,,ii #aae? ,,congress #b;d ,session ,s4 #bfia ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,april #ag1 #bjah ,mr4 ,s&]s 7= himself & ,ms4 ,h>ris7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to hold ph>maceutical companies acc\ntable = illegal m>ket+ & di/ribution ( opioid products & = _! role 9 creat+ & exac]bat+ ! opioid epidemic 9 ! ,unit$ ,/ates4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,opioid ,crisis ,acc\ntability ,act ( #bjah4 #b4 ,prohibition ( illegal m>ket+ & di/ribution practices ) respect to opioids 7a7 ,9 g5]al ,section #cjc ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #ccc7 is am5d$ by add+ at ! end ! foll[+3 7h7 7#a7 ,9 ?is subsection1 ! t]m illegal m>ket+ or di/ribution practice ) respect to an opioid means-- 7,a7 includ+ 9 any adv]tisem5t1 promotion1 direct-to-consum] m>ket+ mat]ials1 or o!r m>ket+ mat]ial a repres5tation t an opioid has no addiction-=m+ or addiction-su/a9+ liability or has less ( an addiction-=m+ or addiction-su/a9+ liability ?an "o or m o!r opioids1 kn[+ ! repres5tation to be false1 z det]m9$ by ! ,secret>y1 9 consultation ) ! ,commission]1 bas$ on rese>*1 te/imonials1 & o!r evid5ce2 7,b7 supply+ ,/ates or communities ) a quantity ( opioids t is n m$ically reasonable1 z det]m9$ by ! ,secret>y1 9 consultation ) ! ,attorney ,g5]al us+1 if applicable1 data f ! ,automat$ ,reports & ,consolidat$ ,ord]+ ,sy/em ( ! ,dep>tm5t ( ,ju/ice2 or 7,c7 fail+ to report to ! ,secret>y any ord] or patt]n ( ord]s = ! di/ribution ( opioids t w\ld cause a reasonable p]son to believe ! opioids 7 n be+ disp5s$ 9 a m$ically reasonable mann]4 7#b7 ,x %all be unlawful = any p]son :o manufactures or di/ributes an opioid to engage 9 an illegal m>ket+ or di/ribution practice ) respect to an opioid4 7#c7 7,a7 ,any p]son :o violates p>agraph 7#b7-- 7i7 if a natural p]son employ$ by an opioid manufactur] or di/ributor1 %all be-- 7,i7 subject to a civil p5alty 9 an am\nt equal to ! sum (-- 7aa7 su* p]son's full am\nt ( sal>y = ea* ye> dur+ :i* su* p]son engag$ 9 illegal m>ket+ or di/ribution practices ) respect to an opioid product2 & 7bb7 ! am\nt by :i* ! /ock or o!r c]tificates ( own]%ip int]e/ ( ! p]son t is own$ by ! individual has increas$ 9 value dur+ ! p]iod dur+ :i* su* p]son engag$ 9 illegal m>ket+ or di/ribution practices ( an opioid product1 )\t reg>d to :e!r ! individual has sold any ( ! /ock or c]tificates f su* opioid manufactur] or di/ributor2 & 7,,ii7 ) respect to a violation t occurs on or aft] ! date ( enactm5t ( ! ,opioid ,crisis ,acc\ntability ,act ( #bjah1 subject to ! p]iod ( imprisonm5t specifi$ "u section #dja ( ! ,controll$ ,sub/ances ,act t w\ld be applicable = a violation ( subsection 7a7 ( su* section t involv$ ! quantity ( opioids t 7 involv$ 9 ! illegal m>ket+ or di/ribution practices ) respect to an opioid2 7ii7 if n a natural p]son1 %all be subject to a civil p5alty 9 ! am\nt equal to ! sum (-- 7,i7 #g1hjj1jjj1jjj2 plus 7,,ii7 #be p]c5t ( ! total pr(it su* p]son made on lawful sales ( opioids 9 ! ,unit$ ,/ates dur+ ! p]iod 9 :i* ! p]son engag$ 9 illegal m>ket+ or di/ribution practices4 7,b7 ,if a p]son t is n a natural p]son violates p>agraph 7#b71 ! c\rt1 )\t reg>d to ! p>ticipation ( su* individuals 91 or k ( su* individuals (1 ! violation1 %all-- 7i7 impose on ! *ief executive (fic] 7or equival5t7 ( ! p]son a civil p5alty 9 an am\nt equal to ! sum (-- 7,i7 ! sal>y ( ! individual dur+ ! p]iod 9 :i* ! p]son engag$ 9 illegal m>ket+ or di/ribution practices & su* individual s]v$ z *ief executive (fice2 & 7,,ii7 ! am\nt by :i* ! /ock or o!r c]tificates ( own]%ip int]e/ ( ! p]son t is own$ by ! individual has increas$ 9 value dur+ ! p]iod t ! p]son engag$ 9 illegal m>ket+ or di/ribution practices & su* individual s]v$ z *ief executive (fic]1 )\t reg>d to :e!r ! individual has sold any ( ! /ock or c]tificates2 7ii7 impose on any executive o!r ?an ! *ief executive (fic] 7or equival5t7 :o l$ ! f9ance1 rese>*1 m>ket+1 or sales dep>tm5t ( ! p]son a civil p5alty 9 ! am\nt equal to ! sum (-- 7,i7 #be p]c5t ( ! sal>y ( ! individual dur+ ! p]iod t ! p]son engag$ 9 illegal m>ket+ or di/ribution practices & su* individual s]v$ z su* an executive2 & 7,,ii7 #be p]c5t ( ! am\nt by :i* ! /ock or o!r c]tificates ( own]%ip int]e/ ( ! p]son t is own$ by ! individual has increas$ 9 value dur+ ! p]iod t ! p]son engag$ 9 illegal m>ket+ or di/ribution practices & su* individual s]v$ z su* an executive1 )\t reg>d to :e!r ! individual has sold any ( ! /ock or c]tificates2 & 7iii7 impose on any executive1 includ+ ! *ief executive (fic] 7or equival5t7 :o l$ ! f9ance1 rese>*1 m>ket+1 or sales dep>tm5t ( ! p]son dur+ ! cal5d> ye> 9 :i* a c\rt ent]s a judgm5t t ! p]son violat$ p>agraph 7#b7 & :o is n subject to a civil p5alty "u clause 7i7 or 7ii71 a civil p5alty 9 ! am\nt equal to ! sum (-- 7,i7 #be p]c5t ( ! sal>y ( ! individual dur+ ! cal5d> ye> 9 :i* a c\rt ent]s su* judgm5t2 & 7,,ii7 #be p]c5t ( ! am\nt by :i* ! /ock or o!r c]tificates ( own]%ip int]e/ ( ! p]son t is own$ by ! individual has increas$ 9 value dur+ ! cal5d> ye> 9 :i* a c\rt ent]s su* judgm5t4 7,c7 ,any p]son describ$ 9 clause 7i7 or 7ii7 ( subp>agraph 7,a7 %all be requir$ to issue a public /atem5t apologiz+ = _! role 9 creat+1 su/a9+1 & exac]bat+ ! opioid epidemic 9 ! ,unit$ ,/ates4 4 7b7 ,inve/igation2 retroactive effect 7#a7 ,inve/igation ,imm$iately aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,commission] ( ,food & ,drugs & 9 consultation ) ! ,attorney ,g5]al1 act+ ?r\gh ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration1 %all beg9 inve/igat+ all opioid manufactur]s & all executives employ$ by su* manufactur]s to det]m9e :e!r any su* manufactur]s or executives1 at any "t be=e or aft] su* date ( enactm5t1 violat$ subsection 7h77#b7 ( section #cjc ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #ccc7 7z add$ by subsection 7a774 7#b7 ,retroactive effect ,subsection 7h77#b7 ( section #cjc ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #ccc7 7z add$ by subsection 7a77 %all take effect on ,janu>y #a1 #aihe1 & %all h retroactive effect4 7c7 ,reimbursem5t ( economic impact 7#a7 ,e/abli%m5t ( fund ,!re is e/abli%$ 9 ! ,treasury ( ! ,unit$ ,/ates a fund1 to be kn[n z ! ,opioids ,reimbursem5t ,fund 7ref]r$ to 9 ?is subsection z ! ,fund71 to be adm9i/]$ by ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is subsection z ! ,secret>y71 9 consultation ) ! ,commission] ( ,food & ,drugs4 7#b7 ,transf]s to ! ,fund ,9 a mann] consi/5t ) section #ccjb7;b7 ( title #ca1 ,unit$ ,/ates ,code1 !re %all be transf]r$ to ! ,fund f ! ,g5]al ,fund ( ! ,treasury an am\nt equal to ! am\nt ( ! civil p5alties collect$ "u subsection 7h77#c7 ( section #cjc ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #ccc7 7z add$ by subsection 7a771 :i* %all rema9 available until exp5d$4 7#c7 ,use ( funds 7,a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,commission] ( ,food & ,drugs1 may1 )\t fur!r appropriation1 use am\nts 9 ! ,fund to combat ! abuse ( opioids 9 ! ,unit$ ,/ates1 :i* may include transf]r+ am\nts f ! ,fund to o!r ag5cies to c>ry out programs1 projects1 & activities ( ! ag5cies to combat ! abuse ( opioids 9 ! ,unit$ ,/ates4 7,b7 ,priority ,9 us+ am\nts 9 ! ,fund1 ! ,secret>y %all give priority to provid+ funds =-- 7i7 programs1 projects1 & activities ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,dep>tm5t ( ,labor1 & ! ,dep>tm5t ( ,ju/ice2 7ii7 programs1 projects1 & activities t provide s]vices to individuals directly affect$ by ! abuse ( opioids 7includ+ family memb]s ( su* individuals72 7iii7 programs1 projects1 & activities ( ! ,dep>tm5t ( ,education relat$ to national activities = s*ool safety1 includ+ su* activities au?oriz$ "u section #dfca ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #gbha7 to help ,/ate & local educational ag5cies implem5t evid5ce-bas$ opioid-abuse prev5tion /rategies = s*ools 9 communities impact$ by ! opioid crisis1 & p>ticul>ly = any applicant :o describes h[ su* applicant w\ld use ! funds to prev5t opioid abuse by /ud5ts & address ! m5tal heal? ne$s ( /ud5ts affect$ by opioid abuse ) _! families or communities2 & 7iv7 ,head ,/>t programs1 includ+ ,e>ly ,head ,/>t programs1 "u ! ,head ,/>t ,act 7#db ,u4,s4,c4 #ihca et seq471 to provide additional qualifi$ *ild c>e provid]s tra9$ 9 trauma-in=m$ c>e 9 ,/ates ) ! l>ge/ numb] ( *ildr5 & families affect$ by ! opioid crisis 9 _! communities4 7,c7 ,availability ,am\nts transf]r$ to an ag5cy "u subp>agraph 7,a7 %all rema9 available until exp5d$4 #c4 ,r$uc$ exclusivity 7a7 ,9 g5]al ,if a drug manufactur] violates subsection 7h77#b7 ( section #cjc ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #ccc7 7z add$ by section #b7 ) respect to a cov]$ opioid1 effective on ! date on :i* su* manufactur] is f\nd to h s violat$ su* section-- 7#a7 any rema9+ p]iod ( m>ket exclusivity ) respect to su* cov]$ opioid %all be revok$2 7#b7 ! p]iod ( m>ket exclusivity ) respect to any o!r opioid = :i* su* manufactur] is ! hold] ( an approv$ application "u section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 or a lic5se "u section #cea ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb7 %all be r$uc$ to "o-half ( ! rema9+ p]iod ( m>ket exclusivity2 & 7#c7 no new or additional exclusivity %all be aw>d$ to any opioid = :i* an application is submitt$ by su* manufactur] = approval "u section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 or "u section #cea ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb7 or m>ket$ z a result ( product hopp+4 7b7 ,def9itions ,= purposes ( ?is section3 7#a7 ,cov]$ opioid ,a cov]$ opioid is a prescription opioid drug1 ! sales ( :i* 9 ! ,unit$ ,/ates1 beg9n+ on ! date on :i* ! drug 0 fir/ eligible to be m>ket$ 9 ! ,unit$ ,/ates & end+ on ! date on :i* ! manufactur] 0 f\nd to be 9 violation ( subsection 7h77#b7 ( section #cjc ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #ccc71 has g5]at$ at lea/ #a4 7#b7 ,p]iod ( m>ket exclusivity ,! t]m p]iod ( m>ket exclusivity ) respect to a drug means ! total p]iod ( m>ket exclusivity grant$ "u clause 7ii71 7iii71 or 7iv7 ( section #eje7;c77#c77;,e7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7;c77#c77;,e771 section #eje7;j77#e77;,b77iv7 ( su* ,act1 clause 7ii71 7iii71 or 7iv7 ( section #eje7;j77#e77;,f7 ( su* ,act1 section #ebg ( su* ,act1 or section #cea7k77#g7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb7k77#g771 & any ext5sion ( su* a p]iod grant$ "u section #eje;,a or #eje;,e ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee;a1 #cee;f74 7#c7 ,product hopp+ ,! t]m product hopp+ means a re=mulation ( an approv$ drug or biological product t all[s a manufactur] to submit a new drug application "u section #eje7;b7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7;b77 or new application = a lic5se "u section #cea7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb7;a77 & t-- 7,a7 is int5d$ = ! treatm5t ( ! same m$ical condition z ! drug or biological product t 0 orig9ally s approv$2 & 7,b7 is und]tak5 9 conjunction ) ! sponsor's actions to r$uce or elim9ate dem& = ! orig9al =mulation ( ! drug or biological product4 #d4 ,p5alty ) respect to opioids develop$ us+ ,f$]al fund+ ,if a drug manufactur] or di/ributor violates subsection 7h77#b7 ( section #cjc ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #ccc7 7z add$ by section #b7 ) respect to an opioid t 0 develop$ ) ! support ( ,f$]al fund+1 9 addition to ! applicable p5alties "u su* subsection 7h71 su* manufactur] or di/ributor %all be subject to a civil p5alty 9 an am\nt equal to ! sum (-- 7#a7 su* ,f$]al fund+1 reg>dless ( :e!r ! ,f$]al fund+ 0 receiv$ by ! manufactur] or di/ributor or ano!r entity2 plus 7#b7 #be p]c5t ( ! total pr(it su* manufactur] or di/ributor receiv$ 9 connection ) manufactur+ or di/ribut+ su* opioid4 #e4 ,treatm5t ( c]ta9 tax cr$its = violators ( illegal m>ket+ & di/ribution practices ) respect to opioids 7a7 ,9 g5]al ,section #da ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new subsection3 7i7 ,treatm5t ( c]ta9 taxpay]s violat+ illegal m>ket+ & di/ribution practices ) respect to opioids 7#a7 ,9 g5]al ,9 ! case ( any taxpay] :o has engag$ 9 an illegal m>ket+ or di/ribution practice ) respect to an opioid 7)9 ! mean+ ( section #cjc7;h7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #ccc77-- 7,a7 no cr$it %all be all[$ "u subsection 7a71 section #de;,c7a71 or section #caaa7;f7 = any taxable ye> 9 ! applicable p]iod1 & 7,b7 ! taxpay]'s tax "u ?is *apt] = ! taxable ye> describ$ 9 p>agraph 7#b77;,a7 %all be increas$ by an am\nt equal to ! am\nt ( cr$its all[$ to su* taxpay] by reason ( subsection 7a71 section #de;,c7a71 & section #caaa7;f7 = ! p]iod describ$ 9 p>agraph 7#b77;,b74 7#b7 ,applicable p]iod ,= purposes ( ?is subsection1 ! t]m applicable p]iod means ! p]iod ( taxable ye>s :i*-- 7,a7 beg9s ) ! taxable ye> 9 :i* a civil p5alty has be5 impos$ = an illegal m>ket+ or di/ribution practice ) respect to an opioid "u section #cjc7;h77#c7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act1 & 7,b7 has a duration equal to ! numb] ( taxable ye>s 9 ! p]iod t beg9s ) ! fir/ day on :i* ! illegal m>ket+ or di/ribution practice ) respect to ! opioid occurr$ & ends on ! e>li] ( date on :i*-- 7i7 ! illegal m>ket+ or di/ribution practice ) respect to ! opioid p]man5tly ceas$1 or 7ii7 ! date on :i* ! civil p5alty describ$ 9 subp>agraph 7,a7 is impos$4 ,= purposes ( subp>agraph 7,b71 any portion ( a taxable ye> t is less ?an a :ole taxable ye> %all be treat$ z a :ole taxable ye>4 4 7b7 ,effective date ,! am5dm5ts made by ?is section %all apply to taxable ye>s end+ aft] ! date ( ! enactm5t ( ?is ,act4