,,ii #aai? ,,congress #b;d ,session ,s4 #ejdc ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #ba1 #bjbf,mr4 ,budd introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to direct ! ,food & ,drug ,adm9i/ration to prev5t ! importation ( c\nt]feit1 unapprov$1 misbr&$1 or adult]at$ drugs f ! ,p's ,republic ( ,*9a or o!r =eign c\ntries1 to e/abli% enhanc$ safegu>ds = import$ drug products1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,secure ,drug ,supply ,*a9 ,act ( #bjbf4 #b4 ,purpose ,! purposes ( ?is ,act are-- 7#a7 to prev5t ! unlawful importation ( c\nt]feit1 unapprov$1 misbr&$1 or adult]at$ drugs f ! ,p's ,republic ( ,*9a & o!r c\ntries t are kn[n to engage 9 intellectual prop]ty !ft1 =c$ labor1 or ! di/ribution ( c\nt]feit & illicit ph>maceutical products t und]m9e ! public heal? & economic int]e/s ( ! ,unit$ ,/ates2 7#b7 to increase visibility into ! ,unit$ ,/ates ph>maceutical supply *a92 & 7#c7 to r$uce ! direct & indirect dep5d5ce ( ! ,unit$ ,/ates on active ph>maceutical +r$i5ts & key />t+ mat]ials s\rc$ f ! ,p's ,republic ( ,*9a or t are ( ,*9ese orig9 & s\rc$ ?r\gh ?ird c\ntries1 9 ord] to /r5g!n ! resili5ce ( ! ,unit$ ,/ates drug supply & protect public heal? & national security4 #c4 ,prev5tion ( importation ( unlawful c\nt]feit prescription & ov]-!-c\nt] drugs 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is ,act z ! ,secret>y7 %all utilize au?orities "u ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cja et seq47 to prev5t ! importation ( drugs1 includ+ active ph>maceutical +r$i5ts & key />t+ mat]ials1 t are c\nt]feit1 unapprov$1 misbr&$1 or adult]at$ & manufactur$1 prep>$1 propagat$1 comp\nd$1 & process$ 9 a =eign e/abli%m5t1 ) p>ticul> emphasis on prev5t+ importation ( su* drugs1 includ+ active ph>maceutical +r$i5ts & key />t+ mat]ials1 f ! ,p's ,republic ( ,*9a & o!r c\ntries t are designat$ z adv]s>ial by ! ,secret>y ( ,/ate4 7b7 ,en=cem5t actions ,9 c>ry+ out subsection 7a71 ! ,secret>y %all-- 7#a7 conduct compliance & en=cem5t actions direct$ at entities involv$ 9 ! manufacture1 prep>ation1 propagation1 comp\nd+1 process+1 or di/ribution ( unapprov$1 adult]at$1 or misbr&$ drugs1 includ+ active ph>maceutical +r$i5ts & key />t+ mat]ials1 t are (f]$ = import2 7#b7 9 coop]ation ) ! ,attorney ,g5]al1 initiate civil & crim9al en=cem5t actions1 includ+ injunctions & seizures1 "u sections #cja1 #cjb1 #cjc1 #cjd1 & #hja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cca1 #ccb1 #ccc1 #ccd1 #cha72 7#c7 refuse entry into ! ,unit$ ,/ates ( su* drugs1 includ+ active ph>maceutical +r$i5ts or key />t+ mat]ials2 & 7#d7 conduct inspections (1 or use alt]native tools ) respect to1 z appropriate1 facilities engag$ 9 comp\nd+ to monitor = unau?oriz$ receipt1 use1 or h&l+ ( drugs f ! ,p's ,republic ( ,*9a & o!r c\ntries designat$ z adv]s>ial by ! ,secret>y ( ,/ate t 7 import$ into ! ,unit$ ,/ates 9 violation ( applicable laws & regulations4 7c7 ,annual report+ ,beg9n+ ) fiscal ye> #bjbg1 n lat] ?an #ahj days aft] ! end ( ea* fiscal ye>1 ! ,secret>y %all submit a report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 detail+ en=cem5t actions describ$ 9 subsection 7b7 t 7 tak5 9 ! previ\s fiscal ye>1 includ+ in=mation on ! numb] & type ( drugs1 active ph>maceutical +r$i5ts1 & key />t+ mat]ials t 7 ! subjects ( su* actions dur+ ! previ\s fiscal ye>4 7d7 ,guidance2 recomm5dations ,n lat] ?an #ahj days aft] ! submission ( ea* report "u subsection 7c71 bas$ on ! in=mation compil$ 9 ! report1 ! ,secret>y %all-- 7#a7 issue or update guidance = import]s ( drugs to comply ) ! requirem5ts ( ?is ,act1 includ+ ! am5dm5ts made by ?is ,act2 & 7#b7 submit to ,congress legislative proposals relat+ to res\rces & policies t w\ld facilitate c>ry+ out ?is ,act1 includ+ ! am5dm5ts made by ?is ,act4 #d4 ,supply *a9 transp>5cy & resili5ce 7a7 ,report+ requirem5ts = active ph>maceutical +r$i5ts & key />t+ mat]ials 7#a7 ,9 g5]al ,section #eaj7;j77#c7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj7;j77#c77 is am5d$-- 7,a7 9 ! fir/ s5t5ce ( subp>agraph 7,a7-- 7i7 by /rik+ annually & ins]t+ qu>t]ly2 & 7ii7 by ins]t+ & ! in=mation describ$ 9 subp>agraph 7,c7 be=e ! p]iod at ! end2 & 7,b7 by add+ at ! end ! foll[+3 7,c7 7i7 ,! annual report requir$ "u subp>agraph 7,a7 %all include ! in=mation describ$ 9 clause 7ii7 ) respect to drugs1 9 accordance ) ! foll[+3 7,i7 ,9 ! #a-ye> p]iod beg9n+ on ! effective date ( ! f9al regulations describ$ 9 section #d7;c7 ( ! ,secure ,drug ,supply ,*a9 ,act ( #bjbf1 ! in=mation describ$ 9 clause 7ii7 %all be includ$ 9 ! report "u subp>agraph 7,a7 ) respect to any drug t-- 7aa7 is includ$ on ! ,ess5tial ,m$ic9es ,li/ ma9ta9$ by ! ,food & ,drug ,adm9i/ration pursuant to ,executive ,ord] #acidd 7#he ,f$4 ,reg4 #diibi72 & 7bb7 is a drug = :i* any active ph>maceutical +r$i5t1 key />t+ mat]ial1 or acquir$ int]m$iate is s\rc$ f ! ,p's ,republic ( ,*9a or ano!r =eign c\ntry ( conc]n4 7,,ii7 ,beg9n+ on ! day aft] ! la/ day ( ! #a-ye> p]iod describ$ 9 subclause 7,i71 ! in=mation describ$ 9 clause 7ii7 %all be includ$ 9 ! report "u subp>agraph 7,a7 if x is a drug = :i* any active ph>maceutical +r$i5t1 key />t+ mat]ial1 or acquir$ int]m$iate is s\rc$ f ! ,p's ,republic ( ,*9a or ano!r =eign c\ntry ( conc]n4 7ii7 ,! in=mation describ$ 9 ?is clause is ! foll[+1 z applicable3 7,i7 ,! id5tity ( ea* active ph>maceutical +r$i5t1 key />t+ mat]ial1 & acquir$ int]m$iate us$ by ! regi/rant to manufacture ! li/$ drug4 7,,ii7 ,! total am\nt ( ea* su* active ph>maceutical +r$i5t1 key />t+ mat]ial1 & acquir$ int]m$iate us$ by ! regi/rant to manufacture ! li/$ drug dur+ ! report+ p]iod1 express$ 9 su* units z ! ,secret>y %all specify4 7,,iii7 ,! c\ntry ( orig9 ( ea* su* active ph>maceutical +r$i5t1 key />t+ mat]ial1 & acquir$ int]m$iate1 includ+ ! "n1 address1 & unique facility id5tifi] 7z applicable7 ( ea* e/abli%m5t at :i* su* active ph>maceutical +r$i5t1 key />t+ mat]ial1 or acquir$ int]m$iate 0 manufactur$4 7iii7 ,in=mation report$ "u ?is subp>agraph %all include ! c\ntry ( orig9 )\t reg>d to any di/ribution or %ipm5t ?r\gh a c\ntry o!r ?an ! c\ntry ( orig94 7iv7 ,a p]son requir$ to report in=mation "u ?is subp>agraph %all ma9ta9 su* records & support+ docum5tation z ! ,secret>y %all require to v]ify ! accuracy & complet5ess ( in=mation submitt$ "u ?is p>agraph1 = a p]iod ( n less ?an #e ye>s1 & %all make su* records available to ! ,secret>y ^u reque/4 7,d7 ,n lat] ?an #ah mon?s aft] ! #a-ye> p]iod describ$ 9 subp>agraph 7,c77i77,i7 ends1 & annually !reaft]1 ! ,secret>y %all1 bas$ on ! reports submitt$ "u subp>agraph 7,a71 issue a confid5tial report to ,congress t-- 7i7 analyzes ,unit$ ,/ates vuln]abilities aris+ f dep5d5ce on active ph>maceutical +r$i5ts & key />t+ mat]ials s\rc$ f ! ,p's ,republic ( ,*9a or o!r =eign c\ntries ( conc]n1 includ+ any su* +r$i5ts or mat]ials ) orig9s 9 ! ,p's ,republic ( ,*9a or ano!r =eign c\ntry ( conc]n t are s\rc$ ?r\gh ?ird c\ntries2 7ii7 id5tifies ! proportion ( drugs manufactur$1 prep>$1 propagat$1 comp\nd$1 or process$ = comm]cial di/ribution 9 ! ,unit$ ,/ates t dep5d on active ph>maceutical +r$i5ts & key />t+ mat]ials s\rc$ f ! ,p's ,republic ( ,*9a or o!r =eign c\ntries ( conc]n1 disaggregat$ by c\ntry ( orig9 to ! ext5t practicable2 7iii7 det]m9es specific supply *a9 vuln]abilities1 includ+ drug classes or !rapeutic categories = :i* dep5d5ce on active ph>maceutical +r$i5ts & key />t+ mat]ials s\rc$ f ! ,p's ,republic ( ,*9a or ano!r =eign c\ntry ( conc]n1 poses a risk to public heal? or national security2 & 7iv7 tracks tr5ds ov] "t 9 dep5d5ce on active ph>maceutical +r$i5ts & key />t+ mat]ials s\rc$ f ! ,p's ,republic ( ,*9a or ano!r =eign c\ntry ( conc]n1 includ+ anonymiz$ aggregate data reflect+ increases or decreases 9 su* dep5d5ce4 7,e7 ,9 ?is p>agraph3 7i7 ,! t]m acquir$ int]m$iate means a mat]ial produc$ dur+ /eps 9 ! manufacture ( an active ph>maceutical +r$i5t t und]goes fur!r molecul> *ange or purification be=e x becomes an active ph>maceutical +r$i5t & is manufactur$ at an e/abli%m5t o!r ?an ! e/abli%m5t at :i* ! active ph>maceutical +r$i5t is manufactur$4 7ii7 ,! t]m c\ntry ( orig9 means1 ) respect to an active ph>maceutical +r$i5t1 key />t+ mat]ial1 or acquir$ int]m$iate1 ea* c\ntry 9 :i* su* +r$i5t1 int]m$iate1 or mat]ial 0 manufactur$ into its *emical id5tity ?r\gh *emical syn!sis1 f]m5tation1 extraction1 purification1 or o!r manufactur+ process includ+ ea* c\ntry at :i* su* active ph>maceutical +r$i5t1 key />t+ mat]ial1 or acquir$ int]m$iate 0 repackag$1 relabel$1 f9i%$1 bl5d$1 or te/$4 7iii7 ,! t]m =eign c\ntry ( conc]n has ! mean+ giv5 su* t]m 9 section #ajfab7;a7 ( ! ,rese>* & ,developm5t1 ,competition1 & ,innovation ,act4 4 7#b7 ,confid5tiality ,no?+ 9 ! am5dm5t made by p>agraph 7#a7 %all be con/ru$ z au?oriz+ ! ,secret>y to disclose any in=mation t is a trade secret or confid5tial in=mation subject to section #eeb7;b77#d7 ( title #e1 ,unit$ ,/ates ,code1 or section #aije ( title #ah1 ,unit$ ,/ates ,code4 7b7 ,regulatory gap analysis ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all id5tify & submit to ,congress a report describ+-- 7#a7 exi/+ regulatory au?orities available to ! ,secret>y to support or inc5tivize ! s\rc+ ( active ph>maceutical +r$i5ts & key />t+ mat]ials f c\ntries o!r ?an ! ,p's ,republic ( ,*9a1 or f s\rces ) no ,p's ,republic ( ,*9a orig9 cont5t2 & 7#b7 any defici5cies 9 exi/+ regulatory au?orities t limit ! ability ( ! ,secret>y to support or inc5tivize su* s\rc+1 toge!r ) recomm5dations = legislative or adm9i/rative action to address su* defici5cies4 7c7 ,regulations ,! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7#a7 n lat] ?an #ij days aft] ! date ( enactm5t ( ?is ,act1 issue propos$ regulations implem5t+ ! am5dm5ts made by subsection 7a72 & 7#b7 n lat] ?an #ahj days aft] issuance ( ! propos$ regulations describ$ 9 p>agraph 7#a71 f9alize su* regulations4 #e4 ,am5dm5ts to ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7a7 ,ban on imports ( drugs f e/abli%m5ts us+ =c$ labor or violat+ sanctions ,section #hja7;a7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cha7;a77 is am5d$1 9 ! ?ird s5t5ce-- 7#a7 by ins]t+ or 7#f7 su* article is a drug & ! safety ( su* drug is bas$ solely on in=mation or c]tifications provid$ by a =eign gov]nm5t1 includ+ any inspection describ$ 9 section #gjd7;i71 )\t r\t9e inspections conduct$ by ,unit$ ,/ates inspectors to v]ify compliance ) ?is ,act1 or 7#g7 su* article is a drug & 0 manufactur$1 prep>$1 propagat$1 comp\nd$1 process$ 9 an e/abli%m5t kn[n to h us$ =c$ labor 7z def9$ 9 section #cjg ( ! ,t>iff ,act ( #aicj7 or to h be5 9 violation ( sanctions impos$ by ! ,f$]al ,gov]nm5t "u ! ,int]national ,em]g5cy ,economic ,p[]s ,act or o!r applicable law1 z det]m9$ by ! ,secret>y 9 consultation ) ! ,secret>y ( ,homel& ,security1 aft] #cja7;cc712 & 7#b7 by /rik+ clauses 7#a7 ?r\gh 7#e7 & ins]t+ clauses 7#a7 ?r\gh 7#g74 7b7 ,de/ruction ( ,refus$ ,articles ,pres5t+ ,significant ,public ,heal? ,conc]ns ,section #hja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cha7 is am5d$ by add+ at ! end ! foll[+3 7v7 ,de/ruction ( refus$ articles pres5t+ significant public heal? conc]ns 7#a7 ,9 g5]al ,if ! ,secret>y det]m9es t an article t has be5 refus$ admission "u subsection 7a7 pres5ts a significant public heal? conc]n1 ! ,secret>y may issue to ! own] or consignee ( ! article an ord] to de/roy ! article1 )\t ! opportunity = export4 7#b7 ,deadl9e2 co/s ,n lat] ?an #ij days aft] ! issuance ( an ord] "u p>agraph 7#a71 ! own] or consignee %all de/roy ! article4 ,! own] or consignee %all be responsible = ! co/s ( su* de/ruction4 7#c7 ,due process ,! ,secret>y %all provide to ! own] or consignee ( an article subject to an ord] "u p>agraph 7#a7 appropriate due process prior to ! de/ruction ( ! article4 ,su* due process %all include notice & an opportunity to appe> be=e ! ,secret>y & introduce te/imony on ! de/ruction1 9 comb9ation ) ! notice & opportunity to appe> & introduce te/imony on ! refusal ( admission ( ! article "u subsection 7a7 or sep>ately4 4 7c7 ,prohibition on regi/ration ( c]ta9 =eign e/abli%m5ts ,section #eaj7;i7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj7;i77 is am5d$ by add+ at ! end ! foll[+3 7#f7 ,not)/&+ any o!r provision ( ?is section1 any e/abli%m5t t kn[+ly us$1 or p>tn]$ )1 contract$ )1 or pur*as$ f an entity t has us$1 =c$ labor 7z def9$ 9 section #cjg ( ! ,t>iff ,act ( #aicj7 or t kn[+ly violat$ sanctions impos$ by ! ,f$]al ,gov]nm5t "u ! ,int]national ,em]g5cy ,economic ,p[]s ,act or o!r applicable law1 z det]m9$ by ! ,secret>y 9 consultation ) ! ,secret>y ( ,homel& ,security1 %all n be eligible = regi/ration "u ?is section1 & ! ,secret>y %all revoke any regi/ration ( su* an e/abli%m5t t 0 accept$ prior to ! date ( enactm5t ( ! ,secure ,drug ,supply ,*a9 ,act ( #bjbf4 4 7d7 ,prohibit$ acts ,section #cja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cca7 is am5d$ by add+ at ! end ! foll[+3 7jjj7 ,! unau?oriz$ movem5t1 or introduction or deliv]y = introduction into int]/ate comm]ce1 includ+ export1 ( an article t is subject to an ord] = de/ruction "u section #hja7v74 7kkk7 ,! kn[+ provision ( a mat]ially false1 fictiti\s1 or fraudul5t /atem5t or repres5tation to ! ,secret>y t accompanies or relates to a drug import$ or (f]$ = import into ! ,unit$ ,/ates4 7lll7 ,! import or (f]+ = import into ! ,unit$ ,/ates ( a drug t previ\sly has be5 refus$ admission "u section #hja7;a7 or export$ dur+ ! p5d5cy ( a det5tion1 unless ! p]son reimport+ or re(f]+ ! drug affirmatively makes ref]5ce to ! orig9al refusal or det5tion & e/abli%es t ! drug complies ) ! applicable requirem5ts ( ?is ,act1 z det]m9$ by ! ,secret>y4 4 7e7 ,misbr&$ drugs ,section #ejb ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #ceb7 is am5d$ by add+ at ! end ! foll[+3 7hh7 ,if x is a drug1 includ+ an active ph>maceutical +r$i5t & key />t+ mat]ial1 import$ or (f]$ = import & ! drug is accompani$ by a mat]ially false1 fictiti\s1 or fraudul5t /atem5t or repres5tation kn[+ly made by ! p]son import+ ! drug or (f]+ ! drug = import4 4 7f7 ,adult]at$ drugs ,section #eja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cea7 is am5d$ by add+ at ! end ! foll[+3 7k7 ,if x is an active ph>maceutical +r$i5t t has n be5 approv$ z "p ( an application "u section #eje ( ?is ,act or #cea ( ! ,public ,heal? ,s]vice ,act1 or o!rwise approv$ or au?oriz$ = use 9 a drug or device1 & x 0 manufactur$1 prep>$1 propagat$1 comp\nd$1 or process$ 9-- 7#a7 an e/abli%m5t t 0 n inspect$ )9 ! imm$iately prec$+ #c-ye> p]iod2 or 7#b7 9 ! case ( an e/abli%m5t locat$ 9 a =eign c\ntry ) :i* ! ,secret>y has an arrangem5t or agreem5t "u section #hji to recognize ! inspection ( e/abli%m5ts by ! gov]nm5t or an ag5cy ( ! gov]nm5t ( su* c\ntry1 )9 ! imm$iately prec$+ #e-ye> p]iod4 7l7 ,if x is a drug t 0 manufactur$1 prep>$1 propagat$1 comp\nd$1 or process$ 9 an e/abli%m5t t ! ,secret>y1 9 consultation ) ! ,secret>y ( ,homel& ,security1 det]m9es-- 7#a7 kn[+ly utilizes =c$ labor 7z def9$ 9 section #cjg ( ! ,t>iff ,act ( #aicj72 or 7#b7 is 9 violation ( sanctions impos$ by ! ,f$]al ,gov]nm5t "u ! ,int]national ,em]g5cy ,economic ,p[]s ,act or o!r applicable law1 includ+ an e/abli%m5t t is designat$ to ! li/ ( specially designat$ nationals & block$ p]sons ma9ta9$ by ! ,(fice ( ,=eign ,assets ,control ( ! ,dep>tm5t ( ! ,treasury or own$ #ej p]c5t m or m1 directly or indirectly1 by "o or m su* designat$ p]sons4 4 7g7 ,regulations ,! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7#a7 n lat] ?an #ij days aft] ! date ( enactm5t ( ?is ,act1 issue propos$ regulations implem5t+ ! am5dm5ts made by ?is section2 & 7#b7 n lat] ?an #ahj days aft] issuance ( ! draft guidance describ$ 9 p>agraph 7#a71 f9alize su* guidance4 7h7 ,applicability ,! am5dm5ts made by ?is section %all apply beg9n+ on ! date t is #ahj days aft] ! f9al guidance "u section #f7b7 is issu$4 #f4 ,def9+ key />t+ mat]ial ,! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7#a7 n lat] ?an #ij days aft] ! date ( enactm5t ( ?is ,act1 issue draft guidance def9+ ! t]m key />t+ mat]ial = purposes ( ?is ,act & ! am5dm5ts made by ?is ,act2 & 7#b7 n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 issue f9al guidance def9+ su* t]m = su* purposes4