S 150 — Affordable Prescriptions for Patients Act of 2023

262(i)).

``(9) Ultimate parent entity.--The term `ultimate parent entity' has the meaning given the term in section 801.1 of title 16, Code of Federal Regulations, or any successor regulation.

``(b) Prohibition on Product Hopping.-- ``(1) Prima facie.--A manufacturer of a reference product or listed drug shall be considered to have engaged in an unfair method of competition in or affecting commerce in violation of section 5(a) if complaint counsel or the Commission demonstrates in an action or proceeding initiated by the Commission under subsection (c) that, during the period beginning on the date on which the manufacturer of the reference product or listed drug first receives notice that an applicant has submitted to the Commissioner of Food and Drugs an abbreviated new drug application or biosimilar biological product license application referencing the reference product or listed drug and ending on the date that is the earlier of days after the date on which the generic drug or biosimilar biological product that is the subject of the abbreviated new drug application or biosimilar biological product license application or another generic drug or biosimilar biological product referencing the listed drug or reference product is first marketed or 3 years after the date on which the follow-on product is first marketed, the manufacturer engaged in either of the following actions:

``(A) The manufacturer engaged in a hard switch, which shall be established by demonstrating that the manufacturer engaged in either of the following actions:

``(i) Upon the request of the manufacturer of the listed drug or reference product, the Commissioner of Food and Drugs withdrew the approval of the application for the listed drug or reference product or placed the listed drug or reference product on the discontinued products list and the manufacturer marketed or sold a follow-on product.

``(ii) The manufacturer of the listed drug or reference product-- ``(I)(aa) withdrew, discontinued the manufacture of, or announced withdrawal of, discontinuance of the manufacture of, or intent to withdraw the application with respect to the drug or reference product in a manner that impedes competition from a generic drug or a biosimilar biological product, which may be established by objective circumstances, unless such actions were taken by the manufacturer pursuant to a request of the Commissioner of Food and Drugs;

or ``(bb) destroyed the inventory of the listed drug or reference product in a manner that impedes competition from a generic drug or a biosimilar biological product, which may be established by objective circumstances;

and ``(II) marketed or sold a follow-on product.

``(B) The manufacturer engaged in a soft switch, which shall be established by demonstrating that the manufacturer engaged in both of the following actions:

``(i) The manufacturer took actions with respect to the listed drug or reference product other than those described in subparagraph (A) that unfairly disadvantage the listed drug or reference product relative to the follow-on product described in clause (ii) in a manner that impedes competition from a generic drug or a biosimilar biological product, which may be established by objective circumstances.

``(ii) The manufacturer marketed or sold a follow-on product.

``(2) Exclusions.--Nothing in this section shall prohibit actions that consist solely of-- ``(A) truthful, non-misleading promotional marketing;

or ``(B) ceasing promotional marketing for the listed drug or reference product.

``(3) Justification.-- ``(A) In general.--Subject to paragraph (4), the actions described in paragraph (1) by a manufacturer of a listed drug or reference product shall not be considered to be an unfair method of competition in or affecting commerce if the manufacturer demonstrates to the Commission or a district court of the United States, as applicable, in an action, suit or proceeding initiated by the Commission under subsection (c)(1) that-- ``(i) the manufacturer would have taken the actions regardless of whether a generic drug that references the listed drug or biosimilar biological product that references the reference product had already entered the market;

and ``(ii)(I) with respect to a hard switch under paragraph (1)(A), the manufacturer took the action for reasons relating to the safety risk to patients of the listed drug or reference product;

``(II) with respect to an action described in paragraph (1)(A)(ii)(I)(aa), there is a supply disruption that-- ``(aa) is outside of the control of the manufacturer;

``(bb) prevents the production or distribution of the applicable listed drug or reference product;

and ``(cc) cannot be remedied by reasonable efforts;

or ``(III) with respect to a soft switch under paragraph (1)(B), the manufacturer had legitimate pro-competitive reasons, apart from the financial effects of reduced competition, to take the action.

``(B) Rule of construction.--Nothing in subparagraph (A) may be construed to limit the information that the Commission may otherwise obtain in any proceeding or action instituted with respect to a violation of this section.

``(4) Response.--With respect to a justification offered by a manufacturer under paragraph (3), the Commission may-- ``(A) rebut any evidence presented by a manufacturer during that justification;

or ``(B) establish by a preponderance of the evidence that-- ``(i) on balance, the pro-competitive benefits from the conduct described in subparagraph (A) or (B) of paragraph (1), as applicable, do not outweigh any anticompetitive effects of the conduct, even in consideration of the justification so offered;

or ``(ii)(I) the conduct described in paragraph (1) is not reasonably necessary to address or achieve the justifications described in clause (ii) of paragraph (3)(A);

or ``(II) the justifications described in clause (ii) of paragraph (3)(A) could be reasonably addressed or achieved through less anticompetitive means.

``(c) Enforcement.-- ``(1) In general.--If the Commission has reason to believe that any manufacturer has violated, is violating, or is about to violate this section, or a rule promulgated under this section, the Commission may take any of the following actions:

``(A) Institute a proceeding under section 5(b).

``(B) In the same manner and to the same extent as provided in section 13(b), bring suit in a district court of the United States to temporarily enjoin the action of the manufacturer.

``(C) Bring suit in a district court of the United States, in which the Commission may seek-- ``(i) to permanently enjoin the action of the manufacturer;

``(ii) any of the remedies described in paragraph (3);

and ``(iii) any other equitable remedy, including ancillary equitable relief.

``(2) Judicial review.-- ``(A) In general.--Notwithstanding any provision of section 5, any manufacturer that is subject to a final cease and desist order issued in a proceeding to enforce this section, or a rule promulgated under this section, may, not later than 30 days after the date on which the Commission issues the order, petition for review of the order in-- ``(i) the United States Court of Appeals for the District of Columbia Circuit;

or ``(ii) the court of appeals of the United States for the circuit in which the ultimate parent entity of the manufacturer is incorporated.

``(B) Treatment of findings.--In a review of a final cease and desist order conducted by a court of appeals of the United States under subparagraph (A), the factual findings of the Commission shall be conclusive if those facts are supported by the evidence.

``(3) Equitable remedies.-- ``(A) Disgorgement.-- ``(i) In general.--In a suit brought under paragraph (1)(C), the Commission may seek, and the court may order, disgorgement of any unjust enrichment that a person obtained as a result of the violation that gives rise to the suit.

``(ii) Calculation.--Any disgorgement that is ordered with respect to a person under clause (i) shall be offset by any amount of restitution ordered under subparagraph (B).

``(iii) Limitations period.--The Commission may seek disgorgement under this subparagraph not later than 5 years after the latest date on which the person from which the disgorgement is sought receives any unjust enrichment from the effects of the violation that gives rise to the suit in which the Commission seeks the disgorgement.

``(B) Restitution.-- ``(i) In general.--In a suit brought under paragraph (1)(C), the Commission may seek, and the court may order, restitution with respect to the violation that gives rise to the suit.

``(ii) Limitations period.--The Commission may seek restitution under this subparagraph not later than 5 years after the latest date on which the person from which the restitution is sought receives any unjust enrichment from the effects of the violation that gives rise to the suit in which the Commission seeks the restitution.

``(4) Rules of construction.--Nothing in this subsection may be construed as-- ``(A) requiring the Commission to bring a suit seeking a temporary injunction under paragraph (1)(B) before bringing a suit seeking a permanent injunction under paragraph (1)(C);

or ``(B) affecting the authority of the Federal Trade Commission under any other provision of law.''.

(b) Applicability.--Section 27 of the Federal Trade Commission Act, as added by subsection (a), shall apply with respect to any-- (1) conduct that occurs on or after the date of enactment of this Act;

and (2) action or proceeding that is commenced on or after the date of enactment of this Act.

(c) Antitrust Laws.--Except to the extent subsection (a) establishes an additional basis for liability under the Federal Trade Commission Act (15 U.S.C.

41 et seq.), nothing in this section, or the amendments made by this section, shall modify, impair, limit, or supersede the applicability of the antitrust laws, as defined in subsection (a) of the first section of the Clayton Act (15 U.S.C.

12), or of section 5 of the Federal Trade Commission Act (15 U.S.C.

45) to the extent that it applies to unfair methods of competition.

(d) Rulemaking.--The Federal Trade Commission may issue rules under section 553 of title 5, United States Code, to define any terms used in section 27 of the Federal Trade Commission Act, as added by subsection (a) (other than terms that are defined in subsection (a) of such section 27).

SEC.

3.

Calendar(c) No.Medicare Improvement Fund.--Section 1898(b)(1) of the Social Security Act (42 U.S.C.

221395iii(b)(1)) 118this CONGRESSamended 1stby Sessionstriking S.``$0'' and inserting ``$1,800,000,000''.

150Passed _______________________________________________________________________ A BILL To amend the FederalSenate TradeJuly Commission11 Act(legislative today, prohibitJuly product10), hopping,2024. and for other purposes.

_______________________________________________________________________Attest: March 1, 2023 Reported without amendment

Secretary.

118th CONGRESS 2d Session S.

150 _______________________________________________________________________ AN ACT To amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes.