Commonwealth of Australia Explanatory Memoranda

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THERAPEUTIC GOODS AMENDMENT BILL (NO. 3) 2000

2000




THE PARLIAMENT OF THE COMMONWEALTH OF AUSTRALIA





HOUSE OF REPRESENTATIVES









THERAPEUTIC GOODS AMENDMENT BILL (NO.3) 2000






REVISED EXPLANATORY MEMORANDUM









(Circulated by authority of the Parliamentary Secretary to the Minister
for Health and Aged Care, Senator the Hon Grant Tambling)



THIS MEMORANDUM TAKES ACCOUNT OF AMENDMENTS
MADE BY THE SENATE TO THE BILL AS INTRODUCED


ISBN: 0642 452768

THERAPEUTIC GOODS AMENDMENT BILL (No. 3) 2000

OUTLINE


The Therapeutic Goods Amendment Bill 2000 makes changes to the Therapeutic Goods Act 1989 ("the Act"). The proposed changes, set out in Schedule 1 of the Bill, will include new provisions that will enable the Secretary to monitor the operation of various exemptions that apply under Part 3 of the Act, and the Therapeutic Goods Regulations, which allow access by individuals to unapproved therapeutic goods. The exemptions apply only in certain circumstances, and are often subject to statutory conditions and other conditions that may be imposed by the Secretary. The amendments contained in Schedule 1 of this Bill will enable the Secretary to establish whether the use, handling and supply of unapproved therapeutic goods accords with acceptable standards and with the terms and conditions under the Act and Regulations that allow access to these unapproved goods by eligible patients. This will be achieved principally through the Secretary's new powers to require persons to whom an approval or an authority has been granted to supply or use unapproved therapeutic goods to provide information about, among other things, how such goods were used, handled and supplied.

Other changes included in Schedule 2 of the Bill will insert new provisions that relate to the regulation and management of product tampering. These changes include measures that will:

(a) require certain persons to notify the Secretary of the Department or the National Manager of the Therapeutic Goods Administration about actual or potential tampering with therapeutic goods;
(b) confer powers on the Secretary to require suppliers of therapeutic goods that may, or could possibly be, the subject of actual or potential tampering to recover the goods and inform the public about the fact that the goods are, or may be, the subject of actual or potential tampering;
(c) create offences including an offence to supply or export goods that are the subject of recovery action; and
(d) enable information about product tampering to be released to other regulatory agencies that have responsibilities relating to therapeutic goods, health or law enforcement

Financial Impact Statement

The amendments to the Therapeutic Goods Act 1989 have no significant financial impact.

Clause 1: This clause states that the short title of the legislation is the Therapeutic Goods Amendment Act (No.3) 2000.

Clause 2: sets out the new commencement dates for the changes set out in Schedules 1 and 2 of the Bill. The amendments to the Therapeutic Goods Act 1989 (the Act) described in Schedule 1, being amendments that relate to access to therapeutic goods that have not been approved for general marketing, are to come into operation on the 28th day after the Bill receives Royal Assent. The amendments set out in Schedule 2, relating to product tampering, will come into effect on the day the Bill receives Royal Assent.

Clause 3: has the effect of stating that the Act will be amended in the manner specified in the Schedule.

SCHEDULE 1 - EXEMPTIONS

Item 1: inserts a definition for "ethics committee". For the purposes of the Act and the Therapeutic Goods Regulations, an "ethics committee" refers to a committee that meets 2 criteria. The committee must be both constituted and operating as an ethics committee in accordance with guidelines issued by the National Health and Medical Research Council, as in force from time to time, and the committee must have notified its existence to the Australian Health Ethics Committee established under the National Health and Medical Research Council Act 1992.

Item 2: The effect of this amendment is to substitute the existing definition for "exempt goods" to clarify its meaning. "Exempt goods", when used in the context of Part 3 of the Act, refers to therapeutic goods that are exempted from the regulatory requirements set out under Part 3 of the Act, other than the requirements set out at section 31A and sections 31C to 31F inclusive. The provisions set out at section 31A and sections 31C to 31F relate to the Secretary's powers to require information or documents in connection with the supply, use or handling of unapproved medicines in various circumstances permitted under the Act and the Therapeutic Goods Regulations. The power to require information will enable the Secretary to monitor the supply, handling and use of unapproved goods that are exempted from the regulatory requirements set out in Part 3 of the Act, to ensure that use of the goods is appropriate and that the terms and conditions relevant to an exemption are complied with.

"Exempt goods" means, when used in the context of Part 4 of the Act, therapeutic goods that have been exempted from the requirement to comply with the provisions set out in Part 4 of the Act, relating to licensing issues relevant to the manufacture of therapeutic goods.

Item 3 clarifies that the Regulations may exempt all or certain classes of therapeutic goods from the operation of Part 3 of the Act, other than sections 31A and 31C to 31F inclusive relating to the Secretary's powers to obtain information and documents.

Item 4 has the effect of saving all regulations made for the purposes of subsection 18(1) which came into force before subsection 18(1), as amended under this Schedule, commences to operate.

However sub-item 4(1) does not prevent any amendment or repeal of the regulations.

Item 5 inserts new subsection 19(1A) to makes it clear that any approval granted by the Secretary pursuant to paragraph 19(1)(b) is subject to any conditions that may be prescribed in the Regulations. These conditions that may appear in the Regulations are in addition to the conditions, if any, that the Secretary may impose under subsection 19(1) in relation to an approval granted for the purposes of paragraph 19(1)(b).

Item 6 provides that any conditions prescribed in the Regulations for the purposes of new subsection 19(1A) will apply to all approvals granted under paragraph 19(1)(b) of the Act whether the approval was granted before or after the commencement of subsection 19(1A).

Item 7 inserts new subsection 19(4A) which makes it clear that where an approval to use specified unapproved therapeutic goods on humans for experimental purposes is granted to a person under paragraph 19(1(b), any other person who uses such goods to carry out or conduct the experimentation is subject to the conditions specified in the regulations, being conditions that relate to one of the matters referred to in new paragraphs 19(4A)(a) to (d) inclusive.

Item 8 makes it clear that the conditions prescribed in the Regulations made for the purposes of new subsection 19(4A) of the Act will apply to all approvals granted under paragraph 19(1)(b) of the Act whether this was granted before or after the commencement of subsection 19(4A).

Item 9 inserts new subsections 19(5A) and (5B). Subsection 19(5A) provides that any authority given under subsection 19(5) is subject to any conditions that may be specified in the authority. Subsection 19(5B) provides that the Secretary may impose conditions, or impose further conditions, by giving written notice to the person to whom the authority is given.

Item 10 provides that the power of the Secretary to impose conditions under subsection 19(5B) will apply to any authority given under 19(5), whether the authority was given before or after the commencement of subsection 19(5B).

Item 11 inserts new paragraph 19(6)(aa) which has the effect of adding a further requirement to be met by a medical practitioner before a s.19(5) approval may be granted to that medical practitioner. The additional requirement is that the medical practitioner must also have the approval of an ethics committee to supply the specified therapeutic goods or class of therapeutic goods referred to in the authority.

Item 12 adds a proviso that the new requirement set out in new paragraph 19(6)(aa) does not apply in the exceptional circumstances (if any) prescribed by the Regulations for the purposes of subsection 19(6).

Item 13 clarifies the operation of subsection 22(7) and brings the language used in that subsection in line with language used in other offence provisions set out in Commonwealth legislation. Under new subsection 22(7AA), the offence against subsection 22(7) is punishable on conviction by a maximum fine of 60 penalty units.

Item 14 makes a consequential change to subsection 22(7A) to provide that it is an offence to breach a condition imposed in relation to an authority issued under subsection 19(5).

Item 15 makes a consequential amendment to subsection 22(8) to take into account approvals granted that are subject to any conditions imposed by the Regulations for the purposes of subsection 19(4A).

Item 16 inserts new sections 31A, 31B, 31C, 31D, 31E and 31F. Sections 31A and 31B enable the Secretary to require information that will assist the Secretary to establish whether the use and handling of unapproved therapeutic goods in the various circumstances permitted under the Act and Regulations meet acceptable standards, including the regulatory requirements of the Act and Regulations.
Section 31C sets out when, and the manner in which, information or documents are to be supplied or produced. Sections 31D, 31E and 31F set out the consequences for providing false or misleading information or documents.

New subsection 31A(1) provides that where unapproved therapeutic goods are used for the purposes of human experimentation pursuant to an exemption under s.18 of the Act, the Secretary may, by notice in writing, require the sponsor of the unapproved therapeutic goods to provide specified information or documents relating to the supply of those unapproved goods, the handling of those goods, the monitoring of the supply of those goods, the results of the supply of those goods, the results of the supply of the goods and any other matter prescribed in the Regulations for the purposes of this subsection.

New subsection 31A(2) provides that where any medicine is exempt under section 18 of the Act in accordance with the requirements of regulation 12A of the Therapeutic Goods Regulations, the Secretary may require the medical practitioner who signed a statement in accordance with that regulation, by giving the practitioner a written notice, to provide the Secretary with specified information or documents relating to any one or more of the matters set out in paragraphs 31A(2)(a) to (e) inclusive, in addition to any other matter prescribed for the purposes of this subsection in the Regulations.

New subsection 31A(3) provides that a notice given by the Secretary must specify a reasonable period within which the information or document must be supplied, and that this period must be at least 14 days starting from the day on which the notice is given.

New subsection 31B(1) will enable the Secretary, by notice in writing, to require the person to whom an approval is granted under subsection 19(1) of the Act to give the Secretary information or documents relating to the supply, handling, monitoring of the supply and the results of the supply, of the therapeutic goods in respect of which the s.19(1) approval was given. The Regulations may also prescribe any other matters in relation to which the Secretary may require information or documents to be given, about goods of that kind.

New subsection 31B(2) provides that where an approval is granted under paragraph 19(1)(b) of the Act to a particular person to import, export or supply unapproved therapeutic goods for experimental use on humans, but another person uses the goods for the purposes of carrying out or conducting the experiment, the Secretary may require, by notice in writing, that other person to provide to the Secretary information or documents about the use of the goods and/or any other matter relating to goods of that kind that may be prescribed by the Regulations for the purposes of subsection 31B(2).

New subsection 31B(3) enables the Secretary to require, by notice in writing, a medical practitioner to whom an authority to supply specified unapproved therapeutic goods under subsection 19(5) of the Act to provide the Secretary with information or documents relating to any one or more of the matters set out in paragraphs (3)(a) to (d) inclusive, as well as any other matter relating to goods of that kind that may be prescribed in the Regulations for the purposes of this subsection.

New subsection 31B(4) provides that a notice given by the Secretary under subsections 31B(1), (2) or (3) must specify a reasonable period within which a person must provide the information or document, being a period that is not less than 14 days from the day the notice is given.

New section 31C sets out some requirements relating to information or documents required to be given to the Secretary under section 31A or 31B. Subsections 31C(1) and (2) prescribe when information or documents must be provided by, and the form or manner in which the information is to be given, such as in accordance with specified software requirements.

New subsection 31C(3) provides that a person who fails to provide the specified information or documents, or fails to give the Secretary the specified information or documents in the form or manner specified within the time-limit set, commits an offence. The penalty upon conviction is a maximum of 60 penalty units.

Under new section 31D, where a person is required by the Secretary to provide information under section 31A or 31B, the person commits an offence if the person supplies, in accordance with subsection 31C(1), the information knowing that the information is false or misleading in a material particular, or the information omits any matter or thing without which the information is misleading in a material particular. The maximum penalty for the commission of this offence is imprisonment for 12 months.

Under new section 31E, where a person is required by the Secretary to produce documents, the person commits an offence if the person produces, in accordance with subsection 31C(1), the document knowing that it is false or misleading in a material particular. The maximum penalty for the commission of this offence is imprisonment for 12 months. A person does not commit an offence for producing a document that is false or misleading in a material particular if the document produced by the person is accompanied by a written statement signed by the person, or if a body corporate it is signed by a competent officer of the body corporate, stating that the document is, to that person's knowledge, false or misleading in a material particular and the material particular that is false or misleading is identified.

New section 31F provides that a person is not excused from giving information or a document under section 31C on the ground that doing so would tend to incriminate the person or expose the person to a penalty. However, in the case of an individual, the information given or document produced, or any information document or thing obtained as a direct or indirect consequence of giving the information or document is not admissible as evidence in criminal proceedings against the individual except for proceedings under, or arising out of, section 31D or 31E.

Item 17 states that the requirement to provide information or documents under subsections 31B(1) and (2) apply to any approval granted under subsection 19(1) of the Act either before or after the commencement of section 31B, and the requirement to provide information or documents under subsection 31B(3) of the Act applies to any authority granted under subsection 19(5) of the Act whether the authority was granted before or after the commencement of section 31B.

Item 18 inserts a new subsection 61(3A) to enable the Secretary to release information obtained in response to a notice under section 31A or section 31B to the head of an authority, or to an authority, of the Commonwealth, a State or Territory that has functions relating to therapeutic goods, and also to a body in a State or Territory responsible for the registration of medical practitioners, or the registration of pharmacists, in that State or Territory.


SCHEDULE 2 – PRODUCT TAMPERING


Items 1, 2 and 3 insert the following 3 new definitions under subsection 3(1) of the Act:

The phrase “actual or potential tampering” has the meaning given by subsection 42U(1), described below.

The term “National Manager of the Therapeutic Goods Administration“ refers to the person who, from time to time, is engaged to carry out duties and perform functions as head of the Therapeutic Goods Administration (the TGA), a Program Area within the Department of Health and Aged Care. In the event the title of that position or the position itself should cease to exist, then it is the person who is engaged to carry out duties and perform functions in any other position determined by the Secretary in writing.

The word “tamper”, when used in relation to therapeutic goods, means to interfere with therapeutic goods in a way that affects, or could affect, the quality, safety or efficacy of the goods, and the interference either:

- has the potential to cause injury or harm to any person; or
- is done for the purpose of causing injury or harm to a person

Item 4 inserts after Part 4B of the Act, a new Part 4C – Product Tampering. Part 4C has new sections 42T, 42U, 42V, 42W and 42X. These new provisions are directed at regulating and managing incidences of tampering with therapeutic goods.

New section 42T sets out the requirements for notifying either the Secretary of the Department or the National Manager of the TGA about information or any demand relating to actual or potential tampering with therapeutic goods. The obligation to notify rests with any person who supplies, or proposes to supply, therapeutic goods; any manufacturer of, or person proposing to manufacture, therapeutic goods; and any sponsor or proposed sponsor of therapeutic goods. Such a person would be required to notify the Secretary or National Manager in the following circumstances:

- where the person knows that some or all of that person’s goods, or some other person’s goods, are subject to, or have been subject to, actual or potential tampering (subparagraph 42T(1)(b)(i)); or
- where some or all of the person’s therapeutic goods, or some other person’s therapeutic goods, are subject to or have been subject to actual or potential tampering and the person is reckless as to that fact (subparagraph 42T(1)(b)(ii));
- where the person is in receipt of information or a demand and as a result would either:

(i) know that the information or demand relates (either expressly or by implication) to actual or potential tampering with some or all of that person’s therapeutic goods, or some other person’s therapeutic goods (subparagraph 42T(2)(c)(i)); or
(ii) be regarded as negligent as to the fact that the information or demand relates (either expressly or impliedly) to actual or potential tampering with some or all of that person’s therapeutic goods, or some other person’s therapeutic goods (subparagraph 42T(2)(c)(ii)).

Where a person fails to notify the Secretary or National Manager of the TGA as required in the circumstances described in subparagraphs 42T(1)(b)(i) or (ii) above within 24 hours after becoming aware of, or becoming aware of a substantial risk of, actual or potential tampering, the person commits an offence. The maximum penalty for this offence is 400 penalty units. Currently, the value of each penalty unit is $110 per unit, until this amount should be changed under the Crimes Act 1900. If a person is a corporation, the rate of the penalty is multiplied five times.

Where a person fails to notify the Secretary or the National Manager of the TGA as required in the circumstances described in subparagraphs 42T(2)(c)(i) or (ii) above within 24 hours after receiving the information or demand, the person commits an offence. The maximum penalty for the commission of this offence is 240 penalty units.

Subsection 42T(3) clarifies what is meant by “negligent” for the purposes of being regarded as negligent as to the fact that the information or demand is of a kind that relates to, either expressly or impliedly, to actual or potential tampering. A person is taken to be negligent as to that fact if the person acted, or failed to act, in such a way that greatly falls short of what a reasonable person exercising care would have done in the circumstances of a particular situation, and there is such a high risk that the information or demand relates expressly or impliedly to actual or potential tampering of any therapeutic goods, so that the action or omission on the part of that person in the circumstances merits criminal punishment.

Subsection 42T(4) makes it clear that, for the purposes of the requirement to notify the Secretary or National Manager under this provision, it makes no difference whether the person who is required to notify has possession or control of the therapeutic goods to which the information or demand relates, or whether or not the therapeutic goods in question are in existence.

New Section 42U inserts a definition for the words “actual or potential tampering”, for the purposes of Part 4C of the Act. The words mean:

- tampering with therapeutic goods; or
- causing therapeutic goods to be tampered with; or
- proposing to tamper with therapeutic goods; or
- proposing to cause therapeutic goods to be tampered with.

New section 42V sets out the requirements for the recovery of therapeutic goods that are, may be, or could possibly be, the subject of actual or potential tampering.

Subsection 42V(1) provides that the Secretary may, in writing, impose requirements on a person if the person supplies, or has supplied, therapeutic goods of a particular kind, or a particular batch of therapeutic goods of that kind and the Secretary is satisfied that those goods or those goods included in a batch are, or have been or could possibly be, subject to actual or potential tampering.

Subsection 42V(2) sets out the requirements. These are any one or more of the following measures:

- to take steps specified by the Secretary, in the manner specified by him/her and within such reasonable time as may be specified by the Secretary, to recover therapeutic goods of that kind or included in a batch of that kind, that the person has supplied;
- to inform the public or a class of persons specified by the Secretary that therapeutic goods of that kind, or included in a batch of that kind, are, or have been, the subject of either actual or potential tampering. The Secretary may specify the manner in which the person is to inform the public and may also specify a reasonable time within which this action must be taken;
- to inform the public, or a class of persons specified by the Secretary, that therapeutic goods of that kind, or goods included in a batch of that kind, could possibly be subject to actual or potential tampering. The Secretary may also specify the manner in which the person is to inform the public or class of persons and may also specify a reasonable time within which such action must take place.

Subsection 42V(3) provides that the requirement to take steps to recover therapeutic goods as described in paragraph 42V(2)(a) will not apply to therapeutic goods that cannot be recovered because they have been administered to, or applied in the treatment of, a person or animal.

Subsection 42V(4) requires the Secretary to publish in the Commonwealth Gazette details of the requirements imposed upon a person under subsection 42V(2). This is to occur as soon as practicable after the Secretary imposes any of these requirements.

Subsection 42V(5) provides that the Secretary may impose these requirements whether or not the Secretary has been notified by someone of any actual or potential tampering in the circumstances set out in section 42T. This will allow the Secretary to take appropriate action where the Secretary becomes aware of any actual or potential tampering, or the possibility of such tampering, through other means.

Subsection 42V(6) creates an offence for a person who intentionally refuses or fails to comply with any requirement imposed by the Secretary under section 42V(1). The maximum penalty is 240 penalty points.

Subsection 42V(7) makes it clear that the powers of the Secretary under this section does not affect his powers to cancel the registration or listing of therapeutic goods from the Australian Register of Therapeutic Goods under s.30 of the Act.

New Section 42W creates offences for the supply of therapeutic goods that are the subject of action taken under section 42V.

Subsection 42W(1) provides that a person is guilty of an offence if that person supplies therapeutic goods in Australia in one or more of the following circumstances:

- the person knows that the therapeutic goods, or a batch of these goods, have been the subject of a recovery requirement under s.42V of the Act; or
- the person is reckless as to the fact that the therapeutic goods, or a batch of such goods, have been the subject of a recovery requirement under s.42V of the Act; and

the Secretary has not given written consent for the supply of the goods.

The maximum penalty for committing this offence is 240 penalty points.

Subsection 42W(2) provides that a person is guilty of an offence if that person exports therapeutic goods in one or more of the following circumstances:

- the person knows that the therapeutic goods, or a batch of these goods, have been the subject of a recovery requirement under s.42V of the Act; or
- the person is reckless as to the fact that the therapeutic goods, or a batch of such goods, have been the subject of a recovery requirement under s.42V of the Act; and

the Secretary has not given written consent for the supply of the goods.

The maximum penalty for committing this offence is 240 penalty points.

Subsection 42W(3) provides that the Secretary must not give consent to an exportation under subsection 42W(2) unless the Secretary is satisfied that there are exceptional circumstances that justify giving the consent.

Section 42X clarifies that Part 4C is not intended to exclude or limit the operation of any other laws made by the Commonwealth or by any of the States or Territories.

Item 5 amends section 61 of the Act by inserting new subsection 61(4A). This provision makes it clear that the Secretary may release to the head of an authority of the Commonwealth, a State or a Territory that has functions relating to health, therapeutic goods or law enforcement, or the head of a national regulatory authority of another country that has national responsibility relating to therapeutic goods, health or law enforcement, therapeutic goods information relating to any one or more of the following:

- notifications received under section 42T;
- action taken by the Secretary under Part 4C;
- contraventions, or possible contraventions, of Part 4C;
- any cases or possible cases of actual or potential tampering with therapeutic goods.

 


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