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<bill bill-stage="Introduced-in-Senate" dms-id="A1" public-private="public"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>116 S366 IS: Forcing Limits on Abusive and Tumultuous Prices</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2019-02-06</dc:date>
<dc:format>text/xml</dc:format>
<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>
</dublinCore>
</metadata>
<form>
<distribution-code display="yes">II</distribution-code><congress>116th CONGRESS</congress><session>1st Session</session><legis-num>S. 366</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20190206">February 6, 2019</action-date><action-desc><sponsor name-id="S253">Mr. Durbin</sponsor> (for himself, <cosponsor name-id="S387">Ms. Harris</cosponsor>, <cosponsor name-id="S394">Ms. Smith</cosponsor>, <cosponsor name-id="S311">Ms. Klobuchar</cosponsor>, and <cosponsor name-id="S341">Mr. Blumenthal</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSHR00">Committee on Health, Education, Labor, and Pensions</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To shorten monopoly periods for prescription drugs that are the subjects of sudden price hikes.</official-title></form>
	<legis-body display-enacting-clause="yes-display-enacting-clause">
 <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>Forcing Limits on Abusive and Tumultuous Prices</short-title></quote> or the <quote><short-title>FLAT Prices Act</short-title></quote>.</text>
		</section><section id="idA2114DE0B3D94C24939EA5082162279A"><enum>2.</enum><header>Reduced market exclusivity</header>
 <subsection id="id9EA0F4F2A95B495E9E4641BD36404D31"><enum>(a)</enum><header>Penalty</header><text>If the manufacturer of a prescription drug approved under 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>) or licensed 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>) increases the price of such drug as described in subsection (b), any remaining period of market exclusivity with respect to such drug shall be reduced as follows:</text>
 <paragraph id="id4575139145B44A31AB9000FE3970BFF9"><enum>(1)</enum><text>With respect to any price increase described in subsection (b), such market exclusivity shall be reduced by 180 days.</text>
 </paragraph><paragraph id="idA8C122BDDE204D5F96A8FA847845311E"><enum>(2)</enum><text>For every 5 percent price increase over the 10 percent, 18 percent, or 25 percent, respectively, threshold price increases described in subsection (b), such market exclusivity shall be reduced for an additional 30 days.</text>
 </paragraph></subsection><subsection id="idC86D0F95D0F547D8B5B8327DDB1102ED"><enum>(b)</enum><header>Price increase</header><text>A price increase described in this subsection is an increase in the wholesale acquisition cost (as defined in section 1847A(c)(6)(B) of the Social Security Act (42 U.S.C. 1395w–3a(c)(6)(B))) of a prescription drug of more than 10 percent over a 1-year period, more than 18 percent over a 2-year period, or more than 25 percent over a 3-year period.</text>
			</subsection><subsection id="id9E4007050DA94AC99FE6CF06EB9A7DEA"><enum>(c)</enum><header>Report on price increase</header>
 <paragraph id="idD76BB5FCB89A47228B7CF6084EB35AA9"><enum>(1)</enum><header>In general</header><text>A drug manufacturer that increases the price of a prescription drug as described in subsection (b) shall report such increase to the Secretary of Health and Human Services (referred to in this section as the <quote>Secretary</quote>) within 30 days of meeting the criteria for a price increase under such subsection.</text>
 </paragraph><paragraph id="idF1B3EF24F92E4EEF80FA9F1EB8CA667F"><enum>(2)</enum><header>Failure to submit report</header><text>In the case of a drug manufacturer that does not submit a report required under paragraph (1) within the 30-day period described in such paragraph, in addition to the penalty under subsection (a), the period of market exclusivity with respect to such drug shall be reduced by 30 days for each day after the due date of the report until the report is submitted.</text>
 </paragraph></subsection><subsection id="id907BF345915C48ED9B0C4E84B2D90EAD"><enum>(d)</enum><header>Waiver</header><text>The Secretary may waive, or decrease, the reduction in the period of market exclusivity that would otherwise apply under subsection (a) with respect to a prescription drug if—</text>
 <paragraph id="idE92857FDBE0A41E5B44152D1D56D09DF"><enum>(1)</enum><text>the manufacturer of such drug submits—</text> <subparagraph id="id52AF9222124045F1ABBD2A87FBD5C769"><enum>(A)</enum><text>a report under subsection (c)(1); and</text>
 </subparagraph><subparagraph id="idC935BCAEB09643CF85099BADF3EA8605"><enum>(B)</enum><text>an application for such a waiver, at such time, in such manner, and containing such information as the Secretary may require; and</text>
 </subparagraph></paragraph><paragraph id="id72B14F14AA714E1B82BDE678A5B75A70"><enum>(2)</enum><text>based upon the information in such application, the Secretary determines that—</text>
 <subparagraph id="idCD8AE89A893744A4AC57CE26A3829AFF"><enum>(A)</enum><text>the price increase is necessary to enable production of the drug, does not unduly restrict patient access to the drug , and does not negatively impact public health; and</text>
 </subparagraph><subparagraph id="id62A91FC6449A4F91A417A3B8FCB91986"><enum>(B)</enum><text>such waiver or decrease constitutes a deviation from the reduction in market exclusivity that would otherwise apply under subsection (a) only to the extent necessary to achieve drug production objectives.</text>
 </subparagraph></paragraph></subsection><subsection id="idD94AAC35E65548CDB9A79B0F2E6B0827"><enum>(e)</enum><header>Period of market exclusivity</header><text>For purposes of this section, the term <term>period of market exclusivity</term> means any period of market exclusivity granted with respect to a prescription drug under clause (ii), (iii), or (iv) of section 505(c)(3)(E) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355(c)(3)(E)</external-xref>), section 505(j)(5)(B)(iv) of such Act, clause (ii), (iii), or (iv) of section 505(j)(5)(F) of such Act, or paragraphs (6) or (7) of 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></subsection></section></legis-body></bill>


