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<dc:title>117 HR 3437 IH: Long-term Opportunities for Advancing New Studies for Biomedical Research Act</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2021-05-20</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">117th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 3437</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20210520">May 20, 2021</action-date><action-desc><sponsor name-id="R000515">Mr. Rush</sponsor> (for himself, <cosponsor name-id="F000466">Mr. Fitzpatrick</cosponsor>, <cosponsor name-id="B000490">Mr. Bishop of Georgia</cosponsor>, <cosponsor name-id="C001072">Mr. Carson</cosponsor>, <cosponsor name-id="C001068">Mr. Cohen</cosponsor>, <cosponsor name-id="C000754">Mr. Cooper</cosponsor>, <cosponsor name-id="D000096">Mr. Danny K. Davis of Illinois</cosponsor>, <cosponsor name-id="G000551">Mr. Grijalva</cosponsor>, <cosponsor name-id="L000593">Mr. Levin of California</cosponsor>, <cosponsor name-id="S001190">Mr. Schneider</cosponsor>, <cosponsor name-id="S001185">Ms. Sewell</cosponsor>, and <cosponsor name-id="T000193">Mr. Thompson of Mississippi</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To require the Secretary of Health and Human Services to guarantee BioBonds in order to provide funding for loans to eligible biomedical companies and universities to carry out clinical trials approved by the Food and Drug Administration, and for other purposes.</official-title></form><legis-body id="HB30C7B09F27640959412DEC6AD131D16" style="OLC"><section id="H021D624138B247F3AA5C8C4432FCDEDD" 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>Long-term Opportunities for Advancing New Studies for Biomedical Research Act</short-title></quote> or the <quote><short-title>LOANS for Biomedical Research Act</short-title></quote>. </text></section><section id="H4B00304375D9499694E889B0AEBDD0E5" commented="no"><enum>2.</enum><header>Biobonds Program</header><subsection id="HA0BC207D54D64080B34DFAA36114E492" commented="no"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Not later than 180 days after the date of enactment of this Act, the Secretary of Health and Human Services, in consultation with the Secretary of the Treasury, shall establish a program, to be known as the <quote>Biobonds Program</quote>, to increase innovative biomedical research into therapies to address unmet medical needs, under which biomedical researchers seeking to conduct clinical trials with respect to a drug or device, but who cannot secure appropriate funding to conduct such trials (as determined by the Secretary of the Treasury), receive financial assistance through—</text><paragraph id="H4D4AAF1FF18743279BF3CCA8923131DA" commented="no"><enum>(1)</enum><text>the purchasing of loans by fiscal agents under section 3; and</text></paragraph><paragraph id="HD750089F0309457BB70C784AB6A25669" commented="no"><enum>(2)</enum><text>the sale and guarantee of Biobonds comprised of these loans under section 4. </text></paragraph></subsection><subsection id="H8C5DB9FC56DF4416BBFF1D585C2BC300" commented="no"><enum>(b)</enum><header>Biomedical researchers eligible for financial assistance</header><paragraph id="HD0E45785E9834636BC9DE6C1E4BE2FEE"><enum>(1)</enum><header>In general</header><text>A person shall be eligible to receive a loan under the Biobonds Program if such person is conducting or seeking to conduct research with respect to a drug or device that is—</text><subparagraph id="H05819488938D48199527E5F3F8AEF9B5"><enum>(A)</enum><text>intended for use to meet an unmet medical need (as determined by the Secretary of Health and Human Services); and</text></subparagraph><subparagraph id="HE928FE4C537C439AA7CE696C2D51AB2D"><enum>(B)</enum><text>under investigation in a controlled clinical trial under—</text><clause id="H46575E2AFCC0478487B2CB29C9BD72CE" commented="no"><enum>(i)</enum><text>an investigational drug application in effect under section 505(i) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355(i)</external-xref>) or section 351(a)(3) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(a)(3)</external-xref>) (as applicable); or</text></clause><clause id="H2B00CE6BBC1F4F24918DB889F4242E3C" commented="no"><enum>(ii)</enum><text>an investigational device exemption in effect under section 520(g) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/360j">21 U.S.C. 360j(g)</external-xref>).</text></clause></subparagraph></paragraph><paragraph id="H9880E10AC4474B99BCB570F0D3786C10"><enum>(2)</enum><header>Rulemaking</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services, in consultation with the Secretary of the Treasury, shall issue rules to carry out this subsection.</text></paragraph></subsection></section><section id="H0B65A3982A1C460C8550A6D54FA431A1"><enum>3.</enum><header>Purchase of loans by fiscal agents</header><subsection id="HCBE764A195B6475FA2B0E39993E8F6CF"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Fiscal agents shall purchase loans—</text><paragraph id="HBE8BA2DCB5FC48D9BC09EB6BCE6719C7"><enum>(1)</enum><text>made to an eligible recipient for the purpose of conducting the applicable clinical trial; and</text></paragraph><paragraph id="HEE257F752DC24FF882C632ABF47D805E"><enum>(2)</enum><text display-inline="yes-display-inline">with respect to which the fiscal agent determines that the borrower has the ability to repay the loan, based on collateral and financial capabilities and not on the prospects for success of the clinical trial.</text></paragraph></subsection><subsection id="HBD19389078A64D6BA7C9BA650D1B83C4"><enum>(b)</enum><header>Priority for loans</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services shall issue rules to require fiscal agents, in purchasing loans under this section, to—</text><paragraph id="H89B228630879463CA5DC8D2DA9115A72"><enum>(1)</enum><text display-inline="yes-display-inline">purchase loans with respect to a diverse range of biomedical projects and not to favor one disease or disability, but with priority given to loans with potential to address unmet public health needs across the spectrum of diseases and disabilities;</text></paragraph><paragraph id="HE0969401163C4AEBAE5164BA137F4B4F"><enum>(2)</enum><text display-inline="yes-display-inline">consider as an important criterion for purchasing loans with respect to clinical trials that they are being conducted by women researchers or researchers who are members of a racial and ethnic minority group or disabled; and</text></paragraph><paragraph id="H89F3D6EAE432432381CB3E61AA07C217"><enum>(3)</enum><text display-inline="yes-display-inline">prioritize purchasing loans with respect to clinical trials that include, where appropriate, representative levels of women, members of a racial and ethnic minority groups, disabled individuals, and other diverse participants, as specified in guidance issued under section 505(b) of the Federal Food, Drug, and Cosmetic Act.</text></paragraph></subsection><subsection id="HC02770BCC35A4CEB8DD52E816930D01A"><enum>(c)</enum><header>Maximum loan amount</header><text>A fiscal agent may not purchase loans in any one year with respect to a single recipient in an amount more than $25,000,000.</text></subsection><subsection id="H3F3043E16AC2427DB7FA78805015956E"><enum>(d)</enum><header>Loan terms and conditions</header><text>The Secretary of Health and Human Services, in consultation with the Secretary of the Treasury, shall issue rules to—</text><paragraph id="H763DE82177B1425F9872177A677AA250"><enum>(1)</enum><text display-inline="yes-display-inline">establish criteria for the terms for loans that are eligible for purchase under this section;</text></paragraph><paragraph id="H5CB6C0F57E594AE5A3BD2045B2125F2A"><enum>(2)</enum><text display-inline="yes-display-inline">establish criteria for the interest rate for loans that are eligible for purchase under this section, which shall be based on applicable rates for obligations of the Department of the Treasury of comparable maturity plus a rate to be determined by the Secretary of the Treasury to reflect—</text><subparagraph id="H2A11042B2B0842779FDB59835E2BFC4D"><enum>(A)</enum><text>prevailing market conditions;</text></subparagraph><subparagraph id="H0144D3FBAD86440AB4416DD06E883411"><enum>(B)</enum><text>taxpayer protection; and</text></subparagraph><subparagraph id="H6B5AB751FE93462DBC940DF301954D5E"><enum>(C)</enum><text>the need to ensure ample funding for clinical trials described under section 2; and</text></subparagraph></paragraph><paragraph id="H053424F5A7B74D0BB16E2348C36D1C7E"><enum>(3)</enum><text>permit the use of warrants and similar instruments with respect to loans that are eligible for purchase under this section, where necessary to protect taxpayer interests.</text></paragraph></subsection></section><section id="HA65ABD2FD1A54ED6AA1A7AE00BC9B207"><enum>4.</enum><header>BioBonds</header><subsection id="H98206B173E254865BB28E24651878E90"><enum>(a)</enum><header>Issuance</header><text display-inline="yes-display-inline">The fiscal agents shall issue bonds, to be known as <quote>BioBonds</quote>, collateralized by loans purchased under this Act, and sell the BioBonds to investors.</text></subsection><subsection id="H6BEFE01DE8104E47BE4815BC55C28AB9"><enum>(b)</enum><header>BioBond guarantee</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services shall provide a guarantee on the payment of principal (but not the payment of interest) for each BioBond, on a bond-by-bond basis, in an amount to be determined by the Secretary, but in no case may the amount of such guarantee be more than 90 percent of the principal of the BioBond.</text></subsection><subsection id="H98738F5351454CF0B62A5B347CD87A21"><enum>(c)</enum><header>Size of issuances</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services, in consultation with the Secretary of the Treasury, shall establish the size of each BioBond issuance, to ensure market acceptance, portfolio diversification, and the protection of taxpayer interests.</text></subsection><subsection id="H902E3BD62511443AB4F4D54937258698"><enum>(d)</enum><header>Auctions</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services may—</text><paragraph id="HEFB2FA7F8587492993D2C98E1E6F6733"><enum>(1)</enum><text>authorize fiscal agents to use an auction to select the purchasers of BioBonds; and</text></paragraph><paragraph id="H3C711BD127024C538CB530EA693EBEDC"><enum>(2)</enum><text>require such auction to include a process that minimizes the risk to the Government of the Federal guarantee involved by allowing bidders for a BioBond to compete against each other by bidding on the percentage of the Federal guarantee under subsection (b) with respect to the BioBond, with the bid for the lowest percentage winning the auction, taking into account other terms and conditions set by the issuer to ensure the lowest total cost to the Government.</text></paragraph></subsection><subsection id="H328D1358DDEB495EA88F9AD5CD45BAC9"><enum>(e)</enum><header>Portfolio diversity</header><text>With respect to an issuance of BioBonds and the loans collateralizing such issuance, no more than 15 percent of the principal amount of such issuance may relate to a group of related diseases or disabilities (as defined by the Secretary of Health and Human Services).</text></subsection><subsection id="HD0A121BB1E1B4492A400591C5CD41D46"><enum>(f)</enum><header>Prioritization of taxpayer interests</header><text display-inline="yes-display-inline">All BioBonds shall be structured to give first priority to protecting the interests of the United States by ensuring that—</text><paragraph id="HDE39868EA93F4367A9F494A4333B7FB7"><enum>(1)</enum><text display-inline="yes-display-inline">all cash proceeds received from the repayment of a BioBond are first used to reduce the amount of principal guaranteed by the Secretary of Health and Human Services; and</text></paragraph><paragraph id="H1DB8A28E90BC4E469B9EC52DC3B6219E"><enum>(2)</enum><text display-inline="yes-display-inline">the Secretary of Health and Human Services has a senior claim on all assets and collateral under a BioBond to the extent the guarantee provided by the Secretary is not extinguished.</text></paragraph></subsection></section><section id="HB6DB7B075E114EABA08AFC431A5C10CD"><enum>5.</enum><header>Fiscal agents</header><subsection id="HBC629297239849A5BBA6BC98DCA03A56"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">The Secretary of the Treasury shall contract with institutions to carry out the duties of fiscal agents under this Act, under such criteria as the Secretary of Health and Human Services, in consultation with the Secretary of the Treasury, determines appropriate.</text></subsection><subsection id="HE9E504EDAB57450DBB817E46D5D7E49B"><enum>(b)</enum><header>Sound underwriting practices</header><text display-inline="yes-display-inline">The Secretary of the Treasury shall issue rules to ensure that fiscal agents use sound underwriting practices that protect the interests of—</text><paragraph id="HC7F69AC4A96F49A1A14E6EC0C9A47488"><enum>(1)</enum><text>the United States;</text></paragraph><paragraph id="H808976EEAA8944F1B36097486E9459E3"><enum>(2)</enum><text>BioBond investors; and</text></paragraph><paragraph id="H9CA842D0BD9A46449110CF02CB155B70"><enum>(3)</enum><text display-inline="yes-display-inline">the long-term promotion of innovative biomedical research into therapies to address unmet medical needs.</text></paragraph></subsection><subsection id="HCECF8780B84B4E7AB38CCD61B85C8363"><enum>(c)</enum><header>Compensation</header><text display-inline="yes-display-inline">A fiscal agent shall be compensated for performing duties under this Act from the proceeds from the sale of Biobonds issued by the fiscal agent, at such rate and on such terms as the Secretary of the Treasury may provide.</text></subsection><subsection id="HD734B7A3AAA040AB9C5C06BD8BC5FF14"><enum>(d)</enum><header>Rulemaking</header><text display-inline="yes-display-inline">Not later than 180 days after the date of enactment of this Act, the Secretary of the Treasury shall issue final rules to carry out this section.</text></subsection></section><section id="H770906AFBE4142CEAED7F5FA552A5DFF"><enum>6.</enum><header>Reports</header><subsection id="HE8C69079EFA448AC8C452EFFC67394F3"><enum>(a)</enum><header>GAO study and reports on other research projects</header><paragraph id="HC6B1AE985481491ABDB55BFB163DF636"><enum>(1)</enum><header>Ongoing study</header><text display-inline="yes-display-inline">The Comptroller General of the United States shall carry out an ongoing study to consider whether a program similar to the BioBonds Program should be established for other biomedical research projects.</text></paragraph><paragraph id="H3CF57CDADD394F0FB9210437908C603B"><enum>(2)</enum><header>Report</header><text display-inline="yes-display-inline">The Comptroller General shall issue a report to the Congress, not less frequently than annually, on all findings and determinations made in carrying out the study required under paragraph (1).</text></paragraph></subsection><subsection id="H5E6394511AC741158E81713F74260020"><enum>(b)</enum><header>Reports on the BioBonds Program</header><text display-inline="yes-display-inline">Not later than 2 years after the date on which BioBonds are first issued, and annually thereafter during the period ending on the date that is 4 years after the date on which BioBonds are first issued, the Comptroller General and the Secretary of Health and Human Services shall each issue a separate report to the Congress on—</text><paragraph id="H4B1C5CE9082A4DBA8CC654B3D30FD8F8"><enum>(1)</enum><text display-inline="yes-display-inline">the progress of the issuance of BioBonds;</text></paragraph><paragraph id="HAB8336EF7C4F49FE828098E52B7B2760"><enum>(2)</enum><text display-inline="yes-display-inline">the reasons for any problems achieving desired volumes of BioBonds or the ability of the Program to proceed at a faster pace;</text></paragraph><paragraph id="H626A194AACD143C99CF3A22C813058E1"><enum>(3)</enum><text display-inline="yes-display-inline">an analysis of the risk to the Government in providing the Federal guarantee described under section 4(b);</text></paragraph><paragraph id="H8E4593F4109740069AEC58EB5C520153"><enum>(4)</enum><text display-inline="yes-display-inline">any recommended improvements to the Program; and</text></paragraph><paragraph id="H2AE4816C6E144CA9B5EC56608B2BCB48"><enum>(5)</enum><text display-inline="yes-display-inline">any other matter that the Comptroller General or the Secretary, respectively, determines is appropriate.</text></paragraph></subsection></section><section id="HC44A8BC60E39492D8A66C021CBC2A332"><enum>7.</enum><header>Authorization of appropriations</header><subsection id="H083DCE854CEA4103B4F77E74CE6D48C5"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">There is authorized to be appropriated to the Secretary of Health and Human Services to pay for the cost of guaranteeing BioBonds under this Act $10,000,000,000 for each of fiscal years 2022, 2023, and 2024.</text></subsection><subsection id="HB028444DAC7446F18A2E63F4F0B7B561"><enum>(b)</enum><header>Program funding</header><paragraph id="H96101E16755B4034BA10010549D705FF"><enum>(1)</enum><header>Administrative expenses paid from bond sales</header><text display-inline="yes-display-inline">Except as provided under paragraph (2), the cost of carrying out this Act, including the cost to the Secretary of Health and Human Services in administering the BioBond Program, shall be recovered from the proceeds from the sale of BioBonds or from fees as set forth in paragraph (3).</text></paragraph><paragraph id="H9810770EF76A4D92884440C7D41C468A"><enum>(2)</enum><header>Specific appropriation or contribution</header><text>No guarantee shall be made under this Act unless—</text><subparagraph id="H79D2E863CAF8427FB6A1FC43DA2ECF0D"><enum>(A)</enum><text>an appropriation for the full cost of the guarantee has been made;</text></subparagraph><subparagraph id="HBA9A76C36C92472198FC9FF69571170F"><enum>(B)</enum><text>the Secretary has received from the BioBond issuer a payment in full for the cost of the guarantee; or</text></subparagraph><subparagraph id="HE8A296F3AF704AE982209C2816D2354B"><enum>(C)</enum><text>a combination of an appropriation and the deposit of a payment from the bond issuer into the Treasury has been made in a sufficient amount to cover the full cost of the guarantee. </text></subparagraph></paragraph><paragraph id="HE93F43E03FF64951B6181286BEF65C32"><enum>(3)</enum><header>Cost of guarantees</header><subparagraph id="H30FFFDBB61F146F48BDD95E22DEA7E7F"><enum>(A)</enum><header>In general</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services shall charge and collect fees for guarantees under this Act in amounts the Secretary determines are sufficient to recover applicable administrative expenses.</text></subparagraph><subparagraph id="H8BE655CBE5254E7CB9CD1E5E267F18E6"><enum>(B)</enum><header>Availability</header><text>Fees collected under this subsection—</text><clause id="H999529F8AD92462AAF1686D9357F20CA"><enum>(i)</enum><text>shall be deposited by the Secretary into the Treasury; and</text></clause><clause id="H33349EA3D1C64061B11C3ADC0D140564"><enum>(ii)</enum><text>are authorized to remain available until expended.</text></clause></subparagraph></paragraph></subsection></section><section id="H2375F98993FF4C3D86059E356D406B0E"><enum>8.</enum><header>Definitions</header><text display-inline="no-display-inline">In this Act:</text><paragraph id="HE9D5D3FF7FB84A1E99645C801F7288BF"><enum>(1)</enum><header>Cost</header><text display-inline="yes-display-inline">The term <term>cost</term> has the meaning given to the term <term>cost of a loan guarantee</term> in section 502(5)(C) of the Federal Credit Reform Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/2/661a">2 U.S.C. 661a(5)(C)</external-xref>).</text></paragraph><paragraph id="HC62B78448EFD4557B172DC8D5317D9C2"><enum>(2)</enum><header>Eligible recipient</header><text display-inline="yes-display-inline">The term <term>eligible recipient</term> means a person described under section 2(b).</text></paragraph><paragraph id="H76DC41B2EFDA41DCB1FC4AB5016D2AD8"><enum>(3)</enum><header>Fiscal agent</header><text>The term <term>fiscal agent</term> means a person selected as a fiscal agent under section 5(a).</text></paragraph></section></legis-body></bill> 

