BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 1277
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 1277 (Hill and Perea)
          As Amended August 9, 2012
          Majority vote
           
           ----------------------------------------------------------------- 
          |ASSEMBLY:  |78-0 |(May 19, 2011)  |SENATE: |37-0 |(August 23,    |
          |           |     |                |        |     |2012)          |
           ----------------------------------------------------------------- 
            
           Original Committee Reference:   HEALTH  

           SUMMARY  :  Eliminates licensing inspections by the Department of 
          Public Health (DPH) for drug or medical device manufacturers 
          that provide documentation of ownership and other information to 
          DPH, and limits the ability of DPH to investigate or inspect 
          licensed drug or device manufacturers to certain specified 
          circumstances.

           The Senate amendments  :

          1)Repeal the requirement that DPH conduct an inspection of the 
            place of business prior to issuing a new license to a drug or 
            device manufacturer, and, instead, require DPH to receive 
            documentation from the manufacturer that evidences ownership 
            and any of the following:

             a)   The business is operating pursuant to a valid biologics 
               license issued by the United States Food and Drug 
               Administration (FDA), as specified;

             b)   The business is operating with a valid federal 
               establishment registration that includes an attestation 
               that a federal inspection was completed within the two 
               years prior to the date of the attestation, as specified;

             c)   The business is operating in compliance with audits 
               conducted pursuant to quality management standards issued 
               by the International Standards Organization or pursuant to 
               federal regulations, as specified; or,

             d)   The business is operating pursuant to an approved 
               investigational new drug or an approved investigational 
               device exemption issued by the FDA, as specified.









                                                                  AB 1277
                                                                  Page  2

          2)Prohibit DPH from inspecting the business prior to issuing a 
            license if DPH receives documentation that satisfies the 
            requirements in 1) above, and require DPH to inspect the 
            business prior to issuing a license if this documentation is 
            not received.

          3)Delete current law requiring DPH to conduct renewal 
            inspections of licensed drug or device manufacturers once 
            every two years.

          4)Specify that DPH shall investigate or inspect licensed drug or 
            device manufacturers only when any of the following occur:

             a)   DPH becomes aware of an issue and determines that the 
               health and safety of the public is at serious risk;

             b)   A complaint has been registered with DPH and DPH 
               determines that the public health and safety is at serious 
               risk;

             c)   A notification has been sent by the FDA to DPH 
               requesting assistance with certain recall actions; or,

             d)   The FDA has requested assistance for enforcement 
               activities, including, but not limited to, embargoes, 
               seizures, or injunctions.

          5)Make other minor technical and conforming changes.

          AS PASSED BY THE ASSEMBLY  , this bill revised the frequency of 
          licensing inspections by DPH for drug and medical device 
          manufacturers from once every two years to once every four 
          years.

           FISCAL EFFECT  :  According to the Senate Appropriations 
          Committee, pursuant to Senate Rule 28.8, negligible state costs.

           COMMENTS  :  According to the author, biotechnology and medical 
          device companies are subject to inspections from both the FDA 
          and DPH every two years, in addition to inspections performed by 
          DPH prior to initial clinical trials of products and the 
          potential follow-up inspections the state performs within weeks 
          after FDA inspections.   The author argues that, aside from the 
          licensing and inspection fees, these inspections can cost these 
          companies thousands of dollars in preparation, manpower, and 








                                                                 AB 1277
                                                                  Page  3

          facilitation.  The author contends that duplicative and 
          occasionally unnecessary inspections place an increased 
          financial burden on these companies when they must expend 
          substantial financial resources already in order to prepare for 
          them.  

          Supporters of this bill, including California Healthcare 
          Institute, Advanced Medical Technology Association, 
          Pharmaceutical Research and Manufacturers of America, BIOCOM, 
          and BayBio, state that this bill will relieve companies of the 
          added financial burden from redundant inspections, as well as 
          relieve state staff resources.  They add that all aspects of 
          their manufacturing operations, ranging from the sterility of 
          facilities to the quality of final product to the font size used 
          on packaging, is scrutinized and approved by the FDA, and this 
          bill will ensure that California is doing all it can to remove 
          barriers for its industry.


           Analysis Prepared by  :    Cassie Royce / HEALTH / (916) 319-2097 


          FN: 0005555