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<dc:title>119 S1414 RS: Expedited Access to Biosimilars Act</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2026-07-27</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><calendar>Calendar No. 520</calendar><congress>119th CONGRESS</congress><session>2d Session</session><legis-num>S. 1414</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20250410">April 10, 2025</action-date><action-desc><sponsor name-id="S348">Mr. Paul</sponsor> (for himself, <cosponsor name-id="S346">Mr. Lee</cosponsor>, and <cosponsor name-id="S388">Ms. Hassan</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSHR00" added-display-style="italic" deleted-display-style="strikethrough">Committee on Health, Education, Labor, and Pensions</committee-name></action-desc></action><action stage="Reported-in-Senate"><action-date date="20260727">July 27, 2026</action-date><action-desc>Reported by <sponsor name-id="S373">Mr. Cassidy</sponsor>, with an amendment</action-desc><action-instruction>Strike out all after the enacting clause and insert the part printed in italic</action-instruction></action><legis-type>A BILL</legis-type><official-title>To amend the Public Health Service Act to provide that clinical studies required for licensure of biological products as biosimilar shall not be required to include the assessment of immunogenicity, pharmacodynamics, or comparative clinical efficacy.</official-title></form><legis-body><section id="S1" section-type="section-one" changed="deleted" reported-display-style="strikethrough" committee-id="SSHR00"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Expedited Access to Biosimilars Act</short-title></quote>.</text></section><section id="id76ab6af52cc4485d854e7366ee73be51" changed="deleted" reported-display-style="strikethrough" committee-id="SSHR00"><enum>2.</enum><header>Assessment of immunogenicity, pharmacodynamics, or comparative clinical efficacy in clinical studies required for licensure of biological products as biosimilar</header><subsection id="idf6c498e35833455299e3b3aacc99896e"><enum>(a)</enum><header>In general</header><text>Section 351(k)(2)(A) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(k)(2)(A)</external-xref>) is amended—</text><paragraph id="id47b3b2b58bf346fdbcef7b374d54755a"><enum>(1)</enum><text>in clause (i)(I)—</text><subparagraph commented="no" display-inline="no-display-inline" id="ida4d7032c3bf348b080ccb7c0cfcc5383"><enum>(A)</enum><text display-inline="yes-display-inline">in item (bb), by striking <quote>and</quote> at the end; and</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id61d7cbb2645845bd87209e184570c8c9"><enum>(B)</enum><text display-inline="yes-display-inline">by striking item (cc) and inserting the following</text><quoted-block style="OLC" display-inline="no-display-inline" id="id6fa803b02e6647d38c71c9b11fa92b4f" changed="deleted" reported-display-style="strikethrough" committee-id="SSHR00"><item id="id962ce2acce8d4ed6801bd811f1b0490b"><enum>(cc)</enum><text>a clinical study or studies assessing pharmacokinetics that are sufficient to demonstrate safety, purity, and potency; and</text></item><item commented="no" display-inline="no-display-inline" id="idc36e11e392b34eab9e7b2793f947337c"><enum>(dd)</enum><text display-inline="yes-display-inline">subject to clause (iv), a clinical study or studies that are sufficient to demonstrate safety, purity, and potency in 1 or more appropriate conditions of use for which the reference product is licensed and intended to be used and for which licensure is sought for the biological product;</text></item><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id1c4f19fa2b724cb1b6f44ed5efb376c6"><enum>(2)</enum><text>by adding at the end the following:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id0a33d736f4124acca30804c9c3e85ebf" changed="deleted" reported-display-style="strikethrough" committee-id="SSHR00"><clause id="id555aac28993d41b087bb57e76e297305"><enum>(iv)</enum><header>Clinical studies</header><subclause commented="no" display-inline="no-display-inline" id="id8776d2e705d04e65a6e2af99bbf9e92f"><enum>(I)</enum><header>In general</header><text display-inline="yes-display-inline">Subject to subclause (II), the Secretary may determine, in the Secretary's discretion, that a clinical study required under clause (i)(I)(dd) shall include the assessment of immunogenicity, pharmacodynamics, or comparative clinical efficacy. </text></subclause><subclause commented="no" display-inline="no-display-inline" id="idda1b91ca0ff8466ba8e2c7b0fccf461a"><enum>(II)</enum><header>Requirement</header><text display-inline="yes-display-inline">The Secretary may only require the assessment of immunogenicity, pharmacodynamics, or comparative clinical efficacy pursuant to a determination under subclause (I) if the Secretary provides to the applicant notice of the requirement, including a written justification of the basis for such determination, not later than the earliest date on which the applicant may file the application under this subsection.</text></subclause></clause><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection><subsection id="id295a150bb15a4ae8aa72e2bcfe93213b"><enum>(b)</enum><header>Applicability</header><text>The amendments made by subsection (a) shall apply with respect to 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>) on or after the date of enactment of this Act. </text></subsection></section></legis-body><legis-body display-enacting-clause="no-display-enacting-clause"><section id="idfa2651d9-afc9-4ec9-a23a-b24c3d950f4b" section-type="section-one" changed="added" reported-display-style="italic" committee-id="SSHR00"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Expedited Access to Biosimilars Act</short-title></quote>.</text></section><section id="idac17f5a1-9d71-45bf-9779-900e79433068" changed="added" reported-display-style="italic" committee-id="SSHR00"><enum>2.</enum><header>Data required for licensure of biological products as biosimilar</header><subsection id="idc9cbc457-3fbe-471e-94f3-db3aa2464a18"><enum>(a)</enum><header>In general</header><text>Section 351(k)(2)(A) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(k)(2)(A)</external-xref>) is amended—</text><paragraph id="id5c6a1841-2e30-4d6d-9589-9774816ca36d"><enum>(1)</enum><text>in clause (i)(I)—</text><subparagraph commented="no" display-inline="no-display-inline" id="id3302be17-e110-48d4-a9f1-1f3349ab2d04"><enum>(A)</enum><text display-inline="yes-display-inline">in item (bb)—</text><clause commented="no" display-inline="no-display-inline" id="id8f367095fcc54c58886970ba280210f1"><enum>(i)</enum><text display-inline="yes-display-inline">by striking <quote>or (cc)</quote> and inserting <quote>, (cc), or (dd)</quote>; and</text></clause><clause commented="no" display-inline="no-display-inline" id="id115bd24f0ef24588820b5794d4b92003"><enum>(ii)</enum><text display-inline="yes-display-inline">by striking <quote>and</quote> at the end; and</text></clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id2beb8f18-cb8c-435f-8d22-c669a4a6387a"><enum>(B)</enum><text display-inline="yes-display-inline">by striking item (cc) and inserting the following</text><quoted-block style="OLC" display-inline="no-display-inline" id="id440acf5c-69fc-48d1-bad2-7c1200527aa4" changed="added" reported-display-style="italic" committee-id="SSHR00"><item id="iddf82f0d9-063d-4fde-b329-4f8255423eda"><enum>(cc)</enum><text>an assessment of pharmacokinetics and immunogenicity (which may rely on, or consist of, a clinical pharmacokinetics study or studies described in item (aa) or (dd)), as appropriate; and</text></item><item commented="no" display-inline="no-display-inline" id="idc9594aa9-8f56-4389-9792-fd91ccceb035"><enum>(dd)</enum><text display-inline="yes-display-inline">a clinical study or studies, if required by the Secretary pursuant to clause (ii)(II), to support a demonstration that there is no clinically meaningful difference between the biological product and the reference product in terms of safety, purity, and potency of such product;</text></item><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id8d590f86ceb24009bf189ce042bac8c7"><enum>(2)</enum><text>in clause (ii)—</text><subparagraph id="iddd167964053748729d68c82e6999d40b" commented="no"><enum>(A)</enum><text>in the clause heading, by striking <quote><header-in-text style="OLC" level="clause">Determination</header-in-text></quote> and inserting <quote><header-in-text style="OLC" level="clause">Determinations</header-in-text></quote>;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id5de0c7b107914f4e9b9859f09fa4a4c8"><enum>(B)</enum><text display-inline="yes-display-inline">by striking <quote>The Secretary may</quote> and inserting the following:</text><quoted-block style="OLC" display-inline="no-display-inline" id="idd261e59ff4ee497abf035646ba44ced1" changed="added" reported-display-style="italic" committee-id="SSHR00"><subclause id="id82c01d48b16a499d93a2cd004971552a"><enum>(I)</enum><header>In general</header><text>The Secretary may</text></subclause><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id58511a2c27a14dcd8d0f6752da9e4231"><enum>(C)</enum><text>by adding at the end the following:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id6ffd5fc9b57b4bbe8789466b1994e3d4" changed="added" reported-display-style="italic" committee-id="SSHR00"><subclause id="id673ab83e365542fea632a7fc7ca984c6"><enum>(II)</enum><header>Procedure for certain studies</header><item id="idc654d469e7974822b21f9ad607c68d0d"><enum>(aa)</enum><header>In general</header><text>For an application for licensure of a biosimilar biological product submitted under this subsection, the Secretary may require a clinical study that includes an assessment of pharmacodynamics or efficacy, as described in clause (i)(I)(dd), only if the Secretary provides a written determination, as described in item (bb) or (cc), to the sponsor of the biosimilar biological product that such assessments or studies are necessary, in combination with other information required pursuant to clause (i)(I), to demonstrate biosimilarity.</text></item><item id="id1a9906f6486a4f29b2120ead01604220"><enum>(bb)</enum><header>Written determination</header><text>The Secretary shall—</text><subitem commented="no" display-inline="no-display-inline" id="idd266e308f4d74e17a2a819b2881d9b75"><enum>(AA)</enum><text display-inline="yes-display-inline">when the Secretary issues meeting minutes of a biosimilar biological product development meeting (as such term is defined in section 744G(5) of the Federal Food, Drug, and Cosmetic Act), provide a written determination described in item (aa), or provide written notice to the sponsor that describes why such a determination can not be made at such time; and</text></subitem><subitem commented="no" display-inline="no-display-inline" id="id661895de38844b0191a1ef1be6c4c88b"><enum>(BB)</enum><text display-inline="yes-display-inline">if the Secretary is unable to make a written determination described in item (aa) at the time described in subitem (AA), provide such determination not later than 60 days after the date of submission of an application for licensure under this section.</text></subitem></item><item id="id7e84f97863f74bf1891d35dc00b67021"><enum>(cc)</enum><header>Amendment to a determination</header><text>A written determination under this subclause shall not be amended to require a clinical study or studies described in clause (i)(I)(dd) after the date on which such a determination is made, except—</text><subitem id="id534c10eba0f146f59f782e9629fb6215"><enum>(AA)</enum><text>by written agreement with the sponsor; or</text></subitem><subitem id="idf60d10b6aad6466092dd27ab61f3fe87"><enum>(BB)</enum><text>in the case that the Secretary determines there is a scientific justification to amend the determination, provides a detailed written justification to the sponsor as soon as practicable, and, upon the request of the sponsor, holds a biosimilar biological product development meeting (as such term is defined in section 744G(5) of the Federal Food, Drug, and Cosmetic Act) to discuss the amendment.</text></subitem></item></subclause><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph></subsection><subsection id="id1b41e1d7c3644c65ac503b6b83340593"><enum>(b)</enum><header>Streamlining biosimilar reviews</header><text>Section 351(k)(5) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(k)(5)</external-xref>) is amended—</text><paragraph id="id6276c76a031049719e52f459f04c0d8c"><enum>(1)</enum><text>by striking subparagraph (B); and</text></paragraph><paragraph id="id36bb51e0da1e4f8a980d26c4b9715419"><enum>(2)</enum><text>by redesignating subparagraph (C) as subparagraph (B).</text></paragraph></subsection><subsection id="id4ea4534a-e151-407d-bc42-dfbd09478ba7"><enum>(c)</enum><header>Applicability</header><text>The amendments made by subsections (a) and (b) shall apply with respect to 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>) on or after the date of enactment of this Act. </text></subsection></section></legis-body><endorsement><action-date date="20260727">July 27, 2026</action-date><action-desc>Reported with an amendment</action-desc></endorsement></bill> 

