Notice That Persons That Entered the Over-the-Counter Drug Market To Supply Hand Sanitizer During the COVID-19 Public Health Emergency Are Not Subject to the Over-the-Counter Drug Monograph Facility Fee, 2420-2421 [2021-00237]

Download as PDF khammond on DSKJM1Z7X2PROD with NOTICES 2420 Federal Register / Vol. 86, No. 7 / Tuesday, January 12, 2021 / Notices Comment: Several Tribal organizations wrote comments objecting to the modification. They suggested that all Tribal lands be defined as rural and that funds be set aside solely for awards to Tribal health providers. Response to Comment: The statutory authority for rural health grant programs directs services at rural areas and populations. FORHP understands the unique challenges faced by Tribal entities. Rural health grants can be and have been awarded to Tribal organizations located in rural areas. With the changes in the authorization for 330A programs, urban Tribal providers can also apply for rural health grants to serve rural populations. FORHP cannot change rural health funding to direct it to urban populations, even if they are underserved, or specify funding setasides for Tribal organizations. Comment: Different commenters suggested that FORHP use a combination of population density, travel time or distance, geographic isolation, and access to resources to designate rural areas, or that FORHP use Frontier and Remote Area (FAR) Codes to determine rurality. Response to Comment: Commenters did not suggest data sources that would combine population density, travel time or distance, geographic isolation, and access to resources to provide a consistent, nationally standard definition of rural areas. FAR Codes utilize population density and travel time to designate different levels of ‘‘frontier’’ or remoteness. However, much of the rural U.S. that is currently eligible for rural health grants is not designated as frontier and remote and would lose eligibility if only FAR codes were used. FORHP thanks the public for their comments. After consideration of the public comments we received, FORHP is implementing the modification as proposed to expand its list of rural areas. FORHP will add MSA counties that contain no UA population to the areas eligible for rural health grant programs. Using the March 2020 update of MSA delineations released by OMB, 295 counties will meet this criteria as outlying MSA counties with no UA population. The expanded eligibility will go into effect for new rural health grants awarded in fiscal year 2022. FORHP will ensure information about the expanded eligibility is available to the public and update the Rural Health Grants Eligibility Analyzer at https:// data.hrsa.gov/tools/rural-health for fiscal year 2022 funding opportunities. These changes reflect FORHP’s desire to accurately identify areas that are rural in VerDate Sep<11>2014 17:09 Jan 11, 2021 Jkt 253001 character using a data-driven methodology that relies on existing geographic identifiers and utilizes standard, national level data sources. sanitizers.1 The agency acknowledged ‘‘that some consumers and health care personnel are currently experiencing difficulties accessing alcohol-based hand sanitizers,’’ and that some were Thomas J. Engels, relying on home-made hand sanitizers Administrator. as a result.2 FDA issued the guidance in [FR Doc. 2021–00443 Filed 1–11–21; 8:45 am] response to requests from ‘‘certain BILLING CODE 4165–15–P entities that are not currently regulated by FDA as drug manufacturers’’ that nevertheless rose up to meet this public DEPARTMENT OF HEALTH AND health need.3 FDA stated it ‘‘does not HUMAN SERVICES intend to take action against firms that’’ produce hand sanitizer products during the COVID–19 Public Health [Docket No. FDA–2020–N–2246] Emergency, provided the firm’s Notice That Persons That Entered the activities are consistent with the Over-the-Counter Drug Market To guidance.4 Supply Hand Sanitizer During the The guidance, which FDA amended COVID–19 Public Health Emergency after the Coronavirus Aid, Relief, and Are Not Subject to the Over-theEconomic Security Act (‘‘CARES Act’’), Counter Drug Monograph Facility Fee Public Law 116–136, 134 Stat. 281 (March 27, 2020) became law, contains AGENCY: Food and Drug Administration no mention of user or facility fees. (FDA), Department of Health and FDA’s website on Hand Sanitizers and Human Services (HHS). COVID–19, contains a sub-bullet under the link to the guidance announcing that ACTION: Notice. ‘‘the facility fee applies to all OTC hand SUMMARY: The Department of Health and sanitizer manufacturers registered with Human Services is issuing this Notice to FDA, including facilities that clarify that persons that entered into the manufacture or process hand sanitizer products under this temporary policy,’’ over-the-counter drug industry for the but that language was added about the first time in order to supply hand same time as the aforementioned sanitizers during the COVID–19 Public withdrawn Notice was published in the Health Emergency are not persons Federal Register.5 Entities that began subject to the facility fee the Secretary producing hand sanitizers in reliance on is authorized to collect under section the guidance were understandably 744M of the Food, Drug, and Cosmetic surprised when FDA contacted them to Act. collect an establishment fee in excess of DATES: January 12, 2021. $14,000.6 FDA’s purported authority for these FOR FURTHER INFORMATION CONTACT: facility fees comes from the CARES Act. David Haas, Office of Financial In section 3862 of the CARES Act, Management, Food and Drug Congress provided the Secretary with Administration, 4041 Powder Mill Rd., the authority to assess user and facility Rm. 61075, Beltsville, MD 20705–4304, fees from ‘‘each person that owns a 240–402 4585. facility identified as an OTC drug SUPPLEMENTARY INFORMATION: On monograph facility on December 31 of December 29, 2020, FDA published a the fiscal year or at any time during the Notice in the Federal Register entitled preceding 12-month period.’’ FD&C Act Fee Rates Under the Over-the-Counter 744M(a)(1)(A), 21 U.S.C. 379j– Monograph User Fee Program for Fiscal Year 2021. 85 FR 85646. The 1 FDA, Temporary Policy for Preparation of Department since withdrew that Notice Certain Alcohol-Based Hand Sanitizer Products because it was not approved by the During the Public Health Emergency (COVID–19) Guidance for Industry (Mar. 2020; updated Aug. 7, Secretary. For the reasons provided below, the Department is clarifying that 2020). 2 Id. at 3. persons that entered the over-the3 Id. counter drug market to supply hand 4 Id. sanitizer products in response to the 5 An archived version of the website shows the COVID–19 Public Health Emergency are language at issue was not on the website as late as December 29, 2020. See: https://web.archive.org/ not subject to the facility fee the web/20201229105739/https://www.fda.gov/drugs/ Secretary is authorized to collect under coronavirus-covid-19-drugs/hand-sanitizers-covidsection 744M of the Food, Drug, and 19. 6 This surprise, coupled with the guidance’s Cosmetic Act (FD&C Act). silence on facility fees, raises reliance interests In March 2020, FDA issued a concerns under the Supreme Court’s decision in temporary policy to enable increased Department of Homeland Security v. Regents of the production of alcohol-based hand University of California, 140 S. Ct. 1891 (2020). PO 00000 Frm 00041 Fmt 4703 Sfmt 4703 E:\FR\FM\12JAN1.SGM 12JAN1 khammond on DSKJM1Z7X2PROD with NOTICES Federal Register / Vol. 86, No. 7 / Tuesday, January 12, 2021 / Notices 72(a)(1)(A). An ‘‘OTC drug monograph facility’’ is defined, in relevant part, as ‘‘a foreign or domestic business or other entity that is under one management, either direct or indirect; and at one geographic location or address engaged in manufacturing or processing the finished dosage form of an OTC monograph drug.’’ FD&C Act 744L(10)(A)(i)(I)–(II), 21 U.S.C. 379j– 71(10)(A)(i)(I)–(II). The Department has concluded that persons that entered the over-thecounter drug market in order to produce hand sanitizers in reliance on the guidance cited above are not ‘‘identified as . . . OTC drug monograph facilit[ies]’’ and are thus not subject to the facility fees authorized under section 744M of the FD&CT Act, 21 U.S.C. 379j–72. The Department reached this conclusion for two reasons. First, as the guidance itself acknowledges, the parties at issue are not in the drug manufacturing business. Many of them produce alcoholic beverages. These entities do not hold themselves out to the public as drug makers nor does the public generally encounter them as such. Under the extraordinary circumstances presented by the COVID– 19 pandemic, the Department declines to identify these entities as OTC drug manufacturing facilities. Second, imposing facility fees on these entities is inconsistent with Congress’ stated intent elsewhere in the CARES Act. Section 2308 of the Act provides a temporary exemption from excise taxes for distilled spirits ‘‘use[d] in or contained in hand sanitizer produced and distributed in a manner consistent with any guidance issued by the Food and Drug Administration that is related to the outbreak of virus SARS– CoV–2 or coronavirus disease 2019 (COVID–19).’’ It is unlikely Congress intended to save these entities from excise taxes only to impose tens of thousands of dollars in facility fees from an unfamiliar regulator. The Department declines to discern such a design under these circumstances. In conclusion, the Department clarifies that persons that were not registered with FDA as drug manufacturers prior to the COVID–19 Public Health Emergency, which then later registered with FDA for the purpose of producing hand sanitizers, are not ‘‘identified’’ as ‘‘OTC drug manufacturing facilit[ies]’’ under section 744M of the FD&C Act, 21 U.S.C. 379j–72, and are thus not subject to the facility fee contained therein. The Department’s conclusion does not apply to such persons which (1) manufacture, distribute, and sell over-the-counter drugs in addition to hand sanitizer or (2) VerDate Sep<11>2014 17:09 Jan 11, 2021 Jkt 253001 continue to manufacture (as opposed to hold, distribute, or sell existing inventories) hand sanitizer products as of December 31 of the year immediately following the year during which the COVID–19 Public Health Emergency is terminated. In those cases, the Department may identify such persons as OTC drug manufacturing facilities. Dated: January 5, 2021. Alex M. Azar II, Secretary, Department of Health and Human Services. [FR Doc. 2021–00237 Filed 1–8–21; 1:30 pm] BILLING CODE 4164–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Heart, Lung, and Blood Institute; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended, notice is hereby given of the following meeting. The meeting will be closed to the public in accordance with the provisions set forth in sections 552b(c)(4) and 552b(c)(6), Title 5 U.S.C., as amended. The grant applications and the discussions could disclose confidential trade secrets or commercial property such as patentable material, and personal information concerning individuals associated with the grant applications, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy. Name of Committee: Heart, Lung, and Blood Initial Review Group; Clinical Trials Review Committee. Date: February 25–26, 2021. Time: 9:00 a.m. to 6:00 p.m. Agenda: To review and evaluate grant applications. Place: National Institutes of Health, 6705 Rockledge Drive, Bethesda, MD 20817 (Virtual Meeting). Contact Person: Keary A. Cope, Ph.D., Scientific Review Officer, Office of Scientific Review/DERA, National Heart, Lung, and Blood Institute, National Institutes of Health, 6705 Rockledge Drive, Room 209–A, Bethesda, MD 20892–7924, (301) 827–7912, copeka@mail.nih.gov. (Catalogue of Federal Domestic Assistance Program Nos. 93.233, National Center for Sleep Disorders Research; 93.837, Heart and Vascular Diseases Research; 93.838, Lung Diseases Research; 93.839, Blood Diseases and Resources Research, National Institutes of Health, HHS) PO 00000 Frm 00042 Fmt 4703 Sfmt 4703 2421 Dated: January 6, 2021. David W. Freeman, Program Analyst, Office of Federal Advisory Committee Policy. [FR Doc. 2021–00344 Filed 1–11–21; 8:45 am] BILLING CODE 4140–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Center for Scientific Review; Notice of Closed Meetings Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended, notice is hereby given of the following meetings. The meetings will be closed to the public in accordance with the provisions set forth in sections 552b(c)(4) and 552b(c)(6), Title 5 U.S.C., as amended. The grant applications and the discussions could disclose confidential trade secrets or commercial property such as patentable material, and personal information concerning individuals associated with the grant applications, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy. Name of Committee: Cell Biology Integrated Review Group; Development—1 Study Section. Date: February 8–9, 2021. Time: 10:00 a.m. to 6:00 p.m. Agenda: To review and evaluate grant applications. Place: National Institutes of Health, Rockledge II, 6701 Rockledge Drive, Bethesda, MD 20892 (Virtual Meeting). Contact Person: Zubaida Saifudeen, Scientific Review Officer, Center for Scientific Review, National Institutes of Health, 6701 Rockledge Drive, Bethesda, MD 20817, zubaida.saifudeen@nih.gov. Name of Committee: Brain Disorders and Clinical Neuroscience Integrated Review Group; Brain Injury and Neurovascular Pathologies Study Section. Date: February 8–9, 2021. Time: 10:00 a.m. to 7:00 p.m. Agenda: To review and evaluate grant applications. Place: National Institutes of Health, 6701 Rockledge Drive, Bethesda, MD 20892 (Virtual Meeting). Contact Person: Alexander Yakovlev, Ph.D., Scientific Review Officer, Center for Scientific Review, National Institutes of Health, 6701 Rockledge Drive, Room 5206, MSC 7846, Bethesda, MD 20892, 301–435– 1254, yakovleva@csr.nih.gov. Name of Committee: Cell Biology Integrated Review Group; Nuclear and Cytoplasmic Structure/Function and Dynamics Study Section. Date: February 8–9, 2021. Time: 11:00 a.m. to 5:30 p.m. Agenda: To review and evaluate grant applications. E:\FR\FM\12JAN1.SGM 12JAN1

Agencies

[Federal Register Volume 86, Number 7 (Tuesday, January 12, 2021)]
[Notices]
[Pages 2420-2421]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-00237]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Docket No. FDA-2020-N-2246]


Notice That Persons That Entered the Over-the-Counter Drug Market 
To Supply Hand Sanitizer During the COVID-19 Public Health Emergency 
Are Not Subject to the Over-the-Counter Drug Monograph Facility Fee

AGENCY: Food and Drug Administration (FDA), Department of Health and 
Human Services (HHS).

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Department of Health and Human Services is issuing this 
Notice to clarify that persons that entered into the over-the-counter 
drug industry for the first time in order to supply hand sanitizers 
during the COVID-19 Public Health Emergency are not persons subject to 
the facility fee the Secretary is authorized to collect under section 
744M of the Food, Drug, and Cosmetic Act.

DATES: January 12, 2021.

FOR FURTHER INFORMATION CONTACT: David Haas, Office of Financial 
Management, Food and Drug Administration, 4041 Powder Mill Rd., Rm. 
61075, Beltsville, MD 20705-4304, 240-402 4585.

SUPPLEMENTARY INFORMATION: On December 29, 2020, FDA published a Notice 
in the Federal Register entitled Fee Rates Under the Over-the-Counter 
Monograph User Fee Program for Fiscal Year 2021. 85 FR 85646. The 
Department since withdrew that Notice because it was not approved by 
the Secretary. For the reasons provided below, the Department is 
clarifying that persons that entered the over-the-counter drug market 
to supply hand sanitizer products in response to the COVID-19 Public 
Health Emergency are not subject to the facility fee the Secretary is 
authorized to collect under section 744M of the Food, Drug, and 
Cosmetic Act (FD&C Act).
    In March 2020, FDA issued a temporary policy to enable increased 
production of alcohol-based hand sanitizers.\1\ The agency acknowledged 
``that some consumers and health care personnel are currently 
experiencing difficulties accessing alcohol-based hand sanitizers,'' 
and that some were relying on home-made hand sanitizers as a result.\2\ 
FDA issued the guidance in response to requests from ``certain entities 
that are not currently regulated by FDA as drug manufacturers'' that 
nevertheless rose up to meet this public health need.\3\ FDA stated it 
``does not intend to take action against firms that'' produce hand 
sanitizer products during the COVID-19 Public Health Emergency, 
provided the firm's activities are consistent with the guidance.\4\
---------------------------------------------------------------------------

    \1\ FDA, Temporary Policy for Preparation of Certain Alcohol-
Based Hand Sanitizer Products During the Public Health Emergency 
(COVID-19) Guidance for Industry (Mar. 2020; updated Aug. 7, 2020).
    \2\ Id. at 3.
    \3\ Id.
    \4\ Id.
---------------------------------------------------------------------------

    The guidance, which FDA amended after the Coronavirus Aid, Relief, 
and Economic Security Act (``CARES Act''), Public Law 116-136, 134 
Stat. 281 (March 27, 2020) became law, contains no mention of user or 
facility fees. FDA's website on Hand Sanitizers and COVID-19, contains 
a sub-bullet under the link to the guidance announcing that ``the 
facility fee applies to all OTC hand sanitizer manufacturers registered 
with FDA, including facilities that manufacture or process hand 
sanitizer products under this temporary policy,'' but that language was 
added about the same time as the aforementioned withdrawn Notice was 
published in the Federal Register.\5\ Entities that began producing 
hand sanitizers in reliance on the guidance were understandably 
surprised when FDA contacted them to collect an establishment fee in 
excess of $14,000.\6\
---------------------------------------------------------------------------

    \5\ An archived version of the website shows the language at 
issue was not on the website as late as December 29, 2020. See: 
https://web.archive.org/web/20201229105739/https://www.fda.gov/drugs/coronavirus-covid-19-drugs/hand-sanitizers-covid-19.
    \6\ This surprise, coupled with the guidance's silence on 
facility fees, raises reliance interests concerns under the Supreme 
Court's decision in Department of Homeland Security v. Regents of 
the University of California, 140 S. Ct. 1891 (2020).
---------------------------------------------------------------------------

    FDA's purported authority for these facility fees comes from the 
CARES Act. In section 3862 of the CARES Act, Congress provided the 
Secretary with the authority to assess user and facility fees from 
``each person that owns a facility identified as an OTC drug monograph 
facility on December 31 of the fiscal year or at any time during the 
preceding 12-month period.'' FD&C Act 744M(a)(1)(A), 21 U.S.C. 379j-

[[Page 2421]]

72(a)(1)(A). An ``OTC drug monograph facility'' is defined, in relevant 
part, as ``a foreign or domestic business or other entity that is under 
one management, either direct or indirect; and at one geographic 
location or address engaged in manufacturing or processing the finished 
dosage form of an OTC monograph drug.'' FD&C Act 744L(10)(A)(i)(I)-
(II), 21 U.S.C. 379j-71(10)(A)(i)(I)-(II).
    The Department has concluded that persons that entered the over-
the-counter drug market in order to produce hand sanitizers in reliance 
on the guidance cited above are not ``identified as . . . OTC drug 
monograph facilit[ies]'' and are thus not subject to the facility fees 
authorized under section 744M of the FD&CT Act, 21 U.S.C. 379j-72. The 
Department reached this conclusion for two reasons. First, as the 
guidance itself acknowledges, the parties at issue are not in the drug 
manufacturing business. Many of them produce alcoholic beverages. These 
entities do not hold themselves out to the public as drug makers nor 
does the public generally encounter them as such. Under the 
extraordinary circumstances presented by the COVID-19 pandemic, the 
Department declines to identify these entities as OTC drug 
manufacturing facilities.
    Second, imposing facility fees on these entities is inconsistent 
with Congress' stated intent elsewhere in the CARES Act. Section 2308 
of the Act provides a temporary exemption from excise taxes for 
distilled spirits ``use[d] in or contained in hand sanitizer produced 
and distributed in a manner consistent with any guidance issued by the 
Food and Drug Administration that is related to the outbreak of virus 
SARS-CoV-2 or coronavirus disease 2019 (COVID-19).'' It is unlikely 
Congress intended to save these entities from excise taxes only to 
impose tens of thousands of dollars in facility fees from an unfamiliar 
regulator. The Department declines to discern such a design under these 
circumstances.
    In conclusion, the Department clarifies that persons that were not 
registered with FDA as drug manufacturers prior to the COVID-19 Public 
Health Emergency, which then later registered with FDA for the purpose 
of producing hand sanitizers, are not ``identified'' as ``OTC drug 
manufacturing facilit[ies]'' under section 744M of the FD&C Act, 21 
U.S.C. 379j-72, and are thus not subject to the facility fee contained 
therein. The Department's conclusion does not apply to such persons 
which (1) manufacture, distribute, and sell over-the-counter drugs in 
addition to hand sanitizer or (2) continue to manufacture (as opposed 
to hold, distribute, or sell existing inventories) hand sanitizer 
products as of December 31 of the year immediately following the year 
during which the COVID-19 Public Health Emergency is terminated. In 
those cases, the Department may identify such persons as OTC drug 
manufacturing facilities.

    Dated: January 5, 2021.
Alex M. Azar II,
Secretary, Department of Health and Human Services.
[FR Doc. 2021-00237 Filed 1-8-21; 1:30 pm]
BILLING CODE 4164-01-P
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