81_FR_44760 81 FR 44629 - Authorization of Emergency Use of an In Vitro Diagnostic Device for Detection of Zika Virus; Availability

81 FR 44629 - Authorization of Emergency Use of an In Vitro Diagnostic Device for Detection of Zika Virus; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 131 (July 8, 2016)

Page Range44629-44639
FR Document2016-16177

The Food and Drug Administration (FDA) is announcing the issuance of an Emergency Use Authorization (EUA) (the Authorization) for an in vitro diagnostic device for detection of the Zika virus in response to the Zika virus outbreak in the Americas. FDA issued this Authorization under the Federal Food, Drug, and Cosmetic Act (the FD&C Act), as requested by Hologic, Inc. The Authorization contains, among other things, conditions on the emergency use of the authorized in vitro diagnostic device. The Authorization follows the February 26, 2016, determination by the Secretary of Health and Human Services (HHS) that there is a significant potential for a public health emergency that has a significant potential to affect national security or the health and security of U.S. citizens living abroad and that involves Zika virus. On the basis of such determination, the Secretary of HHS declared on February 26, 2016, that circumstances exist justifying the authorization of emergency use of in vitro diagnostic tests for detection of Zika virus and/or diagnosis of Zika virus infection, subject to the terms of any authorization issued under the FD&C Act. The Authorization, which includes an explanation of the reasons for issuance, is reprinted in this document.

Federal Register, Volume 81 Issue 131 (Friday, July 8, 2016)
[Federal Register Volume 81, Number 131 (Friday, July 8, 2016)]
[Notices]
[Pages 44629-44639]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-16177]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2016-N-1486]


Authorization of Emergency Use of an In Vitro Diagnostic Device 
for Detection of Zika Virus; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Food and Drug Administration (FDA) is announcing the 
issuance of an Emergency Use Authorization (EUA) (the Authorization) 
for an in vitro diagnostic device for detection of the Zika virus in 
response to the Zika virus outbreak in the Americas. FDA issued this 
Authorization under the Federal Food, Drug, and Cosmetic Act (the FD&C 
Act), as requested by Hologic, Inc. The Authorization contains, among 
other things, conditions on the emergency use of the authorized in 
vitro diagnostic device. The Authorization follows the February 26, 
2016, determination by the Secretary of Health and Human Services (HHS) 
that there is a significant potential for a public health emergency 
that has a significant potential to affect national security or the 
health and security of U.S. citizens living abroad and that involves 
Zika virus. On the basis of such determination, the Secretary of HHS 
declared on February 26, 2016, that circumstances exist justifying the 
authorization of emergency use of in vitro diagnostic tests for 
detection of Zika virus and/or diagnosis of Zika virus infection, 
subject to the terms of any authorization issued under the FD&C Act. 
The Authorization, which includes an explanation of the reasons for 
issuance, is reprinted in this document.

DATES: The Authorization is effective as of June 17, 2016.

ADDRESSES: Submit written requests for single copies of the EUA to the 
Office of Counterterrorism and Emerging Threats, Food and Drug 
Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 4338, Silver 
Spring, MD 20993-0002. Send one self-addressed adhesive label to assist 
that office in processing your request or include a fax number to which 
the Authorization may be sent. See the SUPPLEMENTARY INFORMATION 
section for electronic access to the Authorization.

FOR FURTHER INFORMATION CONTACT: Carmen Maher, Office of 
Counterterrorism and Emerging Threats, Food and Drug Administration, 
10903 New Hampshire Ave., Bldg. 1, Rm. 4347, Silver Spring, MD 20993-
0002, 301-796-8510 (this is not a toll free number).

SUPPLEMENTARY INFORMATION:

I. Background

    Section 564 of the FD&C Act (21 U.S.C. 360bbb-3) as amended by the 
Project BioShield Act of 2004 (Pub. L. 108-276) and the Pandemic and 
All-Hazards Preparedness Reauthorization Act of 2013 (Pub. L. 113-5) 
allows FDA to strengthen the public health protections against 
biological, chemical, nuclear, and radiological agents. Among other 
things, section 564 of the FD&C Act allows FDA to authorize the use of 
an unapproved medical product or an unapproved use of an approved 
medical product in certain situations. With this EUA authority, FDA can 
help assure that medical countermeasures may be used in emergencies to 
diagnose, treat, or prevent serious or life-threatening diseases or 
conditions caused by biological, chemical, nuclear, or radiological 
agents when there are no adequate, approved, and available 
alternatives.
    Section 564(b)(1) of the FD&C Act provides that, before an EUA may 
be issued, the Secretary of HHS must declare that circumstances exist 
justifying the authorization based on one of the following grounds: (1) 
A determination by the Secretary of Homeland Security that there is a 
domestic emergency, or a significant potential for a domestic 
emergency, involving a heightened risk of attack with a biological, 
chemical, radiological, or nuclear agent or agents; (2) a determination 
by the Secretary of Defense that there is a military emergency, or a 
significant potential for a military emergency, involving a heightened 
risk to U.S. military forces of attack with a biological, chemical, 
radiological, or nuclear agent or agents; (3) a determination by the 
Secretary of HHS that there is a public health emergency, or a 
significant potential for a public health emergency, that affects, or 
has a significant potential to affect, national security or the health 
and security of U.S. citizens living abroad,

[[Page 44630]]

and that involves a biological, chemical, radiological, or nuclear 
agent or agents, or a disease or condition that may be attributable to 
such agent or agents; or (4) the identification of a material threat by 
the Secretary of Homeland Security under section 319F-2 of the Public 
Health Service (PHS) Act (42 U.S.C. 247d-6b) sufficient to affect 
national security or the health and security of U.S. citizens living 
abroad.
    Once the Secretary of HHS has declared that circumstances exist 
justifying an authorization under section 564 of the FD&C Act, FDA may 
authorize the emergency use of a drug, device, or biological product if 
the Agency concludes that the statutory criteria are satisfied. Under 
section 564(h)(1) of the FD&C Act, FDA is required to publish in the 
Federal Register a notice of each authorization, and each termination 
or revocation of an authorization, and an explanation of the reasons 
for the action. Section 564 of the FD&C Act permits FDA to authorize 
the introduction into interstate commerce of a drug, device, or 
biological product intended for use when the Secretary of HHS has 
declared that circumstances exist justifying the authorization of 
emergency use. Products appropriate for emergency use may include 
products and uses that are not approved, cleared, or licensed under 
sections 505, 510(k), or 515 of the FD&C Act (21 U.S.C. 355, 360(k), 
and 360e) or section 351 of the PHS Act (42 U.S.C. 262). FDA may issue 
an EUA only if, after consultation with the HHS Assistant Secretary for 
Preparedness and Response, the Director of the National Institutes of 
Health, and the Director of the Centers for Disease Control and 
Prevention (to the extent feasible and appropriate given the applicable 
circumstances), FDA \1\ concludes: (1) That an agent referred to in a 
declaration of emergency or threat can cause a serious or life-
threatening disease or condition; (2) that, based on the totality of 
scientific evidence available to FDA, including data from adequate and 
well-controlled clinical trials, if available, it is reasonable to 
believe that: (A) The product may be effective in diagnosing, treating, 
or preventing (i) such disease or condition; or (ii) a serious or life-
threatening disease or condition caused by a product authorized under 
section 564, approved or cleared under the FD&C Act, or licensed under 
section 351 of the PHS Act, for diagnosing, treating, or preventing 
such a disease or condition caused by such an agent; and (B) the known 
and potential benefits of the product, when used to diagnose, prevent, 
or treat such disease or condition, outweigh the known and potential 
risks of the product, taking into consideration the material threat 
posed by the agent or agents identified in a declaration under section 
564(b)(1)(D) of the FD&C Act, if applicable; (3) that there is no 
adequate, approved, and available alternative to the product for 
diagnosing, preventing, or treating such disease or condition; and (4) 
that such other criteria as may be prescribed by regulation are 
satisfied.
---------------------------------------------------------------------------

    \1\ The Secretary of HHS has delegated the authority to issue an 
EUA under section 564 of the FD&C Act to the Commissioner of Food 
and Drugs.
---------------------------------------------------------------------------

    No other criteria for issuance have been prescribed by regulation 
under section 564(c)(4) of the FD&C Act. Because the statute is self-
executing, regulations or guidance are not required for FDA to 
implement the EUA authority.

II. EUA Request for an In Vitro Diagnostic Device for Detection of the 
Zika Virus

    On February 26, 2016, the Secretary of HHS determined that there is 
a significant potential for a public health emergency that has a 
significant potential to affect national security or the health and 
security of U.S. citizens living abroad and that involves Zika virus. 
On February 26, 2016, under section 564(b)(1) of the FD&C Act, and on 
the basis of such determination, the Secretary of HHS declared that 
circumstances exist justifying the authorization of emergency use of in 
vitro diagnostic tests for detection of Zika virus and/or diagnosis of 
Zika virus infection, subject to the terms of any authorization issued 
under section 564 of the FD&C Act. Notice of the determination and 
declaration of the Secretary was published in the Federal Register on 
March 2, 2016 (81 FR 10878). On June 15, 2016, Hologic, Inc. requested, 
and on June 17, 2016, FDA issued, an EUA for the Aptima[supreg] Zika 
Virus assay, subject to the terms of the Authorization.

III. Electronic Access

    An electronic version of this document and the full text of the 
Authorization are available on the Internet at http://www.regulations.gov.

IV. The Authorization

    Having concluded that the criteria for issuance of the 
Authorization under section 564(c) of the FD&C Act are met, FDA has 
authorized the emergency use of an in vitro diagnostic device for 
detection of Zika virus subject to the terms of the Authorization. The 
Authorization in its entirety (not including the authorized versions of 
the fact sheets and other written materials) follows and provides an 
explanation of the reasons for its issuance, as required by section 
564(h)(1) of the FD&C Act:
BILLING CODE 4164-01-P

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[[Page 44639]]


    Dated: July 1, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-16177 Filed 7-7-16; 8:45 am]
 BILLING CODE 4164-01-C



                                                                                      Federal Register / Vol. 81, No. 131 / Friday, July 8, 2016 / Notices                                           44629

                                                    by industry and regulators alike to                      accommodations because of a disability,               0002. Send one self-addressed adhesive
                                                    enable a harmonized and smooth                           please contact Amanda Roache (see FOR                 label to assist that office in processing
                                                    implementation of Q3D on a global                        FURTHER INFORMATION CONTACT) at least 7               your request or include a fax number to
                                                    basis.                                                   days before the meeting.                              which the Authorization may be sent.
                                                      The U.S. regional workshop is                            Dated: July 1, 2016.                                See the SUPPLEMENTARY INFORMATION
                                                    intended to clarify key aspects of ICH                                                                         section for electronic access to the
                                                                                                             Leslie Kux,
                                                    Q3D: Guideline on Elemental Impurities                                                                         Authorization.
                                                    by elaborating on those key topics. It                   Associate Commissioner for Policy.
                                                                                                             [FR Doc. 2016–16152 Filed 7–7–16; 8:45 am]            FOR FURTHER INFORMATION CONTACT:
                                                    will include: (1) A discussion of how to                                                                       Carmen Maher, Office of
                                                    apply Q3D concepts to routes of                          BILLING CODE 4164–01–P
                                                                                                                                                                   Counterterrorism and Emerging Threats,
                                                    administration, not addressed in Q3D,                                                                          Food and Drug Administration, 10903
                                                    (2) justification for elemental impurity                                                                       New Hampshire Ave., Bldg. 1, Rm.
                                                    levels higher than an established                        DEPARTMENT OF HEALTH AND
                                                                                                             HUMAN SERVICES                                        4347, Silver Spring, MD 20993–0002,
                                                    permissible daily exposure (PDE) (3)                                                                           301–796–8510 (this is not a toll free
                                                    application of Q3D concepts to                                                                                 number).
                                                    determine safe levels of elements not                    Food and Drug Administration
                                                    included in Q3D, (4) discussion of the                   [Docket No. FDA–2016–N–1486]                          SUPPLEMENTARY INFORMATION:
                                                    rationale for limits on large volume                                                                           I. Background
                                                    parenterals, (5) elaboration of the                      Authorization of Emergency Use of an
                                                    concepts outlined in the Q3D Sections                    In Vitro Diagnostic Device for                           Section 564 of the FD&C Act (21
                                                    on Risk Assessment and Control of                        Detection of Zika Virus; Availability                 U.S.C. 360bbb–3) as amended by the
                                                    Elemental Impurities and (6) options for                                                                       Project BioShield Act of 2004 (Pub. L.
                                                                                                             AGENCY:    Food and Drug Administration,              108–276) and the Pandemic and All-
                                                    converting between PDEs and                              HHS.
                                                    concentrations.                                                                                                Hazards Preparedness Reauthorization
                                                      In addition, case studies may be                       ACTION:   Notice.                                     Act of 2013 (Pub. L. 113–5) allows FDA
                                                    presented to illustrate the concepts                                                                           to strengthen the public health
                                                                                                             SUMMARY:   The Food and Drug                          protections against biological, chemical,
                                                    described previously, and frequently                     Administration (FDA) is announcing the
                                                    asked questions will be discussed. The                                                                         nuclear, and radiological agents. Among
                                                                                                             issuance of an Emergency Use                          other things, section 564 of the FD&C
                                                    presentation of the material will follow                 Authorization (EUA) (the Authorization)
                                                    the modules that are available on the                                                                          Act allows FDA to authorize the use of
                                                                                                             for an in vitro diagnostic device for                 an unapproved medical product or an
                                                    ICH Web site, www.ich.org, and will                      detection of the Zika virus in response
                                                    include time for questions and                                                                                 unapproved use of an approved medical
                                                                                                             to the Zika virus outbreak in the                     product in certain situations. With this
                                                    discussion. Breakout sessions will be                    Americas. FDA issued this
                                                    provided to discuss key topics and                                                                             EUA authority, FDA can help assure
                                                                                                             Authorization under the Federal Food,                 that medical countermeasures may be
                                                    provide feedback to participants.                        Drug, and Cosmetic Act (the FD&C Act),
                                                    Material will be presented by members                                                                          used in emergencies to diagnose, treat,
                                                                                                             as requested by Hologic, Inc. The                     or prevent serious or life-threatening
                                                    of the ICH Q3D Implementation                            Authorization contains, among other
                                                    Working Group. The agenda for the                                                                              diseases or conditions caused by
                                                                                                             things, conditions on the emergency use               biological, chemical, nuclear, or
                                                    workshop will be made available on the                   of the authorized in vitro diagnostic
                                                    internet at http://www.fda.gov/Drugs/                                                                          radiological agents when there are no
                                                                                                             device. The Authorization follows the                 adequate, approved, and available
                                                    NewsEvents/ucm498553.htm.
                                                                                                             February 26, 2016, determination by the               alternatives.
                                                      Registration: If you wish to attend this
                                                                                                             Secretary of Health and Human Services                   Section 564(b)(1) of the FD&C Act
                                                    meeting, visit the following Web site to
                                                    register: https://www.eventbrite.com/e/                  (HHS) that there is a significant                     provides that, before an EUA may be
                                                    regional-public-workshop-on-ich-q3d-                     potential for a public health emergency               issued, the Secretary of HHS must
                                                    implementation-of-guideline-for-                         that has a significant potential to affect            declare that circumstances exist
                                                    elemental-impurities-tickets-                            national security or the health and                   justifying the authorization based on
                                                    25492458630. Please register by August                   security of U.S. citizens living abroad               one of the following grounds: (1) A
                                                    15, 2016. If you are unable to attend the                and that involves Zika virus. On the                  determination by the Secretary of
                                                    meeting in person, you can register to                   basis of such determination, the                      Homeland Security that there is a
                                                    view a live Webcast on the meeting. You                  Secretary of HHS declared on February                 domestic emergency, or a significant
                                                    will be asked to indicate in your                        26, 2016, that circumstances exist                    potential for a domestic emergency,
                                                    registration if you plan to attend in                    justifying the authorization of                       involving a heightened risk of attack
                                                    person or via the Webcast. Your                          emergency use of in vitro diagnostic                  with a biological, chemical, radiological,
                                                    registration must also contain your                      tests for detection of Zika virus and/or              or nuclear agent or agents; (2) a
                                                    complete contact information, including                  diagnosis of Zika virus infection, subject            determination by the Secretary of
                                                    name, title, affiliation, address, email                 to the terms of any authorization issued              Defense that there is a military
                                                    address, and phone number.                               under the FD&C Act. The Authorization,                emergency, or a significant potential for
                                                    Registrations may be limited, so early                   which includes an explanation of the                  a military emergency, involving a
                                                    registration is recommended.                             reasons for issuance, is reprinted in this            heightened risk to U.S. military forces of
                                                    Registration is free and will be on a first-             document.                                             attack with a biological, chemical,
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    come, first-served basis. However, the                   DATES: The Authorization is effective as              radiological, or nuclear agent or agents;
                                                    number of participants from each                         of June 17, 2016.                                     (3) a determination by the Secretary of
                                                    organization may be limited based on                     ADDRESSES: Submit written requests for                HHS that there is a public health
                                                    space limitations. Registrants will                      single copies of the EUA to the Office                emergency, or a significant potential for
                                                    receive confirmation once they have                      of Counterterrorism and Emerging                      a public health emergency, that affects,
                                                    been accepted. Onsite registration on                    Threats, Food and Drug Administration,                or has a significant potential to affect,
                                                    the day of the meeting will be based on                  10903 New Hampshire Ave., Bldg. 1,                    national security or the health and
                                                    space availability. If you need special                  Rm. 4338, Silver Spring, MD 20993–                    security of U.S. citizens living abroad,


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                                                    44630                             Federal Register / Vol. 81, No. 131 / Friday, July 8, 2016 / Notices

                                                    and that involves a biological, chemical,                FDA 1 concludes: (1) That an agent                    significant potential for a public health
                                                    radiological, or nuclear agent or agents,                referred to in a declaration of emergency             emergency that has a significant
                                                    or a disease or condition that may be                    or threat can cause a serious or life-                potential to affect national security or
                                                    attributable to such agent or agents; or                 threatening disease or condition; (2)                 the health and security of U.S. citizens
                                                    (4) the identification of a material threat              that, based on the totality of scientific             living abroad and that involves Zika
                                                    by the Secretary of Homeland Security                    evidence available to FDA, including                  virus. On February 26, 2016, under
                                                    under section 319F–2 of the Public                       data from adequate and well-controlled                section 564(b)(1) of the FD&C Act, and
                                                    Health Service (PHS) Act (42 U.S.C.                      clinical trials, if available, it is                  on the basis of such determination, the
                                                    247d–6b) sufficient to affect national                   reasonable to believe that: (A) The                   Secretary of HHS declared that
                                                                                                             product may be effective in diagnosing,
                                                    security or the health and security of                                                                         circumstances exist justifying the
                                                                                                             treating, or preventing (i) such disease
                                                    U.S. citizens living abroad.                                                                                   authorization of emergency use of in
                                                                                                             or condition; or (ii) a serious or life-
                                                       Once the Secretary of HHS has                         threatening disease or condition caused               vitro diagnostic tests for detection of
                                                    declared that circumstances exist                        by a product authorized under section                 Zika virus and/or diagnosis of Zika
                                                    justifying an authorization under                        564, approved or cleared under the                    virus infection, subject to the terms of
                                                    section 564 of the FD&C Act, FDA may                     FD&C Act, or licensed under section 351               any authorization issued under section
                                                    authorize the emergency use of a drug,                   of the PHS Act, for diagnosing, treating,             564 of the FD&C Act. Notice of the
                                                    device, or biological product if the                     or preventing such a disease or                       determination and declaration of the
                                                    Agency concludes that the statutory                      condition caused by such an agent; and                Secretary was published in the Federal
                                                    criteria are satisfied. Under section                    (B) the known and potential benefits of               Register on March 2, 2016 (81 FR
                                                    564(h)(1) of the FD&C Act, FDA is                        the product, when used to diagnose,                   10878). On June 15, 2016, Hologic, Inc.
                                                    required to publish in the Federal                       prevent, or treat such disease or                     requested, and on June 17, 2016, FDA
                                                    Register a notice of each authorization,                 condition, outweigh the known and                     issued, an EUA for the Aptima® Zika
                                                    and each termination or revocation of an                 potential risks of the product, taking                Virus assay, subject to the terms of the
                                                    authorization, and an explanation of the                 into consideration the material threat                Authorization.
                                                                                                             posed by the agent or agents identified
                                                    reasons for the action. Section 564 of the                                                                     III. Electronic Access
                                                                                                             in a declaration under section
                                                    FD&C Act permits FDA to authorize the
                                                                                                             564(b)(1)(D) of the FD&C Act, if
                                                    introduction into interstate commerce of                                                                         An electronic version of this
                                                                                                             applicable; (3) that there is no adequate,
                                                    a drug, device, or biological product                    approved, and available alternative to                document and the full text of the
                                                    intended for use when the Secretary of                   the product for diagnosing, preventing,               Authorization are available on the
                                                    HHS has declared that circumstances                      or treating such disease or condition;                Internet at http://www.regulations.gov.
                                                    exist justifying the authorization of                    and (4) that such other criteria as may               IV. The Authorization
                                                    emergency use. Products appropriate for                  be prescribed by regulation are satisfied.
                                                    emergency use may include products                          No other criteria for issuance have                   Having concluded that the criteria for
                                                    and uses that are not approved, cleared,                 been prescribed by regulation under                   issuance of the Authorization under
                                                    or licensed under sections 505, 510(k),                  section 564(c)(4) of the FD&C Act.                    section 564(c) of the FD&C Act are met,
                                                    or 515 of the FD&C Act (21 U.S.C. 355,                   Because the statute is self-executing,                FDA has authorized the emergency use
                                                    360(k), and 360e) or section 351 of the                  regulations or guidance are not required              of an in vitro diagnostic device for
                                                    PHS Act (42 U.S.C. 262). FDA may issue                   for FDA to implement the EUA                          detection of Zika virus subject to the
                                                    an EUA only if, after consultation with                  authority.                                            terms of the Authorization. The
                                                    the HHS Assistant Secretary for                          II. EUA Request for an In Vitro                       Authorization in its entirety (not
                                                    Preparedness and Response, the                           Diagnostic Device for Detection of the                including the authorized versions of the
                                                    Director of the National Institutes of                   Zika Virus                                            fact sheets and other written materials)
                                                    Health, and the Director of the Centers                     On February 26, 2016, the Secretary of             follows and provides an explanation of
                                                    for Disease Control and Prevention (to                   HHS determined that there is a                        the reasons for its issuance, as required
                                                    the extent feasible and appropriate                                                                            by section 564(h)(1) of the FD&C Act:
                                                    given the applicable circumstances),                       1 The Secretary of HHS has delegated the            BILLING CODE 4164–01–P
                                                                                                             authority to issue an EUA under section 564 of the
                                                                                                             FD&C Act to the Commissioner of Food and Drugs.
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44638                     Federal Register/Vol. 81, No. 131/Friday, July 8, 2016 /Notices

        Page 8— Mr. Hood, Hologic, Inc.

        No advertising or promotional descriptive printed matter relating to the use of the authorized
        Aptima®" Zika Virus assay may represent or suggest that this test is safe or effective for the
        diagnosis of Zika virus infection.

        The emergency use of the authorized Aptima® Zika Virus assay as described in this letter of
        authorization must comply with the conditions and all other terms of this authorization.

        ¥. Duration of Authorization

        This EUA will be effective until the declaration that circumstances exist fustifying the
        authorization of the emergency use ofin vitro diagnostic tests for detection of Zika virus and/or
        diagnosis ofZika virus infection is terminated under section 564(b)(2) of the Act or the EUA is
        revoked under section 564(g) of the Act.

                                                      Sincerely,



                                                          2 Ué
                                                     Robert M. Califf, M.D.
                                                     Commissioner of Food and Drugs

        Enclosures


                                                                                      Federal Register / Vol. 81, No. 131 / Friday, July 8, 2016 / Notices                                            44639

                                                      Dated: July 1, 2016.                                   regarding the privacy, security and the               discussion may include information
                                                    Leslie Kux,                                              scalability of health records. Critics                regarding meeting privacy and security
                                                    Associate Commissioner for Policy.                       ascertain that it would take enormous                 standards, implementation and
                                                    [FR Doc. 2016–16177 Filed 7–7–16; 8:45 am]               processing power and specialized                      potential performance issues, and cost
                                                    BILLING CODE 4164–01–C                                   equipment that far exceeds the benefits.              implications. Risk analysis and
                                                                                                             Although most would acknowledge                       mitigation would be appropriate to
                                                                                                             blockchain’s potential it is still evolving           include here as well.
                                                    DEPARTMENT OF HEALTH AND                                 and maturing, especially with respect to                Æ Discuss the solution’s link to the
                                                    HUMAN SERVICES                                           its applicability to the health care.                 stated objectives in the Nationwide
                                                                                                                This Ideation Challenge solicits White             Interoperability Roadmap, PCOR,
                                                    Office of the National Coordinator for                   Papers on the topic of Blockchain                     precision medicine and other national
                                                    Health Information Technology;                           Technology and the Potential for Its Use              health care delivery priorities.
                                                    Announcement of Requirements and                         in Health IT and/or Healthcare Related
                                                    Registration for ‘‘Blockchain and Its                                                                          How To Enter
                                                                                                             Research Data.
                                                    Emerging Role in Healthcare and                             This nationwide call may be                          Challenge participants will have five
                                                    Health-related Research’’                                addressed by an individual investigator               (5) weeks from the date of the posting
                                                                                                             or a investigator team. Interested parties            of this Notice. Those submissions must
                                                    AGENCY:  Office of the National                                                                                comply with the requirements provided
                                                                                                             should submit a White Paper no longer
                                                    Coordinator for Health Information                                                                             above. Up to eight submissions may be
                                                                                                             than 10 pages describing the proposed
                                                    Technology, HHS.                                                                                               selected as winners. The names of the
                                                      Award Approving Official: Karen                        subject. Investigators or co-investigators
                                                                                                             may participate in no more than three                 winners will be posted on the
                                                    DeSalvo, National Coordinator for
                                                                                                             submissions. A limited number of these                Challenge.gov Web site, as well as the
                                                    Health Information Technology.
                                                                                                             submissions will be selected. The                     names of any participants receiving an
                                                    ACTION: Notice.                                                                                                honorary mention. Honorary mentions
                                                                                                             selection of a White Paper will result in
                                                    SUMMARY:   The ‘‘Blockchain and Its                      an invitation to present at an upcoming               may be given to highly ranked
                                                    Emerging Role in Healthcare and                          industry-wide workshop on September                   submissions.
                                                    Health-related Research.’’ Ideation                      26th–27th at NIST Headquarters in                     Eligibility Rules for Participating in the
                                                    Challenge solicits white papers on the                   Gaithersburg, MD.                                     Challenge
                                                    topic of Blockchain Technology and the                   Objective
                                                    potential use for Healthcare. Winners                                                                            To be eligible to win a prize under
                                                    will be invited to present their                           The goal of this Ideation Challenge is              this Challenge, an individual or entity:
                                                                                                             to solicit White Papers that investigate                1. Shall have registered to participate
                                                    submission at an upcoming industry-
                                                                                                             the relationship between blockchain                   in the Challenge under the rules
                                                    wide workshop co-hosted with the
                                                                                                             technology and its use in Health IT and/              promulgated by the Office of the
                                                    National Institute of Standards and
                                                                                                             or Health Related research. The paper                 National Coordinator for Health
                                                    Technology (NIST). The statutory
                                                                                                             should discuss the cryptography and                   Information Technology.
                                                    authority for this Challenge is Section
                                                                                                             underlying fundamentals of blockchain                   2. Shall have complied with all the
                                                    105 of the America COMPETES
                                                                                                             technology, examine how the use of                    stated requirements of the Blockchain
                                                    Reauthorization Act of 2010 (Pub. L.
                                                                                                             blockchain can advance industry                       and Its Emerging Role in Healthcare and
                                                    111–358).
                                                                                                             interoperability needs expressed in the               Health-related Research Challenge.
                                                    DATES:                                                                                                           3. In the case of a private entity, shall
                                                      • Submission period begins: June 20.                   Nationwide Interoperability Roadmap,
                                                                                                             patient centered outcomes research                    be incorporated in and maintain a
                                                      • Submission period ends: July 29.
                                                                                                                                                                   primary place of business in the United
                                                      • Evaluation begins: August 1.                         (PCOR), precision medicine, and other
                                                      • Evaluation ends: August 16.                          health care delivery needs, as well as                States, and in the case of an individual,
                                                      • Winners notified: August 17.                         provide recommendations for                           whether participating singly or in a
                                                      • Winners Announced: August 20.                        blockchain’s implementation.                          group, shall be a citizen or permanent
                                                      • Winner Presentation: September                         In lieu of a monetary award, challenge              resident of the United States.
                                                    26th–27th.                                               winners will be provided the                            4. May not be a Federal entity or
                                                    FOR FURTHER INFORMATION CONTACT:                         opportunity to present their White                    Federal employee acting within the
                                                    Debbie Bucci, debbie.bucci@hhs.gov                       Papers at an industry-wide ‘‘Blockchain               scope of their employment.
                                                    (preferred), (202) 690–0213.                             & Healthcare Workshop’’ co-hosted by                    5. Shall not be an HHS employee
                                                                                                             ONC and NIST.                                         working on their applications or
                                                    SUPPLEMENTARY INFORMATION:
                                                                                                                                                                   Submissions during assigned duty
                                                    Subject of Challenge                                     Submission Requirements                               hours.
                                                       A blockchain is a data structure that                   Include a White Paper, not longer                     6. Shall not be an employee of the
                                                    can be timed-stamped and signed using                    than ten (10) pages in length, that:                  Office of the National Coordinator for
                                                    a private key to prevent tampering.                        • Educates its audience on the                      Health Information Technology.
                                                    There are generally three types of                       technology; and                                         7. Federal grantees may not use
                                                    blockchain: Public, private and                            • Can be used to determine whether                  Federal funds to develop COMPETES
                                                    consortium. Potential uses include:                      there is a place in Health IT and/or                  Act challenge applications unless
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                       • Digitally sign information,                         Healthcare related Research for the                   consistent with the purpose of their
                                                       • Computable enforcement of policies                  technology.                                           grant award.
                                                    and contracts (smart contracts),                           • The paper should:                                   8. Federal contractors may not use
                                                       • Management of Internet of Things                      Æ Describe the value of blockchain to               Federal funds from a contract to develop
                                                    devices,                                                 the health-care system;                               COMPETES Act challenge applications
                                                       • Distributed encrypted storage, and                    Æ Identify potential gaps;                          or to fund efforts in support of a
                                                       • Distributed trust.                                    Æ Discuss the effectiveness of the                  COMPETES Act challenge Submission.
                                                       Proponents of blockchain suggest that                 solution and the solutions ability to                   An individual or entity shall not be
                                                    it could be used to address concerns                     function in the ‘‘real world.’’ This                  deemed ineligible because the


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Document Created: 2016-07-08 00:17:49
Document Modified: 2016-07-08 00:17:49
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesThe Authorization is effective as of June 17, 2016.
ContactCarmen Maher, Office of Counterterrorism and Emerging Threats, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 4347, Silver Spring, MD 20993- 0002, 301-796-8510 (this is not a toll free number).
FR Citation81 FR 44629 

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