United States · Bill · HR
H.R. 4598 (108th)
Accutane Safety and Risk Management Act
Introduced
16 June 2004
Last action
29 September 2004 · Introduced
Status
Sponsor introductory remarks on measure. (CR H7821-7822)
Sponsors
Rep. Stupak, Bart [D-MI-1], Rep. Smith, Christopher H. [R-NJ-4], Rep. Weldon, Dave [R-FL-15], Rep. Kilpatrick, Carolyn C. [D-MI-13], Rep. Wamp, Zach [R-TN-3], Rep. DeGette, Diana [D-CO-1], Rep. Burton, Dan [R-IN-5], Rep. DeLauro, Rosa L. [D-CT-3], Rep. Doyle, Michael F. [D-PA-14], Rep. Baca, Joe [D-CA-43], Rep. Gordon, Bart [D-TN-6], Rep. Stearns, Cliff [R-FL-6], Del. Christensen, Donna M. [D-VI-At Large], Rep. McDermott, Jim [D-WA-7], Rep. Miller, Candice S. [R-MI-10]
Subjects
Healthcare, Education
Source updated
18 August 2025
Summary
Accutane Safety and Risk Management Act - Requires the Secretary of Health and Human Services, acting through the Commissioner of Food and Drugs, to withdraw approval within 30 days for the sale of drugs that contain isotretinoin as an active ingredient, including Accutane. Allows the Secretary to approve subsequent supplemental applications for such drugs subject to certain restrictions, including safety reporting. Requires that distribution of such drugs be limited, including by: (1) allowing distribution only directly from manufacturers to pharmacists; (2) requiring pharmacists to register, receive education on side effects, dispense only those prescriptions from physicians at certified treatment centers, and file a statement of compliance; (3) developing educational materials for patients, including monthly questionnaires for patients to monitor the development of adverse side effects; (4) requiring patients to register, receive counseling on the drug, sign a statement providing informed consent for treatment, and undergo appropriate tests; and (5) limiting prescriptions to a 30-day supply with no refills. Specifies conditions for a clinic to be certified as a treatment center for a drug containing isotretinoin, including requiring each practitioner to meet certain conditions, such as requirements for registration, an agreement to prescribe in accordance with this Act, and reporting of adverse events. Requires the Secretary to monitor the distribution of such drugs to determine whether the drug is being distributed in accordance with this Act. Requires manufacturers and distributors of isotretinoin to report any information on adverse events associated with the drug to the Secretary. Requires the Secretary to conduct and support studies to explore the effects of isotretinoin on the central nervous system and behavior, including depression, suicide, and violent behavior.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
16 June 2004
Introduced
Referred to the House Committee on Energy and Commerce.
Source: IntroReferral
16 June 2004
Introduced
Introduced in House
Source: IntroReferral
16 June 2004
Introduced
Introduced in House
Source: IntroReferral
7 July 2004
Referred
Referred to the Subcommittee on Health.
Source: Committee
29 September 2004
Introduced
Sponsor introductory remarks on measure. (CR H7821-7822)
Source: IntroReferral
Votes
No vote records are attached yet.
Versions
- Introduced in House · 16 June 2004 · Download file
Documents
3 official files
Introduced in House (text)
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Introduced in House (text)
Introduced in House · EN · 16 June 2004
Introduced in House (PDF)
Introduced in House · EN · 16 June 2004
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Introduced in House
summary · EN · 16 June 2004
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Sponsors
- Rep. Stupak, Bart [D-MI-1] · D · Sponsor
- Rep. Smith, Christopher H. [R-NJ-4] · R · Sponsor
- Rep. Weldon, Dave [R-FL-15] · R · Sponsor
- Rep. Kilpatrick, Carolyn C. [D-MI-13] · D · Sponsor
- Rep. Wamp, Zach [R-TN-3] · R · Sponsor
- Rep. DeGette, Diana [D-CO-1] · D · Sponsor
- Rep. Burton, Dan [R-IN-5] · R · Sponsor
- Rep. DeLauro, Rosa L. [D-CT-3] · D · Sponsor
- Rep. Doyle, Michael F. [D-PA-14] · D · Sponsor
- Rep. Baca, Joe [D-CA-43] · D · Sponsor
- Rep. Gordon, Bart [D-TN-6] · D · Sponsor
- Rep. Stearns, Cliff [R-FL-6] · R · Cosponsor
- Del. Christensen, Donna M. [D-VI-At Large] · D · Cosponsor
- Rep. McDermott, Jim [D-WA-7] · D · Cosponsor
- Rep. Miller, Candice S. [R-MI-10] · R · Cosponsor
- · hsif00 · Standing
Related records
No cross-record relationships stored yet.
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/108th-congress/house-bill/4598
- Open data entity: https://api.congress.gov/v3/bill/108/hr/4598
- us · 108-hr-4598 · source updated 18 August 2025