Federal
Faster Treatments and Cures for Eye Diseases Act
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I
116TH CONGRESS
1ST SESSION H. R. 2620
To advance treatment and cures for blindness and other retinal conditions
and to promote competitiveness in the United States through a pilot
program to increase funding for translational research, and for other
purposes.
IN THE HOUSE OF REPRESENTATIVES
MAY 9, 2019
Mr. BISHOP of Georgia (for himself, Mrs. RODGERS of Washington, Mr. BILI-
RAKIS, Mr. COHEN, Mr. O’HALLERAN, Mr. SCHNEIDER, and Mr.
FITZPATRICK) introduced the following bill; which was referred to the
Committee on Energy and Commerce
A BILL
To advance treatment and cures for blindness and other
retinal conditions and to promote competitiveness in the
United States through a pilot program to increase fund-
ing for translational research, and for other purposes.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
SECTION 1. SHORT TITLE.
3
This Act may be cited as the ‘‘Faster Treatments and
4
Cures for Eye Diseases Act’’.
5
SEC. 2. DEFINITIONS.
6
For purposes of this Act:
7
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(1)
APPLICABLE
CONGRESSIONAL
COMMIT-
1
TEES.—The term ‘‘applicable congressional commit-
2
tees’’ means the Committees on Energy and Com-
3
merce and Financial Services of the House of Rep-
4
resentatives and the Committees on Banking, Hous-
5
ing, and Urban Affairs and Health, Education,
6
Labor, and Pensions of the Senate.
7
(2) APPROPRIATE
FEDERAL
BANKING
AGEN-
8
CY.—The term ‘‘appropriate Federal banking agen-
9
cy’’ has the meaning given that term in section 3 of
10
the Federal Deposit Insurance Act (12 U.S.C.
11
1813).
12
(3) COST.—The term ‘‘cost’’ has the meaning
13
given to the term ‘‘cost of a loan guarantee’’ in sec-
14
tion 502(5)(C) of the Federal Credit Reform Act of
15
1990 (2 U.S.C. 661a(5)(C)).
16
(4) DEPOSITORY INSTITUTION; DEPOSITORY IN-
17
STITUTION HOLDING COMPANY.—The term ‘‘deposi-
18
tory institution’’ and ‘‘depository institution holding
19
company’’ have the meaning given those terms under
20
section 3 of the Federal Deposit Insurance Act (12
21
U.S.C. 1813).
22
(5) EYE BOND.—The term ‘‘eye bond’’ means a
23
bond—
24
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(A) issued by an issuer pursuant to this
1
Act;
2
(B) the proceeds of which are used to fund
3
projects selected under section 6(b)(1), except
4
as otherwise described in this Act; and
5
(C) that complies with the regulations
6
issued under section 4.
7
(6) FUNDED
PROJECT.—The term ‘‘funded
8
project’’ means a translational research project that
9
is selected to be funded using the proceeds of an eye
10
bond.
11
(7) GUARANTEE.—The term ‘‘guarantee’’ has
12
the meaning given to the term ‘‘loan guarantee’’ in
13
section 502 of the Federal Credit Reform Act of
14
1990 (2 U.S.C. 661a) and includes a loan guarantee
15
commitment (as defined in such section 502).
16
(8) ISSUER.—The term ‘‘issuer’’ means an enti-
17
ty that—
18
(A) is a depository institution, a depository
19
institution holding company, or a broker or
20
dealer registered with the Securities and Ex-
21
change Commission;
22
(B) complies with the schedule for the
23
issuance of eye bonds established under section
24
3(c); and
25
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(C) complies with the regulations issued
1
under section 5.
2
(9) PROGRAM.—The term ‘‘Program’’ means
3
the Eye Bond Pilot Program established under sec-
4
tion 3.
5
(10)
SECRETARY.—The
term
‘‘Secretary’’
6
means the Secretary of Health and Human Services,
7
except in references to the Secretary of the Treas-
8
ury.
9
(11) STATE.—The term ‘‘State’’ means—
10
(A) each State of the United States;
11
(B) the District of Columbia;
12
(C) the Commonwealth of Puerto Rico;
13
and
14
(D) any other territory or possession of the
15
United States.
16
(12) TRANSLATIONAL
RESEARCH.—The term
17
‘‘translational research’’—
18
(A) means any research project that is de-
19
signed to cure vision blindness and any condi-
20
tions attendant to vision impairment that are,
21
as determined by the Director of the National
22
Eye Institute, congenital to the vision impair-
23
ment and not incidental to vision impairment or
24
caused by vision impairment;
25
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(B) includes projects designed to cure—
1
(i) hearing impairment genetically
2
linked to vision impairment, such as Usher
3
Syndrome;
4
(ii) retinal degenerative diseases such
5
as retinitis pigmentosa, macular degenera-
6
tion, and Usher Syndrome;
7
(iii) vision trauma due to injury such
8
as that experienced by wounded veterans;
9
(iv) glaucoma;
10
(v) optic nerve disorders that result in
11
vision impairment or blindness, such as
12
morning glory syndrome; and
13
(vi) diabetic reinopathy; and
14
(C) subject to subparagraph (B)(vi), does
15
not include projects designed to cure any under-
16
lying disease or condition whose symptoms may
17
include vision impairment, such as diabetes.
18
SEC. 3. EYE BOND PILOT PROGRAM.
19
(a) ESTABLISHMENT.—Not earlier than 1 year after
20
the date of enactment of this Act, the Secretary, in con-
21
sultation with the Secretary of the Treasury and the ap-
22
propriate Federal banking agencies, shall establish a pilot
23
program to be known as the Eye Bond Pilot Program
24
under which—
25
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(1) the Director of the National Eye Institute
1
shall,
in
accordance
with
section
6,
select
2
translational research projects to be funded by eye
3
bonds; and
4
(2) the Secretary shall—
5
(A) provide a partial Federal guarantee of
6
the eye bonds;
7
(B) contract with an issuer to issue the eye
8
bonds; and
9
(C) use the proceeds from the sale of the
10
eye bonds to fund the selected projects and to
11
pay for other related expenses, as permitted by
12
this Act.
13
(b) FEDERAL GUARANTEE.—
14
(1) IN GENERAL.—The Secretary shall guar-
15
antee the payment of principal (but not the payment
16
of interest) on an eye bond, on a bond-by-bond
17
basis, in an amount to be determined by the Sec-
18
retary, but in no case may the amount of such guar-
19
antee be more than 50 percent of the principal of
20
the eye bond.
21
(2) PRIORITIZATION
OF
TAXPAYER
INTER-
22
ESTS.—All eye bonds shall be structured to give first
23
priority to protecting the interests of the United
24
States by ensuring that—
25
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(A) all cash proceeds received from the re-
1
payment of an eye bond are first used to reduce
2
the amount of principal guaranteed by the Sec-
3
retary under the terms of the eye bond; and
4
(B) the Secretary has a senior claim on all
5
assets and collateral under the eye bond to the
6
extent the guarantee provided by the Secretary
7
is not extinguished.
8
(3) LIMITATION.—The Secretary may not guar-
9
antee—
10
(A) more than $1,000,000,000 for all eye
11
bonds issued pursuant to this Act; and
12
(B) more than $250,000,000 for all eye
13
bonds issued pursuant to this Act in any single
14
fiscal year.
15
(c) ISSUANCE SCHEDULE.—The Secretary shall, in
16
consultation with the Secretary of the Treasury and
17
issuers, establish a schedule for the issuance of eye bonds
18
that ensures that funded projects represent a reasonable
19
sample of diverse causes of vision loss.
20
(d) RISK-SHARE POOL.—
21
(1) IN GENERAL.—With respect to an eye bond
22
guaranteed under this section, the Secretary may
23
allow a risk-share pool capitalized by issuers to pro-
24
vide a first-loss guarantee of the principal and inter-
25
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est of such bond, if the Secretary determines that
1
such first-loss guarantee would—
2
(A) be a robust source of protection for the
3
United States, as guarantor of the eye bond,
4
that reduces the cost of the Federal guarantee
5
to the United States;
6
(B) encourage the flow of private sector
7
capital into biomedical translational research;
8
(C) create a prudent incentive for issuers
9
to contribute additional private capital for bio-
10
medical translational research; or
11
(D) meet other public interest, safety, and
12
soundness goals.
13
(2) CONSULTATION.—In making a determina-
14
tion under paragraph (1), the Secretary shall consult
15
with the Secretary of the Treasury and the appro-
16
priate Federal banking agencies.
17
(3) FUNDING.—The cost of contracting with a
18
risk-share pool under this subsection shall be paid
19
from the proceeds from the sale of eye bonds pursu-
20
ant to the Program.
21
(e) EQUITY
POSITION
OPTION
FOR
THE
SEC-
22
RETARY.—
23
(1) IN GENERAL.—With respect to an eye bond
24
issued pursuant to this Act, the Secretary, in con-
25
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sultation with the Secretary of the Treasury and
1
other appropriate parties, including eye bond issuers
2
and investors, may negotiate an equity position for
3
the United States Government in the projects to be
4
funded by such eye bond if the Secretary determines
5
that such an equity position will further the interests
6
of the Program and the United States.
7
(2) LIMITATIONS.—
8
(A) SUPPLEMENTAL.—Any equity position
9
taken in a project pursuant to paragraph (1)
10
shall be supplemental to, not in lieu of, a guar-
11
antee provided by the Secretary with respect to
12
the eye bond funding such project.
13
(B) TOTAL AMOUNT.—The total of amount
14
of an eye bond guarantee under this section and
15
any equity position taken by the Secretary in a
16
project funded by such bond that is supple-
17
mental to such guarantee shall not exceed 50
18
percent of the principal amount of the eye
19
bond.
20
(3) NOTIFICATION AND CONSULTATION.—Prior
21
to finalization of any equity position under para-
22
graph (1), the Secretary shall notify the applicable
23
congressional committees and consult with such
24
committees on the proposed terms of such equity po-
25
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sition and whether taking such equity position will
1
further the interests of the Program and the United
2
States.
3
(f) TERMINATION OF THE PROGRAM.—
4
(1) IN GENERAL.—Except as provided in para-
5
graph (2), the Program shall terminate on the date
6
that is 6 years after the date of enactment of this
7
Act.
8
(2) EARLY TERMINATION.—
9
(A) IN GENERAL.—The Secretary may ter-
10
minate the Program before the date described
11
in paragraph (1).
12
(B) CONGRESSIONAL
NOTIFICATION.—If
13
the Secretary determines that the Program
14
shall be terminated under subparagraph (A),
15
not later than 60 days before the date on which
16
the termination is effective, the Secretary
17
shall—
18
(i) submit to the applicable congres-
19
sional committees a report that includes—
20
(I) a description of the reasons
21
for the termination;
22
(II) any corrective actions that
23
may be taken; and
24
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(III) any other actions that may
1
be taken to promote the use of private
2
capital and to increase the amount of
3
Federal funds made available to carry
4
out basic and translational biomedical
5
research; and
6
(ii) make publicly available the report
7
described in clause (i).
8
(3) EFFECT ON EYE BONDS ISSUED AND FED-
9
ERAL GUARANTEES.—The termination of the Pro-
10
gram shall not affect the validity of—
11
(A) any eye bond issued before the date on
12
which the Program is terminated; or
13
(B) any Federal guarantee under this Act
14
for an eye bond described in subparagraph (A).
15
(g) PROGRAM FUNDING.—
16
(1) ADMINISTRATIVE
EXPENSES
PAID
FROM
17
BOND SALES.—Except as provided under paragraph
18
(2), the cost of carrying out this Act, including the
19
cost to the Secretary in administering the Program,
20
shall be recovered from the proceeds from the sale
21
of eye bonds pursuant to the Program or from fees
22
as set forth in paragraph (3).
23
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(2) SPECIFIC
APPROPRIATION
OR
CONTRIBU-
1
TION.—No guarantee shall be made under this sec-
2
tion unless—
3
(A) an appropriation for the full cost of
4
the guarantee has been made;
5
(B) the Secretary has received from the
6
eye bond issuer a payment in full for the cost
7
of the guarantee; or
8
(C) a combination of an appropriation and
9
the deposit of a payment from the bond issuer
10
into the Treasury has been made in a sufficient
11
amount to cover the full cost of the guarantee.
12
(3) COST OF GUARANTEES.—
13
(A) IN
GENERAL.—The Secretary shall
14
charge and collect fees for guarantees under
15
this section in amounts the Secretary deter-
16
mines are sufficient to recover applicable ad-
17
ministrative expenses.
18
(B) AVAILABILITY.—Fees collected under
19
this subsection—
20
(i) shall be deposited by the Secretary
21
into the Treasury; and
22
(ii) are authorized to remain available
23
until expended.
24
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SEC. 4. EYE BOND TERMS, CONDITIONS, AND STRUCTURE.
1
(a) IN GENERAL.—Not later than 180 days after the
2
date of enactment of this Act, the Secretary, in consulta-
3
tion with the Secretary of the Treasury, the Chairman of
4
the Securities and Exchange Commission, the heads of the
5
appropriate Federal banking agencies, the Director of the
6
National Institutes of Health, and the heads of other Fed-
7
eral departments and agencies and other interested parties
8
as the Secretary determines appropriate, shall issu
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