[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 1954 Reported in Senate (RS)]

<DOC>





                                                       Calendar No. 521
119th CONGRESS
  2d Session
                                S. 1954

       To improve the requirements for making a determination of 
 interchangeability of a biological product and its reference product.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              June 4, 2025

Mr. Lee (for himself, Mr. Lujan, Mr. Paul, Ms. Hassan, Mr. Schmitt, and 
  Mr. Ossoff) introduced the following bill; which was read twice and 
  referred to the Committee on Health, Education, Labor, and Pensions

                             July 27, 2026

               Reported by Mr. Cassidy, with an amendment
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

_______________________________________________________________________

                                 A BILL


 
       To improve the requirements for making a determination of 
 interchangeability of a biological product and its reference product.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

<DELETED>SECTION 1. SHORT TITLE.</DELETED>

<DELETED>    This Act may be cited as the ``Biosimilar Red Tape 
Elimination Act''.</DELETED>

<DELETED>SEC. 2. BIOSIMILAR BIOLOGICAL PRODUCTS.</DELETED>

<DELETED>    (a) In General.--Section 351(k) of the Public Health 
Service Act (42 U.S.C. 262(k)) is amended--</DELETED>
        <DELETED>    (1) in the subsection heading, by striking ``or 
        Interchangeable'';</DELETED>
        <DELETED>    (2) in paragraph (2)--</DELETED>
                <DELETED>    (A) by striking subparagraph 
                (B);</DELETED>
                <DELETED>    (B) by redesignating clauses (ii) and 
                (iii) of subparagraph (A) as subparagraphs (B) and (C), 
                respectively, and adjusting the margins 
                accordingly;</DELETED>
                <DELETED>    (C) in subparagraph (A)--</DELETED>
                        <DELETED>    (i) in clause (i), by 
                        redesignating subclauses (I) through (V) as 
                        clauses (i) through (v), respectively, and 
                        adjusting the margins accordingly;</DELETED>
                        <DELETED>    (ii) 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</DELETED>
                        <DELETED>    (iii) by striking ``(a) in 
                        general'' and all that follows through ``An 
                        application submitted under this subsection 
                        shall include information'' and inserting the 
                        following:</DELETED>
                <DELETED>    ``(A) In general.--An application 
                submitted under this subsection shall include 
                information'';</DELETED>
                <DELETED>    (D) in subparagraph (B), as so 
                redesignated by subparagraph (B) of this paragraph, by 
                striking ``clause (i)(I)'' and inserting ``subparagraph 
                (A)(i)''; and</DELETED>
                <DELETED>    (E) in subparagraph (C), as so 
                redesignated by subparagraph (B) of this paragraph, by 
                redesignating subclauses (I) through (III) as clauses 
                (i) through (iii), respectively, and by adjusting the 
                margins accordingly;</DELETED>
        <DELETED>    (3) by amending subparagraph (A) of paragraph (3) 
        to read as follows:</DELETED>
                <DELETED>    ``(A) the Secretary determines that the 
                information submitted in the application (or the 
                supplement) is sufficient to show that the biological 
                product is biosimilar to the reference product; 
                and'';</DELETED>
        <DELETED>    (4) by amending paragraph (4) to read as 
        follows:</DELETED>
        <DELETED>    ``(4) Interchangeability.--</DELETED>
                <DELETED>    ``(A) In general.--A biological product 
                licensed under this subsection shall be deemed to be 
                interchangeable with the reference product, subject to 
                subparagraph (B).</DELETED>
                <DELETED>    ``(B) Timing of deemed 
                interchangeability.--</DELETED>
                        <DELETED>    ``(i) Licensure on or after 
                        transition date.--A biological product licensed 
                        under this subsection on or after the 
                        transition date described in subparagraph (C) 
                        (referred to in this clause as the `applicable 
                        biological product') shall be deemed to be 
                        interchangeable with the reference product upon 
                        such licensure, unless the applicable 
                        biological product relied on the same reference 
                        product as another biological product for 
                        which--</DELETED>
                                <DELETED>    ``(I) licensure under this 
                                subsection was in effect on the date of 
                                enactment of the Biosimilar Red Tape 
                                Elimination Act; and</DELETED>
                                <DELETED>    ``(II) a first 
                                interchangeable exclusivity period 
                                under paragraph (6) (as in effect on 
                                the date of enactment of the Biosimilar 
                                Red Tape Elimination Act) is in effect 
                                on the date of licensure of the 
                                applicable biological 
                                product,</DELETED>
                        <DELETED>in which case the applicable 
                        biological product shall be deemed 
                        interchangeable with the reference product 
                        under this paragraph on the date on which the 
                        exclusivity period described in subclause (II) 
                        ends.</DELETED>
                        <DELETED>    ``(ii) Licensure prior to 
                        transition date.--A biological product licensed 
                        under this subsection prior to the transition 
                        date described in subparagraph (C) (referred to 
                        in this clause as the `applicable biological 
                        product') shall be deemed to be interchangeable 
                        with the reference product on such transition 
                        date, unless the applicable biological product 
                        relied on the same reference product as another 
                        biological product for which--</DELETED>
                                <DELETED>    ``(I) licensure under this 
                                subsection was in effect on the date of 
                                enactment of the Biosimilar Red Tape 
                                Elimination Act; and</DELETED>
                                <DELETED>    ``(II) a first 
                                interchangeable exclusivity period 
                                under paragraph (6) (as in effect on 
                                the date of enactment of the Biosimilar 
                                Red Tape Elimination Act) is in effect 
                                on the transition date,</DELETED>
                        <DELETED>in which case the applicable 
                        biological product shall be deemed 
                        interchangeable with the reference product 
                        under this paragraph on the date on which the 
                        exclusivity period described in subclause (II) 
                        ends.</DELETED>
                <DELETED>    ``(C) Transition date.--The transition 
                date described in this subparagraph is the date that is 
                60 days after the date of enactment of the Biosimilar 
                Red Tape Elimination Act.'';</DELETED>
        <DELETED>    (5) by amending paragraph (6) to read as 
        follows:</DELETED>
        <DELETED>    ``(6) Transition with respect to preserving first 
        interchangeability exclusivity with respect to certain 
        biological products.--With respect to a biological product 
        licensed under this subsection before the date of enactment of 
        the Biosimilar Red Tape Elimination Act, for which there was an 
        unexpired period of first interchangeable exclusivity under 
        this subsection (as then in effect), such unexpired exclusivity 
        period shall remain in effect for the duration of such 
        period.''; and</DELETED>
        <DELETED>    (6) in paragraph (8)(D)--</DELETED>
                <DELETED>    (A) in clause (i), by striking ``class; 
                and'' and inserting ``class.'';</DELETED>
                <DELETED>    (B) by striking clause (ii); and</DELETED>
                <DELETED>    (C) by striking ``description of--'' and 
                all that follows through ``criteria that the 
                Secretary'' and inserting ``description of the criteria 
                that the Secretary''.</DELETED>
<DELETED>    (b) Conforming Amendments.--</DELETED>
        <DELETED>    (1) Section 351(i)(3) of the Public Health Service 
        Act (42 U.S.C. 262(i)(3)) is amended by striking ``that is 
        shown to meet the standards described in subsection (k)(4)'' 
        and inserting ``licensed under subsection (k)''.</DELETED>
        <DELETED>    (2) Section 352A of the Public Health Service Act 
        (42 U.S.C. 263-1) is amended by striking ``and interchangeable 
        biosimilar biological products'' each place it 
        appears.</DELETED>
        <DELETED>    (3) Section 744G(14) of the Federal Food, Drug, 
        and Cosmetic Act (21 U.S.C. 379j-51(14)) is amended by striking 
        ``, 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''.</DELETED>
        <DELETED>    (4) By amending subsection (l) of section 505B of 
        the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355c) to 
        read as follows:</DELETED>
<DELETED>    ``(l) Biosimilar Biological Products.--A biological 
product for which an application is submitted under section 351(k) of 
the Public Health Service Act shall not be considered to have a new 
active ingredient for purposes of this section, unless the application 
seeks licensure for--</DELETED>
        <DELETED>    ``(1) a claimed indication that has been approved 
        for the reference product in a relevant pediatric population or 
        for which there is a deferral of the pediatric assessment under 
        paragraph (4) for the reference product; and</DELETED>
        <DELETED>    ``(2) the assessment would not involve the 
        development of a biological product with a strength, dosage 
        form, route of administration, or condition of use that could 
        not be licensed under section 351(k) of the Public Health 
        Service Act.''.</DELETED>
<DELETED>    (c) Guidance.--The Secretary shall--</DELETED>
        <DELETED>    (1) not later than 18 months after the date of 
        enactment of this Act, update existing draft and final guidance 
        to reflect the amendments made by this Act, including by 
        revising or revoking the guidance document titled 
        ``Considerations in Demonstrating Interchangeability With a 
        Reference Product'' (May 2019) and ``Considerations in 
        Demonstrating Interchangeability With a Reference Product: 
        Update'' (June 2024);</DELETED>
        <DELETED>    (2) not later than 18 months after the date of 
        enactment of this Act, issue or revise guidance on review and 
        approval of biosimilar biological products under section 351(k) 
        of the Public Health Service Act (42 U.S.C. 262(k)) relating to 
        the data and information that an applicant is required to 
        submit to support a determination that a biosimilar biological 
        product that is the subject of an application under such 
        section is biosimilar to the reference product (as defined in 
        section 351(i) of such Act (42 U.S.C. 262(i))); and</DELETED>
        <DELETED>    (3) not later than 18 months after the comment 
        period closes on the guidance under paragraphs (1) and (2), 
        issue revised draft or final versions of such 
        guidances.</DELETED>

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Biosimilar Red Tape Elimination 
Act''.

SEC. 2. BIOSIMILAR BIOLOGICAL PRODUCTS.

    (a) In General.--Section 351(k) of the Public Health Service Act 
(42 U.S.C. 262(k)) is amended--
            (1) in the subsection heading, by striking ``or 
        Interchangeable'';
            (2) in paragraph (2)--
                    (A) by striking subparagraph (B);
                    (B) by redesignating clauses (ii) and (iii) of 
                subparagraph (A) as subparagraphs (B) and (C), 
                respectively, and adjusting the margins accordingly;
                    (C) in subparagraph (A)--
                            (i) in clause (i), by redesignating 
                        subclauses (I) through (V) as clauses (i) 
                        through (v), respectively, and adjusting the 
                        margins accordingly;
                            (ii) 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;
                            (iii) by striking ``(a) in general'' and 
                        all that follows through ``An application 
                        submitted under this subsection shall include 
                        information'' and inserting the following:
                    ``(A) In general.--An application submitted under 
                this subsection shall include information''; and
                            (iv) in clause (i)(II), as so redesignated 
                        by clauses (i) and (ii) of this subparagraph, 
                        by striking ``item (aa) or (cc)'' and inserting 
                        ``subclause (I) or (III)'';
                    (D) in subparagraph (B), as so redesignated by 
                subparagraph (B) of this paragraph, by striking 
                ``clause (i)(I)'' and inserting ``subparagraph 
                (A)(i)''; and
                    (E) in subparagraph (C), as so redesignated by 
                subparagraph (B) of this paragraph--
                            (i) by redesignating subclauses (I) through 
                        (III) as clauses (i) through (iii), 
                        respectively, and adjusting the margins 
                        accordingly; and
                            (ii) by striking ``publicly-available'' 
                        each place it appears and inserting ``publicly 
                        available'';
            (3) by amending subparagraph (A) of paragraph (3) to read 
        as follows:
                    ``(A) the Secretary determines that the information 
                submitted in the application (or the supplement) is 
                sufficient to show that the biological product is 
                biosimilar to the reference product; and'';
            (4) by amending paragraph (4) to read as follows:
            ``(4) Interchangeability.--
                    ``(A) In general.--A biological product licensed 
                under this subsection shall be deemed to be 
                interchangeable with the reference product, subject to 
                subparagraph (B).
                    ``(B) Timing of deemed interchangeability.--A 
                biological product licensed under this subsection 
                (referred to in this subparagraph as the `applicable 
                biological product') shall be deemed to be 
                interchangeable with the reference product upon such 
                licensure (or, in the case of a biological product so 
                licensed before the transition date described in 
                subparagraph (C), on such transition date), unless the 
                applicable biological product relied on the same 
                reference product as another biological product for 
                which--
                            ``(i) licensure under this subsection was 
                        in effect on the date of enactment of the 
                        Biosimilar Red Tape Elimination Act; and
                            ``(ii) a first interchangeable exclusivity 
                        period under paragraph (6) (as in effect on the 
                        day before the date of enactment of the 
                        Biosimilar Red Tape Elimination Act) is in 
                        effect on the date of licensure of the 
                        applicable biological product (or on the 
                        transition date described in subparagraph (C), 
                        in the case of a biological product licensed 
                        before the transition date),
                in which case the applicable biological product shall 
                be deemed interchangeable with the reference product 
                under this paragraph on the date on which the 
                exclusivity period described in clause (ii) ends.
                    ``(C) Transition date.--The transition date 
                described in this subparagraph is the date that is 60 
                days after the date of enactment of the Biosimilar Red 
                Tape Elimination Act.'';
            (5) by amending paragraph (6) to read as follows:
            ``(6) Transition with respect to preserving first 
        interchangeability exclusivity with respect to certain 
        biological products.--With respect to a biological product 
        licensed under this subsection before the date of enactment of 
        the Biosimilar Red Tape Elimination Act, for which there was an 
        unexpired period of first interchangeable exclusivity under 
        this subsection (as then in effect), such unexpired exclusivity 
        period shall remain in effect for the duration of such 
        period.''; and
            (6) in paragraph (8)(D)--
                    (A) in clause (i), by striking ``class; and'' and 
                inserting ``class.'';
                    (B) by striking clause (ii); and
                    (C) by striking ``description of--'' and all that 
                follows through ``criteria that the Secretary'' and 
                inserting ``description of the criteria that the 
                Secretary''.
    (b) Conforming Amendments.--
            (1) Section 351 of the Public Health Service Act (42 U.S.C. 
        262) is amended--
                    (A) in subsection (i)(3), by striking ``that is 
                shown to meet the standards described in subsection 
                (k)(4)'' and inserting ``licensed under subsection 
                (k)''; and
                    (B) in subsection (l)(1)(F), by striking 
                ``publicly-available'' and inserting ``publicly 
                available''.
            (2) Section 352A of the Public Health Service Act (42 
        U.S.C. 263-1) is amended by striking ``and interchangeable 
        biosimilar biological products'' each place it appears.
            (3) Section 744G(14) of the Federal Food, Drug, and 
        Cosmetic Act (21 U.S.C. 379j-51(14)) is amended by striking ``, 
        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''.
            (4) Subsection (l) of section 505B of the Federal Food, 
        Drug, and Cosmetic Act (21 U.S.C. 355c) is amended to read as 
        follows:
    ``(l) Biosimilar Biological Products.--A biological product for 
which an application, including a supplement to an application, is 
submitted under section 351(k) of the Public Health Service Act shall 
not be considered to have a new active ingredient for purposes of this 
section, unless--
            ``(1) the application seeks licensure for a claimed 
        indication that has been approved for the reference product in 
        a relevant pediatric population or for which there is a 
        deferral of the pediatric assessment under subsection (a)(4) 
        for the reference product; and
            ``(2) the assessment or investigation described in 
        subsection (a) would not involve the development of a 
        biological product with a strength, dosage form, route of 
        administration, or condition of use that could not be licensed 
        under such section 351(k).''.
    (c) Guidance.--The Secretary of Health and Human Services may issue 
or revise guidance, as appropriate, regarding the data and information 
that an applicant may be required to submit to support a determination 
of biosimilarity in an application submitted under section 351(k) of 
the Public Health Service Act (42 U.S.C. 262(k)), as amended by this 
Act, including any additional information related to the device 
constituent part of a biosimilar biological product that is a 
combination product. The issuance or non-issuance of such guidance 
shall not preclude the review of, or action on, an application 
submitted under section 351(k) of the Public Health Service Act (42 
U.S.C. 262(k)), as amended by this Act.
                                                       Calendar No. 521

119th CONGRESS

  2d Session

                                S. 1954

_______________________________________________________________________

                                 A BILL

       To improve the requirements for making a determination of 
 interchangeability of a biological product and its reference product.

_______________________________________________________________________

                             July 27, 2026

                       Reported with an amendment