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B-332649 1 (2020-11-06)

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c tAO U.S. GOVERNMENT ACCOUNTABILITY OFFICE
441 G St. N.W.
Washington, DC 20548


B-332649


November  6, 2020

The Honorable Lamar Alexander
Chairman
The Honorable Patty Murray
Ranking Member
Committee on Health, Education, Labor, and Pensions
United States Senate

The Honorable Frank Pallone, Jr.
Chairman
The Honorable Greg Walden
Ranking Member
Committee on Energy and Commerce
House  of Representatives

Subject: Department of Health and Human Services, Food and Drug Administration: Importation
        of Prescription Drugs

Pursuant to section 801(a)(2)(A) of title 5, United States Code, this is our report on a major rule
promulgated by the Department of Health and Human Services, Food and Drug Administration
(FDA) entitled Importation of Prescription Drugs (RIN: 0910-A145). We received the rule on
October 22, 2020. It was published in the Federal Register as a final rule on October 1, 2020.
85 Fed. Reg. 62094. The effective date of the final rule is November 30, 2020.

The final rule implements section 804(b) through (h) of the Federal Food, Drug, and Cosmetic
Act to allow importation of certain prescription drugs from Canada. Pub. L. No. 75-717, 52 Stat.
1040 (June 25, 1938). Under the rule, according to FDA, states and Indian Tribes, and, in
certain future circumstances, pharmacists and wholesalers, may submit importation program
proposals to FDA for review and authorization. FDA states that the rule contains all
requirements necessary for a sponsor to demonstrate that their importation program will pose
no additional risk to the public's health and safety, and requires that the sponsor explain how
they will ensure their program will result in a significant reduction in the cost of covered products
to the American consumer.

The Congressional Review Act (CRA) requires a 60-day delay in the effective date of a major
rule from the date of publication in the Federal Register or receipt of the rule by Congress,
whichever is later. 5 U.S.C. 801(a)(3)(A). The final rule was published in the Federal Register
on October 1, 2020. 85 Fed. Reg. 62094. The Congressional Record does not indicate that
either House of Congress received the rule. According to FDA, the rule was delivered to each
House  of Congress on October 23, 2020. Email from Regulations, Policy & Management Staff,
FDA, to Senior Attorney, GAO (Nov. 5, 2020). The rule has an effective date of November 30,
2020. Therefore, the final rule does not have the required 60-day delay in effective date.

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