// FDA FDA TAKES ACTION IN SELF-REGULATED AREAS: IMPACT ON COMPLIANCE PROGRAMS BY RYAN FOURNIER When a federal regulator changes course and becomes significantly more active, it’s time to reassess your corporate compliance program. A tapestry of events over the past 12 months highlights the current erosion of government’s reliance and trust of food and drug industry self-regulation. While regulators rely on “public safety” arguments to justify new rulemaking, they are equally motivated by the array of corporate compliance programs that do not adequately control for misbranding/adulteration risks. Generally, the food and drug industries have enjoyed a liberal honor code with the U.S. Food and Drug Administration (FDA), so to speak. Some of the most notable examples are: i. FDA does not require dietary supplement manufacturers to verify with the agency whether they adhere to good manufacturing practices as set forth in 21 CFR Part 111, or whether their ingredients are safe and effective for their intended use before going to market; ii. Companies can self-affirm food substances as generally recognized as safe without having to petition the agency for clearance before going to market; iii.FDA has long avoided requiring substantiation for product claims on homeopathic medicines (stating that self-limiting, self-diagnosable, allopathic equivalent claims generally do not carry an enforcement risk); iv.There has been no requirement to validate or audit foreign food suppliers in a supply chain. However, events in 2015 began tossing this honor code out of the window. Not only did FDA start taking action in historically self-regulated areas, but now state agencies are filling in where FDA has been inactive. A turning point came when, in early 2015, the New York attorney general sent four of the largest dietary supplement retailers (Wal-Mart, Target, GNC, and Walgreens) cease and desist letters. These letters stated that an investigation into their top-selling supplement brands revealed four out of five products did not contain any of the herbs on their labels. Instead, the supplements contained fillers and other substances that were noted to be dangerous to people with allergies. The New York attorney general demanded that these retailers present their corporate compliance programs and procedures used to verify ingredients in their supplements and supply chain. Not only were these retailers forced to defend and rewrite their compliance policies under the watchful eye of regulators, the U.S. Department of Justice has stepped in, commencing over 100 criminal and civil actions accusing supplement manufacturers and retailers of fraud. A few months after New York’s actions, FDA held its first public hearing on re-evaluating homeopathic product regulation. While federal authorities argued that they are AT CORPORATE SERVICES GROUP | 2016 CORPORATE COMPLIANCE GUIDE | 800.243.5070 | ARMSTRONGTEASDALE.COM F DA \\ revisiting the issue (after a quarter of a century) due to the industry’s “significant growth size,” the hearing was actually in response to a condemning report issued by Australia’s National Health and Medical Research Council that concluded “there are no health conditions for which there is reliable evidence that homeopathy is effective.”1 After this report and conversations with stakeholders, it has become clear to the agency that the industry does not have adequate information or compliance procedures in place to determine the safety and efficacy of many of its products on the market. CORPORATE COUNSEL MUST ENSURE THEIR FDA COMPLIANCE PROGRAMS ARE UP-TO-DATE AND REFLECT THE EVER CHANGING REGULATORY REGIME THAT IS FDA LAW. The end of 2015 brought more evidence of increased oversight and regulation. After almost five years of waiting and a high-profile lawsuit against FDA for failing to act,2 FDA issued the final rule for its Foreign Supplier Verification Program (“FSVP”) as mandated by the Food Safety Modernization Act3. This new regulatory scheme was the result of much publicized tainted food imports, where it was reported that one third of the population is at risk for foodborne illnesses4. As a result, lawmakers and regulators alike arrived at the conclusion that neither “Import Alerts” nor reliance on industry self-regulation is enough to ensure the safety of food coming out of the supply chain. Now, under FDA regulations, every importer of food (either human or animal) has the responsibility to verify that all of their foreign suppliers have adequate preventative controls, and ensure the food is safe (with a few exemptions). FDA requires these food importers to have an FSVP plan in its compliance program that uses only FDA-approved certifiers to fulfill certain parts of these new obligations. There are a few takeaways. First, this is only the beginning of FDA’s rejection of industry self-regulation – expect more action in 2016 from FDA and state food and drug agencies as they continue to target other areas that, before now, were left to industry. Second, corporate counsel must ensure their FDA compliance programs are up-to-date and reflect the ever changing regulatory regime that is FDA law. Generally, this involves (i) regular audit of the compliance program, (ii) assurance that employees have adequate training to recognize non-compliance in the supply chain, and (iii) management of existing and future supply chain contracts to adequately address regulatory risk (i.e., supplier indemnifying importer for non-compliance). These simple steps will help mitigate weaknesses in a compliance program, risk of legal action, brand-tarnishment, public relation nightmares, and draining of company resources. As we learned from the New York attorney general and the cases pursued by the Justice Department – making your compliance program defensible should be a top priority. [email protected] See NHMRC Statement on Homeopathy and NHMRC Information Paper – Evidence on the effectiveness of homeopathy for treating health conditions, CAM02 2015, available at https://www.nhmrc.gov.au/guidelines-publications/cam02. 2 See Center for Food Safety and Environmental Health v. Margaret A. Hamburg, M.D., USDC NDCA, 4:12-cv-04529 (2013). 3 21 U.S.C. §384a. 4 See CRS Report R40916, Food Safety: Foodborne Illness and Selected Recalls of FDA-Regulated Foods. For other information see The FDA Food Safety Modernization Act (P.L.111-353), Congressional Research Service Report to Congress (2011) (identifying multiple food outbreaks up to the introduction of FSMA). 1 AT CORPORATE SERVICES GROUP | 2016 CORPORATE COMPLIANCE GUIDE | 800.243.5070 | ARMSTRONGTEASDALE.COM
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