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<bill bill-stage="Introduced-in-Senate" dms-id="A1" public-private="public" slc-id="S1-TAM23B83-XM9-L6-G29"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>118 S2305 IS: Biosimilar Red Tape Elimination Act</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2023-07-13</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>118th CONGRESS</congress><session>1st Session</session><legis-num>S. 2305</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20230713">July 13, 2023</action-date><action-desc><sponsor name-id="S346">Mr. Lee</sponsor> (for himself, <cosponsor name-id="S409">Mr. Luján</cosponsor>, <cosponsor name-id="S397">Mr. Braun</cosponsor>, and <cosponsor name-id="S421">Mr. Vance</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 improve the requirements for making a determination of interchangeability of a biological product and its reference product.</official-title></form><legis-body display-enacting-clause="yes-display-enacting-clause"><section section-type="section-one" id="id86FA91A307794378AEF4A870B9F6AFD6"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Biosimilar Red Tape Elimination Act</short-title></quote>.</text></section><section id="id5235B2B63FB24498A4EC14A952A92156"><enum>2.</enum><header>Biosimilar biological products</header><subsection id="idEC80B10BEC974BA5A0F22C6AF32ABA10"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">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>) is amended—</text><paragraph id="id35E78E069C914AD5A16C0ED51269AE2C"><enum>(1)</enum><text>in the subsection heading, by striking <quote><header-in-text level="subsection" style="OLC">or interchangeable</header-in-text></quote>;</text></paragraph><paragraph id="idBAA87A913EF141D6A17F8CE18B0DDF36"><enum>(2)</enum><text>in paragraph (2)—</text><subparagraph id="id1FC03C60464F47E7A403456E6B89BFFF"><enum>(A)</enum><text>by striking subparagraph (B);</text></subparagraph><subparagraph id="id22F2DDBF0A2D4CD5BA380F29BCFE0557"><enum>(B)</enum><text>by redesignating clauses (ii) and (iii) of subparagraph (A) as subparagraphs (B) and (C), respectively, and adjusting the margins accordingly;</text></subparagraph><subparagraph id="id8C0D0EE62519494297421C23489BB986"><enum>(C)</enum><text>in subparagraph (A)—</text><clause id="idE792477E14C5431CAD6DACEE0270C71D"><enum>(i)</enum><text>in clause (i), by redesignating subclauses (I) through (V) as clauses (i) through (v), respectively, and adjusting the margins accordingly;</text></clause><clause id="id28CA6D4B20274ECB823CBCDC66CB201E"><enum>(ii)</enum><text>in clause (i), as so redesignated by clause (i) of this subparagraph, by redesignating items (aa) through (cc) as subclauses (I) through (III), respectively, and adjusting the margins accordingly; and</text></clause><clause id="idC7FA8F1A6A724D20AC39BE3BEC46BF37"><enum>(iii)</enum><text>by striking <quote><header-in-text level="subparagraph" style="OLC">(A) In General</header-in-text></quote> and all that follows through <quote>An application submitted under this subsection shall include information</quote> and inserting the following:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id5FEFBC0600264C54A7D7966E1BB17EF9"><subparagraph id="idD10DCF9B130A4DA29B6E1A9153816FE0"><enum>(A)</enum><header>In general</header><text>An application submitted under this subsection shall include information</text></subparagraph><after-quoted-block>; </after-quoted-block></quoted-block></clause></subparagraph><subparagraph id="id11E133B379A145BFB1CA767E5712FA9D"><enum>(D)</enum><text>in subparagraph (B), as so redesignated by subparagraph (C) of this paragraph, by striking <quote>clause (i)(I)</quote> and inserting <quote>subparagraph (A)(i)</quote>; and</text></subparagraph><subparagraph id="id45440363DC0847D5A5E33D4C8455A407"><enum>(E)</enum><text>in subparagraph (C), as so redesignated by subparagraph (C) of this paragraph, by redesignating subclauses (I) through (III) as clauses (i) through (iii), respectively, and by adjusting the margins accordingly; </text></subparagraph></paragraph><paragraph id="idF8800927A8B04240A2CDF19635155202"><enum>(3)</enum><text>by amending paragraph (4) to read as follows:</text><quoted-block style="OLC" display-inline="no-display-inline" id="idA921949F8CFA4D1B9B7EBBCA93E652DE"><paragraph id="idF580186C1EE243B7BC77B0E4F9ED823A"><enum>(4)</enum><header>Interchangeability</header><subparagraph commented="no" display-inline="no-display-inline" id="id4858ea60bfbd47c8bc02c10d4066b039"><enum>(A)</enum><header>In general</header><text display-inline="yes-display-inline">A biological product licensed under this subsection shall be deemed to be interchangeable with the reference product.</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ide26915e2eba7494b977d0f3800a162bf"><enum>(B)</enum><header>Congressional briefing prior to certain study requirements</header><text display-inline="yes-display-inline">The Secretary may require the sponsor of an application submitted under this section to conduct a study to evaluate the risk, in terms of safety, purity, or potency, of alternating or switching between the use of the biological product that is the subject of the application and the reference product, if, before requiring such a study, the Secretary first holds a private briefing with the chair and ranking member of the Committee on Health, Education, Labor, and Pensions of the Senate and the chair and the ranking member of the Committee on Energy and Commerce of the House of Representatives, to explain why such a study is necessary for the biological product, what information the Secretary expects such a study to reveal, what alternatives to such study have been considered, and why those alternatives are not sufficient.</text></subparagraph></paragraph><after-quoted-block>; </after-quoted-block></quoted-block></paragraph><paragraph id="idB5268F37EC73480E82654C21D397BE1B"><enum>(4)</enum><text>by striking paragraph (6); and</text></paragraph><paragraph id="id9E690FAB21284F28A77CD560727FF429"><enum>(5)</enum><text>in paragraph (8)(D)—</text><subparagraph id="id6CFB952AC67D4DCCA0348953A23AB67D"><enum>(A)</enum><text>in clause (i), by striking <quote>class; and</quote> and inserting <quote>class.</quote>;</text></subparagraph><subparagraph id="id620BC61742FC4E8FB24952154EE37C98"><enum>(B)</enum><text>by striking clause (ii); and</text></subparagraph><subparagraph id="id588695F8947A4EC48EEC1D0CF643BFA0"><enum>(C)</enum><text>by striking <quote>description of—</quote> and all that follows through <quote>criteria that the Secretary</quote> and inserting <quote>description of the criteria that the Secretary</quote>.</text></subparagraph></paragraph></subsection><subsection id="idA0F000A9EABD45A59FDF1F3D6C6E7C58"><enum>(b)</enum><header>Conforming amendments</header><paragraph id="idE55131EB5F37415180ADB2A01F9F19AE"><enum>(1)</enum><text>Section 351(i)(3) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(i)(3)</external-xref>) is amended by striking <quote>that is shown to meet the standards described in subsection (k)(4)</quote> and inserting <quote>licensed under subsection (k)</quote>.</text></paragraph><paragraph id="idD600D85C0B2B4EEC8B6A8A2A82B723D3"><enum>(2)</enum><text>Section 352A of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/263-1">42 U.S.C. 263–1</external-xref>) is amended by striking <quote>and interchangeable biosimilar biological products</quote> each place it appears.</text></paragraph><paragraph id="id4ea90e44a0e74e5684e9753223c616fe"><enum>(3)</enum><text>Section 744G(14) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/379j-51">21 U.S.C. 379j–51(14)</external-xref>) is amended by striking <quote>, including a supplement requesting that the Secretary determine that the biosimilar biological product meets the standards for interchangeability described in section 351(k)(4) of the Public Health Service Act</quote>.</text></paragraph><paragraph id="idec5b01dcb649492aa834febeb8e983b9"><enum>(4)</enum><text>By amending subsection (l) of section 505B of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355c">21 U.S.C. 355c</external-xref>) to read as follows:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id9D40F33CD7884792A95E5556C2CD46E1"><subsection commented="no" id="id8b3f58acb3f444ad8431fa20eb270a57"><enum>(l)</enum><header>Biosimilar biological products</header><text>A biological product for which an application is submitted under section 351(k) of the Public Health Service Act shall be considered to have a new active ingredient for purposes of this section, except that a pediatric assessment shall not be required for a claimed indication in a relevant pediatric population if the assessment would involve—</text><paragraph commented="no" display-inline="no-display-inline" id="id764fc0432de442f898347b8dec9508b3"><enum>(1)</enum><text display-inline="yes-display-inline">a condition of use that has not been previously approved for the reference product; or</text></paragraph><paragraph id="idc9aa33f6e1f34706b4d5b13a7683baf1"><enum>(2)</enum><text>a dosage form, strength, or route of administration that differs from that of the reference product.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id337b823555a74c7681ed252975a6f410"><enum>(c)</enum><header>Application</header><text display-inline="yes-display-inline">The amendments made by subsection (a)(4) to section 351(k)(6) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(k)(6)</external-xref>) shall apply only with respect to applications approved under section 351(k) of such Act on or after the date of enactment of this Act. Any period of exclusivity granted under section 351(k)(6) of such Act with respect to an application approved under such section 351(k) before the date of enactment of this Act shall apply in accordance with such section 351(k)(6), as in effect on the day before the date of enactment of this Act.</text></subsection></section></legis-body></bill> 

