Food and Drug Regulation MAY 2002 FDA Invites Public Comment on First Amendment Free Speech Debate by Suzan Onel (sonel@kl.com) In a rather unusual move, the Food and Drug Administration (FDA) recently issued a Notice in the Federal Register seeking public comment on several First Amendment issues in order to ensure that its regulations, guidances, policies, and practices continue to comply with the governing First Amendment case law. 67 Fed. Reg. 34942 (May 16, 2002). This request for comments spans all areas regulated by FDA, i.e., medical devices, food, drugs, biologics, dietary supplements, cosmetics, and veterinary products, and potentially could affect FDAs regulation of product labeling claims, claims for off-label uses, and direct-to-consumer advertising. FDA has requested comments by July 30, 2002 and has asked that responses to comments submitted by others be submitted by September 13, 2002. With this Notice, FDA is, in essence, seeking input on the legal basis for its commercial speech rules in light of recent First Amendment case law that has emphasized the need for not imposing unnecessary restrictions on speech. This case law has exacerbated an already existing tension between the publics interest in, and access to, information about medical products and the agencys statutory mandate to protect the public health and ensure that people are not injured by false or misleading claims. While FDA pointedly remarks that it will continue to regulate commercial speech as part of its public health mandate, the agency acknowledged that its recent series of losses in the courts has thwarted actions FDA has wished to pursue and may also threaten to diminish the overall legal credibility necessary for FDA to sustain its authority to accomplish important public health duties. In fact, as recently as April 2002, the Supreme Court struck down statutory restrictions to the advertising of compounded drugs as being an unconstitutional restriction of First Amendment free speech rights. Thompson v. Western States Medical Center, 122 S. Ct. 1497 (2002). To help frame the discussion, FDA has requested comments on the following issues, as well as other related issues: ¾ Are there arguments for regulating speech about drugs more comprehensively than about dietary supplements? ¾ Is FDAs current position regarding directto-consumer and other advertisements consistent with empirical research on the effects of those advertisements as well as with relevant legal authority? Kirkpatrick & Lockhart LLP ¾ May FDA distinguish claims concerning conventional foods from those relating to dietary supplements? To what extent do assertions in claims need qualifications or disclaimers added to the label to avoid any misconceptions that consumers may draw? ¾ How can warnings be made most effective in preventing harm while minimizing chances of consumer confusion or inattention? ¾ What arguments can be made, if any, to support distinguishing between claims made in labels and those in advertisements? ¾ Would permitting speech by manufacturers and distributors concerning off-label uses undermine the statutes requirement that new uses be approved by FDA? ¾ Are there any regulations, guidance, policies, and practices FDA should change in light of governing First Amendment authority? It is not surprising to note that new FDA Chief Counsel Daniel Troy has a particularly keen interest in First Amendment issues as a former administrative trial lawyer in private practice. As a result, this Notice and request for comments, while novel, may offer industry a real opportunity to help mold agency decisions and policy. If you are interested in more information about recent case law, FDAs position on current First Amendment issues, or submitting comments to this Notice, please let us know. * * * * * If you have questions about this Alert, please contact the author or any member of the Food & Drug Practice. Kirkpatrick & Lockharts Food & Drug Practice offers comprehensive legal and regulatory counseling to companies and other organizations regulated by FDA under the Federal Food, Drug, and Cosmetic Act. The Food & Drug Practice represents manufacturers and distributors of food, dietary supplement, pharmaceutical, medical device, personal care and cosmetic products, and products of biotechnology, as well as trade associations, individuals and institutions involved in clinical research of FDA-regulated products. PARTNERS Suzan Onel Donald R. Stone Gary L. Yingling 202.778.9134 sonel@kl.com 202.778.9067 dstone@kl.com 202.778.9124 gyingling@kl.com ASSOCIATES Ann M. Begley Rebecca L. Dandeker Jodi Finder Michael H. Hinckle OF COUNSEL Emalee G. Murphy 202.778.9428 emalee.murphy@kl.com 202.778.9365 202.778.9409 202.778.9044 202.778.9296 abegley@kl.com rdandeker@kl.com jfinder@kl.com mhinckle@kl.com ® Kirkpatrick & Lockhart LLP Challenge us. ® www.kl.com BOSTON n DALLAS n HARRISBURG n LOS ANGELES n MIAMI n NEWARK n NEW YORK n PITTSBURGH n SAN FRANCISCO n WASHINGTON ......................................................................................................................................................... This publication/newsletter is for informational purposes and does not contain or convey legal advice. The information herein should not be used or relied upon in regard to any particular facts or circumstances without first consulting a lawyer. © 2002 KIRKPATRICK & LOCKHART LLP. ALL RIGHTS RESERVED.