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II
116TH CONGRESS
1ST SESSION
S. 419
To require the Food and Drug Administration to revoke the approval of
one opioid pain medication for each new opioid pain medication approved.
IN THE SENATE OF THE UNITED STATES
FEBRUARY 7, 2019
Mr. MANCHIN introduced the following bill; which was read twice and referred
to the Committee on Health, Education, Labor, and Pensions
A BILL
To require the Food and Drug Administration to revoke
the approval of one opioid pain medication for each new
opioid pain medication approved.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘Protecting Americans
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from Dangerous Opioids Act’’.
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SEC. 2. FINDINGS.
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Congress finds as follows:
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(1) Opioids killed more than 33,000 people in
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the United States in 2015, more than any year on
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•S 419 IS
record. Nearly half of all opioid overdose deaths in-
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volve a prescription opioid.
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(2) According to the Centers for Disease Con-
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trol, 3 out of 4 new heroin users abused prescription
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opioids before moving to heroin.
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(3) The United States makes up only 4.6 per-
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cent of the world’s population, but consumes 80 per-
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cent of its opioid pain medications.
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(4) In 2012, health care providers wrote
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259,000,000 prescriptions for painkillers, enough for
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every individual in the United States to have a bottle
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of pills.
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(5) The amount of prescription opioids sold in
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the United States has nearly quadrupled since 1999
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without a reported increase in pain. At the same
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time overdose deaths involving opioids have also
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quadrupled since 1999.
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SEC. 3. REQUIREMENT TO REVOKE APPROVAL.
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(a) IN GENERAL.—Notwithstanding any other provi-
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sion of law, if the Secretary of Health and Human Serv-
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ices (referred to in this section as the ‘‘Secretary’’) ap-
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proves an application under subsection (b) or (j) of section
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505 of the Federal Food, Drug, and Cosmetic Act (21
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U.S.C. 355) for an opioid drug, the Secretary shall revoke
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•S 419 IS
the approval of another opioid drug previously approved
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under such subsection (b) or (j).
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(b) CONSIDERATIONS.—In determining the drug for
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which the Secretary will revoke approval pursuant to sub-
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section (a), the Secretary shall—
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(1) prioritize revocation of non-abuse deterrent
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formulations of opioid drugs; and
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(2) consider the public health impact of the
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opioid drug being on the market.
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Æ
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