CODEX,
SUPPLEMENTS, AND AMTA ON CONGRESSIONAL AGENDA
by Lee Bechtel
National NHF Advocate
July 2005
Action on health-freedom legislation is
taking shape in Congress. Legislators will be considering the
issues of whether or not to withdraw the United States from the
World Trade Organization and from the Codex process,
prescription-drug reimportation, dietary-supplement restrictions
in the name of food “safety,” and granting access to medical
treatments free of FDA interference.
Codex Legislation
Congressmen Ron Paul (TX-14) and Bernie
Sanders (I-VT) introduced House Joint Resolution 27. The bill,
in effect, called on the U.S. to withdraw from the Codex
Alimentarius (International Food Code) Commission, which is
sanctioned under the World Trade Organization (WTO). The NHF and
its representative, Scott Tips, have played a long and important
role in challenging the decisions and actions of the Codex
Commission and its committees over many years. The U.S.
representatives to the Commission from the Food and Drug
Administration (FDA) have been unresponsive to the complaints of
health-freedom and dietary-supplement groups in their
participation as a member country. The WTO is a non-transparent,
non-accountable organization that regularly votes against the
interests of the American people in all spheres of interest. It
is particularly galling to see the WTO as the enforcement arm of
the Codex, whose soon-to-be-finished "standards" will quickly
enough be used to take away our health freedoms here in America.
Unfortunately, on June 9, 2005, the House voted on H.J.Res. 27
and rejected the resolution. There were 86 Representatives who
did vote for it. This was more support than in the last
Congress. I actively lobbied to get Representatives to sign on
as sponsors of the bill. The NHF has also sent letters to all 86
Representatives thanking them for their leadership and courage
in supporting the legislation.
Tax Deductibility Of
Supplements
Two Congressional bills, HR 2486 and HR 1545,
have been introduced to treat expenses for certain
meal-replacement and dietary-supplement products that qualify
for FDA-approved health claims as being tax-deductible medical
care costs. This is a long overdue change in IRS tax policy.
It is well known that about 158 million people in America take
supplements on a regular basis, and that supplements help
prevent more serious illnesses. A reduction in healthcare
expenditures is of paramount importance to the future economic
well being of the country. Americans who are helping to keep
healthcare costs down are not allowed to claim the cost of
supplements as a medical expense. H.R. 1545 was introduced by
Congressman Chris Cannon (UT-3) and has four co-sponsors –
Representatives Jeb Bradley (NH-1), John Duncan (TN-2), Ron Paul
(TX-14), and Edolphus Towns (NY-10). H.R. 2486 was introduced
by Congressman Dan Burton (IN-6) and has a
similar number of cosponsors. The NHF supports both of
these bills. As of this writing, no hearings have been
scheduled on either of these bills.
Access To Medical
Treatment Act
Congressmen Dan Burton (IN-6) and Pete
DeFazio have reintroduced the Access To Medical Treatment Act (AMTA)
legislation, HR 2792. The bill allows Americans under strict
physician supervision and who fit tightly designed protocols to
have access to therapies and devices that are undergoing FDA
clinical trials as well as access to complementary and
alternative medical treatments that may never be in the
FDA-approval process because they are not financially viable.
The bill contains strict patient protections and does not
legalize the use of illegal drugs. The bill would also
establish a valuable, complementary private-sector funded
biomedical research program, saving taxpayer money while
contributing to the federal biomedical research program by
identifying promising medical treatments. AMTA would return
decision-making to physicians and patients who, in most cases,
have no other treatment alternatives. The NHF supports this
bill and I am currently working to sign up more supporters.
New Anti-DSHEA Bill
HR 2510, the Dietary Supplement Regulatory
Implementation Act, has been introduced. This is another piece
of legislation that would increase the authority of the Food and
Drug Administration (FDA) to regulate supplements like drugs.
Ten years after the DSHEA law was passed, the FDA has not
implemented the requirements of existing law, which many at NHF
frankly see as a good thing since there are compromise
provisions in DSHEA that are less than favorable to the consumer
and industry. This bill proposes to authorize more money for
the FDA for its DSHEA responsibilities and expanded regulatory
power. Granting the FDA more money and authority for a law that
it has not been able to carry out in the first place is
counter-productive to good governance. Regardless, the bill
includes provisions that are anti-supplement in their
public-policy purpose. Among other things, it would establish
mandatory adverse medical-event reporting requirements.
Consumers can already file AER reports with the FDA and we all
know that these “reports,” which don’t even have to be genuine,
will just be used to trigger the application of drug-like
standards to natural products. Instead of trusting basic
American intelligence and common sense, the bill would, as
usual, put these decisions in the hands of the FDA bureaucrats.
Rewarding FDA bureaucrats for non-performance is not
responsible government. Dietary-supplement consumers prefer
more health freedom of choice and less interference from the
FDA, not the reverse. The NHF opposes this bill and is lobbying
for its defeat.
Prescription-Drug
Reimportation
The Senate Health, Education, Labor and
Pensions (HELP) Committee held a hearing on SB 334; a drug-reimportation
bill sponsored by Senator Byron Dorgan and supported by 30 other
Democrat and Republican Senators. The bill would allow U.S.
residents to reimport as much as a 90-day supply of prescription
drugs from FDA-approved Canadian pharmacies. After 90 days, the
legislation would allow licensed pharmacists and
prescription-drug wholesalers to reimport drugs from Canada.
U.S. residents who travel to Australia, Japan, New Zealand,
Switzerland, or current European Union (EU) nations could return
with as much as a 90-day supply of prescription drugs for
personal use. After one year, pharmacists and wholesalers could
freely reimport medications from these countries. Pharmacists
and wholesalers that reimport prescription drugs would have to
register with the FDA and pay fees of as much as 1% of the price
of the medications. These funds would be used to cover the cost
of additional federal inspectors and monitoring the chain of
custody from manufacturers to consumers. There are several
reimportation bills pending in the House and Senate. SB 334 has
the most sponsors among the Senate bills. On the House side of
Capitol Hill, the reimportation bill that passed last year has
been reintroduced and is gaining support. While these are a
step in the right direction, a real health-freedom bill would be
simple and clear: just let consumers import or re-import the
pharmaceuticals that they wish to buy. Period. It is not clear
at this time, but it is expected that the big pharmaceutical
companies will again strongly oppose any and all reimportation
legislation.
DHEA Supplements
On the other side of Capitol Hill, a bill to
classify Dehydroepiandrosterone, or DHEA, as an anabolic steroid
and add it to the list of controlled substances, SB 1137, has
been introduced in the Senate. DHEA dietary supplements have
been on the market for over 20 years with the DHEA in these
products being derived from a plant in the wild yam family. DHEA
is a naturally occurring hormone that has a proven scientific
record of having a wide range of health benefits for older
Americans and people with chronic conditions. Above all, DHEA-containing
supplements are not anabolic steroids. This bill is contrary to
the intent of the Anabolic Steroid Control Act (ASCA) enacted
last year by Congress. In amending the law, during Senate floor
debate, it was made clear that DHEA should not be a controlled
substance. Further, the Senate mandated that the Drug
Enforcement Agency (DEA) must provide sufficient evidence of
illegal abuse among athletes or young people of DHEA supplements
before taking action to include it on the list of controlled
substances. There has been no evidence presented thus far in
this regard; and, to its credit, the
DEA is taking the position that DHEA supplements cannot and
should not be treated in this manner. In turn, though, this was the reason
for the reintroduction of the anti-DHEA bill. The NHF is
strongly opposed to this legislation; and, as the NHF lobbyist,
I am actively educating Senators and their staff about the
disadvantages of this bill.
Stem-Cell Research
Not that anyone should hold their breath, but
the House of Representatives recently passed HR 810, a bill to
loosen the restrictions on access to stem-cell lines for
research purposes. At a recent Senate Appropriations hearing on
the NIH budget for next year, Senators specifically raised the
issue of whether President Bush’s Executive Order limiting the
number of stem-cell lines that could be used for federal
biomedical research has hindered research. Senator Arlen
Specter (R-PA), the Chairman of the Senate Appropriations
subcommittee that funds the National Institutes of Health, asked
directors of the individual institutes at the NIH to comment on
the logistics of using the federally approved stem cell lines,
and whether NIH had given over leadership of the research to
California and other States wanting to do the same. Some
directors said that the administration's policy – which allows
federal funds to be used for research only on stem cell lines
that existed before August 2001 – was inadequate. The director
of the National Heart, Lung, and Blood Institute said that
progress was being delayed. To date, five bills have been
introduced. Legislation in the Senate, SB 471, is backed by 21
Democrats and Republicans, including Senators Orrin Hatch (R-UT)
and Spector. It seeks to expand the number of stem-cell lines
available to federally funded research projects. In the Senate,
Majority Leader Bill Frist has thus far refused to entertain any
debate or a Senate vote on the issue.
So, all in all, it will be a busy season for
us and we will have much to do to keep our health freedoms. But
that is nothing new for us, and we shall make our voices heard
on all of these health matters so that freedom will prevail.