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<dc:title>116 S1416 IS: Affordable Prescriptions for Patients Act of 2019</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2019-05-09</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">II</distribution-code><congress>116th CONGRESS</congress><session>1st Session</session><legis-num>S. 1416</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20190509">May 9, 2019</action-date><action-desc><sponsor name-id="S287">Mr. Cornyn</sponsor> (for himself and <cosponsor name-id="S341">Mr. Blumenthal</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSJU00">Committee on the Judiciary</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To amend the Federal Trade Commission Act to prohibit anticompetitive behaviors by drug product
 manufacturers, and for other purposes.</official-title></form><legis-body><section id="S1" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Affordable Prescriptions for Patients Act of 2019</short-title></quote>.</text></section><section id="id355997DE9B244A5DB7AE33A3EFEBBD1D"><enum>2.</enum><header>Product hopping; patent thicketing</header><subsection id="id45B9F44F13884B50840CB1CAC1987A05"><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="idA00DF19ABAF2493C8B46B8E05856CE01" style="OLC"><section id="id0B3251DA56524DBC99D55E5EDA5A175C"><enum>27.</enum><header>Product hopping; patent thicketing</header><subsection id="idDDD46DAD98BD4B6E9AEACF57AAB56AA2"><enum>(a)</enum><header>Definitions</header><text>In this section:</text><paragraph commented="no" display-inline="no-display-inline" id="idF69A8704CA0F400AA15036AA2A18D86A"><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="idF9ED760E724840B691FAF9A5BE56FAB6"><enum>(2)</enum><header>Biosimilar biological product</header><text>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="id42F2B601F1C74D55ACEB0F19D0937B41"><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 id="idD3A70C47F56B4DC89E320AAFE93970B1"><enum>(4)</enum><header>Competition window</header><text>The term <term>competition window</term> means—</text><subparagraph id="idCD3D8D96D6414525AF2FF5134DF24D82"><enum>(A)</enum><text>with respect to a listed drug, the period between—</text><clause id="idB2884F684D66444D83C9CA99CBD4C4C6"><enum>(i)</enum><text>the date that is the earlier of—</text><subclause id="idf55d32f53a6448ad95958e924d8b2bdb"><enum>(I)</enum><text>8 years before any patent or marketing exclusivity granted under chapter V of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/351">21 U.S.C. 351</external-xref> et seq.) with respect to such listed drug expires; and</text></subclause><subclause id="id129d6cb4eb6d4b22952b6f53590b2faa"><enum>(II)</enum><text>the date on which the first abbreviated new drug application that references such listed drug is filed; and</text></subclause></clause><clause id="idC002C72BDFD24901BA8C4BB7F098DF5A"><enum>(ii)</enum><text>the later of—</text><subclause id="idE62247A12C6A4282A112C182B1A43A6C"><enum>(I)</enum><text>the date that is 180 days after the first abbreviated new drug application that references such listed drug is filed; and</text></subclause><subclause id="id428F3E574B7545B4881CB3D6EFF962DB"><enum>(II)</enum><text>the date that is 1 year after the date on which the generic drug that is the subject of the abbreviated new drug application described in subclause (I) enters the marketplace; or</text></subclause></clause></subparagraph><subparagraph id="id585530E7E0844C1DB69B2EC2328686BB"><enum>(B)</enum><text>with respect to a reference product, the period between—</text><clause id="id89FB0F371FE84CF7AC15E7BE23F18DEE"><enum>(i)</enum><text>the date that is the earlier of—</text><subclause id="idF40E6E2707CA4256A94E836F3D4E70DA"><enum>(I)</enum><text>6 years before any patent or marketing exclusivity (including any extension of such exclusivity) granted under section 351 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262</external-xref>) or section 527 of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/360cc">21 U.S.C. 360cc</external-xref>) with respect to such reference product expires; and</text></subclause><subclause id="id38A20EA7CC0A485DBE51C250EDE9799C"><enum>(II)</enum><text>the date on which the first biosimilar biological product license application that references such reference product is filed; and</text></subclause></clause><clause id="id6034A6FF4EE84708B8F38E6264986053"><enum>(ii)</enum><text>the later of—</text><subclause id="idB541928757AF407489E71BE792967D09"><enum>(I)</enum><text>the date that is 180 days after the date on which the first biosimilar biological product license application that references such reference product enters the marketplace; and</text></subclause><subclause commented="no" id="idF23DEE2D40464B1B8946EEBF926A460B"><enum>(II)</enum><text>the date that is 1 year after the date on which the biosimilar biological product that is the subject of the biosimilar biological product license application described in subclause (I) enters the marketplace.</text></subclause></clause></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idC9D8FA8723044218A8F2AD39CE5FD03E"><enum>(5)</enum><header display-inline="yes-display-inline">Expected revenue</header><text display-inline="yes-display-inline">The term <term>expected revenue</term>, with respect to a follow-on product, means the financial value represented by the number of individuals in the target population multiplied by the financial revenue generated by each member of the target population over the 3-year period beginning—</text><subparagraph commented="no" display-inline="no-display-inline" id="idE74E11C62A7548BDA2D22D2BD69DA347"><enum>(A)</enum><text display-inline="yes-display-inline">on the day that 3 generic drugs referencing the same listed drug or 2 or more biosimilar biological products referencing the same reference product would have been widely available in the market; or</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idFE7045A44310421BABD8FEE46EE8FE89"><enum>(B)</enum><text display-inline="yes-display-inline">if 3 or more generic drugs referencing the same listed drug or 2 or more biosimilar biological products referencing the same reference product are already widely available in the market, the day that the follow-on product enters the market.</text></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id55667269F322467F83E64645349DA370"><enum>(6)</enum><header display-inline="yes-display-inline">Follow-on product</header><text display-inline="yes-display-inline">The term <term>follow-on product</term> 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.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id53B9F57E90FE4A2E83E4FFF9876C0229"><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 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="id7FFC748D004941858A84B1D16512AE16"><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="id5A453C93DFD24DEA8B45AF69BD61A13C"><enum>(9)</enum><header>Patent family</header><text>The term <term>patent family</term> means a group of related patents that continue the priority date of the underlying composition of matter patent, all of which claim the same drug or biological product or a use of the same drug or biological product.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id796F58BD172042D1B0850BB3BA05E533"><enum>(10)</enum><header>Patent portfolio</header><text>The term <term>patent portfolio</term> means a group of related patents covering the same or similar technical content.</text></paragraph><paragraph id="id580B2CDEE825454DA7D2FE181B6F1BAD"><enum>(11)</enum><header>Patent thicketing</header><subparagraph id="id6387F6F246D74323A88F42C3A8C4066D"><enum>(A)</enum><header>In general</header><text>The term <term>patent thicketing</term> means an action taken to limit competition by a patentee with respect to a drug approved 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 a biological product licensed 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>) in which—</text><clause id="id18ada0e60c9d40e8b0f535c11702a099"><enum>(i)</enum><subclause commented="no" display-inline="yes-display-inline" id="idFCF106A9D955400BA37617173FF2A9DB"><enum>(I)</enum><text>the patentee obtains patents in the same patent family or patent portfolio—</text><item id="id5395FE25794C401A99F23FD55EA63D90" indent="up1"><enum>(aa)</enum><text>that claim the drug or biological product or a use of the drug or biological product, a form of the drug or biological product, a method of use of the drug or biological product, or a method of manufacture of a drug or biological product; and</text></item><item id="idC5DB846592DC4C509649E170A8FA001B" indent="up1"><enum>(bb)</enum><text>whose effective filing date does not precede the date of filing the application 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(b)</external-xref>) or 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>); or</text></item></subclause><subclause id="id36A3C4D17C1E4C45AC05DD134CFCF455" indent="up1"><enum>(II)</enum><text>the underlying composition of matter patent is found invalid and the patentee obtains patents in the same patent family or patent portfolio that claim the drug or biological product or a use of the drug or biological product, a form of the drug or biological product, a method of use of the drug or biological product, or a method of manufacture of the drug or biological product;</text></subclause></clause><clause id="idd66a52ece03a4ffc9e12bb61f639f72a"><enum>(ii)</enum><text>an abbreviated new drug application referencing such approved drug or a biosimilar biological product license application referencing such licensed biological product could not be marketed without practicing one or more of the inventions claimed in the additional patents described in subclause (I) or (II) of clause (i); and</text></clause><clause id="idA31833A8BADF43C19C4CF5D2649826CC"><enum>(iii)</enum><text>the Commission determines that the patentee improperly limited competition by obtaining patents described in subclause (I) or (II) of clause (i).</text></clause></subparagraph><subparagraph id="id2429ED4A7DCE4934907568455026CD17"><enum>(B)</enum><header>Factors to consider</header><text>The Commission may establish that an action described in subparagraph (A) improperly limits competition if the Commission establishes a reasonable number of the following factors in a manner that is sufficient to demonstrate anticompetitive intent:</text><clause id="id02231e2e7f7e48579c6db8bef9439dec"><enum>(i)</enum><text>The additional patents described in subparagraph (A)(i) (referred to in this subparagraph as the <quote>additional patents</quote>) stem from few patent families.</text></clause><clause id="id22eae9428ebf4ff0a23cb9a2cfe30d49"><enum>(ii)</enum><text>The additional patents have common specifications.</text></clause><clause commented="no" id="id71F75E9A3CAC48AEADECD3097D8E6238"><enum>(iii)</enum><text>The additional patents did not issue on an application with respect to which a requirement for restriction under section 121 of title 35, United States Code, has been made, or on an application filed as a result of such a requirement.</text></clause><clause id="id496e78c3c5d3425d98dbe09d59cf1448"><enum>(iv)</enum><text>The additional patents have overlapping or identical claims.</text></clause><clause id="idAE8A249379184042990E5680575F1025"><enum>(v)</enum><text>The additional patents have been granted to the patentee on formulations or compositions of the product and not used.</text></clause><clause id="idc6d9ed5047da4a0e8515f3f203b8cfcb"><enum>(vi)</enum><text>One or more of the additional patents have been invalidated in an inter partes review conducted under <external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/35/31">chapter 31</external-xref> of title 35, United States Code, or a post-grant proceeding conducted under chapter 32 of that title.</text></clause><clause id="id15294b06aaa746bc94932a751378d6ec"><enum>(vii)</enum><text>Litigation with applicants under section 351(k) of the Public Health Service Act has been extended based on the additional patents.</text></clause><clause id="idC512C694F0F24920A124BACF17F6F9C8"><enum>(viii)</enum><text>The applications with respect to the additional patents described in subclause (I) or (II) of subparagraph (A)(i) are submitted not more than 36 months before the expiration of the underlying composition of matter patent.</text></clause><clause id="idA084899981BC44D29259308BA87D2D7D"><enum>(ix)</enum><text>A public or internal statement, a shareholder call, or another demonstration of purpose that the patentee intended to use the number of patents or length of extended patent protection in order to unduly limit competition.</text></clause></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id9697CB0795784CC0AEC1899B763FE643"><enum>(12)</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="id726A733DA43448EAA33A7DF651E503FF"><enum>(13)</enum><header>Target population</header><text>The term <term>target population</term>, with respect to a drug, means the population of individuals that—</text><subparagraph id="idFB30C3E2E27D473DA11A32E7C402B93A"><enum>(A)</enum><text>would experience a significant health improvement from a follow-on product; and</text></subparagraph><subparagraph id="id0B1578393F4549BBAA64B1F1114F1AF4"><enum>(B)</enum><text>would have bought the follow-on product solely because of the significant health improvement that those individuals would experience.</text></subparagraph></paragraph><paragraph id="idE66E87856D7A42FFBF5310332E116E93"><enum>(14)</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><paragraph commented="no" display-inline="no-display-inline" id="id57712B46122045D189AF31ADDF0FDD85"><enum>(15)</enum><header display-inline="yes-display-inline">Underlying composition of matter patent</header><text display-inline="yes-display-inline">The term <term>underlying composition of matter patent</term> means a patent with respect to the molecules, compounds, or new formulations of the active ingredient of a drug or biological product.</text></paragraph></subsection><subsection id="idD2DD65CA77E04D5686994801AA5AD538"><enum>(b)</enum><header>Prohibitions</header><paragraph id="id13F039AF238C48568FD37B781540C019"><enum>(1)</enum><header>Patent thicketing</header><subparagraph id="idC8DE920F98294C7E979AB5E469E6D888"><enum>(A)</enum><header>Prima facie</header><text>Except as provided in subparagraph (B), an action by a drug manufacturer that constitutes patent thicketing shall be considered to be an unfair method of competition in or affecting commerce in violation of section 5(a).</text></subparagraph><subparagraph id="id27BDC8D34FE3458A9576C1BB0DFB1E6E"><enum>(B)</enum><header>Rebuttal</header><clause id="idC8104E8100B34CF592321719DE1A2C88"><enum>(i)</enum><header>In general</header><text>Subject to subparagraph (C), an action that constitutes patent thicketing shall not be considered to be an unfair method of competition in or affecting commerce in violation of section 5(a) if the manufacturer described in that paragraph 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)(A), or in a suit brought under subparagraph (B) or (C) of subsection (c)(1), that the anticompetitive effects of the action do not outweigh the pro-competitive effects of the action.</text></clause><clause id="id8987F7F1C5804CA493E3F487C883250C"><enum>(ii)</enum><header>Evidence</header><text>In making a demonstration under clause (i) that the anticompetitive effects of patent thicketing do not outweigh the pro-competitive effects of that behavior, a manufacturer described in subparagraph (A)—</text><subclause id="id676EC4B32C304115987C89F80D731F6F"><enum>(I)</enum><text>may present evidence that—</text><item id="id69F666EFF9554E9BAC6099D1256D84E2"><enum>(aa)</enum><text>the inventions claimed in the additional patents described in subclauses (I) and (II) of subsection (a)(11)(A)(i) resulted in—</text><subitem id="id1645C3E9EDC045FB9C34EB149E723097"><enum>(AA)</enum><text>clinically meaningful and significant therapeutic or safety benefits;</text></subitem><subitem id="idA5EC0205B3994E40B802DD31B2108B97"><enum>(BB)</enum><text>significantly improved product purity or potency;</text></subitem><subitem id="idA12617CC9F164FE88B346425C7D77D0E"><enum>(CC)</enum><text>significant gained efficiencies in manufacturing; or</text></subitem><subitem id="idEB2A1A70BD72443796615926ADDD1644"><enum>(DD)</enum><text>other improved product attributes having substantial benefits for consumers or patients;</text></subitem></item><item id="id6693AB462B2D45198889915A1F59CE47"><enum>(bb)</enum><text>a generic drug or biosimilar biological product could be marketed commercially without incorporating the improvements claimed in the additional patents described in item (aa); or</text></item><item id="id85E1C6FD482F46A6A0A4B0BC7671FC4D"><enum>(cc)</enum><text>for each of the later filed patents, the manufacturer had substantial financial reason, apart from the financial effects of reduced competition, to file each of the patents; and</text></item></subclause><subclause id="id62739FD6E46A42DF8820D8BAB63E4B61"><enum>(II)</enum><text>in making a demonstration under subclause (I), shall submit to the Commission or the court, as applicable, all research and development, manufacturing, marketing, and other costs associated with approval of the original 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 licensure of the original biological product 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>), which—</text><item id="id023CB8F7077F40618AA6443B2038CF31"><enum>(aa)</enum><text>shall include—</text><subitem id="id17F32C514A2B41C9ACD58804B99ABE36"><enum>(AA)</enum><text>any documents relating to the costs and benefits of the later filed patents with respect to patients who use the drug; and</text></subitem><subitem id="idB659115F5E9B452E998C70A6CA0AA00A"><enum>(BB)</enum><text>any applications for patents that were filed and rejected; and</text></subitem></item><item id="idABD85D869A73440FB423D6118960D058"><enum>(bb)</enum><text>shall not be construed to limit the information that the Commission or the court, as applicable, may otherwise obtain in any proceeding or action instituted with respect to a violation of this section.</text></item></subclause></clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id02386EBDD2C64A168E27113AB93D4B8F"><enum>(C)</enum><header display-inline="yes-display-inline">Response</header><text display-inline="yes-display-inline">The Commission may rebut any evidence presented by a drug manufacturer under subparagraph (B) by establishing by a preponderance of the evidence that the harm to consumers from the action that is the subject of that presentation is greater than the benefits to consumers from that action.</text></subparagraph></paragraph><paragraph id="id1EC149C708734882AF1937A489B7FA42"><enum>(2)</enum><header>Product hopping</header><subparagraph id="id45F473B8D4B3483DAC5E28547C19E3C6"><enum>(A)</enum><header>Prima facie</header><text>Except as provided in subparagraph (B), any of the following actions by a manufacturer of a reference product or listed drug shall be considered to be an unfair method of competition in or affecting commerce in violation of section 5(a):</text><clause id="idBC9B55B69D404740A7A7BA467A92FD8F"><enum>(i)</enum><text>If, during the period beginning on the date on which the manufacturer of the reference drug 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 180 days after the date on which that generic drug or biosimilar biological product first enters, or could enter, the market, or is denied—</text><subclause id="id73FB7907285542FF954A2A2ADC1635FD"><enum>(I)</enum><text>upon the request of the manufacturer of the listed drug or reference product, the Commissioner of Food and Drugs—</text><item id="id8AA1B033C9034E8C8AED11BA4DC22AD3"><enum>(aa)</enum><text>withdraws the approval of the application for the listed drug or reference product; or</text></item><item id="id0AECA4641E63408F9E3EBA4B74EECB65"><enum>(bb)</enum><text>places the listed drug or reference product on the discontinued products list; or</text></item></subclause><subclause id="idFCCA4C5F09E64D31A010D9135F96FFAF"><enum>(II)</enum><text>the manufacturer of the listed drug or reference product announces discontinuance of, or intent to withdraw, the application for the reference product.</text></subclause></clause><clause id="idE6DDF3F9934B45A5B337AC212FF62CA4"><enum>(ii)</enum><text>The manufacturer of a previously approved drug or biological product markets or sells a follow-on product during the competition window.</text></clause></subparagraph><subparagraph id="id2BD275C0A7304A9D9BF04AC1B77E82E5"><enum>(B)</enum><header>Rebuttal</header><clause id="idF66B80937F4041D998219B4AAA1993CF"><enum>(i)</enum><header>In general</header><text>Subject to subparagraph (C), an action described in subparagraph (A) shall not be considered to be an unfair method of competition in or affecting commerce if—</text><subclause id="idA2168F388162415AA95A5316DEB572EC"><enum>(I)</enum><text>with respect to an action described in subparagraph (A)(i), the manufacturer of the listed drug or reference product 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)(A), or in a suit brought under subparagraph (B) or (C) of subsection (c)(1), that the manufacturer removed such drug from the market for significant and documented safety reasons; or</text></subclause><subclause id="idD8C31CD63DD84E668384CDB59751D929"><enum>(II)</enum><text>with respect to an action described in subparagraph (A)(ii)—</text><item id="idCD0EF0BB0B80402CBDA55B909826EBFC"><enum>(aa)</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)(A), or in a suit brought under subparagraph (B) or (C) of subsection (c)(1), that—</text><subitem id="idB235A0821B3D46B48361F9970D1F67F7"><enum>(AA)</enum><text>the follow-on product described in such subparagraph (A)(ii) (referred to in this subclause as the <quote>follow-on product</quote>) provides a clinically meaningful and significant additional health benefit to the target population beyond that provided by the previously approved drug or biological product;</text></subitem><subitem id="idB23E63E084AE49D086F3B376EFC23BE8"><enum>(BB)</enum><text>the follow-on product was the available means that was least likely to reduce competition; and</text></subitem><subitem id="idF0E29F2B2B194491970EB57D22FA97BB"><enum>(CC)</enum><text>the manufacturer had substantive financial reasons, apart from the financial effects of reduced competition, to introduce the follow-on product to the market; and</text></subitem></item><item id="id7DEE11B23B4846A19120EE4968FC6245"><enum>(bb)</enum><text>in making the demonstration required under item (aa), the manufacturer provides to the Commission—</text><subitem id="id4EA8799D178847C19D9B649D06364A1D"><enum>(AA)</enum><text>all research and development, manufacturing, marketing, and other related costs associated with the drug or biological product previously approved 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 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>) and the follow-on product, including all documents, memos, or other business documents that explain, mention, or otherwise justify the decision of the manufacturer to develop and manufacture the follow-on product; and</text></subitem><subitem id="id30AAE840463244B395B4D1A2BD6DFBC7"><enum>(BB)</enum><text>the revenue obtained by the manufacturer with respect to the drug or biological product previously approved 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 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>) and the expected revenue of the manufacturer with respect to the previously approved drug or biological product and the follow-on product.</text></subitem></item></subclause></clause><clause id="id97AE9C7D644F4CBB988569D9C23D9B41"><enum>(ii)</enum><header>Rule of construction</header><text>Nothing in clause (i) 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></clause></subparagraph><subparagraph id="id773C83DE142D490292C0F15A2DB2CA05"><enum>(C)</enum><header>Response</header><text>The Commission may rebut any evidence presented by a drug manufacturer under subparagraph (B) by establishing by a preponderance of the evidence that—</text><clause id="idF45CEDC897EC4C0B877AD72453EDC324"><enum>(i)</enum><text>the harm to consumers of the drug or biological product that is the subject of the product from the action that is the subject of that presentation is greater than the benefits to consumers of the drug or biological product that is the subject of challenged action; or</text></clause><clause id="idE42215DC11264D90962F0632CFC6F677"><enum>(ii)</enum><text>a primary purpose of the manufacturer in pursuing the challenged action was to block or otherwise hinder the entry into the market of a generic drug or biosimilar biological product.</text></clause></subparagraph></paragraph></subsection><subsection id="id880F8B643C3043BF8604B5446C56AD16"><enum>(c)</enum><header>Enforcement</header><paragraph id="idF04A69C771404C1AAA74AA7393C0C05F"><enum>(1)</enum><header>In general</header><text>If the Commission has reason to believe that any drug manufacturer has violated, is violating, or is about to violate this section, the Commission may take any of the following actions:</text><subparagraph id="idB7E964925A6544A4A14B9297F9D22CAB"><enum>(A)</enum><text>Institute a proceeding—</text><clause id="idF80A4A3E7B7044F2B688073C7300A2AD"><enum>(i)</enum><text>that, except as provided in paragraph (2), complies with the requirements under section 5(b); and</text></clause><clause id="id79082BBBA9714E32B0938CAF737F611C"><enum>(ii)</enum><text>in which the Commission may impose on the manufacturer any penalty that the Commission may impose for a violation of section 5.</text></clause></subparagraph><subparagraph id="idE031824416A541E99B064C96445B6B59"><enum>(B)</enum><text>In the same manner and to the same extent as provided in section 13(b), bring suit in a district court of the United States to temporarily enjoin the action of the drug manufacturer.</text></subparagraph><subparagraph id="idD9BF645F12424FD09CBC9FDF73F57D67"><enum>(C)</enum><clause commented="no" display-inline="yes-display-inline" id="idF47FD1ECCAC34D728E59ABBEA7F3ACA8"><enum>(i)</enum><text>Bring suit in a district court of the United States to permanently enjoin the action of the drug manufacturer.</text></clause><clause id="id1963C1671844444F91CF836121369E97" indent="up1"><enum>(ii)</enum><text>In a suit brought under clause (i), the Commission may seek—</text><subclause id="idDC2CAE564258453D9D5070068B677219"><enum>(I)</enum><text>any of the remedies described in paragraph (3); and</text></subclause><subclause id="idDDA86182428E4E9F830A3EE0A6369CE7"><enum>(II)</enum><text>any other equitable remedy, including ancillary equitable relief.</text></subclause></clause></subparagraph></paragraph><paragraph id="id159622462BCD4D97AF055B93ABE835AD"><enum>(2)</enum><header>Judicial review</header><subparagraph id="id863154710F924AF3953280C0823CAAEA"><enum>(A)</enum><header>In general</header><text>Notwithstanding any provision of section 5, any drug manufacturer that is subject to a final order of the Commission that is issued in a proceeding initiated under paragraph (1)(A) 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="id78DA17953A304119AF80935901FEAE67"><enum>(i)</enum><text>the United States Court of Appeals for the District of Columbia Circuit; or</text></clause><clause id="id53FF9A4DCE1045458B7D51851371639A"><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, as of the date on which the manufacturer obtains the underlying composition of matter patent with respect to the proceeding or files a new drug application 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(b)</external-xref>) or biological product license application 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 is the subject of the proceeding, as applicable.</text></clause></subparagraph><subparagraph id="id455DC5C491804FDBBAE623B531276F3F"><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="id002CF90CC766410B905743E69FD2C69F"><enum>(3)</enum><header>Equitable remedies</header><subparagraph id="id228E7EEDC47F4B02A7B8FE66DC88F933"><enum>(A)</enum><header>Disgorgement</header><clause id="id81813D3156CC48BD820BA5A8F5462E1A"><enum>(i)</enum><header>In general</header><text>In a suit brought under paragraph (1)(C), the Commission may seek, and the court may order, disgorgement of any unjust enrichment that a person obtained as a result of the violation that gives rise to the suit in which the Commission seeks the claim.</text></clause><clause id="id38AD1B85F04E475CA8EBD68E3E3FFB8D"><enum>(ii)</enum><header>Calculation</header><text>Any dis­gorge­ment that is ordered with respect to a person under clause (i) shall be offset by any amount of restitution that the person is ordered to pay under subparagraph (B).</text></clause><clause id="id3472AA838F584FFE9CAD9CF44493182A"><enum>(iii)</enum><header>Limitations period</header><text>The Commission may bring a claim for disgorgement under this subparagraph not later than 5 years after the latest date on which the person against which the claim is brought receives any unjust enrichment from the effects of the violation that gives rise to the suit in which the Commission seeks the claim.</text></clause></subparagraph><subparagraph id="idFEB79546676A40C79EF2A09AE6EBB27E"><enum>(B)</enum><header>Restitution</header><clause id="id414866CA95674985AA803EFE35706CBF"><enum>(i)</enum><header>In general</header><text>In a suit brought under paragraph (1)(C), the Commission may seek, and the court may order, restitution with respect to the violation that gives rise to the suit in which the Commission seeks the claim.</text></clause><clause id="id7ABF9E8296274202A75DDB335028DF79"><enum>(ii)</enum><header>Limitations period</header><text>The Commission may bring a claim for restitution under this subparagraph not later than 5 years after the latest date on which the person against which the claim is brought receives any unjust enrichment from the effects of the violation that gives rise to the suit in which the Commission seeks the claim.</text></clause></subparagraph></paragraph><paragraph id="id41DE98CA9DD247BA9F49B6E4AE8D966D"><enum>(4)</enum><header>Rules of construction</header><text>Nothing in this subsection may be construed as—</text><subparagraph id="idDF27BC79B03C4187A130D1CD575A3F1B"><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="id27B069C05FF046FC95D4118E99274841"><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="idE6B24FEC1AEC43B2BD07B0BA42031EE6"><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="id275DB73CFF8545D2B34EDF90991794C1"><enum>(1)</enum><text>conduct that occurs on or after the date of enactment of this Act; and</text></paragraph><paragraph id="idD52FE276CD02438386226D2ECC1B5759"><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="idB441FD302CA849D3B221744AC0E08275"><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="id62CBA4ACC1B34678A8E1731782C965E9"><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.</text></subsection></section></legis-body></bill>


