<section xmlns="http://xml.house.gov/schemas/uslm/1.0" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" id="id1c6ec180-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d"><num value="356d">§ 356d.</num><heading> Coordination; task force and strategic plan</heading><subsection class="indent0" id="id1c6ec181-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a"><num value="a">(a)</num><heading> Task force and strategic plan</heading><paragraph class="indent1" id="id1c6ec182-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/1"><num value="1">(1)</num><heading> In general</heading><subparagraph class="indent2" id="id1c6ee893-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/1/A"><num value="A">(A)</num><heading> Task force</heading><content><p style="-uslm-lc:I13" class="indent2">As soon as practicable after <date date="2012-07-09">July 9, 2012</date>, the Secretary shall establish a task force to develop and implement a strategic plan for enhancing the Secretary’s response to preventing and mitigating drug shortages.</p>
</content>
</subparagraph>
<subparagraph class="indent2" id="id1c6ee894-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/1/B"><num value="B">(B)</num><heading> Strategic plan</heading>
<chapeau style="-uslm-lc:I13" class="blockIndent2">The strategic plan described in subparagraph (A) shall include—</chapeau><clause class="indent3" id="id1c6ee895-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/1/B/i"><num value="i">(i)</num><content> plans for enhanced interagency and intra-agency coordination, communication, and decisionmaking;</content>
</clause>
<clause class="indent3" id="id1c6ee896-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/1/B/ii"><num value="ii">(ii)</num><content> plans for ensuring that drug shortages are considered when the Secretary initiates a regulatory action that could precipitate a drug shortage or exacerbate an existing drug shortage;</content>
</clause>
<clause class="indent3" id="id1c6ee897-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/1/B/iii"><num value="iii">(iii)</num><content> plans for effective communication with outside stakeholders, including who the Secretary should alert about potential or actual drug shortages, how the communication should occur, and what types of information should be shared;</content>
</clause>
<clause class="indent3" id="id1c6ee898-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/1/B/iv"><num value="iv">(iv)</num><content> plans for considering the impact of drug shortages on research and clinical trials; and</content>
</clause>
<clause class="indent3" id="id1c6f0fa9-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/1/B/v"><num value="v">(v)</num><content> an examination of whether to establish a “qualified manufacturing partner program”, as described in subparagraph (C).</content>
</clause>
</subparagraph>
<subparagraph class="indent2" id="id1c6f0faa-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/1/C"><num value="C">(C)</num><heading> Description of program</heading>
<chapeau style="-uslm-lc:I13" class="blockIndent2">In conducting the examination of a “qualified manufacturing partner program” under subparagraph (B)(v), the Secretary—</chapeau><clause class="indent3" id="id1c6f0fab-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/1/C/i"><num value="i">(i)</num><chapeau> shall take into account that—</chapeau><subclause class="indent4" id="id1c6f0fac-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/1/C/i/I"><num value="I">(I)</num><content> a “qualified manufacturer”, for purposes of such program, would need to have the capability and capacity to supply products determined or anticipated to be in shortage; and</content>
</subclause>
<subclause class="indent4" id="id1c6f0fad-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/1/C/i/II"><num value="II">(II)</num><content> in examining the capability and capacity to supply products in shortage, the “qualified manufacturer” could have a site that manufactures a drug listed under <ref href="/us/usc/t21/s356e">section 356e of this title</ref> or have the capacity to produce drugs in response to a shortage within a rapid timeframe; and</content>
</subclause>
</clause>
<clause class="indent3" id="id1c6f0fae-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/1/C/ii"><num value="ii">(ii)</num><content> shall examine whether incentives are necessary to encourage the participation of “qualified manufacturers” in such a program.</content>
</clause>
</subparagraph>
<subparagraph class="indent2" id="id1c6f36bf-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/1/D"><num value="D">(D)</num><heading> Consultation</heading><content><p style="-uslm-lc:I13" class="indent2">In carrying out this paragraph, the task force shall ensure consultation with the appropriate offices within the Food and Drug Administration, including the Office of the Commissioner, the Center for Drug Evaluation and Research, the Office of Regulatory Affairs, and employees within the Department of Health and Human Services with expertise regarding drug shortages. The Secretary shall engage external stakeholders and experts as appropriate.</p>
</content>
</subparagraph>
</paragraph>
<paragraph class="indent1" id="id1c6f36c0-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/2"><num value="2">(2)</num><heading> Timing</heading>
<chapeau style="-uslm-lc:I12" class="blockIndent1">Not later than 1 year after <date date="2012-07-09">July 9, 2012</date>, the task force shall—</chapeau><subparagraph class="indent2" id="id1c6f36c1-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/2/A"><num value="A">(A)</num><content> publish the strategic plan described in paragraph (1); and</content>
</subparagraph>
<subparagraph class="indent2" id="id1c6f36c2-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/a/2/B"><num value="B">(B)</num><content> submit such plan to Congress.</content>
</subparagraph>
</paragraph>
</subsection>
<subsection class="indent0" id="id1c6f36c3-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/b"><num value="b">(b)</num><heading> Communication</heading><content><p style="-uslm-lc:I11" class="indent0">The Secretary shall ensure that, prior to any enforcement action or issuance of a warning letter that the Secretary determines could reasonably be anticipated to lead to a meaningful disruption in the supply in the United States of a drug described under <ref href="/us/usc/t21/s356c/a">section 356c(a) of this title</ref>, there is communication with the appropriate office of the Food and Drug Administration with expertise regarding drug shortages regarding whether the action or letter could cause, or exacerbate, a shortage of the drug.</p>
</content>
</subsection>
<subsection class="indent0" id="id1c6f5dd4-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/c"><num value="c">(c)</num><heading> Action</heading><content><p style="-uslm-lc:I11" class="indent0">If the Secretary determines, after the communication described in subsection (b), that an enforcement action or a warning letter could reasonably cause or exacerbate a shortage of a drug described under <ref href="/us/usc/t21/s356c/a">section 356c(a) of this title</ref>, then the Secretary shall evaluate the risks associated with the impact of such shortage upon patients and those risks associated with the violation involved before taking such action or issuing such letter, unless there is imminent risk of serious adverse health consequences or death to humans.</p>
</content>
</subsection>
<subsection class="indent0" id="id1c6f5dd5-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/d"><num value="d">(d)</num><heading> Reporting by other entities</heading><content><p style="-uslm-lc:I11" class="indent0">The Secretary shall identify or establish a mechanism by which health care providers and other third-party organizations may report to the Secretary evidence of a drug shortage.</p>
</content>
</subsection>
<subsection class="indent0" id="id1c6f5dd6-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/e"><num value="e">(e)</num><heading> Review and construction</heading>
<chapeau style="-uslm-lc:I11" class="blockIndent0">No determination, finding, action, or omission of the Secretary under this section shall—</chapeau><paragraph class="indent1" id="id1c6f5dd7-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/e/1"><num value="1">(1)</num><content> be subject to judicial review; or</content>
</paragraph>
<paragraph class="indent1" id="id1c6f84e8-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/e/2"><num value="2">(2)</num><content> be construed to establish a defense to an enforcement action by the Secretary.</content>
</paragraph>
</subsection>
<subsection class="indent0" id="id1c6f84e9-f63b-11e2-8470-abc29ba29c4d" identifier="/us/usc/t21/s356d/f"><num value="f">(f)</num><heading> Sunset</heading><content><p style="-uslm-lc:I11" class="indent0">Subsections (a), (b), (c), and (e) shall cease to be effective on the date that is 5 years after <date date="2012-07-09">July 9, 2012</date>.</p>
</content>
</subsection>
<sourceCredit id="id1c6f84ea-f63b-11e2-8470-abc29ba29c4d">
(<ref href="/us/act/1938-06-25/ch675/s506D">June 25, 1938, ch. 675, § 506D</ref>, as added <ref href="/us/pl/112/144/s1003">Pub. L. 112–144, title X, § 1003</ref>, <date date="2012-07-09">July 9, 2012</date>, <ref href="/us/stat/126/1103">126 Stat. 1103</ref>.)</sourceCredit>
</section>