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I
118TH CONGRESS
1ST SESSION H. R. 3688
To provide for the mandatory recall of drugs regulated by the Food and
Drug Administration.
IN THE HOUSE OF REPRESENTATIVES
MAY 25, 2023
Ms. DELAURO introduced the following bill; which was referred to the
Committee on Energy and Commerce
A BILL
To provide for the mandatory recall of drugs regulated by
the Food and Drug Administration.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
SEC. 1. SHORT TITLE.
3
This Act may be cited as the ‘‘Recall Unsafe Drugs
4
Act of 2023’’.
5
SEC. 2. NOTIFICATION, NONDISTRIBUTION, AND RECALL
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OF ADULTERATED OR MISBRANDED DRUGS.
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(a) PROHIBITED ACTS.—Section 301 of the Federal
8
Food, Drug, and Cosmetic Act (21 U.S.C. 331) is amend-
9
ed by adding at the end the following:
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‘‘(fff) The failure to comply with—
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‘‘(1) the notification requirement under section
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569D(a);
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‘‘(2) an order issued under paragraph (1) of
4
section 569D(c), following a hearing, if requested,
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under paragraph (2)(C) of such section;
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‘‘(3) an order amended under paragraph (2) or
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paragraph (3) of section 569D(c); or
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‘‘(4) an emergency order issued under section
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569D(d).
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‘‘(ggg) The failure to have in effect a recall plan
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under section 569(g).’’.
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(b) NONDISTRIBUTION AND RECALL OF ADULTER-
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ATED OR MISBRANDED DRUGS.—Subchapter E of chapter
14
V of the Federal Food, Drug, and Cosmetic Act (21
15
U.S.C. 360bbb et seq.) is amended by adding at the end
16
the following:
17
‘‘SEC. 569E. NOTIFICATION, NONDISTRIBUTION, AND RE-
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CALL OF CERTAIN ADULTERATED OR MIS-
19
BRANDED DRUGS.
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‘‘(a) NOTIFICATION REGARDING CERTAIN ADULTER-
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ATED OR MISBRANDED DRUGS.—
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‘‘(1) IN GENERAL.—Any person required to reg-
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ister under section 510 shall, as soon as practicable,
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•HR 3688 IH
notify the Secretary of the identity and location of
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a drug, if such person has reason to believe—
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‘‘(A) that such drug, when introduced into
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or while in interstate commerce, or while held
4
for sale (regardless of whether the first sale)
5
after shipment in interstate commerce, is adul-
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terated or misbranded; and
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‘‘(B) there is a reasonable probability that
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the use or consumption of, or exposure to, the
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drug (or an ingredient or component used in
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any such drug) will cause a threat of serious
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adverse health consequences or death to hu-
12
mans or animals.
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‘‘(2) MANNER OF NOTIFICATION.—Notification
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under paragraph (1) shall be made in such manner
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and by such means as the Secretary may require by
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regulation or guidance.
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‘‘(b) VOLUNTARY RECALL.—The Secretary may re-
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quest that any person who distributes a drug that the Sec-
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retary has reason to believe is adulterated, misbranded,
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or otherwise in violation of this Act voluntarily—
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‘‘(1) recall such drug; and
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‘‘(2) provide for notice, including to individuals
23
as appropriate, to persons who may be affected by
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the recall.
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‘‘(c) ORDER TO CEASE DISTRIBUTION AND RECALL
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DRUG AND RELATED PROCEDURES.—
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‘‘(1) ISSUANCE OF ORDER.—If the Secretary
3
has reason to believe that the use or consumption of,
4
or exposure to, a drug (or an ingredient or compo-
5
nent used in any such drug) may cause serious ad-
6
verse health consequences or death to humans or
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animals, the Secretary shall have the authority to
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issue an order requiring any person who distributes
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such drug—
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‘‘(A) to immediately cease distribution of
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such drug; and
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‘‘(B) to provide for notice, including to in-
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dividuals as appropriate, to persons who may be
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affected by such cessation of distribution.
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‘‘(2) ACTION FOLLOWING ORDER.—
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‘‘(A) CEASE DISTRIBUTION AND NOTIFICA-
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TION.—Any person who is subject to an order
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under paragraph (1) shall immediately cease
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distribution of such drug and provide notifica-
20
tion as required by such order.
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‘‘(B) APPEAL.—Any person who is subject
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to an order under paragraph (1) may appeal
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within 24 hours of issuance such order to the
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Secretary. Such appeal may include a request
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for an informal hearing and a description of
1
any efforts to recall such drug undertaken vol-
2
untarily by the person, including after a request
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under subsection (b).
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‘‘(C) INFORMAL HEARING.—Except as pro-
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vided in subsection (d), if an appeal made
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under subparagraph (B) contains a request for
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an informal hearing, such hearing shall be held
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as soon as practicable, but not later than 5 cal-
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endar days, or less as determined by the Sec-
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retary, after such an appeal is filed, unless the
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parties jointly agree to an extension.
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‘‘(D) DETERMINATION.—After affording
13
an opportunity for an informal hearing, the
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Secretary shall determine—
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‘‘(i) whether—
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‘‘(I) the order under paragraph
17
(1) should be amended to require a
18
recall of such drug; or
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‘‘(II) inadequate grounds exist to
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support the actions required by the
21
order; or
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‘‘(ii) that the order under paragraph
23
(1) was appropriate as issued.
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‘‘(E)
AMENDMENT
OR
VACATION
OF
1
ORDER.—
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‘‘(i) AMENDMENT.—In the case of a
3
determination made under subparagraph
4
(D)(i)(I), the Secretary shall amend the
5
order made under paragraph (1) accord-
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ingly.
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‘‘(ii) VACATION.—In the case of a de-
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termination made under subparagraph
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(D)(i)(II), the Secretary shall vacate the
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order made under paragraph (1).
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‘‘(3) ORDER TO RECALL.—
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‘‘(A) AMENDMENT.—Except as provided
13
under subsection (d), if after providing an op-
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portunity for an informal hearing under para-
15
graph (2)(C), the Secretary determines that the
16
order should be amended to include a recall of
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the drug with respect to which the order was
18
issued, the Secretary shall amend the order to
19
require a recall.
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‘‘(B)
CONTENTS.—An
amended
order
21
under subparagraph (A) shall—
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‘‘(i) specify a timetable in which the
23
recall will occur;
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‘‘(ii) require periodic reports to the
1
Secretary describing the progress of the re-
2
call; and
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‘‘(iii) provide for notice, including to
4
individuals as appropriate, to persons who
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may be affected by the recall.
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In providing for such notice, the Secretary may
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allow for the assistance of health professionals,
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State or local officials, or other individuals des-
9
ignated by the Secretary.
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‘‘(C)
NONDELEGATION.—An
amended
11
order under this paragraph shall be ordered by
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the Secretary or an official designated by the
13
Secretary. An official may not be so designated
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unless the official is the director of the district
15
under this Act in which the drug involved is lo-
16
cated, or is an official senior to such director.
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‘‘(d) EMERGENCY RECALL ORDER.—
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‘‘(1) IN GENERAL.—If the Secretary has cred-
19
ible evidence or information that a drug subject to
20
an order under subsection (c)(1) presents an immi-
21
nent threat of serious adverse health consequences
22
or death to humans or animals, the Secretary may
23
issue an order requiring any person who distributes
24
such drug—
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‘‘(A) to immediately recall such drug; and
1
‘‘(B) to provide for notice, including to in-
2
dividuals as appropriate, to persons who may be
3
affected by the recall.
4
‘‘(2) ACTION FOLLOWING ORDER.—
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‘‘(A) RECALL
AND
NOTIFICATION.—Any
6
person who is subject to an emergency recall
7
order under this subsection shall immediately
8
recall such drug and provide notification as re-
9
quired by such order.
10
‘‘(B) APPEAL.—
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‘‘(i) TIMING.—Any person who is sub-
12
ject to an emergency recall order under
13
this subsection may appeal within 24 hours
14
after issuance such order to the Secretary.
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‘‘(ii) CONTINUATION
OF
RECALL.—
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The person subject to an emergency recall
17
order shall conduct the recall notwith-
18
standing the pendency of any appeal of
19
such order.
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‘‘(C) INFORMAL
HEARING.—An informal
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hearing shall be held as soon as practicable but
22
not later than 5 calendar days, or less as deter-
23
mined by the Secretary, after an appeal under
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•HR 3688 IH
subparagraph (B) is filed, unless the parties
1
jointly agree to an extension.
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‘‘(D) DETERMINATION.—After affording
3
an opportunity for an informal hearing, the
4
Secretary shall determine—
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‘‘(i) whether—
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‘‘(I) the order under paragraph
7
(1) should be amended to require a
8
recall of such drug; or
9
‘‘(II) inadequate grounds exist to
10
support the actions required by the
11
order; or
12
‘‘(ii) that the order under paragraph
13
(1) was appropriate as issued.
14
‘‘(E)
AMENDMENT
OR
VACATION
OF
15
ORDER.—
16
‘‘(i) AMENDMENT.—In the case of a
17
determination made under subparagraph
18
(D)(i)(I), the Secretary shall amend the
19
order made under paragraph (1) accord-
20
ingly.
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‘‘(ii) VACATION.—In the case of a de-
22
termination made under subparagraph
23
(D)(i)(II), the Secretary shall vacate the
24
order made under paragraph (1).
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‘‘(3) NONDELEGATION.—An order under this
1
subsection shall be issued by the Commissioner of
2
Food and Drugs, the Principal Deputy Commis-
3
sioner, or the Associate Commissioner for Regu-
4
latory Affairs of the Food and Drug Administration.
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‘‘(e) NOTICE TO CONSUMERS AND HEALTH OFFI-
6
CIALS.—The Secretary shall, as the Secretary determines
7
to be necessary, provide notice of a recall order under this
8
section to consumers to whom the drug was, or may have
9
been, distributed and to appropriate State and local health
10
officials.
11
‘‘(f) SAVINGS CLAUSE.—Nothing contained in this
12
section shall be construed as limiting—
13
‘‘(1) the authority of the Secretary to issue an
14
order to cease distribution of, or to recall, a drug
15
under any other provision of this Act or the Public
16
Health Service Act; or
17
‘‘(2) the ability of the Secretary to request any
18
person to perform a voluntary activity related to any
19
drug subject to this Act or the Public Health Service
20
Act.
21
‘‘(g) RECALL PLAN.—Any person required to register
22
under section 510 shall have in effect a recall plan con-
23
sistent with the requirements of this section.’’.
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(c) DELAYED
APPLICABILITY.—The amendments
1
made by this section apply beginning on the date that is
2
one year after the date of the enactment of this Act.
3
Æ
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