H. R. ll. To amend the Federal Food, Drug, and Cosmetic Act to prevent the abuse of dextromethorphan, and for other purposes.

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F:\M\JOHNOH\JOHNOH_00.XML TH CONGRESS ST SESSION... H. R. ll (Original Signature of Member) To amend the Federal Food, Drug, and Cosmetic Act to prevent the abuse of dextromethorphan, and for other purposes. IN THE HOUSE OF REPRESENTATIVES Mr. JOHNSON of Ohio (for himself and Mr. BRALEY of Iowa) introduced the following bill; which was referred to the Committee on lllllllllllllll A BILL To amend the Federal Food, Drug, and Cosmetic Act to prevent the abuse of dextromethorphan, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION. SHORT TITLE. This Act may be cited as the Preventing Abuse of Cough Treatments Act of 0 or the PACT Act. f:\vhlc\0\0.0.xml ( ) January, 0 (0: a.m.) VerDate 0ct 0 00 0: Jan, 0 Jkt 000000 PO 00000 Frm 0000 Fmt Sfmt 0 C:\DOCUME~\WPBURKE\APPLIC~\SOFTQUAD\XMETAL\.\GEN\C\JOHNOH~.XML H

F:\M\JOHNOH\JOHNOH_00.XML 0 0 SEC.. SALES OF OVER-THE-COUNTER DRUGS CONTAINING DEXTROMETHORPHAN. (a) PROHIBITED ACT. Section 0 of the Federal Food, Drug, and Cosmetic Act ( U.S.C. ) is amended by adding at the end the following: (ddd)()(a) Except as provided in subparagraph (), the sale or offering for sale of a drug containing dextromethorphan to an individual under years of age, including any such sale using the Internet, provided the drug is not subject to section 0(b)(). (B) If a person fails to request identification from an individual under years of age and sells a product containing dextromethorphan to that individual, that person shall be deemed to have known that the individual was under years of age, unless from the individual s outward appearance the person making the sale would reasonably presume the individual to be years of age or older. (C) It shall be an affirmative defense to an alleged violation of clause (A) that the person selling a product containing dextromethorphan examined the purchaser s identification card and, based on that examination, that person reasonably concluded that the identification was valid and indicated that the purchaser was not less than years of age. f:\vhlc\0\0.0.xml ( ) January, 0 (0: a.m.) VerDate 0ct 0 00 0: Jan, 0 Jkt 000000 PO 00000 Frm 0000 Fmt Sfmt 0 C:\DOCUME~\WPBURKE\APPLIC~\SOFTQUAD\XMETAL\.\GEN\C\JOHNOH~.XML H

F:\M\JOHNOH\JOHNOH_00.XML 0 0 ()(A) This paragraph shall not apply to any sale made pursuant to a validly issued prescription. (B) This paragraph shall not apply to the sale or offering for sale of a drug containing dextromethorphan to an individual under years of age if such individual supplies proof at the time of such sale that such individual is actively enrolled in the military and presents a valid military identification card. () In this paragraph, the term identification card mean an identification card that (A) includes a photograph and the date of birth of the individual; and (B) is issued by a State or the Federal Government or is considered acceptable for purposes of sections a.(b)()(v)(a) and a.(b)()(v)(b)() of title, Code of Federal Regulations (as in effect on or after the date of the enactment of the Preventing Abuse of Cough Treatments Act of 0).. (b) CIVIL PENALTIES. Section 0 of the Federal Food, Drug, and Cosmetic Act ( U.S.C. ) is amended by adding at the end the following: (h) Notwithstanding subsection (a), the following provisions shall apply to violations of section 0(ddd): f:\vhlc\0\0.0.xml ( ) January, 0 (0: a.m.) VerDate 0ct 0 00 0: Jan, 0 Jkt 000000 PO 00000 Frm 0000 Fmt Sfmt 0 C:\DOCUME~\WPBURKE\APPLIC~\SOFTQUAD\XMETAL\.\GEN\C\JOHNOH~.XML H

F:\M\JOHNOH\JOHNOH_00.XML 0 0 () A person who violates section 0(ddd) shall (A) receive a warning letter from the Secretary for the first such violation; and (B) be subject to a civil penalty in an amount (i) not more than $,000 for the second such violation by a person; (ii) not more than $,000 for the third such violation by a person; and (iii) not more than $,000 for the fourth such violation, or a subsequent such violation, by a person. () In determining the amount of a civil penalty under this subsection for a person who is a retailer, the Secretary shall consider whether the retailer has taken appropriate steps to prevent subsequent violations, such as the establishment and administration of a documented employee training program to ensure all employees are familiar with and abiding by the provisions of section 0(ddd), where such program includes (A) educating employees regarding products containing dextromethorphan; f:\vhlc\0\0.0.xml ( ) January, 0 (0: a.m.) VerDate 0ct 0 00 0: Jan, 0 Jkt 000000 PO 00000 Frm 0000 Fmt Sfmt 0 C:\DOCUME~\WPBURKE\APPLIC~\SOFTQUAD\XMETAL\.\GEN\C\JOHNOH~.XML H

F:\M\JOHNOH\JOHNOH_00.XML 0 0 (B) instruction on the correct method of checking a purchaser s identification card; and (C) notifying employees of the civil penalties under this subsection. () If a person who is a retailer transacts sales of products containing dextromethorphan at more than one physical location, for purposes of determining the number of violations by that person under this subsection, each individual physical location operated by that retailer shall be considered a separate person. () The Secretary shall notify persons found to have violated section 0(ddd) as soon as practicable after the Secretary discovers such violation. Such notification shall include details of the violation, such as (A) the date and time of the sale; (B) a sales receipt or credit card receipt documenting the sale; and (C) the name or description of the employee involved in the sale. () Notwithstanding any other provision of this subsection or section 0(ddd), an employee shall not be subject to penalties under this subsection unless such employee knowingly and willfully f:\vhlc\0\0.0.xml ( ) January, 0 (0: a.m.) VerDate 0ct 0 00 0: Jan, 0 Jkt 000000 PO 00000 Frm 0000 Fmt Sfmt 0 C:\DOCUME~\WPBURKE\APPLIC~\SOFTQUAD\XMETAL\.\GEN\C\JOHNOH~.XML H

F:\M\JOHNOH\JOHNOH_00.XML 0 0 participates in a conspiracy to violate section 0(ddd). For purposes of this paragraph, a conspiracy shall consist of an agreement between two or more persons with the intent to violate section 0(ddd) and the commission of at least one overt act in furtherance of the agreement. () In this subsection (A) the term employee means an individual who is employed by a retailer in a clerical or other non-managerial position; and (B) the term retailer means a grocery store, general merchandise store, drug store, pharmacy, convenience store, or other entity or person whose activities as a distributor relating to products containing dextromethorphan are limited almost exclusively to sales for personal use, both in number of sales and volume of sales, either directly to walk-in customers or in face-to-face transactions by direct sales.. SEC.. RESTRICTIONS ON DISTRIBUTION OF BULK DEXTROMETHORPHAN. The Federal Food, Drug, and Cosmetic Act ( U.S.C. et seq.) is amended () in section 0, by inserting at the end the following: f:\vhlc\0\0.0.xml ( ) January, 0 (0: a.m.) VerDate 0ct 0 00 0: Jan, 0 Jkt 000000 PO 00000 Frm 0000 Fmt Sfmt 0 C:\DOCUME~\WPBURKE\APPLIC~\SOFTQUAD\XMETAL\.\GEN\C\JOHNOH~.XML H

F:\M\JOHNOH\JOHNOH_00.XML 0 0 (k) If it is unfinished dextromethorphan and is possessed, received, or distributed in violation of section 0G. ; () by inserting after section 0F the following: SEC. 0G. RESTRICTIONS ON THE DISTRIBUTION OF BULK DEXTROMETHORPHAN. (a) IN GENERAL. No person shall () possess or receive unfinished dextromethorphan, unless the person is registered under section 0 or otherwise registered, licensed, or approved pursuant to Federal or State law to engage in the practice of pharmacy, pharmaceutical production, or manufacture or distribution of drug ingredients; or () distribute unfinished dextromethorphan to any person other than a person registered under section 0 or otherwise registered, licensed, or approved pursuant to Federal or State law to engage in the practice of pharmacy, pharmaceutical production, or manufacture or distribution of drug ingredients. (b) EXCEPTION FOR COMMON CARRIERS. This section does not apply to a common carrier that possesses, receives, or distributes unfinished dextromethorphan for f:\vhlc\0\0.0.xml ( ) January, 0 (0: a.m.) VerDate 0ct 0 00 0: Jan, 0 Jkt 000000 PO 00000 Frm 0000 Fmt Sfmt 0 C:\DOCUME~\WPBURKE\APPLIC~\SOFTQUAD\XMETAL\.\GEN\C\JOHNOH~.XML H

F:\M\JOHNOH\JOHNOH_00.XML 0 0 purposes of distributing such unfinished dextromethorphan between persons described in subsection (a) as registered, licensed, or approved. (c) DEFINITIONS. In this section: () The term common carrier means any person that holds itself out to the general public as a provider for hire of the transportation by water, land, or air of merchandise, whether or not the person actually operates the vessel, vehicle, or aircraft by which the transportation is provided, between a port or place and a port or place in the United States. () The term unfinished dextromethorphan means dextromethorphan that is not contained in a drug that is in finished dosage form. ; and () by amending section 0, as amended by section (b), by adding at the end the following: (i) Notwithstanding subsection (a), a person who violates section 0G shall be subject to a civil penalty of not more than $00,000.. f:\vhlc\0\0.0.xml ( ) January, 0 (0: a.m.) VerDate 0ct 0 00 0: Jan, 0 Jkt 000000 PO 00000 Frm 0000 Fmt Sfmt 0 C:\DOCUME~\WPBURKE\APPLIC~\SOFTQUAD\XMETAL\.\GEN\C\JOHNOH~.XML H