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IIB
116TH CONGRESS
2D SESSION
H. R. 4712
IN THE SENATE OF THE UNITED STATES
NOVEMBER 18, 2020
Received; read twice and referred to the Committee on Health, Education,
Labor, and Pensions
AN ACT
To amend the Federal Food, Drug, and Cosmetic Act with
respect to limitations on exclusive approval or licensure
of orphan drugs, and for other purposes.
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 ‘‘Fairness in Orphan
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Drug Exclusivity Act’’.
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SEC. 2. LIMITATIONS ON EXCLUSIVE APPROVAL OR LICEN-
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SURE OF ORPHAN DRUGS.
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(a) IN GENERAL.—Section 527 of the Federal Food,
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Drug, and Cosmetic Act (21 U.S.C. 360cc) is amended—
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(1) in subsection (a), by striking ‘‘Except as
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provided in subsection (b)’’ and inserting ‘‘Except as
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provided in subsection (b) or (f)’’; and
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(2) by adding at the end the following:
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‘‘(f) LIMITATIONS ON EXCLUSIVE APPROVAL, CER-
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TIFICATION, OR LICENSE.—
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‘‘(1) IN
GENERAL.—For a drug designated
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under section 526 for a rare disease or condition
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pursuant to the criteria set forth in subsection
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(a)(2)(B) of such section, the Secretary shall not
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grant, recognize, or apply exclusive approval or licen-
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sure under subsection (a), and, if such exclusive ap-
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proval or licensure has been granted, recognized, or
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applied, shall revoke such exclusive approval or licen-
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sure, unless the sponsor of the application for such
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drug demonstrates—
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‘‘(A) with respect to an application ap-
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proved or a license issued after the date of en-
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actment of this subsection, upon such approval
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or issuance, that there is no reasonable expecta-
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tion at the time of such approval or issuance
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that the cost of developing and making avail-
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able in the United States such drug for such
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disease or condition will be recovered from sales
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in the United States of such drug, taking into
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account all sales made or reasonably expected
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to be made within 12 years of first marketing
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the drug; or
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‘‘(B) with respect to an application ap-
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proved or a license issued on or prior to the
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date of enactment of this subsection, not later
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than 60 days after such date of enactment, that
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there was no reasonable expectation at the time
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of such approval or issuance that the cost of de-
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veloping and making available in the United
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States such drug for such disease or condition
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would be recovered from sales in the United
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States of such drug, taking into account all
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sales made or reasonably expected to be made
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within 12 years of first marketing the drug.
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‘‘(2) CONSIDERATIONS.—For purposes of sub-
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paragraphs (A) and (B) of paragraph (1), the Sec-
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retary and the sponsor of the application for the
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drug designated for a rare disease or condition de-
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scribed in such paragraph shall consider sales from
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all drugs that—
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‘‘(A) are developed or marketed by the
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same sponsor or manufacturer of the drug (or
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a licensor, predecessor in interest, or other re-
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lated entity to the sponsor or manufacturer);
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and
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‘‘(B) are covered by the same designation
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under section 526.
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‘‘(3) CRITERIA.—No drug designated under
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section 526 for a rare disease or condition pursuant
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to the criteria set forth in subsection (a)(2)(B) of
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such section shall be eligible for exclusive approval
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or licensure under this section unless it met such
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criteria under such subsection on the date on which
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the drug was approved or licensed.’’.
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(b) RULE
OF CONSTRUCTION.—The amendments
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made in subsection (a) shall apply to any drug that has
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been or is hereafter designated under section 526 of the
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Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360bb)
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for a rare disease or condition pursuant to the criteria
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under subsection (a)(2)(B) of such section regardless of—
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(1) the date on which such drug is designated
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or becomes the subject of a designation request
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under such section;
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(2) the date on which such drug is approved
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under section 505 of such Act (21 U.S.C. 355) or
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licensed under section 351 of the Public Health
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Service Act (42 U.S.C. 262) or becomes the subject
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of an application for such approval or licensure; and
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(3) the date on which such drug is granted ex-
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clusive approval or licensure under section 527 of
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the Federal Food, Drug, and Cosmetic Act (21
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U.S.C. 360cc) or becomes the subject of a request
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for such exclusive approval or licensure.
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SEC. 3. DETERMINATION OF BUDGETARY EFFECTS.
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The budgetary effects of this Act, for the purpose of
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complying with the Statutory Pay-As-You-Go Act of 2010,
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shall be determined by reference to the latest statement
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titled ‘‘Budgetary Effects of PAYGO Legislation’’ for this
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Act, submitted for printing in the Congressional Record
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by the Chairman of the House Budget Committee, pro-
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vided that such statement has been submitted prior to the
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vote on passage.
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Passed the House of Representatives November 17,
2020.
Attest:
CHERYL L. JOHNSON,
Clerk.
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