15/57c-2">15 U.S.C. 57c–2</external-xref>) the following:</text>
				<quoted-block act-name="" id="HEE2116756AD5466A95C900E638F1E54C" style="OLC">
					<section id="HC8616C82147F42F9951F6CBD63852E1D"><enum>27.</enum><header>Product hopping</header>
 <subsection id="HBEAEA8BC6FF94CA2938F80314914AD81"><enum>(a)</enum><header>Definitions</header><text>In this section:</text> <paragraph commented="no" display-inline="no-display-inline" id="H9F0A608A96F3426C8882EB5E28A32922"><enum>(1)</enum><header display-inline="yes-display-inline">Abbreviated new drug application</header><text display-inline="yes-display-inline">The term <term>abbreviated new drug application</term> means an application under subsection (b)(2) or (j) of section 505 of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355</external-xref>).</text>
 </paragraph><paragraph commented="no" display-inline="no-display-inline" id="H2417F01BB9AC4096ABA588D110597BCD"><enum>(2)</enum><header>Biosimilar biological product</header><text display-inline="yes-display-inline">The term <term>biosimilar biological product</term> means a biological product licensed under section 351(k) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(k)</external-xref>).</text>
 </paragraph><paragraph commented="no" display-inline="no-display-inline" id="H9AE78CF133054F9C9AF987B3E7142E37"><enum>(3)</enum><header display-inline="yes-display-inline">Biosimilar biological product license application</header><text display-inline="yes-display-inline">The term <term>biosimilar biological product license application</term> means an application submitted under section 351(k) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(k)</external-xref>).</text>
 </paragraph><paragraph commented="no" display-inline="no-display-inline" id="H128772A2E746444F8C547ACFA93D04E7"><enum>(4)</enum><header display-inline="yes-display-inline">Follow-on product</header><text display-inline="yes-display-inline">The term <term>follow-on product</term>—</text> <subparagraph commented="no" display-inline="no-display-inline" id="H9FE7EF6EA0D7447B84F5F143954F5063"><enum>(A)</enum><text display-inline="yes-display-inline">means a drug approved through an application or supplement to an application submitted under section 505(b) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355(c)</external-xref>) or a biological product licensed through an application or supplement to an application submitted under section 351(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(a)</external-xref>) for a change, modification, or reformulation to the same manufacturer's previously approved drug or biological product that treats the same or a related indication;</text>
 </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H085EBC00246E4127B84FA8BBD09828A0"><enum>(B)</enum><text display-inline="yes-display-inline">excludes such an application or supplement to an application for a change, modification, or reformulation of a drug or biological product that is requested by the Secretary or necessary to comply with law, including sections 505A and 505B of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355a">21 U.S.C. 355a</external-xref>, 355c);</text>
 </subparagraph><subparagraph display-inline="no-display-inline" id="H4F4847E696B74968A891B381B5D7D715"><enum>(C)</enum><text>excludes such an application or supplement to an application submitted under section 505(b) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355(c)</external-xref>) that has been granted New Chemical Entity exclusivity (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355(c)(3)(E)(ii)</external-xref>) by the Food and Drug Administration; and</text>
 </subparagraph><subparagraph id="H45697598478F460F82372EE908E27082"><enum>(D)</enum><text>excludes such an application or supplement submitted under section 351(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(a)</external-xref>) that has been granted exclusivity pursuant to section 351(k)(7) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(k)(7)</external-xref>).</text>
 </subparagraph></paragraph><paragraph id="H934A0D74284A4F079560B39A57FA881F"><enum>(5)</enum><header>Commission</header><text>The term <term>Commission</term> means the Federal Trade Commission</text> </paragraph><paragraph id="H3F849AC0EB824094B05F0391CAC5D1A0"><enum>(6)</enum><header>Disadvantage</header><text>The term <term>disadvantage</term> means to impede the listed drug or reference product’s ability to compete on the merits with the follow-on product. This term excludes actions that consist solely of—</text>
 <subparagraph id="HB36C55B57C254303BC30DE129E44296D"><enum>(A)</enum><text>truthful, non-misleading promotional marketing; or</text> </subparagraph><subparagraph id="HA41B156FA31742D68434038FA2EB5E3C"><enum>(B)</enum><text display-inline="yes-display-inline">ceasing promotional marketing for the listed drug or reference product.</text>
 </subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H45A3922D1C234809B8A624EA67431A1C"><enum>(7)</enum><header display-inline="yes-display-inline">Generic drug</header><text display-inline="yes-display-inline">The term <term>generic drug</term> means a drug approved under an application submitted under subsection (b)(2) or (j) of section 505 of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355</external-xref>).</text>
 </paragraph><paragraph commented="no" display-inline="no-display-inline" id="H26239CE808C344A1A42B991F05BC24BD"><enum>(8)</enum><header>Listed drug</header><text>The term <term>listed drug</term> means a drug listed under section 505(j)(7) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355(j)(7)</external-xref>).</text>
 </paragraph><paragraph commented="no" display-inline="no-display-inline" id="HC6FE1CB5E5A84CF3B7B8F474CEB215A0"><enum>(9)</enum><header>Manufacturer</header><text>The term <term>manufacturer</term> means the holder, licensee, or assignee of—</text> <subparagraph commented="no" display-inline="no-display-inline" id="H1A0F6ED4C80247EF8C6C6CAE29B587D6"><enum>(A)</enum><text>an approved application for a drug under section 505(c) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355(c)</external-xref>); or</text>
 </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H0105386D11AA4D3081F46CDFF7959CCF"><enum>(B)</enum><text>a biological product license under section 351(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(a)</external-xref>).</text>
 </subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="HDCECAE98F9C04500B3A2F4460520CBA9"><enum>(10)</enum><header display-inline="yes-display-inline">Reference product</header><text display-inline="yes-display-inline">The term <term>reference product</term> has the meaning given the term in section 351(i) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(i)</external-xref>).</text>
 </paragraph><paragraph id="HACC121BB54AA41C88C64B07F22CFD6E4"><enum>(11)</enum><header>Ultimate parent entity</header><text>The term <term>ultimate parent entity</term> has the meaning given the term in section 801.1 of title 16, Code of Federal Regulations, or any successor regulation.</text>
							</paragraph></subsection><subsection id="HAF48D6951CF24F0DB331948B95D75CF4"><enum>(b)</enum><header>Prohibition on product hopping</header>
 <paragraph id="H01261C3DCF764B40BC29338A88D028CD"><enum>(1)</enum><header>Prima facie</header><text display-inline="yes-display-inline">Except as provided in paragraph (2), a manufacturer of a reference product or listed drug shall be considered to have engaged in an unfair method of competition in or affecting commerce in violation of section 5(a) of the Federal Trade Commission Act if complaint counsel or the Commission demonstrates by a preponderance of the evidence in a proceeding initiated by the Commission under subsection (c)(1), or in a suit brought under subparagraph (B) or (C) of subsection (c)(1), that, during the period beginning on the date on which the manufacturer of the reference product or listed drug first receives notice that an applicant has submitted to the Commissioner of Food and Drugs an abbreviated new drug application or biosimilar biological product license application and ending on the date that is the earlier of 180 days after the date on which that generic drug or biosimilar biological product or another generic drug or biosimilar biological product referencing the listed drug or reference product is first marketed or 3 years after the date on which the follow-on product is first marketed, the manufacturer engaged in either of the following actions:</text>
 <subparagraph id="H3E07F6526C684996B6AAEE458B11B78B"><enum>(A)</enum><text>The manufacturer engaged in a hard switch, which shall be established by demonstrating that the manufacturer engaged in either of the actions described in clause (i) or (ii):</text>
 <clause id="HA44D93E235234C2EB368F3A801205F8A"><enum>(i)</enum><text>Upon the request of the manufacturer of the listed drug or reference product, the Commissioner of Food and Drugs withdrew the approval of the application for the listed drug or reference product or placed the listed drug or reference product on the discontinued products list; and</text>
 <subclause id="H01F315591D934F068134C6656DE0DA1E" indent="up1"><enum>(I)</enum><text>the manufacturer marketed or sold a follow-on product.</text> </subclause></clause><clause id="HAD641B0297A74167BEBD67AEAF443A01"><enum>(ii)</enum> <subclause commented="no" display-inline="yes-display-inline" id="H8926CFA3B50A41AEAE6778DDA425A13D"><enum>(I)</enum><text>The manufacturer of the listed drug or reference product—</text>
 <item id="H2D71864FE42D499087D878EA1941A3B3" indent="up1"><enum>(aa)</enum><text display-inline="yes-display-inline">withdrew, discontinued the manufacture of, or withdrew the application with respect to, or announced withdrawal of, discontinuance of the manufacture of, or withdrawal of the application with respect to, the drug or reference product in a manner that impedes competition from a generic drug or a biosimilar biological product, as established by objective circumstances, unless such actions were taken by the manufacturer pursuant to a request of the Commissioner of Food and Drugs; or</text>
 </item><item id="HA786CCA341754A388E8698F5DCFCB024" indent="up1"><enum>(bb)</enum><text>destroyed the inventory of the listed drug or reference product in a manner that impedes competition from a generic drug or a biosimilar biological product, which may be established by objective circumstances; and</text>
 </item></subclause><subclause id="HB5DC219F18574EB290CC1AAC35DE8590" indent="up1"><enum>(II)</enum><text>marketed or sold a follow-on product.</text> </subclause></clause></subparagraph><subparagraph id="H219185C8C2854000855888F2E1EB958D"><enum>(B)</enum><text>The manufacturer engaged in a soft switch, which shall be established by demonstrating that the manufacturer engaged in both of the following actions:</text>
 <clause id="HCB8F1C3DDB1E4AB8A968E394A374277E"><enum>(i)</enum><text>The manufacturer took one or more actions with respect to the listed drug or reference product other than those described in subparagraph (A) that unfairly disadvantage the listed drug or reference product relative to the follow-on product described in clause (ii) in a manner that impedes competition from either a generic drug or a biosimilar biological product, which may be established by objective circumstances.</text>
 </clause><clause id="H8EA2772BB61249ED9858606B0601D34A"><enum>(ii)</enum><text>The manufacturer marketed or sold a follow-on product.</text> </clause></subparagraph></paragraph><paragraph id="H6949850EE11E45BE827A264591D16A64"><enum>(2)</enum><header>Justification</header> <subparagraph id="HC248286BCA2F4AB9AC8910EE8BC7CD87"><enum>(A)</enum><header>In general</header><text>Subject to paragraph (3), the actions described in paragraph (1) by a manufacturer of a listed drug or reference product shall not be considered to be an unfair method of competition in or affecting commerce if—</text>
 <clause id="H9593F78CBD5B459EBC366D265BA29C8C"><enum>(i)</enum><text>the manufacturer demonstrates to the Commission or a district court of the United States, as applicable, by a preponderance of the evidence in a proceeding initiated by the Commission under subsection (c)(1), or in a suit brought under subparagraph (B) or (C) of subsection (c)(1), that—</text>
 <subclause id="HA17413044FD840198A0CBAACA9B96D2A"><enum>(I)</enum><text>the manufacturer would have taken the actions regardless of whether a generic drug that references the listed drug or biosimilar biological product that references the reference product had already entered the market; and</text>
										</subclause><subclause id="HEDE5DF44C81F437AB05DD60EE8DD1071"><enum>(II)</enum>
 <item commented="no" display-inline="yes-display-inline" id="H5EBC6B8C1C234D2FBA4C17C4A3EDC6F5"><enum>(aa)</enum><text>with respect to a hard switch under paragraph (1)(A)(i), the manufacturer took the action for reasons relating to the safety risk to patients of the listed drug or reference product;</text>
 </item><item id="HBFBBBB6E8537422ABDF28EF78AF939A9" indent="up1"><enum>(bb)</enum><text>with respect to an action described in item (aa) or (bb) of paragraph (1)(A)(ii)(I), there is a supply disruption that—</text>
 <subitem id="H7CBC625008C5477B9723036735257C71"><enum>(AA)</enum><text>is outside of the control of the manufacturer;</text> </subitem><subitem id="HCCB9ADE45EF44937A59DCAADD93A2266"><enum>(BB)</enum><text>prevents the production or distribution of the applicable listed drug or reference product; and</text>
 </subitem><subitem id="HE26CA954B32A40CB94D9272098F16AC8"><enum>(CC)</enum><text>cannot be remedied by reasonable efforts; or</text> </subitem></item><item id="H1CF1AFB9A0454970B56452798A9DADD9" indent="up1"><enum>(cc)</enum><text>with respect to a soft switch under paragraph (1)(B), the manufacturer had legitimate pro-competitive reasons, apart from the financial effects of reduced competition, to take the action.</text>
 </item></subclause></clause></subparagraph><subparagraph id="H85A13F7717B348E5A381A8748297155A"><enum>(B)</enum><header>Rule of construction</header><text>Nothing in subparagraph (A) may be construed to limit the information that the Commission may otherwise obtain in any proceeding or action instituted with respect to a violation of this section.</text>
 </subparagraph></paragraph><paragraph id="H69336D47A94346F18CBC1737260A243B"><enum>(3)</enum><header>Response</header><text display-inline="yes-display-inline">With respect to a justification offered by a manufacturer under paragraph (2), complaint counsel or the Commission, as applicable, will prevail in its case if it establishes by a preponderance of the evidence that—</text>
 <subparagraph id="H5F62DB3393634A4B9A4568E0E15D556C"><enum>(A)</enum><text display-inline="yes-display-inline">the conduct described in subsection (b)(1) is not reasonably necessary to address or achieve the justifications claimed under paragraph (2)(A)(II)(aa–cc), or such justifications could be reasonably addressed or achieved through less anticompetitive means; or</text>
 </subparagraph><subparagraph id="H1B48F56FF8134D389613E973D535EB95"><enum>(B)</enum><text>the pro-competitive benefits from the conduct described in subparagraph (A) or (B) of paragraph (1), as applicable, do not outweigh any anticompetitive effects of the conduct, even in consideration of the justification so offered.</text>
								</subparagraph></paragraph></subsection><subsection id="H9BDAFC9CD8EE4159878905168FE3DBEB"><enum>(c)</enum><header>Enforcement</header>
 <paragraph id="HD83C44A74A9F4BCC84B70030E8D26F3F"><enum>(1)</enum><header>Enforcement by the Federal Trade Commission</header><text display-inline="yes-display-inline">Except as provided in paragraph (2), the Commission shall enforce this section in the same manner, by the same means, and with the same jurisdiction, powers, duties, and remedies provided for by all applicable terms and provisions of the Federal Trade Commission Act (<external-xref legal-doc="usc" parsable-cite="usc/15/45">15 U.S.C. 45</external-xref> et seq.).</text>
							</paragraph><paragraph id="H612D2E2424674A97A9186245CDD89096"><enum>(2)</enum><header>Judicial review</header>
 <subparagraph id="HCFC97B99A13C428BAB3676663AA9B39A"><enum>(A)</enum><header>In general</header><text display-inline="yes-display-inline">Notwithstanding any provision of section 5 of the Federal Trade Commission Act, any manufacturer that is subject to a final order of the Commission that is issued in a proceeding initiated under paragraph (1) may, not later than 30 days after the date on which the Commission issues the order, petition for review of the order in—</text>
 <clause id="H1EAA185B779D4E9EAD5387FB5239B5C5"><enum>(i)</enum><text>the United States Court of Appeals for the District of Columbia Circuit; or</text> </clause><clause id="H07ABBAF6C06449DF9CDA8DEAB1B94DE6"><enum>(ii)</enum><text>the court of appeals of the United States for the circuit in which the ultimate parent entity of the manufacturer is incorporated.</text>
 </clause></subparagraph><subparagraph id="H76BBD0212CF641F0A42C3E60469430EC"><enum>(B)</enum><header>Treatment of findings</header><text>In a review of an order issued by the Commission conducted by a court of appeals of the United States under subparagraph (A), the factual findings of the Commission shall be conclusive if those facts are supported by the evidence.</text>
 </subparagraph></paragraph><paragraph id="HF87CB037A4D349CEA4940FB40AC1A047"><enum>(3)</enum><header>Rules of construction</header><text>Nothing in this subsection may be construed as—</text> <subparagraph id="H2D659D70FBF54A859752836612B0BB04"><enum>(A)</enum><text>requiring the Commission to bring a suit seeking a temporary injunction under paragraph (1)(B) before bringing a suit seeking a permanent injunction under paragraph (1)(C); or</text>
 </subparagraph><subparagraph id="HFDABBAD3B9E84433987C0545C0285D62"><enum>(B)</enum><text>affecting any other authority of the Commission under this Act to seek relief or obtain a remedy with respect to a violation of this Act.</text></subparagraph></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
 </subsection><subsection id="HFDED2A714F704FB78C719ED1CD21E727"><enum>(b)</enum><header>Applicability</header><text>Section 27 of the Federal Trade Commission Act, as added by subsection (a), shall apply with respect to any—</text>
 <paragraph id="H693DD189C894457E84EAC34418312CD7"><enum>(1)</enum><text>conduct that occurs on or after the date of enactment of this Act; and</text> </paragraph><paragraph id="H168AFA4B82C74CD8985F8AA553796A51"><enum>(2)</enum><text>action or proceeding that is commenced on or after the date of enactment of this Act.</text>
 </paragraph></subsection><subsection id="H128F37EE5DBF48E7AB82B75A87545668"><enum>(c)</enum><header>Antitrust laws</header><text>Nothing in this section, or the amendments made by this section, shall modify, impair, limit, or supersede the applicability of the antitrust laws as defined in subsection (a) of the first section of the Clayton Act (<external-xref legal-doc="usc" parsable-cite="usc/15/12">15 U.S.C. 12(a)</external-xref>), and of section 5 of the Federal Trade Commission Act (<external-xref legal-doc="usc" parsable-cite="usc/15/45">15 U.S.C. 45</external-xref>) to the extent that it applies to unfair methods of competition.</text>
 </subsection><subsection id="H6CAE17C729394957B358EFDED4C574D9"><enum>(d)</enum><header>Rulemaking</header><text>The Federal Trade Commission may issue rules under section 553 of title 5, United States Code, to carry out section 27 of the Federal Trade Commission Act, as added by subsection (a), including by defining any terms used in such section 27 (other than terms that are defined in subsection (a) of such section 27).</text>
			</subsection></section></legis-body></bill>


