[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 7188 Reported in House (RH)]
<DOC>
Union Calendar No. 632
118th CONGRESS
2d Session
H. R. 7188
[Report No. 118-766]
To require the Secretary of Health and Human Services to conduct a
national, evidence-based education campaign to increase public and
health care provider awareness regarding the potential risks and
benefits of human cell and tissue products transplants, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
February 1, 2024
Mr. Moolenaar (for himself and Mrs. Dingell) introduced the following
bill; which was referred to the Committee on Energy and Commerce
November 22, 2024
Reported with an amendment, committed to the Committee of the Whole
House on the State of the Union, and ordered to be printed
[Strike out all after the enacting clause and insert the part printed
in italic]
[For text of introduced bill, see copy of bill as introduced on
February 1, 2024]
_______________________________________________________________________
A BILL
To require the Secretary of Health and Human Services to conduct a
national, evidence-based education campaign to increase public and
health care provider awareness regarding the potential risks and
benefits of human cell and tissue products transplants, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Shandra Eisenga Human Cell and
Tissue Product Safety Act''.
SEC. 2. DEFINITIONS.
In this Act:
(1) Human cell and tissue product.--The terms ``human cell
and tissue product'' and ``human cell and tissue products''
have the meaning given the term ``human cells, tissues, or
cellular or tissue-based products'' in section 1271.3(d) of
title 21, Code of Federal Regulations (or successor
regulations).
(2) Secretary.--The term ``Secretary'' means the Secretary
of Health and Human Services.
(3) Tissue reference group.--The term ``Tissue Reference
Group'' means the Tissue Reference Group of the Food and Drug
Administration.
SEC. 3. HUMAN CELL AND TISSUE PRODUCTS TRANSPLANT PUBLIC AWARENESS
CAMPAIGN.
The Secretary shall support the development and dissemination of
educational materials to inform health care professionals and other
appropriate professionals about issues surrounding--
(1) organ, tissue, and eye donation, including evidence-
based methods to approach patients and their families;
(2) the availability of any donor screening tests; and
(3) other relevant aspects of donation.
SEC. 4. REVIEW AND UPDATE OF EXISTING GUIDANCE.
The Secretary, acting through the Commissioner of Food and Drugs,
shall--
(1) not later than 1 year after the date of the enactment
of this Act, initiate an internal review of existing guidance
for determining eligibility of donors of human cell and tissue
products;
(2) not later than 3 years after the date of the enactment
of this Act, if appropriate--
(A) update the guidance titled ``Eligibility
Determination for Donors of Human Cells, Tissues, and
Cellular and Tissue-Based Products; Guidance for
Industry'' issued August 2007; and
(B) issue or update, as applicable, any guidance
for industry of the Food and Drug Administration that
includes--
(i) recommendations to reduce the risk of
transmission of mycobacterium tuberculosis by
human cells, tissues, and cellular and tissue-
based products (HCT/Ps); or
(ii) recommendations to reduce the risk of
transmission of disease agents associated with
sepsis for donors of human cells, tissues, and
cellular and tissue-based products (HCT/Ps);
and
(3) if the Secretary determines that issuing or updating
guidance as specified in paragraph (2) is not appropriate,
provide a written statement of explanation of that
determination to the Committee on Energy and Commerce of the
House of Representatives and the Committee on Health,
Education, Labor, and Pensions of the Senate.
SEC. 5. CIVIL PENALTIES FOR VIOLATION OF REQUIREMENTS FOR HUMAN CELL
AND TISSUE PRODUCTS.
Section 368 of the Public Health Service Act (42 U.S.C. 271) is
amended by adding at the end the following:
``(d)(1) Any person who, on or after the date of the enactment of
the Shandra Eisenga Human Cell and Tissue Product Safety Act, violates
a requirement of subparts C or D of section 1271 of title 21, Code of
Federal Regulations, (or successor regulations) with respect to human
cell or tissue products regulated under section 361 shall be liable to
the United States for a civil penalty in an amount not to exceed the
sum of--
``(A)(i) $20,000 for each violation; and
``(ii) in the case of a violation that continues after the
Secretary provides written notice to such person, $20,000 for
each subsequent day on which the violation continues; and
``(B) an amount equal to the retail value of the human cell
and tissue products that are the subject of the violation.
``(2) The total civil penalty under paragraph (1) may not exceed
$10,000,000 for all such violations adjudicated in a single proceeding.
``(3) In this subsection, the term `human cell and tissue products'
has the meaning given the term `human cells, tissues, or cellular or
tissue-based products' in section 1271.3(d) of title 21, Code of
Federal Regulations (or successor regulations).''.
SEC. 6. STREAMLINING REGULATORY OVERSIGHT OF HUMAN CELL AND TISSUE
PRODUCTS.
(a) Information on Human Cell and Tissue Products.--
(1) Website.--The Secretary, acting through the
Commissioner of Food and Drugs, shall publish on the public
website of the Food and Drug Administration--
(A) educational materials about the Tissue
Reference Group; and
(B) best practices for obtaining a timely, accurate
recommendation regarding human cell and tissue products
from the Tissue Reference Group.
(2) Public information.--Not later than 1 year after the
date of the enactment of this Act, and annually for the
subsequent 3 years, the Secretary, acting through the
Commissioner of Food and Drugs, shall publish on the public
website of the Food and Drug Administration--
(A) the number of human cell and tissue
establishments that registered with the Food and Drug
Administration on or after January 1, 2019;
(B) the number of inspections conducted by the Food
and Drug Administration of human cell and tissue
establishments on or after January 1, 2019, including a
comparison of the number of inspections for blood
establishments with the number of inspections for such
human cell and tissue establishments;
(C) the number and type of inquiries to the Tissue
Reference Group in the preceding year; and
(D) the average response time for submissions to
the Tissue Reference Group in the preceding year,
including average initial and final response time.
(3) Education.--The Secretary, acting through the
Commissioner of Food and Drugs, shall, with respect to the
regulation of human cell and tissue products--
(A) provide information to relevant stakeholders,
including industry, tissue establishments, academic
health centers, biomedical consortia, research
organizations, and patients; and
(B) conduct workshops and other interactive and
educational sessions for such stakeholders to help
support regulatory predictability and scientific
advancement, as appropriate.
(b) Human Cell and Tissue Product Scientific and Regulatory
Updates.--Section 3205 of the Food and Drug Omnibus Reform Act of 2022
(title III of division FF of Public Law 117-328) is amended by striking
``best practices'' and all that follows through ``other cellular
therapies'' and inserting ``best practices on generating scientific
data necessary to further facilitate the development of certain human
cell-, tissue-, and cellular-based medical products (and the latest
scientific information about such products), namely, stem cell and
other cellular therapies''.
(c) Public Docket.--Not later than 60 days after the date of the
enactment of this Act, the Secretary shall establish a public docket to
receive written comments related to--
(1) the approaches recommended for discussion during the
public workshop described in section 3205 of the Food and Drug
Omnibus Reform Act of 2022 (title III of division FF of Public
Law 117-328); and
(2) modernizing the regulation of human cell and tissue
products, including considerations associated with assessing
minimal manipulation and homologous use (as such terms are
defined in section 1271.3 of title 21, Code of Federal
Regulations (or successor regulations)) of human cell and
tissue products.
(d) Report to Congress.--Not later than September 30, 2026, the
Secretary shall summarize the approaches discussed in the public
workshop described in section 3205 of the Food and Drug Omnibus Reform
Act of 2022 (title III of division FF of Public Law 117-328) and the
public docket described in subsection (c), and develop recommendations
regarding the regulation of human cell and tissue products, including
provisions under sections 1271.10(a) and 1271.3 of title 21, Code of
Federal Regulations, taking into account--
(1) regulatory burden;
(2) scientific developments;
(3) access to human cell and tissue products regulated
under section 361 of the Public Health Service Act (42 U.S.C.
264); and
(4) protecting public health.
Union Calendar No. 632
118th CONGRESS
2d Session
H. R. 7188
[Report No. 118-766]
_______________________________________________________________________
A BILL
To require the Secretary of Health and Human Services to conduct a
national, evidence-based education campaign to increase public and
health care provider awareness regarding the potential risks and
benefits of human cell and tissue products transplants, and for other
purposes.
_______________________________________________________________________
November 22, 2024
Reported with an amendment, committed to the Committee of the Whole
House on the State of the Union, and ordered to be printed