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THERAPEUTIC GOODS AMENDMENT BILL (NO. 2) 2002



2002



THE PARLIAMENT OF THE COMMONWEALTH OF AUSTRALIA




HOUSE OF REPRESENTATIVES




THERAPEUTIC GOODS AMENDMENT BILL (NO. 2) 2002



EXPLANATORY MEMORANDUM



(Circulated by authority of the Hon Trish Worth MP, Parliamentary Secretary to Minister for Health and Ageing)

THERAPEUTIC GOODS AMENDMENT BILL (No. 2) 2002


OUTLINE

The Therapeutic Goods Amendment Bill (No. 2) 2002 makes changes to the Therapeutic Goods Act 1989 (the Act) and the Broadcasting Services Act 1992 (the BSA). The main purposes of these changes are to:

- clarify the definition of a therapeutic good at the food-medicine interface,
- transfer the remaining advertising offences from the Therapeutic Goods Regulations to the Act:
- create new offences for publishing advertisements that breach the Therapeutic Goods Advertising Code, and extend the coverage of existing offences to broadcast media; and
- make changes to the BSA to remove the provisions that incorporate the administrative functions relating to pre-approving advertisements about medicines intended for publication in broadcast media. The removal of the provisions from the BSA will enable these functions to be transferred to the Therapeutic Goods Regulations.

The proposed amendment to the definition of therapeutic goods in the Therapeutic Goods Act 1989 will provide greater clarity and certainty for industry, consumers and regulators at the food-medicine interface.

There are many occasions where it can be difficult to ascertain whether certain goods, because of the way they are presented, are “therapeutic goods” or “foods”. Where a food standard exists in the Australia New Zealand Food Standards Code which may apply to that good or class of goods, the current definition of therapeutic goods does not allow for a determination to be made under section 7 of the Act to address uncertain cases by allowing the Secretary to declare the goods to be or not to be therapeutic goods. This is the case even where all stakeholders agree that the good or class of goods should be regulated as therapeutic goods.

The effect of the current definition is to require that any complementary medicine, presented as assisting sports people in this way, be regulated as a food. This means the product (which may be in tablet or capsule form, with dosage instructions and indications for use) is not subject to any pre-market assessment, or any of the therapeutic model post-market regulatory surveillance. Additionally, the product cannot be represented as medicine or carry medicinal claims, as to do so would render it to be an illegal food.

The reason for the need for a timely amendment to the definition of “therapeutic goods” is to prevent further dissatisfaction and confusion with the regulation around the food-medicine interface as the status quo represents a gap in the risk management of certain complementary medicines, which could in the future pose public health and safety risks to consumers.

The Therapeutic Goods Advertising Code and the regulatory measures associated with the enforcement of the Code have been the subject of a review, and changes to both the Code and the enforcement provisions associated with giving effect to the Code are being made to increase its effectiveness. Currently, some of the offences relating to advertising still remain in the Therapeutic Goods Regulations, where the penalty for breaches of advertising requirements is set at 10 penalty points. Other comparable advertising offences have been included in the Act, where the penalty for breaches of advertising offences is 50-100 penalty points. To ensure consistency of penalties applying for all breaches of the Code, all advertising offences that are included in the Therapeutic Goods Regulations, are to be transferred to Part 5-1 of the Act, where other comparable advertising offences are located.

Based on recommendations from previous reviews of the therapeutic goods advertising provisions, a new requirement is for advertisements published in the different media described as ‘specified media’ to comply with the Code. This will ensure that the principles of the Code in its entirety will be enforceable in relation to advertisements published in all major forms of media, including broadcast media.

The removal of provisions in the BSA relating to the administrative function to pre-approving advertising intended for broadcast media will enable these functions to be transferred to the Therapeutic Goods Legislation.

FINANCIAL IMPACT STATEMENT


The amendments have no significant financial impact


THERAPEUTIC GOODS AMENDMENT BILL (No. 2) 2002

NOTES ON CLAUSES

Clause 1: Short Title
Clause 1 states that the short title of the legislation is the Therapeutic Goods Amendment Act (No. 2) 2002

Clause 2: Commencement
Clause 2 sets the commencement date for changes in the Schedules as the day fixed by proclamation.

Clause 3: Schedules
Clause 3 has the effect of stating that the Act will be amended in the manner specified in the Schedules.

SCHEDULE 1 – AMENDMENT TO THE THERAPEUTIC GOODS ACT 1989 (‘THE ACT’)

Item 1: amend the definition of ‘therapeutic goods’ in subsection 3(1)

The proposed amendment to the definition of therapeutic goods in the Therapeutic Goods Act 1989 will provide greater clarity and certainty for industry, consumers and regulators at the food-medicine interface.

The amendment to the definition of “therapeutic goods” will allow the use of section 7 in the practical manner that the legislation and all stakeholders always intended. Once a good has been or is declared to be, a therapeutic good, no matter when this occurs, it will be regarded as a therapeutic good, despite the fact that it is a good for which there is also a prescribed food standard.

Item 2: Amends the definition of the ‘Therapeutic Goods Advertising Code’, previously in the Regulations, to provide for its notification in the Gazette.

Item 3: Clarifies the various sections of the Act that require minor amendment to correctly refer to the advertising provisions inserted in the Act by this Bill, and no longer in the Regulations.

Item 4: This amendment changes the heading to Part 5-1 and transfers the application provisions specified in Part 2, Division 1 of the Therapeutic Goods Regulations to the Act. Part 5-1 will not apply to advertisements directed at health professionals, advertisements about goods not for human use or goods for export only.


Item 5: Repeals existing section 42A.

Items 6-16 amend section 42B (Definitions)

Item 6: Inserts a definition of a ‘broadcaster’ into the Act in relation to the advertising provisions. A broadcaster is a person whose principal business is broadcasting or the placement of advertisements for broadcasting (such as an advertising agency). A sponsor of therapeutic goods cannot be a broadcaster.

Item 7: Inserts a definition of ‘broadcast media’ into the Act. Provision is made for excluding particular means of electronic media (for example, advertisements on the internet) from the definition of ‘broadcast media’.

Items 8, 9, 12 and 13 transfer the definitions of ‘generic information’, ‘prohibited representations’, ‘required representation’ and ‘restricted representation’ from the Regulations to the Act.

Item 10: Replaces the definition of ‘publisher’ in the Act. A publisher is a person whose principal business is publishing or the placement of advertisements for publication (such as an advertising agency). A sponsor of therapeutic goods cannot be a publisher.

Item 11: Inserts a definition of ‘publishing’ in the Act, to include in that term the insertion of material (such as leaflets) within a magazine or newspaper.

Item 14: Transfers the definition of ‘specified media’ from the Regulations into the Act, and expands that definition to include ‘broadcast media’.

Item 15: Inserts a definition of ‘visual broadcast media’ into the Act. This definition is used in the new subsection 42C(4) to limit to visual forms of media the requirement to include approval numbers on advertisements in broadcast media.

Item 16: Inserts a new heading and a new section 42BA clarifying the application of section 42C to advertisements requiring pre-approval under the Regulations.

Item 17: Replaces existing section 42C and 42D with a new section 42C.

Subsection 42C(1) makes it an offence to publish or broadcast, or cause to be published or broadcast, an advertisement that has not been approved where pre-approval is required under the Regulations. This offence applies to anyone undertaking these activities, including publishers and broadcasters. The penalty for this offence is 60 penalty units.

Subsection 42C(2) makes it an offence to publish or broadcast, or cause to be published or broadcast, an advertisement that differs from the advertisement that was originally approved. The penalty for this offence is 60 penalty units.

Subsection 42C(3) provides a defence for prosecution under subsection (2) for publishers and broadcasters and where an advertisement only differs in respect of the matters specified.

Subsection 42C(4) makes it an offence for advertisements not to display an approval number, or to display a false approval number or an approval number that has expired. The penalty for this offence is 30 penalty units.

Subsection 42C(5) provides a defence to a prosecution under subsection (4) for publishers and broadcasters.

Subsection 42C(6) makes it an offence to publish or broadcast, or cause to be published or broadcast, an advertisement that contravenes any conditions under which the advertisement was approved. The penalty for this is 60 penalty units.

Subsection 42C(7) provides a defence to prosecution under subsection (6) for publishers and broadcasters.

Subsection 42C(8) makes an offence under section 42C an offence of strict liability.

Section 42C of the Therapeutic Goods Act currently contains four offence provisions relating to advertising that are offences of strict liability. The proposed amendments extend the coverage of section 42C to also include broadcast media, outdoor displays and films so that all activities concerning the broadcasting and publication of advertisements relating to therapeutic goods are treated in a similar manner. The actual penalty for breaching these strict liability offences is being reduced from 100 and 50 penalty units to 60 and 30 penalty units respectively, in order to align with current Commonwealth criminal law policy.

Where strict liability applies to an offence the prosecution does not have to prove fault on the part of the defendant (see section 6.1 of the Criminal Code). The prosecution need only prove that the physical element of the offence did occur. However, there is a defence of mistake of fact under section 9.2 of the Criminal Code. Section 9.2 provides that the person is not criminally responsible for an offence of this nature if, at or before the time of the conduct, the person considered whether or not a relevant fact existed and is under a mistaken but reasonable belief about the fact and, had that fact existed, the conduct would not constitute an offence. If there is a mistake of fact, the evidential burden of proof is on the defendant who has to adduce or point to the evidence that suggests a reasonable possibility that the fact exists or does not exist. If the defendant is able to do this, the prosecution is required to prove beyond a reasonable doubt that there was no such mistake.

These section 42C offences, are an integral part of the regulation of advertising of therapeutic goods. It is appropriate that persons responsible for the publication or broadcasting of such advertisements undertake their activities in accordance with the requirements of the legislation. The offences are summary in nature and are aimed at ensuring the responsible advertising of therapeutic goods. It is important that consumers are not misled and that they are able to make decisions about using therapeutic goods safely and appropriately. The expansion of the offence in subsection 42C(1) to broadcasters is also consistent with responsibilities under the Broadcasting Services Act 1992 where it is a condition of a broadcasting licence that unapproved advertisements about therapeutic goods are not broadcast.

Item 18: Transfers the general provisions relating to advertisements that do not require pre-approval from the Regulations to the Act, and inserts them into a new Division 3 of Part 5-1. The item also transfers the provisions relating to generic information and inserts them into a new Division 4 of Part 5-1.

Section 42DA limits the Division to advertisements about therapeutic goods other than those for which approval is required under Part 2 of the Therapeutic Goods Regulations. Examples of forms of advertising that do not require approval where the goods being advertised are designated therapeutic goods would include flyers, letter box drops, internet advertising, shelf talkers and other forms of point of sale advertising, not falling within the definition of ‘specified media’.

Section 42DB defines the terms ‘applicant’ and ‘approval holder’ for the purposes of Division 3.

Section 42DC does not allow advertisements for representations in an advertisement about therapeutic goods to be false or misleading. The Secretary may prevent publication or broadcast of the offending advertisement by notifying the person apparently responsible for the advertisement.

Section 42DD does not allow advertisements to refer to a serious form of disease that is not appropriate for a consumer to self diagnose or treat (for example, heart disease) unless the person has approval from the Secretary or it is permitted under subsection 42DK(1). These types of representations are termed ‘restricted representations’.

Section 42DE specifies that applications for approval to use a restricted representation must be made in writing to the Secretary.

Section 42DF sets out the process for approving the use of restricted representations. The representation must be accurate and balanced and not misleading or likely to mislead.

Section 42DG specifies that the Secretary must provide notice in writing of whether approval to use a restricted representation has been granted or refused, and sets out other requirements relating to the notification, including conditions to which the approval is subject.

Section 42DH specifies that the Secretary may, in writing, vary conditions of approval of a restricted representation provided the applicant is informed of the reasons for the variation and is provided details of how to appeal the Secretary’s decision.

Section 42DI specifies how and on what grounds the Secretary may withdraw approval of a restricted representation.

Section 42DJ specifies that for the purpose of Part 5-1, the Regulations may further specify representations which are prohibited or required representations.

Section 42DK specifies that the Secretary may by notice in the Gazette or on the Department of Health and Ageing’s website permit the use of a restricted or a prohibited representation.

Section 42DL specifies the general advertising offences being transferred from the Regulations. The offences include publishing or broadcasting an advertisement containing a prohibited representation, use of an unapproved restricted representation and an advertisement about goods not entered on the Australian Register of Therapeutic Goods (ARTG). Provision has been made for strict liability to apply to certain physical elements of these offences.

Section 42DM specifies that it is an offence for advertisements for therapeutic goods to be either published or broadcast that do not comply with the Therapeutic Goods Advertising Code.

Section 42DN limits the effect of Division 4 to apply to generic information about ingredients or components of therapeutic goods.

Subsection 42DO specifies that generic information must comply with the principles of the Therapeutic Goods Advertising Code.

Section 42DP makes it an offence to publish or broadcast generic information that does not comply with the Therapeutic Goods Advertising Code.

Section 42DP replaces the more specific offence provisions relating to particular breaches of the Advertising Code with a general offence for breaching the Code in relation to the advertising of generic information. The effective administrative sanction of removing a product from the ARTG is not available in the case of information about substances that, by their nature, are not on the ARTG. In these circumstances it is appropriate to transfer the offence provisions to the Act in order that an adequate penalty be available.

The new offences in sections 42DM and 42DP are also an integral part of the regulation of advertising of therapeutic goods and hence are offences of strict liability. It is appropriate that persons responsible for the publication or broadcasting of such advertisements undertake their activities in accordance with the requirements of the legislation. The offences are summary in nature and are aimed at ensuring the responsible advertising of therapeutic goods, so that consumers are not mislead but rather are able to make rational decisions about using therapeutic goods safely and appropriately. The penalty provided is 60 penalty units, which is consistent with Commonwealth criminal law policy relating to offences of strict liability.

Item 19: Effectively transfers the appeal rights available under the Regulations to the Act by amending the subsection 60(1) definition of ‘initial decision’. Review rights are available in respect of decisions made under new sections 42DF, 42DH and 42DI.

SCHEDULE 2 – AMENDMENT OF THE BROADCASTING SERVICES ACT 1992 (the BSA)


Item 1: Repeals the current definition of ‘medicine’ in Clause 1 of Schedule 2 of the BSA, as this definition will no longer be required.

Item 2: Repeals subclauses 6(2) to (8) of Schedule 2 of the BSA. A new subclause (2) retains the requirement for a broadcaster to only broadcast approved advertisements where advertisements about therapeutic goods are required to be approved under the Therapeutic Goods Act 1989.

The approval of advertisements under repealed subclauses 6(3) to (8) of Schedule 2 of the BSA was granted by the Secretary to the Department of Health and Ageing, or her delegates. Review of the Secretary’s decisions to be undertaken by the Minister for Communications, Information Technology and the Arts was available under these repealed subclauses.

By transferring the administrative functions relating to pre-approving advertisements about medicines intended for publication in broadcast media from the BSA to the Therapeutic Goods Regulations, inconsistencies regarding the application of the Therapeutic Goods Advertising Code to advertisements in the broadcast media will be resolved. The pre-approval and review of decisions in relation to approval of all advertisements about therapeutic goods will be undertaken in the same manner, irrespective of the media in which the advertisement is to appear.

Item 3:

Provides transitional arrangements for completion of appeals by either the Minister for Health and Ageing or the Minister for Communications, Information Technology and the Arts in relation to pre-approval (or non-approval) of an advertisement for medicines to be published in the broadcast media, where the decision-making process has not been finalised when these amendments come into operation.

 


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