[Unified Agenda of Federal Regulatory and Deregulatory Actions] [Department of Health and Human Services Semiannual Regulatory Agenda] [From the U.S. Government Printing Office, www.gpo.gov] [[Page 21195]]_______________________________________________________________________ Part VIII Department of Health and Human Services _______________________________________________________________________ Semiannual Regulatory Agenda [[Page 21196]] DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary 21 CFR Ch. I 42 CFR Chs. I-V 45 CFR Subtitle A, Chs. II, III, and XIII Unified Agenda of Federal Regulatory and Deregulatory Actions AGENCY: Office of the Secretary, HHS. ACTION: Semiannual regulatory agenda. _______________________________________________________________________ SUMMARY: The President's Executive Order 12866 and the Regulatory Flexibility Act of 1980 require the semiannual publication of an agenda which summarizes all current, projected, and recently completed rulemakings. The agenda thus informs the public about regulatory actions under development within the Department, and it provides an opportunity for all concerned with the impact of the regulations to participate at an early stage. The last such agenda was published on November 9, 1998. FOR FURTHER INFORMATION CONTACT: Ann White, Department of Health and Human Services, Washington, DC 20201, (202) 690-6824, or the contact person for a specific component of the Department as listed below. SUPPLEMENTARY INFORMATION: The regulatory actions described below continue to reflect the Department's efforts to exemplify in its rulemaking practices the President's initiative to streamline the Federal regulatory system so that it helps bring important benefits to the American people while creating fewer burdens. These regulatory actions also are an indication of emerging policy mandates for HHS involving such national priorities as: Strengthening and modernizing the Medicare program; assuring the safety of the American food supply; establishing improved access to health services for children; shoring up recent advances in welfare reform and health-insurance reform; and eliminating waste, fraud, and abuse from the health care system. Underlying the Department's pursuit of its regulatory responsibilities in all of the above-mentioned programmatic areas, there endures the focus and discipline with which the principles of Executive Order 12866 and the many subsequent regulatory reform initiatives of the Clinton Administration have energized the Department's regulatory functions. Public comments are invited to assist the Department in continuing these efforts. Comments should be sent to the addresses listed below, depending on the specific agenda entry that is of interest. Comments may be sent to the Office of the Secretary if the responsible component of the Department is not apparent or if a comment covers subjects crossing agency lines. Health Care Financing Administration: Sue Brown, Director, Division of Regulations and Issuances, 7500 Security Boulevard, C5- 09-27, Baltimore, Maryland 21244; phone 410-786-4473. Food and Drug Administration: Ed Dutra, Director, Regulatory Policy and Management Staff, 5600 Fishers Lane, Rockville, Maryland 20857; phone 301-443-3480. Administration on Children and Families: Madeline Mocko, Director, Division of Policy and Legislation, 7th Floor, 370 L'Enfant Promenade SW., Washington, DC 20447; phone 202-401-9223. Administration on Aging: David Bunoski, Executive Secretariat, Room 4753, 330 Independence Avenue SW., Washington, DC 20201; phone 202-260-0669. Agency for Health Care Policy and Research: Nancy Werbel, 2101 East Jefferson Street, Suite 603, Rockville, Maryland 20852; phone 301-594-1455. Centers for Disease Control: Thena Durham, Executive Secretariat, 1600 Clifton Road, Building 16, Atlanta, Georgia 30333; phone 404-639-7120. Health Resource Services Administration: Dolores R. Etherith, 5600 Fishers Lane, Room 14-A-08, Rockville, Maryland 20857; phone 301-443-1786. Indian Health Service: Betty Penn, 12300 Twinbrook Parkway, Suite 450, Rockville, Maryland 20857; phone 301-443-1116. National Institutes of Health: Jerry Moore, 6011 Executive Boulevard, Room 601, MSC 7669, Rockville, Maryland 20852; phone 301-496-4606. Substance Abuse and Mental Health Services Administration: Joe Faha, 5600 Fishers Lane, Room 12-A-17, Rockville, Maryland 20857; phone 301-443-4640. Office of the Secretary: Jacquelyn Y. White, Deputy Executive Secretary to the Department, Office of the Executive Secretariat, Room 603H, Hubert H. Humphrey Building, 200 Independence Avenue SW., Washington, DC 20201. Dated: March 22, 1999. LaVarne Burton, Executive Secretary to the Department. Office of the Secretary--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 905 Privacy Act Exempt Record System from the Healthcare Integrity and Protection Data 0991-AA99 Bank.................................................................................. 906 Revision of HHS Freedom of Information Act Regulations............................... 0991-AB01 907 Civil Money Penalties for Medicare+Choice Organizations and Medicaid Managed Care 0991-AB03 Organizations......................................................................... ---------------------------------------------------------------------------------------------------------------- [[Page 21197]] Office of the Secretary--Final Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 908 Clarification of the Initial OIG Safe Harbor Provisions and Establishment of 0991-AA66 Additional Safe Harbor Provisions Under the Anti-Kickback Statute..................... 909 Reproduction and Sale of Official Forms and Publications............................. 0991-AA83 910 Revised OIG Civil Money Penalties Resulting From Public Law 104-191.................. 0991-AA90 911 Shared Risk Exception to the Safe Harbor Provisions.................................. 0991-AA91 912 Revised OIG Sanction Authorities Resulting From Public Law 105-33.................... 0991-AA95 913 Block Grant Programs................................................................. 0991-AA97 914 Health Care Fraud and Abuse Data Collection Program.................................. 0991-AA98 ---------------------------------------------------------------------------------------------------------------- Office of the Secretary--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 915 Civil Money Penalties (CMPs) for Certain Hospital Physician Incentive Plans.......... 0991-AA45 916 Civil Money Penalties (CMPs) for Certain Practices Relating to Medicare Supplemental 0991-AA53 Policies.............................................................................. 917 Civil Money Penalties for Notifying a Home Health Agency, or a Home or Community- 0991-AA79 Based Health Care Center or Provider, of a Standard Survey............................ 918 Civil Money Penalties for False Information on Drug Manufacturer Price Surveys and 0991-AA80 Rebate Agreements..................................................................... 919 Senior Biomedical Research Service................................................... 0991-AA82 ---------------------------------------------------------------------------------------------------------------- Substance Abuse and Mental Health Services Administration--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 920 Block Grants for Prevention and Treatment of Substance Abuse......................... 0930-AA01 ---------------------------------------------------------------------------------------------------------------- Centers for Disease Control and Prevention--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 921 Interstate Shipment of Biological Materials That Contain or May Contain Infectious 0920-AA02 Substances............................................................................ ---------------------------------------------------------------------------------------------------------------- Departmental Management--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 922 Implementation of the Equal Access to Justice Act in Agency Proceedings.............. 0990-AA02 ---------------------------------------------------------------------------------------------------------------- Food and Drug Administration--Prerule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 923 Blood Initiative..................................................................... 0910-AB26 924 Pregnancy Labeling Revision.......................................................... 0910-AB44 925 Natural Rubber-Containing Drugs; User Labeling....................................... 0910-AB56 ---------------------------------------------------------------------------------------------------------------- [[Page 21198]] Food and Drug Administration--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 926 Over-the-Counter (OTC) Drug Review................................................... 0910-AA01 927 Hearing Aids; Professional and Patient Labeling; Conditions for Sale................. 0910-AA39 928 Drugs Used for Treatment of Narcotic Addicts......................................... 0910-AA52 929 Investigational New Drugs: Export Requirements for Unapproved New Drug Products...... 0910-AA61 930 Adverse Drug Reaction Reporting and Recordkeeping Requirements for Marketed OTC Drugs 0910-AA86 931 Informed Consent for Human Drugs and Biologics; Determination That Informed Consent 0910-AA89 Is Not Feasible....................................................................... 932 Direct-to-Consumer Promotion Regulations............................................. 0910-AA90 933 Labeling for Human Prescription Drugs; Revised Format................................ 0910-AA94 934 Adverse Drug Reaction Reporting Requirements for Human Drug and Biological Products.. 0910-AA97 935 Use of Ozone-Depleting Substances.................................................... 0910-AA99 936 Radioactive Drugs for Basic Research................................................. 0910-AB00 937 Veterinary Feed Directives........................................................... 0910-AB09 938 Administrative Practices and Procedures; Advisory Opinions and Guidelines............ 0910-AB14 939 Exports; Reporting and Recordkeeping Requirements.................................... 0910-AB16 940 Registration of Foreign Establishments and Product Listing........................... 0910-AB21 941 Suitability Determination for Donors of Human Cellular and Tissue-Based Products..... 0910-AB27 942 Current Good Tissue Practice for Manufacturers of Human Cellular and Tissue-Based 0910-AB28 Products.............................................................................. 943 Shell Eggs: Warning, Notice and Safe Handling Labeling Statements and Refrigeration 0910-AB30 Requirements.......................................................................... 944 Antibiotic Drug Approval and Exclusivity............................................. 0910-AB33 945 Applications for FDA Approval To Market a New Drug or Antibiotic Drug; Complete 0910-AB34 Response Letter; Amendments to Unapproved Applications................................ 946 Expanded Access to Investigational Therapies......................................... 0910-AB37 947 Amendment of Regulations Regarding Certain Label Statements on Prescription Drugs.... 0910-AB39 948 Electronic Submission of Adverse Drug Reaction Reports............................... 0910-AB42 949 Distinguishing Marks for Drug Products Containing Insulin............................ 0910-AB43 950 Progestational Drug Products for Human Use; Requirements for Labeling Directed to the 0910-AB45 Patient............................................................................... 951 Supplemental Manufacturing Changes for New Animal Drugs.............................. 0910-AB49 952 Requirements for Liquid Medicated Feed and Free-Choice Medicated Feed................ 0910-AB50 953 Pharmacy Compounding; General Regulations............................................ 0910-AB58 954 Drug Products That Present Demonstrable Difficulties for Compounding Because of 0910-AB59 Reasons of Safety or Effectiveness.................................................... 955 Discontinuation of a Life-Saving Product............................................. 0910-AB60 956 Manufacturing Changes for Drugs...................................................... 0910-AB61 957 Pediatric Studies of Drugs........................................................... 0910-AB62 958 Positron Emission Tomography Drugs; Current Good Manufacturing Practices............. 0910-AB63 959 Food Labeling: Trans Fatty Acids in Nutrition Labeling and Nutrient Content Claims... 0910-AB66 960 Designated Journals.................................................................. 0910-AB67 961 Presubmission Conferences............................................................ 0910-AB68 962 Classification of Sheep as a Minor Species for All Data Collection Purposes.......... 0910-AB69 963 Current Good Manufacturing Practice for Medicated Feeds.............................. 0910-AB70 964 Implementation of the Import Tolerance Provisions of the Animal Drug Availability Act 0910-AB71 of 1996 and the Safe Level Provisions of the Animal Medicinal Drug Clarification Act of 1994............................................................................... 965 Mandatory HACCP Regulations for Manufacturers of Rendered Products................... 0910-AB72 966 Surgeon's and Patient Examination Gloves; Reclassification........................... 0910-AB74 967 Current Good Manufacturing Practices for Blood and Blood Components: Notification of 0910-AB76 Consignees Receiving Blood and Blood Components at Increased Risk for Transmitting HCV Infection............................................................................. 968 Antibiotic Resistance Labeling....................................................... 0910-AB78 969 Fixed-Combination Dosage Form Prescription Drugs for Human Use....................... 0910-AB79 970 180-Day Generic Drug Exclusivity for Abbreviated New Drug Applications............... 0910-AB80 971 Repackaging Approval Requirements.................................................... 0910-AB81 972 Stability Testing of Drug Substances and Drug Products............................... 0910-AB82 973 Postmarketing Studies for Human Drugs and Licensed Biological Products: Status 0910-AB83 Reports............................................................................... 974 Amendment of Various Food Additive and Device Regulations to Reflect Current American 0910-AB84 Society for Testing and Materials Citations........................................... ---------------------------------------------------------------------------------------------------------------- [[Page 21199]] Food and Drug Administration--Final Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 975 New Animal Drug Approval Process; Implementation of Title I of the Generic Animal 0910-AA02 Drug and Patent Term Restoration Act (GADPTRA)........................................ 976 Prescription Drug Marketing Act of 1987; Policy Information, Guidance, and 0910-AA08 Clarifications........................................................................ 977 Fruit and Vegetable Juices: Development of HACCP and Label Warning Statements for 0910-AA43 Juices................................................................................ 978 Current Good Manufacturing Practice; Amendment of Certain Requirements for Finished 0910-AA45 Pharmaceuticals....................................................................... 979 Bioavailability and Bioequivalence Requirements...................................... 0910-AA51 980 Parenteral Drug Products Containing Aluminum as an Ingredient or Contaminant; 0910-AA74 Labeling Requirements; Warning Statement.............................................. 981 New Drug Applications; Drug Master File.............................................. 0910-AA78 982 Over-the-Counter Human Drugs; Labeling Requirements.................................. 0910-AA79 983 Investigational New Drug Applications; Clinical Holds for Drugs for Life-Threatening 0910-AA84 Illnesses............................................................................. 984 Sterility Requirements for Inhalation Solution Products.............................. 0910-AA88 985 Current Good Manufacturing Practice; Revision of Certain Labeling Controls........... 0910-AA98 986 Definition of Substantial Evidence................................................... 0910-AB08 987 New Drugs for Human Use; Clarification of Requirements for Patent Holder Notification 0910-AB12 988 Medicated Feed Mill Licenses......................................................... 0910-AB18 989 Public Information; Communications With State and Foreign Government Officials....... 0910-AB22 990 FDA Export Reform and Enhancement Act of 1996; Reporting and Recordkeeping 0910-AB24 Requirements for Unapproved or Violative Products Imported for Further Processing or Incorporation and Later Export........................................................ 991 Biological Products Regulated Under Section 351 of the Public Health Service Act; 0910-AB29 Implementation of Biologics License; Elimination of Establishment License and Product License............................................................................... 992 Revisions to the General Safety Requirements for Biological Products; Direct Final 0910-AB51 Rule.................................................................................. 993 Radiopharmaceuticals Used for In Vivo Diagnosis and Monitoring....................... 0910-AB52 994 Bulk Drug Substances for Use in Pharmacy Compounding................................. 0910-AB57 ---------------------------------------------------------------------------------------------------------------- Food and Drug Administration--Long-Term Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 995 Infant Formula: Good Manufacturing Practice, Quality Control Procedures, Quality 0910-AA04 Factors, Notification Requirements, and Records and Reports........................... 996 Biological Products: Reporting of Errors and Accidents in Manufacturing.............. 0910-AA12 997 Food Labeling Review................................................................. 0910-AA19 998 Medical Foods........................................................................ 0910-AA20 999 Classification of Computer Software Programs That Are Medical Devices................ 0910-AA41 1000 Registration of Producers of Drugs and Listing of Drugs in Commercial Distribution... 0910-AA49 1001 Reinventing FDA Food Regulations..................................................... 0910-AA58 1002 Dietary Supplement Regulations in Response to DSHEA.................................. 0910-AA59 1003 Debarment Certification Regulations for Drug Applications............................ 0910-AA76 1004 Investigational New Drug Applications; Request for Information and Comments.......... 0910-AA83 1005 Investigational Use New Animal Drug Regulations...................................... 0910-AB02 1006 Establishment Registration and Listing of Human Cellular and Tissue-Based Products... 0910-AB05 1007 Requirements Pertaining to the Sale and Distribution of Cigarettes and Smokeless 0910-AB17 Tobacco To Protect Children and Adolescents; Use of Nontobacco Trade or Brand Names... 1008 Exemption From Preemption of State and Local Cigarette and Smokeless Tobacco 0910-AB19 Requirements; Applications for Exemption Submitted by Various State Governments; Group 1; Group 2............................................................................ 1009 Citizen Petitions; Actions That Can Be Requested by Petition; Summary Denial; and 0910-AB73 Referral for Other Administrative Action.............................................. ---------------------------------------------------------------------------------------------------------------- Food and Drug Administration--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1010 Review of Warnings, Use Instructions, and Precautionary Information Under Section 314 0910-AA14 of the National Childhood Vaccine Injury Act of 1986.................................. [[Page 21200]] 1011 Tamper-Evident Packaging Requirements for Over-the-Counter Human Drug Products....... 0910-AA26 1012 Amalgam Ingredient Labeling.......................................................... 0910-AA33 1013 Prescription Drug Product Labeling; Medication Guide................................. 0910-AA37 1014 Long-Term Contraceptive Drug Products and Medical Devices; Informed Consent 0910-AA75 Requirements.......................................................................... 1015 Animal Drug Approvals for Minor Species and Minor Usage.............................. 0910-AB07 1016 Regulations Requiring Manufacturers To Assess the Safety and Effectiveness of New 0910-AB20 Drugs and Biological Products in Pediatric Patients................................... 1017 Dissemination of Treatment Information on Unapproved Uses for Marketed Drugs and 0910-AB23 Devices............................................................................... 1018 Revocation of Antibiotic Certification Requirements; Conforming Revisions to 0910-AB32 Regulations........................................................................... 1019 List of Drugs That Have Been Withdrawn or Removed From the Market for Reasons of 0910-AB40 Safety and Effectiveness.............................................................. 1020 Clinical Hold; Streamlining Clinical Research........................................ 0910-AB41 1021 Medical Devices; IDE Modifications................................................... 0910-AB53 1022 Dispute Resolution................................................................... 0910-AB54 1023 Effective Date of Approval of an Abbreviated New Drug Application.................... 0910-AB64 1024 Mutual Recog. of Pharmaceutical Good Manufacturing Inspection Rpts., Med. Device 0910-AB75 Quality Sys. Audit Rpts., and Certain Medical Device Product Eval. Rpts.; the U.S. and the European Community................................................................ 1025 Financial Disclosure by Clinical Investigators....................................... 0910-AB77 ---------------------------------------------------------------------------------------------------------------- Health Resources and Services Administration--Final Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1026 National Practitioner Data Bank for Adverse Information on Physicians and Other 0906-AA41 Health Care Practitioners: Corporate Shield........................................... 1027 Designation of Medically Underserved Populations and Health Professional Shortage 0906-AA44 Areas................................................................................. ---------------------------------------------------------------------------------------------------------------- Health Resources and Services Administration--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1028 National Practitioner Data Bank for Adverse Information on Physicians and Other 0906-AA42 Health Care Practitioners: Charge for Self-Queries.................................... 1029 National Practitioner Data Bank for Adverse Information on Physicians and Other 0906-AA43 Health Care Practitioners: Reporting Adverse and Negative Actions..................... 1030 National Practitioner Data Bank for Adverse Information on Physicians and Other 0906-AA48 Health Care Providers: Clarification and Modernization of Regulatory Terms............ ---------------------------------------------------------------------------------------------------------------- Indian Health Service--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1031 Indian Child Protection and Family Violence Prevention Act Minimum Standards of 0917-AA02 Character............................................................................. ---------------------------------------------------------------------------------------------------------------- Indian Health Service--Final Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1032 Currently Effective Indian Health Service Eligibility Regulations.................... 0917-AA03 ---------------------------------------------------------------------------------------------------------------- [[Page 21201]] National Institutes of Health--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1033 National Institutes of Health AIDS Research Loan Repayment Program................... 0925-AA02 1034 Undergraduate Scholarship Program Regarding Professions Needed by the NIH............ 0925-AA10 1035 National Research Service Awards..................................................... 0925-AA16 1036 Removal of National Cancer Institute Clinical Cancer Education Program............... 0925-AA17 1037 National Institutes of Health Loan Repayment Program for Research.................... 0925-AA18 1038 National Institute of Child Health and Human Development Contraception and 0925-AA19 Infertility Research Loan Repayment Program........................................... ---------------------------------------------------------------------------------------------------------------- National Institutes of Health--Final Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1039 National Institutes of Health Construction Grants.................................... 0925-AA04 1040 Traineeships......................................................................... 0925-AA11 1041 Additional DHHS Protections for Pregnant Women and Human Fetuses Involved as Subjects 0925-AA14 in Research, and Pertaining to Human In Vitro Fertilization........................... 1042 Scientific Peer Review of Research Grant Applications and Research and Development 0925-AA20 Contract Projects..................................................................... 1043 Federal Policy (Common Rule) for the Protection of Human Subjects.................... 0925-AA21 1044 Service Fellowships.................................................................. 0925-AA22 ---------------------------------------------------------------------------------------------------------------- National Institutes of Health--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1045 National Institutes of Health Clinical Research Loan Repayment Program for 0925-AA09 Individuals From Disadvantaged Backgrounds............................................ ---------------------------------------------------------------------------------------------------------------- Office of Public Health and Science--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1046 Public Health Service Standards for the Protection of Research Misconduct 0940-AA01 Whistleblowers........................................................................ ---------------------------------------------------------------------------------------------------------------- Office of Public Health and Science--Long-Term Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1047 Standards of Compliance for Abortion-Related Services in Family Planning Service 0940-AA00 Projects.............................................................................. ---------------------------------------------------------------------------------------------------------------- Office of Assistant Secretary for Health--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1048 Standards of Compliance for Abortion-Related Services in Family Planning Service 0937-AA00 Projects.............................................................................. ---------------------------------------------------------------------------------------------------------------- [[Page 21202]] Public Health Service--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1049 Public Health Service Standards for the Protection of Research Misconduct 0905-AE71 Whistleblowers........................................................................ ---------------------------------------------------------------------------------------------------------------- Health Care Financing Administration--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1050 Medicare Coverage of Heart, Liver, and Lung Transplantation (HCFA-3835-PN)........... 0938-AH17 1051 Children's Health Insurance: Program Implementation; State Plan Approval; State 0938-AI28 Payment; Coordination With State Medicaid Program (HCFA-2006-P)....................... 1052 Appeals of Carrier Determination That a Supplier Fails To Meet the Requirements for 0938-AI49 Medicare Billing Privileges (HCFA-6003-P)............................................. 1053 Prospective Fee Schedule for Ambulance Services (HCFA-1002-NR)....................... 0938-AI72 1054 Coverage and Administrative Policies for Clinical Diagnostic Laboratory Tests; Intent 0938-AI92 To Form Negotiated Rulemaking Committee (HCFA-3250-NOI)............................... 1055 Medicare and Medicaid Programs; Quarterly Listing of Program Issuances--Third 0938-AJ37 Quarter, 1998 (HCFA-9000-N)........................................................... 1056 Recognition of the Community Health Accreditation Program, Inc., (CHAP), (HCFA-2029- 0938-AJ42 FN)................................................................................... ---------------------------------------------------------------------------------------------------------------- Health Care Financing Administration--Final Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1057 Medicare Program: Limitations on Medicare Coverage of Intermittent Positive Pressure 0938-AG44 Breathing Machine Therapy (HCFA-3781-FN).............................................. 1058 Telephone Requests for Review of Part B Initial Claim Determinations (HCFA-4121-F)... 0938-AG48 1059 CLIA Program: Categorization of Waived Tests (HCFA-2225-FC).......................... 0938-AG99 1060 Additional Supplier Standards (HCFA-6004-F).......................................... 0938-AH19 1061 Requirements for Enrollment of Medicaid Recipients Under Cost Effective Employer- 0938-AH48 Based Group Health Plans (HCFA-2047-FC)............................................... 1062 Terms, Definitions, and Addresses: Technical Amendments (HCFA-9877-FC)............... 0938-AH53 1063 Utilization Control and Discontinued Review Activities; Medicaid (HCFA-2101-FC)...... 0938-AH64 1064 Individual Market Health Ins. Reform Portability From Group to Indiv. Coverage; 0938-AH75 Federal Rules for Access in the Indiv. Market; State Alternative Mechanisms to Federal Rules (HCFA-2882-F)................................................................... 1065 Update of Ratesetting Methodology, Payment Rates and the List of Covered Surgical 0938-AH81 Procedures for Ambulatory Surgical Centers Effective for Calendar Year 1998 (HCFA-1885- F).................................................................................... 1066 Medically Needy Determinations Under Welfare Reform (HCFA-2109-IFC).................. 0938-AH92 1067 Medicare+Choice Program (HCFA-1030-F)................................................ 0938-AI29 1068 Medicare Program; Prospective Payment System and Consolidated Billing for Skilled 0938-AI47 Nursing Facilities. (HCFA-1913-IFC)................................................... 1069 Surety Bond Requirements for Comprehensive Outpatient Rehab. Facilities, Rehab. 0938-AI48 Agencies, Community Mental Health Centers, and Independent Diagnostic Testing Facilities (HCFA-6005-P).............................................................. 1070 Medicaid Program; Home and Community-Based Services (HCFA-2010-FC)................... 0938-AI67 1071 Solvency Standards for Provider-Sponsored Organizations (HCFA-1011-F)................ 0938-AI83 1072 Coverage of Religious Non-Medical Health Care Institutions (HCFA-1909-IFC)........... 0938-AI93 1073 Reporting Outcome and Assessment Information Set (OASIS) Data as Part of the 0938-AJ10 Conditions of Participation for Home Health Agencies (HCFA-3006-IFC).................. 1074 Establishment of a Program To Collect Suggestions for Improving Medicare Program 0938-AJ30 Efficiency and To Reward Suggestors (HCFA-4000-FC).................................... ---------------------------------------------------------------------------------------------------------------- Health Care Financing Administration--Long-Term Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1075 Payment for Clinical Diagnostic Laboratory Tests (HCFA-1309-F)....................... 0938-AB50 [[Page 21203]] 1076 Changes to Peer Review Organization Regulations (HCFA-3135-F)........................ 0938-AD38 1077 Omnibus Nursing Home Reform Requirements (HCFA-3488-F)............................... 0938-AD81 1078 ``Without Fault'' and Beneficiary Waiver of Recovery As It Applies to Medicare 0938-AD95 Overpayment Liability (HCFA-1719-P)................................................... 1079 Protection of Income and Resources for Community Spouses of Institutionalized 0938-AE12 Individuals (HCFA-2023-P)............................................................. 1080 Survey Requirements and Alternative Sanctions for Home Health Agencies (HCFA-2169-F). 0938-AE39 1081 Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services (HCFA-2028- 0938-AE72 F).................................................................................... 1082 Payment for Nursing and Allied Health Science Education (HCFA-1685-F)................ 0938-AE79 1083 Coverage of Screening Pap Smears (HCFA-3705-F)....................................... 0938-AE98 1084 Changes to the Long-Term Care Facility Survey Process (HCFA-3175-FC)................. 0938-AF02 1085 Case Management (HCFA-2027-F)........................................................ 0938-AF07 1086 Requirements for Certain Health Insuring Organizations and OBRA '90 Technical 0938-AF15 Amendments (HCFA-1018-F).............................................................. 1087 Provider Reimbursement Determinations and Appeals (HCFA-1727-P)...................... 0938-AF28 1088 Alternative Sanctions for Psychiatric Hospitals (HCFA-2191-P)........................ 0938-AF32 1089 Medicaid Payment for Covered Outpatient Drugs Under Rebate Agreements (HCFA-2046-FC). 0938-AF42 1090 Referral to Child Support Enforcement Agencies of Medicaid Families (HCFA-2051-F).... 0938-AF68 1091 Medicaid: Outstationed Intake Locations for Certain Low-Income Pregnant Women, 0938-AF69 Infants, and Children Under Age 19 (HCFA-2052-F)...................................... 1092 Assessing Interest Against Medicare Secondary Payer (MSP) Debts (HCFA-6108-P)........ 0938-AF87 1093 Revised Medicaid Management Information Systems (HCFA-2038-FN)....................... 0938-AG10 1094 Alternative Sanctions for Renal Dialysis Facilities (HCFA-3204-P).................... 0938-AG31 1095 Description of HCFA's Evaluation Methodology for the Peer Review Organizations Fifth 0938-AG32 Scope of Work Contracts (HCFA-3207-N)................................................. 1096 Disclosure of Confidential PRO and ESRD Network Organization Information for Research 0938-AG33 Purposes (HCFA-3208-P)................................................................ 1097 Effect of Change of Ownership on Provider and Supplier Penalties, Sanctions, 0938-AG59 Underpayments and Overpayments (HCFA-2215-P).......................................... 1098 Medicaid: Optional Coverage of TB-Related Services for Individuals Infected With 0938-AG72 Tuberculosis (HCFA-2082-P)............................................................ 1099 Revision of Medicare/Medicaid Hospital Conditions of Participation (HCFA-3745-F)..... 0938-AG79 1100 Physicians' Referrals to Health Care Entities With Which They Have Financial 0938-AG80 Relationships--Expanded to Designated Health Services (HCFA-1809-F)................... 1101 Home Health Agency (HHA) Conditions of Participation (HCFA-3819-F)................... 0938-AG81 1102 End Stage Renal Disease (ESRD) Conditions for Coverage (HCFA-3818-P)................. 0938-AG82 1103 Distinct Part Requirements for Nursing Homes and Prohibition of Financial Screening 0938-AG84 of Applicants for Nursing Home Admission (HCFA-3815-P)................................ 1104 Liability for Third Parties To Pay for Care and Services (HCFA-2080-P)............... 0938-AH01 1105 Adjustment in Payment Amounts for New Technology Intraocular Lenses (HCFA-3831-F).... 0938-AH15 1106 Definition of Skilled Nursing Facility (SNF) for Coverage of Durable Medical 0938-AH16 Equipment (DME) and Home Health (HCFA-1834-P)......................................... 1107 State Plan Amendment (SPA) Reconsideration Process (HCFA-2096-P)..................... 0938-AH24 1108 Hospice Care--Conditions of Participation (HCFA-3844-P).............................. 0938-AH27 1109 CLIA Program; Cytology Proficiency Testing (HCFA-2233-N)............................. 0938-AH35 1110 Medicare Coverage of Services of Speech-Language Pathologists and Audiologists (HCFA- 0938-AH37 1843-P)............................................................................... 1111 Payment Amount if Customary Charges Are Less Than Reasonable Costs (HCFA-1860-FC).... 0938-AH49 1112 Limitations on Liability (HCFA-4859-FC).............................................. 0938-AH51 1113 Medicare Secondary Payer Clarifications and Amendments (HCFA-1865-P)................. 0938-AH52 1114 Revision to Accrual Basis of Accounting Policy (HCFA-1876-F)......................... 0938-AH61 1115 Medicaid; Estate Recoveries (HCFA-2083-P)............................................ 0938-AH63 1116 Medicaid Hospice Care (HCFA-2016-P).................................................. 0938-AH65 1117 Provider and Supplier Billing When Medicare Is Secondary Payor to Liability Insurance 0938-AH66 (HCFA-1848-P)......................................................................... 1118 Medicare Technical Conforming Amendments (HCFA-1858-FC).............................. 0938-AH67 1119 Elimination of Certain Requirements for Peer Review Organizations in the Utilization 0938-AH68 and Quality Review Process and a Change in the Length of Peer Review Organization Contracts (HCFA-3235-FC).............................................................. 1120 Determination of Substandard Care in SNFs and NFs (HCFA-2240-P)...................... 0938-AH69 1121 Waiver of Staffing Requirements for End Stage Renal Disease (ESRD) Facilities 0938-AH72 Participating in an Experiment (HCFA-2236-GNC)........................................ 1122 Provider and Supplier Enrollment Periodic Renewal of Eligibility Requirements (HCFA- 0938-AH73 6002-P)............................................................................... 1123 Revisions to Conditions for Coverage for Ambulatory Surgical Centers (HCFA-3887-P)... 0938-AH83 1124 Disclosure of Peer Review Organization Information in Response to Beneficiary 0938-AH85 Complaints (HCFA-3241-P).............................................................. [[Page 21204]] 1125 National Standard for Identifiers of Health Plans (HCFA-4145-P)...................... 0938-AH87 1126 Medicaid Program; Amendment to the Preadmission Screening and Annual Resident Review 0938-AH89 Program (HCFA-2107-P)................................................................. 1127 Medicaid Program; Coverage and Payment for Federally Qualified Health Center Services 0938-AH95 (HCFA-2043-P)......................................................................... 1128 Revision to the Definition of an Unemployed Parent (HCFA-2106-FC).................... 0938-AH98 1129 National Standard Health Care Provider Identifier (HCFA-0045-F)...................... 0938-AH99 1130 Portability and Nondiscrimination in the Group Health Insurance Market (HCFA-2890-F). 0938-AI08 1131 Medicare Program; Medicare Integrity Program (HCFA-7020-F)........................... 0938-AI09 1132 Medicare Program; Improvements to the Appeals Process for Medicare Beneficiaries 0938-AI11 Enrolled in HMOs, CMPs, and HCPPs (HCFA-4024-P)....................................... 1133 Medicare and Medicaid Programs; Quarterly Listing of Program Issuances and Coverage 0938-AI13 Decisions--Second Quarter, 1998 (HCFA-9002-N)......................................... 1134 Medicare Program; Physician Fee Schedule Conversion Factor for Calendar Year 1998 and 0938-AI16 Sustainable Growth Rate for Fiscal Year 1998 (HCFA-1893-FN)........................... 1135 Medicaid: Medical Child Support (HCFA-2081-P)........................................ 0938-AI21 1136 GME: Incentive Payments Under Plans for Voluntary Reduction in Number of Residents 0938-AI27 (HCFA-1001-IFC)....................................................................... 1137 Medicare Program: Physicians' Referrals; Issuance of Advisory Opinions (HCFA-1902-F). 0938-AI38 1138 Medicare/Medicaid Program; User Fees (HCFA-6021-P)................................... 0938-AI46 1139 Security and Electronic Signature Standards (HCFA-0049-F)............................ 0938-AI57 1140 Standards for Electronic Transactions (HCFA-0149-F).................................. 0938-AI58 1141 National Standard Employer Identifier (HCFA-0047-F).................................. 0938-AI59 1142 State Plan Requirements for Durable Medical Equipment Providers (HCFA-2007-P)........ 0938-AI63 1143 Recognition of the Community Health Accreditation Program, Inc. (CHAP) and Joint 0938-AI69 Commission for Accreditation of Healthcare Organizations (JCAHO) for Hospices (HCFA- 2029-PN).............................................................................. 1144 Medicaid Managed Care; Regulatory Program To Implement Certain Medicaid Provisions of 0938-AI70 the Balanced Budget Act of 1997 (HCFA-2001-P)......................................... 1145 Elimination of Application of Federal Financial Participation Limits (HCFA-2111-IFC). 0938-AI73 1146 Medicaid Program; Changes to Eligibility of Non-U.S. Citizens (HCFA-2108-P).......... 0938-AI74 1147 Medicare Program; Advance Refunding of Debt and Methodology for Repayment of Loan 0938-AI75 (HCFA-1777-P)......................................................................... 1148 Medicare Hospice Care (HCFA-1022-P).................................................. 0938-AI77 1149 Revision of Procedures for Requesting Exceptions to Cost Limits for SNFs and 0938-AI80 Elimination of Reclassifications (HCFA-1883-P)........................................ 1150 Medicare Program; Standardization of Medicare Coverage for Bone Mass Measurements 0938-AI89 (HCFA-3004-IFC)....................................................................... 1151 Health Insurance Reform Universal Health Care Identifier (HCFA-0048-NOI)............. 0938-AI91 1152 Peer Review Organization Contracts: Solicitation of Statements of Interest From In- 0938-AI99 State Organizations (HCFA-3009-N)..................................................... 1153 Replacement of Reasonable Charge Methodology by Fee Schedules (HCFA-1010-P).......... 0938-AJ00 1154 External Quality Review of Medicaid Managed Care Organizations (HCFA-2015-P)......... 0938-AJ06 1155 HHS' Recognition of NAIC Model Standards for Regulation of Medigap Policy (HCFA-2025- 0938-AJ07 N).................................................................................... 1156 Medicare and Medicaid Programs; Quarterly Listing of Program Issuances--First Quarter 0938-AJ12 1998 (HCFA-9879-N).................................................................... 1157 Medicare Program; Criteria and Standards for Evaluating Intermediary and Carrier 0938-AJ15 Performance: Millennium Compliance (HCFA-4002-GNC).................................... 1158 Rural Health Clinics: Amendments to Participation Requirements and Payment 0938-AJ17 Provisions, and Establishment of a Quality Assessment and Improvement Program (HCFA- 1910-P)............................................................................... 1159 Home Health Prospective Payment System (HCFA-1102-FC)................................ 0938-AJ24 1160 Medicare Program State Allotments for Payments of Medicare Part B Premium for 0938-AJ28 Qualifying Individuals: Federal Fiscal Year for 1999 (HCFA-2032-N).................... 1161 Hospital Conditions of Participation: Laboratory Services (HCFA-3 014-P)............. 0938-AJ29 1162 Medicare Program; Procedures for Making Medical Services National Coverage Decisions 0938-AJ31 (HCFA-3432-FNC)....................................................................... 1163 Medicare Program; Special Payment Limits for Certain Durable Medical Equipment and 0938-AJ34 Prosthetic Devices (HCFA-1050-PN)..................................................... 1164 Medicaid Program; Civil Money Penalties for Nursing Homes (SNF/NF), Change in Notice 0938-AJ35 Requirements, and Expansion of Discretionary Remedy (HCFA-2035-FC).................... 1165 Medicare Hospice Care (HCFA-1022-P).................................................. 0938-AJ36 1166 Emergency Medical Treatment and Labor Act (EMTALA) (HCFA-1063-FC).................... 0938-AJ39 1167 Recognition of the Joint Commission for Accreditation of Healthcare Organizations 0938-AJ41 (JCAHO for Hospices) (HCFA-2039-FN)................................................... 1168 Decision on the Funding for the AIDS Healthcare Foundation START Program, (HCFA-2041- 0938-AJ43 N).................................................................................... 1169 Protection for Women Who Elect Reconstruction After a Mastectomy (HCFA-2040-IFC)..... 0938-AJ44 [[Page 21205]] 1170 Accelerated Payments to Providers Furnishing Services Under Medicare Part A and Part 0938-AJ45 B and Advance Payments to Suppliers Furnishing Items or Services Under Medicare Part B (HCFA-1066-FC)........................................................................ 1171 Medicare/Medicaid and CLIA Programs: Clinical Laboratory Improvement Amendments of 0938-AJ47 1988 Exemption of Laboratories in the State of California (HCFA-2245-N)............... 1172 Federal Enforcement in Group and Individual Health Insurance Markets (HCFA-2019-FC).. 0938-AJ48 1173 Changes to the Hospital Inpatient Prospective Payment System and Fiscal Year 2000 0938-AJ50 Rates (HCFA-1053-P)................................................................... ---------------------------------------------------------------------------------------------------------------- Health Care Financing Administration--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1174 Deduction of Incurred Medical Expenses (Spenddown) (HCFA-2020-F)..................... 0938-AB07 1175 Participation in CHAMPUS and CHAMPVA, Hospital Admissions for Veterans, Discharge 0938-AC58 Rights Notice, and Hospital Responsibility for Emergency Care (HCFA-1393-IFC)......... 1176 Criteria and Procedures for Developing Medical Services Coverage Policy (HCFA-3546-F) 0938-AD07 1177 Medicare Secondary Payer for Disabled Individuals (HCFA-1482-F)...................... 0938-AD73 1178 Revisions to Regulations Implementing CLIA (HCFA-2226-F)............................. 0938-AE47 1179 Medicare Coverage of, and Application of the Outpatient Mental Health Treatment 0938-AE99 Limitation to, Clinical Psychologist and Clinical Social Worker Services (HCFA-3706-F) 1180 Revisions to Rules on Health Care Prepayment Plans (HCFA-1016-P)..................... 0938-AF97 1181 Retroactive Enrollment and Disenrollment in Risk Health Maintenance Organizations and 0938-AF98 Competitive Medical Plans (HCFA-1015-F)............................................... 1182 Payment for Preadmission Services (HCFA-1731-F)...................................... 0938-AG00 1183 Rural Health Clinics: Amendments to Participation Requirements and Payment Provisions 0938-AG05 and Establishment of a Quality Assessment and Performance Improvement Program (HCFA- 1910-P)............................................................................... 1184 Request for Assessment on the Salitron System for the Treatment of Xerostomia 0938-AG45 Secondary to Sjogren's Syndrome (HCFA-3782-NC)........................................ 1185 Clinical Laboratory Improvement Amendment (CLIA) Fee Schedule Revision (HCFA-3219- 0938-AG87 GNC).................................................................................. 1186 Categorization and Certification Requirements for a New Subcategory of Moderate 0938-AG98 Complexity Testing (HCFA-2222-F)...................................................... 1187 Ambulance Services (HCFA-1813-F)..................................................... 0938-AH13 1188 Criteria and Procedures for Extending Coverage to Certain Devices and Related 0938-AH21 Services (HCFA-3841-F)................................................................ 1189 Delegation of Civil Money Penalties (HCFA-6135-FC)................................... 0938-AH22 1190 Supplier Participation Agreements and Limits on Actual Charges of Nonparticipating 0938-AH50 Physicians (HCFA-1862-P).............................................................. 1191 Changes to the Hospital Inpatient Prospective Payment System and Fiscal Year 1998 0938-AH55 Rates (HCFA-1878-F)................................................................... 1192 Conditions for Certification of Community Mental Health Centers and Coverage 0938-AH58 Requirements for Partial Hospitalization Services (HCFA-1871-P)....................... 1193 Medicaid Program; Redeterminations of Medicaid Eligibility Due to Welfare Reform 0938-AH76 (HCFA-2105-IFC)....................................................................... 1194 Medicare Program; Beneficiary Incentive Programs (HCFA-6144-FC)...................... 0938-AH86 1195 Allocation of Enhanced Federal Matching Funds for Increased Administrative Costs (MB- 0938-AH90 103-N)................................................................................ 1196 Final Limitations on Aggregate Payments to Disproportionate Share Hospitals: Federal 0938-AH93 Fiscal Year 1998 (HCFA-2110-N)........................................................ 1197 Medicare Coverage of Certified Nurse-Midwife Services (HCFA-1496-P).................. 0938-AH96 1198 Health Insurance Reform: Parity in the Application of Certain Limits to Mental Health 0938-AI05 Benefits (HCFA-2891-IFC).............................................................. 1199 Part A Premium for 1998 for the Uninsured Aged and for Certain Disabled Individuals 0938-AI10 Who Have Exhausted Other Entitlement (HCFA-5056-N).................................... 1200 Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance 0938-AI12 Amounts for 1998 (HCFA-5057-N)........................................................ 1201 Health Insurance Portability: Newborns' and Mothers' Health Protection (HCFA-2892- 0938-AI17 IFC).................................................................................. 1202 Medicaid Program: Charges for Vaccine Administration Under the Vaccines for Children 0938-AI20 (VCF) Program (HCFA-2084-FNC)......................................................... 1203 Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 1999 0938-AI22 Rates (HCFA-1003-P)................................................................... 1204 Medicare Program; Notice for the Solicitation for Proposals for a Case Management 0938-AI26 Demonstration Project Focused on Congestive Heart Failure or Diabetes Mellitus (HCFA- 1104-N)............................................................................... 1205 Collection of User Fees From Medicare+Choice Plans and Risk-Sharing Contractors (HCFA- 0938-AI35 1911-IFC)............................................................................. 1206 Medicaid Program; State Allotments for Payment of Medicare Part B Premiums for 0938-AI39 Qualified Individuals: Federal Fiscal Year 1998 (HCFA-2005-NC)........................ [[Page 21206]] 1207 Medicare Program: Payments for Teleconsultations in Rural Health Professional 0938-AI44 Shortage Areas (HCFA-1906-F).......................................................... 1208 Review and Payment for Claims Filed on Behalf of Medicare/Medicaid Dually Eligible 0938-AI50 Beneficiaries (HCFA-2097-3)........................................................... 1209 Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for 0938-AI52 Calendar Year 1999 (HCFA-1006-FC) (HCFA-1006-P)....................................... 1210 Medicare Program; Prospective Payment System for Hospital Outpatient Services (HCFA- 0938-AI56 1005-P)............................................................................... 1211 Medicare Program; Definition of Provider-Sponsored Organization and Related 0938-AI60 Requirements (HCFA-1027-IFC).......................................................... 1212 Child Health Insurance Allotments FY 1999 (HCFA-2014-N).............................. 0938-AI64 1213 State Children's Health Insurance Program Allotments and Payments to States (HCFA- 0938-AI65 2114-P)............................................................................... 1214 DSH Payments - Institution for Mental Disease (HCFA-2012-N).......................... 0938-AI66 1215 New and Pending Demonstration Project Proposals Submitted Pursuant to Section 1115(a) 0938-AI71 of the Social Security Act July, August, September, October, and November 1997........ 1216 Medicare Program; Advertising Costs (HCFA-1880-P).................................... 0938-AI76 1217 State Allotments for Additional Federal Funding of Emergency Health Services 0938-AI78 Furnished to Undocumented Aliens: Federal Fiscal Years 1998 Through (HCFA-2000-N)..... 1218 Medicaid Program; Extension of Waiver To Extend Medicaid Eligibility Timeframes (HCFA- 0938-AI79 2009-N)............................................................................... 1219 Medicare and Medicaid Programs; Surety Bond Requirements for Home Health Agencies 0938-AI82 (HCFA-1038-NC)........................................................................ 1220 Schedule of Per-Beneficiary Limitations on Home Health Agency Costs for Cost 0938-AI84 Reporting Periods Beginning On or After October 1, 1997 (HCFA-1905-FC)................ 1221 Expanded Coverage of Blood Glucose Monitors and Test Strips (HCFA-3003-IFC).......... 0938-AI85 1222 Medicare Program; Hospice Wage Index (HCFA-1039-N)................................... 0938-AI87 1223 Recognition of the American Association for Accreditation of Ambulatory Surgery 0938-AI90 Facilities, Inc. for Ambulatory Surgical Centers Program (HCFA-2008-PN)............... 1224 Medicaid, Medicare CLIA Program; Extension of Certain Effective Dates for Clinical 0938-AI94 Laboratory Requirements Under CLIA (HCFA 2024-IFC).................................... 1225 Hospital Conditions of Participation, Identification of Potential Organ, Tissue, and 0938-AI95 Eye Donor and Transplant Hospitals Provisions of Transplant Related Data (HCFA-3005-F) 1226 Expanded Coverage for Diabetes Outpatient Self-Management Training Services (HCFA- 0938-AI96 3002-P)............................................................................... 1227 Medicare Program; Monthly Actuarial Rates and Monthly Supplementary Medical Insurance 0938-AI98 Premium Rate Beginning January 1, 1999 (HCFA-8003-N).................................. 1228 Notice Announcing Revised Positron Emission Tomography (PET) Policy (HCFA-3008-NC)... 0938-AJ01 1229 Medicare Program; Inpatient Hospital Deductible and Hospital and Extended Care 0938-AJ02 Services Coinsurance Amounts for 1999 (HCFA-8001-N)................................... 1230 Medicare Program; Part A Premium for 1999 for the Uninsured Aged and for Certain 0938-AJ03 Disabled Individuals Who Have Exhausted Other Entitlement (HCFA-8000-N)............... 1231 Inpatient Psychiatric Services Benefit for Individuals Under Age 21 (HCFA-2060-F).... 0938-AJ05 1232 Physician Sustainable Growth Rate of Increase for FY 1999 (HCFA-1021-FN)............. 0938-AJ09 1233 Comprehensive Assessment and Use of OASIS as Part of Conditions of Participation for 0938-AJ11 Home Health Agencies (HCFA-3007-F).................................................... 1234 Request for Public Comments on Implementation of Risk Adjusted Payment for the 0938-AJ16 Medicare+Choice Program and Notice of Public Meeting.................................. 1235 Adjustments to Payment Amount for Erythropoietin/Epoietin for End-Stage Renal Disease 0938-AJ18 Patients (HCFA-1098-PN)............................................................... 1236 Recognition of the Commission for Accreditation of Rehabilitation Facilities (HCFA- 0938-AJ25 2036-NC).............................................................................. 1237 Medicare Program; Limited Additional Opportunity to Request Certain Hospital Wage 0938-AJ26 Data Revisions for FY 1999 (HCFA-1049-FC)............................................. 1238 Request for Nominations for Members for Practicing Physicians Advisory Council (HCFA- 0938-AJ27 1048-N)............................................................................... 1239 Medicare and Medicaid Programs; Announcement of Additional Application From Hospitals 0938-AJ32 Requesting Waivers for Organ Procurement Service Area (HCFA-1062-N)................... 1240 Medicare Program; January 6, 1999, Meeting of the Competitive Pricing Advisory 0938-AJ33 Committee (HCFA-1061-N)............................................................... 1241 Medicare Program; March 15, 1999, Meeting of the Practicing Physician Advisory 0938-AJ38 Council (HCFA-1064-N)................................................................. 1242 March 9, April 8, and May 12, 1999 Meetings of the Kansas City Metropolitan Area, 0938-AJ46 Competitive Pricing Demonstration Area Advisory Committee (HCFA-1068-N)............... 1243 Medicare Coordinated Care Demonstration Project and Request for Comments on Potential 0938-AJ49 Best Practices of Coordinated Care (HCFA-1100-N)...................................... ---------------------------------------------------------------------------------------------------------------- [[Page 21207]] Administration for Children and Families--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1244 Construction of Head Start Facilities................................................ 0970-AB54 1245 Bonus To Reward High Performance States Under the Temporary Assistance for Needy 0970-AB66 Families Block Grant.................................................................. 1246 Child Support Enforcement for Indian Tribes.......................................... 0970-AB73 1247 Incentive Payments and Audit Penalties to States and Political Subdivisions.......... 0970-AB85 1248 Family Child Care Program Option for Head Start Programs............................. 0970-AB90 1249 Implementation of AFCARS Corrective Action and Penalties and CAPTA Amendments........ 0970-AB94 1250 State Self Assessments To Determine Compliance With Federal Regulations.............. 0970-AB96 1251 Priority for Previously Selected Headstart Agencies.................................. 0970-AB98 1252 Program Performance Standards for the Operation of Head Start Programs............... 0970-AB99 1253 Safeguarding Child Support and Expanded FPLS Information............................. 0970-AC01 1254 Assets for Independence Reserve Account.............................................. 0970-AC02 ---------------------------------------------------------------------------------------------------------------- Administration for Children and Families--Final Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1255 Title IV-E Foster Care Eligibility Reviews and Child and Family Services State Plan 0970-AA97 Reviews, MEPA Implementation, and ASFA Implementation................................. 1256 Standards for Safe Transportation.................................................... 0970-AB24 1257 Methodology for Determining Whether an Increase in a State's Child Poverty Rate Is 0970-AB65 the Result of the TANF Program........................................................ 1258 Temporary Assistance for Needy Families (TANF)....................................... 0970-AB77 1259 Requirements for the Tribal Programs................................................. 0970-AB78 1260 Bonus to Reward Decrease in Illegitimacy Ratio....................................... 0970-AB79 1261 Child Support Enforcement Program Omnibus Conforming Regulation...................... 0970-AB81 1262 Refugee Resettlement Program: Public/Private Partnership............................. 0970-AB83 1263 Head Start Appeal Timelines.......................................................... 0970-AB87 1264 Welfare-to-Work Data Collection...................................................... 0970-AB92 1265 National Medical Support Notice...................................................... 0970-AB97 1266 Technical Revision of Head Start Regulations to Make Them Conform to Recent Statutory 0970-AC00 Revisions............................................................................. ---------------------------------------------------------------------------------------------------------------- Administration for Children and Families--Completed Actions ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1267 Standards for Purchase of Facilities................................................. 0970-AB31 1268 State Law Concerning Paternity Establishment......................................... 0970-AB69 1269 Grants to States for Access and Visitation Programs.................................. 0970-AB72 1270 Case Closure......................................................................... 0970-AB82 ---------------------------------------------------------------------------------------------------------------- Administration on Aging--Proposed Rule Stage ---------------------------------------------------------------------------------------------------------------- Regulation Sequence Title Identifier Number Number ---------------------------------------------------------------------------------------------------------------- 1271 Grants for State and Community Programs on Aging, Intrastate Funding Formulas; 0985-AA00 Training, Research and Discretionary Programs; Vulnerable Elder Rights; and Grants to Indians & Native Hawaiians............................................................ ---------------------------------------------------------------------------------------------------------------- [[Page 21208]] _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Proposed Rule Stage Office of the Secretary (OS) _______________________________________________________________________ 905. PRIVACY ACT EXEMPT RECORD SYSTEM FROM THE HEALTHCARE INTEGRITY AND PROTECTION DATA BANK Priority: Substantive, Nonsignificant Legal Authority: 5 USC 552a CFR Citation: 45 CFR 56 Legal Deadline: None Abstract: This proposed rule would exempt the new system of records for the Healthcare Integrity and Protection Data Bank (HIPDB) from certain provisions of the Privacy Act (5 U.S.C. 552a). The proposed exemption being set forth would apply to investigative materials compiled for law enforcement purposes in anticipation of civil, criminal or administrative proceedings. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/00/99 NPRM Comment Period End 08/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Joel Jay Schaer, Regulations Officer, Department of Health and Human Services, Office of the Secretary, Office of the Inspector General, OIG, 330 Independence Avenue SW., Washington, DC 20201 Phone: 202 619-0089 RIN: 0991-AA99 _______________________________________________________________________ 906. REVISION OF HHS FREEDOM OF INFORMATION ACT REGULATIONS Priority: Other Significant Legal Authority: 5 USC 552; 18 USC 1905; 42 USC 1306(C) CFR Citation: 45 CFR 5 Legal Deadline: None Abstract: This proposal responds to 1996 statutory amendments and it reflects organizational changes within HHS. Under the proposal, we will make records available in the form and format identified by the requester regardless of how the record already exists, when the requested record is ``readily reproducible'' in the requested form or format. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 03/26/99 64 FR 14668 NPRM Comment Period End 05/26/99 Final Action 09/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Rosario Cirrincione, Director, Freedom of Information and Privacy, Acts Division, OASPA, Department of Health and Human Services, Office of the Secretary, 200 Independence Avenue SW., Washington, DC 20201 Phone: 202 690-7453 Fax: 202 690-8320 RIN: 0991-AB01 _______________________________________________________________________ 907. CIVIL MONEY PENALTIES FOR MEDICARE+CHOICE ORGANIZATIONS AND MEDICAID MANAGED CARE ORGANIZATIONS Priority: Substantive, Nonsignificant Legal Authority: 42 USC 1320a-7a; 42 USC 1395mm; 42 USC 1395w-27; 42 USC 1396b; 42 USC 1396u-2 CFR Citation: 42 CFR 1003 Legal Deadline: None Abstract: This proposed rule would reflect OIG's authority to impose civil money penalties against health maintenance organizations and competitive medical plans that engage in certain abusive practices, including failure to provide medically necessary care and discriminatory enrollment procedures. This rule would specifically address the Medicare+Choice provisions set forth in Public Law 105-33 (the Balanced Budget Act of 1997), and the Medicaid managed care provisions. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 09/00/99 NPRM Comment Period End 11/00/99 Regulatory Flexibility Analysis Required: No Small Entities Affected: No Government Levels Affected: None Agency Contact: Joel Jay Schaer, Regulatory Officer, Department of Health and Human Services, Office of the Secretary, Office of the Inspector General, OIG, 330 Independence Avenue SW., Washington, DC 20201 Phone: 202 619-0089 RIN: 0991-AB03 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Final Rule Stage Office of the Secretary (OS) _______________________________________________________________________ 908. CLARIFICATION OF THE INITIAL OIG SAFE HARBOR PROVISIONS AND ESTABLISHMENT OF ADDITIONAL SAFE HARBOR PROVISIONS UNDER THE ANTI- KICKBACK STATUTE Priority: Other Significant Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: PL 100-93, sec 2; PL 100-93, sec 14 CFR Citation: 42 CFR 1001 Legal Deadline: None Abstract: This final rule serves both to clarify various aspects of the original safe harbor provisions and to add new safe harbors as authorized under section 14 of PL 100-93. Specifically, this rule modifies the original set of final safe harbor provisions (56 FR 35952, 7/29/91) to give greater clarity to the rulemaking's original intent. In addition, this rule sets forth an expanded listing of safe harbor provisions designed to protect additional payment and business practices from criminal prosecution and civil sanctions under the anti- kickback statute. [[Page 21209]] Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 09/21/93 58 FR 49008 NPRM Comment Period End 11/22/93 Final Action 09/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Additional Information: This final rule incorporates the safe harbor clarification provisions previously addressed in RIN 0991-AA74 and set forth in proposed rulemaking (59 FR 37202, July 21, 1994). Agency Contact: Joel Jay Schaer, Regulations Officer, Department of Health and Human Services, Office of the Secretary, Office of Inspector General (OCIG), 330 Independence Avenue SW., Washington, DC 20201 Phone: 202 619-0089 RIN: 0991-AA66 _______________________________________________________________________ 909. REPRODUCTION AND SALE OF OFFICIAL FORMS AND PUBLICATIONS Priority: Info./Admin./Other Legal Authority: PL 103-296, sec 312 (42 USC 1320b-10) CFR Citation: 45 CFR 101 Legal Deadline: None Abstract: This interim final rule with comment period will establish procedures for implementation of section 312 of the Social Security Independence Act. That section amends existing prohibitions against ``misuse of symbols, emblems, or names in reference to Social Security or Medicare.'' Section 312 prohibits the ``unauthorized reproduction, reprinting, or distribution for fee'' of a ``form, application, or other publication of the Social Security Administration or of the Department of Health and Human Services.'' It requires prior written authorization for any such activity in accordance with the Secretary's regulations. The Department plans to distinguish between forms and publications that potentially involve misuse in contrast to benign or desirable reproductions and distributions, and to provide pre- authorization for the latter. The rule will be developed in consultation with the Social Security Administration. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ Interim Final Rule 12/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Michael Herrell, Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services, Office of the Secretary, 200 Independence Avenue SW., Washington, DC 20201 Phone: 202 690-8291 RIN: 0991-AA83 _______________________________________________________________________ 910. REVISED OIG CIVIL MONEY PENALTIES RESULTING FROM PUBLIC LAW 104-191 Priority: Substantive, Nonsignificant Legal Authority: PL 104-191, sec 231(a); PL 104-191, sec 231(b); PL 104-191, sec 231(c); PL 104-191, sec 231(d); PL 104-191, sec 231(e); PL 104-191, sec 231(h); PL 104-191, sec 232 CFR Citation: 42 CFR 1003; 42 CFR 1005; 42 CFR 1006 Legal Deadline: None Abstract: This final rule will revise the OIG's civil money penalty provisions in conjunction with new and revised authorities set forth in the Health Insurance Portability and Accountability Act of 1996. Among other provisions, this final rulemaking would codify new civil money penalties for (1) excluded individuals retaining ownership or control interest in an entity; (2) upcoding and claims for medically unnecessary services; (3) offering inducements to beneficiaries; and (4) false certification of eligibility for home health services. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 03/25/98 63 FR 14393 NPRM Comment Period End 05/26/98 Final Action 09/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Joel Jay Schaer, Regulations Officer, Department of Health and Human Services, Office of the Secretary, Office of Inspector General (OCIG), 330 Independence Avenue SW., Washington, DC 20201 Phone: 202 619-0089 RIN: 0991-AA90 _______________________________________________________________________ 911. SHARED RISK EXCEPTION TO THE SAFE HARBOR PROVISIONS Priority: Substantive, Nonsignificant Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 42 USC 1302, sec 216; 42 USC 1320a-7b; 42 USC 1395hh CFR Citation: 41 CFR 1001 Legal Deadline: Final, Statutory, January 1, 1997. Abstract: This interim final rule will establish a new statutory exception for risk-sharing arrangements under the Federal health care programs' anti-kickback provisions. The rule sets forth an exception from liability for remuneration between an eligible organization and an individual or entity providing items or services in accordance with a written agreement between these parties. The rule would allow remuneration between an organization and an individual or entity if a written agreement places the individual or entity at ``substantial financial risk'' for the cost or utilization of the items or services which the individual or entity is obligated to provide. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 05/23/97 62 FR 28410 ANPRM Comment Period End 06/09/97 Interim Final Rule 07/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Joel Jay Schaer, Regulations Officer, Department of Health and Human Services, Office of the Secretary, Office of Inspector General (OCIG), 330 Independence Avenue SW., Washington, DC 20201 Phone: 202 619-0089 RIN: 0991-AA91 _______________________________________________________________________ [[Page 21210]] 912. REVISED OIG SANCTION AUTHORITIES RESULTING FROM PUBLIC LAW 105-33 Priority: Substantive, Nonsignificant Legal Authority: PL 105-33, sec 4301; PL 105-33, sec 4303; PL 105-33, sec 4304; PL 105-33, sec 4331(c); PL 105-33, sec 4331(d) CFR Citation: 42 CFR 1001; 42 CFR 1002; 42 CFR 1003 Legal Deadline: None Abstract: This final rule will revise the OIG's exclusion and civil money penalty (CMP) authorities resulting from the Balanced Budget Act of 1997, Public Law 105-33. This rule will protect and strengthen Medicare and other Federal health care programs by increasing the OIG's anti-fraud and abuse authorities through new or revised exclusion and CMP provisions, including new CMPs (1) against institutional health care providers that employ, or enter into contracts for medical services with, excluded individuals; (2) for failure to report information to the Healthcare Integrity and Protection Data Bank; and (3) for health care providers who violate the anti-kickback statute. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 09/02/98 63 FR 46736 NPRM Comment Period End 11/02/98 Final Action 08/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Joel Jay Schaer, Regulations Officer, Department of Health and Human Services, Office of the Secretary, 330 Independence Avenue, OCIG, Washington, DC 20201 Phone: 202 619-0089 RIN: 0991-AA95 _______________________________________________________________________ 913. BLOCK GRANT PROGRAMS Priority: Info./Admin./Other Legal Authority: 42 USC 300w et seq; 42 USC 300x et seq; 42 USC 300y et seq; 42 USC 701 et seq; 42 USC 1243 et seq; 42 USC 1397 et seq; 42 USC 8621 et seq; 42 USC 9901 et seq CFR Citation: 45 CFR 96 Legal Deadline: None Abstract: The rule amends the regulations governing the administration on block grants. It updates current regulations to reflect current name and statutory petitions. It establishes submission and completion dates for funding applications from LIHEAP, CSBG and SSSBG. It clarifies that the department may specify the form of an application where this is authorized by statute. It requires to submit a obligation and expenditure for all block grants. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ Final Action 04/00/99 Regulatory Flexibility Analysis Required: No Small Entities Affected: No Government Levels Affected: None Agency Contact: Mike Herrell, Director, Division of Decision Systems, Department of Health and Human Services, Office of the Secretary, 200 Independence Avenue SW., Room 447D, Washington, DC 20201 Phone: 202 690-8774 Fax: 202 690-8252 RIN: 0991-AA97 _______________________________________________________________________ 914. HEALTH CARE FRAUD AND ABUSE DATA COLLECTION PROGRAM Priority: Substantive, Nonsignificant Legal Authority: 42 USC 1320a-7e CFR Citation: 42 CFR 61 (New) Legal Deadline: Final, Statutory, January 1, 1997. Abstract: This final rule would implement the requirements of section 1128E of the Social Security Act, as added by section 221(a) of the Health Insurance Portability and Accountability Act of 1996. Section 1128E of the Act directs the Department to establish a national health care fraud and abuse data collection program for the reporting and disclosure of certain final adverse actions taken against health care providers, suppliers and practitioners. The statute also requires the Department to implement the national health care fraud and abuse data collection program in such a manner as to avoid with reporting requirements established for the National Practitioner Data Bank under the Health Care Quality Improvement Act of 1986. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 10/30/98 63 FR 58341 NPRM Comment Period End 01/11/99 Final Action 09/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: Undetermined Additional Information: Was previously 0906-AA46. Agency Contact: Joel Jay Schaer, Regulations Officer, Department of Health and Human Services, Office of the Secretary, Office of Inspector General (OCIG), 330 Independence Avenue SW., Washington, DC 20201 Phone: 202 619-0089 RIN: 0991-AA98 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Completed Actions Office of the Secretary (OS) _______________________________________________________________________ 915. CIVIL MONEY PENALTIES (CMPS) FOR CERTAIN HOSPITAL PHYSICIAN INCENTIVE PLANS Priority: Substantive, Nonsignificant CFR Citation: 42 CFR 1001; 42 CFR 1003 Completed: ________________________________________________________________________ Reason Date FR Cite ________________________________________________________________________ Withdrawn 02/18/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Joel Jay Schaer Phone: 202 619-0089 RIN: 0991-AA45 _______________________________________________________________________ [[Page 21211]] 916. CIVIL MONEY PENALTIES (CMPS) FOR CERTAIN PRACTICES RELATING TO MEDICARE SUPPLEMENTAL POLICIES Priority: Substantive, Nonsignificant CFR Citation: 42 CFR 1003 Completed: ________________________________________________________________________ Reason Date FR Cite ________________________________________________________________________ Withdrawn 02/18/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Joel Jay Schaer Phone: 202 619-0089 RIN: 0991-AA53 _______________________________________________________________________ 917. CIVIL MONEY PENALTIES FOR NOTIFYING A HOME HEALTH AGENCY, OR A HOME OR COMMUNITY-BASED HEALTH CARE CENTER OR PROVIDER, OF A STANDARD SURVEY Priority: Substantive, Nonsignificant CFR Citation: 42 CFR 1003 Completed: ________________________________________________________________________ Reason Date FR Cite ________________________________________________________________________ Withdrawn 02/18/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Joel Jay Schaer Phone: 202 619-0089 RIN: 0991-AA79 _______________________________________________________________________ 918. CIVIL MONEY PENALTIES FOR FALSE INFORMATION ON DRUG MANUFACTURER PRICE SURVEYS AND REBATE AGREEMENTS Priority: Substantive, Nonsignificant CFR Citation: 42 CFR 1003 Completed: ________________________________________________________________________ Reason Date FR Cite ________________________________________________________________________ Withdrawn 02/18/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Joel Jay Schaer Phone: 202 619-0089 RIN: 0991-AA80 _______________________________________________________________________ 919. SENIOR BIOMEDICAL RESEARCH SERVICE Priority: Info./Admin./Other CFR Citation: 42 CFR 24 Completed: ________________________________________________________________________ Reason Date FR Cite ________________________________________________________________________ Withdrawn 03/12/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: Federal Agency Contact: Rosemary Taylor Phone: 202 690-7358 Fax: 202 690-6758 RIN: 0991-AA82 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Completed Actions Substance Abuse and Mental Health Services Administration (SAMHSA) _______________________________________________________________________ 920. BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE Priority: Other Significant CFR Citation: 45 CFR 96 Completed: ________________________________________________________________________ Reason Date FR Cite ________________________________________________________________________ Withdrawn 02/18/99 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Governmental Jurisdictions, Organizations Government Levels Affected: State, Tribal Agency Contact: Joseph D. Faha Phone: 301 443-4640 Jim Sayers Phone: 301 443-3820 RIN: 0930-AA01 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Proposed Rule Stage Centers for Disease Control and Prevention (CDC) _______________________________________________________________________ 921. INTERSTATE SHIPMENT OF BIOLOGICAL MATERIALS THAT CONTAIN OR MAY CONTAIN INFECTIOUS SUBSTANCES Priority: Other Significant Legal Authority: 42 USC 216; 42 USC 264; 42 USC 271; 42 USC 262 note; 31 USC 9701; 18 USC 3559; 18 USC 3571 CFR Citation: 42 CFR 72.6 (Renumbered); 42 CFR 72.7 (Renumbered); 42 CFR 72.1-5 (Revision); 42 CFR 72.1; 42 CFR 72.2 Legal Deadline: None Abstract: The Centers for Disease Control and Prevention proposes to amend existing regulations located at 42 CFR Part 72 concerning the interstate shipment of infectious substances in order to clarify and expand the existing requirements for proper packaging and handling of these agents. One purpose of the proposed rule is to ensure that all biological materials that are known or suspected of containing an infectious substance are packaged for interstate shipment to minimize the potential for leakage of contents that could contaminate the environment or come into direct physical contact with persons handling such packages during transit. A second purpose is to insure receipt of certain infectious substances. This new regulation will harmonize CDC regulations with other Federal agencies' regulations and with international regulations. See ``A'' for additional information. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/00/99 [[Page 21212]] Regulatory Flexibility Analysis Required: No Government Levels Affected: None Additional Information: The purpose of this NPRM is to update regulations governing the packaging, labeling, and shipment of infectious agents. It is critical that infectious agents be transferred between labs for high priority diagnostic and research activities. Materials must be packaged in such a way as to prevent damage and leakage during transport in order to protect workers and the public from exposure. This NPRM is also a critical element of CDC's bioterrorism plan. Agency Contact: Dr. Jonathan Richmond, Director, Office on Health and Safety, Department of Health and Human Services, Centers for Disease Control and Prevention, MS F05, 1600 Clifton Road NE., Atlanta, GA 30333 Phone: 404 639-2453 RIN: 0920-AA02 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Proposed Rule Stage Departmental Management (HHSDM) _______________________________________________________________________ 922. IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN AGENCY PROCEEDINGS Priority: Substantive, Nonsignificant Legal Authority: 5 USC 504(c)(1) CFR Citation: 45 CFR 13 Legal Deadline: None Abstract: The Equal Access to Justice Act requires agencies to pay fees to parties prevailing against the government in certain administrative proceedings. The Act has been amended several times since its 1980 enactment, most recently by the Contract with America Advancement Act of 1996, which increased the amount of the hourly fees payable. The proposed rule revises 45 CFR Part 13 (HHS' regulation implementing the Equal Access to Justice Act) to conform with statutory changes. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 06/19/87 52 FR 23311 NPRM Comment Period End 08/17/87 Second NPRM 05/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Timothy M. White, Associate General Counsel, Business and Administrative Law Division, Department of Health and Human Services, Room 5362, HHS Cohen Building, 330 Independence Avenue SW., Washington, DC 20201 Phone: 202 619-0150 RIN: 0990-AA02 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Prerule Stage Food and Drug Administration (FDA) _______________________________________________________________________ 923. BLOOD INITIATIVE Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 360; 21 USC 371; 21 USC 374; 42 USC 216; 42 USC 262; 42 USC 263; 42 USC 263a; 42 USC 264; 42 USC 300aa-25 CFR Citation: 21 CFR 600; 21 CFR 601; 21 CFR 606; 21 CFR 607; 21 CFR 610; 21 CFR 640; 21 CFR 660; 21 CFR 680 Legal Deadline: None Abstract: In multiple rulemakings, the Food and Drug Administration is proposing to amend the biologics regulations by removing, revising, or updating specific regulations applicable to blood derivative products to be more consistent with current practices and to remove unnecessary or outdated requirements. This action is based on a comprehensive review of the regulations that has been performed by FDA. It is also based on reports by the U.S. House of Representatives Committee on Government Reform and Oversight, Subcommittee on House Resources and Intergovernmental Relations; the General Accounting Office; the Institute of Medicine; as well as public comments. Some of the subjects intended to be addressed in the rulemakings include: ``Lookback'' requirements for hepatitis C virus; notification of consignees and end users of product safety information for plasma derivative products; and notification of permanently deferred donors; requirements for donor suitability and testing; viral inactivation. These actions are intended to help ensure the continued safety of the nation's blood supply. Timetable: Minor Changes to Reqs. for CGMP for Blood and Blood Components Direct Final Rule 06/00/99 Notification of End Users of Plasma Derivative Products ANPRM 06/00/99 Notification of Permanently Deferred Donors NPRM 06/00/99 Reqs. Applicable to Albumin (Human), Plasma Protein Fraction Direct Final Rule 06/00/99 Requirements for Donor Testing NPRM 06/00/99 Suitability Reqs. for Whole Blood and Source Plasma Donors NPRM To Be Determined Viral Inactivation NPRM To Be Determined Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: None Additional Information: See RIN 0910-AB76. Agency Contact: Steven F. Falter, Director, Regulations and Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Biologics Evaluation and Research (HFM-17), 1401 Rockville Pike, Suite 200N, Rockville, MD 20852 [[Page 21213]] Phone: 301 827-6210 RIN: 0910-AB26 _______________________________________________________________________ 924. PREGNANCY LABELING REVISION Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 358; 21 USC 360; 21 USC 360b; 21 USC 360gg to 360ss; 21 USC 371; 21 USC 374; 21 USC 379e; 42 USC 216 CFR Citation: 21 CFR 201 Legal Deadline: None Abstract: The advance notice of proposed rulemaking will announce that the Food and Drug Administration is considering ways to revise the regulatory requirements for the pregnancy labeling subsection of the labeling requirements for human drugs and biologics. The notice will make available preliminary proposals for changing the current requirements and will invite comments on all aspects of the notice. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 05/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Virginia G. Beakes, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB44 _______________________________________________________________________ 925. NATURAL RUBBER-CONTAINING DRUGS; USER LABELING Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 358; 21 USC 360; 21 USC 371; 21 USC 374; 21 USC 379; 42 USC 216; 42 USC 241; 42 USC 262; 42 USC 264 CFR Citation: 21 CFR 201 Legal Deadline: None Abstract: The advance notice of proposed rulemaking requests comments on requirements under consideration for labeling statements on products regulated as drugs (including combination products regulated under drug labeling provisions) that contain natural rubber that contacts humans. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 11/00/99 ANPRM Comment Period End 02/00/00 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Carol Drew, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB56 _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Proposed Rule Stage Food and Drug Administration (FDA) _______________________________________________________________________ 926. OVER-THE-COUNTER (OTC) DRUG REVIEW Priority: Routine and Frequent Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will eliminate existing text in the CFR. Legal Authority: 21 USC 321p; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 360a; 21 USC 371a CFR Citation: 21 CFR 310; 21 CFR 330; 21 CFR 333; 21 CFR 334; 21 CFR 335; 21 CFR 336; 21 CFR 337; 21 CFR 338; 21 CFR 339; 21 CFR 340; 21 CFR 341; 21 CFR 342; 21 CFR 343; 21 CFR 344; 21 CFR 345; ... Legal Deadline: None Abstract: The OTC drug review establishes conditions under which OTC drugs are considered generally recognized as safe and effective and not misbranded. After a final monograph (i.e., final rule) is issued, only OTC drugs meeting the conditions of the monograph, or having an approved new drug application, may be legally marketed. NOTE: NPRM for ``Antidotes, Toxic Ingestion Products'' was combined with NPRM for ``Emetic Products'' and reproposed as ``Poison Treatment Products.'' NPRM for ``Astringent (Wet Dressings) Products'' was included in the NPRM for ``Skin Protectant Products.'' NPRM for ``Diaper Rash Products'' was included in NPRMs for ``Antifungal,'' ``Antimicrobial,'' ``External Analgesic'' and ``Skin Protectant Products.'' NPRM for ``Fever Blister/Cold Sore Products (External)'' was included in NPRMs for ``External Analgesic'' and ``Skin Protectant Products.'' NPRM for ``Insect Bites and Stings (Relief) Products'' was included in NPRMs for ``External Analgesic'' and ``Skin Protectant Products.'' ``Poison Ivy/ Oak/Sumac Prevention'' was included in NPRMs for ``External Analgesic'' and ``Skin Protectant Products.'' NPRM for ``Mercurial (Topical) Products'' was included in revised NPRM for ``Antimicrobial Products.'' NPRM for ``Alcohol (Topical) Products'' was included in revised NPRM for ``Antimicrobial Products.'' The NPRM for ``Antimicrobial Products'' was updated and split into two sections: First Aid Products and Health Care Antiseptic Products. SMALL ENTITIES AFFECTED: The effects, if any, vary depending on the individual rulemaking. However, the Agency anticipates that the rules would not have a significant economic impact on a substantial number of small entities as defined by the Regulatory Flexibility Act. [[Page 21214]] Timetable: Acne (Topical) Products ANPRM 03/23/82 (47 FR 12430) NPRM 01/15/85 (50 FR 2172) NPRM (Amendment) 08/07/91 (56 FR 37622) Final Action 08/ 16/91 (56 FR 41008) Alcohol (Oral) in OTC Drug Products NPRM 10/21/93 (58 FR 54466) Final Action 03/13/95 (60 FR 13590) NPRM (Amendment) 05/10/96 (61 FR 21392) Final Action (Amendment) 11/18/96 (61 FR 58629) Anorectal Products ANPRM 05/27/80 (45 FR 35576) NPRM 08/15/88 (53 FR 30756) Final Action 08/03/90 (55 FR 31776) Final Action (LYCD) 09/02/ 93 (58 FR 46746) Final Action (Witch Hazel) 06/03/94 (59 FR 28766) Antacid Drug Products ANPRM 04/05/73 (38 FR 8714) NPRM 11/12/73 (38 FR 31260) Final Action 06/04/74 (39 FR 9862) NPRM (Amendment) (Overindulgence) 12/24/91 (56 FR 66754) Final Action (Amendment) (Warning) 08/26/93 (58 FR 45204) NPRM (Amendment) (Testing) 09/23/93 (58 FR 49826) NPRM (Amendment)(Sodium Bicarb.) 02/02/94 (59 FR 5060) Final Action (Technical Amendment) 11/25/94 (59 FR 60555) Final Action (Amendment) (Testing) 02/08/96 (61 FR 4822) Final Action (Amendment)(Sodium B.) 09/00/99 Anthelmintic Products ANPRM 09/09/80 (45 FR 59541) NPRM 08/24/82 (47 FR 37062) Final Action 08/01/86 (51 FR 27756) Antibiotic First Aid Products ANPRM 04/01/77 (42 FR 17642) NPRM 07/ 09/82 (47 FR 29986) Final Action 12/11/87 (52 FR 47312) NPRM (Amendment) 08/18/89 (54 FR 34188) Final Action 03/15/90 (55 FR 9721) NPRM (Amendment) 05/11/90 (55 FR 19868) NPRM (Amendment) 06/08/ 90 (55 FR 23450) Final Action (Amendment) 10/03/90 (55 FR 40379) Final Action (Amendment) 12/05/90 (55 FR 50171) NPRM (Amendment) (Warning) 02/14/96 (61 FR 5918) Final Action (Amendment)(Warning) 11/15/96 (61 FR 58471) Anticaries Products ANPRM 03/28/80 (45 FR 20666) NPRM 09/30/85 (50 FR 39854) NPRM 06/15/88 (53 FR 22430) Final Action 10/06/95 (60 FR 52474) Final Action (Technical Amendment) 10/07/96 (61 FR 52285) Antidiarrheal Products ANPRM 03/21/75 (40 FR 12924) NPRM 04/30/86 (51 FR 16138) NPRM (Amendment)(Trav. Diar.) 10/00/99 Final Action 10/00/ 99 Antidotes, Toxic Ingestion Prdts (New Poison Treatment Prdts) ANPRM 01/05/82 (47 FR 444) Antiemetic Products ANPRM 03/21/75 (40 FR 12934) NPRM 07/13/79 (44 FR 41064) Final Action 04/30/87 (52 FR 15886) NPRM (Amendment) 08/26/93 (58 FR 45216) Final Action 04/11/94 (59 FR 16981) NPRM (Amendment)(Warning) 08/29/97 (62 FR 45767) Antiflatulent Drug Products NPRM 11/12/73 (38 FR 31260) Final Action 06/04/74 (39 FR 19877) NPRM (Amendment) 01/29/88 (53 FR 2716) Final Action (Amendment) 03/05/96 (61 FR 8836) Antifungal (Topical) Products ANPRM 03/23/82 (47 FR 12480) NPRM 12/ 12/89 (54 FR 51136) NPRM (Amendment) (Diaper Rash) 06/20/90 (55 FR 25240) Final Action (Amdt.)(Diaper Rash) 12/18/92 (57 FR 60430) Final Action (Partial) 09/02/93 (58 FR 46744) Final Action 09/23/93 (58 FR 49890) Antimicrobial Products ANPRM 09/13/74 (39 FR 33103) NPRM 01/06/78 (43 FR 1210) NPRM (Amendment) (Diaper Rash) 06/20/90 (55 FR 25246) Final Action (Diaper Rash) 03/00/04 Antiperspirant Products ANPRM 10/10/78 (43 FR 46694) NPRM 08/20/82 (47 FR 36492) Final Action 12/00/99 Aphrodisiac Products ANPRM 10/01/82 (47 FR 43572) NPRM 01/15/85 (50 FR 2168) Final Action 07/07/89 (54 FR 28780) Aspirin (Heart Labeling Warning) NPRM 10/20/93 (58 FR 54224) Final Action 06/00/00 Aspirin (Heart Labeling) Final Action 10/23/98 (63 FR 56802) Astringent (Wet Dressings) Prdts (Merged w/other rulemkg) ANPRM 09/07/ 82 (47 FR 39436) Benign Prostatic Hypertrophy Products ANPRM 10/01/82 (47 FR 43566) NPRM 02/20/87 (52 FR 5406) Final Action 02/27/90 (55 FR 6926) Boil Ointments ANPRM 06/29/82 (47 FR 28306) NPRM 01/26/88 (53 FR 2198) Final Action 11/15/93 (58 FR 60332) Camphorated Oil Drug Products ANPRM 09/26/80 (45 FR 63869) Final Action 09/21/82 (47 FR 41716) Cholecystokinetic Products ANPRM 02/12/80 (45 FR 9286) NPRM 08/24/82 (47 FR 37068) Final Action 06/10/83 (48 FR 27004) NPRM (Amendment) 08/15/88 (53 FR 30786) Final Action (Amendment) 02/28/89 (54 FR 8320) Corn and Callus Remover Products ANPRM 01/05/82 (47 FR 522) NPRM 02/ 20/87 (52 FR 5412) Final Action 08/14/90 (55 FR 33258) Cough/Cold (Anticholinergic) Products ANPRM 09/09/76 (41 FR 38312) NPRM 07/09/82 (47 FR 30002) Final Action 11/08/85 (50 FR 46582) Cough/Cold (Antihistamine) Products ANPRM 09/09/76 (41 FR 38312) NPRM 01/15/85 (50 FR 2200) NPRM (Amendment) 08/24/87 (52 FR 31892) Final Action 12/09/92 (57 FR 58356) Final Action (Amendment)(Warning) 01/28/ 94 (59 FR 4216) NPRM (Amendment)(Diphenhydramine) 08/29/97 (62 FR 45767) Final Action 06/00/99 Cough/Cold (Antitussive) Products ANPRM 09/09/76 (41 FR 38312) NPRM 10/19/83 (48 FR 48576) Final Action 08/12/87 (52 FR 30042) NPRM (Amendment) 07/06/89 (54 FR 28442) NPRM (Amendment) 10/02/89 (54 FR 40412) Final Action (Amendment) 07/06/90 (55 FR 27806) Final Action (Amendment) 10/03/90 (55 FR 40381) NPRM (Amendment)(Warning) 06/19/92 (57 FR 27666) NPRM (Amendment)(Ingredients) 12/09/92 (57 FR 58378) Final Action (Amendment)(Warning) 10/20/93 (58 FR 54232) Final Action (Amdt.)(Ingredients) 06/03/94 (59 FR 29172) NPRM (Amendment)(Diphenhydramine) 08/29/97 (62 FR 45767) NPRM (Amendment)(Flammability) 07/20/98 (63 FR 38762) Final Action 09/00/99 Cough/Cold (Bronchodilator) Products ANPRM 09/09/76 (41 FR 38312) NPRM 10/26/82 (47 FR 47520) Final Action 10/02/86 (51 FR 35326) NPRM (Amendment)(Warning) 06/19/92 (57 FR 27662) Final Action (Amendment)(Warning) 10/20/93 (58 FR 54238) NPRM (Amendment)(MDI) 03/ 09/95 (60 FR 13014) NPRM (Amendment)(Ephedrine) 07/27/95 (60 FR 38643) Final Action (Amendment) (MDI) 05/20/96 (61 FR 25142) NPRM (Amendment)(Ephedrine) 06/00/99 [[Page 21215]] Cough/Cold (Combination) Products ANPRM 09/09/76 (41 FR 38312) NPRM 08/12/88 (53 FR 30522) NPRM (Amendment)(DPH Combinations) 02/23/95 (60 FR 10286) Final Action (Theophylline) 07/27/95 (60 FR 38636) Final Action (Ephedrine Combo) 06/00/99 Final Action 06/00/99 Cough/Cold (Diphenhydramine) Products Final Action/Enforcement Policy 04/09/96 (61 FR 15700) Cough/Cold (Expectorant) Products ANPRM 09/09/76 (41 FR 38312) NPRM 07/09/82 (47 FR 30002) Final Action 02/28/89 (54 FR 8494) Final Action (Technical Changes) 06/30/92 (57 FR 29176) Cough/Cold (Expectorant/Ipecac) Products Final Action 09/14/92 (57 FR 41857) Cough/Cold (Nasal Decongestant) Products ANPRM 09/09/76 (41 FR 38312) NPRM 01/15/85 (50 FR 2220) NPRM (Amendment) 06/19/92 (57 FR 27658) Final Action 08/23/94 (59 FR 43386) Final Action; Partial Stay 03/08/96 (61 FR 9570) NPRM (Phenylpropanolamine) To Be Determined Dandruff, Seborrheic Dermatitis and Psoriasis Control Products ANPRM 12/03/82 (47 FR 54646) NPRM 07/30/86 (51 FR 27346) Final Action 12/ 04/91 (56 FR 63554) NPRM (Amendment) 04/05/93 (58 FR 17554) Final Action 01/28/94 (59 FR 4000) Daytime Sedatives ANPRM 12/08/75 (40 FR 57292) NPRM 06/13/78 (43 FR 25544) Final Action 06/22/79 (44 FR 36378) Diaper Rash Products (Merged w/other rulemkg) ANPRM 09/07/82 (47 FR 39406) Digestive Aid Products ANPRM 01/05/82 (47 FR 454) NPRM 01/29/88 (53 FR 2706) Final Action 10/21/93 (58 FR 54450) Eligibility Criteria for Additional Conditions ANPRM 10/03/96 (61 FR 51625) NPRM 05/00/99 Emetic Products ANPRM 03/21/75 (40 FR 12939) NPRM 09/05/78 (43 FR 39544) Final Action To Be Determined Exocrine Pancreatic Insufficiency Products ANPRM 12/21/79 (44 FR 75666) NPRM 11/08/85 (50 FR 46594) NPRM (Reproposed) 07/15/91 (56 FR 32282) Final Action 04/24/95 (60 FR 20162) External Analgesic Products ANPRM 12/04/79 (44 FR 69768) NPRM 02/08/ 83 (48 FR 5852) NPRM (Amendment) (Dandruff) 07/30/86 (51 FR 27360) NPRM (Amendment) (Anorectal) 08/25/88 (53 FR 32592) NPRM (Amendment) (Poison Ivy) 10/03/89 (54 FR 40818) NPRM (Amendment) (Fvr Blister/Ext) 01/31/90 (55 FR 3370) NPRM (Amendment) (1%Hydrocortisone) 02/27/90 (55 FR 6932) NPRM (Amendment) (Diaper Rash) 06/20/90 (55 FR 25234) Final Action (Diaper Rash) 12/18/92 (57 FR 60426) NPRM (Amendment)(Warning) 08/29/97 (62 FR 45767) Final Action To Be Determined Fever Blister Products (Internal) ANPRM 01/05/82 (47 FR 502) NPRM 06/ 17/85 (50 FR 25156) Final Action 06/30/92 (57 FR 29166) First Aid Antiseptic ANPRM 09/13/74 (39 FR 33103) NPRM 01/06/78 (43 FR 1210) NPRM (Revised) 07/22/91 (56 FR 33644) Final Action To Be Determined Fvr Blister/Cold Sore Prdts (Ext.) (To be merged w/other rulemkg) ANPRM 09/07/82 (47 FR 39436) Hair Grower and Hair Loss Prevention Products ANPRM 11/07/80 (45 FR 73955) NPRM 01/15/85 (50 FR 2190) Final Action 07/07/89 (54 FR 28772) Healthcare Antiseptic Products ANPRM 09/13/74 (39 FR 33103) NPRM 01/ 06/78 (43 FR 1210) NPRM (Revised) 06/17/94 (59 FR 31402) Hormone (Topical) Products ANPRM 01/05/82 (47 FR 430) NPRM 10/02/89 (54 FR 40618) Final Action 09/09/93 (58 FR 57608) Hypo/Hyperphosphatemia Products ANPRM 12/09/80 (45 FR 81154) NPRM 01/ 15/85 (50 FR 2160) Final Action 05/11/90 (55 FR 19852) Ingrown Toenail Relief Products ANPRM 10/17/80 (45 FR 69128) NPRM 09/ 03/82 (47 FR 39120) Final Action 09/09/93 (58 FR 47602) Insect Bite & Sting (Relief) Prdts (Merged w/other rulemkg) ANPRM 09/ 07/82 (47 FR 39412) Insect Repellent Drug Products (Internal) ANPRM 01/05/82 (47 FR 424) NPRM 06/10/83 (48 FR 26986) Final Action 06/17/85 (50 FR 25170) Internal Analgesic Products ANPRM 07/08/77 (42 FR 35346) NPRM 11/16/ 88 (53 FR 46204) NPRM (Amendment) (Overindulgence) 12/24/91 (56 FR 66762) NPRM (Amdt.)(Sodium Bicarbonate) 02/02/94 (59 FR 5068) NPRM (Prof. Labeling)(Acute MI) 06/13/96 (61 FR 30002) NPRM (Amendment)(Alcohol Warning) 11/14/97 (62 FR 61041) Final Action (Alcohol Warning) 10/23/98 (63 FR 56789) Final Action (Aspirin Prof Label) 10/23/98 (63 FR 56802) Final Action (Sodium Bicarbonate) 09/00/ 99 NPRM (Labeling-revised indications) 12/00/99 Final Action (Labeling-rev. ind.) 12/00/01 Internal Deodorant Products ANPRM 01/05/82 (47 FR 512) NPRM 06/17/85 (50 FR 25162) Final Action 05/11/90 (55 FR 19862) Labeling of Drug Products for OTC Human Use NPRM (Sodium Labeling) 04/ 25/91 (56 FR 19222) NPRM 04/05/93 (58 FR 17553) Final Action 01/28/94 (59 FR 3998) NPRM (Do not mix drugs) 08/03/94 (59 FR 39499) NPRM (Amendment) (Do not mix drugs) 10/04/95 (60 FR 52058) NPRM (Unless a doctor tells you) 03/04/96 (61 FR 8450) Final Action (Sodium Labeling) 04/22/96 (61 FR 17798) NPRM (Calcium/Magnesium/Potassium) 04/22/96 (61 FR 17807) NPRM (Unless a doc. tells you)(Wi.) 02/27/97 (62 FR 9024) Final Action (Format/Examples) 03/17/99 (64 FR 13254) Final Action (Ca/Mg/K/Na) 08/00/99 Laxative Products ANPRM 03/21/75 (40 FR 12902) NPRM 01/15/85 (50 FR 2124) NPRM (Amendment) (Directions/Bulk) 10/01/86 (51 FR 35136) NPRM (Amendment) (Docusate Salts) 09/02/93 (58 FR 46589) NPRM (Amendment)(Sodium Phosphates) 03/31/94 (59 FR 15139) NPRM (Phenolphthalein) 09/02/97 (62 FR 46223) Final Action (Sodium Phosphates) 05/21/98 (63 FR 27836) NPRM (Amendment)(Phosphates Label) 05/21/98 (63 FR 27886) NPRM (Amendment)(Stim. Laxative) 06/19/98 (63 FR 33592) Final Action; stay (Na Phos. Enema) 12/07/98 (63 FR 67399) Part. With. (Na Phos. Prof. Lab.) 12/09/98 (63 FR 67817) Final Action (Phenolphthalein) 01/29/99 (64 FR 4535) Final Action 10/00/ 99 Final Action (Stim. Laxative) 06/00/00 [[Page 21216]] Leg Muscle Cramps (Nocturnal Relief) Products ANPRM 10/01/82 (47 FR 43562) NPRM 11/08/85 (50 FR 46588) Final Action 08/22/94 (59 FR 43234) Male Genital Desensitizer Products ANPRM 09/07/82 (47 FR 39412) NPRM 10/02/85 (50 FR 40260) Final Action 06/19/92 (57 FR 27654) Menstrual Products ANPRM 12/07/82 (47 FR 55075) NPRM 11/16/88 (53 FR 46194) Final Action 12/00/01 Mercurial (Active/Inactive) NPRM To Be Determined Mercurial (Topical) Products (To be merged w/other rulemkg) ANPRM 01/ 05/82 (47 FR 436) Nailbiting/Thumbsucking Deterrent Products ANPRM 10/17/80 (45 FR 69122) NPRM 09/03/82 (47 FR 39096) Final Action 09/02/93 (58 FR 46749) Nighttime Sleep Aid Products ANPRM 12/08/75 (40 FR 57292) NPRM 06/13/ 78 (43 FR 25544) Final Action 02/14/89 (54 FR 6814) NPRM (Amendment) 08/26/93 (58 FR 45217) Final Action (Amendment) 04/11/94 (59 FR 16982) NPRM (Amendment) (Warning) 08/29/97 (62 FR 45767) Final Action To Be Determined NDA Labeling Exclusivity NPRM 11/09/93 (58 FR 59622) Final Action To Be Determined Ophthalmic Products ANPRM 05/06/80 (45 FR 30002) NPRM 06/28/83 (48 FR 29788) Final Action 03/04/88 (53 FR 7076) Final Action (Anti- infective) 12/18/92 (57 FR 60416) Oral Discomfort (Relief) Products ANPRM 05/25/82 (47 FR 22712) NPRM 09/24/91 (56 FR 48302) Final Action 06/00/02 Oral Health Care Products ANPRM 05/25/82 (47 FR 22760) NPRM 01/27/88 (53 FR 2436) NPRM (Amendment) (Antimicrobials) 02/09/94 (59 FR 6084) ANPRM (Plaque/Gingivitis) 08/00/99 Final Action 12/00/00 Oral Wound Healing Products ANPRM 11/02/79 (44 FR 63270) NPRM 07/26/ 83 (48 FR 33984) Final Action 07/18/86 (51 FR 26112) Otic Products (Dry Water-Clogged Ears) NPRM (Amendment) To Be Determined Otic Products (Earwax) NPRM 07/09/82 (47 FR 30012) Final Action 08/ 08/86 (51 FR 28656) Otic Products (Swimmers Ear) NPRM 07/30/86 (51 FR 27366) Final Action 02/15/95 (60 FR 8916) Final Action Partial Stay 08/16/95 (60 FR 42435) Overindulgence Remedies ANPRM 10/01/82 (47 FR 43540) NPRM 12/24/91 (56 FR 66742) Overindulgence Remedies/Prevention of Inebriation ANPRM 10/01/82 (47 FR 43540) Final Action 07/19/83 (48 FR 32872) Pediculicide Products ANPRM 06/29/82 (47 FR 28312) NPRM 04/03/89 (54 FR 13480) Final Action 12/14/93 (58 FR 65452) NPRM (Labeling Amendment) 12/00/99 Phenylpropanolamine Products (Labeling) NPRM 02/14/96 (61 FR 3912) Final Action To Be Determined Poison Ivy/Oak/Sumac Prevention (Merged w/other rulemkg) ANPRM 09/07/ 82 (47 FR 39412) Poison Treatment Products NPRM 01/15/85 (50 FR 2244) NPRM (Amendment) 04/00/99 Final Action 06/00/99 Quinine for Malaria NPRM 04/19/95 (60 FR 19650) Final Action 03/20/98 (63 FR 13526) Reporting of Adverse Reactions NPRM 06/00/99 Salicylate (Reye Syndrome) NPRM (Amendment)(Warning) 05/05/93 (58 FR 26886) ANPRM 10/20/93 (58 FR 54228) Final Action (Warning) 10/00/99 Skin Bleaching Products ANPRM 11/03/78 (43 FR 51546) NPRM 09/03/82 (47 FR 39108) NPRM (Reproposed) 12/00/99 Skin Protectant Products ANPRM 08/04/78 (43 FR 34628) NPRM 02/15/83 (48 FR 6820) NPRM (Amendment) (Astringent) 04/03/89 (54 FR 13490) NPRM (Amendment) (Poison Ivy) 10/03/89 (54 FR 40808) NPRM (Amendment) (Fvr Blister/Ext) 01/31/90 (55 FR 3362) NPRM (Amendment) (Diaper Rash) 06/20/90 (55 FR 25204) Final Action (Astringent) 10/21/ 93 (58 FR 54466) Final Action (Witch Hazel) 06/03/94 (59 FR 28767) Final Action (Poison Ivy) 06/00/99 Final Action 06/00/99 Smoking Deterrent Products ANPRM 01/05/82 (47 FR 490) NPRM 07/03/85 (50 FR 27552) Final Action 06/01/93 (58 FR 31236) Status of Certain Category II and III Ingredients NPRM 05/16/90 (55 FR 20434) Final Action 11/07/90 (55 FR 46914) NPRM 08/25/92 (57 FR 38568) Final Action 05/10/93 (58 FR 27636) NPRM 04/22/98 (63 FR 19799) Stimulant (Overindulgence) Products NPRM (Amendment) 12/24/91 (56 FR 66758) Stimulant Products ANPRM 12/08/75 (40 FR 57292) NPRM 06/13/78 (43 FR 25544) Final Action 02/29/88 (53 FR 6100) Stomach Acidifier Products ANPRM 10/19/79 (44 FR 60316) NPRM 01/15/85 (50 FR 2184) Final Action 08/17/88 (53 FR 31270) Sunscreen Products ANPRM 08/25/78 (43 FR 38206) NPRM 05/12/93 (58 FR 28194) NPRM (Amendment) 06/08/94 (59 FR 29706) NPRM (Amendment)(Avobenzone) 09/16/96 (61 FR 48645) Final Action (Avobenzone Enf. Pol.) 04/30/97 (62 FR 23350) Final Action 05/00/99 Sweet Spirits of Nitre ANPRM 02/22/80 (45 FR 11846) Final Action 06/ 27/80 (45 FR 43400) Topical Drug Products Containing Benzoyl Peroxide (Labeling) NPRM 02/ 17/95 (60 FR 9554) Vaginal Contraceptive Products ANPRM 12/12/80 (45 FR 82014) NPRM 02/ 03/95 (60 FR 6892) NPRM (Amendment) 12/00/99 Vaginal Drug Products ANPRM 10/13/83 (48 FR 46694) Withdrawal 02/03/ 95 (60 FR 5226) NPRM (Douches) 06/00/00 Vitamin/Mineral Products ANPRM 03/16/79 (44 FR 16126) Withdrawal 11/ 27/81 (46 FR 57914) Wart Remover Products ANPRM 10/03/80 (45 FR 65609) NPRM 09/03/82 (47 FR 39102) NPRM (Amendment) 03/27/87 (52 FR 9992) Final Action 08/14/ 90 (55 FR 33246) NPRM (Amendment)(Directions) 01/28/94 (59 FR 4015) Final Action (Amdt.)(Directions) 11/23/94 (59 FR 60315) Water Soluble Gums NPRM 10/30/90 (55 FR 45782) Final Action 08/26/93 (58 FR 45194) Weight Control Products ANPRM 02/26/82 (47 FR 8466) NPRM 10/30/90 (55 FR 45788) Final Action 08/08/91 (56 FR 37792) NPRM (Amendment) To Be Determined Regulatory Flexibility Analysis Required: No Government Levels Affected: None Additional Information: Previously reported under RIN 0905-AA06. NOTE: Reinventing government applies only to the Antacid Drug Products final action. Agency Contact: Rosemary Cook, Supervisor, Project Management Staff, Office of Drug Evaluation V, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-105), 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 827-2222 RIN: 0910-AA01 _______________________________________________________________________ [[Page 21217]] 927. HEARING AIDS; PROFESSIONAL AND PATIENT LABELING; CONDITIONS FOR SALE Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: This action may affect State, local or tribal governments and the private sector. Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 21 USC 351; 21 USC 352; 21 USC 360d; 21 USC 371; 21 USC 360j(e) CFR Citation: 21 CFR 801.420; 21 CFR 801.421 Legal Deadline: None Abstract: FDA is considering revising its present regulation governing the labeling and conditions for sale of hearing aids. The present rule requires an examination by a physician before purchase of a hearing aid, but permits an informed adult to waive that requirement. There is some evidence that this waiver provision is being misused. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 11/10/93 58 FR 59695 ANPRM Comment Period End 01/10/94 NPRM 10/00/99 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: State Additional Information: Previously reported under RIN 0905-AE46. Agency Contact: Joseph M. Sheehan, Chief, Regulations Staff, Department of Health and Human Services, Food and Drug Administration, Center for Devices and Radiological Health (HFZ-215), 1350 Piccard Drive, Rockville, MD 20850 Phone: 301 594-4765 RIN: 0910-AA39 _______________________________________________________________________ 928. DRUGS USED FOR TREATMENT OF NARCOTIC ADDICTS Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 21 USC 355; 21 USC 371; 21 USC 823; 42 USC 241; 42 USC 257a; 42 USC 290; 42 USC 300 CFR Citation: 21 CFR 291 Legal Deadline: None Abstract: The proposed rule will revise the regulations under part 291 and title 42 to provide for the certification of narcotic treatment programs as a basis for fulfilling the Department's requirements of the Narcotic Addict Treatment Act of 1974. Certification will be based on accreditation by non-profit accrediting bodies. This new system will replace the current system which relies solely on direct FDA approval and inspection for determining whether narcotic treatment programs comply with Federal treatment standards. The proposed rule will provide for a transition period for programs operating under the existing regulatory system. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 04/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Nicholas Reuter, Associate Director for International and Domestic Drug Control, Department of Health and Human Services, Food and Drug Administration, Office of Health Affairs (HFY-20), 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 827-1696 Fax: 301 443-0232 Email: [email protected] RIN: 0910-AA52 _______________________________________________________________________ 929. INVESTIGATIONAL NEW DRUGS: EXPORT REQUIREMENTS FOR UNAPPROVED NEW DRUG PRODUCTS Priority: Routine and Frequent Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 356; 21 USC 357; 21 USC 371; 21 USC 381; 21 USC 382; 21 USC 393; 42 USC 241; 42 USC 243; 42 USC 262 CFR Citation: 21 CFR 312.110 Legal Deadline: None Abstract: The proposed rule would amend the regulations on the exportation of unapproved new drug products, including biological products, for investigational use. In general, the proposed rule would provide four different routes for exporting an unapproved new drug product for investigational use. One route would permit exportation if the drug is the subject of an investigational new drug application (IND) and is being exported for use in the investigation. A second route would permit exportation, without prior Food and Drug Administration (FDA) approval and without an IND, if the product is to be exported for use in a clinical investigation and has received marketing authorization in certain developed countries. The third route would permit exportation, without prior FDA approval and without an IND, if the product is to be exported for use in a clinical investigation in certain specified developed countries. The fourth route would permit exportation without an IND, to any country provided that the exporter sends a written certification to FDA at the time the drug is first exported. Drugs exported under any of the first three routes would, however, be subject to certain statutory requirements, such as not conflicting with the foreign country's laws and not being sold or offered for sale in the United States. Drugs exported under either the second or third routes would be subject to additional statutory requirements, such as being in substantial conformity with the current good manufacturing practices and certain labeling requirements. These provisions would implement recent changes in FDA's export authority resulting from the FDA Export Reform and Enhancement Act of 1996. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 05/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Philip L. Chao, Senior Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Office of Policy (HF- [[Page 21218]] 23), 5600 Fishers Lane, Room 15-74, Rockville, MD 20857 Phone: 301 827-3380 Fax: 301 443-6906 Email: [email protected] RIN: 0910-AA61 _______________________________________________________________________ 930. ADVERSE DRUG REACTION REPORTING AND RECORDKEEPING REQUIREMENTS FOR MARKETED OTC DRUGS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 358; 21 USC 360; 21 USC 371; 21 USC 374; 21 USC 375; 21 USC 379; 42 USC 216 CFR Citation: 21 CFR 201; 21 CFR 211; 21 CFR 327; 21 CFR 330 Legal Deadline: None Abstract: The proposed rule would require manufacturers of marketed nonprescription human drug products to report to FDA information they receive about adverse drug reactions, maintain records of adverse drug reactions, and permit access by FDA to adverse drug reaction records. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 02/00/00 NPRM Comment Period End 05/00/00 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Lee D. Korb, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AA86 _______________________________________________________________________ 931. INFORMED CONSENT FOR HUMAN DRUGS AND BIOLOGICS; DETERMINATION THAT INFORMED CONSENT IS NOT FEASIBLE Priority: Other Significant Legal Authority: 21 USC 321; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 357; 21 USC 360; 21 USC 371; 21 USC 381; 42 USC 216; 42 USC 241; 42 USC 262 CFR Citation: 21 CFR 50; 21 CFR 314; 21 CFR 601 Legal Deadline: None Abstract: The Food and Drug Administration is proposing to revoke the interim final rule which permitted the Commissioner to determine, based on a request by the Department of Defense, that obtaining informed consent from military personnel for the use of investigational products is not feasible in certain military combat situations. The rule was used to permit a waiver from the informed consent requirements for pyridostigmine bromide and the botulinum toxoid vaccine during the Gulf War. The agency is proposing this action after reviewing comments it received in response to a July 1997 Request for Comment as to whether the agency should revise or revoke the rule. At the same time, it will propose to amend its new drug and biological product regulations to identify the kind of evidence needed to demonstrate the efficacy of drug and biological products used to treat or prevent the toxicity of potentially devastating chemical or biological substances when efficacy studies in humans ethically cannot be conducted because they would involve administering a lethal or permanently disabling toxic substance to healthy human volunteers without a proven treatment. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 04/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Bonnie M. Lee, Senior Policy Analyst, Office of the Executive Secretariat (HF-40), Department of Health and Human Services, Food and Drug Administration, Office of the Commissioner, 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 827-4450 Fax: 301 443-1863 RIN: 0910-AA89 _______________________________________________________________________ 932. DIRECT-TO-CONSUMER PROMOTION REGULATIONS Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 334; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 358; 21 USC 360e to 360i; 21 USC 360k; 21 USC 361; 21 USC 362; 21 USC 371 CFR Citation: 21 CFR 200; 21 CFR 800 Legal Deadline: None Abstract: The Food and Drug Administration will issue proposed regulations for direct-to-consumer promotion of human and animal prescription drugs, biologics, and restricted devices. The regulations will set forth the requirements for what information shall be contained in the consumer directed advertisements for these products and how the information shall be presented. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 12/00/99 NPRM Comment Period End 03/00/00 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Nancy Ostrove, Division of Drug Marketing, Advertising, and Communications, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-40), Room 17B-04, 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 827-2828 RIN: 0910-AA90 _______________________________________________________________________ 933. LABELING FOR HUMAN PRESCRIPTION DRUGS; REVISED FORMAT Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. [[Page 21219]] Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 358; 21 USC 360; 21 USC 360b; 21 USC 360gg to 360ss; 21 USC 371; 21 USC 374; 21 USC 379e CFR Citation: 21 CFR 201 Legal Deadline: None Abstract: The proposed regulation would amend the regulations governing the format and content of professional labeling for human prescription drug and biologic products, 21 CFR 201.56 and 201.57. The proposal would require that professional labeling include a section containing highlights of prescribing information, a section containing an index to prescribing information, reorder currently required information and make minor changes to its content, and establish minimum graphical requirements for professional labeling. The proposal would also eliminate certain unnecessary statements that are currently required to appear on prescription drug labels and move certain information to patient labeling. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/00/99 NPRM Comment Period End 10/00/99 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: Undetermined Additional Information: Legal Authority continued: 42 USC 216; 42 USC 241; 42 USC 262; 42 USC 264 Agency Contact: Nancy Ostrove, Division of Drug Marketing, Advertising, and Communications, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-40), 5600 Fishers Lane, Rockville, MD 20857 Phone: 301 827-2828 Fax: 301 594-6759 Lee Korb, Regulatory Counsel, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-5626 Fax: 301 827-5562 RIN: 0910-AA94 _______________________________________________________________________ 934. ADVERSE DRUG REACTION REPORTING REQUIREMENTS FOR HUMAN DRUG AND BIOLOGICAL PRODUCTS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 216; 21 USC 262; 21 USC 263; 21 USC 263a; 21 USC 264; 21 USC 300aa; 21 USC 321; 21 USC 331; 21 USC 351 to 353; 21 USC 355; 21 USC 371; 21 USC 374 CFR Citation: 21 CFR 20; 21 CFR 310; 21 CFR 312; 21 CFR 314; 21 CFR 600 Legal Deadline: None Abstract: The proposed rule would amend the expedited and periodic safety reporting regulations for human drugs and biological products to revise certain definitions and reporting formats as recommended by the International Conference on Harmonization and to define new terms; to add to or revise current reporting requirements; to revise certain reporting time frames; and to make other revisions to these regulations to enhance the quality of adverse drug reaction reports received by FDA. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 10/00/99 NPRM Comment Period End 01/00/00 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Lee D. Korb, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AA97 _______________________________________________________________________ 935. USE OF OZONE-DEPLETING SUBSTANCES Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 15 USC 402; 15 USC 409; 21 USC 321; 21 USC 331; 21 USC 335; 21 USC 342; 21 USC 346a; 21 USC 348; 21 USC 351; 21 USC 352; 21 USC 355; 21 USC 360b; 21 USC 361; 21 USC 371 CFR Citation: 21 CFR 2 Legal Deadline: None Abstract: FDA is proposing to amend the regulation that permits the use of ozone-depleting substances in particular circumstances to set the standard FDA will use to determine when the use of ozone-depleting substances (ODS) is no longer essential under the Clean Air Act (CAA) and set a new standard to determine when a new essential-use designation should be granted after the effective date of the rule. FDA is also proposing to amend the regulations to better conform to other statutes and regulations relating to ozone-depleting substances to eliminate potential confusion and conflicts. FDA is proposing to eliminate out-of-date transitional provisions and make other nonsubstantive housekeeping changes to its regulations on ozone- depleting substances. The intended effect of the proposed rule is to protect the health and safety of medical device users while complying with the CAA and the Montreal Protocol. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 03/06/97 62 FR 10242 ANPRM Comment Period End 05/05/97 NPRM 09/00/99 NPRM Comment Period End 12/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Leanne Cusumano, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 [[Page 21220]] Fax: 301 827-5562 RIN: 0910-AA99 _______________________________________________________________________ 936. RADIOACTIVE DRUGS FOR BASIC RESEARCH Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 21 USC 321; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 371; 42 USC 262 CFR Citation: 21 CFR 361 Legal Deadline: None Abstract: The proposed rule would update FDA's regulations on the use of radioactive drugs for basic research to reflect technological changes in the field of radiopharmaceuticals. The proposed rule would also clarify and correct certain provisions. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 09/00/99 NPRM Comment Period End 12/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Brian L. Pendleton, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB00 _______________________________________________________________________ 937. VETERINARY FEED DIRECTIVES Priority: Other Significant Legal Authority: PL 104-250 CFR Citation: 21 CFR 510; 21 CFR 514; 21 CFR 558 Legal Deadline: None Abstract: The Animal Drug Availability Act (ADAA) amended the Federal Food, Drug, and Cosmetic Act (the act) to create a new section 504, Veterinary Feed Directive Drugs (VFD drugs). VFD drugs are animal drugs intended for use in or on animal feed which are limited by an approved application filed pursuant to section 512(b) of the act for use under the professional supervision of a licensed veterinarian in the course of the veterinarian's professional practice. This section requires, among other things, that the labeling, distribution and use of a VFD drug be consistent with its approval; that persons involved in the distribution and use of a VFD drug maintain copies of the VFD; and that persons distributing animal feed provide a one time notice upon first engaging in the distribution of VFD drugs. The proposed rule will provide guidance to the industry about how to comply with section 504 of the act and will serve as a basis for enforcement action. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 06/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: None Agency Contact: George Graber, Department of Health and Human Services, Food and Drug Administration, Center for Veterinary Medicine (HFV-220), 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-6651 Fax: 301 594-1812 RIN: 0910-AB09 _______________________________________________________________________ 938. ADMINISTRATIVE PRACTICES AND PROCEDURES; ADVISORY OPINIONS AND GUIDELINES Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 15 USC 1451 to 1461; 21 USC 41 to 50; 21 USC 141 to 149; 21 USC 321 to 394; 21 USC 467f; 21 USC 679; 21 USC 821; 21 USC 1034; 42 USC 201; 42 USC 262; 42 USC 263b; 42 USC 264 CFR Citation: 21 CFR 10; 21 CFR 808 Legal Deadline: NPRM, Statutory, July 1, 2000. Abstract: This proposed rule would amend FDA regulations in 21 CFR part 10 concerning advisory opinions and guidelines to implement the Food and Drug Administration Modernization Act of 1997 requirement in 21 U.S.C. 371(h) to issue regulations on good guidance practices. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Andrea Masciale, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB14 _______________________________________________________________________ 939. EXPORTS; REPORTING AND RECORDKEEPING REQUIREMENTS Priority: Routine and Frequent Legal Authority: 15 USC 1453 to 1455; 21 USC 321; 21 USC 343; 21 USC 352; 21 USC 355; 21 USC 360b; 21 USC 362; 21 USC 371; 21 USC 381; 21 USC 382; 21 USC 393; 42 USC 216; 42 USC 241; 42 USC 243; 42 USC 262 CFR Citation: 21 CFR 1 Legal Deadline: None Abstract: The proposed rule would establish the recordkeeping and notification requirements for persons exporting human drugs, animal drugs, biologics, and devices under the FDA Export Reform and Enhancement Act. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 04/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Philip L. Chao, Senior Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Office of Policy (HF-23), 5600 Fishers Lane, Room 15-74, Rockville, MD 20857 Phone: 301 827-3380 Fax: 301 443-6906 Email: [email protected] RIN: 0910-AB16 _______________________________________________________________________ [[Page 21221]] 940. REGISTRATION OF FOREIGN ESTABLISHMENTS AND PRODUCT LISTING Priority: Routine and Frequent Legal Authority: 21 USC 321; 21 USC 331; 21 USC 352; 21 USC 355; 21 USC 360; 21 USC 360b to 360c; 21 USC 360e; 21 USC 360i to 360j; 21 USC 371; 21 USC 374; 42 USC 216; 42 USC 262 CFR Citation: 21 CFR 207; 21 CFR 607; 21 CFR 807 Legal Deadline: None Abstract: The proposal would amend the establishment registration and product listing regulations for human drugs, biologics, animal drugs, and devices to require foreign establishments engaged in the manufacture, preparation, propagation, compounding, or processing of such products that are imported or offered for import into the United States to register and to register the name of a United States agent for the foreign establishment. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 04/00/99 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: None Agency Contact: Philip L. Chao, Senior Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Office of Policy (HF-23), 5600 Fishers Lane, Room 15-74, Rockville, MD 20857 Phone: 301 827-3380 Fax: 301 443-6906 Email: [email protected] RIN: 0910-AB21 _______________________________________________________________________ 941. SUITABILITY DETERMINATION FOR DONORS OF HUMAN CELLULAR AND TISSUE- BASED PRODUCTS Priority: Other Significant Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 42 USC 216; 42 USC 243; 42 USC 262; 42 USC 263a; 42 USC 264; 42 USC 271 CFR Citation: 21 CFR 210.1(c); 21 CFR 210.2(a); 21 CFR 210.2(b); 21 CFR 211.1(b); 21 CFR 820.1(a)(1); 21 CFR 820.1(c); 21 CFR 1271 Legal Deadline: None Abstract: As part of implementing the proposed regulatory approach to human cellular and tissue-based products, the Food and Drug Administration is proposing to require manufacturers of human cellular and tissue-based products to screen and test the donors of cells and tissues used in those products for evidence of or risk factors for relevant communicable disease. As part of this action, the agency is proposing to amend the current good manufacturing practice regulations that apply to human cellular and tissue-based products regulated as drugs, medical devices, and/or biological products in order to incorporate the new donor suitability requirements into existing good manufacturing practice regulations. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 06/00/99 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: None Agency Contact: Paula S. McKeever, Regulatory Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Center for Biologics Evaluation and Research (HFM-17), 1401 Rockville Pike, Suite 200N, Rockville, MD 20852 Phone: 301 827-6210 RIN: 0910-AB27 _______________________________________________________________________ 942. CURRENT GOOD TISSUE PRACTICE FOR MANUFACTURERS OF HUMAN CELLULAR AND TISSUE-BASED PRODUCTS Priority: Other Significant Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 42 USC 216; 42 USC 243; 42 USC 262; 42 USC 263a; 42 USC 264; 42 USC 271 CFR Citation: 21 CFR 1271 Legal Deadline: None Abstract: As part of implementing the proposed regulatory approach to human cellular and tissue-based products, the Food and Drug Administration (FDA) is proposing to require manufacturers of human cellular and tissue-based products to follow current good tissue practice (GTP), which includes proper handling, processing, and storage of human cellular and tissue-based products, recordkeeping, and the maintenance of a quality program. FDA is also proposing to amend the current good manufacturing practice regulations that apply to human cellular and tissue-based products regulated as drugs, medical devices, and/or biological products in order to incorporate the new GTP requirements into existing good manufacturing practice regulations. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 09/00/99 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: None Agency Contact: Paula S. McKeever, Regulatory Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Center for Biologics Evaluation and Research (HFM-17), 1401 Rockville Pike, Suite 200N, Rockville, MD 20852 Phone: 301 827-6210 RIN: 0910-AB28 _______________________________________________________________________ 943. SHELL EGGS: WARNING, NOTICE AND SAFE HANDLING LABELING STATEMENTS AND REFRIGERATION REQUIREMENTS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Legal Authority: 21 USC 321; 42 USC 264 CFR Citation: 21 CFR 101.17(g); 21 CFR 115.50; 21 CFR 16.5 Legal Deadline: None Abstract: There have been numerous foodborne outbreaks of salmonellosis, principally due to Salmonella Enteritidis (SE), that have been traced to the consumption of temperature abused and/or undercooked shell eggs. The Food and Drug Administration has received petitions from Rose Acres Farm, Inc., and the Center for Science in the Public Interest that request, in part, that FDA establish safe handling statements for shell eggs. FDA intends [[Page 21222]] to propose to require safe handling statements on labeling of shell eggs that have not been treated to destroy Salmonella microorganisms that may be present. In accordance with amendments to the Egg Products Inspection Act, USDA published on August 27, 1998, a final rule to require that shell eggs be stored at an ambient temperature of 7 degrees Celsius (45 degrees Fahrenheit). However, the USDA rulemaking does not include refrigeration at retail. FDA intends to propose regulations to mandate that shell eggs be stored for retail sale at 7 degrees celsius (45 degrees Fahrenheit) or less. FDA is proposing this measure to ensure that shell eggs are handled in a manner to decrease the possible growth of any SE that may be present in shell eggs. All of these actions are intended to reduce the occurrence of illnesses and deaths associated with the consumption of improperly cooked shell eggs. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 05/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Geraldine A. June, Consumer Safety Officer, Department of Health and Human Services, Food and Drug Administration, Center for Food Safety and Applied Nutrition, (HFS-158), 200 C Street SW., Washington, DC 20204 Phone: 202 205-5099 Fax: 202 205-4594 Email: [email protected] RIN: 0910-AB30 _______________________________________________________________________ 944. ANTIBIOTIC DRUG APPROVAL AND EXCLUSIVITY Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will eliminate existing text in the CFR. Legal Authority: PL 105-115, sec 125 CFR Citation: 21 CFR 314 Legal Deadline: None Abstract: The proposed rule would implement the incorporation of antibiotics, which were formerly regulated under authority of section 507 of the Federal Food, Drug, and Cosmetic Act, into the new drug regulatory scheme under section 505 of the Act. The regulation will describe which antibiotics are excepted under section 125(d) of the Food and Drug Administration Modernization Act of 1997 from certain provisions in section 505, including the exclusivity provisions under sections 505(c) and 505(j) of the Act. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 08/00/99 NPRM Comment Period End 11/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Wayne Mitchell, Regulatory Counsel, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB33 _______________________________________________________________________ 945. APPLICATIONS FOR FDA APPROVAL TO MARKET A NEW DRUG OR ANTIBIOTIC DRUG; COMPLETE RESPONSE LETTER; AMENDMENTS TO UNAPPROVED APPLICATIONS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will eliminate existing text in the CFR. Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 371; 21 USC 374; 21 USC 379e CFR Citation: 21 CFR 312; 21 CFR 314 Legal Deadline: None Abstract: The proposed rule would amend the regulations on marketing approval of new drugs to discontinue the use of approvable and not approvable letters when taking action on a marketing application and instead use complete response letters. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 08/00/99 NPRM Comment Period End 11/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Brian L. Pendleton, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB34 _______________________________________________________________________ 946. EXPANDED ACCESS TO INVESTIGATIONAL THERAPIES Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 360bbb CFR Citation: 21 CFR 312 Legal Deadline: None Abstract: The proposed rule would revise the investigational new drug regulations to clarify the conditions under which individual patients may receive investigational drugs for treatment use; to clarify the conditions under which a small group of patients may receive investigational drugs for treatment use under an expanded access protocol; and to clarify the criteria under which sponsors can recover costs for providing investigational drugs to patients for certain treatment uses. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/00/99 NPRM Comment Period End 02/00/00 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Joseph Griffin, Regulatory Counsel, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 [[Page 21223]] Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB37 _______________________________________________________________________ 947. AMENDMENT OF REGULATIONS REGARDING CERTAIN LABEL STATEMENTS ON PRESCRIPTION DRUGS Priority: Other Significant Legal Authority: PL 105-115, sec 126 CFR Citation: 21 CFR 201; 21 CFR 250; 21 CFR 310; 21 CFR 329; 21 CFR 361; 21 CFR 369 Legal Deadline: None Abstract: This proposed rule would revise 21 CFR parts 201, 250, 310, and 361 by removing the requirement that prescription drugs be labeled ``Caution: Federal law prohibits the dispensing without prescription'' and substituting a requirement that prescription drugs be labeled ``Rx only''. The rule would also revise parts 201, 329, and 369 by removing the requirement that certain habit-forming narcotics or hypnotics bear the statement ``Warning--May be habit forming.'' Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 05/00/99 NPRM Comment Period End 08/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Christine Rogers, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB39 _______________________________________________________________________ 948. ELECTRONIC SUBMISSION OF ADVERSE DRUG REACTION REPORTS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 216; 21 USC 262; 21 USC 263; 21 USC 263a; 21 USC 264; 21 USC 300aa; 21 USC 321; 21 USC 331; 21 USC 251 to 353; 21 USC 355; 21 USC 371; 21 USC 374 CFR Citation: 21 CFR 20; 21 CFR 310; 21 CFR 312; 21 CFR 314; 21 CFR 600 Legal Deadline: None Abstract: The proposed rule would set forth requirements on the electronic submission of adverse drug reaction reports using international medical terminology, electronic data format, and electronic transmission standards. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 11/05/98 63 FR 59746 ANPRM Comment Period End 02/03/99 NPRM 01/00/00 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Lee D. Korb, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB42 _______________________________________________________________________ 949. DISTINGUISHING MARKS FOR DRUG PRODUCTS CONTAINING INSULIN Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 358; 21 USC 360; 21 USC 360b; 21 USC 360gg to 360ss; 21 USC 371; 21 USC 374; 21 USC 379e; 42 USC 216 CFR Citation: 21 CFR 201 Legal Deadline: None Abstract: The proposed rule would set forth a new system of distinctive colors and marks to identify different types of insulin-containing drug products. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/00/99 NPRM Comment Period End 02/00/00 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Wayne H. Mitchell, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB43 _______________________________________________________________________ 950. PROGESTATIONAL DRUG PRODUCTS FOR HUMAN USE; REQUIREMENTS FOR LABELING DIRECTED TO THE PATIENT Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 360b to 360f; 21 USC 360j; 21 USC 361(a); 21 USC 371; 21 USC 374; 21 USC 375; 21 USC 379e CFR Citation: 21 CFR 310 Legal Deadline: None Abstract: The proposed rule would revoke 21 CFR 310.516 which requires that progestational drug products be dispensed with a patient package insert containing a discussion of the risks of birth defects resulting from the use of these drugs during the first four months of pregnancy. The Food and Drug Administration is proposing to revoke this labeling requirement because of changes in the currently available scientific information. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 04/00/99 NPRM Comment Period End 07/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Christine Rogers, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 [[Page 21224]] Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB45 _______________________________________________________________________ 951. SUPPLEMENTAL MANUFACTURING CHANGES FOR NEW ANIMAL DRUGS Priority: Other Significant Legal Authority: PL 105-115, sec 116 CFR Citation: 21 CFR 514.8 Legal Deadline: Final, Statutory, November 21, 1999. Abstract: Section 116 of the Food and Drug Administration Modernization Act of 1997 added a new section to the Federal Food, Drug, and Cosmetic Act that sets forth categories for the reporting of manufacturing changes to a drug product. These categories are based on the potential of the change to adversely affect the identity, strength, quality, purity, and potency of the drug as they may relate to the safety and effectiveness of the drug. The rulemaking will propose the procedures for determining what information the agency would require before drugs manufactured subject to these changes may be distributed. The Center for Veterinary Medicine is proposing to amend the regulations regarding supplementary new animal drug regulations to incorporate the requirements of section 116. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 06/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: William Marnane, Department of Health and Human Services, Food and Drug Administration, Center for Veterinary Medicine (HFV-140), 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-6966 Fax: 301 594-2297 RIN: 0910-AB49 _______________________________________________________________________ 952. REQUIREMENTS FOR LIQUID MEDICATED FEED AND FREE-CHOICE MEDICATED FEED Priority: Substantive, Nonsignificant Legal Authority: PL 104-25; 21 USC 360b CFR Citation: 21 CFR 558.5; 21 CFR 510.455 Legal Deadline: None Abstract: In response to a citizen petition filed by the American Feed Industry Association, the Food and Drug Administration (FDA) is proposing to amend the requirements for liquid medicated animal feed to clarify what information and data are required to demonstrate chemical and positional stability. The amended regulations would also clarify the provisions for the submission of such data through a master file and the reference to master files by subsequent applicants. Additionally, FDA is proposing to amend the regulations for free-choice medicated feed in order to ensure consistency with the requirements for liquid medicated feed. Finally, FDA is proposing to amend the regulations for free -choice medicated feed and liquid medicated feed so that these provisions comply with the terms of the Animal Drug Availability Act of 1996. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 12/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: William Price, Department of Health and Human Services, Food and Drug Administration, Center for Veterinary Medicine (HFV-200), 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-6652 RIN: 0910-AB50 _______________________________________________________________________ 953. PHARMACY COMPOUNDING; GENERAL REGULATIONS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: PL 105-115, sec 127 CFR Citation: 21 CFR 216 Legal Deadline: None Abstract: Section 127 of the Food and Drug Administration Modernization Act of 1997 (Pub. L. 105-115) added section 503A to the Food, Drug, and Cosmetic Act (21 USC 353A). Section 503A governs the application of Federal law to the practice of pharmacy compounding. This rule will propose regulations for the interpretation and enforcement of section 503A. The proposed regulations will delineate the conditions under which compounding is exempt from the manufacturing, misbranding, and new drug provisions of the Food, Drug, and Cosmetic Act. The proposed regulations will also set forth other definitions and conditions for distinguishing legitimate pharmacy compounding from pharmaceutical drug manufacturing performed under the guise of compounding. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 01/00/00 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Wayne H. Mitchell, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB58 _______________________________________________________________________ 954. DRUG PRODUCTS THAT PRESENT DEMONSTRABLE DIFFICULTIES FOR COMPOUNDING BECAUSE OF REASONS OF SAFETY OR EFFECTIVENESS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: PL 105-115, sec 127 CFR Citation: 21 CFR 216 Legal Deadline: None Abstract: Section 127 of the Food and Drug Administration Modernization Act of 1997 (Pub. L. 105-115) added section 503A to the Food, Drug, and Cosmetic Act (21 USC 353a). Section 503A governs the application of Federal law to the practice of pharmacy compounding, and exempts [[Page 21225]] compounded drug products, under certain circumstances, from several key provisions of the Food, Drug, and Cosmetic Act. Section 503A(b)(3)(A) directs FDA to issue by regulation a list of drug products that, if compounded, will not qualify for these exemptions because their compounding would be demonstrably difficult in terms of assuring the safety or effectiveness of the compounded product. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 12/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Richard Schwartzbard, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB59 _______________________________________________________________________ 955. DISCONTINUATION OF A LIFE-SAVING PRODUCT Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: PL 105-115, sec 131 CFR Citation: 21 CFR 314 Legal Deadline: None Abstract: Section 131 of the Food and Drug Administration Modernization Act of 1997 (Pub. L. 105-115) added section 506C to the Food, Drug, and Cosmetic Act (21 USC 356C). This proposed rule would set forth requirements on issues related to the implementation of section 131, which requires that the sole manufacturer of certain life-saving drug products notify the Secretary of the discontinuance of the manufacture of the product at least six months prior to the discontinuance of the drug. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 08/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Andrea Masciale, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB60 _______________________________________________________________________ 956. MANUFACTURING CHANGES FOR DRUGS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: PL 105-115, sec 116 CFR Citation: 21 CFR 314 Legal Deadline: Final, Statutory, November 21, 1999. Abstract: Section 116 of the Food and Drug Administration Modernization Act of 1997 (Pub. L. 105-115) added section 506A to the Food, Drug, and Cosmetic Act (21 USC 356A). Pursuant to section 116, the rulemaking will propose to revise current procedures for approving manufacturing changes and generally classify such changes into three categories. Major manufacturing changes, which are of a type determined by the Secretary to have a substantial potential to adversely affect the identity, strength, quality, purity, and potency of the drug as they may relate to the safety and effectiveness of a drug, require prior approval of a supplemental application. Other changes may be made pending review of a supplemental application if FDA has not notified the company within 30 days after the submission of a supplement that prior approval is required. The proposed rule would also identify another category of changes that may be made without the submission of a supplement but which must be reported in an annual report. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 04/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Howard P. Muller, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB61 _______________________________________________________________________ 957. PEDIATRIC STUDIES OF DRUGS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: PL 105-115, sec 111 CFR Citation: 21 CFR 314 Legal Deadline: None Abstract: Section 111 of the Food and Drug Administration Modernization Act of 1997 (Pub. L. 105-115) added section 505A to the Food, Drug, and Cosmetic Act (21 USC 355A). Section 505A permits certain applications to obtain an additional six months of marketing exclusivity if, in accordance with the requirements of the statute, the sponsor submits information relating to the use of the drug in the pediatric population. The proposed regulations would implement the pediatric exclusivity provisions of section 111. FDA is proposing to amend 21 CFR part 314 to add pediatric exclusivity to FDA's new drug product exclusivity regulations. FDA is also proposing to add new regulations describing the requirements an applicant must fulfill in order to qualify for pediatric exclusivity. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/00/99 NPRM Comment Period End 02/00/00 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Leanne Cusumano, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 [[Page 21226]] Fax: 301 827-5562 RIN: 0910-AB62 _______________________________________________________________________ 958. POSITRON EMISSION TOMOGRAPHY DRUGS; CURRENT GOOD MANUFACTURING PRACTICES Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: PL 105-115, sec 121 CFR Citation: 21 CFR 220 Legal Deadline: Final, Statutory, November 21, 1999. Abstract: Section 121 of the Food and Drug Administration Modernization Act of 1997 (Pub. L. 105-115) directs FDA to establish requirements for current good manufacturing practices (CGMPs) for positron emission tomography (PET) drugs, a type of radiopharmaceutical. The proposed rule would adopt CGMPs that reflect the unique characteristics of PET drugs. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 09/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Brian L. Pendleton, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB63 _______________________________________________________________________ 959. FOOD LABELING: TRANS FATTY ACIDS IN NUTRITION LABELING AND NUTRIENT CONTENT CLAIMS Priority: Other Significant Legal Authority: 21 USC 321; 21 USC 343; 21 USC 371 CFR Citation: 21 CFR 101 Legal Deadline: None Abstract: Section 403(q) of the Federal Food, Drug, and Cosmetic Act, which was added by the Nutrition Labeling and Education Act of 1990, requires that the label or labeling of food products bear nutrition information. Among other things, section 403(q) authorizes the Food and Drug Administration (FDA) to add or delete nutrients that are to be declared on the labels or labeling of food products by regulation if it finds such action necessary to assist consumers in maintaining healthy dietary practices. In response to this section, FDA published a proposal on November 27, 1991 (56 FR 60366). Among other things, FDA discussed including trans fatty acids among the nutrients that could voluntarily be listed on the nutrition label but concluded that there was no basis for doing so. On January 6, 1993, FDA issued a final rule entitled ``Food Labeling: Mandatory Status of Nutrition Labeling and Nutrient Content Revision, Format for Nutrition Label'' (58 FR 2079) prescribing how nutrition labeling is to be provided on the food. Based on its review of the comments to the proposal, the agency stated that it was premature to consider the listing of trans fatty acids on the nutrition label because of a lack of consensus on the dietary implications of trans fatty acids intake. However, the agency acknowledged that it might be necessary to readdress the labeling of trans fatty acids in the future. FDA subsequently received a citizen petition requesting that FDA amend the definition of saturated fatty acid in section 101.9(c)(2)(i) to include trans fatty acid. In response to this petition and based on new evidence, FDA is proposing to amend its regulations to provide for the declaration of trans fatty acids in nutrition labeling, to add a requirement that prevents foods from bearing nutrient content claims for saturated fat (i.e., saturated fatty acids) and cholesterol if they contain trans fatty acids above a specified level, and to define a ``trans fatty acids free'' nutrient content claim. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 08/00/99 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: Undetermined Agency Contact: Susan Thompson, Chemist, Department of Health and Human Services, Food and Drug Administration, Center for Food Safety and Applied Nutrition, (HFS-165), 200 C Street SW., Washington, DC 20204 Phone: 202 205-5587 Fax: 202 205-5532 Email: [email protected] RIN: 0910-AB66 _______________________________________________________________________ 960. DESIGNATED JOURNALS Priority: Substantive, Nonsignificant Legal Authority: 21 USC 360b CFR Citation: 21 CFR 510.95 Legal Deadline: None Abstract: FDA intends to remove this rule. The current rule lists the veterinary and scientific journals available in FDA's library and allows sponsors to reference an article from a listed journal in applications rather than submitting a copy of the article. FDA is taking this action because the list of journals is outdated and is no longer being used by sponsors except on an extremely limited basis. Also, the application of this rule is not an efficient use of agency resources. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 04/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: None Agency Contact: Margaret Miller, Deputy Director, Office of New Animal Drug Evaluation, Department of Health and Human Services, Food and Drug Administration, Center for Veterinary Medicine (HFV-100), 7500 Standish Place, Rockville, MD 20855 Phone: 301 594-1620 RIN: 0910-AB67 _______________________________________________________________________ 961. PRESUBMISSION CONFERENCES Priority: Substantive, Nonsignificant Legal Authority: 21 USC 360b CFR Citation: 21 CFR 514 Legal Deadline: None Abstract: This rule will implement section 512(b)(3) of the Federal Food, Drug, and Cosmetic Act (the act). This section of the act states that any person intending to file a new animal drug application or supplemental new animal drug application, or to investigate a new animal drug is entitled to one or more conferences with the agency prior to submission to [[Page 21227]] reach an agreement establishing a submission or investigational requirement. This rule would describe how to request a presubmission conference and describe the procedures for the conduct of presubmission conferences. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 12/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Gail Schmerfeld, Special Assistant, Department of Health and Human Services, Food and Drug Administration, Center for Veterinary Medicine (HFV-100), 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-0205 Fax: 301 594-2297 RIN: 0910-AB68 _______________________________________________________________________ 962. CLASSIFICATION OF SHEEP AS A MINOR SPECIES FOR ALL DATA COLLECTION PURPOSES Priority: Substantive, Nonsignificant Legal Authority: 21 USC 360b CFR Citation: 21 CFR 514.1 Legal Deadline: None Abstract: This rule would amend 21 CFR 514.1(d) to state that sheep are minor species for all data collection purposes, thereby allowing extrapolation from major species data and limited studies to fulfill the human food safety data requirements for New Animal Drug Applications. Sheep were originally classified as major species for human food safety requirements based upon certain expectations of consumption levels. However, over the years, domestic production of sheep for food has declined drastically. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 04/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Margaret Oeller, Veterinary Medical Officer, Department of Health and Human Services, Food and Drug Administration, Center for Veterinary Medicine (HFV-130), 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-7581 RIN: 0910-AB69 _______________________________________________________________________ 963. CURRENT GOOD MANUFACTURING PRACTICE FOR MEDICATED FEEDS Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will eliminate existing text in the CFR. Legal Authority: 21 USC 351; 21 USC 352; 21 USC 360b; 21 USC 371; 21 USC 374 CFR Citation: 21 CFR 225 Legal Deadline: None Abstract: Proposal is in response to a citizen petition request to merge the separate requirements of the current good manufacturing practice (CGMP) regulations, 21 CFR part 225 applicable to licensed and unlicensed feed manufacturing facilities, respectively. The merger would produce a single set of updated, streamlined CGMPs that apply to all medicated feed manufacturers. This consolidation of existing CGMPs would preserve and strengthen food safety, be more appropriate given the changing structure of the medicated feed industry, and enhance uniformity and enforcement. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Procurement: This is a procurement-related action for which there is no statutory requirement. There is a paperwork burden associated with this action. Agency Contact: George Graber, Director, Division of Animal Feeds, Department of Health and Human Services, Food and Drug Administration, Center for Veterinary Medicine (HFV-220), 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-6651 Fax: 301 594-1812 Email: [email protected] RIN: 0910-AB70 _______________________________________________________________________ 964. IMPLEMENTATION OF THE IMPORT TOLERANCE PROVISIONS OF THE ANIMAL DRUG AVAILABILITY ACT OF 1996 AND THE SAFE LEVEL PROVISIONS OF THE ANIMAL MEDICINAL DRUG CLARIFICATION ACT OF 1994 Priority: Substantive, Nonsignificant Unfunded Mandates: Undetermined Legal Authority: 21 USC 360b CFR Citation: 21 CFR 556 Legal Deadline: None Abstract: Section 4 of the Animal Drug Availability Act of 1996 (Pub. L. 104-250) permits the Secretary of HHS establish tolerances for animal drugs used or intended for use in animals grown in an exporting nation from which an edible portion is imported into the United States. The standards used to establish tolerances are to be similar to the food safety criteria used by the Secretary to establish tolerances for drugs administered to animals grown in the United States. The data used for establishing the tolerances may be from the manufacturer and include data upon which a foreign approval is based or data available to an international organization such as the Codex Alimentarius Commission. The Animal Medicinal Drug Clarification Act of 1994 (Pub. L. 103-396) allows the Secretary to establish a safe level for a residue of an animal drug when the drug is used in an extralabel manner, if the Secretary finds that there is a reasonable probability that an extralabel use may present a risk to the public health. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 01/00/00 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Margaret Miller, Deputy Director, Office of New Animal Drug Evaluation, Department of Health and Human Services, Food and Drug Administration, Center for Veterinary Medicine (HFV-100), 7500 Standish Place, Rockville, MD 20855 Phone: 301 594-1620 RIN: 0910-AB71 _______________________________________________________________________ [[Page 21228]] 965. MANDATORY HACCP REGULATIONS FOR MANUFACTURERS OF RENDERED PRODUCTS Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 342; 21 USC 343; 21 USC 348; 21 USC 371 CFR Citation: 21 CFR 589 Legal Deadline: None Abstract: During the notice and comment rulemaking for 21 CFR part 589, ``Listing of Specific Substances Prohibited from Use in Animal Food or Feed; Animal Proteins Prohibited in Ruminant Feed;'' FDA received several comments supporting the application of mandatory Hazard Analysis Critical Control Point (HACCP) regulations for renderers. Some of these comments were from renderers. Because of the need to expedite the rulemaking for 21 CFR part 589, FDA stated that it would take up the HACCP regulations for renderers as a separate initiative. This rulemaking is to address the need expressed in the comments to 21 CFR part 589 by promulgating mandatory HACCP regulations for renderers. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 12/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Daniel G. McChesney, Team Leader, Feed Safety Team, Department of Health and Human Services, Food and Drug Administration, Center for Veterinary Medicine (HFV-222), 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-6653 RIN: 0910-AB72 _______________________________________________________________________ 966. SURGEON'S AND PATIENT EXAMINATION GLOVES; RECLASSIFICATION Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351 to 352; 21 USC 357; 21 USC 360; 21 USC 360c; 21 USC 360e; 21 USC 360i; 21 USC 360j; 21 USC 360l; 21 USC 371; 21 USC 374 CFR Citation: 21 CFR 801.440; 21 CFR 878.4460; 21 CFR 878.4461; 21 CFR 880.6250; 21 CFR 880.6251 Legal Deadline: None Abstract: FDA is considering revising its present regulations governing the classification of surgeon's and patient examination gloves. The present rule classifies surgeon's and patient examination gloves as class I devices. FDA is considering reclassifying surgeon's and patient examination gloves as class II devices subject to special controls. FDA is also considering requiring additional labeling concerning powder and protein levels for these devices. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Joseph M. Sheehan, Chief, Regulations Staff, Department of Health and Human Services, Food and Drug Administration, Center for Devices and Radiological Health (HFZ-215), 1350 Piccard Drive, Rockville, MD 20850 Phone: 301 594-4765 RIN: 0910-AB74 _______________________________________________________________________ 967. CURRENT GOOD MANUFACTURING PRACTICES FOR BLOOD AND BLOOD COMPONENTS: NOTIFICATION OF CONSIGNEES RECEIVING BLOOD AND BLOOD COMPONENTS AT INCREASED RISK FOR TRANSMITTING HCV INFECTION Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 360; 21 USC 371; 21 USC 374; 42 USC 216; 42 USC 262; 42 USC 263; 42 USC 263a; 42 USC 264; 42 USC 300aa-25 CFR Citation: 21 CFR 606; 21 CFR 610 Legal Deadline: None Abstract: This rulemaking is one of a number of actions being taken to amend the biologics regulations to remove, revise, or update the regulations applicable to blood, blood components, and blood derivatives. These actions are based on a comprehensive review of the regulations performed by FDA, and are also based on reports by the U.S. House of Representatives Committee on Government Reform and Oversight, Subcommittee on House Resources and Intergovernmental Relations; the General Accounting Office; the Institute of Medicine, as well as public comments. In this rulemaking, FDA will propose to amend the biologics regulations to require that blood establishments prepare and follow written procedures for appropriate action when it is determined that blood and blood components at increased risk for transmitting hepatitis C virus (HCV) infection have been collected from a donor who, at a later date, tested repeatedly reactive for evidence of HCV. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/00/99 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: None Additional Information: See RIN 0910-AB26. Agency Contact: Steven F. Falter, Director, Regulations and Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Biologics Evaluation and Research (HFM-17), 1401 Rockville Pike, Suite 200N, Rockville, MD 20852 Phone: 301 827-6210 RIN: 0910-AB76 _______________________________________________________________________ 968. ANTIBIOTIC RESISTANCE LABELING Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 358; 21 USC 360; 21 USC 360b; 21 USC 371; 21 USC 374; 21 USC 379e; 42 USC 216; 42 USC 241; 42 USC 262; ... CFR Citation: 21 CFR 201.57 Legal Deadline: None Abstract: The proposed rule would require the inclusion of statements on [[Page 21229]] antibiotic prescription drug labeling concerning inappropriate antibiotic use and the prevalence of drug resistant microorganisms. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 08/00/99 NPRM Comment Period End 11/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Richard Schwartzbard, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB78 _______________________________________________________________________ 969. FIXED-COMBINATION DOSAGE FORM PRESCRIPTION DRUGS FOR HUMAN USE Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 355; 21 USC 360b; 21 USC 361; 21 USC 371 CFR Citation: 21 CFR 300.50 Legal Deadline: None Abstract: The proposed rule would amend 21 CFR 300.50 which states that two or more drugs may be combined in a single dosage form when each component makes a contribution to the claimed effects and the dosage of each component is such that the combination is safe and effective for a significant patient population requiring such concurrent therapy as defined in the labeling for the drug. The proposed rule would state how this provision will apply to fixed combination prescription drugs derived from two or more botanical raw materials. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 10/00/99 NPRM Comment Period End 01/00/00 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Brian L. Pendleton, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB79 _______________________________________________________________________ 970. 180-DAY GENERIC DRUG EXCLUSIVITY FOR ABBREVIATED NEW DRUG APPLICATIONS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 371; 21 USC 374; 21 USC 379e CFR Citation: 21 CFR 314.107 Legal Deadline: None Abstract: The proposed rule would amend regulations governing 180-day generic drug exclusivity to clarify existing eligibility requirements and conditions for abbreviated new drug application sponsors, to modify current eligibility requirements, and to impose new eligibility conditions. These revisions are the result of a court decision in Mova Pharmaceutical v. Shalala, 140 F. 3d 1060 (D.C. Cir. 1998), invalidating an eligibility requirement for exclusivity. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/00/99 NPRM Comment Period End 10/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Virginia G. Beakes, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB80 _______________________________________________________________________ 971. REPACKAGING APPROVAL REQUIREMENTS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 371; 21 USC 374; 21 USC 379e CFR Citation: 21 CFR 314 Legal Deadline: None Abstract: The proposed rule would set forth requirements for FDA prior approval of certain types of repackaging of approved drug products by persons who are not holders of approved applications for the products. The proposed rule would ensure that FDA approves changes to drug product containers and closure systems by both application holders and repackagers. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/00/99 NPRM Comment Period End 02/00/00 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Christine Rogers, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB81 _______________________________________________________________________ 972. STABILITY TESTING OF DRUG SUBSTANCES AND DRUG PRODUCTS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 371; 21 USC 374; 21 USC 379e CFR Citation: 21 CFR 314 Legal Deadline: None Abstract: The proposed rule would specify required stability data that must be submitted with new drug applications. [[Page 21230]] Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 09/00/99 NPRM Comment Period End 12/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Richard Schwartzbard, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB82 _______________________________________________________________________ 973. POSTMARKETING STUDIES FOR HUMAN DRUGS AND LICENSED BIOLOGICAL PRODUCTS: STATUS REPORTS Priority: Other Significant Legal Authority: PL 105-115 CFR Citation: 21 CFR 314.81; 21 CFR 601.70 Legal Deadline: Other, Statutory, October 1, 2001. Section 130(b) requires the FDA to report by 10/01/01 to the House and Senate committees summarizing submitted postmarketing study reports evaluating sponsor performance and the timeliness Abstract: Section 130(a) of the Food and Drug Administration Modernization Act of 1997 adds a new section 506B to the Federal Food, Drug, and Cosmetic Act requiring a drug sponsor that has agreed to conduct a postmarketing study to submit within one year after the drug's approval and annually thereafter until the study's conclusion, (1) A progress report or, (2) an explanation of why no study has been conducted. Any information pertaining to postmarketing study reports will be considered public to identify the sponsor or explain the status of the study or why it has not been carried out. FDA is required to publish annually in the Federal Register the status of postmarketing studies that sponsors have agreements to conduct and those with filed reports. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 06/00/99 NPRM Comment Period End 09/00/99 Regulatory Flexibility Analysis Required: No Small Entities Affected: Businesses Government Levels Affected: None Additional Information: Description of Legal Deadline continued... of FDA review. Agency Contact: Paula S. McKeever, Regulatory Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Center for Biologics Evaluation and Research (HFM-17), 1401 Rockville Pike, Suite 200N, Rockville, MD 20852-1448 Phone: 301 827-6210 RIN: 0910-AB83 _______________________________________________________________________ 974. AMENDMENT OF VARIOUS FOOD ADDITIVE AND DEVICE REGULATIONS TO REFLECT CURRENT AMERICAN SOCIETY FOR TESTING AND MATERIALS CITATIONS Priority: Routine and Frequent Legal Authority: 21 USC 321; 21 USC 331; 21 USC 341; 21 USC 342; 21 USC 343; 21 USC 346; 21 USC 348; 21 USC 351; 21 USC 352; 21 USC 360i; 21 USC 360j; 21 USC 371; 21 USC 373; 21 USC 374; 21 USC 379e CFR Citation: 21 CFR 172.210; 21 CFR 172.250; 21 CFR 172.615; 21 CFR 172.862; 21 CFR 172.864; 21 CFR 172.882; 21 CFR 173.25; 21 CFR 175.250; 21 CFR 175.270; 21 CFR 175.300; 21 CFR 176.170; 21 CFR 176.180; 21 CFR 177.1040; 21 CFR 177.1200; 21 CFR 177.1210; ... Legal Deadline: None Abstract: The proposed rule would amend various food additive and medical device regulations. The amendments would update the references in those regulations to various standards of the American Society for Testing and Materials (ASTM) to reflect the current standards designations. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Philip L. Chao, Senior Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Office of Policy (HF-23), 5600 Fishers Lane, Room 15-74, Rockville, MD 20857 Phone: 301 827-3380 Fax: 301 443-6906 Email: [email protected] RIN: 0910-AB84 [[Page 21231]] _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Final Rule Stage Food and Drug Administration (FDA) _______________________________________________________________________ 975. NEW ANIMAL DRUG APPROVAL PROCESS; IMPLEMENTATION OF TITLE I OF THE GENERIC ANIMAL DRUG AND PATENT TERM RESTORATION ACT (GADPTRA) Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 21 USC 321; 21 USC 351; 21 USC 352; 21 USC 360b; 21 USC 371; 21 USC 379e; 21 USC 381 CFR Citation: 21 CFR 514 Legal Deadline: Final, Statutory, November 16, 1989. The deadline applies to the GADPTRA sections. There is no deadline relating to the other sections. Abstract: On December 17, 1991, the Agency published a proposed revision of the existing regulations that is consistent with the current procedural regulations for human drugs, where appropriate. The New Animal Drug Application (NADA) revisions articulate general requirements in regulations containing performance standards and would complement these regulations through detailed guidances on, among other matters, appropriate ways of meeting requirements for submission of chemistry, pharmacology, and statistical data that would better address the intricate scientific issues involved. A separate proposed rule for reporting requirements for marketed animal drugs also was published on that date. The agency intends to repropose the NADA proposed rule to incorporate some recent changes in procedure. The NADA revisions are expected to include regulations to implement the provisions of the Animal Drug Availability Act of 1996, specifically the definition of flexible labeling, and implement parts of the President's National Performance Report ``Reinventing the Regulation of Animal Drugs,'' May 1996. In the reinventing regulations report, FDA proposed to revise its regulations to reflect numerous new process changes and programs that will maintain safety and effectiveness of new animal drugs and enable a more streamlined animal drug application review and approval process which will result in less regulatory burden upon industry and FDA. The Agency also proposes to amend its regulations to implement title I of the Generic Animal Drug and Patent Term Restoration Act, which established new standards for marketing approval of generic copies of animal drugs approved after 1962. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 11/21/96 61 FR 59209 ANPRM Comment Period End 01/21/97 New Animal Drug Approval Process NPRM 12/17/91 (56 FR 65544) NPRM To Be Determined Reporting Requirements for Marketed Animal Drugs NPRM 12/17/91 (56 FR 65581) Final Action 12/00/99 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: None Additional Information: Previously reported under RIN 0905-AA96. For information concerning reporting requirements for marketed animal drugs, contact William C. Keller, Director, Division of Epidemiology and Surveillance, Center for Veterinary Medicine, Food and Drug Administration, 7500 Standish Place, Rockville, MD 20855, (301) 594- 6642. For further information concerning generic animal drugs, contact Lonnie W. Luther, Chief, Quality Assurance Support Team, Center for Veterinary Medicine, Food and Drug Administration, 7500 Standish Place, Rockville, MD 20855, (301) 827-0209. Agency Contact: Margaret Miller, Deputy Director, Office of New Animal Drug Evaluation, Department of Health and Human Services, Food and Drug Administration, Center for Veterinary Medicine (HFV-100), 7500 Standish Place, Rockville, MD 20855 Phone: 301 594-1620 RIN: 0910-AA02 _______________________________________________________________________ 976. PRESCRIPTION DRUG MARKETING ACT OF 1987; POLICY INFORMATION, GUIDANCE, AND CLARIFICATIONS Priority: Other Significant Legal Authority: PL 100-293 Prescription Drug Marketing Act of 1987 CFR Citation: 21 CFR 203 Legal Deadline: None Abstract: The Prescription Drug Marketing Act of 1987 (PDMA) amended the Federal Food, Drug, and Cosmetic Act to: (1) require State licensing of wholesale distributors of prescription human drugs under Federal guidelines including minimum standards for storage, handling, and recordkeeping; (2) ban the reimportation of prescription human drugs produced in the United States, except when reimported by the manufacturer or for emergency use; (3) ban the sale, trade, or purchase of drug samples; (4) ban trafficking in or counterfeiting of drug coupons; (5) mandate storage, handling, and recordkeeping requirements for drug samples; (6) require licensed practitioners to request drug samples in writing; (7) prohibit, with certain exceptions, the resale of prescription human drugs purchased by hospitals or health care facilities; and (8) set forth criminal and civil penalties for violations of these provisions. In the Federal Register of September 14, 1990 (55 FR 38012), FDA issued a final rule setting forth Federal guidelines for State licensing of wholesale drug distributors. This final rule would provide information, guidance, and clarification of those sections of PDMA that are not related to State licensing of wholesale distributors. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 03/14/94 59 FR 11842 NPRM Comment Period End 08/01/94 Final Action 06/00/99 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses, Organizations Government Levels Affected: State, Federal Additional Information: Previously reported under RIN 0905-AD44. Agency Contact: Lee D. Korb, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 [[Page 21232]] Fax: 301 827-5562 RIN: 0910-AA08 _______________________________________________________________________ 977. FRUIT AND VEGETABLE JUICES: DEVELOPMENT OF HACCP AND LABEL WARNING STATEMENTS FOR JUICES Priority: Economically Significant. Major under 5 USC 801. Legal Authority: 21 USC 321 et seq; 42 USC 264 CFR Citation: 21 CFR 120 Legal Deadline: None Abstract: The Food and Drug Administration (FDA) announced in an advance notice of proposed rulemaking of August 4, 1994, its plans to consider the development of regulations establishing requirements for a new comprehensive food safety assurance program that would be based on the principles of Hazard Analysis Critical Control Points (HACCP). The new food safety program would respond to new challenges, such as new food processing and packaging technologies, new food distribution and consumption patterns, exposure to industrial chemicals and chemical waste, the increasing importation of foods, new microbial pathogens, and resource constraints. Current information shows that the most serious of these challenges is presented by food-borne pathogens. The number of recognized food-borne pathogens has broadened considerably, as has the awareness of long-term complications from certain food-borne illnesses--such as arthritis, heart disease, and kidney and neurological damage. To meet such challenges, FDA intends to shift the focus of its food safety assurance program away from periodic visual inspection and end-product testing and toward prevention of food safety risks and problems, utilizing the state-of-the-art HACCP preventive approach. A first step was taken when FDA published a HACCP regulation for fish and fishery products on December 18, 1995. Consistent with FDA's HACCP efforts, USDA published a HACCP regulation for meat and poultry on July 25, 1996. FDA proposed on April 24, 1998 to adopt a HACCP regulation for the processing of juice. The agency simultaneously proposed to require a warning statement on the labels or in labeling for juice products that have not been processed to reduce, control, or eliminate the presence of harmful bacteria. Such labeling would serve to reduce the risk of food-borne illness, pending development of a final HACCP rule for juice. As part of the development of the HACCP proposal, FDA considered information obtained during agency HACCP pilot activities, and comments and scientific and technological information relating to fresh juices provided during and after an agency public meeting on juice held on December 16 and 17, 1996. On July 8, 1998, the agency finalized the warning statement requirement. FDA held two technical scientific workshops, one November 12, 1998, in Lake Alfred, Florida and the other November 29, 1998, in Irvine, California, to discuss and clarify issues related to the implementation of the agency's rule requiring a warning statement for certain juice products. The workshops addressed citrus juice production and the methods for measuring and validating such systems. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 08/04/94 59 FR 39888 ANPRM Comment Period End 12/02/94 Economic Analysis for Juice HACCP and Labeling PRIA 05/01/98 (63 FR 24254) PRIA Comment Period End 06/22/98 HACCP for Juice NPRM 04/24/98 (63 FR 20450) NPRM Comment Period End 08/07/98 NPRM Comment Period Reopened 12/17/98 (63 FR 69579) NPRM Reopened Comment Period End 01/19/99 Final Action 01/00/00 Label Warning Statements for Juice Notice of Intent 08/28/97 (62 FR 45593) NPRM 04/24/98 (63 FR 20496) NPRM Comment Period End 06/21/ 98 Final Action 07/08/98 (63 FR 37029) Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: Federal Additional Information: Previously reported under RIN 0905-AE60. Agency Contact: John E. Kvenberg, Department of Health and Human Services, Food and Drug Administration, Center for Food Safety and Applied Nutrition (HFS-10), 200 C Street SW., Washington, DC 20204 Phone: 202 205-4020 Fax: 202 205-4018 Email: [email protected] RIN: 0910-AA43 _______________________________________________________________________ 978. CURRENT GOOD MANUFACTURING PRACTICE; AMENDMENT OF CERTAIN REQUIREMENTS FOR FINISHED PHARMACEUTICALS Priority: Other Significant Legal Authority: 21 USC 321; 21 USC 351 to 352; 21 USC 355; 21 USC 360b; 21 USC 371; 21 USC 374 CFR Citation: 21 CFR 210.3; 21 CFR 211.22; 21 CFR 211.68; 21 CFR 211.82; 21 CFR 211.84; 21 CFR 211.101; 21 CFR 211.103; 21 CFR 211.110; 21 CFR 211.111; 21 CFR 211.113; 21 CFR 211.115; 21 CFR 211.160; 21 CFR 211.166; 21 CFR 211.192; 21 CFR 211.220; ... Legal Deadline: None Abstract: FDA is finalizing revisions to the current good manufacturing practice (CGMP) regulations at 21 CFR parts 210 and 211 regarding finished pharmaceuticals. The new regulations codify current agency policies or current industry practices. Among other things, the rule will create or clarify requirements for process and methods validation, appropriate laboratory testing procedures, and protection against contamination. The rule is designed to update the CGMP regulations in response to technological changes and the agency's experience with the regulations. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 05/03/96 61 FR 20104 NPRM Comment Period End 09/30/96 Final Action 12/00/99 Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: Federal Additional Information: Previously reported under RIN 0905-AE63. Agency Contact: Richard Schwartzbard, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AA45 _______________________________________________________________________ [[Page 21233]] 979. BIOAVAILABILITY AND BIOEQUIVALENCE REQUIREMENTS Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 21 USC 321; 21 USC 351; 21 USC 352; 21 USC 355; 21 USC 371 CFR Citation: 21 CFR 320 Legal Deadline: None Abstract: The final rule revises and clarifies certain sections of part 320 and eliminate duplication and inconsistencies. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/19/98 63 FR 64222 NPRM Comment Period End 02/02/99 Final Action 09/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Christine Rogers, Regulatory Counsel, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AA51 _______________________________________________________________________ 980. PARENTERAL DRUG PRODUCTS CONTAINING ALUMINUM AS AN INGREDIENT OR CONTAMINANT; LABELING REQUIREMENTS; WARNING STATEMENT Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351 to 353; 21 USC 355; 21 USC 358; 21 USC 360; 21 USC 371; 21 USC 374; 21 USC 379; 42 USC 216; 42 USC 241; 21 USC 262; 21 USC 264 CFR Citation: 21 CFR 201 Legal Deadline: None Abstract: The rule will establish a maximum level of aluminum permitted in large volume parenterals used in total parenteral nutrition therapy; require that the maximum aluminum content present at the time of release be stated on the immediate container label of certain small volume parenterals and pharmacy bulk packages; require that the package insert of all parenterals include a warning statement on the effects of aluminum toxicity in patients with impaired kidneys receiving total parenteral nutrition therapy; and require manufacturers to develop validated assay methods for determining the aluminum content. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 01/05/98 63 FR 176 NPRM Comment Period End 04/06/98 Final Action 09/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Leanne Cusumano, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AA74 _______________________________________________________________________ 981. NEW DRUG APPLICATIONS; DRUG MASTER FILE Priority: Substantive, Nonsignificant Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351 to 353; 21 USC 355; 21 USC 371; 21 USC 374; 21 USC 379 CFR Citation: 21 CFR 314 Legal Deadline: None Abstract: The final rule eliminates Type I Drug Master Files, which contain information about manufacturing sites, facilities, operating procedures, and personnel, because these files contain outdated information, duplicate information contained in marketing applications, and are not used by application review divisions or field inspectors. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/03/95 60 FR 34486 NPRM Comment Period End 10/02/95 Final Action 05/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Lee D. Korb, Regulatory Counsel, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research, (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AA78 _______________________________________________________________________ 982. OVER-THE-COUNTER HUMAN DRUGS; LABELING REQUIREMENTS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 360; 21 USC 371 CFR Citation: 21 CFR 201; 21 CFR 330 Legal Deadline: None Abstract: The final rule will provide standardized format and content requirements for over-the-counter (OTC) drug product labeling, including legibility and design features for the presentation of such information as the uses for the drug, directions for use, warnings, drug interactions, active ingredients, and other information that the consumer would need to know to use the product safely and effectively. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 02/27/97 62 FR 9024 NPRM Comment Period End 10/06/97 62 FR 33379 Reopening of Comment Period (Study B) 12/30/97 62 FR 67770 Reopening of Comment Period (Study A) 02/13/98 63 FR 7331 Final Action 04/00/99 [[Page 21234]] Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: None Agency Contact: Debra Bowen, M.D., Division of OTC Drug Evaluation, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-560), 9201 Corporate Blvd., Rockville, MD 20850 Phone: 301 827-2222 RIN: 0910-AA79 _______________________________________________________________________ 983. INVESTIGATIONAL NEW DRUG APPLICATIONS; CLINICAL HOLDS FOR DRUGS FOR LIFE-THREATENING ILLNESSES Priority: Other Significant. Major status under 5 USC 801 is undetermined. Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 353; 21 USC 355; 21 USC 371; 42 USC 262 CFR Citation: 21 CFR 312 Legal Deadline: None Abstract: The final rule amends the provisions governing investigational new drug applications to permit FDA to place a clinical hold on one or more studies under an IND involving a drug that is intended to treat a life-threatening disease affecting both genders if men or women with reproductive potential who have the disease are excluded from eligibility in any phase of the investigation because of a risk or potential risk of reproductive or developmental toxicity from use of the investigational drug. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 09/24/97 62 FR 49946 NPRM Comment Period End 12/23/97 Final Action 07/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Andrea Masciale, Regulatory Counsel, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-5), 1451 Rockville Pike, Suite 6027, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AA84 _______________________________________________________________________ 984. STERILITY REQUIREMENTS FOR INHALATION SOLUTION PRODUCTS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351 to 353; 21 USC 355; 21 USC 358; 21 USC 360; 21 USC 371; 21 USC 374 to 375 CFR Citation: 21 CFR 200 Legal Deadline: None Abstract: The final rule requires that all inhalation solution products be manufactured to be sterile. Based on reports of adverse drug experiences from contaminated nonsterile inhalation solution products and recalls of these products, FDA is taking this action to prevent future additional adverse health consequences. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 09/23/97 62 FR 49638 NPRM Comment Period End 12/22/97 Final Action 07/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Carol Drew, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AA88 _______________________________________________________________________ 985. CURRENT GOOD MANUFACTURING PRACTICE; REVISION OF CERTAIN LABELING CONTROLS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 351; 21 USC 352; 21 USC 355; 21 USC 360b; 21 USC 371; 21 USC 374 CFR Citation: 21 CFR 210; 21 CFR 211 Legal Deadline: None Abstract: The final rule amends the labeling control provisions in the current good manufacturing practice regulations to make the provisions less burdensome while still reducing the frequency of drug product mislabeling and associated drug product recalls associated with cut labeling. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/29/97 62 FR 40489 NPRM Comment Period End 10/27/97 Final Action 09/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Richard Schwartzbard, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AA98 _______________________________________________________________________ 986. DEFINITION OF SUBSTANTIAL EVIDENCE Priority: Other Significant Legal Authority: 21 USC 360b; PL 104-250 CFR Citation: 21 CFR 514.4 Legal Deadline: NPRM, Statutory, October 9, 1997. Final, Statutory, October 9, 1998. Abstract: The Animal Drug Availability Act (ADAA) requires FDA to issue within 24 months after the date of its enactment final regulations to encourage dose range labeling and to further define the term ``substantial evidence,'' as the term is defined in section 512(d)(3) of the Federal Food, Drug, and Cosmetic Act, as amended by the ADAA, in a manner that encourages the submission of applications and supplemental applications. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 11/21/96 61 FR 59209 NPRM 11/05/97 62 FR 59830 Final Action 07/00/99 [[Page 21235]] Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Gail Schmerfeld, Special Assistant, Department of Health and Human Services, Food and Drug Administration, Center for Veterinary Medicine (HFV-100), 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-0205 Fax: 301 594-2297 RIN: 0910-AB08 _______________________________________________________________________ 987. NEW DRUGS FOR HUMAN USE; CLARIFICATION OF REQUIREMENTS FOR PATENT HOLDER NOTIFICATION Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351 to 353; 21 USC 355; 21 USC 371; 21 USC 374; 21 USC 379e CFR Citation: 21 CFR 314 Legal Deadline: None Abstract: This final rule will clarify the methods by which application holders may provide notice to patent holders. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 03/06/98 63 FR 11174 NPRM Comment Period End 06/04/98 Final Action 11/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Leanne Cusumano, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB12 _______________________________________________________________________ 988. MEDICATED FEED MILL LICENSES Priority: Substantive, Nonsignificant Legal Authority: PL 104-250 CFR Citation: 21 CFR 5; 21 CFR 207; 21 CFR 225; 21 CFR 510; 21 CFR 514; 21 CFR 515; 21 CFR 558 Legal Deadline: None Abstract: The Animal Drug Availability Act of 1996 (ADAA) amends sections 512(a) and 512(m) of the Federal Food, Drug, and Cosmetic Act (the act) to require a single facility license for the manufacture of feeds containing approved new animal drugs, rather than multiple medicated feed applications (MFAs) for each feed mill, as previously required by the act. Prior to the passage of the ADAA, an approved medicated feed application was required by the act for the manufacture of medicated feed. The ADAA eliminates the requirement that a feed mill submit a separate medicated feed application for the manufacture of each type of medicated feed and instead provides for feed mills to be licensed and allows a licensed facility to manufacture any feed containing an approved new animal drug. Additionally, the act, as amended by the ADAA, provides the agency with the authority to exempt facilities that manufacture certain types of medicated feed from the requirement of a medicated feed mill license. The Food and Drug Administration published on July 30, 1997, a proposed rule to amend the animal drug regulations and add a new part (21 CFR 515) to provide for feed mill licensing in accordance with the ADAA. The proposed regulation implements the requirements for feed mill licensing set forth in the ADAA. Under this proposal, those medicated feeds exempted from the MFA requirement under 21 CFR 558.4 will also be exempt from the requirement of a medicated feed mill license. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/30/97 62 FR 40765 NPRM Comment Period End 10/28/97 Final Action 07/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: William D. Price, Special Assistant, Department of Health and Human Services, Food and Drug Administration, Center for Veterinary Medicine (HFV-200), 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-6652 Fax: 301 594-4512 RIN: 0910-AB18 _______________________________________________________________________ 989. PUBLIC INFORMATION; COMMUNICATIONS WITH STATE AND FOREIGN GOVERNMENT OFFICIALS Priority: Info./Admin./Other Legal Authority: 5 USC 552; 18 USC 1905; 19 USC 2531 to 2582; 21 USC 321 to 393; 21 USC 1401 to 1403; 42 USC 241; 42 USC 242; 42 USC 242a; 42 USC 242e; 42 USC 242l; 42 USC 242n; 42 USC 243; 42 USC 262; 42 USC 263; 42 USC 263b to 263n CFR Citation: 21 CFR 20.88; 21 CFR 20.89 Legal Deadline: None Abstract: The final rule would amend the regulations governing communications with State and foreign government officials. The proposed rule would permit the Food and Drug Administration (FDA) to disclose confidential commercial information to international organizations having responsibility to facilitate global or regional harmonization of standards and requirements. These disclosures would, in almost all instances, occur only with the consent of the person providing the confidential commercial information to FDA. The proposed rule would also eliminate the need for a written statement by a State or foreign government official establishing that government's ability to protect from public disclosure nonpublic, predecisional documents (such as draft rules and guidance documents) provided by FDA that do not include confidential commercial information. These changes are intended to facilitate information exchanges with State and foreign governments. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/27/98 63 FR 40069 NPRM Comment Period End 10/13/98 Final Rule 04/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Additional Information: 5 USC 552 Agency Contact: Philip L. Chao, Senior Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Office of Policy (HF-23), 5600 Fishers Lane, Room 15-74, Rockville, MD 20857 Phone: 301 827-3380 Fax: 301 443-6906 [[Page 21236]] Email: [email protected] RIN: 0910-AB22 _______________________________________________________________________ 990. FDA EXPORT REFORM AND ENHANCEMENT ACT OF 1996; REPORTING AND RECORDKEEPING REQUIREMENTS FOR UNAPPROVED OR VIOLATIVE PRODUCTS IMPORTED FOR FURTHER PROCESSING OR INCORPORATION AND LATER EXPORT Priority: Substantive, Nonsignificant Legal Authority: 15 USC 1453 to 1455; 21 USC 321; 21 USC 343; 21 USC 352; 21 USC 355; 21 USC 360b; 21 USC 362; 21 USC 371; 21 USC 374; 21 USC 381; 21 USC 382; 21 USC 393; 42 USC 216 CFR Citation: 21 CFR 1.84 Legal Deadline: None Abstract: The proposed rule would establish reporting and recordkeeping requirements to implement sections 801(d)(3) and 801(d)(4) of the Federal Food, Drug, and Cosmetic Act (the act) as amended by the Food and Drug Administration (FDA) Export Reform and Enhancement Act of 1996. Section 801(d)(3) of the act provides that, under prescribed conditions, drug and device components, food and color additives, and dietary supplements may be imported if they are to be further processed or incorporated into products that are to be exported from the United States in accordance with sections 801(e) or 802 of the act or section 351(h) of the Public Health Service (PHS) Act. Section 801(d)(4) of the act provides that blood, blood components, source plasma, or source leukocytes, or a component, accessory, or part thereof, may not be imported under section 801(d)(3) of the act unless the importation complies with section 351(a) of the PHS Act or FDA permits the importation under FDA-determined appropriate circumstances and conditions. Additionally, section 801(d)(4) of the act prohibits the importation of tissue or a component or part of tissue under section 801(d)(3) of the act unless the importation complies with section 361 of the PHS Act. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 11/24/98 63 FR 64930 NPRM Comment Period End 02/08/99 Final Action 10/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Philip L. Chao, Senior Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Office of Policy (HF-23), 5600 Fishers Lane, Room 15-74, Rockville, MD 20857 Phone: 301 827-3380 Fax: 301 443-6906 Email: [email protected] RIN: 0910-AB24 _______________________________________________________________________ 991. BIOLOGICAL PRODUCTS REGULATED UNDER SECTION 351 OF THE PUBLIC HEALTH SERVICE ACT; IMPLEMENTATION OF BIOLOGICS LICENSE; ELIMINATION OF ESTABLISHMENT LICENSE AND PRODUCT LICENSE Priority: Other Significant Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 42 USC 262; PL 105-115 CFR Citation: 21 CFR 3; 21 CFR 5; 21 CFR 10; 21 CFR 20; 21 CFR 207; 21 CFR 310; 21 CFR 312; 21 CFR 316; 21 CFR 600; 21 CFR 601; 21 CFR 607; 21 CFR 610; 21 CFR 640; 21 CFR 660 Legal Deadline: None Abstract: As a ``Reinventing Government'' initiative and to amend regulations to implement section 123 of the Food and Drug Administration Modernization Act of 1997, FDA is eliminating the requirement and use of establishment licenses and product licenses for biological products regulated under section 351 of the Public Health Service Act. In lieu of product licenses and establishment licenses, FDA will require submission and approval of a biologics license application in order to market these biologic products in interstate commerce. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 07/31/98 63 FR 40858 Public Workshop 08/11/98 63 FR 42773 Final Action 04/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Robert A. Yetter, Department of Health and Human Services, Food and Drug Administration, Center for Biologics Evaluation and Research (HFM-10), 1401 Rockville Pike, Suite 200N, Rockville, MD 20852 Phone: 301 827-0373 RIN: 0910-AB29 _______________________________________________________________________ 992. REVISIONS TO THE GENERAL SAFETY REQUIREMENTS FOR BIOLOGICAL PRODUCTS; DIRECT FINAL RULE Priority: Substantive, Nonsignificant Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 42 USC 351 CFR Citation: 21 CFR 610.11(g) Legal Deadline: None Abstract: The Food and Drug Administration (FDA) issued a direct final rule and companion proposed rule to amend the biologics regulations by adding ``cellular therapy products'' to the list of products excepted from the general safety test (GST) and by adding an administrative procedure for obtaining an exemption from the GST requirements for other biological products. Because the agency received significant adverse comment on the administrative procedure portion of the direct final rule, FDA withdrew that portion of the rule and confirmed the remaining portion. FDA intends to finalize the companion proposed rule to respond to the significant adverse comment on the administrative procedure portion of the rule. FDA is taking this action because the GST may not be relevant or necessary for all biological products, including cellular therapy products, currently in various stages of development. This action is part of FDA's continuing effort to achieve the objectives of the President's ``Reinventing Government'' initiative, and is intended to reduce the burden of unnecessary regulations on biological products without diminishing the protection of the public health. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ Direct Final Rule 04/20/98 63 FR 19399 [[Page 21237]] Proposed Rule - Companion Document to Direct Final Rule 04/20/98 63 FR 19431 Direct Final Rule Confirmation in Part 08/05/98 63 FR 41718 Direct Final Rule Withdrawal in Part 08/05/98 63 FR 41718 Final Action 10/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Stephen M. Ripley, Consumer Safety Officer, Department of Health and Human Services, Food and Drug Administration, Center for Biologics Evaluation and Research (HFM-17), 1401 Rockville Pike, Suite 200N, Rockville, MD 20852-1448 Phone: 301 827-6210 RIN: 0910-AB51 _______________________________________________________________________ 993. RADIOPHARMACEUTICALS USED FOR IN VIVO DIAGNOSIS AND MONITORING Priority: Other Significant Legal Authority: PL 105-115, sec 122 CFR Citation: 21 CFR 315; 21 CFR 601 Legal Deadline: NPRM, Statutory, May 20, 1998. Final, Statutory, May 20, 1999. Abstract: Section 122 of FDAMA, Requirements for Radiopharmaceuticals, requires the Secretary, HHS, after consultation with patient advisory groups, associations, physicians licensed to use radiopharmaceuticals, and the regulated industry, to issue proposed regulations governing the approval of radiopharmaceuticals. The regulations shall provide that the determination of safety and effectiveness of a radiopharmaceutical under section 505 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355) or section 351 of the Public Health Service Act (42 U.S.C. 262) shall include consideration of the proposed use of the radiopharmaceutical in the practice of medicine, the pharmacological and toxicological activity of the radiopharmaceutical (including any carrier or ligand component of the radiopharmaceutical), and the estimated radiation dose of the radiopharmaceutical. In addition, the indication for which a radiopharmaceutical is approved for marketing may, in appropriate cases, refer to manifestations of disease (such as biochemical, physiological, anatomical, or pathological processes) common to, or present in, one or more disease states. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 05/22/98 63 FR 28301 Final Action 05/00/99 Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Brian L. Pendleton, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 Steven F. Falter, Director, Regulations and Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Biologics Evaluation and Research (HFM-17), 1401 Rockville Pike, Suite 200N, Rockville, MD 20852-1448 Phone: 301 827-6210 RIN: 0910-AB52 _______________________________________________________________________ 994. BULK DRUG SUBSTANCES FOR USE IN PHARMACY COMPOUNDING Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: PL 105-115, sec 127 CFR Citation: 21 CFR 216 Legal Deadline: None Abstract: Section 127 of the Food and Drug Administration Modernization Act of 1997 (Pub. L. 105-115) added section 503A to the Food, Drug, and Cosmetic Act (21 USC 353a). Section 503A governs the application of Federal law to the practice of pharmacy compounding. Section 503A(b)(1)(A) directs FDA to issue by regulation a list of bulk drug substances that may be used in compounding that are not covered by a United States Pharmacopeia (USP) or National Formulary (NF) monograph and are not components of FDA-approved drugs. Bulk drug substances that do not appear on the list may not be used in compounding under section 127 unless such substances are covered by a USP or NF monograph or are components of approved drugs. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 01/07/99 64 FR 996 NPRM Comment Period End 03/23/99 Final Action 08/00/99 Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Richard Schwartzbard, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AB57 [[Page 21238]] _______________________________________________________________________ DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Long-Term Actions Food and Drug Administration (FDA) _______________________________________________________________________ 995. INFANT FORMULA: GOOD MANUFACTURING PRACTICE, QUALITY CONTROL PROCEDURES, QUALITY FACTORS, NOTIFICATION REQUIREMENTS, AND RECORDS AND REPORTS Priority: Other Significant Legal Authority: 21 USC 321; 21 USC 343; 21 USC 350a; 21 USC 371 CFR Citation: 21 CFR 106; 21 CFR 107 Legal Deadline: None Abstract: The agency published a proposed rule on July 9, 1996, that will establish current good manufacturing practice regulations, quality control procedures, quality factors, notification requirements, and records and reports for the production of infant formulas. This proposal was issued in response to the Infant Formula Act of 1986. Timetable: Current Good Mfg. Practices; Qual Control Proc NPRM 07/09/96 (61 FR 36154) NPRM Comment Period End 12/06/96 Final Rule To Be Determined Infant Form Cons Comp, Micro Test & Recd Retention Req NPRM 01/26/89 (54 FR 3783) NPRM Comment Period End 03/27/89 Final Rule 12/24/91 (56 FR 66566) Regulatory Flexibility Analysis Required: No Small Entities Affected: No Government Levels Affected: None Additional Information: Previously reported under RIN 0905-AC46. Agency Contact: Nicholas Duy, Consumer Safety Officer, Department of Health and Human Services, Food and Drug Administration, Center for Food Safety and Applied Nutrition (HFS-456), 200 C Street SW., Washington, DC 20204 Phone: 202 205-5374 RIN: 0910-AA04 _______________________________________________________________________ 996. BIOLOGICAL PRODUCTS: REPORTING OF ERRORS AND ACCIDENTS IN MANUFACTURING Priority: Other Significant Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351 to 353; 21 USC 355; 21 USC 360; 21 USC 360i; 21 USC 360j; 21 USC 371; 21 USC 374; 42 USC 216; 42 USC 262 to 264; 42 USC 300aa-25 CFR Citation: 21 CFR 600; 21 CFR 606 Legal Deadline: None Abstract: FDA is amending the regulations that require licensed manufacturers of biological products to report errors and accidents in manufacturing that may affect the safety, purity, or potency of a product. FDA defines terms used; establishes a reporting period for all licensed biological products; and amends the current good manufacturing practice (CGMP) regulations for blood and blood components to require error and accident reporting by unlicensed registered blood establishments and transfusion services currently reporting on a voluntary basis. The reporting requirements will expedite reporting of errors and accidents in manufacturing of biological products; provide FDA with a more accurate surveillance of the Nation's blood supply enabling FDA to monitor actions taken in response to the errors and accidents detected for all establishments involved in the manufacture of blood and blood components; and facilitate a rapid response where public health may be at risk. The cost to licensed establishments would be minimal, since they already are required to report. Unlicensed establishments would only have to make some changes in standard operating procedures. Unlicensed establishments are already required to keep records and conduct investigations. Under the final rule they would have to establish reporting procedures and report to FDA. The transfusion services would have to assure that their recordkeeping and investigation procedures are sufficient, and establish reporting procedures. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 09/23/97 62 FR 49642 NPRM Comment Period End 12/22/97 Final Action To Be Determined Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses, Organizations Government Levels Affected: None Additional Information: Previously reported under RIN 0905-AD67. Agency Contact: Valerie A. Butler, Consumer Safety Officer, Department of Health and Human Services, Food and Drug Administration, Center for Biologics Evaluation and Research (HFM-17), 1401 Rockville Pike, Suite 200N, Rockville, MD 20852-1448 Phone: 301 827-6210 RIN: 0910-AA12 _______________________________________________________________________ 997. FOOD LABELING REVIEW Priority: Routine and Frequent Legal Authority: 15 USC 1453; 15 USC 1454; 15 USC 1455; 21 USC 321; 21 USC 331; 21 USC 342; 21 USC 343; 21 USC 348; 21 USC 371 CFR Citation: 21 CFR 100; 21 CFR 101; 21 CFR 102; 21 CFR 161 Legal Deadline: None Abstract: The Nutrition Labeling and Education Act of 1990 (NLEA) requires that most foods bear nutrition labeling. The agency issued final rules implementing most of the provisions contained in the NLEA on January 6, 1993. Subsequently, however, the agency has identified additional areas that should be the subject of rulemaking. FDA issued a proposal on January 6, 1993, to establish requirements for the identification of certain ingredients on food labels. FDA proposed on June 15, 1993, to amend its January 6, 1993, final rules on nutrient content and health claims to remove the provisions that exempted restaurant menus from the requirements for how nutrient content claims and health claims are to be made. The agency proposed on January 4, 1994, to establish reference daily intakes based on the 9th and 10th editions of the National Research Council's Recommended Dietary Allowances. On March 14, 1994, FDA published a proposal implementing the provisions for exemptions from nutrition labeling for low-volume food products of small businesses that were established by the Nutrition Labeling and Education Act Amendments of 1993. On August 18, 1993, FDA published a proposal concerning the placement of the nutrition facts panel on food labels. Finally, on July 18, 1994, FDA published proposed revised guidelines for the voluntary declaration of nutrition labeling for raw produce and fish. A final rule concerning the placement of the nutrition facts panel was published on April 5, 1995. A final rule establishing reference daily intakes based on the 9th and 10th editions of Recommended Dietary Allowances was published on December 28, 1995. FDA published a final rule on August 2, 1996, on nutrient content claims and health claims to remove the provisions [[Page 21239]] that exempted restaurant menus from the requirements for how nutrient content claims and health claims are to be made. FDA published a final rule on August 7, 1996, implementing the exemption for small businesses from the requirements for nutrition labeling and providing instructions on how to file a notice claiming the exemption. FDA published on August 16, 1996, final guidelines on the voluntary declaration of nutrition labeling for raw produce and fish. Timetable: Amend Standard of Identity for Grain Products (Folic Acid) NPRM 10/14/ 93 (58 FR 53305) Final Action 03/05/96 (61 FR 8781) Health Claims and Label Statements NPRM Folic Acid and Neural Tube Def 10/14/93 (58 FR 53254) Final Action 03/05/96 (61 FR 8752) Misleading Containers; Nonfunctional Slack Fill NPRM 01/06/93 (58 FR 2957) Final Action 12/06/93 (58 FR 64123) Nutrient Content Claims and Health Claims; Restaurant Foods NPRM 06/ 15/93 (58 FR 33055) Final Action 08/02/96 (61 FR 40320) Nutrient Content, Definition of the Term, Healthy NPRM 01/06/93 (58 FR 2944) Final Action 05/10/94 (59 FR 24232) Placement of Nutrition Facts Panel NPRM 08/18/93 (58 FR 44091) Final Action 04/05/95 (60 FR 17202) Final Action Effective 05/05/95 Final Action Correction 06/12/95 (60 FR 30788) Protein Hydrolysates; Broth in Tuna; and/or Labeling NPRM (Declaration of Ingredients) 01/06/93 (58 FR 2950) Final Action (Dec. of Ingredients) To Be Determined Reference Daily Intakes NPRM 01/04/94 (59 FR 427) Final Action 12/28/ 95 (60 FR 67164) Small Business Exemption, Nutrition Labeling NPRM 03/14/94 (59 FR 11872) Final Action 08/07/96 (61 FR 40963) Voluntary Guidelines for Nutrition Labeling Produce NPRM 07/18/94 (59 FR 36379) Final Action 08/16/96 (61 FR 42742) Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: State, Federal Additional Information: Previously reported under RIN 0905-AD89. Agency Contact: Gerard L. McCowin, Acting Deputy Director, Office of Food Labeling, Department of Health and Human Services, Food and Drug Administration, Center for Food Safety and Applied Nutrition (HFS-150), 200 C Street SW., Washington, DC 20204 Phone: 202 205-4561 Fax: 202 205-4594 RIN: 0910-AA19 _______________________________________________________________________ 998. MEDICAL FOODS Priority: Other Significant Legal Authority: 21 USC 321; 21 USC 341; 21 USC 342; 21 USC 343; 21 USC 348; 21 USC 350; 21 USC 351; 21 USC 352; 21 USC 355; 21 USC 360ee; 21 USC 371 CFR Citation: Not yet determined Legal Deadline: None Abstract: The Food and Drug Administration is considering development of regulations for medical foods, as defined by the Orphan Drug Act Amendments of 1988 (21 USC 360ee(b)(3)) to assure, among other things, the safety and effectiveness of these products, proper labeling of the nutrient content and purported uses, including adequate and appropriate directions for use, and quality control and good manufacturing practices. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 11/29/96 61 FR 60661 ANPRM Comment Period End 04/28/97 NPRM To Be Determined Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: State, Federal Additional Information: Previously reported under RIN 0905-AD91. Agency Contact: Robert Moore, Senior Regulatory Scientist, Department of Health and Human Services, Food and Drug Administration, Center for Food Safety and Applied Nutrition (HFS-456), 200 C Street SW., Washington, DC 20204 Phone: 202 205-4605 Fax: 202 260-8957 RIN: 0910-AA20 _______________________________________________________________________ 999. CLASSIFICATION OF COMPUTER SOFTWARE PROGRAMS THAT ARE MEDICAL DEVICES Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 21 USC 321(h); 21 USC 351; 21 USC 352; 21 USC 360; 21 USC 360c to 360l; 21 USC 371 to 374 CFR Citation: Not yet determined Legal Deadline: None Abstract: FDA is considering whether to classify stand-alone computer software products that fit the definition of a medical device under the Federal Food, Drug, and Cosmetic Act. Although the Secretary has not made a final decision to initiate such a program, the agency is considering classifying these devices by using a risk-based approach as required under the Medical Device Amendments to the act. In addition, the agency would use existing exemptions from regulation where appropriate. Under this approach, low risk medical software devices would be subject only to the adulteration and misbranding provisions of the act. Moderate risk devices would additionally be subject to the registration, listing, good manufacturing practice requirements, and reporting and recordkeeping requirements. High risk devices would be the only products to require premarket submissions. FDA is also seeking comment on potential criteria related to the intended uses of medical software devices that might be used in determining the level of risk. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM To Be Determined Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: None Additional Information: Previously reported under RIN 0905-AE58. Agency Contact: Chuck Furfine, Regulatory Review Scientist/Software Expert, Department of Health and Human Services, Food and Drug Administration, Center for Devices and Radiological Health (HFZ-84), 2098 Gaither Road, Rockville, MD 20850 Phone: 301 443-2536 RIN: 0910-AA41 _______________________________________________________________________ [[Page 21240]] 1000. REGISTRATION OF PRODUCERS OF DRUGS AND LISTING OF DRUGS IN COMMERCIAL DISTRIBUTION Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 355; 21 USC 360; 21 USC 371 CFR Citation: 21 CFR 207 Legal Deadline: None Abstract: The proposed rule would revise the regulations under part 207 to clarify the burden on manufacturers, packers, and distributors and to consolidate, reorganize, and streamline the requirements. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM To Be Determined Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Lee D. Korb, Regulatory Counsel, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AA49 _______________________________________________________________________ 1001. REINVENTING FDA FOOD REGULATIONS Priority: Substantive, Nonsignificant Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 15 USC 1453; 15 USC 1454; 15 USC 1455; 21 USC 321 et seq CFR Citation: 21 CFR 101; 21 CFR 102; 21 CFR 103; 21 CFR 131; 21 CFR 133; 21 CFR 135; 21 CFR 136; 21 CFR 137; 21 CFR 139; 21 CFR 145; 21 CFR 146; 21 CFR 150; 21 CFR 152; 21 CFR 155; 21 CFR 156; ... Legal Deadline: None Abstract: In response to President Clinton's memorandum to heads of departments and agencies entitled ``Regulatory Reinvention Initiative,'' FDA has initiated rulemaking to retain, revise, or revoke certain of its regulations for food. FDA published an advance notice of proposed rulemaking (ANPRM) on December 29, 1995, requesting information on the need to retain, revise, or revoke its food standards of identity regulations and its common or usual name regulations. In the same issue of the Federal Register FDA proposed to improve the coordination of the food additive, GRAS, and color additive approval process with USDA for substances used in meat and poultry products. FDA proposed to revoke several lower fat milk standards on November 9, 1995. On June 12, 1996, FDA published an ANPRM announcing its intention to review (1) its human food labeling regulations pertaining to the exemption for soft drinks from requirements for the type size and placement of certain information on the information panel, requirements for listing ``statements of identity,'' and requirements for flavor labeling; (2) its infant formula regulations to ensure that they fully reflect the Federal Food, Drug, and Cosmetic Act; (3) its regulations pertaining to the discharge of waste aboard casino ships, passenger ships, and ferries; and (4) its food additive regulations to consolidate certain existing regulations. In the same June 12 issue of the Federal Register, FDA published a second ANPRM seeking public comment on possible ways to streamline various food additive regulations. FDA also proposed on June 12, 1996, to revoke certain food labeling regulations pertaining to labeling of food with number of servings and labeling Kosher and Kosher-style foods and to revoke the agency's voluntary filing of cosmetic product experiences. The latter was published August 12, 1997. On October 13, 1995, FDA proposed to revoke certain agency regulations that were obsolete or no longer necessary to achieve public health goals. The final rule (pertaining to food regulations only) was published on June 3, 1996. A confirmation of effective date (CED) on those regulations promulgated under the formal rulemaking procedures of section 701(e) of the Federal Food, Drug, and Cosmetic Act (21 USC 371(e)) pertaining to diabetic labeling (21 CFR 105.67) and sodium intake labeling (21 CFR 105.69) was published on August 27, 1996. In the Federal Register of April 17, 1997 (62 FR 18938), FDA proposed to establish a notification procedure for companies to use to inform FDA of a company's determination that use of a substance in food is generally recognized as safe (GRAS). Timetable: Exempt Infant Formula; Plan for Revisions ANPRM 06/12/96 (61 FR 29701) Comment Period Ended 10/10/96 NPRM To Be Determined Food Standards of Identity, Quality, and Fill of Container ANPRM 12/ 29/95 (60 FR 67492) Comment Period Ended 06/28/96 NPRM To Be Determined Food, Color Additive, GRAS Regulations ANPRM 06/12/96 (61 FR 29701) Comment Period Ended 09/10/96 NPRM To Be Determined Food, Color, and GRAS; Simult. Pet. Rev. by USDA (Meat/Poultry) NPRM 12/29/95 (60 FR 67490) Comment Period Ended 03/14/96 Extension of Comment Period 06/03/96 Final Action To Be Determined Notification Procedures for Independent GRAS Determinations NPRM 04/ 17/97 (62 FR 18938) NPRM Comment Period Ended 07/16/97 Final Action To Be Determined Revocation of Certain Food Labeling and Cosmetic Regulations NPRM 06/ 12/96 (61 FR 29708) Comment Period Ended 08/26/96 Final Action 08/12/ 97 (62 FR 43071) Revocation of Lower Fat Milk Standards NPRM 11/09/95 (60 FR 56541) Comment Period Ended 01/23/96 Partial Final 11/20/96 (61 FR 58991) Confirmation of Effective Date 02/24/97 (62 FR 8163) Revocation of Lower Fat Yogurt Standards NPRM 11/09/95 (60 FR 56541) Confirmation of Effective Date To Be Determined Final Action (Yogurt) To Be Determined Revocation of Obsolete Regulations NPRM 10/13/95 (60 FR 53480) Comment Period Ended 01/11/96 Final Action 06/03/96 (61 FR 27771) Confirmation of Eff. Date 08/27/96 (61 FR 43963) Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: State [[Page 21241]] Additional Information: ABSTRACT CONT: labeling (21 CFR 105.69) was published on August 27, 1996. In the Federal Register of April 17, 1997 (62 FR 18938), FDA proposed to establish a notification procedure for companies to use to inform FDA of a company's determination that use of a substance in food is generally recognized as safe (GRAS). Agency Contact: L. Robert Lake, Director, Office of Policy Planning and Strategic Initiatives, Department of Health and Human Services, Food and Drug Administration, Center for Food Safety and Applied Nutrition (HFS-150), 200 C Street SW., Washington, DC 20204 Phone: 202 205-4561 Fax: 202 401-7739 RIN: 0910-AA58 _______________________________________________________________________ 1002. DIETARY SUPPLEMENT REGULATIONS IN RESPONSE TO DSHEA Priority: Other Significant Legal Authority: 15 USC 1453; 15 USC 1454; 15 USC 1455; 21 USC 321; 21 USC 331; 21 USC 342; 21 USC 343; 21 USC 348; 21 USC 351; 21 USC 352; 21 USC 355; 21 USC 371 CFR Citation: 21 CFR 101 Legal Deadline: None Abstract: On January 4, 1994, FDA published final rules relative to nutrition labeling, nutrient content claims and health claims for dietary supplements. The Dietary Supplement Health and Education Act (DSHEA) was enacted on October 25, 1994, modifying the statutory provisions governing labeling of dietary supplements. FDA has initiated rulemaking to modify its regulations for dietary supplements accordingly. One proposal would modify the nutrition labeling and ingredient declaration requirements. A second proposal would provide for the use of nutrient content claims and health claims on dietary supplements and establish procedures for the use of a disclaimer to accompany statements of nutritional support. A third proposal would define the terms ``high potency'' and ``antioxidant.'' These three proposals were published in the Federal Register on December 28, 1995. An ANPRM was published in February 1997 seeking public comments on issues related to the establishment of current good manufacturing practices for dietary supplements. FDA published three final rules on September 23, 1997, responding to the proposals of December 28, 1995, and entitled: (1) ``Food Labeling; Statement of Identity, Nutrition Labeling and Ingredient Labeling of Dietary Supplements; Compliance Policy Guide, Revocation;'' (2) ``Food Labeling; Requirements for Nutrient Content Claims, Health Claims, and Statements of Nutritional Support for Dietary Supplements;'' and (3) ``Food Labeling; Nutrient Content Claims: Definition for ``High Potency'' and Definition for ``Antioxidant'' for Use in Nutrient Content Claims for Dietary Supplements and Conventional Foods.'' The agency received several petitions for reconsideration of aspects of the final rule on nutrition labeling and ingredient declaration for dietary supplements. In response to these petitions, FDA published a final rule revising the nutrition labeling requirements for dietary supplements that contain liquid or dried extracts. DSHEA provides that FDA may, by regulation, prescribe current good manufacturing practices (CGMPs) for dietary supplements. On February 6, 1997, FDA announced in an advance notice of proposed rulemaking that it was considering whether it should develop CGMPs for dietary supplements, and if so, what constitutes CGMPs for these products. The ANPR included an industry-sponsored outline for the development of CGMP regulations and requested public comment on the outline and other issues raised by the agency. DHSEA also established an independent agency within the Executive Branch known as the Commission on Dietary Supplement Labels. The Commission was charged with conducting a study on, and providing recommendations for, regulating label claims and statements for dietary supplements, including the use of literature in connection with the sale of dietary supplements and procedures for evaluating such claims. On November 24, 1997, the Commission's final report was released. On April 29, 1998, FDA issued a notice on its views on the Commission's report and a proposed rule that responds to guidance in the report concerning statements about the effect of dietary supplements on the structure or function of the body. Timetable: Comments on Report of the Commission on Dietary Supp. Labels Notice 04/29/98 (63 FR 23633) CGMPs in the Manufacturing, Packing, or Holding of Dietary Supps. ANPRM 02/06/97 (62 FR 5700) Comment Period End 06/06/97 NPRM To Be Determined High Potency and Antioxidant Terms; Dietary Supplements NPRM 12/28/95 (60 FR 67184) Comment Period End 06/10/96 Final Action 09/23/97 (62 FR 49808) Nutrient Content and Health Claims; Dietary Supplements NPRM 12/28/95 (60 FR 67176) Comment Period End 06/10/96 Final Action 09/23/97 (62 FR 49859) Nutrient Labeling and Ingredient Labeling; Dietary Supplements NPRM 12/28/95 (60 FR 67194) Comment Period End 06/10/96 Final Action 09/ 23/97 (62 FR 49826) Final Action 06/05/98 (63 FR 30615) Regs on Statements Made for Diet. Supps re Effect of Product NPRM 04/ 29/98 (63 FR 23624) Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: State, Federal Agency Contact: Elizabeth A. Yetley, Director, Office of Special Nutritionals, Department of Health and Human Services, Food and Drug Administration, Center for Food Safety and Applied Nutrition (HFS-450), 200 C Street SW. Washington, DC 20204 Phone: 202 205-4168 Fax: 202 205-5295 RIN: 0910-AA59 _______________________________________________________________________ 1003. DEBARMENT CERTIFICATION REGULATIONS FOR DRUG APPLICATIONS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Legal Authority: 15 USC 1451 to 1461; 21 USC 321; 21 USC 331; 21 USC 335; 21 USC 351 to 353; 21 USC 355; 21 USC 360; 21 USC 371; 21 USC 374; 21 USC 379; 21 USC 381 to 382; 42 USC 216; 42 USC 241; 42 USC 262 to 263 CFR Citation: 21 CFR 314; 21 CFR 514; 21 CFR 601 Legal Deadline: None [[Page 21242]] Abstract: The proposed rule would amend the regulations to require applicants to submit a debarment certification statement in accordance with 21 U.S.C. 335a(k). Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM To Be Determined Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Leanne Cusumano, Regulatory Counsel, Regulatory Policy Staff, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 827-5562 RIN: 0910-AA76 _______________________________________________________________________ 1004. INVESTIGATIONAL NEW DRUG APPLICATIONS; REQUEST FOR INFORMATION AND COMMENTS Priority: Other Significant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351 to 353; 21 USC 355; 21 USC 371; 42 USC 262 CFR Citation: 21 CFR 56; 21 CFR 312 Legal Deadline: None Abstract: The rulemaking would permit certain uses of investigational new drugs by individual investigators who are not included in a commercial sponsor's application provided that, among other things, the drugs are in Phase 2 of commercial development. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM To Be Determined Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Joseph Griffin, Regulatory Counsel, Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (HFD-7), 1451 Rockville Pike, Suite 3047, Rockville, MD 20852 Phone: 301 594-2041 Fax: 301 594-5562 RIN: 0910-AA83 _______________________________________________________________________ 1005. INVESTIGATIONAL USE NEW ANIMAL DRUG REGULATIONS Priority: Substantive, Nonsignificant. Major status under 5 USC 801 is undetermined. Unfunded Mandates: Undetermined Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 21 USC 321; 21 USC 351; 21 USC 353; 21 USC 360b; 21 USC 371; 21 USC 381 CFR Citation: 21 CFR 511; 21 CFR 512 Legal Deadline: None Abstract: FDA is proposing to revise its regulations governing investigational use of new animal drugs by proposing to delete 21 CFR 511 and establish in 21 CFR part 512 revised investigational use new animal drug regulations. The investigational use new animal drug regulations are expected to include regulations to implement provisions of the Animal Drug Availability Act of 1996, specifically presubmission conferences, and implement parts of the President's National Performance Report, ``Reinventing the Regulation of Animal Drugs,'' May 1996. In the reinventing regulations report, FDA proposed to revise its regulations to reflect numerous new process changes and programs that will enable a more streamlined animal drug application review and approval process, and which would result in less regulatory burden upon industry and FDA while maintaining safety and effectiveness of new animal drugs. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ ANPRM 11/21/96 61 FR 59209 ANPRM Comment Period End 01/21/97 NPRM To Be Determined Regulatory Flexibility Analysis Required: Undetermined Government Levels Affected: Undetermined Agency Contact: Marty Schoenemann, Department of Health and Human Services, Food and Drug Administration, Center for Veterinary Medicine (HFV-126), 7500 Standish Place, Rockville, MD 20855 Phone: 301 827-0220 RIN: 0910-AB02 _______________________________________________________________________ 1006. ESTABLISHMENT REGISTRATION AND LISTING OF HUMAN CELLULAR AND TISSUE-BASED PRODUCTS Priority: Other Significant Reinventing Government: This rulemaking is part of the Reinventing Government effort. It will revise text in the CFR to reduce burden or duplication, or streamline requirements. Legal Authority: 42 USC 264 CFR Citation: 21 CFR 207; 21 CFR 807; 21 CFR 1271 Legal Deadline: None Abstract: This action is a continuation of FDA's approach for the regulation of human tissues and is part of FDA's reinventing government initiative. The final rule requires manufacturers of human cellular and tissue-based products to register with the agency and submit a list of all such products produced. Future regulations would include the promulgation of good tissue practices (GTP) that will provide good manufacturing standards and regulations for donor screening and testing, and compliance and procedural issues. The proposed approach would provide a rational, comprehensive, and clear framework under which tissue processors can develop and market their products without being subjected to unnecessary regulation and without sacrificing the protection of the public health. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM 05/14/98 63 FR 26744 NPRM Comment Period End 08/12/98 Final Action To Be Determined Regulatory Flexibility Analysis Required: Yes Small Entities Affected: Businesses Government Levels Affected: None [[Page 21243]] Agency Contact: Paula S. McKeever, Regulatory Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Center for Biologics Evaluation and Research (HFM-17), 1401 Rockville Pike, Suite 200N, Rockville MD 20852 Phone: 301 827-6210 RIN: 0910-AB05 _______________________________________________________________________ 1007. REQUIREMENTS PERTAINING TO THE SALE AND DISTRIBUTION OF CIGARETTES AND SMOKELESS TOBACCO TO PROTECT CHILDREN AND ADOLESCENTS; USE OF NONTOBACCO TRADE OR BRAND NAMES Priority: Substantive, Nonsignificant Legal Authority: 21 USC 352; 21 USC 360; 21 USC 360(j); 21 USC 371; 21 USC 372 CFR Citation: 21 CFR 897 Legal Deadline: None Abstract: The proposed rule would clarify the restrictions on the use of nontobacco product names and other identification on tobacco products and would modify the list of established names for smokeless tobacco products. Timetable: ________________________________________________________________________ Action Date FR Cite ________________________________________________________________________ NPRM To Be Determined Regulatory Flexibility Analysis Required: No Government Levels Affected: None Agency Contact: Philip L. Chao, Senior Policy Analyst, Department of Health and Human Services, Food and Drug Administration, Office of Policy (HF-23), 5600 Fishers Lane, Room 15-74, Rockville, MD 20857 Phone: 301 827-3380 Fax: 301 443-6906 Email: