[Senate Prints 114-27] [From the U.S. Government Publishing Office] 114th Congress } { S. Prt. COMMITTEE PRINT 2nd Session } { 114-27 ______________________________________________________________________ HUMAN FETAL TISSUE RESEARCH: CONTEXT AND CONTROVERSY ---------- MAJORITY STAFF REPORT PREPARED FOR THE USE OF THE COMMITTEE ON THE JUDICIARY UNITED STATES SENATE ONE HUNDRED FOURTEENTH CONGRESS SECOND SESSION [GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT] DECEMBER 2016 Printed for the use of the Committee on the Judiciary 114th Congress } { S. Prt. COMMITTEE PRINT 2nd Session } { 114-27 _______________________________________________________________________ HUMAN FETAL TISSUE RESEARCH: CONTEXT AND CONTROVERSY __________ MAJORITY STAFF REPORT PREPARED FOR THE USE OF THE COMMITTEE ON THE JUDICIARY UNITED STATES SENATE ONE HUNDRED FOURTEENTH CONGRESS SECOND SESSION [GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT] DECEMBER 2016 Printed for the use of the Committee on the Judiciary ______ U.S. GOVERNMENT PUBLISHING OFFICE 22-920 PDF WASHINGTON : 2016 ----------------------------------------------------------------------- For sale by the Superintendent of Documents, U.S. Government Publishing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512-1800; DC area (202) 512-1800 Fax: (202) 512-2104 Mail: Stop IDCC, Washington, DC 20402-0001 COMMITTEE ON THE JUDICIARY CHUCK GRASSLEY, Iowa, Chairman ORRIN G. HATCH, Utah PATRICK J. LEAHY, Vermont, Ranking JEFF SESSIONS, Alabama Member LINDSEY GRAHAM, South Carolina DIANNE FEINSTEIN, California JOHN CORNYN, Texas CHUCK SCHUMER, New York MICHAEL S. LEE, Utah DICK DURBIN, Illinois TED CRUZ, Texas SHELDON WHITEHOUSE, Rhode Island JEFF FLAKE, Arizona AMY KLOBUCHAR, Minnesota DAVID VITTER, Louisiana AL FRANKEN, Minnesota DAVID PERDUE, Georgia CHRISTOPHER A. COONS, Delaware THOM TILLIS, North Carolina RICHARD BLUMENTHAL, Connecticut Kolan Davis, Chief Counsel and Staff Director Kristine Lucius, Democratic Chief Counsel and Staff Director C O N T E N T S Page Executive Summary................................................ 1 I. The Initial Public Debate About Fetal Tissue Research.............8 II. Congressional Response to the Fetal Research Debate..............10 III.The Return of the Fetal Tissue Debate in the Late 1980s..........12 A. The Human Fetal Tissue Transplantation Research Panel.........12 B. The George H.W. Bush Administration Rejects the Panel's Recommendations.................................................14 C. Congressional Efforts To Overturn the Ban and Codify the Panel's Recommendations.................................................14 D. President Clinton Lifts the Ban and Congress Codifies the Panel's Recommendations.................................................16 IV. The NIH Revitalization Act of 1993...............................17 A. The Terms of 42 U.S.C. Sec. 289g-1............................17 B. The Terms of 42 U.S.C. Sec. 289g-2............................18 C. GAO Verification Report.......................................19 D. Proposed Modification of 42 U.S.C.Sec. 289g-2 To Require Reporting........................................................20 V. Media and Congressional Investigations Into Violations of 42 U.S.C.Sec. 289g-2 in the Year 2000..............................22 A. Call for Congressional Investigation..........................22 B. 20/20 Hidden-Camera Fetal Tissue Investigation................22 C. Hearing by the House Subcommittee on Health...................23 D. Another Proposed Modification of 42 U.S.C. Sec. 289g-2 To Require Reporting.......................................................26 E. 2000 GAO Report on Fetal Tissue Research......................26 F. Summary.......................................................27 VI. The Recent Controversy...........................................28 A. The Scope of the Committee's Investigation....................29 1. Laws Potentially Violated or in Need of Modification........29 2. Parties Involved............................................29 B. Advanced Bioscience Resources, Inc............................30 1. Contracts With Planned Parenthood Affiliates................31 2. ABR's Fetal Tissue Technicians..............................33 3. Contracts With ABR's Customers..............................34 4. Fetal Tissue Transaction Examples...........................35 5. ABR's Purported Cost Justification..........................38 C. StemExpress, LLC..............................................39 1. Contracts With Planned Parenthood Affiliates................40 2. StemExpress's Payments to Its Technicians...................41 3. Example of a StemExpress Fetal Tissue Transaction...........42 4. StemExpress's Purported Cost Justification..................42 D. Novogenix Laboratories, LLC...................................43 E. Planned Parenthood............................................44 1. PPFA's 2001 Fetal Tissue Policy.............................46 2. Developments in 2011........................................47 3. PPFA Stops Monitoring Affiliate Fetal Tissue Programs in Accreditation Reviews............................................48 4. Policy Changes in May 2015..................................50 5. Planned Parenthood's Post Hoc Cost Calculations Created in Response to the Committee's Inquiry..............................51 F. Continued Lack of Oversight and Enforcement...................53 VII. Conclusion.................................................. 54 Note Regarding Exhibits.......................................... 64 Combined Exhibits................................................ 65 Appendix I....................................................... 308 Appendix II...................................................... 403 Appendix III..................................................... 459 [GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT] [all]