83_FR_32920 83 FR 32784 - Controlled Substances Quotas

83 FR 32784 - Controlled Substances Quotas

DEPARTMENT OF JUSTICE
Drug Enforcement Administration

Federal Register Volume 83, Issue 136 (July 16, 2018)

Page Range32784-32790
FR Document2018-15141

The Drug Enforcement Administration (DEA) is publishing this final rule to strengthen the process for setting controls over diversion of controlled substances and make other improvements in the quota management regulatory system for the production, manufacturing, and procurement of controlled substances.

Federal Register, Volume 83 Issue 136 (Monday, July 16, 2018)
[Federal Register Volume 83, Number 136 (Monday, July 16, 2018)]
[Rules and Regulations]
[Pages 32784-32790]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-15141]


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DEPARTMENT OF JUSTICE

Drug Enforcement Administration

21 CFR Part 1303

[Docket No. DEA-480]
RIN 1117-AB48


Controlled Substances Quotas

AGENCY: Drug Enforcement Administration, Department of Justice.

ACTION: Final rule.

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SUMMARY: The Drug Enforcement Administration (DEA) is publishing this 
final rule to strengthen the process for setting controls over 
diversion of controlled substances and make other improvements in the 
quota management regulatory system for the production, manufacturing, 
and procurement of controlled substances.

DATES: This final rule is effective August 15, 2018.

FOR FURTHER INFORMATION CONTACT: Michael J. Lewis, Diversion Control 
Division, Drug Enforcement Administration; Mailing Address: 8701 
Morrissette Drive, Springfield, Virginia 22152; Telephone: (202) 598-
8953.

SUPPLEMENTARY INFORMATION: 

Legal Authority

    Provisions of the Controlled Substances Act, 21 U.S.C. 801 et seq., 
authorize the Attorney General to issue rules and regulations relating 
to registration and control of the manufacture, distribution, and 
dispensing of controlled substances and listed chemicals. 21 U.S.C. 
821. Pursuant to this authority, the Attorney General, through the Drug 
Enforcement Administration (DEA), has issued and administers 
regulations setting aggregate production quotas for each basic class of 
controlled substances in schedules I and II, manufacturing quotas for 
individual manufacturers, and procurement quotas for manufacturers to 
produce other controlled substances or to convert the substances into 
dosage form. See 21 CFR part 1303.
    The current regulations, issued initially in 1971, need to be 
updated to reflect changes in the manufacture of controlled substances, 
changing patterns of substance abuse and markets in illicit drugs, and 
the challenges presented by the current national crisis of controlled 
substance abuse. This final rule modifies the regulations to strengthen 
controls over diversion--that is, the redirection of controlled 
substances which may have lawful uses into illicit channels--and makes 
other improvements in the controlled substance regulatory quota system.
    The quota process, in general terms, is a critical element of the 
Controlled Substances Act's regulatory system that seeks to prevent or 
limit diversion by preventing the accumulation of controlled substances 
in amounts exceeding legitimate need. The measures the final rule 
adopts to strengthen the system include authorizing the requisition 
from quota applicants of additional information helpful in detecting 
and preventing diversion, and ensuring that DEA's determinations 
regarding the appropriate quotas are adequately informed by input from 
other federal agencies, from the states, and from quota applicants.

Section-by-Section Analysis

    The DEA is finalizing the rule as proposed without changes. Below 
are summaries of provisions contained in the final rule.

Section 1303.11--Aggregate Production Quotas

    Section 1303.11 currently directs the Administrator of DEA to 
determine the total quantity of each basic class of controlled 
substance listed in schedule I or II needed in the calendar year for 
the medical, scientific, research, and industrial needs of the United 
States, for lawful export requirements, and for the establishment and 
maintenance of reserve stocks. Section 1303.11(b)(1) through (4) 
identifies a number of factors that are categorically to be considered 
in determining aggregate production quotas--relating to total net 
disposal, net disposal trends, inventories and inventory trends, and 
demand--followed by a final catchall factor, (5), regarding factors to 
be considered as the Administrator finds relevant.
    The final rule makes two additions to the list of factors that must 
regularly be considered in setting the aggregate production quotas 
because of their importance. First, it adds to the list the extent of 
any diversion of the controlled substance in the class, which will 
ensure that the allowed aggregate production quota is limited to that 
needed to provide adequate supplies for the United States' legitimate 
needs. Second, the final rule amends the list of factors to be 
considered in establishing these quotas to include relevant information 
from the Department of Health and Human Services (HHS) and its 
components, including the Food and Drug Administration (FDA), the 
Centers for Disease Control and Prevention (CDC), and the Centers for 
Medicare and Medicaid Services (CMS), as well as relevant information 
obtained from the states. The amendment will ensure that information 
will be requested from the relevant HHS components and will be 
considered in setting the aggregate production quotas.
    The final rule provides that the Administrator will consider 
information from the states in setting the aggregate production quotas 
and make additional changes enhancing their role in Sec.  1303.11(c). 
The states are critically situated to provide information about the 
extent of legitimate and illegitimate use of controlled substances 
because of their responsibilities for drug enforcement within their 
jurisdictions, including through the Prescription Drug Monitoring 
Programs (PDMP), their responsibilities for administration of their 
health care systems, and their responsibilities for dealing with the 
human and social costs of drug abuse and diversion. States may have 
relevant information indicating that individual procurement quota 
requests reflect quantities which will in fact be diverted to illicit 
use, which may in turn yield an exaggerated picture of the aggregate 
production quotas needed for legitimate purposes.
    The final rule accordingly includes amendments to Sec.  1303.11(c) 
which provide for (i) transmitting notices of proposed aggregate 
production quotas, and final aggregate production quota orders, to the 
state attorney general, and (ii) holding a hearing if necessary to 
resolve an issue of material fact raised by a state's objection to a 
proposed aggregate production quota as excessive in relation to 
legitimate United States need.

Section 1303.12--Procurement Quotas

    Section 1303.12 currently directs the Administrator to issue 
procurement quotas for manufacturers that use controlled substances to 
put them into dosage form or to make other substances. The section 
requires applicants for procurement quotas to state what basic class of 
controlled substance is needed, the purpose or purposes for which the 
class is desired, the quantity desired for each purpose during the next 
calendar year, and the quantities used and estimated to be used for 
each purpose during the current and preceding two calendar years. If 
the applicant's purpose is to manufacture another basic class of 
controlled substance, the applicant also must state the quantity of the 
other basic class that the applicant has applied to

[[Page 32785]]

manufacture, and the quantity of the first basic class necessary to 
manufacture a specified quantity of the second basic class.
    The final rule amends Sec.  1303.12(b) to clarify that the 
Administrator may require additional information from applicants that 
may help to detect or prevent diversion, including customer identities 
and amounts of the controlled substance sold to each customer.

Section 1303.13--Adjustments of Aggregate Production Quotas

    Section 1303.13 authorizes the Administrator, at any time, to 
increase or reduce the aggregate production quotas for basic classes of 
controlled substances that were previously fixed pursuant to Sec.  
1303.11. The final rule in Sec.  1303.13 parallels some of the 
amendments made to Sec.  1303.11. Specifically, it includes changes in 
the extent of any diversion of the controlled substance among the 
factors to be considered in adjusting the aggregate production quota, 
requires transmission of adjustment notices and final adjustment orders 
to the state attorneys general, and provides for a hearing if necessary 
to resolve an issue of material fact raised by a state's objection to a 
proposed adjusted quota as excessive for legitimate United States need.

Section 1303.22--Procedure for Applying for Individual Manufacturing 
Quotas

    The final rules amends Sec.  1303.22 to clarify that the 
Administrator may require additional information from individual 
manufacturing quota applicants that may help to detect or prevent 
diversion, including customer identities and amounts of the controlled 
substance sold to each customer.

Section 1303.23--Procedures for Fixing Individual Manufacturing Quotas

    The final rule amends Sec.  1303.23 to provide that the factors the 
Administrator may deem relevant in fixing individual manufacturing 
quotas include the extent and risk of diversion of controlled 
substances.

Section 1303.32--Purpose of Hearing

    The final rule includes an amendment relating to hearings in Sec.  
1303.32(a), conforming to the amendments to Sec. Sec.  1303.11(c) and 
1303.13(c) concerning hearings based on state objections.

Other Matters

    In addition to the significant changes discussed above, the final 
rule corrects a number of typographic errors in the current 
regulations.

Notice of Proposed Rulemaking

    On April 19, 2018, the DEA published a notice of proposed 
rulemaking (NPRM) in the Federal Register, which provided an 
opportunity for comment on the proposed rule. The comment period closed 
on May 4, 2018. 83 FR 17329. The DEA specifically sought comments on 
the provisions regarding the factors the Administrator should consider 
when adjusting the aggregate production quotas (21 CFR 1303.13(b)(1)), 
and the additional information the Administrator may require from 
applicants (21 CFR 1303.12(b) and 21 CFR 1303.22).

Discussion of Comments

    DEA received a total of 1,561 written and electronic comments on 
the NPRM. In the NPRM, the DEA stated that some of the proposed rule's 
provisions relating to seeking information from other federal agencies 
and the states (21 CFR 1303.11(b)(6)) and those relating to the holding 
of hearings based on state objections (21 CFR 1303.11(c), 21 CFR 
1303.13(c), and 21 CFR 1303.32(a)) were exempt from the notice and 
comment requirements of the Administrative Procedure Act as ``rules of 
agency organization, procedure, or practice.'' 5 U.S.C. 553(b)(A). 
However, many commenters still addressed these two issues. While the 
DEA appreciates the interest commenters have shown in these areas, 
because they were exempt from the notice and comment requirements of 
the APA, the DEA has not considered these comments in its promulgation 
of this final rule.
    After a review of the comments, DEA noted that there were six main 
issues that commenters raised, and that many commenters raised multiple 
issues in their comments. Each issue is summarized below, along with 
the DEA's responses. The DEA has also summarized the remainder of the 
comments which did not fit into one of the six main issues.

A. Causes for the Increase in Opioid Deaths

    Issue: Approximately 156 commenters raised the issue that the 
increase in opioid deaths was due to illicitly manufactured opioids 
coming in from Mexico and China and errors in reporting deaths 
involving multiple substances, not written prescriptions for controlled 
substances. Advocacy groups and the general public voiced concern about 
the accuracy of CDC death calculations that they believe led to more 
strict quotas on the pain pills they need to live, instead of focusing 
on the issue of illicitly manufactured substances like fentanyl and 
heroin.
    One advocacy group noted that available data indicated that the 
large increase in overdose deaths was largely due to illicitly 
manufactured fentanyl, heroin, and synthetic opioids, not prescription 
opioids. The advocacy group stated that the data reinforced the need to 
address the growing threat posed by heroin, counterfeit fentanyl, and 
other counterfeit drugs.
    An association representing physicians also noted that although the 
rate of prescription opioid mortality continues to rise, illicit 
fentanyl and heroin have become the main contributors to opioid-related 
mortality.
    A coalition commented that a major issue with the proposed rule was 
that it would do nothing to solve the current opioid epidemic because 
illicit fentanyl and heroin cause most of the overdoses in the United 
States, not prescription opioids. The coalition referenced journal 
articles for statistics to support their argument. The coalition also 
noted that the vast majority of the illicit fentanyl that is arriving 
into the United States is coming from China through the U.S. Postal 
Service, and that the policies in the proposed rule would have no 
effect on the current number of overdose deaths.
    One law firm noted that after a re-evaluation of CDC data and DEA's 
own analyses, it has become evident that the current opioid ``crisis'' 
is caused by illicit synthetic opioids, particularly fentanyl and 
deadlier fentanyl derivatives with no medical use.
    DEA Response: This final rule does not establish specific quotas. 
Instead, this final rule revises and improves the process for DEA to 
follow in gathering information and taking other actions pertaining to 
quotas. The CDC has acknowledged that they have a new analysis 
confirming recent increases in drug overdose death,\1\ however, as 
stated in the NPRM, the CDC's data will not be the only source of 
information the DEA will be considering. The DEA will also consider 
relevant information from other components of HHS, as well as relevant 
information from the States.
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    \1\ https://www.cdc.gov/media/releases/2018/p0329-drug-overdose-deaths.html.
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    The DEA believes that the misuse of controlled prescription drugs 
(CPDs) is inextricably linked with the threat the United States faces 
from the trafficking of heroin and illicit fentanyl and fentanyl 
analogues. In 2016, almost 3.4 million Americans age 12 or older 
reported misusing prescription pain

[[Page 32786]]

relievers within the past month.\2\ Roughly 75 percent of heroin users 
reported nonmedical use of prescription opioids before using heroin 
(though the vast majority of individuals misusing opioid CPDs do not go 
on to use heroin).\3\ Many stated that they first obtained these drugs 
for free from the family medicine cabinet or from friends \4\ but then 
sought street or black market drugs to maintain their addiction. This 
illustrates the role that CPDs have played in the opioid epidemic and 
underscores the continued need for robust regulatory and enforcement 
measures to stop diversion of CPDs. Black-market sales for opioid CPDs 
are typically five to ten times their retail value, and DEA 
intelligence reveals the ``street'' cost of prescription opioids 
steadily increases with the relative strength of the drug.
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    \2\ Substance Abuse and Mental Health Services Administration. 
(2017). Key substance use and mental health indicators in the United 
States: Results from the 2016 National Survey on Drug Use and Health 
(HHS Publication No. SMA 17-5044, NSDUH Series H-52). Rockville, MD: 
Center for Behavioral Health Statistics and Quality, Substance Abuse 
and Mental Health Services Administration. Retrieved from https://www.samhsa.gov/data/.
    \3\ Cicero TJ, Ellis MS, Surratt HL, Kurtz SP. (2014). The 
changing face of heroin use in the United States: A retrospective 
analysis of the past 50 years. JAMA Psychiatry.71(7):821-826.
    \4\ Substance Abuse and Mental Health Services Administration. 
(2017). Key substance use and mental health indicators in the United 
States: Results from the 2016 National Survey on Drug Use and Health 
(HHS Publication No. SMA 17-5044, NSDUH Series H-52). Rockville, MD: 
Center for Behavioral Health Statistics and Quality, Substance Abuse 
and Mental Health Services Administration. Retrieved from https://www.samhsa.gov/data/.
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B. The Injectable Shortage and Adjusting the Quota Process

    Issue: The DEA received 23 comments concerning how manufacturing 
quotas may cause a shortage of injectable opioids. Commenters were 
concerned that injectable opioids that are used routinely for surgeries 
and cancer treatment, such as injectable morphine, hydromorphone, and 
fentanyl would not be available to hospitals and patients. Commenters 
attributed the perceived shortages of these drugs to manufacturing 
setbacks and a government effort to restrict the amount of opioids and 
other pain medicines to be manufactured. Commenters stated that due to 
the alleged shortage of these drugs, hospitals are having a difficult 
time treating patients and finding alternatives for pain management.
    Many commenters stated that the DEA is focusing on the wrong 
issues. A majority asserted that synthetic drugs are the cause of most 
of the overdose opioid deaths, and that the government should focus on 
those synthetic drugs instead of creating regulations that they feel 
lead to a reduction in injectable opioids.
    Comments received from organizations and associations asserted that 
there is no risk of diversion for injectables. It was stated numerous 
times that the DEA should consider adding drug shortage information as 
a factor when establishing and adjusting quotas. It was also 
recommended that the DEA add the intent to resolve drug shortages to 
the relevant factors considered in adjusting quotas.
    DEA Response: The DEA is committed to ensuring that quotas are set 
in such a way as to grant manufacturers the ability to provide FDA-
approved drug products to meet the demand of the legitimate medical, 
scientific, and export needs of the United States. As required in 21 
U.S.C. 826(h), when there is a shortage, the DEA will ``increase the 
aggregate and individual production quotas and any ingredients therein 
to the level requested.'' When it is determined that the level 
requested is not necessary to address a shortage, the DEA provides a 
written response detailing the basis for the decision. 21 U.S.C. 
826(h)(1)(B)(ii). Quotas granted to the dosage form manufacturers based 
on legitimate medical need will always be considered in the aggregate 
production quota. The DEA will always take into consideration any 
changes in market dynamics that may require allocation of individual 
manufacturers' quotas or revisions of the aggregate production quota. 
The DEA, however, cannot set quotas based on individual pharmaceutical 
dosage forms (21 U.S.C. 826(a)) nor can DEA compel manufacturers to 
manufacture specific individual pharmaceutical dosage forms even though 
the latter may lead to manufacturer induced shortages based on their 
internal business decisions. Thus, independent of DEA's adjustment of 
quotas, manufacturers' business decisions and manufacturing practices 
may lead to a shortage of certain individual pharmaceutical dosage 
forms, despite the adequacy of the applicable aggregate production 
quota.

C. The DEA's Methodology for Quantifying Diversion

    Issue: The DEA received 16 comments regarding DEA's methodology for 
determining quantities of controlled substances being diverted. Three 
commenters recommended that the DEA obtain data from HHS, CDC, and CMS 
on topics such as patterns of drug abuse, and that such information be 
considered for calculating aggregate production quota. The same 
commenters suggested that the information from HHS, CDC, and CMS can 
contribute to appropriate methods for determining quantities of 
controlled substances being diverted. Another commenter stated that the 
DEA does not distinguish between diversion and abuse when considering 
the quota formula. Seven commenters stated that DEA does not have 
reliable measures to calculate diversion of controlled substances. One 
of these commenters stated that DEA did not provide any examples or 
explanations on how DEA will collect measureable data. Two commenters 
suggested that DEA obtain data from the FDA on controlled substances 
shortages (which can be broken down by dosage) to help the DEA quantify 
a clear picture of diversion risks by the specific dosage forms. 
Another commenter stated that DEA did not provide any scientific data 
that supports DEA claim that quota reductions decrease diversion of 
controlled substances.
    One commenter suggested DEA work on anti-diversion legislation that 
will put requirements in place during the manufacturing process to 
prevent diversion of controlled substances so it will not affect 
quotas. Another commenter requested DEA to provide quantitative 
evidence to show the impact current reductions have had on diversion of 
controlled substances.
    DEA Response: The DEA is committed to continuously developing sound 
and reliable methods for determining quantities of controlled 
substances being diverted. Currently, DEA's reliable method to measure 
the diversion of controlled substances occurs at the level of 
individual dosage manufacturers rather than at the aggregate production 
quota level. Selected opioid dispositions from these manufacturers are 
compared to known, completed regulatory and operation enforcement 
actions and counted toward diverted quantities for individual 
manufacturers and not the aggregate production quota itself.
    Modifications to section 1303.11 would allow relevant information 
from appropriate HHS components to be considered in setting the 
aggregate production quota. HHS studies the use and misuse of 
controlled substances regarding the quantities of controlled substances 
necessary to support the medical needs in the United States pursuant to 
42 U.S.C. 242(a). Furthermore, the CDC and the CMS may have relevant 
information related to the patterns of drug abuse and the diversion of 
controlled substances for illicit use which DEA will also consider when 
setting the aggregate production quota. The information collected from 
HHS

[[Page 32787]]

through FDA, CDC, and CMS, and that collected from the states, will 
improve DEA's ability to distinguish diversion of controlled substances 
at a more geographically localized level. The information collected 
will enhance the DEA's ability to determine registrant's compliance 
with suspicious order monitoring regulations. The modifications to 
section 1303.22 will allow the Administrator to require additional 
information from manufacturing quota applicants that will assist the 
DEA in detecting or preventing diversion of controlled substances.
    The Administrator of the DEA has the authority to determine the 
total quantity of each basic class of controlled substance listed in 
Schedule I or II needed in each calendar year for medical, scientific, 
research and industrial needs of the United States, for lawful export, 
and for the establishment and maintenance of reserve stocks. The DEA 
has observed a decline for certain prescriptions written for Schedule 
II opioids since 2014 which can be attributed to federal and state 
government activities and interventions, including the implementation 
of Prescription Drug Monitoring Programs, enforcement of current 
regulations, and guidance documents such as the CDC Guideline for 
Prescribing Opioids for Chronic Pain--United States March 2016.

D. Trend in the Number of Prescriptions Written for Controlled 
Substances

    Issue: The DEA received 36 comments from commenters stating that 
prescription data shows that there has been a downward trend in the 
prescribing of controlled substances for the last several years, 
therefore prescription opioids are not responsible for the current 
opioid epidemic. As such, the commenters believed there was no need for 
the regulations to be updated. There were comments received from 
patients describing their inability to receive prescriptions for pain 
medications; they stated that their doctors had placed blame on the 
DEA.
    DEA Response: The DEA acknowledges that prescriptions for opioid 
drug products have decreased over the last several years due to the 
stepped up civil, criminal, and regulatory enforcement efforts of the 
agency. However, while there is a downward trend in prescribing, these 
schedule II prescription opiates continue to have a high potential for 
abuse and dependence and require the annual assessment of quotas. These 
decreases can be attributed to DEA's 360 Strategy, which combines 
local, state, and federal activities and interventions, including 
creating new partnerships, enforcing current regulations, and 
dissemination of provider education and guidance documents, including 
the CDC Guideline for Prescribing Opioids for Chronic Pain released in 
March 2016. In addition, more states have enacted and are enforcing 
laws mandating the use of PDMPs by medical providers and pharmacists, 
which provides prescribers with valuable information to guide their 
medical decisions.\5\ As such, this final rule will allow the downward 
trend to continue through the continued sharing of information from 
different HHS components and states.
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    \5\ Challenges and Solutions in the Opioid Abuse Crisis: Hearing 
Before the H. Comm. On the Judiciary, 115th Cong. 6,10 (2018) 
(statement of Robert W. Patterson, Acting Administrator, Drug 
Enforcement Administration).
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E. Fifteen Day Comment Period

    Issue: The DEA received 5 comments from commenters who felt the 
proposed rule's comment period was too short. One commenter suggested 
that the comment period remain open for 180 days because of the complex 
issues being addressed in the document. Two commenters voiced 
displeasure with the length of the comment period stating that it made 
it seem like the average citizens' opinion was not being valued.
    One national organization noted that the comment period provided by 
the DEA was unusual in its brevity. The national organization 
referenced Executive Order 13563, as well as guidance from the 
Administrative Conference of the United States, to suggest that the DEA 
comment period should have at least been 30 days since it was a 
rulemaking that was not considered ``significant.'' The national 
organization stated that they were not certain that the additional 15 
days necessary to achieve the 30-day period for review and input by 
experts outside of the agency would meaningfully ``impede putting into 
effect the diversion countermeasures [the proposal] authorizes.''
    DEA Response: The APA does not specify a minimum time for 
submission of written comments. Agencies must provide the public with a 
``meaningful opportunity'' to comment on a proposed notice. Rural 
Cellular Ass'n v. FCC, 588 F.3d 1095 (D.C. Cir. 2009). While the length 
of the comment period is a factor in determining whether the public was 
afforded a ``meaningful opportunity'' to comment, courts have upheld 
comment periods of less than 30 days. See, e.g. Omnipoint Corp. v. FCC, 
78 F.3d 620 (D.C. Cir. 1996) (upholding 15-day comment period where 
there was ``urgent necessity for rapid administrative action under the 
circumstances'' and the public was not harmed).
    Under Executive Order 13563, there is a presumption that a period 
of 60 days should be allotted for the comment period. The 
Administrative Conference of the United States' recommendations serve 
as guidance for the notice-and-comment period. While they recommend 30 
to 60 days depending on the significance of a rule, they also recommend 
that agencies provide an explanation when they set a shorter comment 
period, as was done in the NPRM. 76 FR 48791 (Aug. 9, 2011).
    Here, the DEA received more than 1,500 comments, many of which 
included a thoughtful and detailed analysis. Due to the opioid epidemic 
as expressed in the proposed rule and the urgent need to finalize this 
rule, the 15-day comment period was sufficient.

F. Clarification of What Additional Data DEA May Seek From Registrants

    Issue: There were 11 comments received seeking clarification of 
what additional information the Administrator may require from 
registrants. The majority of the comments received were from industry 
and advocacy groups. While they agreed that steps need to be taken to 
address the current opioid epidemic, the views were not completely in 
support of the possibility of having to turn in additional information.
    One company felt the proposed changes seemed to codify the current 
practice of considering ARCOS (Automated Reporting and Consolidated 
Orders System) data when setting quotas. Many comments under this issue 
suggested that the DEA clearly detail what information would be 
required. A trade group also explained that knowing what the DEA could 
request beforehand would allow manufacturers the ability to ensure that 
systems are in place to collect and provide relevant data in a timely 
manner. The group felt that the DEA should determine whether additional 
data should be required beyond what is already required for schedule II 
controlled substances by way of the DEA Form 222. The group also 
requested that the DEA make sure that any additional requested 
information not place an undue burden on manufacturers or delay the 
issuance of initial quotas. They argued that DEA needs to include 
adequate protection of proprietary and sensitive commercial and 
financial information provided by the manufacturers, because the

[[Page 32788]]

additional data allowed for the collection of trade secrets or 
confidential commercial information. One association asked for the 
additional data to be used in a timely fashion to help anticipate and 
address potential shortages in the future. Another organization 
strongly objected to the proposed rule, because they did not see how 
the additional information could be useful in reducing opioid abuse and 
overdose when the main source of the problem is illicit drugs.
    A pharmaceutical company requested that the DEA provide 
opportunities for companies to receive guidance and training on how to 
best satisfy the additional information requirements. Another 
pharmaceutical company stated they contract with Contract Manufacturing 
Organizations (CMO) for the manufacturing of their finished drug 
products, and that because of this the CMO would be the actual quota 
applicant but would not be equipped with the additional information to 
help in detecting and preventing diversion.
    Two states commented on this issue and both applauded the DEA for 
taking action. West Virginia stated that obtaining additional 
information would be helpful because some of the legitimate demand may 
be double counted by way of multiple applicants relying on the same 
amounts of legitimate demand from the same customers. West Virginia's 
view was that the additional information will allow the DEA to prevent 
excess quota levels. Ohio also agreed with the proposed rule and 
encouraged the DEA to consider a more rigorous and information-driven 
quota application process.
    DEA Response: The DEA acknowledges that the CSA's requirement for 
allotting quotas for manufacturers was enacted on the business model of 
a vertically integrated system. Since its enactment, manufacturers have 
determined new and innovative ways of conducting business, as a 
response to a more robust, competitive market. While the CSA allows for 
adequate domestic competition, it also limits this competition to the 
legitimate medical, scientific, and industrial needs of the United 
States. The DEA has always had the ability to request information to 
clarify and support a manufacturer's request for quota to ensure that 
any quota granted is limited to legitimate need. Detailed information 
about what may be requested for clarification or support cannot be 
provided because the request would be on a case-by-case basis. DEA does 
not provide a list of additional items needed to process quotas because 
they may not pertain to every registrant. Therefore, additional data 
will be determined in light of the information manufacturers provide to 
the DEA as justification for a quota.
    Manufacturers of schedule I and II substances provide information 
needed to assist the DEA in making a quota determination. The 
information provided is based on their individual business activities. 
Regulations require manufacturers to utilize DEA Form 222 \6\ to 
document purchase and disposition information between DEA 
registrations; similar information is also transmitted to ARCOS. A 
limitation of ARCOS can be the reporting period a company opts to 
report their data (monthly or quarterly) and the timeliness of 
corrections to any errors in the reported data. There is no undue 
burden or cost to supply this information because it is already being 
captured in some form by the company per CSA regulations and good 
business practices.
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    \6\ 21 CFR 1305.11-1305.19.
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    The DEA communicates with registrants who have pending quota 
applications via telephone or email when necessary, to request 
clarification or additional information required to process their 
applications in a timely manner. The DEA also maintains an email box 
that registrants may preemptively supply information and communicate 
concerns related to quota requirements. Appropriate safeguards are 
currently in place to protect confidential business information.
    As stated above, requesting clarification or additional information 
is a current practice of DEA. The DEA provides training conferences 
annually, in strategic locations, to help registrants understand quota 
and reporting requirements. The agency also provides the presentations 
from the trainings on the DEA website. During these conferences, DEA 
explicitly states it never provides confidential and proprietary 
information supplied by registrants to outside sources. The additional 
information that may be requested is important and an integral part of 
the analysis as it helps DEA determine the amount of quota a 
manufacturer should be granted.

G. Other Comments

    Approximately 1,300 comments were received from the general public 
expressing concerns about the proposed regulations affecting their 
ability to get their prescriptions, and the possibility of drug 
shortages being created because of the proposed rule. The DEA 
understands and appreciates the nature of the comments. It is not the 
DEA's intent to create shortages or prevent a patient with a legitimate 
need from getting their prescription. The purpose of the proposed rule 
is to improve the process of setting the annual quota while ensuring an 
adequate supply is available for the United States' legitimate needs.

Regulatory Flexibility Act

    The Administrator, in accordance with the Regulatory Flexibility 
Act (5 U.S.C. 601-612), has reviewed this final rule and by approving 
it certifies that the rule will not have a significant economic impact 
on a substantial number of small entities.
    The DEA estimates that 325 manufacturers may be affected by the 
final rule, of which 301 manufacturers (92.6% of the total) are small 
entities. There will not be a significant economic impact on a 
substantial number of these small entities or any others because, as 
the ensuing certifications discuss, any overall cost of the rule is not 
significant.

Executive Orders 12866, 13563, and 13771--Regulatory Planning and 
Review, and Reducing Regulation and Controlling Regulatory Costs

    This regulation has been drafted and reviewed in accordance with 
Executive Order 12866, ``Regulatory Planning and Review,'' section 
1(b), Principles of Regulation, and Executive Order 13563, ``Improving 
Regulation and Regulatory Review.'' The DEA has determined that this 
final rule is not a ``significant regulatory action'' under Executive 
Order 12866, section 3(f). The DEA analyzed the economic impact of each 
provision of this final rule. Section 1303.11 is amended to make two 
additions to the list of factors to be considered by the Administrator 
in setting the aggregate production quotas. First, it adds the extent 
of any diversion of the controlled substance in the class. Second, it 
adds relevant information from HHS and its components, as well as from 
the states. The DEA has always considered any information obtained from 
other federal and state government agencies when fixing the aggregate 
production quotas for a controlled substance. While the DEA may receive 
additional information that is valuable in detecting and preventing 
diversion, the DEA has no reason to believe that there will be adverse 
economic impact or other consequences sufficient to implicate Executive 
Order (E.O.) 12866.
    Additionally, Sec. Sec.  1303.11 and 1303.13 are amended to require 
the DEA to transmit copies of aggregate production quotas and any 
adjustments to those quotas published in the Federal Register directly 
to state attorneys

[[Page 32789]]

general. While the DEA anticipates some labor burden to transmit 
aggregate production quota notices and orders to each state attorney 
general, the DEA estimates that this activity will result in a minimal 
yearly cost to the DEA and that the DEA has sufficient resources to 
absorb this minimal cost.
    Additionally, Sec. Sec.  1303.11, 1303.13, and 1303.32 are amended 
to explicitly state that the DEA Administrator shall hold a hearing if 
he or she determines it is necessary to resolve an issue of material 
fact raised by a state objecting to the proposed quantity for the class 
as excessive for legitimate United States need. The estimated yearly 
cost of this revision will be dependent on the number of hearings the 
DEA Administrator determines to be necessary to resolve an issue of 
material fact raised by a state regarding the aggregate production 
quota. Hearings regarding aggregate production quotas are infrequent 
and the DEA estimates that hearings of this type will continue to be 
infrequent under this final rule. For these reasons, the DEA does not 
expect a material increase in the number of hearings or in the 
associated costs to DEA or the states.
    Sections 1303.12 and 1303.22 are amended to explicitly state that 
the Administrator may require additional information from an individual 
manufacturing or procurement quota applicant, including customer 
identities and amounts of controlled substances sold to each of their 
customers. Currently, the DEA can and does request additional 
information of this nature from quota applicants if deemed necessary. 
While affording the Administrator express regulatory authority to 
require such information may result in the receipt of additional 
information that is valuable in detecting and preventing diversion, it 
is not expected that the difference will have adverse economic impact 
or other consequences sufficient to implicate E.O. 12866.
    Sections 1303.11, 1303.13, and 1303.23 are amended to add the 
requirement that the DEA consider diversion of a controlled substance 
when fixing aggregate production quotas, adjusting aggregate production 
quotas, and fixing individual manufacturing quotas. When fixing and 
adjusting the aggregate production quota, or fixing an individual 
manufacturing quota for a controlled substance, the DEA has always 
considered all available information regarding the diversion of that 
controlled substance. While the final rule's amendments, as discussed 
above, may result in the receipt and consideration of additional 
information relating to diversion, it is not expected that the 
difference will have adverse economic impact or other consequences 
sufficient to implicate E.O. 12866.
    This final rule is not an E.O. 13771 regulatory action because this 
final rule is not significant under E.O. 12866.

Executive Order 13132--Federalism

    This regulation will not have substantial direct effects on the 
states, on the relationship between the national Government and the 
states, or on the distribution of power and responsibilities among the 
various levels of government. Therefore, in accordance with Executive 
Order 13132, it is determined that this final rule does not have 
sufficient federalism implications to warrant the preparation of a 
federalism assessment.

Executive Order 12988--Civil Justice Reform

    This regulation meets the applicable standards set forth in 
sections 3(a) and 3(b)(2) of Executive Order 12988.

Paperwork Reduction Act

    This final rule codifies current agency practice under existing 
approved information collections, and does not impose new information 
collection requirements under the Paperwork Reduction Act of 1995, 44 
U.S.C. 3501-3521.

Unfunded Mandates Reform Act of 1995

    This final rule will not result in the expenditure by State, local 
and tribal governments, in the aggregate, or by the private sector, of 
$100 million or more in any one year, and it will not significantly or 
uniquely affect small governments. Therefore, no actions were deemed 
necessary under the provisions of the Unfunded Mandates Reform Act of 
1995.

Congressional Review Act

    This rulemaking is not a major rule as defined by section 251 of 
the Congressional Review Act. 5 U.S.C. 804. This final rule will not 
result in an annual effect on the economy of $100 million or more; a 
major increase in costs or prices; or significant adverse effects on 
competition, employment, investment, productivity, or innovation, or on 
the ability of United States-based enterprises to compete with foreign-
based enterprises in domestic and export markets.

List of Subjects in 21 CFR Part 1303

    Administrative practice and procedure, Drug traffic control.

    Accordingly, for the reasons stated in the preamble, part 1303 of 
title 21 of the Code of Federal Regulations is amended as follows:

PART 1303--QUOTAS

0
1. The authority citation for part 1303 continues to read as follows:

    Authority:  21 U.S.C. 821, 826, 871(b).


0
2. In Sec.  1303.11:
0
a. Remove the word ``and'' at the end of paragraph (b)(4).
0
b. Redesignate paragraph (b)(5) as paragraph (b)(7).
0
c. Add new paragraph (b)(5) and paragraph (b)(6).
0
d. Revise paragraph (c).
    The additions and revision read as follows:


Sec.  1303.11   Aggregate production quotas.

* * * * *
    (b) * * *
    (5) The extent of any diversion of the controlled substance in the 
class;
    (6) Relevant information obtained from the Department of Health and 
Human Services, including from the Food and Drug Administration, the 
Centers for Disease Control and Prevention, and the Centers for 
Medicare and Medicaid Services, and relevant information obtained from 
the states; and
* * * * *
    (c) The Administrator shall, on or before May 1 of each year, 
publish in the Federal Register, general notice of an aggregate 
production quota for any basic class determined by him under this 
section. A copy of said notice shall be mailed simultaneously to each 
person registered as a bulk manufacturer of the basic class and 
transmitted to each state attorney general. The Administrator shall 
permit any interested person to file written comments on or objections 
to the proposal and shall designate in the notice the time during which 
such filings may be made. The Administrator may, but shall not be 
required to, hold a public hearing on one or more issues raised by the 
comments and objections filed with him, except that the Administrator 
shall hold a hearing if he determines it is necessary to resolve an 
issue of material fact raised by a state objecting to the proposed 
quantity for the class as excessive for legitimate United States' 
needs. In the event the Administrator decides to hold a hearing, he 
shall publish notice of the hearing in the Federal Register, which 
notice shall summarize the issues to be heard and shall set the time 
for the hearing, which shall not be less than 30 days after the

[[Page 32790]]

date of publication of the notice. After consideration of any comments 
or objections, or after a hearing if one is ordered by the 
Administrator, the Administrator shall issue and publish in the Federal 
Register his final order determining the aggregate production quota for 
the basic class of controlled substances. The order shall include the 
findings of fact and conclusions of law upon which the order is based. 
The order shall specify the date on which it shall take effect. A copy 
of said order shall be mailed simultaneously to each person registered 
as a bulk manufacturer of the basic class and transmitted to each state 
attorney general.

0
3. In Sec.  1303.12, paragraph (b), add after the fifth sentence a new 
sentence to read as follows:


Sec.  1303.12   Procurement quotas.

* * * * *
    (b) * * * The Administrator may require additional information from 
an applicant which, in the Administrator's judgment, may be helpful in 
detecting or preventing diversion, including customer identities and 
amounts of the controlled substance sold to each customer. * * *
* * * * *

0
4. In Sec.  1303.13, revise paragraphs (b)(1) and (c) to read as 
follows:


Sec.  1303.13   Adjustments of aggregate production quotas.

* * * * *
    (b) * * *
    (1) Changes in the demand for that class, changes in the national 
rate of net disposal of the class, changes in the rate of net disposal 
of the class by registrants holding individual manufacturing quotas for 
that class, and changes in the extent of any diversion in the class;
* * * * *
    (c) The Administrator in the event he determines to increase or 
reduce the aggregate production quota for a basic class of controlled 
substance, shall publish in the Federal Register general notice of an 
adjustment in the aggregate production quota for that class determined 
by him under this section. A copy of said notice shall be mailed 
simultaneously to each person registered as a bulk manufacturer of the 
basic class and transmitted to each state attorney general. The 
Administrator shall permit any interested person to file written 
comments on or objections to the proposal and shall designate in the 
notice the time during which such filings may be made. The 
Administrator may, but shall not be required to, hold a public hearing 
on one or more issues raised by the comments and objections filed with 
him, except that the Administrator shall hold a hearing if he 
determines it is necessary to resolve an issue of material fact raised 
by a state objecting to the proposed adjusted quota as excessive for 
legitimate United States' needs. In the event the Administrator decides 
to hold a hearing, he shall publish notice of the hearing in the 
Federal Register, which notice shall summarize the issues to be heard 
and shall set the time for the hearing, which shall not be less than 10 
days after the date of publication of the notice. After consideration 
of any comments or objections, or after a hearing if one is ordered by 
the Administrator, the Administrator shall issue and publish in the 
Federal Register his final order determining the aggregate production 
for the basic class of controlled substance. The order shall include 
the findings of fact and conclusions of law upon which the order is 
based. The order shall specify the date on which it shall take effect. 
A copy of said order shall be mailed simultaneously to each person 
registered as a bulk manufacturer of the basic class and transmitted to 
each state attorney general.


Sec.  1303.21   [Amended]

0
5. In Sec.  1303.21, in paragraph (a), remove ``Sec. Sec.  '' in the 
second sentence and add in its place ``Sec.  ''.

0
6. In Sec.  1303.22:
0
a. In paragraph (c)(2), remove the word ``econolic'' and add in its 
place the word ``economic''.
0
b. Add paragraph (d).
    The addition reads as follows:


Sec.  1303.22   Procedure for applying for individual manufacturing 
quotas.

* * * * *
    (d) The Administrator may require additional information from an 
applicant which, in the Administrator's judgment, may be helpful in 
detecting or preventing diversion, including customer identities and 
amounts of the controlled substance sold to each customer.


Sec.  1303.23   [Amended]

0
7. In Sec.  1303.23, add the phrase ``the extent of any diversion of 
the controlled substance,'' after ``strikes),'' in paragraph (a)(2), 
and add the phrase ``any risk of diversion of the controlled 
substance,'' after ``strikes),'' in paragraph (b)(2).


Sec.  1303.32   [Amended]

0
8. In Sec.  1303.32, in paragraph (a), add the phrase ``and shall, if 
determined by the Administrator to be necessary under Sec.  1303.11(c) 
or 1303.13(c) based on objection by a state,'' before ``hold a 
hearing''.

    Dated: July 11, 2018.
Uttam Dhillon,
Acting Administrator.
[FR Doc. 2018-15141 Filed 7-13-18; 8:45 am]
 BILLING CODE 4410-09-P



                                              32784               Federal Register / Vol. 83, No. 136 / Monday, July 16, 2018 / Rules and Regulations

                                              [FR Doc. 2018–14378 Filed 7–13–18; 8:45 am]              redirection of controlled substances                  Drug Administration (FDA), the Centers
                                              BILLING CODE 6750–01–C                                   which may have lawful uses into illicit               for Disease Control and Prevention
                                                                                                       channels—and makes other                              (CDC), and the Centers for Medicare and
                                                                                                       improvements in the controlled                        Medicaid Services (CMS), as well as
                                              DEPARTMENT OF JUSTICE                                    substance regulatory quota system.                    relevant information obtained from the
                                                                                                          The quota process, in general terms, is            states. The amendment will ensure that
                                              Drug Enforcement Administration                          a critical element of the Controlled                  information will be requested from the
                                                                                                       Substances Act’s regulatory system that               relevant HHS components and will be
                                              21 CFR Part 1303                                         seeks to prevent or limit diversion by                considered in setting the aggregate
                                                                                                       preventing the accumulation of                        production quotas.
                                              [Docket No. DEA–480]                                     controlled substances in amounts                         The final rule provides that the
                                              RIN 1117–AB48                                            exceeding legitimate need. The                        Administrator will consider information
                                                                                                       measures the final rule adopts to                     from the states in setting the aggregate
                                              Controlled Substances Quotas                             strengthen the system include                         production quotas and make additional
                                              AGENCY:  Drug Enforcement                                authorizing the requisition from quota                changes enhancing their role in
                                              Administration, Department of Justice.                   applicants of additional information                  § 1303.11(c). The states are critically
                                                                                                       helpful in detecting and preventing                   situated to provide information about
                                              ACTION: Final rule.
                                                                                                       diversion, and ensuring that DEA’s                    the extent of legitimate and illegitimate
                                              SUMMARY:    The Drug Enforcement                         determinations regarding the                          use of controlled substances because of
                                              Administration (DEA) is publishing this                  appropriate quotas are adequately                     their responsibilities for drug
                                              final rule to strengthen the process for                 informed by input from other federal                  enforcement within their jurisdictions,
                                              setting controls over diversion of                       agencies, from the states, and from                   including through the Prescription Drug
                                              controlled substances and make other                     quota applicants.                                     Monitoring Programs (PDMP), their
                                              improvements in the quota management                                                                           responsibilities for administration of
                                                                                                       Section-by-Section Analysis
                                              regulatory system for the production,                                                                          their health care systems, and their
                                                                                                         The DEA is finalizing the rule as                   responsibilities for dealing with the
                                              manufacturing, and procurement of
                                                                                                       proposed without changes. Below are                   human and social costs of drug abuse
                                              controlled substances.
                                                                                                       summaries of provisions contained in                  and diversion. States may have relevant
                                              DATES: This final rule is effective August               the final rule.                                       information indicating that individual
                                              15, 2018.
                                                                                                       Section 1303.11—Aggregate Production                  procurement quota requests reflect
                                              FOR FURTHER INFORMATION CONTACT:                                                                               quantities which will in fact be diverted
                                              Michael J. Lewis, Diversion Control                      Quotas
                                                                                                                                                             to illicit use, which may in turn yield
                                              Division, Drug Enforcement                                  Section 1303.11 currently directs the              an exaggerated picture of the aggregate
                                              Administration; Mailing Address: 8701                    Administrator of DEA to determine the                 production quotas needed for legitimate
                                              Morrissette Drive, Springfield, Virginia                 total quantity of each basic class of                 purposes.
                                              22152; Telephone: (202) 598–8953.                        controlled substance listed in schedule                  The final rule accordingly includes
                                              SUPPLEMENTARY INFORMATION:                               I or II needed in the calendar year for               amendments to § 1303.11(c) which
                                                                                                       the medical, scientific, research, and                provide for (i) transmitting notices of
                                              Legal Authority                                          industrial needs of the United States, for            proposed aggregate production quotas,
                                                 Provisions of the Controlled                          lawful export requirements, and for the               and final aggregate production quota
                                              Substances Act, 21 U.S.C. 801 et seq.,                   establishment and maintenance of                      orders, to the state attorney general, and
                                              authorize the Attorney General to issue                  reserve stocks. Section 1303.11(b)(1)                 (ii) holding a hearing if necessary to
                                              rules and regulations relating to                        through (4) identifies a number of                    resolve an issue of material fact raised
                                              registration and control of the                          factors that are categorically to be                  by a state’s objection to a proposed
                                              manufacture, distribution, and                           considered in determining aggregate                   aggregate production quota as excessive
                                              dispensing of controlled substances and                  production quotas—relating to total net               in relation to legitimate United States
                                              listed chemicals. 21 U.S.C. 821.                         disposal, net disposal trends,                        need.
                                              Pursuant to this authority, the Attorney                 inventories and inventory trends, and
                                              General, through the Drug Enforcement                    demand—followed by a final catchall                   Section 1303.12—Procurement Quotas
                                              Administration (DEA), has issued and                     factor, (5), regarding factors to be                    Section 1303.12 currently directs the
                                              administers regulations setting aggregate                considered as the Administrator finds                 Administrator to issue procurement
                                              production quotas for each basic class of                relevant.                                             quotas for manufacturers that use
                                              controlled substances in schedules I and                    The final rule makes two additions to              controlled substances to put them into
                                              II, manufacturing quotas for individual                  the list of factors that must regularly be            dosage form or to make other
                                              manufacturers, and procurement quotas                    considered in setting the aggregate                   substances. The section requires
                                              for manufacturers to produce other                       production quotas because of their                    applicants for procurement quotas to
                                              controlled substances or to convert the                  importance. First, it adds to the list the            state what basic class of controlled
                                              substances into dosage form. See 21 CFR                  extent of any diversion of the controlled             substance is needed, the purpose or
                                              part 1303.                                               substance in the class, which will                    purposes for which the class is desired,
                                                 The current regulations, issued                       ensure that the allowed aggregate                     the quantity desired for each purpose
                                              initially in 1971, need to be updated to                 production quota is limited to that                   during the next calendar year, and the
                                              reflect changes in the manufacture of                    needed to provide adequate supplies for               quantities used and estimated to be used
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                                              controlled substances, changing patterns                 the United States’ legitimate needs.                  for each purpose during the current and
                                              of substance abuse and markets in illicit                Second, the final rule amends the list of             preceding two calendar years. If the
                                              drugs, and the challenges presented by                   factors to be considered in establishing              applicant’s purpose is to manufacture
                                              the current national crisis of controlled                these quotas to include relevant                      another basic class of controlled
                                              substance abuse. This final rule                         information from the Department of                    substance, the applicant also must state
                                              modifies the regulations to strengthen                   Health and Human Services (HHS) and                   the quantity of the other basic class that
                                              controls over diversion—that is, the                     its components, including the Food and                the applicant has applied to


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                                                                  Federal Register / Vol. 83, No. 136 / Monday, July 16, 2018 / Rules and Regulations                                                32785

                                              manufacture, and the quantity of the                     Notice of Proposed Rulemaking                         issue of illicitly manufactured
                                              first basic class necessary to                                                                                 substances like fentanyl and heroin.
                                              manufacture a specified quantity of the                    On April 19, 2018, the DEA published
                                                                                                       a notice of proposed rulemaking                          One advocacy group noted that
                                              second basic class.                                                                                            available data indicated that the large
                                                                                                       (NPRM) in the Federal Register, which
                                                 The final rule amends § 1303.12(b) to                                                                       increase in overdose deaths was largely
                                                                                                       provided an opportunity for comment
                                              clarify that the Administrator may                                                                             due to illicitly manufactured fentanyl,
                                                                                                       on the proposed rule. The comment
                                              require additional information from                                                                            heroin, and synthetic opioids, not
                                                                                                       period closed on May 4, 2018. 83 FR
                                              applicants that may help to detect or                                                                          prescription opioids. The advocacy
                                                                                                       17329. The DEA specifically sought
                                              prevent diversion, including customer                                                                          group stated that the data reinforced the
                                                                                                       comments on the provisions regarding
                                              identities and amounts of the controlled                                                                       need to address the growing threat
                                                                                                       the factors the Administrator should
                                              substance sold to each customer.                                                                               posed by heroin, counterfeit fentanyl,
                                                                                                       consider when adjusting the aggregate
                                              Section 1303.13—Adjustments of                           production quotas (21 CFR                             and other counterfeit drugs.
                                              Aggregate Production Quotas                              1303.13(b)(1)), and the additional                       An association representing
                                                                                                       information the Administrator may                     physicians also noted that although the
                                                Section 1303.13 authorizes the                                                                               rate of prescription opioid mortality
                                                                                                       require from applicants (21 CFR
                                              Administrator, at any time, to increase                                                                        continues to rise, illicit fentanyl and
                                                                                                       1303.12(b) and 21 CFR 1303.22).
                                              or reduce the aggregate production                                                                             heroin have become the main
                                              quotas for basic classes of controlled                   Discussion of Comments                                contributors to opioid-related mortality.
                                              substances that were previously fixed
                                                                                                          DEA received a total of 1,561 written                 A coalition commented that a major
                                              pursuant to § 1303.11. The final rule in
                                                                                                       and electronic comments on the NPRM.                  issue with the proposed rule was that it
                                              § 1303.13 parallels some of the
                                                                                                       In the NPRM, the DEA stated that some                 would do nothing to solve the current
                                              amendments made to § 1303.11.
                                                                                                       of the proposed rule’s provisions                     opioid epidemic because illicit fentanyl
                                              Specifically, it includes changes in the
                                                                                                       relating to seeking information from                  and heroin cause most of the overdoses
                                              extent of any diversion of the controlled
                                                                                                       other federal agencies and the states (21             in the United States, not prescription
                                              substance among the factors to be
                                                                                                       CFR 1303.11(b)(6)) and those relating to              opioids. The coalition referenced
                                              considered in adjusting the aggregate
                                                                                                       the holding of hearings based on state                journal articles for statistics to support
                                              production quota, requires transmission
                                                                                                       objections (21 CFR 1303.11(c), 21 CFR                 their argument. The coalition also noted
                                              of adjustment notices and final
                                                                                                       1303.13(c), and 21 CFR 1303.32(a)) were               that the vast majority of the illicit
                                              adjustment orders to the state attorneys
                                                                                                       exempt from the notice and comment                    fentanyl that is arriving into the United
                                              general, and provides for a hearing if
                                                                                                       requirements of the Administrative                    States is coming from China through the
                                              necessary to resolve an issue of material
                                                                                                       Procedure Act as ‘‘rules of agency                    U.S. Postal Service, and that the policies
                                              fact raised by a state’s objection to a
                                                                                                       organization, procedure, or practice.’’ 5             in the proposed rule would have no
                                              proposed adjusted quota as excessive for
                                                                                                       U.S.C. 553(b)(A). However, many                       effect on the current number of overdose
                                              legitimate United States need.
                                                                                                       commenters still addressed these two                  deaths.
                                              Section 1303.22—Procedure for                            issues. While the DEA appreciates the                    One law firm noted that after a re-
                                              Applying for Individual Manufacturing                    interest commenters have shown in                     evaluation of CDC data and DEA’s own
                                              Quotas                                                   these areas, because they were exempt                 analyses, it has become evident that the
                                                The final rules amends § 1303.22 to                    from the notice and comment                           current opioid ‘‘crisis’’ is caused by
                                              clarify that the Administrator may                       requirements of the APA, the DEA has                  illicit synthetic opioids, particularly
                                              require additional information from                      not considered these comments in its                  fentanyl and deadlier fentanyl
                                              individual manufacturing quota                           promulgation of this final rule.                      derivatives with no medical use.
                                              applicants that may help to detect or                       After a review of the comments, DEA                   DEA Response: This final rule does
                                              prevent diversion, including customer                    noted that there were six main issues                 not establish specific quotas. Instead,
                                              identities and amounts of the controlled                 that commenters raised, and that many                 this final rule revises and improves the
                                              substance sold to each customer.                         commenters raised multiple issues in                  process for DEA to follow in gathering
                                                                                                       their comments. Each issue is                         information and taking other actions
                                              Section 1303.23—Procedures for Fixing                    summarized below, along with the                      pertaining to quotas. The CDC has
                                              Individual Manufacturing Quotas                          DEA’s responses. The DEA has also                     acknowledged that they have a new
                                                 The final rule amends § 1303.23 to                    summarized the remainder of the                       analysis confirming recent increases in
                                              provide that the factors the                             comments which did not fit into one of                drug overdose death,1 however, as
                                              Administrator may deem relevant in                       the six main issues.                                  stated in the NPRM, the CDC’s data will
                                              fixing individual manufacturing quotas                                                                         not be the only source of information
                                                                                                       A. Causes for the Increase in Opioid
                                              include the extent and risk of diversion                                                                       the DEA will be considering. The DEA
                                                                                                       Deaths
                                              of controlled substances.                                                                                      will also consider relevant information
                                                                                                         Issue: Approximately 156 commenters                 from other components of HHS, as well
                                              Section 1303.32—Purpose of Hearing                                                                             as relevant information from the States.
                                                                                                       raised the issue that the increase in
                                                The final rule includes an amendment                   opioid deaths was due to illicitly                       The DEA believes that the misuse of
                                              relating to hearings in § 1303.32(a),                    manufactured opioids coming in from                   controlled prescription drugs (CPDs) is
                                              conforming to the amendments to                          Mexico and China and errors in                        inextricably linked with the threat the
                                              §§ 1303.11(c) and 1303.13(c) concerning                  reporting deaths involving multiple                   United States faces from the trafficking
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                                              hearings based on state objections.                      substances, not written prescriptions for             of heroin and illicit fentanyl and
                                                                                                       controlled substances. Advocacy groups                fentanyl analogues. In 2016, almost 3.4
                                              Other Matters
                                                                                                       and the general public voiced concern                 million Americans age 12 or older
                                                In addition to the significant changes                 about the accuracy of CDC death                       reported misusing prescription pain
                                              discussed above, the final rule corrects                 calculations that they believe led to
                                              a number of typographic errors in the                    more strict quotas on the pain pills they               1 https://www.cdc.gov/media/releases/2018/

                                              current regulations.                                     need to live, instead of focusing on the              p0329-drug-overdose-deaths.html.



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                                              32786                Federal Register / Vol. 83, No. 136 / Monday, July 16, 2018 / Rules and Regulations

                                              relievers within the past month.2                        instead of creating regulations that they             that the information from HHS, CDC,
                                              Roughly 75 percent of heroin users                       feel lead to a reduction in injectable                and CMS can contribute to appropriate
                                              reported nonmedical use of prescription                  opioids.                                              methods for determining quantities of
                                              opioids before using heroin (though the                    Comments received from                              controlled substances being diverted.
                                              vast majority of individuals misusing                    organizations and associations asserted               Another commenter stated that the DEA
                                              opioid CPDs do not go on to use                          that there is no risk of diversion for                does not distinguish between diversion
                                              heroin).3 Many stated that they first                    injectables. It was stated numerous                   and abuse when considering the quota
                                              obtained these drugs for free from the                   times that the DEA should consider                    formula. Seven commenters stated that
                                              family medicine cabinet or from                          adding drug shortage information as a                 DEA does not have reliable measures to
                                              friends 4 but then sought street or black                factor when establishing and adjusting                calculate diversion of controlled
                                              market drugs to maintain their                           quotas. It was also recommended that                  substances. One of these commenters
                                              addiction. This illustrates the role that                the DEA add the intent to resolve drug                stated that DEA did not provide any
                                              CPDs have played in the opioid                           shortages to the relevant factors                     examples or explanations on how DEA
                                              epidemic and underscores the                             considered in adjusting quotas.                       will collect measureable data. Two
                                              continued need for robust regulatory                       DEA Response: The DEA is                            commenters suggested that DEA obtain
                                              and enforcement measures to stop                         committed to ensuring that quotas are                 data from the FDA on controlled
                                              diversion of CPDs. Black-market sales                    set in such a way as to grant                         substances shortages (which can be
                                              for opioid CPDs are typically five to ten                manufacturers the ability to provide                  broken down by dosage) to help the
                                              times their retail value, and DEA                        FDA-approved drug products to meet                    DEA quantify a clear picture of
                                              intelligence reveals the ‘‘street’’ cost of              the demand of the legitimate medical,                 diversion risks by the specific dosage
                                              prescription opioids steadily increases                  scientific, and export needs of the                   forms. Another commenter stated that
                                              with the relative strength of the drug.                  United States. As required in 21 U.S.C.               DEA did not provide any scientific data
                                                                                                       826(h), when there is a shortage, the                 that supports DEA claim that quota
                                              B. The Injectable Shortage and                           DEA will ‘‘increase the aggregate and                 reductions decrease diversion of
                                              Adjusting the Quota Process                              individual production quotas and any                  controlled substances.
                                                 Issue: The DEA received 23 comments                   ingredients therein to the level                        One commenter suggested DEA work
                                              concerning how manufacturing quotas                      requested.’’ When it is determined that               on anti-diversion legislation that will
                                              may cause a shortage of injectable                       the level requested is not necessary to               put requirements in place during the
                                              opioids. Commenters were concerned                       address a shortage, the DEA provides a                manufacturing process to prevent
                                              that injectable opioids that are used                    written response detailing the basis for              diversion of controlled substances so it
                                              routinely for surgeries and cancer                       the decision. 21 U.S.C. 826(h)(1)(B)(ii).             will not affect quotas. Another
                                              treatment, such as injectable morphine,                  Quotas granted to the dosage form                     commenter requested DEA to provide
                                              hydromorphone, and fentanyl would                        manufacturers based on legitimate                     quantitative evidence to show the
                                              not be available to hospitals and                        medical need will always be considered                impact current reductions have had on
                                              patients. Commenters attributed the                      in the aggregate production quota. The                diversion of controlled substances.
                                              perceived shortages of these drugs to                    DEA will always take into consideration                 DEA Response: The DEA is
                                              manufacturing setbacks and a                             any changes in market dynamics that                   committed to continuously developing
                                              government effort to restrict the amount                 may require allocation of individual                  sound and reliable methods for
                                              of opioids and other pain medicines to                   manufacturers’ quotas or revisions of                 determining quantities of controlled
                                              be manufactured. Commenters stated                       the aggregate production quota. The                   substances being diverted. Currently,
                                              that due to the alleged shortage of these                DEA, however, cannot set quotas based                 DEA’s reliable method to measure the
                                              drugs, hospitals are having a difficult                  on individual pharmaceutical dosage                   diversion of controlled substances
                                              time treating patients and finding                       forms (21 U.S.C. 826(a)) nor can DEA                  occurs at the level of individual dosage
                                              alternatives for pain management.                        compel manufacturers to manufacture                   manufacturers rather than at the
                                                 Many commenters stated that the DEA                   specific individual pharmaceutical                    aggregate production quota level.
                                              is focusing on the wrong issues. A                       dosage forms even though the latter may               Selected opioid dispositions from these
                                              majority asserted that synthetic drugs                   lead to manufacturer induced shortages                manufacturers are compared to known,
                                              are the cause of most of the overdose                    based on their internal business                      completed regulatory and operation
                                              opioid deaths, and that the government                   decisions. Thus, independent of DEA’s                 enforcement actions and counted
                                              should focus on those synthetic drugs                    adjustment of quotas, manufacturers’                  toward diverted quantities for
                                                                                                       business decisions and manufacturing                  individual manufacturers and not the
                                                2 Substance Abuse and Mental Health Services
                                                                                                       practices may lead to a shortage of                   aggregate production quota itself.
                                              Administration. (2017). Key substance use and                                                                    Modifications to section 1303.11
                                              mental health indicators in the United States:
                                                                                                       certain individual pharmaceutical
                                              Results from the 2016 National Survey on Drug Use        dosage forms, despite the adequacy of                 would allow relevant information from
                                              and Health (HHS Publication No. SMA 17–5044,             the applicable aggregate production                   appropriate HHS components to be
                                              NSDUH Series H–52). Rockville, MD: Center for            quota.                                                considered in setting the aggregate
                                              Behavioral Health Statistics and Quality, Substance                                                            production quota. HHS studies the use
                                              Abuse and Mental Health Services Administration.         C. The DEA’s Methodology for                          and misuse of controlled substances
                                              Retrieved from https://www.samhsa.gov/data/.             Quantifying Diversion
                                                3 Cicero TJ, Ellis MS, Surratt HL, Kurtz SP. (2014).                                                         regarding the quantities of controlled
                                              The changing face of heroin use in the United              Issue: The DEA received 16 comments                 substances necessary to support the
                                              States: A retrospective analysis of the past 50 years.   regarding DEA’s methodology for                       medical needs in the United States
                                              JAMA Psychiatry.71(7):821–826.                           determining quantities of controlled                  pursuant to 42 U.S.C. 242(a).
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                                                4 Substance Abuse and Mental Health Services

                                              Administration. (2017). Key substance use and
                                                                                                       substances being diverted. Three                      Furthermore, the CDC and the CMS may
                                              mental health indicators in the United States:           commenters recommended that the DEA                   have relevant information related to the
                                              Results from the 2016 National Survey on Drug Use        obtain data from HHS, CDC, and CMS                    patterns of drug abuse and the diversion
                                              and Health (HHS Publication No. SMA 17–5044,             on topics such as patterns of drug abuse,             of controlled substances for illicit use
                                              NSDUH Series H–52). Rockville, MD: Center for
                                              Behavioral Health Statistics and Quality, Substance
                                                                                                       and that such information be considered               which DEA will also consider when
                                              Abuse and Mental Health Services Administration.         for calculating aggregate production                  setting the aggregate production quota.
                                              Retrieved from https://www.samhsa.gov/data/.             quota. The same commenters suggested                  The information collected from HHS


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                                                                  Federal Register / Vol. 83, No. 136 / Monday, July 16, 2018 / Rules and Regulations                                          32787

                                              through FDA, CDC, and CMS, and that                      and federal activities and interventions,             comment period where there was
                                              collected from the states, will improve                  including creating new partnerships,                  ‘‘urgent necessity for rapid
                                              DEA’s ability to distinguish diversion of                enforcing current regulations, and                    administrative action under the
                                              controlled substances at a more                          dissemination of provider education                   circumstances’’ and the public was not
                                              geographically localized level. The                      and guidance documents, including the                 harmed).
                                              information collected will enhance the                   CDC Guideline for Prescribing Opioids                    Under Executive Order 13563, there is
                                              DEA’s ability to determine registrant’s                  for Chronic Pain released in March                    a presumption that a period of 60 days
                                              compliance with suspicious order                         2016. In addition, more states have                   should be allotted for the comment
                                              monitoring regulations. The                              enacted and are enforcing laws                        period. The Administrative Conference
                                              modifications to section 1303.22 will                    mandating the use of PDMPs by medical                 of the United States’ recommendations
                                              allow the Administrator to require                       providers and pharmacists, which                      serve as guidance for the notice-and-
                                              additional information from                              provides prescribers with valuable                    comment period. While they
                                              manufacturing quota applicants that                      information to guide their medical                    recommend 30 to 60 days depending on
                                              will assist the DEA in detecting or                      decisions.5 As such, this final rule will             the significance of a rule, they also
                                              preventing diversion of controlled                       allow the downward trend to continue                  recommend that agencies provide an
                                              substances.                                              through the continued sharing of                      explanation when they set a shorter
                                                 The Administrator of the DEA has the                  information from different HHS                        comment period, as was done in the
                                              authority to determine the total quantity                components and states.                                NPRM. 76 FR 48791 (Aug. 9, 2011).
                                              of each basic class of controlled                                                                                 Here, the DEA received more than
                                              substance listed in Schedule I or II                     E. Fifteen Day Comment Period                         1,500 comments, many of which
                                              needed in each calendar year for                            Issue: The DEA received 5 comments                 included a thoughtful and detailed
                                              medical, scientific, research and                        from commenters who felt the proposed                 analysis. Due to the opioid epidemic as
                                              industrial needs of the United States, for               rule’s comment period was too short.                  expressed in the proposed rule and the
                                              lawful export, and for the establishment                 One commenter suggested that the                      urgent need to finalize this rule, the 15-
                                              and maintenance of reserve stocks. The                   comment period remain open for 180                    day comment period was sufficient.
                                              DEA has observed a decline for certain                   days because of the complex issues
                                                                                                                                                             F. Clarification of What Additional Data
                                              prescriptions written for Schedule II                    being addressed in the document. Two
                                                                                                                                                             DEA May Seek From Registrants
                                              opioids since 2014 which can be                          commenters voiced displeasure with the
                                              attributed to federal and state                          length of the comment period stating                     Issue: There were 11 comments
                                              government activities and interventions,                 that it made it seem like the average                 received seeking clarification of what
                                              including the implementation of                          citizens’ opinion was not being valued.               additional information the
                                              Prescription Drug Monitoring Programs,                      One national organization noted that               Administrator may require from
                                              enforcement of current regulations, and                  the comment period provided by the                    registrants. The majority of the
                                              guidance documents such as the CDC                       DEA was unusual in its brevity. The                   comments received were from industry
                                              Guideline for Prescribing Opioids for                    national organization referenced                      and advocacy groups. While they agreed
                                              Chronic Pain—United States March                         Executive Order 13563, as well as                     that steps need to be taken to address
                                              2016.                                                    guidance from the Administrative                      the current opioid epidemic, the views
                                                                                                       Conference of the United States, to                   were not completely in support of the
                                              D. Trend in the Number of Prescriptions                  suggest that the DEA comment period                   possibility of having to turn in
                                              Written for Controlled Substances                        should have at least been 30 days since               additional information.
                                                 Issue: The DEA received 36 comments                   it was a rulemaking that was not                         One company felt the proposed
                                              from commenters stating that                             considered ‘‘significant.’’ The national              changes seemed to codify the current
                                              prescription data shows that there has                   organization stated that they were not                practice of considering ARCOS
                                              been a downward trend in the                             certain that the additional 15 days                   (Automated Reporting and Consolidated
                                              prescribing of controlled substances for                 necessary to achieve the 30-day period                Orders System) data when setting
                                              the last several years, therefore                        for review and input by experts outside               quotas. Many comments under this
                                              prescription opioids are not responsible                 of the agency would meaningfully                      issue suggested that the DEA clearly
                                              for the current opioid epidemic. As                      ‘‘impede putting into effect the                      detail what information would be
                                              such, the commenters believed there                      diversion countermeasures [the                        required. A trade group also explained
                                              was no need for the regulations to be                    proposal] authorizes.’’                               that knowing what the DEA could
                                              updated. There were comments received                       DEA Response: The APA does not                     request beforehand would allow
                                              from patients describing their inability                 specify a minimum time for submission                 manufacturers the ability to ensure that
                                              to receive prescriptions for pain                        of written comments. Agencies must                    systems are in place to collect and
                                              medications; they stated that their                      provide the public with a ‘‘meaningful                provide relevant data in a timely
                                              doctors had placed blame on the DEA.                     opportunity’’ to comment on a proposed                manner. The group felt that the DEA
                                                 DEA Response: The DEA                                 notice. Rural Cellular Ass’n v. FCC, 588              should determine whether additional
                                              acknowledges that prescriptions for                      F.3d 1095 (D.C. Cir. 2009). While the                 data should be required beyond what is
                                              opioid drug products have decreased                      length of the comment period is a factor              already required for schedule II
                                              over the last several years due to the                   in determining whether the public was                 controlled substances by way of the
                                              stepped up civil, criminal, and                          afforded a ‘‘meaningful opportunity’’ to              DEA Form 222. The group also
                                              regulatory enforcement efforts of the                    comment, courts have upheld comment                   requested that the DEA make sure that
                                              agency. However, while there is a                        periods of less than 30 days. See, e.g.               any additional requested information
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                                              downward trend in prescribing, these                     Omnipoint Corp. v. FCC, 78 F.3d 620                   not place an undue burden on
                                              schedule II prescription opiates                         (D.C. Cir. 1996) (upholding 15-day                    manufacturers or delay the issuance of
                                              continue to have a high potential for                                                                          initial quotas. They argued that DEA
                                                                                                         5 Challenges and Solutions in the Opioid Abuse
                                              abuse and dependence and require the                                                                           needs to include adequate protection of
                                                                                                       Crisis: Hearing Before the H. Comm. On the
                                              annual assessment of quotas. These                       Judiciary, 115th Cong. 6,10 (2018) (statement of
                                                                                                                                                             proprietary and sensitive commercial
                                              decreases can be attributed to DEA’s 360                 Robert W. Patterson, Acting Administrator, Drug       and financial information provided by
                                              Strategy, which combines local, state,                   Enforcement Administration).                          the manufacturers, because the


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                                              32788               Federal Register / Vol. 83, No. 136 / Monday, July 16, 2018 / Rules and Regulations

                                              additional data allowed for the                          quotas because they may not pertain to                   intent to create shortages or prevent a
                                              collection of trade secrets or                           every registrant. Therefore, additional                  patient with a legitimate need from
                                              confidential commercial information.                     data will be determined in light of the                  getting their prescription. The purpose
                                              One association asked for the additional                 information manufacturers provide to                     of the proposed rule is to improve the
                                              data to be used in a timely fashion to                   the DEA as justification for a quota.                    process of setting the annual quota
                                              help anticipate and address potential                      Manufacturers of schedule I and II                     while ensuring an adequate supply is
                                              shortages in the future. Another                         substances provide information needed                    available for the United States’
                                              organization strongly objected to the                    to assist the DEA in making a quota                      legitimate needs.
                                              proposed rule, because they did not see                  determination. The information
                                                                                                       provided is based on their individual                    Regulatory Flexibility Act
                                              how the additional information could be
                                              useful in reducing opioid abuse and                      business activities. Regulations require                    The Administrator, in accordance
                                              overdose when the main source of the                     manufacturers to utilize DEA Form 222 6                  with the Regulatory Flexibility Act (5
                                              problem is illicit drugs.                                to document purchase and disposition                     U.S.C. 601–612), has reviewed this final
                                                 A pharmaceutical company requested                    information between DEA registrations;                   rule and by approving it certifies that
                                              that the DEA provide opportunities for                   similar information is also transmitted                  the rule will not have a significant
                                              companies to receive guidance and                        to ARCOS. A limitation of ARCOS can                      economic impact on a substantial
                                              training on how to best satisfy the                      be the reporting period a company opts                   number of small entities.
                                              additional information requirements.                     to report their data (monthly or                            The DEA estimates that 325
                                              Another pharmaceutical company stated                    quarterly) and the timeliness of                         manufacturers may be affected by the
                                              they contract with Contract                              corrections to any errors in the reported                final rule, of which 301 manufacturers
                                              Manufacturing Organizations (CMO) for                    data. There is no undue burden or cost                   (92.6% of the total) are small entities.
                                              the manufacturing of their finished drug                 to supply this information because it is                 There will not be a significant economic
                                              products, and that because of this the                   already being captured in some form by                   impact on a substantial number of these
                                              CMO would be the actual quota                            the company per CSA regulations and                      small entities or any others because, as
                                              applicant but would not be equipped                      good business practices.                                 the ensuing certifications discuss, any
                                              with the additional information to help                    The DEA communicates with                              overall cost of the rule is not significant.
                                              in detecting and preventing diversion.                   registrants who have pending quota                       Executive Orders 12866, 13563, and
                                                 Two states commented on this issue                    applications via telephone or email                      13771—Regulatory Planning and
                                              and both applauded the DEA for taking                    when necessary, to request clarification                 Review, and Reducing Regulation and
                                              action. West Virginia stated that                        or additional information required to                    Controlling Regulatory Costs
                                              obtaining additional information would                   process their applications in a timely
                                              be helpful because some of the                           manner. The DEA also maintains an                           This regulation has been drafted and
                                              legitimate demand may be double                          email box that registrants may                           reviewed in accordance with Executive
                                              counted by way of multiple applicants                    preemptively supply information and                      Order 12866, ‘‘Regulatory Planning and
                                              relying on the same amounts of                           communicate concerns related to quota                    Review,’’ section 1(b), Principles of
                                              legitimate demand from the same                          requirements. Appropriate safeguards                     Regulation, and Executive Order 13563,
                                              customers. West Virginia’s view was                      are currently in place to protect                        ‘‘Improving Regulation and Regulatory
                                              that the additional information will                     confidential business information.                       Review.’’ The DEA has determined that
                                              allow the DEA to prevent excess quota                      As stated above, requesting                            this final rule is not a ‘‘significant
                                              levels. Ohio also agreed with the                        clarification or additional information is               regulatory action’’ under Executive
                                              proposed rule and encouraged the DEA                     a current practice of DEA. The DEA                       Order 12866, section 3(f). The DEA
                                              to consider a more rigorous and                          provides training conferences annually,                  analyzed the economic impact of each
                                              information-driven quota application                     in strategic locations, to help registrants              provision of this final rule. Section
                                              process.                                                 understand quota and reporting                           1303.11 is amended to make two
                                                 DEA Response: The DEA                                 requirements. The agency also provides                   additions to the list of factors to be
                                              acknowledges that the CSA’s                              the presentations from the trainings on                  considered by the Administrator in
                                              requirement for allotting quotas for                     the DEA website. During these                            setting the aggregate production quotas.
                                              manufacturers was enacted on the                         conferences, DEA explicitly states it                    First, it adds the extent of any diversion
                                              business model of a vertically integrated                never provides confidential and                          of the controlled substance in the class.
                                              system. Since its enactment,                             proprietary information supplied by                      Second, it adds relevant information
                                              manufacturers have determined new                        registrants to outside sources. The                      from HHS and its components, as well
                                              and innovative ways of conducting                        additional information that may be                       as from the states. The DEA has always
                                              business, as a response to a more robust,                requested is important and an integral                   considered any information obtained
                                              competitive market. While the CSA                        part of the analysis as it helps DEA                     from other federal and state government
                                              allows for adequate domestic                             determine the amount of quota a                          agencies when fixing the aggregate
                                              competition, it also limits this                         manufacturer should be granted.                          production quotas for a controlled
                                              competition to the legitimate medical,                                                                            substance. While the DEA may receive
                                              scientific, and industrial needs of the                  G. Other Comments                                        additional information that is valuable
                                              United States. The DEA has always had                      Approximately 1,300 comments were                      in detecting and preventing diversion,
                                              the ability to request information to                    received from the general public                         the DEA has no reason to believe that
                                              clarify and support a manufacturer’s                     expressing concerns about the proposed                   there will be adverse economic impact
                                              request for quota to ensure that any                     regulations affecting their ability to get               or other consequences sufficient to
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                                              quota granted is limited to legitimate                   their prescriptions, and the possibility                 implicate Executive Order (E.O.) 12866.
                                              need. Detailed information about what                    of drug shortages being created because                     Additionally, §§ 1303.11 and 1303.13
                                              may be requested for clarification or                    of the proposed rule. The DEA                            are amended to require the DEA to
                                              support cannot be provided because the                   understands and appreciates the nature                   transmit copies of aggregate production
                                              request would be on a case-by-case                       of the comments. It is not the DEA’s                     quotas and any adjustments to those
                                              basis. DEA does not provide a list of                                                                             quotas published in the Federal
                                              additional items needed to process                            6 21   CFR 1305.11–1305.19.                         Register directly to state attorneys


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                                                                  Federal Register / Vol. 83, No. 136 / Monday, July 16, 2018 / Rules and Regulations                                               32789

                                              general. While the DEA anticipates                       consideration of additional information                 Accordingly, for the reasons stated in
                                              some labor burden to transmit aggregate                  relating to diversion, it is not expected             the preamble, part 1303 of title 21 of the
                                              production quota notices and orders to                   that the difference will have adverse                 Code of Federal Regulations is amended
                                              each state attorney general, the DEA                     economic impact or other consequences                 as follows:
                                              estimates that this activity will result in              sufficient to implicate E.O. 12866.
                                              a minimal yearly cost to the DEA and                        This final rule is not an E.O. 13771               PART 1303—QUOTAS
                                              that the DEA has sufficient resources to                 regulatory action because this final rule
                                              absorb this minimal cost.                                is not significant under E.O. 12866.                  ■ 1. The authority citation for part 1303
                                                 Additionally, §§ 1303.11, 1303.13,                                                                          continues to read as follows:
                                              and 1303.32 are amended to explicitly                    Executive Order 13132—Federalism                          Authority: 21 U.S.C. 821, 826, 871(b).
                                              state that the DEA Administrator shall                      This regulation will not have                      ■ 2. In § 1303.11:
                                              hold a hearing if he or she determines                   substantial direct effects on the states,             ■ a. Remove the word ‘‘and’’ at the end
                                              it is necessary to resolve an issue of                   on the relationship between the national              of paragraph (b)(4).
                                              material fact raised by a state objecting                Government and the states, or on the                  ■ b. Redesignate paragraph (b)(5) as
                                              to the proposed quantity for the class as                distribution of power and                             paragraph (b)(7).
                                              excessive for legitimate United States                   responsibilities among the various                    ■ c. Add new paragraph (b)(5) and
                                              need. The estimated yearly cost of this                  levels of government. Therefore, in                   paragraph (b)(6).
                                              revision will be dependent on the                        accordance with Executive Order 13132,                ■ d. Revise paragraph (c).
                                              number of hearings the DEA                               it is determined that this final rule does              The additions and revision read as
                                              Administrator determines to be                           not have sufficient federalism                        follows:
                                              necessary to resolve an issue of material                implications to warrant the preparation
                                              fact raised by a state regarding the                     of a federalism assessment.                           § 1303.11    Aggregate production quotas.
                                              aggregate production quota. Hearings                                                                           *      *    *     *     *
                                              regarding aggregate production quotas                    Executive Order 12988—Civil Justice
                                                                                                       Reform                                                   (b) * * *
                                              are infrequent and the DEA estimates                                                                              (5) The extent of any diversion of the
                                              that hearings of this type will continue                   This regulation meets the applicable                controlled substance in the class;
                                              to be infrequent under this final rule.                  standards set forth in sections 3(a) and                 (6) Relevant information obtained
                                              For these reasons, the DEA does not                      3(b)(2) of Executive Order 12988.                     from the Department of Health and
                                              expect a material increase in the number                                                                       Human Services, including from the
                                              of hearings or in the associated costs to                Paperwork Reduction Act
                                                                                                                                                             Food and Drug Administration, the
                                              DEA or the states.                                         This final rule codifies current agency             Centers for Disease Control and
                                                 Sections 1303.12 and 1303.22 are                      practice under existing approved                      Prevention, and the Centers for
                                              amended to explicitly state that the                     information collections, and does not                 Medicare and Medicaid Services, and
                                              Administrator may require additional                     impose new information collection                     relevant information obtained from the
                                              information from an individual                           requirements under the Paperwork                      states; and
                                              manufacturing or procurement quota                       Reduction Act of 1995, 44 U.S.C. 3501–
                                              applicant, including customer identities                 3521.                                                 *      *    *     *     *
                                              and amounts of controlled substances                                                                              (c) The Administrator shall, on or
                                              sold to each of their customers.                         Unfunded Mandates Reform Act of                       before May 1 of each year, publish in
                                              Currently, the DEA can and does request                  1995                                                  the Federal Register, general notice of
                                              additional information of this nature                      This final rule will not result in the              an aggregate production quota for any
                                              from quota applicants if deemed                          expenditure by State, local and tribal                basic class determined by him under
                                              necessary. While affording the                           governments, in the aggregate, or by the              this section. A copy of said notice shall
                                              Administrator express regulatory                         private sector, of $100 million or more               be mailed simultaneously to each
                                              authority to require such information                    in any one year, and it will not                      person registered as a bulk manufacturer
                                              may result in the receipt of additional                  significantly or uniquely affect small                of the basic class and transmitted to
                                              information that is valuable in detecting                governments. Therefore, no actions were               each state attorney general. The
                                              and preventing diversion, it is not                      deemed necessary under the provisions                 Administrator shall permit any
                                              expected that the difference will have                   of the Unfunded Mandates Reform Act                   interested person to file written
                                              adverse economic impact or other                         of 1995.                                              comments on or objections to the
                                              consequences sufficient to implicate                                                                           proposal and shall designate in the
                                              E.O. 12866.                                              Congressional Review Act                              notice the time during which such
                                                 Sections 1303.11, 1303.13, and                           This rulemaking is not a major rule as             filings may be made. The Administrator
                                              1303.23 are amended to add the                           defined by section 251 of the                         may, but shall not be required to, hold
                                              requirement that the DEA consider                        Congressional Review Act. 5 U.S.C. 804.               a public hearing on one or more issues
                                              diversion of a controlled substance                      This final rule will not result in an                 raised by the comments and objections
                                              when fixing aggregate production                         annual effect on the economy of $100                  filed with him, except that the
                                              quotas, adjusting aggregate production                   million or more; a major increase in                  Administrator shall hold a hearing if he
                                              quotas, and fixing individual                            costs or prices; or significant adverse               determines it is necessary to resolve an
                                              manufacturing quotas. When fixing and                    effects on competition, employment,                   issue of material fact raised by a state
                                              adjusting the aggregate production                       investment, productivity, or innovation,              objecting to the proposed quantity for
                                              quota, or fixing an individual                           or on the ability of United States-based              the class as excessive for legitimate
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                                              manufacturing quota for a controlled                     enterprises to compete with foreign-                  United States’ needs. In the event the
                                              substance, the DEA has always                            based enterprises in domestic and                     Administrator decides to hold a hearing,
                                              considered all available information                     export markets.                                       he shall publish notice of the hearing in
                                              regarding the diversion of that                                                                                the Federal Register, which notice shall
                                              controlled substance. While the final                    List of Subjects in 21 CFR Part 1303                  summarize the issues to be heard and
                                              rule’s amendments, as discussed above,                     Administrative practice and                         shall set the time for the hearing, which
                                              may result in the receipt and                            procedure, Drug traffic control.                      shall not be less than 30 days after the


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                                              32790               Federal Register / Vol. 83, No. 136 / Monday, July 16, 2018 / Rules and Regulations

                                              date of publication of the notice. After                 filed with him, except that the                       objection by a state,’’ before ‘‘hold a
                                              consideration of any comments or                         Administrator shall hold a hearing if he              hearing’’.
                                              objections, or after a hearing if one is                 determines it is necessary to resolve an                Dated: July 11, 2018.
                                              ordered by the Administrator, the                        issue of material fact raised by a state              Uttam Dhillon,
                                              Administrator shall issue and publish in                 objecting to the proposed adjusted quota
                                                                                                                                                             Acting Administrator.
                                              the Federal Register his final order                     as excessive for legitimate United States’
                                                                                                                                                             [FR Doc. 2018–15141 Filed 7–13–18; 8:45 am]
                                              determining the aggregate production                     needs. In the event the Administrator
                                              quota for the basic class of controlled                  decides to hold a hearing, he shall                   BILLING CODE 4410–09–P

                                              substances. The order shall include the                  publish notice of the hearing in the
                                              findings of fact and conclusions of law                  Federal Register, which notice shall
                                              upon which the order is based. The                       summarize the issues to be heard and                  DEPARTMENT OF HOUSING AND
                                              order shall specify the date on which it                 shall set the time for the hearing, which             URBAN DEVELOPMENT
                                              shall take effect. A copy of said order                  shall not be less than 10 days after the
                                              shall be mailed simultaneously to each                   date of publication of the notice. After              24 CFR Parts 28, 30, 87, 180, and 3282
                                              person registered as a bulk manufacturer                 consideration of any comments or                      [Docket No. FR–6076–F–01]
                                              of the basic class and transmitted to                    objections, or after a hearing if one is
                                                                                                                                                             RIN 2501–AD86
                                              each state attorney general.                             ordered by the Administrator, the
                                              ■ 3. In § 1303.12, paragraph (b), add                    Administrator shall issue and publish in              Adjustment of Civil Monetary Penalty
                                              after the fifth sentence a new sentence                  the Federal Register his final order                  Amounts for 2018
                                              to read as follows:                                      determining the aggregate production
                                                                                                       for the basic class of controlled                     AGENCY:    Office of the General Counsel,
                                              § 1303.12   Procurement quotas.                          substance. The order shall include the                HUD.
                                              *     *     *      *    *                                findings of fact and conclusions of law               ACTION:   Final rule.
                                                (b) * * * The Administrator may                        upon which the order is based. The
                                              require additional information from an                   order shall specify the date on which it              SUMMARY:   This rule provides for 2018
                                              applicant which, in the Administrator’s                  shall take effect. A copy of said order               inflation adjustments of civil monetary
                                              judgment, may be helpful in detecting                    shall be mailed simultaneously to each                penalty amounts required by the Federal
                                              or preventing diversion, including                       person registered as a bulk manufacturer              Civil Penalties Inflation Adjustment Act
                                              customer identities and amounts of the                   of the basic class and transmitted to                 of 1990, as amended by the Federal
                                              controlled substance sold to each                        each state attorney general.                          Civil Penalties Inflation Adjustment Act
                                              customer. * * *                                                                                                Improvements Act of 2015.
                                                                                                       § 1303.21    [Amended]                                DATES: Effective date for 2018 inflation
                                              *     *     *      *    *
                                              ■ 4. In § 1303.13, revise paragraphs                     ■ 5. In § 1303.21, in paragraph (a),                  adjustment: August 15, 2018.
                                              (b)(1) and (c) to read as follows:                       remove ‘‘§§ ’’ in the second sentence                 FOR FURTHER INFORMATION CONTACT:
                                                                                                       and add in its place ‘‘§ ’’.                          Dane Narode, Associate General
                                              § 1303.13 Adjustments of aggregate                       ■ 6. In § 1303.22:                                    Counsel, Office of Program
                                              production quotas.                                                                                             Enforcement, Department of Housing
                                                                                                       ■ a. In paragraph (c)(2), remove the
                                              *      *    *     *     *                                word ‘‘econolic’’ and add in its place                and Urban Development, 1250
                                                 (b) * * *                                             the word ‘‘economic’’.                                Maryland Avenue SW, Suite 200,
                                                 (1) Changes in the demand for that                    ■ b. Add paragraph (d).                               Washington, DC 20024; telephone
                                              class, changes in the national rate of net                 The addition reads as follows:                      number 202–245–4141 (this is not a toll-
                                              disposal of the class, changes in the rate                                                                     free number). Hearing- or speech-
                                              of net disposal of the class by registrants              § 1303.22 Procedure for applying for                  impaired individuals may access this
                                              holding individual manufacturing                         individual manufacturing quotas.                      number via TTY by calling the Federal
                                              quotas for that class, and changes in the                *     *    *    *     *                               Information Relay Service, toll-free, at
                                              extent of any diversion in the class;                      (d) The Administrator may require                   800–877–8339.
                                              *      *    *     *     *                                additional information from an                        SUPPLEMENTARY INFORMATION:
                                                 (c) The Administrator in the event he                 applicant which, in the Administrator’s
                                              determines to increase or reduce the                     judgment, may be helpful in detecting                 I. Background
                                              aggregate production quota for a basic                   or preventing diversion, including                       The Federal Civil Penalties Inflation
                                              class of controlled substance, shall                     customer identities and amounts of the                Adjustment Act Improvements Act of
                                              publish in the Federal Register general                  controlled substance sold to each                     2015 (the 2015 Act) (Pub. L. 114–74,
                                              notice of an adjustment in the aggregate                 customer.                                             Sec. 701), which further amended the
                                              production quota for that class                                                                                Federal Civil Penalties Inflation
                                                                                                       § 1303.23    [Amended]
                                              determined by him under this section.                                                                          Adjustment Act of 1990 (Pub. L. 101–
                                              A copy of said notice shall be mailed                    ■  7. In § 1303.23, add the phrase ‘‘the              410), requires agencies to make annual
                                              simultaneously to each person                            extent of any diversion of the controlled             adjustments to civil monetary penalty
                                              registered as a bulk manufacturer of the                 substance,’’ after ‘‘strikes),’’ in                   (CMP) amounts for inflation
                                              basic class and transmitted to each state                paragraph (a)(2), and add the phrase                  ‘‘notwithstanding section 553 of title 5,
                                              attorney general. The Administrator                      ‘‘any risk of diversion of the controlled             United States Code.’’ Section 553 refers
                                              shall permit any interested person to file               substance,’’ after ‘‘strikes),’’ in                   to the Administrative Procedure Act,
sradovich on DSK3GMQ082PROD with RULES




                                              written comments on or objections to                     paragraph (b)(2).                                     which might otherwise require a delay
                                              the proposal and shall designate in the                                                                        for advance notice and opportunity for
                                                                                                       § 1303.32    [Amended]
                                              notice the time during which such                                                                              public comment on future annual
                                              filings may be made. The Administrator                   ■ 8. In § 1303.32, in paragraph (a), add              inflation adjustments. This annual
                                              may, but shall not be required to, hold                  the phrase ‘‘and shall, if determined by              adjustment is for 2018.
                                              a public hearing on one or more issues                   the Administrator to be necessary under                  The annual adjustment is based on
                                              raised by the comments and objections                    § 1303.11(c) or 1303.13(c) based on                   the percent change between the U.S.


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Document Created: 2018-07-14 00:53:21
Document Modified: 2018-07-14 00:53:21
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionRules and Regulations
ActionFinal rule.
DatesThis final rule is effective August 15, 2018.
ContactMichael J. Lewis, Diversion Control
FR Citation83 FR 32784 
RIN Number1117-AB48
CFR AssociatedAdministrative Practice and Procedure and Drug Traffic Control

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