II 
Calendar No. 420 
112TH CONGRESS 
2D SESSION 
H. R. 5651 
IN THE SENATE OF THE UNITED STATES 
JUNE 4, 2012 
Received; read twice and placed on the calendar 
AN ACT 
To amend the Federal Food, Drug, and Cosmetic Act to 
revise and extend the user-fee programs for prescription 
drugs and for medical devices, to establish user-fee pro-
grams for generic drugs and biosimilars, and for other 
purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Food and Drug Ad-
ministration Reform Act of 2012’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents of this Act is as follows: 
Sec. 1. Short title. 
Sec. 2. Table of contents. 
Sec. 3. References in Act. 
TITLE I—FEES RELATING TO DRUGS 
Sec. 101. Short title; finding. 
Sec. 102. Definitions. 
Sec. 103. Authority to assess and use drug fees. 
Sec. 104. Reauthorization; reporting requirements. 
Sec. 105. Sunset dates. 
Sec. 106. Effective date. 
Sec. 107. Savings clause. 
TITLE II—MEDICAL DEVICE USER FEE AMENDMENTS OF 2012 
Sec. 201. Short title; findings. 
Sec. 202. Definitions. 
Sec. 203. Authority to assess and use device fees. 
Sec. 204. Reauthorization; reporting requirements. 
Sec. 205. Savings clause. 
Sec. 206. Effective date. 
Sec. 207. Sunset clause. 
Sec. 208. Streamlined hiring authority to support activities related to the proc-
ess for the review of device applications. 
TITLE III—FEES RELATING TO GENERIC DRUGS 
Sec. 301. Short title. 
Sec. 302. Authority to assess and use human generic drug fees. 
Sec. 303. Reauthorization; reporting requirements. 
Sec. 304. Sunset dates. 
Sec. 305. Effective date. 
Sec. 306. Amendment with respect to misbranding. 
Sec. 307. Streamlined hiring authority to support activities related to human 
generic drugs. 
TITLE IV—FEES RELATING TO BIOSIMILAR BIOLOGICAL 
PRODUCTS 
Sec. 401. Short title; finding. 
Sec. 402. Fees relating to biosimilar biological products. 
Sec. 403. Reauthorization; reporting requirements. 
Sec. 404. Sunset dates. 
Sec. 405. Effective date. 
Sec. 406. Savings clause. 
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Sec. 407. Conforming amendment. 
TITLE V—REAUTHORIZATION OF BEST PHARMACEUTICALS FOR 
CHILDREN ACT AND PEDIATRIC RESEARCH EQUITY ACT 
Sec. 501. Permanent extension of Best Pharmaceuticals for Children Act and 
Pediatric Research Equity Act. 
Sec. 502. Food and Drug Administration Report. 
Sec. 503. Internal Committee for Review of Pediatric Plans, Assessments, De-
ferrals, Deferral Extensions, and Waivers. 
Sec. 504. Staff of Office of Pediatric Therapeutics. 
Sec. 505. Continuation of operation of Pediatric Advisory Committee. 
Sec. 506. Pediatric Subcommittee of the Oncologic Drugs Advisory Committee. 
TITLE VI—FOOD AND DRUG ADMINISTRATION ADMINISTRATIVE 
REFORMS 
Sec. 601. Public participation in issuance of FDA guidance documents. 
Sec. 602. Conflicts of interest. 
Sec. 603. Electronic submission of applications. 
Sec. 604. Notification of FDA intent to regulate laboratory-developed tests. 
TITLE VII—MEDICAL DEVICE REGULATORY IMPROVEMENTS 
Subtitle A—Premarket Predictability 
Sec. 701. Investigational device exemptions. 
Sec. 702. Clarification of least burdensome standard. 
Sec. 703. Agency documentation and review of significant decisions. 
Sec. 704. Transparency in clearance process. 
Sec. 705. Device Modifications Requiring Premarket Notification Prior to Mar-
keting. 
Subtitle B—Patients Come First 
Sec. 711. Establishment of schedule and promulgation of regulation. 
Sec. 712. Program to improve the device recall system. 
Subtitle C—Novel Device Regulatory Relief 
Sec. 721. Modification of de novo application process. 
Subtitle D—Keeping America Competitive Through Harmonization 
Sec. 731. Harmonization of device premarket review, inspection, and labeling 
symbols; report. 
Sec. 732. Participation in international fora. 
Subtitle E—FDA Renewing Efficiency From Outside Reviewer Management 
Sec. 741. Reauthorization of Third Party Review. 
Sec. 742. Reauthorization of third party inspection. 
Subtitle F—Humanitarian Device Reform 
Sec. 751. Expanded access to humanitarian use devices. 
Subtitle G—Records and Reports on Devices 
Sec. 761. Unique device identification system regulations. 
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Sec. 762. Effective device sentinel program. 
Subtitle H—Miscellaneous 
Sec. 771. Custom devices. 
Sec. 772. Pediatric device reauthorization. 
Sec. 773. Report on regulation of health information technology. 
TITLE VIII—DRUG REGULATORY IMPROVEMENTS 
Subtitle A—Drug Supply Chain 
Sec. 801. Registration of producers of drugs. 
Sec. 802. Inspection of drugs. 
Sec. 803. Drug supply quality and safety. 
Sec. 804. Prohibition against delaying, denying, limiting, or refusing inspection. 
Sec. 805. Destruction of adulterated, misbranded, or counterfeit drugs offered 
for import. 
Sec. 806. Administrative detention. 
Sec. 807. Enhanced criminal penalty for counterfeit drugs. 
Sec. 808. Unique facility identification number. 
Sec. 809. Documentation for admissibility of imports. 
Sec. 810. Registration of commercial importers. 
Sec. 811. Notification. 
Sec. 812. Exchange of information. 
Sec. 813. Extraterritorial jurisdiction. 
Sec. 814. Protection against intentional adulteration. 
Sec. 815. Records for inspection. 
Subtitle B—Medical Gas Safety 
Sec. 821. Regulation of medical gases. 
Sec. 822. Changes to regulations. 
Sec. 823. Rules of construction. 
Subtitle C—Generating Antibiotic Incentives Now 
Sec. 831. Extension of exclusivity period for drugs. 
Sec. 832. Study on incentives for qualified infectious disease biological prod-
ucts. 
Sec. 833. Clinical trials. 
Sec. 834. Reassessment of qualified infectious disease product incentives in 5 
years. 
Sec. 835. Guidance on pathogen-focused antibacterial drug development. 
Subtitle D—Accelerated Approval 
Sec. 841. Expedited approval of drugs for serious or life-threatening diseases 
or conditions. 
Sec. 842. Guidance; amended regulations. 
Sec. 843. Independent review. 
Subtitle E—Critical Path Reauthorization 
Sec. 851. Reauthorization of the critical path public-private partnerships. 
Subtitle F—Miscellaneous 
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Sec. 861. Reauthorization of provision relating to exclusivity of certain drugs 
containing single enantiomers. 
Sec. 862. Extension of period for first applicant To obtain tentative approval 
without forfeiting 180-day exclusivity period. 
Sec. 863. Final agency action relating to petitions and civil actions. 
Sec. 864. Deadline for determination on certain petitions. 
Sec. 865. Rare pediatric disease priority review voucher incentive program. 
Sec. 866. Combating prescription drug abuse. 
Sec. 867. Assessment and modification of REMS. 
Sec. 868. Consultation with external experts on rare diseases, targeted thera-
pies, and genetic targeting of treatments. 
Sec. 869. Breakthrough therapies. 
Sec. 870. Grants and Contracts for the Development of Orphan Drugs. 
TITLE IX—DRUG SHORTAGES 
Sec. 901. Discontinuance and interruptions of manufacturing of certain drugs. 
Sec. 902. Drug shortage list. 
Sec. 903. Quotas applicable to drugs in shortage. 
Sec. 904. Expedited review of major manufacturing changes for potential and 
verified shortages of drugs that are life-supporting, life-sus-
taining, or intended for use in the prevention of a debilitating 
disease or condition. 
Sec. 905. Study on drug shortages. 
Sec. 906. Annual report on drug shortages. 
Sec. 907. Attorney General report on drug shortages. 
Sec. 908. Hospital repackaging of drugs in shortage. 
SEC. 3. REFERENCES IN ACT. 
Except as otherwise specified, amendments made by 
this Act to a section or other provision of law are amend-
ments to such section or other provision of the Federal 
Food, Drug, and Cosmetic Act (21 U.S.C. 301 et seq.). 
TITLE I—FEES RELATING TO 
DRUGS 
SEC. 101. SHORT TITLE; FINDING. 
(a) SHORT TITLE.—This title may be cited as the 
‘‘Prescription Drug User Fee Amendments of 2012’’. 
(b) FINDING.—The Congress finds that the fees au-
thorized by the amendments made in this title will be dedi-
cated toward expediting the drug development process and 
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the process for the review of human drug applications, in-
cluding postmarket drug safety activities, as set forth in 
the goals identified for purposes of part 2 of subchapter 
C of chapter VII of the Federal Food, Drug, and Cosmetic 
Act, in the letters from the Secretary of Health and 
Human Services to the Chairman of the Committee on 
Health, Education, Labor, and Pensions of the Senate and 
the Chairman of the Committee on Energy and Commerce 
of the House of Representatives, as set forth in the Con-
gressional Record. 
SEC. 102. DEFINITIONS. 
Section 735(7) (21 U.S.C. 379g) is amended by strik-
ing ‘‘expenses incurred in connection with’’ and inserting 
‘‘expenses in connection with’’. 
SEC. 103. AUTHORITY TO ASSESS AND USE DRUG FEES. 
Section 736 (21 U.S.C. 379h) is amended— 
(1) in subsection (a)— 
(A) in the matter preceding paragraph (1), 
by striking ‘‘fiscal year 2008’’ and inserting 
‘‘fiscal year 2013’’; 
(B) in paragraph (1)(A)— 
(i) in clause (i), by striking ‘‘(c)(5)’’ 
and inserting ‘‘(c)(4)’’; and 
(ii) in clause (ii), by striking ‘‘(c)(5)’’ 
and inserting ‘‘(c)(4)’’; 
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(C) in the matter following clause (ii) in 
paragraph (2)(A)— 
(i) by striking ‘‘(c)(5)’’ and inserting 
‘‘(c)(4)’’; and 
(ii) by striking ‘‘payable on or before 
October 1 of each year’’ and inserting 
‘‘due on the later of the first business day 
on or after October 1 of such fiscal year or 
the first business day after the enactment 
of an appropriations Act providing for the 
collection and obligation of fees for such 
fiscal year under this section’’; 
(D) in paragraph (3)— 
(i) in subparagraph (A)— 
(I) 
by 
striking 
‘‘subsection 
(c)(5)’’ 
and 
inserting 
‘‘subsection 
(c)(4)’’; and 
(II) by striking ‘‘payable on or 
before October 1 of each year.’’ and 
inserting ‘‘due on the later of the first 
business day on or after October 1 of 
each such fiscal year or the first busi-
ness day after the enactment of an 
appropriations Act providing for the 
collection and obligation of fees for 
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each such fiscal year under this sec-
tion.’’; and 
(ii) by amending subparagraph (B) to 
read as follows: 
‘‘(B) EXCEPTION.—A prescription drug 
product shall not be assessed a fee under sub-
paragraph (A) if such product is— 
‘‘(i) identified on the list compiled 
under section 505(j)(7)(A) with a potency 
described in terms of per 100 mL; 
‘‘(ii) the same product as another 
product that— 
‘‘(I) was approved under an ap-
plication filed under section 505(b) or 
505(j); and 
‘‘(II) is not in the list of discon-
tinued products compiled under sec-
tion 505(j)(7)(A); 
‘‘(iii) the same product as another 
product that was approved under an abbre-
viated application filed under section 507 
(as in effect on the day before the date of 
enactment of the Food and Drug Adminis-
tration Modernization Act of 1997); or 
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‘‘(iv) the same product as another 
product that was approved under an abbre-
viated new drug application pursuant to 
regulations in effect prior to the implemen-
tation of the Drug Price Competition and 
Patent Term Restoration Act of 1984.’’; 
(2) in subsection (b)— 
(A) in paragraph (1)— 
(i) in the language preceding subpara-
graph (A), by striking ‘‘fiscal years 2008 
through 2012’’ and inserting ‘‘fiscal years 
2013 through 2017’’; and 
(ii) in subparagraph (A), by striking 
‘‘$392,783,000; 
and’’ 
and 
inserting 
‘‘$693,099,000;’’; and 
(iii) by striking subparagraph (B) and 
inserting the following: 
‘‘(B) the dollar amount equal to the infla-
tion adjustment for fiscal year 2013 (as deter-
mined under paragraph (3)(A)); and 
‘‘(C) the dollar amount equal to the work-
load adjustment for fiscal year 2013 (as deter-
mined under paragraph (3)(B)).’’; and 
(B) by striking paragraphs (3) and (4) and 
inserting the following: 
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‘‘(3) FISCAL YEAR 2013 INFLATION AND WORK-
LOAD ADJUSTMENTS.—For purposes of paragraph 
(1), the dollar amount of the inflation and workload 
adjustments for fiscal year 2013 shall be determined 
as follows: 
‘‘(A) INFLATION ADJUSTMENT.—The infla-
tion adjustment for fiscal year 2013 shall be 
the sum of— 
‘‘(i) $652,709,000 multiplied by the 
result of an inflation adjustment calcula-
tion determined using the methodology de-
scribed in subsection (c)(1)(B); and 
‘‘(ii) $652,709,000 multiplied by the 
result of an inflation adjustment calcula-
tion determined using the methodology de-
scribed in subsection (c)(1)(C). 
‘‘(B) WORKLOAD
ADJUSTMENT.—Subject 
to subparagraph (C), the workload adjustment 
for fiscal 2013 shall be— 
‘‘(i) $652,709,000 plus the amount of 
the inflation adjustment calculated under 
subparagraph (A); multiplied by 
‘‘(ii) the amount (if any) by which a 
percentage workload adjustment for fiscal 
year 2013, as determined using the meth-
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odology described in subsection (c)(2)(A), 
would exceed the percentage workload ad-
justment (as so determined) for fiscal year 
2012, if both such adjustment percentages 
were calculated using the 5-year base pe-
riod consisting of fiscal years 2003 
through 2007. 
‘‘(C) 
LIMITATION.—Under 
no 
cir-
cumstances shall the adjustment under sub-
paragraph (B) result in fee revenues for fiscal 
year 2013 that are less than the sum of the 
amount under paragraph (1)(A) and the 
amount under paragraph (1)(B).’’; 
(3) by striking subsection (c) and inserting the 
following: 
‘‘(c) ADJUSTMENTS.— 
‘‘(1) INFLATION ADJUSTMENT.—For fiscal year 
2014 and subsequent fiscal years, the revenues es-
tablished in subsection (b) shall be adjusted by the 
Secretary by notice, published in the Federal Reg-
ister, for a fiscal year by the amount equal to the 
sum of— 
‘‘(A) one; 
‘‘(B) the average annual percent change in 
the cost, per full-time equivalent position of the 
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Food and Drug Administration, of all personnel 
compensation and benefits paid with respect to 
such positions for the first 3 years of the pre-
ceding 4 fiscal years, multiplied by the propor-
tion of personnel compensation and benefits 
costs to total costs of the process for the review 
of human drug applications (as defined in sec-
tion 735(6)) for the first 3 years of the pre-
ceding 4 fiscal years, and 
‘‘(C) the average annual percent change 
that occurred in the Consumer Price Index for 
urban consumers (Washington-Baltimore, DC– 
MD–VA–WV; Not Seasonally Adjusted; All 
items; Annual Index) for the first 3 years of the 
preceding 4 years of available data multiplied 
by the proportion of all costs other than per-
sonnel compensation and benefits costs to total 
costs of the process for the review of human 
drug applications (as defined in section 735(6)) 
for the first 3 years of the preceding 4 fiscal 
years. 
The adjustment made each fiscal year under this 
paragraph shall be added on a compounded basis to 
the sum of all adjustments made each fiscal year 
after fiscal year 2013 under this paragraph. 
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‘‘(2) WORKLOAD
ADJUSTMENT.—For fiscal 
year 2014 and subsequent fiscal years, after the fee 
revenues established in subsection (b) are adjusted 
for a fiscal year for inflation in accordance with 
paragraph (1), the fee revenues shall be adjusted 
further for such fiscal year to reflect changes in the 
workload of the Secretary for the process for the re-
view of human drug applications. With respect to 
such adjustment: 
‘‘(A) The adjustment shall be determined 
by the Secretary based on a weighted average 
of the change in the total number of human 
drug applications (adjusted for changes in re-
view activities, as described in the notice that 
the Secretary is required to publish in the Fed-
eral Register under this subparagraph), efficacy 
supplements, and manufacturing supplements 
submitted to the Secretary, and the change in 
the total number of active commercial investiga-
tional new drug applications (adjusted for 
changes in review activities, as so described) 
during the most recent 12-month period for 
which data on such submissions is available. 
The Secretary shall publish in the Federal Reg-
ister the fee revenues and fees resulting from 
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the adjustment and the supporting methodolo-
gies. 
‘‘(B) Under no circumstances shall the ad-
justment result in fee revenues for a fiscal year 
that are less than the sum of the amount under 
subsection (b)(1)(A) and the amount under 
subsection (b)(1)(B), as adjusted for inflation 
under paragraph (1). 
‘‘(C) The Secretary shall contract with an 
independent accounting or consulting firm to 
periodically review the adequacy of the adjust-
ment and publish the results of those reviews. 
The first review shall be conducted and pub-
lished by the end of fiscal year 2013 (to exam-
ine the performance of the adjustment since fis-
cal year 2009), and the second review shall be 
conducted and published by the end of fiscal 
year 2015 (to examine the continued perform-
ance of the adjustment). The reports shall 
evaluate whether the adjustment reasonably 
represents actual changes in workload volume 
and complexity and present options to dis-
continue, retain, or modify any elements of the 
adjustment. The reports shall be published for 
public comment. After review of the reports and 
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receipt of public comments, the Secretary shall, 
if warranted, adopt appropriate changes to the 
methodology. If the Secretary adopts changes to 
the methodology based on the first report, the 
changes shall be effective for the first fiscal 
year for which fees are set after the Secretary 
adopts such changes and each subsequent fiscal 
year. 
‘‘(3) FINAL
YEAR
ADJUSTMENT.—For fiscal 
year 2017, the Secretary may, in addition to adjust-
ments under this paragraph and paragraphs (1) and 
(2), further increase the fee revenues and fees estab-
lished in subsection (b) if such an adjustment is nec-
essary to provide for not more than 3 months of op-
erating reserves of carryover user fees for the proc-
ess for the review of human drug applications for 
the first 3 months of fiscal year 2018. If such an 
adjustment is necessary, the rationale for the 
amount of the increase shall be contained in the an-
nual notice establishing fee revenues and fees for fis-
cal year 2017. If the Secretary has carryover bal-
ances for such process in excess of 3 months of such 
operating reserves, the adjustment under this sub-
paragraph shall not be made. 
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‘‘(4) ANNUAL
FEE
SETTING.—The Secretary 
shall, not later than 60 days before the start of each 
fiscal year that begins after September 30, 2012, es-
tablish, for the next fiscal year, application, product, 
and establishment fees under subsection (a), based 
on the revenue amounts established under subsection 
(b) and the adjustments provided under this sub-
section. 
‘‘(5) LIMIT.—The total amount of fees charged, 
as adjusted under this subsection, for a fiscal year 
may not exceed the total costs for such fiscal year 
for the resources allocated for the process for the re-
view of human drug applications.’’; and 
(4) in subsection (g)— 
(A) in paragraph (1), by striking ‘‘Fees 
authorized’’ and inserting ‘‘Subject to para-
graph (2)(C), fees authorized’’; 
(B) in paragraph (2)— 
(i) in subparagraph (A)(i), by striking 
‘‘shall be retained’’ and inserting ‘‘shall be 
collected and available’’; 
(ii) in subparagraph (A)(ii), by strik-
ing ‘‘shall only be collected and available’’ 
and inserting ‘‘shall be available’’; and 
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(iii) by adding at the end the fol-
lowing new subparagraph: 
‘‘(C) PROVISION FOR EARLY PAYMENTS.— 
Payment of fees authorized under this section 
for a fiscal year, prior to the due date for such 
fees, may be accepted by the Secretary in ac-
cordance with authority provided in advance in 
a prior year appropriations Act.’’; 
(C) in paragraph (3), by striking ‘‘fiscal 
years 2008 through 2012’’ and inserting ‘‘fiscal 
years 2013 through 2017’’; and 
(D) in paragraph (4)— 
(i) by striking ‘‘fiscal years 2008 
through 2010’’ and inserting ‘‘fiscal years 
2013 through 2015’’; 
(ii) by striking ‘‘fiscal year 2011’’ and 
inserting ‘‘fiscal year 2016’’; 
(iii) by striking ‘‘fiscal years 2008 
through 2011’’ and inserting ‘‘fiscal years 
2013 through 2016’’; and 
(iv) by striking ‘‘fiscal year 2012’’ 
and inserting ‘‘fiscal year 2017’’. 
SEC. 104. REAUTHORIZATION; REPORTING REQUIREMENTS. 
Section 736B (21 U.S.C. 379h–2) is amended— 
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(1) by amending subsection (a) to read as fol-
lows: 
‘‘(a) PERFORMANCE REPORT.— 
‘‘(1) IN GENERAL.—Beginning with fiscal year 
2013, not later than 120 days after the end of each 
fiscal year for which fees are collected under this 
part, the Secretary shall prepare and submit to the 
Committee on Energy and Commerce of the House 
of Representatives and the Committee on Health, 
Education, Labor, and Pensions of the Senate a re-
port concerning— 
‘‘(A) the progress of the Food and Drug 
Administration in achieving the goals identified 
in the letters described in section 101(b) of the 
Prescription Drug User Fee Amendments of 
2012 during such fiscal year and the future 
plans of the Food and Drug Administration for 
meeting the goals, including the status of the 
independent assessment described in such let-
ters; and 
‘‘(B) the progress of the Center for Drug 
Evaluation and Research and the Center for 
Biologics Evaluation and Research in achieving 
the goals, and future plans for meeting the 
goals, including, for each review division— 
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‘‘(i) the number of original standard 
new drug applications and biologics license 
applications filed per fiscal year for each 
review division; 
‘‘(ii) the number of original priority 
new drug applications and biologics license 
applications filed per fiscal year for each 
review division; 
‘‘(iii) the number of standard efficacy 
supplements filed per fiscal year for each 
review division; 
‘‘(iv) the number of priority efficacy 
supplements filed per fiscal year for each 
review division; 
‘‘(v) the number of applications filed 
for review under accelerated approval per 
fiscal year for each review division; 
‘‘(vi) the number of applications filed 
for review as fast track products per fiscal 
year for each review division; and 
‘‘(vii) the number of applications filed 
for orphan-designated products per fiscal 
year for each review division. 
‘‘(2) INCLUSION.—The report under this sub-
section for a fiscal year shall include information on 
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all previous cohorts for which the Secretary has not 
given a complete response on all human drug appli-
cations and supplements in the cohort.’’. 
(2) in subsection (b), by striking ‘‘2008’’ and 
inserting ‘‘2013’’; and 
(3) in subsection (d), by striking ‘‘2012’’ each 
place it appears and inserting ‘‘2017’’. 
SEC. 105. SUNSET DATES. 
(a) AUTHORIZATION.—Sections 735 and 736 (21 
U.S.C. 379g; 379h) are repealed October 1, 2017. 
(b) REPORTING REQUIREMENTS.—Section 736B (21 
U.S.C. 379h–2) is repealed January 31, 2018. 
(c) PREVIOUS SUNSET PROVISION.— 
(1) IN GENERAL.—Section 106 of the Prescrip-
tion Drug User Fee Amendments of 2007 (Title I 
of Public Law 110–85) is repealed. 
(2) CONFORMING AMENDMENT.—The Food and 
Drug Administration Amendments Act of 2007 
(Public Law 110–85) is amended in the table of con-
tents in section 2, by striking the item relating to 
section 106. 
(d) TECHNICAL CLARIFICATIONS.— 
(1) Effective September 30, 2007— 
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(A) section 509 of the Prescription Drug 
User Fee Amendments Act of 2002 (Title V of 
Public Law 107–188) is repealed; and 
(B) the Public Health Security and Bioter-
rorism Preparedness and Response Act of 2002 
(Public Law 107–188) is amended in the table 
of contents in section 1(b), by striking the item 
relating to section 509. 
(2) Effective September 30, 2002— 
(A) section 107 of the Food and Drug Ad-
ministration Modernization Act of 1997 (Public 
Law 105–115) is repealed; and 
(B) the table of contents in section 1(c) of 
such Act is amended by striking the item re-
lated to section 107. 
(3) Effective September 30, 1997, section 105 
of the Prescription Drug User Fee Act of 1992 
(Public Law 102–571) is repealed. 
SEC. 106. EFFECTIVE DATE. 
The amendments made by this title shall take effect 
on October 1, 2012, or the date of the enactment of this 
Act, whichever is later, except that fees under part 2 of 
subchapter C of chapter VII of the Federal Food, Drug, 
and Cosmetic Act shall be assessed for all human drug 
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applications received on or after October 1, 2012, regard-
less of the date of the enactment of this Act. 
SEC. 107. SAVINGS CLAUSE. 
Notwithstanding the amendments made by this title, 
part 2 of subchapter C of chapter VII of the Federal Food, 
Drug, and Cosmetic Act, as in effect on the day before 
the date of the enactment of this title, shall continue to 
be in effect with respect to human drug applications and 
supplements (as defined in such part as of such day) that 
on or after October 1, 2007, but before October 1, 2012, 
were accepted by the Food and Drug Administration for 
filing with respect to assessing and collecting any fee re-
quired by such part for a fiscal year prior to fiscal year 
2012. 
TITLE II—MEDICAL DEVICE 
USER FEE AMENDMENTS OF 2012 
SEC. 201. SHORT TITLE; FINDINGS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Medical Device User Fee Amendments of 2012’’. 
(b) FINDINGS.—The Congress finds that the fees au-
thorized under the amendments made by this title will be 
dedicated toward expediting the process for the review of 
device applications and for assuring the safety and effec-
tiveness of devices, as set forth in the goals identified for 
purposes of part 3 of subchapter C of chapter VII of the 
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Federal Food, Drug, and Cosmetic Act in the letters from 
the Secretary of Health and Human Services to the Chair-
man of the Committee on Health, Education, Labor, and 
Pensions of the Senate and the Chairman of the Com-
mittee on Energy and Commerce of the House of Rep-
resentatives, as set forth in the Congressional Record. 
SEC. 202. DEFINITIONS. 
Section 737 (21 U.S.C. 379i) is amended— 
(1) in paragraph (9), by striking ‘‘incurred’’ 
after ‘‘expenses’’; 
(2) in paragraph (10), by striking ‘‘October 
2001’’ and inserting ‘‘October 2011’’; and 
(3) in paragraph (13), by striking ‘‘is required 
to register’’ and all that follows through the end of 
paragraph (13) and inserting the following: ‘‘is reg-
istered (or is required to register) with the Secretary 
under section 510 because such establishment is en-
gaged in the manufacture, preparation, propagation, 
compounding, or processing of a device.’’. 
SEC. 203. AUTHORITY TO ASSESS AND USE DEVICE FEES. 
(a) TYPES OF FEES.—Section 738(a) (21 U.S.C. 
379j(a)) is amended— 
(1) in paragraph (1), by striking ‘‘fiscal year 
2008’’ and inserting ‘‘fiscal year 2013’’; 
(2) in paragraph (2)(A)— 
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(A) in the matter preceding clause (i)— 
(i) by striking ‘‘subsections (d) and 
(e)’’ and inserting ‘‘subsections (d), (e), 
and (f)’’; 
(ii) by striking ‘‘October 1, 2002’’ and 
inserting ‘‘October 1, 2012’’; and 
(iii) by striking ‘‘subsection (c)(1)’’ 
and inserting ‘‘subsection (c)’’; and 
(B) in clause (viii), by striking ‘‘1.84’’ and 
inserting ‘‘2’’; and 
(3) in paragraph (3)— 
(A) in subparagraph (A), by inserting 
‘‘and subsection (f)’’ after ‘‘subparagraph (B)’’; 
and 
(B) in subparagraph (C), by striking ‘‘ini-
tial registration’’ and all that follows through 
‘‘section 510.’’ and inserting ‘‘later of— 
‘‘(i) the initial or annual registration 
(as applicable) of the establishment under 
section 510; or 
‘‘(ii) the first business day after the 
date of enactment of an appropriations Act 
providing for the collection and obligation 
of fees for such year under this section.’’. 
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(b) FEE AMOUNTS.—Section 738(b) (21 U.S.C. 
379j(b)) is amended to read as follows: 
‘‘(b) FEE AMOUNTS.— 
‘‘(1) IN GENERAL.—Subject to subsections (c), 
(d), (e), (f), and (i), for each of fiscal years 2013 
through 2017, fees under subsection (a) shall be de-
rived from the base fee amounts specified in para-
graph (2), to generate the total revenue amounts 
specified in paragraph (3). 
‘‘(2) BASE
FEE
AMOUNTS
SPECIFIED.—For 
purposes of paragraph (1), the base fee amounts 
specified in this paragraph are as follows: 
‘‘Fee Type 
Fiscal 
Year 
2013 
Fiscal 
Year 
2014 
Fiscal 
Year 
2015 
Fiscal 
Year 
2016 
Fiscal 
Year 
2017 
Premarket Application ........................
$248,000 
$252,960 
$258,019 
$263,180 
$268,443 
Establishment Registration ................
$2,575 
$3,200 
$3,750 
$3,872 
$3,872 
‘‘(3) TOTAL
REVENUE
AMOUNTS.—For pur-
poses of paragraph (1), the total revenue amounts 
specified in this paragraph are as follows: 
‘‘(A) $97,722,301 for fiscal year 2013. 
‘‘(B) $112,580,497 for fiscal year 2014. 
‘‘(C) $125,767,107 for fiscal year 2015. 
‘‘(D) $129,339,949 for fiscal year 2016. 
‘‘(E) $130,184,348 for fiscal year 2017.’’. 
(c) ANNUAL FEE SETTING; ADJUSTMENTS.—Section 
738(c) (21 U.S.C. 379j(c)) is amended— 
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(1) in the subsection heading, by inserting ‘‘; 
ADJUSTMENTS’’ after ‘‘SETTING’’; 
(2) by striking paragraphs (1) and (2); 
(3) by redesignating paragraphs (3) and (4) as 
paragraphs (4) and (5), respectively; and 
(4) by inserting before paragraph (4), as so re-
designated, the following: 
‘‘(1) IN
GENERAL.—The Secretary shall, 60 
days before the start of each fiscal year after Sep-
tember 30, 2012, establish fees under subsection (a), 
based on amounts specified under subsection (b) and 
the adjustments provided under this subsection, and 
publish such fees, and the rationale for any adjust-
ments to such fees, in the Federal Register. 
‘‘(2) INFLATION ADJUSTMENTS.— 
‘‘(A) ADJUSTMENT
TO
TOTAL
REVENUE 
AMOUNTS.—For fiscal year 2014 and each sub-
sequent fiscal year, the Secretary shall adjust 
the total revenue amount specified in subsection 
(b)(3) for such fiscal year by multiplying such 
amount by the applicable inflation adjustment 
under subparagraph (B) for such year. 
‘‘(B) APPLICABLE
INFLATION
ADJUST-
MENT TO TOTAL REVENUE AMOUNTS.—The ap-
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plicable inflation adjustment for a fiscal year 
is— 
‘‘(i) for fiscal year 2014, the base in-
flation adjustment under subparagraph (C) 
for such fiscal year; and 
‘‘(ii) for fiscal year 2015 and each 
subsequent fiscal year, the product of— 
‘‘(I) the base inflation adjust-
ment under subparagraph (C) for 
such fiscal year; and 
‘‘(II) the product of the base in-
flation adjustment under subpara-
graph (C) for each of the fiscal years 
preceding such fiscal year, beginning 
with fiscal year 2014. 
‘‘(C) BASE
INFLATION
ADJUSTMENT
TO 
TOTAL REVENUE AMOUNTS.— 
‘‘(i) IN GENERAL.—Subject to further 
adjustment under clause (ii), the base in-
flation adjustment for a fiscal year is the 
sum of one plus— 
‘‘(I) the average annual percent 
change in the cost, per full-time equiv-
alent position of the Food and Drug 
Administration, of all personnel com-
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pensation and benefits paid with re-
spect to such positions for the first 3 
years of the preceding 4 fiscal years, 
multiplied by 0.60; and 
‘‘(II) the average annual percent 
change that occurred in the Consumer 
Price Index for urban consumers 
(Washington-Baltimore, DC–MD–VA– 
WV; Not Seasonally Adjusted; All 
items; Annual Index) for the first 3 
years of the preceding 4 years of 
available data multiplied by 0.40. 
‘‘(ii) LIMITATIONS.—For purposes of 
subparagraph (B), if the base inflation ad-
justment for a fiscal year under clause 
(i)— 
‘‘(I) is less than 1, such adjust-
ment shall be considered to be equal 
to 1; or 
‘‘(II) is greater than 1.04, such 
adjustment shall be considered to be 
equal to 1.04. 
‘‘(D) 
ADJUSTMENT
TO
BASE
FEE 
AMOUNTS.—For each of fiscal years 2014 
through 2017, the base fee amounts specified in 
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subsection (b)(2) shall be adjusted as needed, 
on a uniform proportionate basis, to generate 
the total revenue amounts under subsection 
(b)(3), as adjusted for inflation under subpara-
graph (A). 
‘‘(3) VOLUME-BASED ADJUSTMENTS TO ESTAB-
LISHMENT REGISTRATION BASE FEES.—For each of 
fiscal years 2014 through 2017, after the base fee 
amounts specified in subsection (b)(2) are adjusted 
under paragraph (2)(D), the base establishment reg-
istration fee amounts specified in such subsection 
shall be further adjusted, as the Secretary estimates 
is necessary in order for total fee collections for such 
fiscal year to generate the total revenue amounts, as 
adjusted under paragraph (2).’’. 
(d) FEE WAIVER OR REDUCTION.—Section 738 (21 
U.S.C. 379j) is amended by— 
(1) redesignating subsections (f) through (k) as 
subsections (g) through (l), respectively; and 
(2) by inserting after subsection (e) the fol-
lowing new subsection (f): 
‘‘(f) FEE WAIVER OR REDUCTION.— 
‘‘(1) IN GENERAL.—The Secretary may, at the 
Secretary’s sole discretion, grant a waiver or reduc-
tion of fees under subsection (a)(2) or (a)(3) if the 
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Secretary finds that such waiver or reduction is in 
the interest of public health. 
‘‘(2) LIMITATION.—The sum of all fee waivers 
or reductions granted by the Secretary in any fiscal 
year under paragraph (1) shall not exceed 2 percent 
of the total fee revenue amounts established for such 
year under subsection (c). 
‘‘(3) DURATION.—The authority provided by 
this subsection terminates October 1, 2017.’’. 
(e) CONDITIONS.—Section 738(h)(1)(A) (21 U.S.C. 
379j(h)(1)(A)), as redesignated by subsection (d)(1), is 
amended by striking ‘‘$205,720,000’’ and inserting 
‘‘$280,587,000’’. 
(f) CREDITING AND AVAILABILITY OF FEES.—Sec-
tion 738(i) (21 U.S.C. 379j(i)), as redesignated by sub-
section (d)(1), is amended— 
(1) in paragraph (1), by striking ‘‘Fees author-
ized’’ and inserting ‘‘Subject to paragraph (2)(C), 
fees authorized’’; 
(2) in paragraph (2)— 
(A) in subparagraph (A)— 
(i) in clause (i), by striking ‘‘shall be 
retained’’ and inserting ‘‘subject to sub-
paragraph (C), shall be collected and avail-
able’’; and 
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(ii) in clause (ii)— 
(I) by striking ‘‘collected and’’ 
after ‘‘shall only be’’; and 
(II) by striking ‘‘fiscal year 
2002’’ and inserting ‘‘fiscal year 
2009’’; and 
(B) by adding at the end, the following: 
‘‘(C) PROVISION
FOR
EARLY
YEAR
PAY-
MENTS.—Payment of fees authorized under this 
section for a fiscal year, prior to the due date 
for such fees, may be accepted by the Secretary 
in accordance with authority provided in ad-
vance in a prior year appropriations Act.’’; 
(3) in paragraph (3), by amending to read as 
follows: 
‘‘(3) AUTHORIZATIONS OF APPROPRIATIONS.— 
For each of the fiscal years 2013 through 2017, 
there is authorized to be appropriated for fees under 
this section an amount equal to the total revenue 
amount specified under subsection (b)(3) for the fis-
cal year, as adjusted under subsection (c) and, for 
fiscal year 2017 only, as further adjusted under 
paragraph (4).’’; and 
(4) in paragraph (4)— 
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(b) PERFORMANCE REPORTS.—Section 738A(a) (21 
U.S.C. 379j–1(a)) is amended— 
(1) by striking paragraph (1) and inserting the 
following: 
‘‘(1) PERFORMANCE REPORT.— 
‘‘(A) IN GENERAL.—Beginning with fiscal 
year 2013, for each fiscal year for which fees 
are collected under this part, the Secretary 
shall prepare and submit to the Committee on 
Health, Education, Labor, and Pensions of the 
Senate and the Committee on Energy and Com-
merce of the House of Representatives annual 
reports concerning the progress of the Food 
and Drug Administration in achieving the goals 
identified in the letters described in section 
201(b) of the Medical Device User Fee Amend-
ments of 2012 during such fiscal year and the 
future plans of the Food and Drug Administra-
tion for meeting the goals. 
‘‘(B) PUBLICATION.—With regard to infor-
mation to be reported by the Food and Drug 
Administration to industry on a quarterly and 
annual basis pursuant to the letters described 
in section 201(b) of the Medical Device User 
Fee Amendments Act of 2012, the Secretary 
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shall make such information publicly available 
on the Internet Website of the Food and Drug 
Administration not later than 60 days after the 
end of each quarter or 120 days after the end 
of each fiscal year, respectively, to which such 
information applies. This information shall in-
clude the status of the independent assessment 
identified in the letters described in such sec-
tion 201(b). 
‘‘(C) UPDATES.—The Secretary shall in-
clude in each report under subparagraph (A) 
information on all previous cohorts for which 
the Secretary has not given a complete response 
on all device premarket applications and re-
ports, supplements, and premarket notifications 
in the cohort.’’; and 
(2) in paragraph (2), by striking ‘‘2008 
through 2012’’ and inserting ‘‘2013 through 2017’’. 
SEC. 205. SAVINGS CLAUSE. 
Notwithstanding the amendments made by this title, 
part 3 of subchapter C of chapter VII of the Federal Food, 
Drug, and Cosmetic Act (21 U.S.C. 379i et seq.), as in 
effect on the day before the date of the enactment of this 
title, shall continue to be in effect with respect to the sub-
missions listed in section 738(a)(2)(A) of such Act (as de-
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fined in such part as of such day) that on or after October 
1, 2007, but before October 1, 2012, were accepted by 
the Food and Drug Administration for filing with respect 
to assessing and collecting any fee required by such part 
for a fiscal year prior to fiscal year 2013. 
SEC. 206. EFFECTIVE DATE. 
The amendments made by this title shall take effect 
on October 1, 2012, or the date of the enactment of this 
Act, whichever is later, except that fees under part 3 of 
subchapter C of chapter VII of the Federal Food, Drug, 
and Cosmetic Act shall be assessed for all submissions list-
ed in section 738(a)(2)(A) of such Act received on or after 
October 1, 2012, regardless of the date of the enactment 
of this Act. 
SEC. 207. SUNSET CLAUSE. 
(a) IN GENERAL.—Sections 737 and 738 of the Fed-
eral Food, Drug, and Cosmetic Act (21 U.S.C. 739i; 739j) 
shall cease to be effective October 1, 2017. Section 738A 
(21 U.S.C. 739j–1) of the Federal Food, Drug, and Cos-
metic Act (regarding reauthorization and reporting re-
quirements) is repealed January 31, 2018. 
(b) PREVIOUS SUNSET PROVISION.— 
(1) IN GENERAL.—Section 217 of the Medical 
Device User Fee Amendments of 2007 (Title II of 
Public Law 110–85) is repealed. 
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(2) CONFORMING AMENDMENT.—The Food and 
Drug Administration Amendments Act of 2007 
(Public Law 110–85) is amended in the table of con-
tents in section 2, by striking the item relating to 
section 217. 
(c) TECHNICAL
CLARIFICATION.—Effective Sep-
tember 30, 2007— 
(1) section 107 of the Medical Device User Fee 
and Modernization Act of 2002 (Public Law 107– 
250) is repealed; and 
(2) the table of contents in section 1(b) of such 
Act is amended by striking the item related to sec-
tion 107. 
SEC. 208. STREAMLINED HIRING AUTHORITY TO SUPPORT 
ACTIVITIES RELATED TO THE PROCESS FOR 
THE REVIEW OF DEVICE APPLICATIONS. 
Subchapter A of chapter VII (21 U.S.C. 371 et seq.) 
is amended by inserting after section 713 the following 
new section: 
‘‘SEC. 714. STREAMLINED HIRING AUTHORITY. 
‘‘(a) IN GENERAL.—In addition to any other per-
sonnel authorities under other provisions of law, the Sec-
retary may, without regard to the provisions of title 5, 
United States Code, governing appointments in the com-
petitive service, appoint employees to positions in the Food 
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and Drug Administration to perform, administer, or sup-
port activities described in subsection (b), if the Secretary 
determines that such appointments are needed to achieve 
the objectives specified in subsection (c). 
‘‘(b) ACTIVITIES DESCRIBED.—The activities de-
scribed in this subsection are activities under this Act re-
lated to the process for the review of device applications 
(as defined in section 737(8)). 
‘‘(c) OBJECTIVES SPECIFIED.—The objectives speci-
fied in this subsection are with respect to the activities 
under subsection (b)(1), the goals referred to in section 
738A(a)(1). 
‘‘(d) INTERNAL CONTROLS.—The Secretary shall in-
stitute appropriate internal controls for appointments 
under this section. 
‘‘(e) SUNSET.—The authority to appoint employees 
under this section shall terminate on the date that is three 
years after the date of enactment of this section.’’. 
TITLE III—FEES RELATING TO 
GENERIC DRUGS 
SEC. 301. SHORT TITLE. 
(a) SHORT TITLE.—This title may be cited as the 
‘‘Generic Drug User Fee Amendments of 2012’’. 
(b) FINDING.—The Congress finds that the fees au-
thorized by the amendments made in this title will be dedi-
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cated to human generic drug activities, as set forth in the 
goals identified for purposes of part 7 of subchapter C 
of chapter VII of the Federal Food, Drug, and Cosmetic 
Act, in the letters from the Secretary of Health and 
Human Services to the Chairman of the Committee on 
Health, Education, Labor, and Pensions of the Senate and 
the Chairman of the Committee on Energy and Commerce 
of the House of Representatives, as set forth in the Con-
gressional Record. 
SEC. 302. AUTHORITY TO ASSESS AND USE HUMAN GE-
NERIC DRUG FEES. 
Subchapter C of chapter VII (21 U.S.C. 379f et seq.) 
is amended by adding at the end the following: 
‘‘PART 7—FEES RELATING TO GENERIC DRUGS 
‘‘SEC. 744A. DEFINITIONS. 
‘‘For purposes of this part: 
‘‘(1) The term ‘abbreviated new drug applica-
tion’— 
‘‘(A) means an application submitted 
under section 505(j), an abbreviated application 
submitted under section 507 (as in effect on the 
day before the date of enactment of the Food 
and Drug Administration Modernization Act of 
1997), or an abbreviated new drug application 
submitted pursuant to regulations in effect 
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prior to the implementation of the Drug Price 
Competition and Patent Term Restoration Act 
of 1984; and 
‘‘(B) does not include an application for a 
positron emission tomography drug. 
‘‘(2) The term ‘active pharmaceutical ingre-
dient’ means— 
‘‘(A) a substance, or a mixture when the 
substance is unstable or cannot be transported 
on its own, intended— 
‘‘(i) to be used as a component of a 
drug; and 
‘‘(ii) to furnish pharmacological activ-
ity or other direct effect in the diagnosis, 
cure, mitigation, treatment, or prevention 
of disease, or to affect the structure or any 
function of the human body; or 
‘‘(B) a substance intended for final crys-
tallization, purification, or salt formation, or 
any combination of those activities, to become a 
substance or mixture described in subparagraph 
(A). 
‘‘(3) The term ‘adjustment factor’ means a fac-
tor applicable to a fiscal year that is the Consumer 
Price Index for all urban consumers (all items; 
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United States city average) for October of the pre-
ceding fiscal year divided by such Index for October 
2011. 
‘‘(4) The term ‘affiliate’ means a business enti-
ty that has a relationship with a second business en-
tity if, directly or indirectly— 
‘‘(A) one business entity controls, or has 
the power to control, the other business entity; 
or 
‘‘(B) a third party controls, or has power 
to control, both of the business entities. 
‘‘(5)(A) The term ‘facility’— 
‘‘(i) means a business or other entity— 
‘‘(I) under one management, either di-
rect or indirect; and 
‘‘(II) at one geographic location or ad-
dress engaged in manufacturing or proc-
essing an active pharmaceutical ingredient 
or a finished dosage form; and 
‘‘(ii) does not include a business or other 
entity whose only manufacturing or processing 
activities are one or more of the following: re-
packaging, relabeling, or testing. 
‘‘(B) For purposes of subparagraph (A), sepa-
rate buildings within close proximity are considered 
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to be at one geographic location or address if the ac-
tivities in them are— 
‘‘(i) closely related to the same business 
enterprise; 
‘‘(ii) under the supervision of the same 
local management; and 
‘‘(iii) capable of being inspected by the 
Food and Drug Administration during a single 
inspection. 
‘‘(C) If a business or other entity would meet 
the definition of a facility under this paragraph but 
for being under multiple management, the business 
or other entity is deemed to constitute multiple fa-
cilities, one per management entity, for purposes of 
this paragraph. 
‘‘(6) The term ‘finished dosage form’ means— 
‘‘(A) a drug product in the form in which 
it will be administered to a patient, such as a 
tablet, capsule, solution, or topical application; 
‘‘(B) a drug product in a form in which re-
constitution is necessary prior to administration 
to a patient, such as oral suspensions or 
lyophilized powders; or 
‘‘(C) any combination of an active pharma-
ceutical ingredient with another component of a 
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drug product for purposes of production of a 
drug product described in subparagraph (A) or 
(B). 
‘‘(7) The term ‘generic drug submission’ means 
an abbreviated new drug application, an amendment 
to an abbreviated new drug application, or a prior 
approval supplement to an abbreviated new drug ap-
plication. 
‘‘(8) The term ‘human generic drug activities’ 
means the following activities of the Secretary asso-
ciated with generic drugs and inspection of facilities 
associated with generic drugs: 
‘‘(A) The activities necessary for the re-
view of generic drug submissions, including re-
view of drug master files referenced in such 
submissions. 
‘‘(B) The issuance of— 
‘‘(i) approval letters which approve 
abbreviated new drug applications or sup-
plements to such applications; or 
‘‘(ii) complete response letters which 
set forth in detail the specific deficiencies 
in such applications and, where appro-
priate, the actions necessary to place such 
applications in condition for approval. 
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‘‘(C) The issuance of letters related to 
Type II active pharmaceutical drug master files 
which— 
‘‘(i) set forth in detail the specific de-
ficiencies in such submissions, and where 
appropriate, the actions necessary to re-
solve those deficiencies; or 
‘‘(ii) document that no deficiencies 
need to be addressed. 
‘‘(D) Inspections related to generic drugs. 
‘‘(E) Monitoring of research conducted in 
connection with the review of generic drug sub-
missions and drug master files. 
‘‘(F) Postmarket safety activities with re-
spect to drugs approved under abbreviated new 
drug applications or supplements, including the 
following activities: 
‘‘(i) Collecting, developing, and re-
viewing safety information on approved 
drugs, including adverse event reports. 
‘‘(ii) Developing and using improved 
adverse-event data-collection systems, in-
cluding information technology systems. 
‘‘(iii) Developing and using improved 
analytical tools to assess potential safety 
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problems, including access to external data 
bases. 
‘‘(iv) Implementing and enforcing sec-
tion 505(o) (relating to postapproval stud-
ies and clinical trials and labeling changes) 
and section 505(p) (relating to risk evalua-
tion and mitigation strategies) insofar as 
those activities relate to abbreviated new 
drug applications. 
‘‘(v) Carrying out section 505(k)(5) 
(relating to adverse-event reports and 
postmarket safety activities). 
‘‘(G) Regulatory science activities related 
to generic drugs. 
‘‘(9) The term ‘positron emission tomography 
drug’ has the meaning given to the term ‘com-
pounded positron emission tomography drug’ in sec-
tion 201(ii), except that paragraph (1)(B) of such 
section shall not apply. 
‘‘(10) The term ‘prior approval supplement’ 
means a request to the Secretary to approve a 
change in the drug substance, drug product, produc-
tion process, quality controls, equipment, or facilities 
covered by an approved abbreviated new drug appli-
cation when that change has a substantial potential 
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to have an adverse effect on the identity, strength, 
quality, purity, or potency of the drug product as 
these factors may relate to the safety or effective-
ness of the drug product. 
‘‘(11) The term ‘resources allocated for human 
generic drug activities’ means the expenses for— 
‘‘(A) officers and employees of the Food 
and Drug Administration, contractors of the 
Food and Drug Administration, advisory com-
mittees, and costs related to such officers and 
employees and to contracts with such contrac-
tors; 
‘‘(B) management of information, and the 
acquisition, maintenance, and repair of com-
puter resources; 
‘‘(C) leasing, maintenance, renovation, and 
repair of facilities and acquisition, maintenance, 
and repair of fixtures, furniture, scientific 
equipment, and other necessary materials and 
supplies; and 
‘‘(D) collecting fees under subsection (a) 
and accounting for resources allocated for the 
review of abbreviated new drug applications and 
supplements and inspection related to generic 
drugs. 
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‘‘(12) The term ‘Type II active pharmaceutical 
ingredient drug master file’ means a submission of 
information to the Secretary by a person that in-
tends to authorize the Food and Drug Administra-
tion to reference the information to support approval 
of a generic drug submission without the submitter 
having to disclose the information to the generic 
drug submission applicant. 
‘‘SEC. 744B. AUTHORITY TO ASSESS AND USE HUMAN GE-
NERIC DRUG FEES. 
‘‘(a) TYPES
OF FEES.—Beginning in fiscal year 
2013, the Secretary shall assess and collect fees in accord-
ance with this section as follows: 
‘‘(1) ONE-TIME
BACKLOG
FEE
FOR
ABBRE-
VIATED NEW DRUG APPLICATIONS PENDING ON OC-
TOBER 1, 2012.— 
‘‘(A) IN
GENERAL.—Each person that 
owns an abbreviated new drug application that 
is pending on October 1, 2012, and that has 
not received a tentative approval prior to that 
date, shall be subject to a fee for each such ap-
plication, as calculated under subparagraph 
(B). 
‘‘(B) METHOD OF FEE AMOUNT CALCULA-
TION.—The amount of each one-time backlog 
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fee shall be calculated by dividing $50,000,000 
by the total number of abbreviated new drug 
applications pending on October 1, 2012, that 
have not received a tentative approval as of that 
date. 
‘‘(C) NOTICE.—Not later than October 31, 
2012, the Secretary shall cause to be published 
in the Federal Register a notice announcing the 
amount of the fee required by subparagraph 
(A). 
‘‘(D) FEE DUE DATE.—The fee required 
by subparagraph (A) shall be due no later than 
30 calendar days after the date of the publica-
tion of the notice specified in subparagraph (C). 
‘‘(2) DRUG MASTER FILE FEE.— 
‘‘(A) IN
GENERAL.—Each person that 
owns a Type II active pharmaceutical ingre-
dient drug master file that is referenced on or 
after October 1, 2012, in a generic drug sub-
mission by any initial letter of authorization 
shall be subject to a drug master file fee. 
‘‘(B) ONE-TIME
PAYMENT.—If a person 
has paid a drug master file fee for a Type II 
active pharmaceutical ingredient drug master 
file, the person shall not be required to pay a 
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subsequent drug master file fee when that Type 
II active pharmaceutical ingredient drug master 
file is subsequently referenced in generic drug 
submissions. 
‘‘(C) NOTICE.— 
‘‘(i) FISCAL
YEAR
2013.—Not later 
than October 31, 2012, the Secretary shall 
cause to be published in the Federal Reg-
ister a notice announcing the amount of 
the drug master file fee for fiscal year 
2013. 
‘‘(ii) FISCAL
YEAR
2014
THROUGH 
2017.—Not later than 60 days before the 
start of each of fiscal years 2014 through 
2017, the Secretary shall cause to be pub-
lished in the Federal Register the amount 
of the drug master file fee established by 
this paragraph for such fiscal year. 
‘‘(D) AVAILABILITY FOR REFERENCE.— 
‘‘(i) IN
GENERAL.—Subject to sub-
section (g)(2)(C), for a generic drug sub-
mission to reference a Type II active phar-
maceutical ingredient drug master file, the 
drug master file must be deemed available 
for reference by the Secretary. 
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‘‘(ii) CONDITIONS.—A drug master 
file shall be deemed available for reference 
by the Secretary if— 
‘‘(I) the person that owns a Type 
II active pharmaceutical ingredient 
drug master file has paid the fee re-
quired under subparagraph (A) within 
20 calendar days after the applicable 
due date under subparagraph (E); 
and 
‘‘(II) the drug master file has not 
failed an initial completeness assess-
ment by the Secretary, in accordance 
with criteria to be published by the 
Secretary. 
‘‘(iii) 
LIST.—The 
Secretary 
shall 
make publicly available on the Internet 
Web site of the Food and Drug Adminis-
tration a list of the drug master file num-
bers that correspond to drug master files 
that have successfully undergone an initial 
completeness assessment, in accordance 
with criteria to be published by the Sec-
retary, and are available for reference. 
‘‘(E) FEE DUE DATE.— 
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‘‘(i) IN GENERAL.—Subject to clause 
(ii), a drug master file fee shall be due no 
later than the date on which the first ge-
neric drug submission is submitted that 
references the associated Type II active 
pharmaceutical ingredient drug master file. 
‘‘(ii) LIMITATION.—No fee shall be 
due under subparagraph (A) for a fiscal 
year until the later of— 
‘‘(I) 30 calendar days after publi-
cation of the notice provided for in 
clause (i) or (ii) of subparagraph (C), 
as applicable; or 
‘‘(II) 30 calendar days after the 
date of enactment of an appropria-
tions Act providing for the collection 
and obligation of fees under this sec-
tion. 
‘‘(3) ABBREVIATED
NEW
DRUG
APPLICATION 
AND PRIOR APPROVAL SUPPLEMENT FILING FEE.— 
‘‘(A) IN GENERAL.—Each applicant that 
submits, on or after October 1, 2012, an abbre-
viated new drug application or a prior approval 
supplement to an abbreviated new drug applica-
tion shall be subject to a fee for each such sub-
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mission in the amount established under sub-
section (d). 
‘‘(B) NOTICE.— 
‘‘(i) FISCAL
YEAR
2013.—Not later 
than October 31, 2012, the Secretary shall 
cause to be published in the Federal Reg-
ister a notice announcing the amount of 
the fees under subparagraph (A) for fiscal 
year 2013. 
‘‘(ii) FISCAL
YEARS
2014
THROUGH 
2017.—Not later than 60 days before the 
start of each of fiscal years 2014 through 
2017, the Secretary shall cause to be pub-
lished in the Federal Register the amount 
of the fees under subparagraph (A) for 
such fiscal year. 
‘‘(C) FEE DUE DATE.— 
‘‘(i) IN
GENERAL.—Except as pro-
vided in clause (ii), the fees required by 
subparagraphs (A) and (F) shall be due no 
later than the date of submission of the 
abbreviated new drug application or prior 
approval supplement for which such fee ap-
plies. 
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‘‘(ii) SPECIAL RULE FOR 2013.—For 
fiscal year 2013, such fees shall be due on 
the later of— 
‘‘(I) the date on which the fee is 
due under clause (i); 
‘‘(II) 30 calendar days after pub-
lication of the notice referred to in 
subparagraph (B)(i); or 
‘‘(III) if an appropriations Act is 
not enacted providing for the collec-
tion and obligation of fees under this 
section by the date of submission of 
the application or prior approval sup-
plement for which the fees under sub-
paragraphs (A) and (F) apply, 30 cal-
endar days after the date that such an 
appropriations Act is enacted. 
‘‘(D) REFUND OF FEE IF ABBREVIATED 
NEW DRUG APPLICATION IS NOT CONSIDERED 
TO
HAVE
BEEN
RECEIVED.—The Secretary 
shall refund 75 percent of the fee paid under 
subparagraph (A) for any abbreviated new drug 
application or prior approval supplement to an 
abbreviated new drug application that the Sec-
retary considers not to have been received with-
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in the meaning of section 505(j)(5)(A) for a 
cause other than failure to pay fees. 
‘‘(E) FEE FOR AN APPLICATION THE SEC-
RETARY CONSIDERS NOT TO HAVE BEEN RE-
CEIVED, OR THAT HAS BEEN WITHDRAWN.—An 
abbreviated new drug application or prior ap-
proval supplement that was submitted on or 
after October 1, 2012, and that the Secretary 
considers not to have been received, or that has 
been withdrawn, shall, upon resubmission of the 
application or a subsequent new submission fol-
lowing the applicant’s withdrawal of the appli-
cation, be subject to a full fee under subpara-
graph (A). 
‘‘(F) ADDITIONAL FEE FOR ACTIVE PHAR-
MACEUTICAL
INGREDIENT
INFORMATION
NOT 
INCLUDED BY REFERENCE TO TYPE II ACTIVE 
PHARMACEUTICAL INGREDIENT DRUG MASTER 
FILE.—An applicant that submits a generic 
drug submission on or after October 1, 2012, 
shall pay a fee, in the amount determined under 
subsection (d)(3), in addition to the fee re-
quired under subparagraph (A), if— 
‘‘(i) such submission contains infor-
mation concerning the manufacture of an 
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active pharmaceutical ingredient at a facil-
ity by means other than reference by a let-
ter of authorization to a Type II active 
pharmaceutical drug master file; and 
‘‘(ii) a fee in the amount equal to the 
drug master file fee established in para-
graph (2) has not been previously paid 
with respect to such information. 
‘‘(4) GENERIC DRUG FACILITY FEE AND ACTIVE 
PHARMACEUTICAL INGREDIENT FACILITY FEE.— 
‘‘(A) IN
GENERAL.—Facilities identified, 
or intended to be identified, in at least one ge-
neric drug submission that is pending or ap-
proved to produce a finished dosage form of a 
human generic drug or an active pharma-
ceutical ingredient contained in a human ge-
neric drug shall be subject to fees as follows: 
‘‘(i) GENERIC DRUG FACILITY.—Each 
person that owns a facility which is identi-
fied or intended to be identified in at least 
one generic drug submission that is pend-
ing or approved to produce one or more 
finished dosage forms of a human generic 
drug shall be assessed an annual fee for 
each such facility. 
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‘‘(ii) ACTIVE
PHARMACEUTICAL
IN-
GREDIENT
FACILITY.—Each person that 
owns a facility which produces, or which is 
pending review to produce, one or more ac-
tive pharmaceutical ingredients identified, 
or intended to be identified, in at least one 
generic drug submission that is pending or 
approved or in a Type II active pharma-
ceutical ingredient drug master file ref-
erenced in such a generic drug submission, 
shall be assessed an annual fee for each 
such facility. 
‘‘(iii) FACILITIES
PRODUCING
BOTH 
ACTIVE
PHARMACEUTICAL
INGREDIENTS 
AND
FINISHED
DOSAGE
FORMS.—Each 
person that owns a facility identified, or 
intended to be identified, in at least one 
generic drug submission that is pending or 
approved to produce both one or more fin-
ished dosage forms subject to clause (i) 
and one or more active pharmaceutical in-
gredients subject to clause (ii) shall be 
subject to fees under both such clauses for 
that facility. 
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‘‘(B) AMOUNT.—The amount of fees estab-
lished under subparagraph (A) shall be estab-
lished under subsection (d). 
‘‘(C) NOTICE.— 
‘‘(i) FISCAL
YEAR
2013.—For fiscal 
year 2013, the Secretary shall cause to be 
published in the Federal Register a notice 
announcing the amount of the fees pro-
vided for in subparagraph (A) within the 
timeframe 
specified 
in 
subsection 
(d)(1)(B). 
‘‘(ii) FISCAL
YEARS
2014
THROUGH 
2017.—Within the timeframe specified in 
subsection (d)(2), the Secretary shall cause 
to be published in the Federal Register the 
amount of the fees under subparagraph 
(A) for such fiscal year. 
‘‘(D) FEE DUE DATE.— 
‘‘(i) FISCAL
YEAR
2013.—For fiscal 
year 2013, the fees under subparagraph 
(A) shall be due on the later of— 
‘‘(I) not later than 45 days after 
the publication of the notice under 
subparagraph (B); or 
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‘‘(II) if an appropriations Act is 
not enacted providing for the collec-
tion and obligation of fees under this 
section by the date of the publication 
of such notice, 30 days after the date 
that such an appropriations Act is en-
acted. 
‘‘(ii) FISCAL
YEARS
2014
THROUGH 
2017.—For each of fiscal years 2014 
through 2017, the fees under subpara-
graph (A) for such fiscal year shall be due 
on the later of— 
‘‘(I) the first business day on or 
after October 1 of each such year; or 
‘‘(II) the first business day after 
the enactment of an appropriations 
Act providing for the collection and 
obligation of fees under this section 
for such year. 
‘‘(5) DATE OF SUBMISSION.—For purposes of 
this part, a generic drug submission or Type II 
pharmaceutical master file is deemed to be ‘sub-
mitted’ to the Food and Drug Administration— 
‘‘(A) if it is submitted via a Food and 
Drug Administration electronic gateway, on the 
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day when transmission to that electronic gate-
way is completed, except that a submission or 
master file that arrives on a weekend, Federal 
holiday, or day when the Food and Drug Ad-
ministration office that will review that submis-
sion is not otherwise open for business shall be 
deemed to be submitted on the next day when 
that office is open for business; and 
‘‘(B) if it is submitted in physical media 
form, on the day it arrives at the appropriate 
designated document room of the Food and 
Drug Administration. 
‘‘(b) FEE REVENUE AMOUNTS.— 
‘‘(1) IN GENERAL.— 
‘‘(A) FISCAL YEAR 2013.—For fiscal year 
2013, fees under subsection (a) shall be estab-
lished to generate a total estimated revenue 
amount under such subsection of $299,000,000. 
Of that amount— 
‘‘(i) $50,000,000 shall be generated 
by the one-time backlog fee for generic 
drug applications pending on October 1, 
2012, established in subsection (a)(1); and 
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‘‘(ii) $249,000,000 shall be generated 
by the fees under paragraphs (2) through 
(4) of subsection (a). 
‘‘(B) FISCAL YEARS 2014 THROUGH 2017.— 
For each of the fiscal years 2014 through 2017, 
fees under paragraphs (2) through (4) of sub-
section (a) shall be established to generate a 
total estimated revenue amount under such sub-
section that is equal to $299,000,000, as ad-
justed pursuant to subsection (c). 
‘‘(2) TYPES
OF
FEES.—In establishing fees 
under paragraph (1) to generate the revenue 
amounts specified in paragraph (1)(A)(ii) for fiscal 
year 2013 and paragraph (1)(B) for each of fiscal 
years 2014 through 2017, such fees shall be derived 
from the fees under paragraphs (2) through (4) of 
subsection (a) as follows: 
‘‘(A) 6 percent shall be derived from fees 
under subsection (a)(2) (relating to drug mas-
ter files). 
‘‘(B) 24 percent shall be derived from fees 
under subsection (a)(3) (relating to abbreviated 
new drug applications and supplements). The 
amount of a fee for a prior approval supplement 
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shall be half the amount of the fee for an ab-
breviated new drug application. 
‘‘(C) 56 percent shall be derived from fees 
under subsection (a)(4)(A)(i) (relating to ge-
neric drug facilities). The amount of the fee for 
a facility located outside the United States and 
its territories and possessions shall be not less 
than $15,000 and not more than $30,000 high-
er than the amount of the fee for a facility lo-
cated in the United States and its territories 
and possessions, as determined by the Secretary 
on the basis of data concerning the difference 
in cost between inspections of facilities located 
in the United States, including its territories 
and possessions, and those located outside of 
the United States and its territories and posses-
sions. 
‘‘(D) 14 percent shall be derived from fees 
under subsection (a)(4)(A)(ii) (relating to active 
pharmaceutical 
ingredient 
facilities). 
The 
amount of the fee for a facility located outside 
the United States and its territories and posses-
sions shall be not less than $15,000 and not 
more than $30,000 higher than the amount of 
the fee for a facility located in the United 
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States, including its territories and possessions, 
as determined by the Secretary on the basis of 
data concerning the difference in cost between 
inspections of facilities located in the United 
States and its territories and possessions and 
those located outside of the United States and 
its territories and possessions. 
‘‘(c) ADJUSTMENTS.— 
‘‘(1) INFLATION ADJUSTMENT.—For fiscal year 
2014 and subsequent fiscal years, the revenues es-
tablished in subsection (b) shall be adjusted by the 
Secretary by notice, published in the Federal Reg-
ister, for a fiscal year, by an amount equal to the 
sum of— 
‘‘(A) one; 
‘‘(B) the average annual percent change in 
the cost, per full-time equivalent position of the 
Food and Drug Administration, of all personnel 
compensation and benefits paid with respect to 
such positions for the first 3 years of the pre-
ceding 4 fiscal years multiplied by the propor-
tion of personnel compensation and benefits 
costs to total costs of human generic drug ac-
tivities for the first 3 years of the preceding 4 
fiscal years; and 
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‘‘(C) the average annual percent change 
that occurred in the Consumer Price Index for 
urban consumers (Washington-Baltimore, DC– 
MD–VA–WV; Not Seasonally Adjusted; All 
items; Annual Index) for the first 3 years of the 
preceding 4 years of available data multiplied 
by the proportion of all costs other than per-
sonnel compensation and benefits costs to total 
costs of human generic drug activities for the 
first 3 years of the preceding 4 fiscal years. 
The adjustment made each fiscal year under this 
subsection shall be added on a compounded basis to 
the sum of all adjustments made each fiscal year 
after fiscal year 2013 under this subsection. 
‘‘(2) FINAL
YEAR
ADJUSTMENT.—For fiscal 
year 2017, the Secretary may, in addition to adjust-
ments under paragraph (1), further increase the fee 
revenues and fees established in subsection (b) if 
such an adjustment is necessary to provide for not 
more than 3 months of operating reserves of carry-
over user fees for human generic drug activities for 
the first 3 months of fiscal year 2018. Such fees 
may only be used in fiscal year 2018. If such an ad-
justment is necessary, the rationale for the amount 
of the increase shall be contained in the annual no-
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tice establishing fee revenues and fees for fiscal year 
2017. If the Secretary has carryover balances for 
such activities in excess of 3 months of such oper-
ating reserves, the adjustment under this subpara-
graph shall not be made. 
‘‘(d) ANNUAL FEE SETTING.— 
‘‘(1) FISCAL
YEAR
2013.—For fiscal year 
2013— 
‘‘(A) the Secretary shall establish, by Octo-
ber 31, 2012, the one-time generic drug backlog 
fee for generic drug applications pending on Oc-
tober 1, 2012, the drug master file fee, the ab-
breviated new drug application fee, and the 
prior approval supplement fee under subsection 
(a), based on the revenue amounts established 
under subsection (b); and 
‘‘(B) the Secretary shall establish, not 
later than 45 days after the date to comply 
with the requirement for identification of facili-
ties in subsection (f)(2), the generic drug facil-
ity fee and active pharmaceutical ingredient fa-
cility fee under subsection (a) based on the rev-
enue amounts established under subsection (b). 
‘‘(2) FISCAL YEARS 2014 THROUGH 2017.—Not 
more than 60 days before the first day of each of 
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fiscal years 2014 through 2017, the Secretary shall 
establish the drug master file fee, the abbreviated 
new drug application fee, the prior approval supple-
ment fee, the generic drug facility fee, and the active 
pharmaceutical ingredient facility fee under sub-
section (a) for such fiscal year, based on the revenue 
amounts established under subsection (b) and the 
adjustments provided under subsection (c). 
‘‘(3) FEE
FOR
ACTIVE
PHARMACEUTICAL
IN-
GREDIENT INFORMATION NOT INCLUDED BY REF-
ERENCE TO TYPE II ACTIVE PHARMACEUTICAL IN-
GREDIENT DRUG MASTER FILE.—In establishing the 
fees under paragraphs (1) and (2), the amount of 
the fee under subsection (a)(3)(F) shall be deter-
mined by multiplying— 
‘‘(A) the sum of— 
‘‘(i) the total number of such active 
pharmaceutical ingredients in such submis-
sion; and 
‘‘(ii) for each such ingredient that is 
manufactured at more than one such facil-
ity, the total number of such additional fa-
cilities; and 
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‘‘(B) the amount equal to the drug master 
file fee established in subsection (a)(2) for such 
submission. 
‘‘(e) LIMIT.—The total amount of fees charged, as 
adjusted under subsection (c), for a fiscal year may not 
exceed the total costs for such fiscal year for the resources 
allocated for human generic drug activities. 
‘‘(f) IDENTIFICATION OF FACILITIES.— 
‘‘(1) PUBLICATION OF NOTICE; DEADLINE FOR 
COMPLIANCE.—Not later than October 1, 2012, the 
Secretary shall cause to be published in the Federal 
Register a notice requiring each person that owns a 
facility described in subsection (a)(4)(A), or a site or 
organization required to be identified by paragraph 
(4), to submit to the Secretary information on the 
identity of each such facility, site, or organization. 
The notice required by this paragraph shall specify 
the type of information to be submitted and the 
means and format for submission of such informa-
tion. 
‘‘(2) REQUIRED
SUBMISSION
OF
FACILITY 
IDENTIFICATION.—Each person that owns a facility 
described in subsection (a)(4)(A) or a site or organi-
zation required to be identified by paragraph (4) 
shall submit to the Secretary the information re-
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quired under this subsection each year. Such infor-
mation shall— 
‘‘(A) for fiscal year 2013, be submitted not 
later than 60 days after the publication of the 
notice under paragraph (1); and 
‘‘(B) for each subsequent fiscal year, be 
submitted, updated, or reconfirmed on or before 
June 1 of the previous year. 
‘‘(3) CONTENTS OF NOTICE.—At a minimum, 
the submission required by paragraph (2) shall in-
clude for each such facility— 
‘‘(A) identification of a facility identified or 
intended to be identified in an approved or 
pending generic drug submission; 
‘‘(B) whether the facility manufactures ac-
tive pharmaceutical ingredients or finished dos-
age forms, or both; 
‘‘(C) whether or not the facility is located 
within the United States and its territories and 
possessions; 
‘‘(D) whether the facility manufactures 
positron emission tomography drugs solely, or 
in addition to other drugs; and 
‘‘(E) whether the facility manufactures 
drugs that are not generic drugs. 
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‘‘(4) CERTAIN SITES AND ORGANIZATIONS.— 
‘‘(A) IN GENERAL.—Any person that owns 
or operates a site or organization described in 
subparagraph (B) shall submit to the Secretary 
information concerning the ownership, name, 
and address of the site or organization. 
‘‘(B) SITES AND ORGANIZATIONS.—A site 
or organization is described in this subpara-
graph if it is identified in a generic drug sub-
mission and is— 
‘‘(i) a site in which a bioanalytical 
study is conducted; 
‘‘(ii) a clinical research organization; 
‘‘(iii) a contract analytical testing site; 
or 
‘‘(iv) a contract repackager site. 
‘‘(C) NOTICE.—The Secretary may, by no-
tice published in the Federal Register, specify 
the means and format for submission of the in-
formation under subparagraph (A) and may 
specify, as necessary for purposes of this sec-
tion, any additional information to be sub-
mitted. 
‘‘(D) INSPECTION AUTHORITY.—The Sec-
retary’s inspection authority under section 
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704(a)(1) shall extend to all such sites and or-
ganizations. 
‘‘(g) EFFECT OF FAILURE TO PAY FEES.— 
‘‘(1) GENERIC DRUG BACKLOG FEE.—Failure 
to pay the fee under subsection (a)(1) shall result in 
the Secretary placing the person that owns the ab-
breviated new drug application subject to that fee on 
an arrears list, such that no new abbreviated new 
drug applications or supplement submitted on or 
after October 1, 2012, from that person, or any af-
filiate of that person, will be received within the 
meaning of section 505(j)(5)(A) until such out-
standing fee is paid. 
‘‘(2) DRUG MASTER FILE FEE.— 
‘‘(A) Failure to pay the fee under sub-
section (a)(2) within 20 calendar days after the 
applicable due date under subparagraph (E) of 
such subsection (as described in subsection 
(a)(2)(D)(ii)(I)) shall result in the Type II ac-
tive pharmaceutical ingredient drug master file 
not being deemed available for reference. 
‘‘(B)(i) Any generic drug submission sub-
mitted on or after October 1, 2012, that ref-
erences, by a letter of authorization, a Type II 
active pharmaceutical ingredient drug master 
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file that has not been deemed available for ref-
erence shall not be received within the meaning 
of section 505(j)(5)(A) unless the condition 
specified in clause (ii) is met. 
‘‘(ii) The condition specified in this clause 
is that the fee established under subsection 
(a)(2) has been paid within 20 calendar days of 
the Secretary providing the notification to the 
sponsor of the abbreviated new drug application 
or supplement of the failure of the owner of the 
Type II active pharmaceutical ingredient drug 
master file to pay the drug master file fee as 
specified in subparagraph (C). 
‘‘(C)(i) If an abbreviated new drug applica-
tion or supplement to an abbreviated new drug 
application references a Type II active pharma-
ceutical ingredient drug master file for which a 
fee under subsection (a)(2)(A) has not been 
paid by the applicable date under subsection 
(a)(2)(E), the Secretary shall notify the sponsor 
of the abbreviated new drug application or sup-
plement of the failure of the owner of the Type 
II active pharmaceutical ingredient drug master 
file to pay the applicable fee. 
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‘‘(ii) If such fee is not paid within 20 cal-
endar days of the Secretary providing the noti-
fication, the abbreviated new drug application 
or supplement to an abbreviated new drug ap-
plication shall not be received within the mean-
ing of 505(j)(5)(A). 
‘‘(3) ABBREVIATED
NEW
DRUG
APPLICATION 
FEE
AND
PRIOR
APPROVAL
SUPPLEMENT
FEE.— 
Failure to pay a fee under subparagraph (A) or (F) 
of subsection (a)(3) within 20 calendar days of the 
applicable due date under subparagraph (C) of such 
subsection shall result in the abbreviated new drug 
application or the prior approval supplement to an 
abbreviated new drug application not being received 
within the meaning of section 505(j)(5)(A) until 
such outstanding fee is paid. 
‘‘(4) GENERIC DRUG FACILITY FEE AND ACTIVE 
PHARMACEUTICAL INGREDIENT FACILITY FEE.— 
‘‘(A) IN GENERAL.—Failure to pay the fee 
under subsection (a)(4) within 20 calendar days 
of the due date as specified in subparagraph 
(D) of such subsection shall result in the fol-
lowing: 
‘‘(i) The Secretary shall place the fa-
cility on a publicly available arrears list, 
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such that no new abbreviated new drug ap-
plication or supplement submitted on or 
after October 1, 2012, from the person 
that is responsible for paying such fee, or 
any affiliate of that person, will be received 
within the meaning of section 505(j)(5)(A). 
‘‘(ii) Any new generic drug submission 
submitted on or after October 1, 2012, 
that references such a facility shall not be 
received, within the meaning of section 
505(j)(5)(A) if the outstanding facility fee 
is not paid within 20 calendar days of the 
Secretary providing the notification to the 
sponsor of the failure of the owner of the 
facility to pay the facility fee under sub-
section (a)(4)(C). 
‘‘(iii) All drugs or active pharma-
ceutical ingredients manufactured in such 
a facility or containing an ingredient man-
ufactured in such a facility shall be deemed 
misbranded under section 502(aa). 
‘‘(B) APPLICATION
OF
PENALTIES.—The 
penalties under this paragraph shall apply until 
the fee established by subsection (a)(4) is paid 
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or the facility is removed from all generic drug 
submissions that refer to the facility. 
‘‘(C) NONRECEIVAL FOR NONPAYMENT.— 
‘‘(i) NOTICE.—If an abbreviated new 
drug application or supplement to an ab-
breviated new drug application submitted 
on or after October 1, 2012, references a 
facility for which a facility fee has not been 
paid by the applicable date under sub-
section (a)(4)(C), the Secretary shall notify 
the sponsor of the generic drug submission 
of the failure of the owner of the facility 
to pay the facility fee. 
‘‘(ii) NONRECEIVAL.—If the facility 
fee is not paid within 20 calendar days of 
the Secretary providing the notification 
under clause (i), the abbreviated new drug 
application or supplement to an abbre-
viated new drug application shall not be re-
ceived within the meaning of section 
505(j)(5)(A). 
‘‘(h) LIMITATIONS.— 
‘‘(1) IN GENERAL.—Fees under subsection (a) 
shall be refunded for a fiscal year beginning after 
fiscal year 2012, unless appropriations for salaries 
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and expenses of the Food and Drug Administration 
for such fiscal year (excluding the amount of fees 
appropriated for such fiscal year) are equal to or 
greater than the amount of appropriations for the 
salaries and expenses of the Food and Drug Admin-
istration for the fiscal year 2009 (excluding the 
amount of fees appropriated for such fiscal year) 
multiplied by the adjustment factor (as defined in 
section 744A) applicable to the fiscal year involved. 
‘‘(2) AUTHORITY.—If the Secretary does not 
assess fees under subsection (a) during any portion 
of a fiscal year and if at a later date in such fiscal 
year the Secretary may assess such fees, the Sec-
retary may assess and collect such fees, without any 
modification in the rate, for Type II active pharma-
ceutical ingredient drug master files, abbreviated 
new drug applications and prior approval supple-
ments, and generic drug facilities and active phar-
maceutical ingredient facilities at any time in such 
fiscal year notwithstanding the provisions of sub-
section (a) relating to the date fees are to be paid. 
‘‘(i) CREDITING AND AVAILABILITY OF FEES.— 
‘‘(1) IN GENERAL.—Fees authorized under sub-
section (a) shall be collected and available for obliga-
tion only to the extent and in the amount provided 
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in advance in appropriations Acts, subject to para-
graph (2). Such fees are authorized to remain avail-
able until expended. Such sums as may be necessary 
may be transferred from the Food and Drug Admin-
istration salaries and expenses appropriation account 
without fiscal year limitation to such appropriation 
account for salaries and expenses with such fiscal 
year limitation. The sums transferred shall be avail-
able solely for human generic drug activities. 
‘‘(2) 
COLLECTIONS
AND
APPROPRIATION 
ACTS.— 
‘‘(A) IN
GENERAL.—The fees authorized 
by this section— 
‘‘(i) subject to subparagraphs (C) and 
(D), shall be collected and available in each 
fiscal year in an amount not to exceed the 
amount specified in appropriation Acts, or 
otherwise made available for obligation for 
such fiscal year; and 
‘‘(ii) shall be available for a fiscal year 
beginning after fiscal year 2012 to defray 
the costs of human generic drug activities 
(including such costs for an additional 
number of full-time equivalent positions in 
the Department of Health and Human 
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Services to be engaged in such activities), 
only if the Secretary allocates for such 
purpose an amount for such fiscal year 
(excluding amounts from fees collected 
under 
this 
section) 
no 
less 
than 
$97,000,000 multiplied by the adjustment 
factor defined in section 744A(3) applica-
ble to the fiscal year involved. 
‘‘(B) COMPLIANCE.—The Secretary shall 
be considered to have met the requirements of 
subparagraph (A)(ii) in any fiscal year if the 
costs funded by appropriations and allocated for 
human generic activities are not more than 10 
percent below the level specified in such sub-
paragraph. 
‘‘(C) FEE
COLLECTION
DURING
FIRST 
PROGRAM YEAR.—Until the date of enactment 
of an Act making appropriations through Sep-
tember 30, 2013 for the salaries and expenses 
account of the Food and Drug Administration, 
fees authorized by this section for fiscal year 
2013, may be collected and shall be credited to 
such account and remain available until ex-
pended. 
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‘‘(D) PROVISION FOR EARLY PAYMENTS IN 
SUBSEQUENT YEARS.—Payment of fees author-
ized under this section for a fiscal year (after 
fiscal year 2013), prior to the due date for such 
fees, may be accepted by the Secretary in ac-
cordance with authority provided in advance in 
a prior year appropriations Act. 
‘‘(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
For each of the fiscal years 2013 through 2017, 
there is authorized to be appropriated for fees under 
this section an amount equivalent to the total rev-
enue amount determined under subsection (b) for 
the fiscal year, as adjusted under subsection (c), if 
applicable, or as otherwise affected under paragraph 
(2) of this subsection. 
‘‘(j) COLLECTION OF UNPAID FEES.—In any case 
where the Secretary does not receive payment of a fee as-
sessed under subsection (a) within 30 calendar days after 
it is due, such fee shall be treated as a claim of the United 
States Government subject to subchapter II of chapter 37 
of title 31, United States Code. 
‘‘(k) CONSTRUCTION.—This section may not be con-
strued to require that the number of full-time equivalent 
positions in the Department of Health and Human Serv-
ices, for officers, employees, and advisory committees not 
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engaged in human generic drug activities, be reduced to 
offset the number of officers, employees, and advisory 
committees so engaged. 
‘‘(l) POSITRON EMISSION TOMOGRAPHY DRUGS.— 
‘‘(1) EXEMPTION FROM FEES.—Submission of 
an application for a positron emission tomography 
drug or active pharmaceutical ingredient for a 
positron emission tomography drug shall not require 
the payment of any fee under this section. Facilities 
that solely produce positron emission tomography 
drugs shall not be required to pay a facility fee as 
established in subsection (a)(4). 
‘‘(2) IDENTIFICATION
REQUIREMENT.—Facili-
ties that produce positron emission tomography 
drugs or active pharmaceutical ingredients of such 
drugs are required to be identified pursuant to sub-
section (f). 
‘‘(m) DISPUTES CONCERNING FEES.—To qualify for 
the return of a fee claimed to have been paid in error 
under this section, a person shall submit to the Secretary 
a written request justifying such return within 180 cal-
endar days after such fee was paid. 
‘‘(n) SUBSTANTIALLY COMPLETE APPLICATIONS.— 
An abbreviated new drug application that is not consid-
ered to be received within the meaning of section 
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505(j)(5)(A) because of failure to pay an applicable fee 
under this provision within the time period specified in 
subsection (g) shall be deemed not to have been ‘substan-
tially complete’ on the date of its submission within the 
meaning of section 505(j)(5)(B)(iv)(II)(cc). An abbre-
viated new drug application that is not substantially com-
plete on the date of its submission solely because of failure 
to pay an applicable fee under the preceding sentence shall 
be deemed substantially complete and received within the 
meaning of section 505(j)(5)(A) as of the date such appli-
cable fee is received.’’. 
SEC. 303. REAUTHORIZATION; REPORTING REQUIREMENTS. 
Part 7 of subchapter C of chapter VII, as added by 
section 302 of this Act, is amended by inserting after sec-
tion 744B the following: 
‘‘SEC. 744C. REAUTHORIZATION; REPORTING REQUIRE-
MENTS. 
‘‘(a) PERFORMANCE REPORT.— 
‘‘(1) IN GENERAL.—Beginning with fiscal year 
2013, not later than 120 days after the end of each 
fiscal year for which fees are collected under this 
part, the Secretary shall prepare and submit to the 
Committee on Energy and Commerce of the House 
of Representatives and the Committee on Health, 
Education, Labor, and Pensions of the Senate a re-
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port concerning the progress of the Food and Drug 
Administration in achieving the goals identified in 
the letters described in section 301(b) of the Generic 
Drug User Fee Amendments of 2012 during such 
fiscal year and the future plans of the Food and 
Drug Administration for meeting the goals. 
‘‘(2) REGULATORY
SCIENCE
ACCOUNTABILITY 
METRICS.—The report required by paragraph (1) 
shall describe the amounts spent, data generated, 
and activities undertaken, including any FDA Advi-
sory Committee consideration, by the Secretary for 
each of the local acting bioequivalence topics (Topics 
1–3) in the Regulatory Science Plan described in the 
letters described in section 301(b) of the Generic 
Drug User Fee Amendments of 2012. 
‘‘(b) FISCAL REPORT.—Beginning with fiscal year 
2013, not later than 120 days after the end of each fiscal 
year for which fees are collected under this part, the Sec-
retary shall prepare and submit to the Committee on En-
ergy and Commerce of the House of Representatives and 
the Committee on Health, Education, Labor, and Pen-
sions of the Senate a report on the implementation of the 
authority for such fees during such fiscal year and the 
use, by the Food and Drug Administration, of the fees 
collected for such fiscal year. 
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‘‘(c) PUBLIC AVAILABILITY.—The Secretary shall 
make the reports required under subsections (a) and (b) 
available to the public on the Internet Web site of the 
Food and Drug Administration. 
‘‘(d) REAUTHORIZATION.— 
‘‘(1) 
CONSULTATION.—In 
developing 
rec-
ommendations to present to the Congress with re-
spect to the goals, and plans for meeting the goals, 
for human generic drug activities for the first 5 fis-
cal years after fiscal year 2017, and for the reau-
thorization of this part for such fiscal years, the Sec-
retary shall consult with— 
‘‘(A) the Committee on Energy and Com-
merce of the House of Representatives; 
‘‘(B) the Committee on Health, Education, 
Labor, and Pensions of the Senate; 
‘‘(C) scientific and academic experts; 
‘‘(D) health care professionals; 
‘‘(E) representatives of patient and con-
sumer advocacy groups; and 
‘‘(F) the generic drug industry. 
‘‘(2) PRIOR PUBLIC INPUT.—Prior to beginning 
negotiations with the generic drug industry on the 
reauthorization of this part, the Secretary shall— 
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‘‘(A) publish a notice in the Federal Reg-
ister requesting public input on the reauthoriza-
tion; 
‘‘(B) hold a public meeting at which the 
public may present its views on the reauthoriza-
tion, including specific suggestions for changes 
to the goals referred to in subsection (a); 
‘‘(C) provide a period of 30 days after the 
public meeting to obtain written comments from 
the public suggesting changes to this part; and 
‘‘(D) publish the comments on the Food 
and Drug Administration’s Internet Web site. 
‘‘(3) PERIODIC CONSULTATION.—Not less fre-
quently than once every month during negotiations 
with the generic drug industry, the Secretary shall 
hold discussions with representatives of patient and 
consumer advocacy groups to continue discussions of 
their views on the reauthorization and their sugges-
tions for changes to this part as expressed under 
paragraph (2). 
‘‘(4) 
PUBLIC
REVIEW
OF
RECOMMENDA-
TIONS.—After negotiations with the generic drug in-
dustry, the Secretary shall— 
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‘‘(A) present the recommendations devel-
oped under paragraph (1) to the congressional 
committees specified in such paragraph; 
‘‘(B) publish such recommendations in the 
Federal Register; 
‘‘(C) provide for a period of 30 days for 
the public to provide written comments on such 
recommendations; 
‘‘(D) hold a meeting at which the public 
may present its views on such recommenda-
tions; and 
‘‘(E) after consideration of such public 
views and comments, revise such recommenda-
tions as necessary. 
‘‘(5) TRANSMITTAL OF RECOMMENDATIONS.— 
Not later than January 15, 2017, the Secretary 
shall transmit to the Congress the revised rec-
ommendations under paragraph (4), a summary of 
the views and comments received under such para-
graph, and any changes made to the recommenda-
tions in response to such views and comments. 
‘‘(6) MINUTES OF NEGOTIATION MEETINGS.— 
‘‘(A) PUBLIC AVAILABILITY.—Before pre-
senting the recommendations developed under 
paragraphs (1) through (5) to the Congress, the 
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Secretary shall make publicly available, on the 
Internet Web site of the Food and Drug Ad-
ministration, minutes of all negotiation meet-
ings conducted under this subsection between 
the Food and Drug Administration and the ge-
neric drug industry. 
‘‘(B) CONTENT.—The minutes described 
under subparagraph (A) shall summarize any 
substantive proposal made by any party to the 
negotiations as well as significant controversies 
or differences of opinion during the negotiations 
and their resolution.’’. 
SEC. 304. SUNSET DATES. 
(a) AUTHORIZATION.—Sections 744A and 744B, as 
added by section 302 of this Act, are repealed October 
1, 2017. 
(b) REPORTING REQUIREMENTS.—Section 744C, as 
added by section 303 of this Act, is repealed January 31, 
2018. 
SEC. 305. EFFECTIVE DATE. 
The amendments made by this title shall take effect 
on October 1, 2012, or the date of the enactment of this 
title, whichever is later, except that fees under section 302 
shall be assessed for all human generic drug submissions 
and Type II active pharmaceutical drug master files re-
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ceived on or after October 1, 2012, regardless of the date 
of enactment of this title. 
SEC. 306. AMENDMENT WITH RESPECT TO MISBRANDING. 
Section 502 (21 U.S.C. 352) is amended by adding 
at the end the following: 
‘‘(aa) If it is a drug, or an active pharmaceutical in-
gredient, and it was manufactured, prepared, propagated, 
compounded, or processed in a facility for which fees have 
not been paid as required by section 744A(a)(4) or for 
which identifying information required by section 744B(f) 
has not been submitted, or it contains an active pharma-
ceutical ingredient that was manufactured, prepared, 
propagated, compounded, or processed in such a facility.’’. 
SEC. 307. STREAMLINED HIRING AUTHORITY TO SUPPORT 
ACTIVITIES RELATED TO HUMAN GENERIC 
DRUGS. 
Section 714, as added by section 208 of this Act, is 
amended— 
(1) by amending subsection (b) to read as fol-
lows: 
‘‘(b) ACTIVITIES DESCRIBED.—The activities de-
scribed in this subsection are— 
‘‘(1) activities under this Act related to the 
process for the review of device applications (as de-
fined in section 737(8)); and 
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‘‘(2) activities under this Act related to human 
generic drug activities (as defined in section 
744A).’’; and 
(2) by amending subsection (c) to read as fol-
lows: 
‘‘(c) OBJECTIVES SPECIFIED.—The objectives speci-
fied in this subsection are— 
‘‘(1) with respect to the activities under sub-
section (b)(1), the goals referred to in section 
738A(a)(1); and 
‘‘(2) with respect to the activities under sub-
section (b)(2), the goals referred to in section 
744C(a).’’. 
TITLE IV—FEES RELATING TO 
BIOSIMILAR 
BIOLOGICAL 
PRODUCTS 
SEC. 401. SHORT TITLE; FINDING. 
(a) SHORT TITLE.—This title may be cited as the 
‘‘Biosimilar User Fee Act of 2012’’. 
(b) FINDING.—The Congress finds that the fees au-
thorized by the amendments made in this title will be dedi-
cated to expediting the process for the review of biosimilar 
biological product applications, including postmarket safe-
ty activities, as set forth in the goals identified for pur-
poses of part 8 of subchapter C of chapter VII of the Fed-
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eral Food, Drug, and Cosmetic Act, in the letters from 
the Secretary of Health and Human Services to the Chair-
man of the Committee on Health, Education, Labor, and 
Pensions of the Senate and the Chairman of the Com-
mittee on Energy and Commerce of the House of Rep-
resentatives, as set forth in the Congressional Record. 
SEC. 402. FEES RELATING TO BIOSIMILAR BIOLOGICAL 
PRODUCTS. 
Subchapter C of chapter VII (21 U.S.C. 379f et seq.) 
is amended by inserting after part 7, as added by title 
III of this Act, the following: 
‘‘PART 8—FEES RELATING TO BIOSIMILAR 
BIOLOGICAL PRODUCTS 
‘‘SEC. 744G. DEFINITIONS. 
‘‘For purposes of this part: 
‘‘(1) The term ‘adjustment factor’ applicable to 
a fiscal year that is the Consumer Price Index for 
all urban consumers (Washington-Baltimore, DC– 
MD–VA–WV; Not Seasonally Adjusted; All items) of 
the preceding fiscal year divided by such Index for 
September 2011. 
‘‘(2) The term ‘affiliate’ means a business enti-
ty that has a relationship with a second business en-
tity if, directly or indirectly— 
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‘‘(A) one business entity controls, or has 
the power to control, the other business entity; 
or 
‘‘(B) a third party controls, or has power 
to control, both of the business entities. 
‘‘(3) The term ‘biosimilar biological product’ 
means a product for which a biosimilar biological 
product application has been approved. 
‘‘(4)(A) Subject to subparagraph (B), the term 
‘biosimilar biological product application’ means an 
application for licensure of a biological product 
under section 351(k) of the Public Health Service 
Act. 
‘‘(B) Such term does not include— 
‘‘(i) a supplement to such an application; 
‘‘(ii) an application filed under section 
351(k) of the Public Health Service Act that 
cites as the reference product a bovine blood 
product for topical application licensed before 
September 1, 1992, or a large volume paren-
teral drug product approved before such date; 
‘‘(iii) an application filed under section 
351(k) of the Public Health Service Act with 
respect to— 
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‘‘(I) whole blood or a blood component 
for transfusion; 
‘‘(II) an allergenic extract product; 
‘‘(III) an in vitro diagnostic biological 
product; or 
‘‘(IV) a biological product for further 
manufacturing use only; or 
‘‘(iv) an application for licensure under 
section 351(k) of the Public Health Service Act 
that is submitted by a State or Federal Govern-
ment entity for a product that is not distributed 
commercially. 
‘‘(5) The term ‘biosimilar biological product de-
velopment meeting’ means any meeting, other than 
a biosimilar initial advisory meeting, regarding the 
content of a development program, including a pro-
posed design for, or data from, a study intended to 
support a biosimilar biological product application. 
‘‘(6) The term ‘biosimilar biological product de-
velopment program’ means the program under this 
part for expediting the process for the review of sub-
missions in connection with biosimilar biological 
product development. 
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‘‘(7)(A) The term ‘biosimilar biological product 
establishment’ means a foreign or domestic place of 
business— 
‘‘(i) that is at one general physical location 
consisting of one or more buildings, all of which 
are within five miles of each other; and 
‘‘(ii) at which one or more biosimilar bio-
logical products are manufactured in final dos-
age form. 
‘‘(B) For purposes of subparagraph (A)(ii), the 
term ‘manufactured’ does not include packaging. 
‘‘(8) The term ‘biosimilar initial advisory meet-
ing’— 
‘‘(A) means a meeting, if requested, that is 
limited to— 
‘‘(i) a general discussion regarding 
whether licensure under section 351(k) of 
the Public Health Service Act may be fea-
sible for a particular product; and 
‘‘(ii) if so, general advice on the ex-
pected content of the development pro-
gram; and 
‘‘(B) does not include any meeting that in-
volves substantive review of summary data or 
full study reports. 
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‘‘(9) The term ‘costs of resources allocated for 
the process for the review of biosimilar biological 
product applications’ means the expenses in connec-
tion with the process for the review of biosimilar bio-
logical product applications for— 
‘‘(A) officers and employees of the Food 
and Drug Administration, contractors of the 
Food and Drug Administration, advisory com-
mittees, and costs related to such officers em-
ployees and committees and to contracts with 
such contractors; 
‘‘(B) management of information, and the 
acquisition, maintenance, and repair of com-
puter resources; 
‘‘(C) leasing, maintenance, renovation, and 
repair of facilities and acquisition, maintenance, 
and repair of fixtures, furniture, scientific 
equipment, and other necessary materials and 
supplies; and 
‘‘(D) collecting fees under section 744H 
and accounting for resources allocated for the 
review of submissions in connection with bio-
similar biological product development, bio-
similar biological product applications, and sup-
plements. 
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‘‘(10) The term ‘final dosage form’ means, with 
respect to a biosimilar biological product, a finished 
dosage form which is approved for administration to 
a patient without substantial further manufacturing 
(such as lyophilized products before reconstitution). 
‘‘(11) The term ‘financial hold’— 
‘‘(A) means an order issued by the Sec-
retary to prohibit the sponsor of a clinical in-
vestigation from continuing the investigation if 
the Secretary determines that the investigation 
is intended to support a biosimilar biological 
product application and the sponsor has failed 
to pay any fee for the product required under 
subparagraph (A), (B), or (D) of section 
744H(a)(1); and 
‘‘(B) does not mean that any of the bases 
for a ‘clinical hold’ under section 505(i)(3) have 
been determined by the Secretary to exist con-
cerning the investigation. 
‘‘(12) The term ‘person’ includes an affiliate of 
such person. 
‘‘(13) The term ‘process for the review of bio-
similar biological product applications’ means the 
following activities of the Secretary with respect to 
the review of submissions in connection with bio-
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similar biological product development, biosimilar bi-
ological product applications, and supplements: 
‘‘(A) The activities necessary for the re-
view of submissions in connection with bio-
similar biological product development, bio-
similar biological product applications, and sup-
plements. 
‘‘(B) Actions related to submissions in con-
nection with biosimilar biological product devel-
opment, the issuance of action letters which ap-
prove biosimilar biological product applications 
or which set forth in detail the specific defi-
ciencies in such applications, and where appro-
priate, the actions necessary to place such ap-
plications in condition for approval. 
‘‘(C) The inspection of biosimilar biological 
product establishments and other facilities un-
dertaken as part of the Secretary’s review of 
pending biosimilar biological product applica-
tions and supplements. 
‘‘(D) Activities necessary for the release of 
lots of biosimilar biological products under sec-
tion 351(k) of the Public Health Service Act. 
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‘‘(E) Monitoring of research conducted in 
connection with the review of biosimilar biologi-
cal product applications. 
‘‘(F) Postmarket safety activities with re-
spect to biologics approved under biosimilar bio-
logical product applications or supplements, in-
cluding the following activities: 
‘‘(i) Collecting, developing, and re-
viewing safety information on biosimilar bi-
ological products, including adverse-event 
reports. 
‘‘(ii) Developing and using improved 
adverse-event data-collection systems, in-
cluding information technology systems. 
‘‘(iii) Developing and using improved 
analytical tools to assess potential safety 
problems, including access to external data 
bases. 
‘‘(iv) Implementing and enforcing sec-
tion 505(o) (relating to postapproval stud-
ies and clinical trials and labeling changes) 
and section 505(p) (relating to risk evalua-
tion and mitigation strategies). 
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‘‘(v) Carrying out section 505(k)(5) 
(relating to adverse-event reports and 
postmarket safety activities). 
‘‘(14) The term ‘supplement’ means a request 
to the Secretary to approve a change in a biosimilar 
biological product application which has been ap-
proved, including a supplement requesting that the 
Secretary determine that the biosimilar biological 
product meets the standards for interchangeability 
described in section 351(k)(4) of the Public Health 
Service Act. 
‘‘SEC. 744H. AUTHORITY TO ASSESS AND USE BIOSIMILAR 
BIOLOGICAL PRODUCT FEES. 
‘‘(a) TYPES
OF FEES.—Beginning in fiscal year 
2013, the Secretary shall assess and collect fees in accord-
ance with this section as follows: 
‘‘(1) 
BIOSIMILAR
DEVELOPMENT
PROGRAM 
FEES.— 
‘‘(A) 
INITIAL
BIOSIMILAR
BIOLOGICAL 
PRODUCT DEVELOPMENT FEE.— 
‘‘(i) IN GENERAL.—Each person that 
submits to the Secretary a meeting request 
described under clause (ii) or a clinical 
protocol for an investigational new drug 
protocol described under clause (iii) shall 
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pay for the product named in the meeting 
request or the investigational new drug ap-
plication the initial biosimilar biological 
product development fee established under 
subsection (b)(1)(A). 
‘‘(ii) MEETING REQUEST.—The meet-
ing request defined in this clause is a re-
quest for a biosimilar biological product 
development meeting for a product. 
‘‘(iii) CLINICAL PROTOCOL FOR IND.— 
A clinical protocol for an investigational 
new drug protocol described in this clause 
is a clinical protocol consistent with the 
provisions of section 505(i), including any 
regulations promulgated under section 
505(i), (referred to in this section as ‘in-
vestigational new drug application’) de-
scribing an investigation that the Secretary 
determines is intended to support a bio-
similar biological product application for a 
product. 
‘‘(iv) DUE
DATE.—The initial bio-
similar biological product development fee 
shall be due by the earlier of the following: 
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‘‘(I) Not later than 5 days after 
the Secretary grants a request for a 
biosimilar biological product develop-
ment meeting. 
‘‘(II) The date of submission of 
an investigational new drug applica-
tion describing an investigation that 
the Secretary determines is intended 
to support a biosimilar biological 
product application. 
‘‘(v) TRANSITION
RULE.—Each per-
son that has submitted an investigational 
new drug application prior to the date of 
enactment of the Biosimilars User Fee Act 
of 2012 shall pay the initial biosimilar bio-
logical product development fee by the ear-
lier of the following: 
‘‘(I) Not later than 60 days after 
the date of the enactment of the 
Biosimilars User Fee Act of 2012, if 
the Secretary determines that the in-
vestigational new drug application de-
scribes an investigation that is in-
tended to support a biosimilar biologi-
cal product application. 
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‘‘(II) Not later than 5 days after 
the Secretary grants a request for a 
biosimilar biological product develop-
ment meeting. 
‘‘(B) ANNUAL
BIOSIMILAR
BIOLOGICAL 
PRODUCT DEVELOPMENT FEE.— 
‘‘(i) IN
GENERAL.—A person that 
pays an initial biosimilar biological product 
development fee for a product shall pay for 
such product, beginning in the fiscal year 
following the fiscal year in which the initial 
biosimilar biological product development 
fee was paid, an annual fee established 
under subsection (b)(1)(B) for biosimilar 
biological product development (referred to 
in this section as ‘annual biosimilar bio-
logical product development fee’). 
‘‘(ii) DUE
DATE.—The annual bio-
similar biological product development pro-
gram fee for each fiscal year will be due on 
the later of— 
‘‘(I) the first business day on or 
after October 1 of each such year; or 
‘‘(II) the first business day after 
the enactment of an appropriations 
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Act providing for the collection and 
obligation of fees for such year under 
this section. 
‘‘(iii) EXCEPTION.—The annual bio-
similar development program fee for each 
fiscal year will be due on the date specified 
in clause (ii), unless the person has— 
‘‘(I) submitted a marketing appli-
cation for the biological product that 
was accepted for filing; or 
‘‘(II) discontinued participation 
in the biosimilar biological product de-
velopment program for the product 
under subparagraph (C). 
‘‘(C) DISCONTINUATION OF FEE OBLIGA-
TION.—A person may discontinue participation 
in the biosimilar biological product development 
program for a product effective October 1 of a 
fiscal year by, not later than August 1 of the 
preceding fiscal year— 
‘‘(i) if no investigational new drug ap-
plication concerning the product has been 
submitted, submitting to the Secretary a 
written declaration that the person has no 
present intention of further developing the 
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product as a biosimilar biological product; 
or 
‘‘(ii) if an investigational new drug 
application concerning the product has 
been submitted, by withdrawing the inves-
tigational new drug application in accord-
ance with part 312 of title 21, Code of 
Federal Regulations (or any successor reg-
ulations). 
‘‘(D) REACTIVATION FEE.— 
‘‘(i) IN GENERAL.—A person that has 
discontinued participation in the biosimilar 
biological product development program for 
a product under subparagraph (C) shall 
pay a fee (referred to in this section as ‘re-
activation fee’) by the earlier of the fol-
lowing: 
‘‘(I) Not later than 5 days after 
the Secretary grants a request for a 
biosimilar biological product develop-
ment meeting for the product (after 
the date on which such participation 
was discontinued). 
‘‘(II) Upon the date of submis-
sion (after the date on which such 
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participation was discontinued) of an 
investigational new drug application 
describing an investigation that the 
Secretary determines is intended to 
support a biosimilar biological product 
application for that product. 
‘‘(ii) 
APPLICATION
OF
ANNUAL 
FEE.—A person that pays a reactivation 
fee for a product shall pay for such prod-
uct, beginning in the next fiscal year, the 
annual biosimilar biological product devel-
opment fee under subparagraph (B). 
‘‘(E) EFFECT OF FAILURE TO PAY BIO-
SIMILAR DEVELOPMENT PROGRAM FEES.— 
‘‘(i) 
NO
BIOSIMILAR
BIOLOGICAL 
PRODUCT DEVELOPMENT MEETINGS.—If a 
person has failed to pay an initial or an-
nual biosimilar biological product develop-
ment fee as required under subparagraph 
(A) or (B), or a reactivation fee as re-
quired under subparagraph (D), the Sec-
retary shall not provide a biosimilar bio-
logical product development meeting relat-
ing to the product for which fees are owed. 
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‘‘(ii) NO
RECEIPT
OF
INVESTIGA-
TIONAL
NEW
DRUG
APPLICATIONS.—Ex-
cept in extraordinary circumstances, the 
Secretary shall not consider an investiga-
tional new drug application to have been 
received under section 505(i)(2) if— 
‘‘(I) the Secretary determines 
that the investigation is intended to 
support a biosimilar biological product 
application; and 
‘‘(II) the sponsor has failed to 
pay an initial or annual biosimilar bio-
logical product development fee for 
the product as required under sub-
paragraph (A) or (B), or a reactiva-
tion fee as required under subpara-
graph (D). 
‘‘(iii) 
FINANCIAL
HOLD.—Notwith-
standing section 505(i)(2), except in ex-
traordinary circumstances, the Secretary 
shall prohibit the sponsor of a clinical in-
vestigation from continuing the investiga-
tion if— 
‘‘(I) the Secretary determines 
that the investigation is intended to 
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support a biosimilar biological product 
application; and 
‘‘(II) the sponsor has failed to 
pay an initial or annual biosimilar bio-
logical product development fee for 
the product as required under sub-
paragraph (A) or (B), or a reactiva-
tion fee for the product as required 
under subparagraph (D). 
‘‘(iv) NO ACCEPTANCE OF BIOSIMILAR 
BIOLOGICAL
PRODUCT
APPLICATIONS
OR 
SUPPLEMENTS.—If a person has failed to 
pay an initial or annual biosimilar biologi-
cal product development fee as required 
under subparagraph (A) or (B), or a reac-
tivation fee as required under subpara-
graph (D), any biosimilar biological prod-
uct application or supplement submitted by 
that person shall be considered incomplete 
and shall not be accepted for filing by the 
Secretary until all such fees owed by such 
person have been paid. 
‘‘(F) LIMITS REGARDING BIOSIMILAR DE-
VELOPMENT PROGRAM FEES.— 
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‘‘(i) NO
REFUNDS.—The Secretary 
shall not refund any initial or annual bio-
similar biological product development fee 
paid under subparagraph (A) or (B), or 
any reactivation fee paid under subpara-
graph (D). 
‘‘(ii) NO WAIVERS, EXEMPTIONS, OR 
REDUCTIONS.—The Secretary shall not 
grant a waiver, exemption, or reduction of 
any initial or annual biosimilar biological 
product development fee due or payable 
under subparagraph (A) or (B), or any re-
activation fee due or payable under sub-
paragraph (D). 
‘‘(2) BIOSIMILAR BIOLOGICAL PRODUCT APPLI-
CATION AND SUPPLEMENT FEE.— 
‘‘(A) IN GENERAL.—Each person that sub-
mits, on or after October 1, 2012, a biosimilar 
biological product application or a supplement 
shall be subject to the following fees: 
‘‘(i) A fee for a biosimilar biological 
product application that is equal to— 
‘‘(I) the amount of the fee estab-
lished under subsection (b)(1)(D) for 
a biosimilar biological product applica-
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tion for which clinical data (other 
than comparative bioavailability stud-
ies) with respect to safety or effective-
ness are required for approval; minus 
‘‘(II) the cumulative amount of 
fees paid, if any, under subparagraphs 
(A), (B), and (D) of paragraph (1) 
for the product that is the subject of 
the application. 
‘‘(ii) A fee for a biosimilar biological 
product application for which clinical data 
(other than comparative bioavailability 
studies) with respect to safety or effective-
ness are not required, that is equal to— 
‘‘(I) half of the amount of the fee 
established under subsection (b)(1)(D) 
for a biosimilar biological product ap-
plication; minus 
‘‘(II) the cumulative amount of 
fees paid, if any, under subparagraphs 
(A), (B), and (D) of paragraph (1) 
for that product. 
‘‘(iii) A fee for a supplement for which 
clinical data (other than comparative bio-
availability studies) with respect to safety 
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or effectiveness are required, that is equal 
to half of the amount of the fee established 
under subsection (b)(1)(D) for a biosimilar 
biological product application. 
‘‘(B) 
REDUCTION
IN
FEES.—Notwith-
standing section 404 of the Biosimilars User 
Fee Act of 2012, any person who pays a fee 
under subparagraph (A), (B), or (D) of para-
graph (1) for a product before October 1, 2017, 
but submits a biosimilar biological product ap-
plication for that product after such date, shall 
be entitled to the reduction of any biosimilar bi-
ological product application fees that may be 
assessed at the time when such biosimilar bio-
logical product application is submitted, by the 
cumulative amount of fees paid under subpara-
graphs (A), (B), and (D) of paragraph (1) for 
that product. 
‘‘(C) PAYMENT DUE DATE.—Any fee re-
quired by subparagraph (A) shall be due upon 
submission of the application or supplement for 
which such fee applies. 
‘‘(D) EXCEPTION FOR PREVIOUSLY FILED 
APPLICATION OR SUPPLEMENT.—If a biosimilar 
biological product application or supplement 
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was submitted by a person that paid the fee for 
such application or supplement, was accepted 
for filing, and was not approved or was with-
drawn (without a waiver), the submission of a 
biosimilar biological product application or a 
supplement for the same product by the same 
person (or the person’s licensee, assignee, or 
successor) shall not be subject to a fee under 
subparagraph (A). 
‘‘(E) REFUND OF APPLICATION FEE IF AP-
PLICATION
REFUSED
FOR
FILING
OR
WITH-
DRAWN BEFORE FILING.—The Secretary shall 
refund 75 percent of the fee paid under this 
paragraph for any application or supplement 
which is refused for filing or withdrawn without 
a waiver before filing. 
‘‘(F) 
FEES
FOR
APPLICATIONS
PRE-
VIOUSLY REFUSED FOR FILING OR WITHDRAWN 
BEFORE FILING.—A biosimilar biological prod-
uct application or supplement that was sub-
mitted but was refused for filing, or was with-
drawn before being accepted or refused for fil-
ing, shall be subject to the full fee under sub-
paragraph (A) upon being resubmitted or filed 
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over protest, unless the fee is waived under sub-
section (c). 
‘‘(3) BIOSIMILAR BIOLOGICAL PRODUCT ESTAB-
LISHMENT FEE.— 
‘‘(A) IN GENERAL.—Except as provided in 
subparagraph (E), each person that is named 
as the applicant in a biosimilar biological prod-
uct application shall be assessed an annual fee 
established under subsection (b)(1)(E) for each 
biosimilar biological product establishment that 
is listed in the approved biosimilar biological 
product application as an establishment that 
manufactures the biosimilar biological product 
named in such application. 
‘‘(B) ASSESSMENT IN FISCAL YEARS.—The 
establishment fee shall be assessed in each fis-
cal year for which the biosimilar biological prod-
uct named in the application is assessed a fee 
under paragraph (4) unless the biosimilar bio-
logical product establishment listed in the appli-
cation does not engage in the manufacture of 
the biosimilar biological product during such 
fiscal year. 
‘‘(C) DUE DATE.—The establishment fee 
for a fiscal year shall be due on the later of— 
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‘‘(i) the first business day on or after 
October 1 of such fiscal year; or 
‘‘(ii) the first business day after the 
enactment of an appropriations Act pro-
viding for the collection and obligation of 
fees for such fiscal year under this section. 
‘‘(D) APPLICATION TO ESTABLISHMENT.— 
‘‘(i) Each biosimilar biological product 
establishment shall be assessed only one 
fee per biosimilar biological product estab-
lishment, notwithstanding the number of 
biosimilar biological products manufac-
tured at the establishment, subject to 
clause (ii). 
‘‘(ii) In the event an establishment is 
listed in a biosimilar biological product ap-
plication by more than one applicant, the 
establishment fee for the fiscal year shall 
be divided equally and assessed among the 
applicants whose biosimilar biological prod-
ucts are manufactured by the establish-
ment during the fiscal year and assessed 
biosimilar biological product fees under 
paragraph (4). 
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‘‘(B) DUE DATE.—The biosimilar biologi-
cal product fee for a fiscal year shall be due on 
the later of— 
‘‘(i) the first business day on or after 
October 1 of each such year; or 
‘‘(ii) the first business day after the 
enactment of an appropriations Act pro-
viding for the collection and obligation of 
fees for such year under this section. 
‘‘(C) ONE FEE PER PRODUCT PER YEAR.— 
The biosimilar biological product fee shall be 
paid only once for each product for each fiscal 
year. 
‘‘(b) FEE SETTING AND AMOUNTS.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
the Secretary shall, 60 days before the start of each 
fiscal year that begins after September 30, 2012, es-
tablish, for the next fiscal year, the fees under sub-
section (a). Except as provided in subsection (c), 
such fees shall be in the following amounts: 
‘‘(A) 
INITIAL
BIOSIMILAR
BIOLOGICAL 
PRODUCT DEVELOPMENT FEE.—The initial bio-
similar biological product development fee under 
subsection (a)(1)(A) for a fiscal year shall be 
equal to 10 percent of the amount established 
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under section 736(c)(4) for a human drug ap-
plication described in section 736(a)(1)(A)(i) 
for that fiscal year. 
‘‘(B) ANNUAL
BIOSIMILAR
BIOLOGICAL 
PRODUCT
DEVELOPMENT
FEE.—The annual 
biosimilar biological product development fee 
under subsection (a)(1)(B) for a fiscal year 
shall be equal to 10 percent of the amount es-
tablished under section 736(c)(4) for a human 
drug 
application 
described 
in 
section 
736(a)(1)(A)(i) for that fiscal year. 
‘‘(C) REACTIVATION
FEE.—The reactiva-
tion fee under subsection (a)(1)(D) for a fiscal 
year shall be equal to 20 percent of the amount 
of the fee established under section 736(c)(4) 
for a human drug application described in sec-
tion 736(a)(1)(A)(i) for that fiscal year. 
‘‘(D) BIOSIMILAR
BIOLOGICAL
PRODUCT 
APPLICATION
FEE.—The biosimilar biological 
product application fee under subsection (a)(2) 
for a fiscal year shall be equal to the amount 
established under section 736(c)(4) for a 
human drug application described in section 
736(a)(1)(A)(i) for that fiscal year. 
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‘‘(E) BIOSIMILAR
BIOLOGICAL
PRODUCT 
ESTABLISHMENT FEE.—The biosimilar biologi-
cal product establishment fee under subsection 
(a)(3) for a fiscal year shall be equal to the 
amount established under section 736(c)(4) for 
a prescription drug establishment for that fiscal 
year. 
‘‘(F) BIOSIMILAR
BIOLOGICAL
PRODUCT 
FEE.—The biosimilar biological product fee 
under subsection (a)(4) for a fiscal year shall be 
equal to the amount established under section 
736(c)(4) for a prescription drug product for 
that fiscal year. 
‘‘(2) LIMIT.—The total amount of fees charged 
for a fiscal year under this section may not exceed 
the total amount for such fiscal year of the costs of 
resources allocated for the process for the review of 
biosimilar biological product applications. 
‘‘(c) APPLICATION FEE WAIVER FOR SMALL BUSI-
NESS.— 
‘‘(1) WAIVER OF APPLICATION FEE.—The Sec-
retary shall grant to a person who is named in a bio-
similar biological product application a waiver from 
the application fee assessed to that person under 
subsection (a)(2)(A) for the first biosimilar biologi-
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cal product application that a small business or its 
affiliate submits to the Secretary for review. After a 
small business or its affiliate is granted such a waiv-
er, the small business or its affiliate shall pay— 
‘‘(A) application fees for all subsequent 
biosimilar biological product applications sub-
mitted to the Secretary for review in the same 
manner as an entity that is not a small busi-
ness; and 
‘‘(B) all supplement fees for all supple-
ments to biosimilar biological product applica-
tions submitted to the Secretary for review in 
the same manner as an entity that is not a 
small business. 
‘‘(2) CONSIDERATIONS.—In determining wheth-
er to grant a waiver of a fee under paragraph (1), 
the Secretary shall consider only the circumstances 
and assets of the applicant involved and any affiliate 
of the applicant. 
‘‘(3) SMALL BUSINESS DEFINED.—In this sub-
section, the term ‘small business’ means an entity 
that has fewer than 500 employees, including em-
ployees of affiliates, and does not have a drug prod-
uct that has been approved under a human drug ap-
plication (as defined in section 735) or a biosimilar 
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biological product application (as defined in section 
744G(4)) and introduced or delivered for introduc-
tion into interstate commerce. 
‘‘(d) EFFECT OF FAILURE TO PAY FEES.—A bio-
similar biological product application or supplement sub-
mitted by a person subject to fees under subsection (a) 
shall be considered incomplete and shall not be accepted 
for filing by the Secretary until all fees owed by such per-
son have been paid. 
‘‘(e) CREDITING AND AVAILABILITY OF FEES.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
fees authorized under subsection (a) shall be col-
lected and available for obligation only to the extent 
and in the amount provided in advance in appropria-
tions Acts. Such fees are authorized to remain avail-
able until expended. Such sums as may be necessary 
may be transferred from the Food and Drug Admin-
istration salaries and expenses appropriation account 
without fiscal year limitation to such appropriation 
account for salaries and expenses with such fiscal 
year limitation. The sums transferred shall be avail-
able solely for the process for the review of bio-
similar biological product applications. 
‘‘(2) 
COLLECTIONS
AND
APPROPRIATION 
ACTS.— 
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‘‘(A) IN
GENERAL.—Subject to subpara-
graphs (C) and (D), the fees authorized by this 
section shall be collected and available in each 
fiscal year in an amount not to exceed the 
amount specified in appropriation Acts, or oth-
erwise made available for obligation for such 
fiscal year. 
‘‘(B) USE
OF
FEES
AND
LIMITATION.— 
The fees authorized by this section shall be 
available for a fiscal year beginning after fiscal 
year 2012 to defray the costs of the process for 
the review of biosimilar biological product appli-
cations (including such costs for an additional 
number of full-time equivalent positions in the 
Department of Health and Human Services to 
be engaged in such process), only if the Sec-
retary allocates for such purpose an amount for 
such fiscal year (excluding amounts from fees 
collected under this section) no less than 
$20,000,000, multiplied by the adjustment fac-
tor applicable to the fiscal year involved. 
‘‘(C) FEE
COLLECTION
DURING
FIRST 
PROGRAM YEAR.—Until the date of enactment 
of an Act making appropriations through Sep-
tember 30, 2013, for the salaries and expenses 
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account of the Food and Drug Administration, 
fees authorized by this section for fiscal year 
2013 may be collected and shall be credited to 
such account and remain available until ex-
pended. 
‘‘(D) PROVISION FOR EARLY PAYMENTS IN 
SUBSEQUENT YEARS.—Payment of fees author-
ized under this section for a fiscal year (after 
fiscal year 2013), prior to the due date for such 
fees, may be accepted by the Secretary in ac-
cordance with authority provided in advance in 
a prior year appropriations Act. 
‘‘(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
For each of fiscal years 2013 through 2017, there 
is authorized to be appropriated for fees under this 
section an amount equivalent to the total amount of 
fees assessed for such fiscal year under this section. 
‘‘(f) COLLECTION OF UNPAID FEES.—In any case 
where the Secretary does not receive payment of a fee as-
sessed under subsection (a) within 30 days after it is due, 
such fee shall be treated as a claim of the United States 
Government subject to subchapter II of chapter 37 of title 
31, United States Code. 
‘‘(g) WRITTEN REQUESTS FOR WAIVERS AND RE-
FUNDS.—To qualify for consideration for a waiver under 
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subsection (c), or for a refund of any fee collected in ac-
cordance with subsection (a)(2)(A), a person shall submit 
to the Secretary a written request for such waiver or re-
fund not later than 180 days after such fee is due. 
‘‘(h) CONSTRUCTION.—This section may not be con-
strued to require that the number of full-time equivalent 
positions in the Department of Health and Human Serv-
ices, for officers, employers, and advisory committees not 
engaged in the process of the review of biosimilar biologi-
cal product applications, be reduced to offset the number 
of officers, employees, and advisory committees so en-
gaged.’’. 
SEC. 403. REAUTHORIZATION; REPORTING REQUIREMENTS. 
Part 8 of subchapter C of chapter VII, as added by 
section 402 of this Act, is further amended by inserting 
after section 744H the following: 
‘‘SEC. 
744I. 
REAUTHORIZATION; 
REPORTING 
REQUIRE-
MENTS. 
‘‘(a) PERFORMANCE REPORT.—Beginning with fiscal 
year 2013, not later than 120 days after the end of each 
fiscal year for which fees are collected under this part, 
the Secretary shall prepare and submit to the Committee 
on Energy and Commerce of the House of Representatives 
and the Committee on Health, Education, Labor, and 
Pensions of the Senate a report concerning the progress 
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of the Food and Drug Administration in achieving the 
goals identified in the letters described in section 401(b) 
of the Biosimilar User Fee Act of 2012 during such fiscal 
year and the future plans of the Food and Drug Adminis-
tration for meeting such goals. The report for a fiscal year 
shall include information on all previous cohorts for which 
the Secretary has not given a complete response on all 
biosimilar biological product applications and supplements 
in the cohort. 
‘‘(b) FISCAL REPORT.—Not later than 120 days after 
the end of fiscal year 2013 and each subsequent fiscal year 
for which fees are collected under this part, the Secretary 
shall prepare and submit to the Committee on Energy and 
Commerce of the House of Representatives and the Com-
mittee on Health, Education, Labor, and Pensions of the 
Senate a report on the implementation of the authority 
for such fees during such fiscal year and the use, by the 
Food and Drug Administration, of the fees collected for 
such fiscal year. 
‘‘(c) PUBLIC AVAILABILITY.—The Secretary shall 
make the reports required under subsections (a) and (b) 
available to the public on the Internet Web site of the 
Food and Drug Administration. 
‘‘(d) STUDY.— 
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‘‘(1) IN GENERAL.—The Secretary shall con-
tract with an independent accounting or consulting 
firm to study the workload volume and full costs as-
sociated with the process for the review of biosimilar 
biological product applications. 
‘‘(2) INTERIM RESULTS.—Not later than June 
1, 2015, the Secretary shall publish, for public com-
ment, interim results of the study described under 
paragraph (1). 
‘‘(3) FINAL
RESULTS.—Not later than Sep-
tember 30, 2016, the Secretary shall publish, for 
public comment, the final results of the study de-
scribed under paragraph (1). 
‘‘(e) REAUTHORIZATION.— 
‘‘(1) 
CONSULTATION.—In 
developing 
rec-
ommendations to present to the Congress with re-
spect to the goals described in subsection (a), and 
plans for meeting the goals, for the process for the 
review of biosimilar biological product applications 
for the first 5 fiscal years after fiscal year 2017, and 
for the reauthorization of this part for such fiscal 
years, the Secretary shall consult with— 
‘‘(A) the Committee on Energy and Com-
merce of the House of Representatives; 
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‘‘(B) the Committee on Health, Education, 
Labor, and Pensions of the Senate; 
‘‘(C) scientific and academic experts; 
‘‘(D) health care professionals; 
‘‘(E) representatives of patient and con-
sumer advocacy groups; and 
‘‘(F) the regulated industry. 
‘‘(2) 
PUBLIC
REVIEW
OF
RECOMMENDA-
TIONS.—After negotiations with the regulated indus-
try, the Secretary shall— 
‘‘(A) present the recommendations devel-
oped under paragraph (1) to the congressional 
committees specified in such paragraph; 
‘‘(B) publish such recommendations in the 
Federal Register; 
‘‘(C) provide for a period of 30 days for 
the public to provide written comments on such 
recommendations; 
‘‘(D) hold a meeting at which the public 
may present its views on such recommenda-
tions; and 
‘‘(E) after consideration of such public 
views and comments, revise such recommenda-
tions as necessary. 
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‘‘(3) TRANSMITTAL OF RECOMMENDATIONS.— 
Not later than January 15, 2017, the Secretary 
shall transmit to the Congress the revised rec-
ommendations under paragraph (2), a summary of 
the views and comments received under such para-
graph, and any changes made to the recommenda-
tions in response to such views and comments.’’. 
SEC. 404. SUNSET DATES. 
(a) AUTHORIZATION.—Sections 744G and 744H, as 
added by section 402 of this Act, are repealed October 
1, 2017. 
(b) REPORTING REQUIREMENTS.—Section 744I, as 
added by section 403 of this Act, is repealed January 31, 
2018. 
SEC. 405. EFFECTIVE DATE. 
(a) IN GENERAL.—Except as provided under sub-
section (b), the amendments made by this title shall take 
effect on the later of— 
(1) October 1, 2012; or 
(2) the date of the enactment of this title. 
(b) EXCEPTION.—Fees under part 8 of subchapter 
C of chapter VII of the Federal Food, Drug, and Cosmetic 
Act, as added by this title, shall be assessed for all bio-
similar biological product applications received on or after 
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October 1, 2012, regardless of the date of the enactment 
of this title. 
SEC. 406. SAVINGS CLAUSE. 
Notwithstanding the amendments made by this title, 
part 2 of subchapter C of chapter VII of the Federal Food, 
Drug, and Cosmetic Act, as in effect on the day before 
the date of the enactment of this title, shall continue to 
be in effect with respect to human drug applications and 
supplements (as defined in such part as of such day) that 
were accepted by the Food and Drug Administration for 
filing on or after October 1, 2007, but before October 1, 
2012, with respect to assessing and collecting any fee re-
quired by such part for a fiscal year prior to fiscal year 
2013. 
SEC. 407. CONFORMING AMENDMENT. 
Section 735(1)(B) (21 U.S.C. 379g(1)(B)) is amend-
ed by striking ‘‘or (k)’’. 
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TITLE V—REAUTHORIZATION OF 
BEST 
PHARMACEUTICALS 
FOR CHILDREN ACT AND PE-
DIATRIC RESEARCH EQUITY 
ACT 
SEC. 501. PERMANENT EXTENSION OF BEST PHARMA-
CEUTICALS FOR CHILDREN ACT AND PEDI-
ATRIC RESEARCH EQUITY ACT. 
(a) PROGRAM FOR PEDIATRIC STUDIES OF DRUGS.— 
Section 409I(c) of the Public Health Service Act (42 
U.S.C. 284m(c)) is amended— 
(1) in subsection (c)(1)— 
(A) in the matter preceding subparagraph 
(A), by inserting ‘‘or section 351(m) of this 
Act,’’ after ‘‘Cosmetic Act,’’; 
(B) in subparagraph (A)(i), by inserting 
‘‘or section 351(k) of this Act’’ after ‘‘Cosmetic 
Act’’; and 
(C) by amending subparagraph (B) to read 
as follows: 
‘‘(B)(i) there remains no patent listed pur-
suant to section 505(b)(1) of the Federal Food, 
Drug, and Cosmetic Act; and 
‘‘(ii) every three-year and five-year period 
referred 
to 
in 
subsection 
(c)(3)(E)(ii), 
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(c)(3)(E)(iii), 
(c)(3)(E(iv), 
(j)(5)(F)(ii), 
(j)(5)(F)(iii), or (j)(5)(F)(iv) of section 505 of 
the Federal Food, Drug and Cosmetic Act, or 
applicable twelve-year period referred to in sec-
tion 351(k)(7) of this Act, and any seven-year 
period referred to in section 527 of the Federal 
Food, Drug, and Cosmetic Act, has ended for 
at least one form of the drug; and’’; 
(2) in subsection (c)(2)— 
(A) in the heading of paragraph (2), by 
striking ‘‘FOR DRUGS LACKING EXCLUSIVITY’’; 
(B) by striking ‘‘under section 505 of the 
Federal Food, Drug, and Cosmetic Act’’; and 
(C) by striking ‘‘505A of such Act’’ and 
inserting ‘‘505A of the Federal Food, Drug, 
and Cosmetic Act or section 351(m) of this 
Act’’; and 
(3) in subsection (e)(1), by striking ‘‘to carry 
out this section’’ and all that follows through the 
end of paragraph (1) and inserting ‘‘$25,000,000 
for each of fiscal years 2013 through 2017.’’. 
(b) PEDIATRIC STUDIES OF DRUGS IN FFDCA.— 
Section 505A (21 U.S.C. 355a) is amended— 
(1) in subsection (d)(1)(A), by adding at the 
end the following: ‘‘If a request under this subpara-
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graph does not request studies in neonates, such re-
quest shall include a statement describing the ra-
tionale for not requesting studies in neonates.’’; 
(2) by amending subsection (h) to read as fol-
lows: 
‘‘(h) RELATIONSHIP TO PEDIATRIC RESEARCH RE-
QUIREMENTS.—Exclusivity under this section shall only be 
granted for the completion of a study or studies that are 
the subject of a written request and for which reports are 
submitted and accepted in accordance with subsection 
(d)(3). Written requests under this section may consist of 
a study or studies required under section 505B.’’; 
(3) in subsection (k)(2), by striking ‘‘subsection 
(f)(3)(F)’’ and inserting ‘‘subsection (f)(6)(F)’’; 
(4) in subsection (l)— 
(A) in paragraph (1)— 
(i) in the paragraph heading, by strik-
ing ‘‘YEAR ONE’’ and inserting ‘‘FIRST 18- 
MONTH PERIOD’’; and 
(ii) by striking ‘‘one-year’’ and insert-
ing ‘‘18-month’’; 
(B) in paragraph (2)— 
(i) in the paragraph heading, by strik-
ing ‘‘YEARS’’ and inserting ‘‘PERIODS’’; 
and 
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(ii) by striking ‘‘one-year period’’ and 
inserting ‘‘18-month period’’; 
(C) by redesignating paragraph (3) as 
paragraph (4); and 
(D) by inserting after paragraph (2) the 
following: 
‘‘(3) PRESERVATION OF AUTHORITY.—Nothing 
in this subsection shall prohibit the Office of Pedi-
atric Therapeutics from providing for the review of 
adverse event reports by the Pediatric Advisory 
Committee prior to the 18-month period referred to 
in paragraph (1), if such review is necessary to en-
sure safe use of a drug in a pediatric population.’’; 
(5) in subsection (n)— 
(A) in the subsection heading, by striking 
‘‘COMPLETED’’ and inserting ‘‘SUBMITTED’’; 
and 
(B) in paragraph (1)— 
(i) in the text preceding subparagraph 
(A), by striking ‘‘have not been completed’’ 
and inserting ‘‘have not been submitted by 
the date specified in the written request 
issued and agreed upon’’; and 
(ii) by revising subparagraphs (A) and 
(B) to read as follows: 
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‘‘(A) For a drug for which there remains 
any listed patent or exclusivity protection eligi-
ble for extension under subsection (b)(1) or 
(c)(1) of this section, or any exclusivity protec-
tion eligible for extension under subsection 
(m)(2) or (m)(3) of section 351 of the Public 
Health Service Act, the Secretary shall make a 
determination regarding whether an assessment 
shall be required to be submitted under section 
505B(b). 
‘‘(B) For a drug that has no remaining 
listed patents or exclusivity protection eligible 
for extension under subsection (b)(1) or (c)(1) 
of this section, or any exclusivity protection eli-
gible for extension under subsection (m)(2) or 
(m)(3) of section 351 of the Public Health 
Service Act, the Secretary shall refer the drug 
for inclusion on the list established under sec-
tion 409I of the Public Health Service Act for 
the conduct of studies.’’; 
(6) in subsection (o)(2), by amending subpara-
graph (B) to read as follows: 
‘‘(B) a statement of any appropriate pedi-
atric contraindications, warnings, precautions, 
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or other information that the Secretary con-
siders necessary to assure safe use.’’; and 
(7) by striking subsection (q) (relating to a sun-
set). 
(c) RESEARCH INTO PEDIATRIC USES FOR DRUGS 
AND BIOLOGICAL PROJECTS IN FFDCA.—Section 505B 
(21 U.S.C. 355c) is amended— 
(1) in subsection (a)— 
(A) in paragraph (1), in the matter before 
subparagraph (A), by inserting ‘‘for a drug’’ 
after ‘‘(or supplement to an application)’’; 
(B) in paragraph (3)— 
(i) by redesignating subparagraph (B) 
as subparagraph (D); and 
(ii) by inserting after subparagraph 
(A) the following: 
‘‘(B) DEFERRAL EXTENSION.—On the ini-
tiative of the Secretary or at the request of the 
applicant, the Secretary may grant an extension 
of a deferral under subparagraph (A) if— 
‘‘(i) the Secretary finds that the cri-
teria specified in subclause (II) or (III) of 
subparagraph (A)(i) continue to be met; 
and 
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‘‘(ii) the applicant submits the mate-
rials required under subparagraph (A)(ii). 
‘‘(C) CONSIDERATION DURING DEFERRAL 
PERIOD.—If the Secretary has under this para-
graph deferred the date by which an assessment 
must be submitted, then until the date specified 
in the deferral under subparagraph (A) (includ-
ing any extension of such date under subpara-
graph (B))— 
‘‘(i) the assessment shall not be con-
sidered late or delayed; and 
‘‘(ii) the Secretary shall not classify 
the assessment as late or delayed in any 
report, database, or public posting.’’; and 
(iii) in subparagraph (D), as redesig-
nated, by amending clause (ii) to read as 
follows: 
‘‘(ii) 
PUBLIC
AVAILABILITY.—Not 
later than 60 days after the submission to 
the Secretary of the information submitted 
through the annual review under clause (i), 
the Secretary shall make available to the 
public in an easily accessible manner, in-
cluding through the Web site of the Food 
and Drug Administration— 
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‘‘(I) such information; 
‘‘(II) the name of the applicant 
for the product subject to the assess-
ment; 
‘‘(III) the date on which the 
product was approved; and 
‘‘(IV) the date of each deferral or 
deferral extension under this para-
graph for the product.’’; and 
(C) in paragraph (4)(C)— 
(i) in the first sentence, by inserting 
‘‘partial’’ before ‘‘waiver is granted’’; and 
(ii) in the second sentence, by striking 
‘‘either a full or partial waiver’’ and insert-
ing ‘‘a partial waiver’’; 
(2) in subsection (b)(1), by striking ‘‘After pro-
viding notice in the form of a letter (that, for a drug 
approved under section 505, references a declined 
written request under section 505A for a labeled in-
dication which written request is not referred under 
section 505A(n)(1)(A) to the Foundation of the Na-
tional Institutes of Health for the pediatric studies), 
the Secretary’’ and inserting ‘‘The Secretary’’; 
(3) by amending subsection (d) to read as fol-
lows: 
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‘‘(d) FAILURE TO MEET REQUIREMENTS.—If a per-
son fails to submit a required assessment described in sub-
section (a)(2), fails to meet the applicable requirements 
in subsection (a)(3), or fails to submit a request for ap-
proval of a pediatric formulation described in subsection 
(a) or (b), in accordance with applicable provisions of sub-
sections (a) and (b)— 
‘‘(1)(A) the Secretary shall issue a letter to 
such person informing such person of such failure; 
‘‘(B) not later than 30 calendar days after the 
issuance of a letter under subparagraph (A), the 
person who receives such letter shall submit to the 
Secretary a written response to such letter; and 
‘‘(C) not later than 45 calendar days after the 
issuance of a letter under subparagraph (A), the 
Secretary shall make such letter, and any response 
to such letter under subparagraph (B), available to 
the public on the Web site of the Food and Drug 
Administration, with appropriate redactions made to 
protect trade secrets and confidential commercial in-
formation, except that, if the Secretary determines 
that the letter under subparagraph (A) was issued 
in error, the requirements of this subparagraph shall 
not apply with respect to such letter; and 
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‘‘(2)(A) the drug or biological product that is 
the subject of the required assessment, applicable re-
quirements in subsection (a)(3), or required request 
for approval of a pediatric formulation may be con-
sidered misbranded solely because of that failure and 
subject to relevant enforcement action (except that 
the drug or biological product shall not be subject to 
action under section 303); but 
‘‘(B) the failure to submit the required assess-
ment, meet the applicable requirements in subsection 
(a)(3), or submit the required request for approval 
of a pediatric formulation shall not be the basis for 
a proceeding— 
‘‘(i) to withdraw approval for a drug under 
section 505(e); or 
‘‘(ii) to revoke the license for a biological 
product under section 351 of the Public Health 
Service Act.’’; 
(4) by amending subsection (e) to read as fol-
lows: 
‘‘(e) INITIAL PEDIATRIC PLAN.— 
‘‘(1) IN GENERAL.— 
‘‘(A) SUBMISSION.—An applicant who is 
required to submit an assessment under sub-
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section (a)(1) shall submit an initial pediatric 
plan. 
‘‘(B) TIMING.—An applicant shall submit 
the initial pediatric plan under paragraph (1)— 
‘‘(i) before the date on which the ap-
plicant submits the assessments under sub-
section (a)(2); and 
‘‘(ii) not later than— 
‘‘(I) 60 calendar days after the 
date of end-of-Phase 2 meeting (as 
such term is used in section 312.47 of 
title 21, Code of Federal Regulations, 
or successor regulations); or 
‘‘(II) such other time as may be 
agreed upon between the Secretary 
and the applicant. 
Nothing in this section shall preclude the Sec-
retary from accepting the submission of an ini-
tial pediatric plan earlier than the date other-
wise applicable under this subparagraph. 
‘‘(C) CONTENTS.—The initial pediatric 
plan shall include— 
‘‘(i) an outline of the pediatric studies 
that the applicant plans to conduct; 
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‘‘(ii) any request for a deferral, partial 
waiver, or waiver under this section, along 
with supporting information; and 
‘‘(iii) other information the Secretary 
determines necessary, including any infor-
mation specified in regulations under para-
graph (5). 
‘‘(2) MEETING.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), not later than 90 calendar days 
after receiving an initial pediatric plan under 
paragraph (1), the Secretary shall meet with 
the applicant to discuss the plan. 
‘‘(B) WRITTEN
RESPONSE.—If the Sec-
retary determines that a written response to the 
initial pediatric plan is sufficient to commu-
nicate comments on the initial pediatric plan, 
and that no meeting is necessary the Secretary 
shall, not later than 90 days after receiving an 
initial pediatric plan under paragraph (1)— 
‘‘(i) notify the applicant of such deter-
mination; and 
‘‘(ii) provide to the applicant the Sec-
retary’s written comments on the plan. 
‘‘(3) AGREED INITIAL PEDIATRIC PLAN.— 
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‘‘(A) SUBMISSION.—The applicant shall 
submit to the Secretary a document reflecting 
the agreement between the Secretary and the 
applicant on the initial pediatric plan (referred 
to in this subsection as an ‘agreed initial pedi-
atric plan’). 
‘‘(B) CONFIRMATION.—Not later than 30 
days after receiving the agreed initial pediatric 
plan under subparagraph (A), the Secretary 
shall provide written confirmation to the appli-
cant that such plan reflects the agreement of 
the Secretary. 
‘‘(C) DEFERRAL
AND
WAIVER.—If the 
agreed initial pediatric plan contains a request 
from the applicant for a deferral, partial waiver, 
or waiver under this section, the written con-
firmation under subparagraph (B) shall include 
a recommendation from the Secretary as to 
whether such request meets the standards 
under paragraphs (3) or (4) of subsection (a). 
‘‘(D) AMENDMENTS
TO
THE
PLAN.—At 
the initiative of the Secretary or the applicant, 
the agreed initial pediatric plan may be amend-
ed at any time. The requirements of paragraph 
(2) shall apply to any such proposed amend-
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ment in the same manner and to the same ex-
tent as such requirements apply to an initial pe-
diatric plan under paragraph (1). The require-
ments of subparagraphs (A) through (C) of this 
paragraph shall apply to any agreement result-
ing from such proposed amendment in the same 
manner and to the same extent as such require-
ments apply to an agreed initial pediatric plan. 
‘‘(4) INTERNAL
COMMITTEE.—The Secretary 
shall consult the internal committee under section 
505C on the review of the initial pediatric plan, 
greed initial pediatric plan, and any amendments to 
such plans. 
‘‘(5) MANDATORY
RULEMAKING.—Not later 
than one year after the date of enactment of the 
Food and Drug Administration Reform Act of 2012, 
the Secretary shall promulgate proposed regulations 
and guidance to implement the provisions of this 
subsection. 
‘‘(6) EFFECTIVE DATE.—The provisions of this 
subsection shall take effect 180 calendar days after 
the date of enactment of the Food and Drug Admin-
istration Reform Act of 2012, irrespective of wheth-
er the Secretary has promulgated final regulations 
to carry out this subsection by such date.’’; 
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(5) in subsection (f)— 
(A) in the subsection heading, by inserting 
‘‘DEFERRAL
EXTENSIONS,’’ after ‘‘DEFER-
RALS,’’; 
(B) in paragraph (4)— 
(i) in the paragraph heading, by in-
serting ‘‘DEFERRAL
EXTENSIONS,’’ after 
‘‘DEFERRALS,’’; and 
(ii) in the second sentence, by insert-
ing ‘‘, deferral extensions,’’ after ‘‘defer-
rals’’; and 
(C) in paragraph (6)(D)— 
(i) by inserting ‘‘and deferral exten-
sions’’ before ‘‘requested and granted’’; 
and 
(ii) by inserting ‘‘and deferral exten-
sions’’ after ‘‘the reasons for such defer-
rals’’; 
(6) in subsection (g)— 
(A) in paragraph (1)(A), by striking ‘‘after 
the date of the submission of the application or 
supplement’’ and inserting ‘‘after the date of 
the submission of an application or supplement 
that receives a priority review or 330 days after 
the date of the submission of an application or 
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supplement that receives a standard review’’; 
and 
(B) in paragraph (2), by striking ‘‘the 
label of such product’’ and inserting ‘‘the label-
ing of such product’’; 
(7) in subsection (h)(1)— 
(A) by inserting ‘‘an application (or sup-
plement to an application) that contains’’ after 
‘‘date of submission of’’; and 
(B) by inserting ‘‘if the application (or 
supplement) receives a priority review, or not 
later than 330 days after the date of submis-
sion of an application (or supplement to an ap-
plication) that contains a pediatric assessment 
under this section, if the application (or supple-
ment) receives a standard review,’’ after ‘‘under 
this section,’’; 
(8) in subsection (i)— 
(A) in paragraph (1)— 
(i) in the paragraph heading, by strik-
ing ‘‘YEAR ONE’’ and inserting ‘‘FIRST 18- 
MONTH PERIOD’’; and 
(ii) by striking ‘‘one-year’’ and insert-
ing ‘‘18-month’’; 
(B) in paragraph (2)— 
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(i) in the paragraph heading, by strik-
ing ‘‘YEARS’’ and inserting ‘‘PERIODS’’; 
and 
(ii) by striking ‘‘one-year period’’ and 
inserting ‘‘18-month period’’; 
(C) by redesignating paragraph (3) as 
paragraph (4); and 
(D) by inserting after paragraph (2) the 
following: 
‘‘(3) PRESERVATION OF AUTHORITY.—Nothing 
in this subsection shall prohibit the Office of Pedi-
atric Therapeutics from providing for the review of 
adverse event reports by the Pediatric Advisory 
Committee prior to the 18-month period referred to 
in paragraph (1), if such review is necessary to en-
sure safe use of a drug in a pediatric population.’’; 
(9) by striking subsection (m) (relating to inte-
gration with other pediatric studies); and 
(10) by redesignating subsection (n) as sub-
section (m). 
(d) PEDIATRIC STUDIES OF BIOLOGICAL PRODUCTS 
IN PHSA.—Section 351(m)(1) of the Public Health Serv-
ice Act (42 U.S.C. 262(m)(1)) is amended by striking ‘‘(f), 
(i), (j), (k), (l), (p), and (q)’’ and inserting ‘‘(f), (h), (i), 
(j), (k), (l), (n), and (p)’’. 
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(e) APPLICATION; TRANSITION RULE.— 
(1) APPLICATION.—Notwithstanding any provi-
sion of section 505A and 505B of the Federal Food, 
Drug, and Cosmetic Act (21 U.S.C. 355a, 355c) 
stating that a provision applies beginning on the 
date of the enactment of the Best Pharmaceuticals 
for Children Act of 2007 or the date of the enact-
ment of the Pediatric Research Equity Act of 2007, 
any amendment made by this Act to such a provi-
sion applies beginning on the date of the enactment 
of this Act. 
(2) TRANSITIONAL RULE FOR ADVERSE EVENT 
REPORTING.—With respect to a drug for which a la-
beling change described under section 505A(l)(1) or 
505B(i)(1) of the Federal Food, Drug, and Cosmetic 
Act (21 U.S.C. 355a(l)(1); 355c(i)(1)) is approved 
or made, respectively, during the one-year period 
that ends on the day before the date of enactment 
of this Act, the Secretary shall apply section 505A(l) 
and section 505B(i), as applicable, to such drug, as 
such sections were in effect on such day. 
(f) 
CONFORMING
AMENDMENT.—Section 
499(c)(1)(C) of the Public Health Service Act (42 U.S.C. 
290b(c)(1)(C)) is amended by striking ‘‘for which the Sec-
retary issues a certification in the affirmative under sec-
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tion 505A(n)(1)(A) of the Federal Food, Drug, and Cos-
metic Act’’. 
(g) PUBLIC MEETING ON PEDIATRIC CANCERS.— 
Not later than December 31, 2013, the Secretary of 
Health and Human Services shall hold a public meeting 
on the impact of sections 505A and 505B of the Federal 
Food, Drug, and Cosmetic Act (21 U.S.C. 355a, 355c) 
on the development of new therapies for children with can-
cer. 
SEC. 502. FOOD AND DRUG ADMINISTRATION REPORT. 
(a) IN GENERAL.—Not later than four years after 
the date of enactment of this Act and every five years 
thereafter, the Secretary of Health and Human Services 
shall prepare and submit to the Committee on Health, 
Education, Labor and Pensions of the Senate and the 
Committee on Energy and Commerce of the House of 
Representatives, and make publicly available, including 
through posting on the Web site of the Food and Drug 
Administration, a report on the implementation of section 
505A and 505B. 
(b) CONTENTS.—The report described in paragraph 
(1) shall include— 
(1) an assessment of the effectiveness of sec-
tions 505A and 505B in improving information 
about pediatric uses for approved drugs and bio-
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(7) a description and current status of referrals 
made under section 505A(n); 
(8) an assessment of the effectiveness of study-
ing drugs for rare diseases under 505A; 
(9) an assessment of the effectiveness of study-
ing drugs for children with cancer under 505A and 
505B, and any recommendations for modifications 
to the programs under such sections that would lead 
to new and better therapies for children with cancer; 
(10) an assessment of the effectiveness of 
studying drugs in the neonate population under 
505A and 505B; 
(11) an assessment of the effectiveness of 
studying biological products in pediatric populations 
under 505A and 505B; 
(12) an assessment of the Secretary’s efforts to 
address the suggestions and options described in the 
report required under 505A(p); and 
(13) any suggestions for modification to the 
programs that would improve pediatric drug re-
search and increase pediatric labeling of drugs and 
biologics that the Secretary determines to be appro-
priate. 
(c) STAKEHOLDER COMMENT.—At least 180 days 
prior to the submission of the report required in para-
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graph (1), the Secretary shall consult with representatives 
of patient groups, including pediatric patient groups, con-
sumer groups, regulated industry, academia, and other in-
terested parties to obtain any recommendations or infor-
mation relevant to the study and report including sugges-
tions for modifications that would improve pediatric drug 
research and pediatric labeling of drugs and biologics. 
SEC. 503. INTERNAL COMMITTEE FOR REVIEW OF PEDI-
ATRIC PLANS, ASSESSMENTS, DEFERRALS, 
DEFERRAL EXTENSIONS, AND WAIVERS. 
Section 505C (21 U.S.C. 355d) is amended— 
(1) in the section heading, by inserting ‘‘DE-
FERRAL
EXTENSIONS,’’ after ‘‘DEFERRALS,’’; 
and 
(2) by inserting ‘‘neonatology’’ after ‘‘pediatric 
ethics’’. 
SEC. 504. STAFF OF OFFICE OF PEDIATRIC THERAPEUTICS. 
Section 6(c) of the Best Pharmaceuticals for Children 
Act (21 U.S.C. 393a(c)) is amended— 
(1) in paragraph (1), by striking ‘‘and’’ at the 
end; 
(2) by redesignating paragraph (2) as para-
graph (4); 
(3) by inserting after paragraph (1) the fol-
lowing: 
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‘‘(2) one or more additional individuals with ex-
pertise in neonatology; 
‘‘(3) one or more additional individuals with ex-
pertise in pediatric epidemiology; and’’. 
SEC. 505. CONTINUATION OF OPERATION OF PEDIATRIC 
ADVISORY COMMITTEE. 
Section 14(d) of the Best Pharmaceuticals for Chil-
dren Act (42 U.S.C. 284m note) is amended by striking 
‘‘during the five-year period beginning on the date of the 
enactment of the Best Pharmaceuticals for Children Act 
of 2007’’ and inserting ‘‘to carry out the advisory commit-
tee’s responsibilities under sections 505A, 505B, and 
520(m) of the Federal Food, Drug, and Cosmetic Act (21 
U.S.C. 355a, 355c, and 360j(m))’’. 
SEC. 506. PEDIATRIC SUBCOMMITTEE OF THE ONCOLOGIC 
DRUGS ADVISORY COMMITTEE. 
Section 15(a) of the Best Pharmaceuticals for Chil-
dren Act (Public Law 107–109), as amended by section 
502(e) of the Food and Drug Administration Amendments 
Act of 2007 (Public Law 110–85), is amended— 
(1) in paragraph (1)(D), by striking ‘‘section 
505B(f)’’ and inserting ‘‘section 505C’’; and 
(2) in paragraph (3), by striking ‘‘during the 
five-year period beginning on the date of the enact-
ment of the Best Pharmaceuticals for Children Act 
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of 2007’’ and inserting ‘‘to carry out the Sub-
committee’s responsibilities under this section’’. 
TITLE VI—FOOD AND DRUG AD-
MINISTRATION ADMINISTRA-
TIVE REFORMS 
SEC. 601. PUBLIC PARTICIPATION IN ISSUANCE OF FDA 
GUIDANCE DOCUMENTS. 
Section 701(h)(1) (21 U.S.C. 371(h)(1)) is amended 
by striking subparagraph (C) and inserting the following: 
‘‘(C) For any guidance document that sets forth ini-
tial interpretations of a statute or regulation, sets forth 
changes in interpretation or policy that are of more than 
a minor nature, includes complex scientific issues, or cov-
ers highly controversial issues— 
‘‘(i) the Secretary— 
‘‘(I) at least 30 days before issuance of a 
draft of such guidance document, shall publish 
notice in the Federal Register of the Secretary’s 
intent to prepare such guidance document; and 
‘‘(II) 
during 
preparation 
and 
before 
issuance of such guidance document, may meet 
with interested stakeholders, including industry, 
medical, and scientific experts and others, and 
solicit public comment; 
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‘‘(ii) if the Secretary for good cause finds that, 
with respect to such guidance document, compliance 
with clause (i) is impracticable, unnecessary, or con-
trary to the public interest— 
‘‘(I) the Secretary shall publish such find-
ing and a brief statement of the reasons for 
such finding in the Federal Register; 
‘‘(II) clause (i) shall not apply with respect 
to such guidance document; and 
‘‘(III) during a 90-day period beginning 
not later than the date of issuance of such guid-
ance document, the Secretary may meet with 
interested 
stakeholders, 
including 
industry, 
medical, and scientific experts and others, and 
shall solicit public comment; 
‘‘(iii) beginning on the date of enactment of the 
Food and Drug Administration Reform Act of 2012, 
upon issuance of a draft guidance document under 
clause (i) or (ii), the Secretary shall— 
‘‘(I) designate the document as draft or 
final; and 
‘‘(II) not later than 18 months after the 
close of the comment period for such guidance, 
issue a final version of such guidance document 
in accordance with clauses (i) and (ii); 
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‘‘(iv) the Secretary may extend the deadline for 
issuing final guidance under clause (iii)(II) by not 
more than 180 days upon submission by the Sec-
retary of a notification of such extension in the Fed-
eral Register; 
‘‘(v) if the Secretary issues a draft guidance 
document and fails to finalize the draft by the dead-
line determined under clause (iii)(II), as extended 
under clause (iv), the Secretary shall, beginning on 
the date of such deadline, treat the draft as null and 
void; and 
‘‘(vi) not less than every 5 years after the 
issuance of a final guidance document in accordance 
with clause (iii), the Secretary shall— 
‘‘(I) conduct a retrospective analysis of 
such guidance document to ensure it is not out-
moded, ineffective, insufficient, or excessively 
burdensome; and 
‘‘(II) based on such analysis, modify, 
streamline, expand, or repeal the guidance doc-
ument in accordance with what has been 
learned. 
‘‘(D) With respect to devices, a notice to industry 
guidance letter, a notice to industry advisory letter, and 
any similar notice that sets forth initial interpretations of 
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a statute or regulation or sets forth changes in interpreta-
tion or policy shall be treated as a guidance document for 
purposes of subparagraph (C). 
‘‘(E) The following shall not be treated as a guidance 
document for purposes of subparagraph (C): 
‘‘(i) Any document that does not set forth an 
initial interpretation or a reinterpretation of a stat-
ute or regulation. 
‘‘(ii) Any document that sets forth or changes 
a policy relating to internal procedures of the Food 
and Drug Administration. 
‘‘(iii) Agency reports, general information docu-
ments provided to consumers or health professionals, 
speeches, journal articles and editorials, media inter-
views, press materials, warning letters, memoranda 
of understanding, or communications directed to in-
dividual persons or firms.’’. 
SEC. 602. CONFLICTS OF INTEREST. 
(a) IN GENERAL.—Section 712 (21 U.S.C. 379d–1) 
is amended— 
(1) by striking subsections (b) and (c) and in-
serting the following subsections: 
‘‘(b) RECRUITMENT FOR ADVISORY COMMITTEES.— 
‘‘(1) IN GENERAL.—The Secretary shall— 
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‘‘(A) develop and implement strategies on 
effective outreach to potential members of advi-
sory committees at universities, colleges, other 
academic research centers, professional and 
medical societies, and patient and consumer 
groups; 
‘‘(B) seek input from professional medical 
and scientific societies to determine the most ef-
fective informational and recruitment activities; 
‘‘(C) at least every 180 days, request refer-
rals for potential members of advisory commit-
tees from a variety of stakeholders, including— 
‘‘(i) 
product 
developers, 
patient 
groups, and disease advocacy organiza-
tions; and 
‘‘(ii) relevant— 
‘‘(I) professional societies; 
‘‘(II) medical societies; 
‘‘(III) 
academic 
organizations; 
and 
‘‘(IV) 
governmental 
organiza-
tions; and 
‘‘(D) in carrying out subparagraphs (A) 
and (B), take into account the levels of activity 
(including the numbers of annual meetings) and 
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the numbers of vacancies of the advisory com-
mittees. 
‘‘(2) RECRUITMENT ACTIVITIES.—The recruit-
ment activities under paragraph (1) may include— 
‘‘(A) advertising the process for becoming 
an advisory committee member at medical and 
scientific society conferences; 
‘‘(B) making widely available, including by 
using existing electronic communications chan-
nels, the contact information for the Food and 
Drug Administration point of contact regarding 
advisory committee nominations; and 
‘‘(C) developing a method through which 
an entity receiving funding from the National 
Institutes of Health, the Agency for Healthcare 
Research and Quality, the Centers for Disease 
Control and Prevention, or the Veterans Health 
Administration can identify a person whom the 
Food and Drug Administration can contact re-
garding the nomination of individuals to serve 
on advisory committees. 
‘‘(3) EXPERTISE.—In carrying out this sub-
section, the Secretary shall seek to ensure that the 
Secretary has access to the most current expert ad-
vice. 
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‘‘(c) DISCLOSURE OF DETERMINATIONS AND CER-
TIFICATIONS.—Notwithstanding section 107(a)(2) of the 
Ethics in Government Act of 1978, the following shall 
apply: 
‘‘(1) 15 OR MORE DAYS IN ADVANCE.—As soon 
as practicable, but (except as provided in paragraph 
(2)) not later than 15 days prior to a meeting of an 
advisory committee to which a written determination 
as referred to in section 208(b)(1) of title 18, 
United States Code, or a written certification as re-
ferred to in section 208(b)(3) of such title, applies, 
the Secretary shall disclose (other than information 
exempted from disclosure under section 552 or sec-
tion 552a of title 5, United States Code (popularly 
known as the Freedom of Information Act and the 
Privacy Act of 1974, respectively)) on the Internet 
Website of the Food and Drug Administration— 
‘‘(A) the type, nature, and magnitude of 
the financial interests of the advisory committee 
member to which such determination or certifi-
cation applies; and 
‘‘(B) the reasons of the Secretary for such 
determination or certification, including, as ap-
propriate, the public health interest in having 
the expertise of the member with respect to the 
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particular matter before the advisory com-
mittee. 
‘‘(2) LESS THAN 30 DAYS IN ADVANCE.—In the 
case of a financial interest that becomes known to 
the Secretary less than 30 days prior to a meeting 
of an advisory committee to which a written deter-
mination as referred to in section 208(b)(1) of title 
18, United States Code, or a written certification as 
referred to in section 208(b)(3) of such title applies, 
the Secretary shall disclose (other than information 
exempted from disclosure under section 552 or 552a 
of title 5, United States Code) on the Internet 
Website of the Food and Drug Administration, the 
information described in subparagraphs (A) and (B) 
of paragraph (1) as soon as practicable after the 
Secretary makes such determination or certification, 
but in no case later than the date of such meeting.’’; 
(2) in subsection (d), by striking ‘‘subsection 
(c)(3)’’ and inserting ‘‘subsection (c)’’; 
(3) by amending subsection (e) to read as fol-
lows: 
‘‘(e) ANNUAL REPORT.— 
‘‘(1) IN GENERAL.—Not later than February 1 
of each year, the Secretary shall submit to the Com-
mittee on Appropriations and the Committee on 
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Health, Education, Labor, and Pensions of the Sen-
ate, and the Committee on Appropriations and the 
Committee on Energy and Commerce of the House 
of Representatives, a report that describes— 
‘‘(A) with respect to the fiscal year that 
ended on September 30 of the previous year, 
the number of persons nominated for participa-
tion at meetings for each advisory committee, 
the number of persons so nominated, and will-
ing to serve, the number of vacancies on each 
advisory committee, and the number of persons 
contacted for service as members on each advi-
sory committee meeting for each advisory com-
mittee who did not participate because of the 
potential for such participation to constitute a 
disqualifying financial interest under section 
208 of title 18, United States Code; 
‘‘(B) with respect to such year, the number 
of persons contacted for services as members 
for each advisory committee meeting for each 
advisory committee who did not participate be-
cause of reasons other than the potential for 
such participation to constitute a disqualifying 
financial interest under section 208 of title 18, 
United States Code; 
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‘‘(C) with respect to such year, the number 
of members attending meetings for each advi-
sory committee; and 
‘‘(D) with respect to such year, the aggre-
gate number of disclosures required under sub-
section (d) and the percentage of individuals to 
whom such disclosures did not apply who served 
on such committee. 
‘‘(2) PUBLIC AVAILABILITY.—Not later than 30 
days after submitting any report under paragraph 
(1) to the committees specified in such paragraph, 
the Secretary shall make each such report available 
to the public.’’; and 
(4) in subsection (f), by striking ‘‘shall review 
guidance’’ and all that follows through the end of 
the subsection and inserting the following: ‘‘shall— 
‘‘(1) review guidance of the Food and Drug Ad-
ministration with respect to advisory committees re-
garding disclosure of conflicts of interest and the ap-
plication of section 208 of title 18, United States 
Code; and 
‘‘(2) update such guidance as necessary to en-
sure that the Food and Drug Administration re-
ceives appropriate access to needed scientific exper-
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tise, with due consideration of the requirements of 
such section 208.’’. 
(b) APPLICABILITY.—The amendments made by sub-
section (a) apply beginning on October 1, 2012. 
SEC. 603. ELECTRONIC SUBMISSION OF APPLICATIONS. 
Subchapter D of chapter VII (21 U.S.C. 379k et 
seq.) is amended by inserting after section 745 the fol-
lowing: 
‘‘SEC. 745A. ELECTRONIC FORMAT FOR SUBMISSIONS. 
‘‘(a) DRUGS AND BIOLOGICS.— 
‘‘(1) IN GENERAL.—Beginning no earlier than 
24 months after the issuance of a final guidance 
issued after public notice and opportunity for com-
ment, submissions under subsection (b), (i), or (j) of 
section 505 of this Act or subsection (a) or (k) of 
section 351 of the Public Health Service Act shall 
be submitted in such electronic format as specified 
by the Secretary in such guidance. 
‘‘(2) GUIDANCE CONTENTS.—In the guidance 
under paragraph (1), the Secretary may— 
‘‘(A) provide a timetable for establishment 
by the Secretary of further standards for elec-
tronic submission as required by such para-
graph; and 
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‘‘(B) set forth criteria for waivers of and 
exemptions from the requirements of this sub-
section. 
‘‘(3) EXCEPTION.—This subsection shall not 
apply to submissions described in section 561. 
‘‘(b) DEVICES.— 
‘‘(1) 
IN
GENERAL.—Beginning 
after 
the 
issuance of final guidance implementing this para-
graph, pre-submissions and submissions for devices 
under section 510(k), 513(f)(2)(A), 515(c), 515(d), 
515(f), 520(g), 520(m), or 564 of this Act or section 
351 of the Public Health Service Act, and any sup-
plements to such pre-submissions or submissions, 
shall include an electronic copy of such pre-submis-
sions or submissions. 
‘‘(2) GUIDANCE CONTENTS.—In the guidance 
under paragraph (1), the Secretary may— 
‘‘(A) provide standards for the electronic 
copy required under such paragraph; and 
‘‘(B) set forth criteria for waivers of and 
exemptions from the requirements of this sub-
section.’’. 
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SEC. 604. NOTIFICATION OF FDA INTENT TO REGULATE 
LABORATORY-DEVELOPED TESTS. 
The Food and Drug Administration may not issue 
any draft or final guidance on the regulation of laboratory- 
developed tests under the Federal Food, Drug, and Cos-
metic Act (21 U.S.C. 301 et seq.) without, at least 60 
days prior to such issuance— 
(1) notifying the Committee on Energy and 
Commerce of the House of Representatives and the 
Committee on Health, Education, Labor, and Pen-
sions of the Senate of the Administration’s intent to 
take such action; and 
(2) including in such notification the antici-
pated details of such action. 
TITLE VII—MEDICAL DEVICE 
REGULATORY IMPROVEMENTS 
Subtitle A—Premarket 
Predictability 
SEC. 701. INVESTIGATIONAL DEVICE EXEMPTIONS. 
Section 520(g) (21 U.S.C. 360j(g)) is amended— 
(1) in paragraph (2)(B)(ii), by inserting ‘‘safety 
or effectiveness’’ before ‘‘data obtained’’; and 
(2) in paragraph (4), by adding at the end the 
following: 
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‘‘(C) Consistent with paragraph (1), the Secretary 
shall not disapprove an application under this subsection 
because the Secretary determines that— 
‘‘(i) the investigation may not support a sub-
stantial equivalence or de novo classification deter-
mination or approval of the device; 
‘‘(ii) the investigation may not meet a require-
ment, including a data requirement, relating to the 
approval or clearance of a device; or 
‘‘(iii) an additional or different investigation 
may be necessary to support clearance or approval 
of the device.’’. 
SEC. 702. CLARIFICATION OF LEAST BURDENSOME STAND-
ARD. 
(a) PREMARKET APPROVAL.—Section 513(a)(3)(D) 
(21 U.S.C. 360c(a)(3)(D)) is amended— 
(1) by redesignating clause (iii) as clause (v); 
and 
(2) by inserting after clause (ii) the following: 
‘‘(iii) For purposes of clause (ii), the term ‘necessary’ 
means the minimum required information that would sup-
port a determination by the Secretary that an application 
provides reasonable assurance of the effectiveness of the 
device. 
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‘‘(iv) Nothing in this subparagraph shall alter the cri-
teria for evaluating an application for premarket approval 
of a device.’’. 
(b) PREMARKET NOTIFICATION UNDER SECTION 
510(k).—Section 513(i)(1)(D) (21 U.S.C. 360c(i)(1)(D)) 
is amended— 
(1) by striking ‘‘(D) Whenever’’ and inserting 
‘‘(D)(i) Whenever’’; and 
(2) by adding at the end the following: 
‘‘(ii) For purposes of clause (i), the term ‘necessary’ 
means the minimum required information that would sup-
port a determination of substantial equivalence between 
a new device and a predicate device. 
‘‘(iii) Nothing in this subparagraph shall alter the 
standard for determining substantial equivalence between 
a new device and a predicate device.’’. 
SEC. 703. AGENCY DOCUMENTATION AND REVIEW OF SIG-
NIFICANT DECISIONS. 
Chapter V is amended by inserting after section 517 
(21 U.S.C. 360g) the following: 
‘‘SEC. 517A. AGENCY DOCUMENTATION AND REVIEW OF 
SIGNIFICANT 
DECISIONS 
REGARDING 
DE-
VICES. 
‘‘(a) DOCUMENTATION OF RATIONALE FOR SIGNIFI-
CANT DECISIONS.— 
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‘‘(1) IN GENERAL.—The Secretary shall com-
pletely document the scientific and regulatory ration-
ale for any significant decision of the Center for De-
vices and Radiological Health regarding submission 
or review of a report under section 510(k), an appli-
cation under section 515, or an application for an 
exemption under section 520(g), including docu-
mentation of significant controversies or differences 
of opinion and the resolution of such controversies 
or differences of opinion. 
‘‘(2) PROVISION
OF
DOCUMENTATION.—Upon 
request, the Secretary shall furnish such complete 
documentation to the person who is seeking to sub-
mit, or who has submitted, such report or applica-
tion. 
‘‘(b) REVIEW OF SIGNIFICANT DECISIONS.— 
‘‘(1) REQUEST FOR SUPERVISORY REVIEW OF 
SIGNIFICANT DECISION.—Any person may request a 
supervisory review of the significant decision de-
scribed in subsection (a)(1). Such review may be 
conducted at the next supervisory level or higher 
above the individual who made the significant deci-
sion. 
‘‘(2) SUBMISSION OF REQUEST.—A person re-
questing a supervisory review under paragraph (1) 
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shall submit such request to the Secretary not later 
than 30 days after such decision and shall indicate 
in the request whether such person seeks an in-per-
son meeting or a teleconference review. 
‘‘(3) TIMEFRAME.— 
‘‘(A) IN GENERAL.—Except as provided in 
subparagraph (B), the Secretary shall schedule 
an in-person or teleconference review, if so re-
quested, not later than 30 days after such re-
quest is made. The Secretary shall issue a deci-
sion to the person requesting a review under 
this subsection not later than 45 days after the 
request is made under paragraph (1), or, in the 
case of a person who requests an in-person 
meeting or teleconference, 30 days after such 
meeting or teleconference. 
‘‘(B) 
EXCEPTION.—Subparagraph 
(A) 
shall not apply in cases that are referred to ex-
perts outside of the Food and Drug Adminis-
tration.’’. 
SEC. 704. TRANSPARENCY IN CLEARANCE PROCESS. 
(a) PUBLICATION
OF DETAILED DECISION SUM-
MARIES.—Section 520(h) (21 U.S.C. 360j(h)) is amended 
by adding at the end the following: 
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‘‘(5) Subject to subsection (c) and section 301(j), the 
Secretary shall regularly publish detailed decision sum-
maries for each clearance of a device under section 510(k) 
requiring clinical data.’’. 
(b) APPLICATION.—The requirement of section 
520(h)(5) of the Federal Food, Drug, and Cosmetic Act, 
as added by subsection (a), applies only with respect to 
clearance of a device occurring after the date of the enact-
ment of this Act. 
SEC. 705. DEVICE MODIFICATIONS REQUIRING PREMARKET 
NOTIFICATION PRIOR TO MARKETING. 
Section 510(n) (21 U.S.C. 360(n)) is amended by— 
(1) striking ‘‘(n) The Secretary’’ and inserting 
‘‘(n)(1) The Secretary’’; and 
(2) by adding at the end the following: 
‘‘(2)(A) Not later than 18 months after the en-
actment of this paragraph, the Secretary shall sub-
mit to the Committee on Energy and Commerce of 
the House of Representatives and the Committee on 
Health, Education, Labor, and Pensions of the Sen-
ate a report regarding when a premarket notification 
under subsection (k) should be submitted for a 
modification or change to a legally marketed device. 
The report shall include the Secretary’s interpreta-
tion of the following terms: ‘could significantly affect 
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the safety or effectiveness of the device’, ‘a signifi-
cant change or modification in design, material, 
chemical composition, energy source, or manufac-
turing process,’, and ‘major change or modification 
in the intended use of the device’. The report also 
shall discuss possible processes for industry to use to 
determine whether a new submission under sub-
section (k) is required and shall analyze how to le-
verage existing quality system requirements to re-
duce premarket burden, facilitate continual device 
improvement. and provide reasonable assurance of 
safety and effectiveness of modified devices. In de-
veloping such report, the Secretary shall consider the 
input of interested stakeholders. 
‘‘(B) The Secretary shall withdraw the Food 
and Drug Administration draft guidance entitled 
‘Guidance for Industry and FDA Staff—510(k) De-
vice Modifications: Deciding When to Submit a 
510(k) for a Change to an Existing Device’, dated 
July 27, 2011, and shall not use this draft guidance 
as part of, or for the basis of, any premarket review 
or any compliance or enforcement decisions or ac-
tions. The Secretary shall not issue— 
‘‘(i) any draft guidance or proposed regula-
tion that addresses when to submit a premarket 
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notification submission for changes and modi-
fications made to a manufacturer’s previously 
cleared device before the receipt by the Com-
mittee on Energy and Commerce of the House 
of Representatives and the Committee on 
Health, Education, Labor, and Pensions of the 
Senate of the report required in subparagraph 
(A); and 
‘‘(ii) any final guidance or regulation on 
that topic for one year after date of receipt of 
such report by the Committee on Energy and 
Commerce of the House of Representatives and 
the Committee on Health, Education, Labor, 
and Pensions of the Senate. 
‘‘(C) The Food and Drug Administration guid-
ance entitled ‘Deciding When to Submit a 510(k) for 
a Change to an Existing Device’, dated January 10, 
1997, shall be in effect until the subsequent issuance 
of guidance or promulgation, if appropriate, of a 
regulation described in subparagraph (B), and the 
Secretary shall interpret such guidance in a manner 
that is consistent with the manner in which the Sec-
retary has interpreted such guidance since 1997.’’. 
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Subtitle B—Patients Come First 
SEC. 711. ESTABLISHMENT OF SCHEDULE AND PROMULGA-
TION OF REGULATION. 
(a) ESTABLISHMENT OF SCHEDULE.—Not later than 
90 days after the date of enactment of this Act, the Sec-
retary of Health and Human Services shall establish the 
schedule referred to in section 515(i)(3) of the Federal 
Food, Drug, and Cosmetic Act (21 U.S.C. 360e(i)(3)). 
(b) REGULATION.—Not later than one year after the 
date that the schedule is established under such section 
515(i)(3) (as required by subsection (a)) the Secretary 
shall issue a final regulation under section 515(b) of such 
Act for each device that the Secretary requires to remain 
in class III through a determination under section 
515(i)(2) of such Act. 
SEC. 712. PROGRAM TO IMPROVE THE DEVICE RECALL SYS-
TEM. 
Chapter V is amended by inserting after section 518 
(21 U.S.C. 360h) the following: 
‘‘SEC. 518A. PROGRAM TO IMPROVE THE DEVICE RECALL 
SYSTEM. 
‘‘(a) IN GENERAL.—The Secretary shall— 
‘‘(1) establish a program to routinely and sys-
tematically assess information relating to device re-
calls and use such information to proactively identify 
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sroberts on DSK5SPTVN1PROD with BILLS