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<dc:title>119 S1954 RS: Biosimilar Red Tape Elimination 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>
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<distribution-code>II</distribution-code><calendar>Calendar No. 521</calendar><congress>119th CONGRESS</congress><session>2d Session</session><legis-num>S. 1954</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20250604">June 4, 2025</action-date><action-desc><sponsor name-id="S346">Mr. Lee</sponsor> (for himself, <cosponsor name-id="S409">Mr. Luján</cosponsor>, <cosponsor name-id="S348">Mr. Paul</cosponsor>, <cosponsor name-id="S388">Ms. Hassan</cosponsor>, <cosponsor name-id="S420">Mr. Schmitt</cosponsor>, and <cosponsor name-id="S414">Mr. Ossoff</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 improve the requirements for making a determination of interchangeability of a biological product and its reference product.</official-title></form><legis-body><section section-type="section-one" id="id86FA91A307794378AEF4A870B9F6AFD6" 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>Biosimilar Red Tape Elimination Act</short-title></quote>.</text></section><section id="idA8E53224DCA54B018D53698742C37253" changed="deleted" reported-display-style="strikethrough" committee-id="SSHR00"><enum>2.</enum><header>Biosimilar biological products</header><subsection id="id79CAACA706BB4872B8195B465CD6EB83"><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="id4D16425366E84EDE9DF39E749589FD24"><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="idDBA6D26B8937457AAED07ECD2284DF14"><enum>(2)</enum><text>in paragraph (2)—</text><subparagraph id="id1F1AAFDAE19147399552298D1146C257"><enum>(A)</enum><text>by striking subparagraph (B);</text></subparagraph><subparagraph id="idF487AD2D4B8D42E1B9D9560ACC2CB034"><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="id310F5DD803C7487E9DF05FF0EEEC1158"><enum>(C)</enum><text>in subparagraph (A)—</text><clause id="id6B53EC8C25C3497A96A1FF73B5E0972B"><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="idD6AC4F678CF54C8CAB37B71356D18265"><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="idDC55FA5912774DB98BD20A9C475D9EBB"><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="idAA203E6AE5124EF98CA6D66590841A3E" changed="deleted" reported-display-style="strikethrough" committee-id="SSHR00"><subparagraph id="idB6B6DF64A76D45F1918B3015CA225C76"><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="idE1530BA0EDA24D8EB9F119EE13B48746"><enum>(D)</enum><text>in subparagraph (B), as so redesignated by subparagraph (B) of this paragraph, by striking <quote>clause (i)(I)</quote> and inserting <quote>subparagraph (A)(i)</quote>; and</text></subparagraph><subparagraph id="id03E8571B1C654C09991823701B0405D6"><enum>(E)</enum><text>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;</text></subparagraph></paragraph><paragraph id="id56783C05C14D4D70BFBD64FA0E0191B6"><enum>(3)</enum><text>by amending subparagraph (A) of paragraph (3) to read as follows:</text><quoted-block style="OLC" display-inline="no-display-inline" id="idFEB8566125E34A779B7CA91A4E4002D5" changed="deleted" reported-display-style="strikethrough" committee-id="SSHR00"><subparagraph id="idf8d9d2cb53014e34a1b505770d202da1"><enum>(A)</enum><text>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</text></subparagraph><after-quoted-block>; </after-quoted-block></quoted-block></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idef1a3f02077c44ce8ea253e0d95ccaf8"><enum>(4)</enum><text display-inline="yes-display-inline">by amending paragraph (4) to read as follows:</text><quoted-block style="OLC" display-inline="no-display-inline" id="idE50F84385D3B48B58DBD666CFE10E671" changed="deleted" reported-display-style="strikethrough" committee-id="SSHR00"><paragraph id="id310126CD8E5F408982D6ABD07A1F8FA8"><enum>(4)</enum><header>Interchangeability</header><subparagraph commented="no" display-inline="no-display-inline" id="ida23a358f2448432592d673bfd300ba35"><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, subject to subparagraph (B).</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idd08bf50faef34bfd9437d71979d32a39"><enum>(B)</enum><header>Timing of deemed interchangeability</header><clause commented="no" display-inline="no-display-inline" id="idae6e2b661a394712bed97811fcf85201"><enum>(i)</enum><header>Licensure on or after transition date</header><text display-inline="yes-display-inline">A biological product licensed under this subsection on or after the transition date described in subparagraph (C) (referred to in this clause as the <quote>applicable biological product</quote>) 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—</text><subclause commented="no" display-inline="no-display-inline" id="id4757f84938fd4b1ba487e9a13ff87e01"><enum>(I)</enum><text display-inline="yes-display-inline">licensure under this subsection was in effect on the date of enactment of the <short-title>Biosimilar Red Tape Elimination Act</short-title>; and</text></subclause><subclause commented="no" display-inline="no-display-inline" id="id40947c9f9e5f4153826c91084efb68df"><enum>(II)</enum><text display-inline="yes-display-inline">a first interchangeable exclusivity period under paragraph (6) (as in effect on the date of enactment of the <short-title>Biosimilar Red Tape Elimination Act</short-title>) is in effect on the date of licensure of the applicable biological product,</text></subclause><continuation-text continuation-text-level="clause">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.</continuation-text></clause><clause commented="no" display-inline="no-display-inline" id="id0e31fea2d52c4d43b386df1936ab8380"><enum>(ii)</enum><header>Licensure prior to transition date</header><text display-inline="yes-display-inline">A biological product licensed under this subsection prior to the transition date described in subparagraph (C) (referred to in this clause as the <quote>applicable biological product</quote>) 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—</text><subclause commented="no" display-inline="no-display-inline" id="id9CD9987E94384D31BE1CA1A3A737451A"><enum>(I)</enum><text display-inline="yes-display-inline">licensure under this subsection was in effect on the date of enactment of the <short-title>Biosimilar Red Tape Elimination Act</short-title>; and</text></subclause><subclause commented="no" display-inline="no-display-inline" id="id54946E5425EA4FCA9E6D66568EEF22E0"><enum>(II)</enum><text display-inline="yes-display-inline">a first interchangeable exclusivity period under paragraph (6) (as in effect on the date of enactment of the <short-title>Biosimilar Red Tape Elimination Act</short-title>) is in effect on the transition date,</text></subclause><continuation-text continuation-text-level="clause">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.</continuation-text></clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idea68fdec9388467fae7611556bdbbafe"><enum>(C)</enum><header>Transition date</header><text display-inline="yes-display-inline">The transition date described in this subparagraph is the date that is 60 days after the date of enactment of the <short-title>Biosimilar Red Tape Elimination Act</short-title>.</text></subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></paragraph><paragraph id="id3A2E1F76ACCD4906888D42E024F0A182"><enum>(5)</enum><text>by amending paragraph (6) to read as follows:</text><quoted-block style="OLC" display-inline="no-display-inline" id="idBF2BBBD4B1684C7AAECBF7A6C4B5DC14" changed="deleted" reported-display-style="strikethrough" committee-id="SSHR00"><paragraph id="idc97e6c864c534f49a5ca5ff43502d39e"><enum>(6)</enum><header>Transition with respect to preserving first interchangeability exclusivity with respect to certain biological products</header><text>With respect to a biological product licensed under this subsection before the date of enactment of the <short-title>Biosimilar Red Tape Elimination Act</short-title>, 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.</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></paragraph><paragraph id="idC336D9F817824C5B94A51EB13D081D4C"><enum>(6)</enum><text>in paragraph (8)(D)—</text><subparagraph id="id5F1B3BB406B64EAEAD3C3E022D3679CA"><enum>(A)</enum><text>in clause (i), by striking <quote>class; and</quote> and inserting <quote>class.</quote>;</text></subparagraph><subparagraph id="id3C62B703CA584336B876340C349EFA82"><enum>(B)</enum><text>by striking clause (ii); and</text></subparagraph><subparagraph id="id457CA168CC0D4AEC817A10BF719FE6E0"><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="id961950BE546646C087186687559DE885"><enum>(b)</enum><header>Conforming amendments</header><paragraph id="id0D89A4D77F964AA9BEB66947EEA1F2C7"><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="idBE01C4D66E964A9487CC775BE89128F6"><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="idD6979B0220BA44CEB4BCB6F14F38F272"><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="id70945B068A004BBABC317C1CD501D636"><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="id3A52C39799BD4DBB98276B6FD99CE5F8" changed="deleted" reported-display-style="strikethrough" committee-id="SSHR00"><subsection commented="no" id="idDB0BEFA5E50E4274949D341EAE303DC8"><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 not be considered to have a new active ingredient for purposes of this section, unless the application seeks licensure for—</text><paragraph commented="no" display-inline="no-display-inline" id="id2c585f6b1e9942f7b68422d80001a7d8"><enum>(1)</enum><text display-inline="yes-display-inline">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 </text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idbc0b5d736b2948f9a79ef77e107fa709"><enum>(2)</enum><text display-inline="yes-display-inline">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.</text></paragraph></subsection><after-quoted-block>. </after-quoted-block></quoted-block></paragraph></subsection><subsection id="idac7aa1cc7d2e4efda023695e4cf9d9ab"><enum>(c)</enum><header>Guidance</header><text>The Secretary shall—</text><paragraph id="idb0899f0a147d4b40b76497a596e076a9"><enum>(1)</enum><text>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 <quote>Considerations in Demonstrating Interchangeability With a Reference Product</quote> (May 2019) and <quote>Considerations in Demonstrating Interchangeability With a Reference Product: Update</quote> (June 2024);</text></paragraph><paragraph id="id7d2ed0c703384ae784a9b9180a1ecb02"><enum>(2)</enum><text>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 (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(k)</external-xref>) 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 (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(i)</external-xref>)); and</text></paragraph><paragraph id="idc4160b84f00b4f228011e604266d893c" commented="no" display-inline="no-display-inline"><enum>(3)</enum><text>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.</text></paragraph></subsection></section></legis-body><legis-body display-enacting-clause="no-display-enacting-clause"><section section-type="section-one" id="id600f30e0-35aa-4c24-8663-3a0ed0fbc808" 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>Biosimilar Red Tape Elimination Act</short-title></quote>.</text></section><section id="idf36b14cc-c41b-4f5b-9c48-a026170c7d23" changed="added" reported-display-style="italic" committee-id="SSHR00"><enum>2.</enum><header>Biosimilar biological products</header><subsection id="ide9348f5d-ddbe-4b38-887a-6513c4c95ff7"><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="id560e18c9-341f-4eb1-9de8-54617c1d2bc4"><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="idcac7e829-ef69-421b-819d-751db679e960"><enum>(2)</enum><text>in paragraph (2)—</text><subparagraph id="idd95e6256-c3ec-4f39-ad2c-071c7f7741c7"><enum>(A)</enum><text>by striking subparagraph (B);</text></subparagraph><subparagraph id="id59ea379b-9722-43e2-8a3a-34e6f24e8fa1"><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="id7e78362f-a257-4130-8931-b1c88303d1cb"><enum>(C)</enum><text>in subparagraph (A)—</text><clause id="id49229410-53df-4cb2-80a1-287bbd5ec631"><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="id1e99f835-9463-4563-8cfc-4037495bb3dc"><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; </text></clause><clause id="iddf256572-9dd4-4307-b108-678f652013f3"><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="idb9f2fa4f-722c-4253-a326-a77308c476a2" changed="added" reported-display-style="italic" committee-id="SSHR00"><subparagraph id="ide950e49c-4f29-48bb-810b-be84dd6209d0"><enum>(A)</enum><header>In general</header><text>An application submitted under this subsection shall include information</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block></clause><clause commented="no" display-inline="no-display-inline" id="idf8e6ad8f380e475f909d8aad342c9228"><enum>(iv)</enum><text>in clause (i)(II), as so redesignated by clauses (i) and (ii) of this subparagraph, by striking <quote>item (aa) or (cc)</quote> and inserting <quote>subclause (I) or (III)</quote>;</text></clause></subparagraph><subparagraph id="id2c2cdd85-c8af-4d62-81d4-37fa05a8354f"><enum>(D)</enum><text>in subparagraph (B), as so redesignated by subparagraph (B) of this paragraph, by striking <quote>clause (i)(I)</quote> and inserting <quote>subparagraph (A)(i)</quote>; and</text></subparagraph><subparagraph id="id807b48fa-162b-4f48-9005-b91b88caf01d"><enum>(E)</enum><text>in subparagraph (C), as so redesignated by subparagraph (B) of this paragraph—</text><clause commented="no" display-inline="no-display-inline" id="idf20666458d7c402f873d95d06b8018b8"><enum>(i)</enum><text display-inline="yes-display-inline">by redesignating subclauses (I) through (III) as clauses (i) through (iii), respectively, and adjusting the margins accordingly; and</text></clause><clause commented="no" display-inline="no-display-inline" id="idceefa236554948f58cc252a387f21d5f"><enum>(ii)</enum><text>by striking <quote>publicly-available</quote> each place it appears and inserting <quote>publicly available</quote>;</text></clause></subparagraph></paragraph><paragraph id="id92681ae2-4de1-4fd0-8ab8-3b3a51b1f3d1"><enum>(3)</enum><text>by amending subparagraph (A) of paragraph (3) to read as follows:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id8f0588cd-4427-41a5-a2a6-50dea8779bfb" changed="added" reported-display-style="italic" committee-id="SSHR00"><subparagraph id="id55ba8335-a0ae-4892-8315-ca63c5c9d626"><enum>(A)</enum><text>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</text></subparagraph><after-quoted-block>; </after-quoted-block></quoted-block></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id4f5c3d08-ba27-4856-ba77-a2e27740b312"><enum>(4)</enum><text display-inline="yes-display-inline">by amending paragraph (4) to read as follows:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id94bd6c86-3bdf-4e5d-8f8a-827b93afa259" changed="added" reported-display-style="italic" committee-id="SSHR00"><paragraph id="id08456937-7ab0-46b5-b281-903f0d11dd54"><enum>(4)</enum><header>Interchangeability</header><subparagraph commented="no" display-inline="no-display-inline" id="idf161b7c7-1c16-425c-9ff5-944326e974b8"><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, subject to subparagraph (B).</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id79cc441d-764b-4b62-acb2-cc1e513dbbd3"><enum>(B)</enum><header>Timing of deemed interchangeability</header><text display-inline="yes-display-inline">A biological product licensed under this subsection (referred to in this subparagraph as the <quote>applicable biological product</quote>) 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—</text><clause commented="no" display-inline="no-display-inline" id="id6bb96c25-9fe1-4d75-b054-c8c76262c825"><enum>(i)</enum><text display-inline="yes-display-inline">licensure under this subsection was in effect on the date of enactment of the <short-title>Biosimilar Red Tape Elimination Act</short-title>; and</text></clause><clause commented="no" display-inline="no-display-inline" id="id4dd904ab-d844-487f-a0dd-e4d6f0a177b2"><enum>(ii)</enum><text display-inline="yes-display-inline">a first interchangeable exclusivity period under paragraph (6) (as in effect on the day before the date of enactment of the <short-title>Biosimilar Red Tape Elimination Act</short-title>) 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),</text></clause><continuation-text continuation-text-level="subparagraph">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.</continuation-text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id6f975497-791b-433e-a222-c04c149941f9"><enum>(C)</enum><header>Transition date</header><text display-inline="yes-display-inline">The transition date described in this subparagraph is the date that is 60 days after the date of enactment of the <short-title>Biosimilar Red Tape Elimination Act</short-title>.</text></subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></paragraph><paragraph id="idf035a81a-9662-4092-8a98-6c768ec2198a"><enum>(5)</enum><text>by amending paragraph (6) to read as follows:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id8e987cd7-e5d6-47c4-80c7-3ff7340071b3" changed="added" reported-display-style="italic" committee-id="SSHR00"><paragraph id="id0df7d5cf-5c04-491f-b220-8b2adca66a36"><enum>(6)</enum><header>Transition with respect to preserving first interchangeability exclusivity with respect to certain biological products</header><text>With respect to a biological product licensed under this subsection before the date of enactment of the <short-title>Biosimilar Red Tape Elimination Act</short-title>, 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.</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></paragraph><paragraph id="id96b3d2c7-10d6-4616-9229-927191042bd3"><enum>(6)</enum><text>in paragraph (8)(D)—</text><subparagraph id="idbbe3e705-8a4f-4d18-bada-ebb42ce2b1a7"><enum>(A)</enum><text>in clause (i), by striking <quote>class; and</quote> and inserting <quote>class.</quote>;</text></subparagraph><subparagraph id="id0217f1cf-4629-4a94-9275-d32911e6b497"><enum>(B)</enum><text>by striking clause (ii); and</text></subparagraph><subparagraph id="id441c62d3-d47e-4bc3-830a-fcb3481cff37"><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="id4eb89caa-0179-4834-b8bd-a23917e78d89"><enum>(b)</enum><header>Conforming amendments</header><paragraph id="idc6d95385-3e43-45ec-8cbc-c18e93c021cc"><enum>(1)</enum><text>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>) is amended—</text><subparagraph commented="no" display-inline="no-display-inline" id="id40aeb5aa83af4f90aecafe3b18fcd4a3"><enum>(A)</enum><text display-inline="yes-display-inline">in subsection (i)(3), by striking <quote>that is shown to meet the standards described in subsection (k)(4)</quote> and inserting <quote>licensed under subsection (k)</quote>; and</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id7617a14a4bd94c3faa62b6f209c32a83"><enum>(B)</enum><text>in subsection (l)(1)(F), by striking <quote>publicly-available</quote> and inserting <quote>publicly available</quote>.</text></subparagraph></paragraph><paragraph id="idd4da5fff-0774-4c9c-8d73-a843022f8aa8"><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="id2dc63593-e623-40f5-9ba0-08819a2901bc"><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="id16589154-45f5-4439-b3fe-e1aa2c55622f"><enum>(4)</enum><text>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>) is amended to read as follows:</text><quoted-block style="OLC" display-inline="no-display-inline" id="idfd635a70-8c60-42aa-8533-d5fa1023dc09" changed="added" reported-display-style="italic" committee-id="SSHR00"><subsection commented="no" id="ida8d4b7a8-243c-41c1-a6fa-0c32338fea0b"><enum>(l)</enum><header>Biosimilar biological products</header><text>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—</text><paragraph commented="no" display-inline="no-display-inline" id="id069370218df74bed8d542b23de479a0c"><enum>(1)</enum><text display-inline="yes-display-inline">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 </text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idc8076da8-df15-46a8-adad-0cd6ead07140"><enum>(2)</enum><text display-inline="yes-display-inline">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).</text></paragraph></subsection><after-quoted-block>. </after-quoted-block></quoted-block></paragraph></subsection><subsection id="id35dffbf4245a48dda459af99ce034774" commented="no"><enum>(c)</enum><header>Guidance</header><text>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 (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(k)</external-xref>), 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 (<external-xref legal-doc="usc" parsable-cite="usc/42/262">42 U.S.C. 262(k)</external-xref>), as amended by 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> 

