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H.R. 5651, Food and Drug Administration Reform Act of 2012 1 (May 24, 2012)

handle is hein.congrec/cbo10766 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE
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May 24, 2012
H.R. 5651
Food and Drug Administration Reform Act of 2012
As ordered reported by the House Committee on Energy and Commerce
on May 10, 2012
SUMMARY
H.R. 5651 would authorize the collection and spending of fees by the Food and Drug
Administration (FDA) for certain activities to expedite the marketing approval of
prescription drugs and medical devices and to regulate drugs after they enter the market.
The bill would provide the FDA with additional regulatory authority to improve the safety
of the drug supply chain and establish an early warning notification system to mitigate or
prevent critical drug shortages. It also would create a new approval procedure for
breakthrough drug therapies and offer financial incentives to drug sponsors to produce
certain antimicrobial drugs. The legislation would require FDA to publish the scientific or
regulatory rationale for significant decisions issued by the agency regarding a device and
establish an expedited process to appeal such decisions. In addition, the bill would
permanently reauthorize FDA's programs that evaluate the use of drugs by children.
CBO expects that enacting the bill would affect the average price of prescription drugs
available in the market. Some provisions in the bill would result in higher average prices
for certain drugs; other provisions would accelerate the entry of generic versions of some
drugs, which would lead to lower average prices. CBO estimates that the net effect of
enacting H.R. 5651 would be to reduce the average price of prescription drugs slightly
through 2017 and to increase prices in subsequent years.
CBO estimates that enacting H.R. 5651 would:
* Reduce direct spending, on net, by $72 million over the 2013-2017 period but
increase direct spending by $244 million over the 2013-2022 period.
* Increase federal revenues by less than $500,000 over the 2013-2017 period but
lower revenues, on net, by about $3 million over the 2013-2022 period.

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