[Congressional Record Volume 156, Number 166 (Wednesday, December 15, 2010)]
[Senate]
[Pages S10305-S10306]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
By Mr. SPECTER:
S. 4032. A bill to amend the Controlled Substances Act to more
effectively regulate anabolic steroids; to the Committee on the
Judiciary.
Mr. SPECTER. Mr. President, I have sought recognition to introduce
the Designer Anabolic Steroid Control Act of 2010. This legislation was
originally filed as an amendment, number 4693, to the FDA Food Safety
Modernization Act S. 510, but did not receive a vote. Therefore, before
the 111th Congress ends, I am introducing it as a stand-alone bill
which may be taken up in another Congress.
Anabolic steroids--masquerading as body building dietary
supplements--are sold to millions of Americans in shopping malls and
over the Internet even though these products put at grave risk the
health and safety of Americans who use them. The harm from these
steroid-tainted supplements is real. In its July 28, 2009 public health
advisory, the FDA described the health risk of these types of products
to include serious liver injury, stroke, kidney failure and pulmonary
embolism. The FDA also warned:
[A]anabolic steroids may cause other serious long-term
adverse health consequences in men, women, and children.
These include shrinkage of the testes and male infertility,
masculinization of women, breast enlargement in males, short
stature in children, adverse effects on blood lipid levels,
and increased risk of heart attack and stroke.
New anabolic steroids--often called designer steroids--are coming on
the market every day, and FDA and DEA are unable to keep pace and
effectively stop these products from reaching consumers.
At the Senate Judiciary Subcommittee on Crime and Drugs hearing I
chaired on September 29, 2009, representatives from FDA and DEA, as
well as the U.S. Anti-Doping Agency, testified that there is a cat and
mouse game going on between unscrupulous supplement makers and law
enforcement--with the bad actors engineering more and more new anabolic
steroids by taking the known chemical formulas of anabolic steroids
listed as controlled substances in Schedule III and then changing the
chemical composition just slightly, perhaps by a molecule or two. These
products are rapidly put on the market--in stores and over the
Internet--without testing and proving the safety and efficacy of these
new products. There is no pre-notification to, or pre-market approval
by, federal agencies occurring here. These bad actors are able to sell
and make millions in profits from their designer steroids because while
it takes them only weeks to design a new steroid by tweaking a formula
for a banned anabolic steroid, it takes literally years for DEA to have
the new anabolic steroid classified as a controlled substance so DEA
can police it.
The FDA witness at the hearing, Mike Levy, Director of the Division
of New Drugs and Labeling Compliance, acknowledged that this is a
``challenging area'' for FDA. He testified that for FDA it is
``difficult to find the violative products and difficult to act on
these problems.'' The DEA witness, Joseph T. Rannazzisi, Deputy
Assistant Administrator for DEA, was even blunter. When I questioned
him at the hearing, Mr. Rannazzisi admitted that ``at the present time
I don't think we are being effective at controlling these drugs.'' He
described the process as ``extremely frustrating'' because ``by the
time we get something to the point where it will be administratively
scheduled [as a controlled substance], there's two to three [new]
substances out there.''
The failure of enforcement is caused by the complexity of the
regulations, statutes and science. Either the Food Drug and Cosmetic
Act, which provides jurisdiction for FDA, or the Controlled Substances
Act, which provides jurisdiction for DEA, or both, can be applicable
depending on the ingredients of the substance. Under a 1994 amendment
to the Food Drug and Cosmetic Act, called the Dietary Supplement Health
and Education Act, DSHEA, dietary supplements, unlike new drug
applications, are not closely scrutinized and do not require Pre-market
approval by the FDA before the products can be sold. Pre-market
notification for dietary supplements is required only if the product
contains new dietary ingredients, meaning products that were not on the
U.S. market before DSHEA passed in 1994.
If the FDA determines that a dietary supplement is a steroid, it has
several enforcement measures available to use. FDA may treat the
product as an unapproved new drug, or as an adulterated dietary
supplement under the Food Drug and Cosmetic Act. Misdemeanor violations
of the Food Drug and Cosmetic Act may apply, unless there is evidence
of intent to defraud or mislead, a requirement for a felony charge.
However, given the large number of dietary supplement products on the
market, it is far beyond the manpower of the FDA to inspect every
product to find, and take action against, those that violate the law--
as the FDA itself has acknowledged.
The better enforcement route is a criminal prosecution under the
Controlled Substances Act. However, the process to classify a new
anabolic steroid as a controlled substance under Schedule III is
difficult, costly and time consuming, requiring years to complete.
Current law requires that to classify a substance as an anabolic
steroid, DEA must demonstrate that the substance is both chemically and
pharmacologically related to testosterone. The chemical analysis is the
more straightforward procedure, as it requires the agency to conduct an
analysis to determine the chemical structure of the new substance to
see if it is related to testosterone. The pharmacological analysis,
which must be outsourced, is more costly, difficult, and can take years
to complete. It requires both in vitro and in vivo analyses, the latter
is an animal study. DEA must then perform a comprehensive review of
existing peer-reviewed literature.
[[Page S10306]]
Even after DEA has completed the multi-year scientific evaluation
process, the agency must embark on a lengthy regulatory review and
public-comment process, which typically delays by another year or two
the time it takes to bring a newly emerged anabolic steroid under
control. As part of this latter process, DEA must conduct interagency
reviews, which means sending the studies and reports to the Department
of Justice, DOJ, the Office of Management and Budget, OMB, and the
Department of Health and Human Services, HHS, provide public
notification of the proposed rule, allow for a period of public
comment, review and comment on all public comments, write a final rule
explaining why the agency agreed or did not agree with the public
comments, send the final rule and agency comments back to DOJ, OMB and
HHS, and then publish the final rule, all in accordance with the
Administrative Procedures Act. To date, under these cumbersome
procedures, DEA has only been able to classify three new anabolic
steroids as controlled substances and that process--completed only
after the September 29, 2010 Senate Judiciary subcommittee hearing--
took more than 5 years to finish.
It is clear that the current complex and cumbersome regulatory system
has failed to protect consumers from underground chemists who easily
and rapidly produce designer anabolic steroids by slightly changing the
chemical composition of the anabolic steroids already included on
Schedule III as controlled substances. The story of Jareem Gunter, a
young college athlete who testified at the hearing, illustrates the
system's failure. To improve his athletic performance four years ago,
Jareem purchased in a nutrition store a dietary supplement called
Superdrol, a product he researched extensively on the Internet and
believed was safe. Unfortunately it was not. Superdrol contained an
anabolic steroid which to this day is still not included in the list of
controlled substances. After using Superdrol for just several weeks,
Jareem came close to dying because this product--which he thought would
make him stronger and healthier--seriously and permanently injured his
liver. He spent four weeks in the hospital and has never been able to
return to complete his college education.
To close the loopholes in the present laws that allow the creation
and easy distribution of deadly new anabolic steroids masquerading as
dietary supplements, I am introducing today The Designer Anabolic
Steroid Control Act of 2010. The bill simplifies the definition of
anabolic steroid to more effectively target designer anabolic steroids,
and permits the Attorney General to issue faster temporary and
permanent orders adding recently emerged anabolic steroids to the list
of anabolic steroids in Schedule III of the Controlled Substances Act.
Under the bill, if a substance is not listed in Schedule III of the
Controlled Substances Act but has a chemical structure substantially
similar to one of the already listed and banned anabolic steroids, the
new substance will be considered to be an anabolic steroid if it was
intended to affect the structure or function of the body like the
banned anabolic steroids do. In other words, DEA will not have to
perform the complex and time consuming pharmacological analysis to
determine how the substance will affect the structure and function of
the body, as long as the agency can demonstrate that the new steroid
was created or manufactured for the purpose of promoting muscle growth
or causing the same pharmacological effects as testosterone.
Utilizing the same criteria, the bill permits the Attorney General to
issue a permanent order adding such substances to the list of anabolic
steroids in Schedule III of the Controlled Substances Act.
The bill also includes new criminal and civil penalties for falsely
labeling substances that are actually anabolic steroids. The penalties
arise where a supplement maker fails to truthfully indicate on the
label--using internationally accepted and understandable terminology--
that the product contains an anabolic steroid. These penalties are
intended to be substantial enough to take away the financial incentive
of unscrupulous manufacturers, distributors, and retailers who might
otherwise be willing to package these products in a way that hides the
true contents from law enforcement and consumers.
Finally, the bill adds 33 new anabolic steroids to Schedule III.
These 33 anabolic steroids have emerged in the marketplace in the six
years since Congress passed the Anabolic Steroid Control Act of 2004.
The bill also instructs the United States Sentencing Commission to
review and revise the Federal sentencing guidelines to ensure that
sentences will be based on the total weight of the product when
anabolic steroids are illegally manufactured or distributed in a
tablet, capsule, liquid or other form that makes it difficult to
determine the actual amount of anabolic steroid in the product.
By making these changes, we can protect the health and lives of
countless Americans and provide an effective enforcement mechanism to
hold accountable those individuals and their companies which
purposefully exploit the current regulatory system for their selfish
gain. The Department of Justice has provided extensive technical
assistance in the drafting of this bill over many months. In addition,
this legislation is fully supported by the United States Olympic
Committee, the National Football League, the United States Anti-Doping
Agency, as well as by Supplement Safety Now, a coalition including all
the major league sports teams, and other sports and medical
associations. I urge my colleagues to take up this much-needed bill in
the next Congress.
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