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