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DRAFT DISCUSSION PAPER ON
Bill C-51 Prepared by Shawn Buckley, president of the NHPPA on April 9, 2008.
Purpose of the Paper
Yesterday the Minister of Health introduced Bill C-51 into the House of
Commons. The Bill passed
first reading. The following
is a link to a version of the Bill:
http://www2.parl.gc.ca/HousePublications/Publication.aspx?DocId=3398126&
Although this only occurred yesterday, upon our reading of the Bill it
became apparent that it may have wide ranging negative implications for
the Natural Health Product industry.
We are of the opinion that it would be prudent to draft an
initial discussion paper to be circulated to
stakeholders and more importantly
to other stakeholder groups to begin discussion on the issues raised in
this Bill.
Need for a Broad Consensus We feel
that Bill C-51 has such broad implications for the Natural Health
Product Industry that it would be prudent for all of the various
stakeholder groups to collaborate to see if an industry consensus can be
reached in how to approach Bill C-51.
If Bill C-51 poses a threat to the industry, unless there is
consensus, efforts to protect the industry will fail.
Discussion Paper Only This is
a discussion paper only and does not reflect the position of the NHPPA
or of the NHPPA advisory board.
The thoughts and comments are those of the author, Mr. Shawn
Buckley and are intended to foster discussion. The
NHPPA will formulate its position after industry feedback.
Invitation to Other
Stakeholder Groups We will
be forwarding this discussion paper to other stakeholder groups such as
the CHFA and consumer groups.
We
would like the other stakeholder groups to analyze the Bill.
We would then like to get representatives of the various groups
together to see if a consensus can be reached concerning Bill C-51.
We believe that it is important for the various stakeholder
groups to take a leading role with their members on this issue in the
event that their leadership is required to protect the industry.
Initial Points of Discussion
Scope of Discussion Points Because
we feel it is necessary to get this Discussion Paper out immediately to
stimulate examination and discussion on Bill C-51, I will only focus on
what I consider to be major points.
I fully expect that as others examine this Bill and take part in
the discussion that they will identify other significant issues.
Preamble to the Act The
preamble to the Act is not part of the Act and does not become law if
the Bill is passed. What the
preamble does is explain why the Bill is necessary. The
second last paragraph of the preamble reads:
“Whereas the Parliament of Canada recognizes that it is the
responsibility of regulated persons to ensure that only products that
meet legislative requirements are available to the public;” My
initial thoughts is that this is a classic case of what George Orwell
calls doublespeak. That is,
a case of saying the opposite of what you are doing.
What is
communicated:
that it is the responsibility of “regulated persons” to ensure that only
products that meet the legislative requirements are available to the
public. What
the Act does:
the Act gives broad power and responsibility to Health I am
troubled by this due to the following scenario developing:
1)
currently roughly 60% of
natural health product license applications are failing.
The majority of these license applications are for single
ingredient products which are easier to licence then multi-ingredient
products. The percentage of
failed license applications is expected to increase as more
multi-ingredient product license applications are considered.
My estimate is an overall failure rate of 70%.
This means that over 60% of the natural health products on the market
will fail the licensing process and will become illegal.
At that point the manufacturer can wilfully withdraw them from
the market or Health
2)
the NHPD has been given more
resources to process license applications which means that the majority
of the products will become illegal sooner rather than later;
3)
Health
4)
Bill C-51 gives inspectors
new powers to force products off of the market. I am
not aware of Health
If Health
The Move to the term
“Therapeutic Products” Bill
C-51 moves away from the use of the term “drug” and introduces the term
“therapeutic products”.
Indeed even the name of the “Food and Drugs Act” will be changed to “An
Act respecting foods, therapeutic products and cosmetics.” The
definition of “drug” remains unchanged but a new definition of
“therapeutic product” is added which includes drugs, medical devices and
cells, tissues or organs.
However, the term “drug” is replaced throughout the old Food and Drugs
Act with the term “therapeutic products”. Natural
Health Products remain “drugs” under the Act.
The only change is that now all drugs are referred to as
“therapeutic products” in the Act instead of as drugs. I have
found this to be a very interesting change, and perhaps the most
significant of all of the changes.
I think this is perhaps the most significant of all changes as I
asked myself the following questions:
1)
why is a language change
away from the word “drug” and to the term “therapeutic product”
important to Health
2)
what part of the industry is
this change for? We
think and communicate in language.
The terms we use to define and refer to things affect how we
think about them. That is
why advertising firms exist. The
term “drug” in the Food and Drugs Act is not substance specific in that
any substance is considered a “drug” if sold or manufactured for a
therapeutic purpose.
However, many people think of the word “drug” as referring to chemical
drugs as opposed to plants sold for therapeutic purposes. There
is no confusion in the public’s mind concerning pharmaceutical drugs.
When the public thinks of pharmaceutical drugs they are
comfortable with the word “drug”. There
is confusion when the word “drug” is applied to natural health products. Because
there was no confusion concerning pharmaceutical drugs and the word
“drug”, is the change of terminology directed at the Natural Health
Product industry or are there other reasons?
The
change certainly affects the dynamics of the debate over regulating NHPs
as foods or as a third category separate from drugs.
Let’s use the NHPPA’s position on regulatory change as an
example. The NHPPA Advisory
Board has given the NHPPA the goal of obtaining a regulatory environment
where:
(1)
NHPs are presumed to be
safe. A NHP cannot be taken
off of the market unless the Government can prove that it is unsafe;
(2)
there are different claims
structures so that:
a)
manufacturers do not have to
make claims;
b)
manufacturers can make
limited claims, such as structure function claims with a low evidence
threshold, and
c)
manufacturers can make
specific health claims if they can meet a higher evidence threshold;
(3)
NHPs are not regulated as
drugs. They are either
regulated as food or as a third category separate from drugs and food;
(4)
there are Good Manufacturing
Processes that are appropriate for the low risk profile of NHPs, and
(5)
there is a conflict
resolution mechanism to settle disputes between the Government and
industry members. The
last time consumers and the industry rebelled against Health Would
the rallying cry have been successful with the new term:
“don’t treat our foods as therapeutic products”?
Or to be more accurate:
“don’t treat or natural health products as therapeutic products”?
My
point in all of this is simply to communicate that terms and language
are important as they determine the parameters of how we think and can
affect debate. The change in
terms is being introduced deliberately by Health
Expanded Definition of
“Sell” The old
definition of “sell” is:
“’sell’ includes offer for sale, expose for sale, have in possession for
sale and distribute, whether or not the distribution is made for
consideration.” The new
definition of “sell” is”
“’sell’ includes offer for sale, expose for sale or have in possession
for sale or distribute to one or
more persons, whether or not the distribution is made for
consideration and in relation to a device, includes lease, offer for
lease, expose for lease or have in possession for lease.”
(emphasis added). The
lease provision is not going to affect the NHP industry. The
change that is interesting is the new if you distribute to “one or more
persons” you can be prosecuted for selling under the Act.
Under the old definition, although you did not have to get paid
if you gave product away, it is fair to say that the definition of
“sell”, especially when considered in the context of the Act as a whole,
would be considered to be referring to a commercial venture.
So for example a manufacturer giving out free samples would be
selling. Now the
term “selling” will apply to a single isolated giving of a therapeutic
product. So if I give my
child a natural health product I am now selling under the Act and can be
prosecuted. I doubt that the
intention is to prosecute parents for giving their children NHPs,
although that could happen under the new definition.
Rather, as a lawyer who defends people and companies charged with
violating the Act and Regulations, I see this as an open door to
prosecute natural health practitioners, including naturopathic and
homeopathic doctors. Changes
to legislation are supposed to solve a problem.
When we analyse this change to the definition of “sell” we need
to ask, what is the problem that Health Canada feels needs to be
addressed by significantly widening the scope of selling under the Act? It is
going to be vital to obtain the input of natural health practitioners
concerning this change.
Introduction of the term
“Controlled Activity” The
Bill creates the following term:
“’controlled activity’ means
(a)
in relation to a therapeutic
product manufacturing, collecting, processing, preserving, labelling,
packaging, importing for sale, distributing, wholesaling or testing, and
(b)
in relation to a designated
therapeutic product manufacturing collecting, processing, preserving,
labelling, packaging, importing, distributing or testing. My
initial thoughts on the introduction of this term is that it is again
directed at natural health practitioners such as naturopathic and
homeopathic doctors. The
Bill introduces the following section:
“13. No person shall conduct
a controlled activity unless
they are authorized by an establishment license to do so.” The
change from our current regulatory scheme is the expansion of the site
licence requirements.
Section 27 of the Natural Health Products Regulations does not include:
collecting, processing, preserving.
Section 27 already includes manufacturing.
By adding processing and preserving Health
Allowing Trade Agreements to
become law without Parliamentary Approval – and the Sharing of
Confidential Information with Foreign Governments and Agencies. The
following term is added to the Act:
“’government’ means any of the following
or their institutions, as applicable:
(a)
the federal government;
(b)
a corporation named in
Schedule III to 10 of the Financial Administration Act,
(c)
a provincial government
or a public body established
under an Act of the legislature of a province,
(d)
an aboriginal government as
defined in subsection 13(3) of the Access to Information Act,
(e)
a government of a foreign
state or of a subdivision of a foreign state, or
(f)
an international
organization of states.
(emphasis added).
Defining “government” to include foreign states or international
organizations of states such as the United Nations, is important because
of a change to section 30 of the Act.
Bill C-51 adds the following to the regulation making power of
the federal government:
“30(7) A regulation may incorporate by reference documents produced by a
person or body other than the Minister of the Canadian Food Inspection
Agency including
(a)
an organization established for the purpose of writing standards,
including an organization accredited by the Standards Council of Canada;
(b)
an industrial or trade organization; or
(c)
a government.” This
addition allows the federal government to make documents prepared by
foreign governments or bodies law in Just so
that everyone understands what this means I will explain the difference
between Acts and Regulations.
Acts are documents introduced into either the House of Commons or
the Senate. They must pass
three readings in both before they can become law.
This process ensures that Canadians and their representatives
become aware of proposed changes, have them debated in Parliament, and
have time to contest them.
Regulations on the other hand are simply published in the Canada Gazette
twice and then can be signed into law.
Parliament does not vote on regulations.
This change to allow the
federal cabinet to incorporate documents from foreign governments or
organizations as law by referring to them in regulations will remove
Parliamentary scrutiny on issues that could fundamentally change the
ground rules for our industry.
Because these changes were
not made by accident, the questions are raised:
what purpose is served by
removing Parliamentary scrutiny to the adoption of documents from
foreign governments and institutions into Canadian Law, and
does the federal cabinet
already have specific foreign documents in mind?
There
are also significant confidentiality issues associated with the new term
of “government” in the Act.
Bill C-51 also gives the Minister authority to disclose personal and
business information without consent to a person or “government” that
carries out functions relating to the protection or promotion of human
health (see sections 20.9, 21 and 21.1).
There are some safeguards, but at the same time the Minister has
new power to share personal and confidential business information with a
wide range of bodies, both Canadian and foreign, without consent.
Product Monographs are
“Deemed” to be part of your Label Bill
C-51 adds:
2.1 For the purposes of this Act,
a)
a product monograph of a
therapeutic product is deemed to be a label even if it is not attached
or included in or does not accompany the therapeutic product;
Approaching this from a defence counsel perspective, my immediate
concern is that this will subject companies to misrepresentation and
fraud charges. I will
need input from industry stakeholders concerning the implications when
manufacturers disagree with the Health Canada monographs. It
would also be helpful to get feed-back as to why Health
A New Purpose of The Act The
Food and Drugs Act (i.e. the Food and Therapeutic Products Act) is given
a new purpose which is:
2.3 The purpose of this Act is to protect and promote the health and
safety of the public and
encourage accurate and consistent product representation by
prohibiting and regulating certain activities in relation to foods,
therapeutic products and cosmetics.
(emphasis added).
Section 3 Prohibiting
Schedule A Claims is Removed Section
3 of the Act which prohibited Schedule A claims is removed.
I expect that this is in response to the CanWest lawsuit to have
s. 3 declared unconstitutional.
New Restrictions on the
Importation and Transportation of Food Section
4 of the Act is amended to include restrictions on the “import for sale”
of foods that are poisonous, unfit, injurious or adulterated.
I do not see a difficulty with this.
This is
part of a general change in the Act towards prohibiting importation and
shipping.
Sections 5.1 to 5.4 are added which place restrictions on “prescribed
food”. A prescribed food
will be a food put on a list by the federal cabinet.
These sections prevent the importation from another country and
the shipping across provincial borders of a prescribed food unless they
have a “registration or a license”.
These foods can only be sent to registered establishments. It is
not clear to me at this point what danger or purpose these new
provisions are directed to addressing.
What foods currently need these types of restrictions? Bill
C-51 represents a tightening of restrictions and the increasing of
Health
Importing is added to
prohibitions in the former sections 8 and 9. The new
sections 8 and 9 are similar in nature to the old ones except that the
prohibitions are expanded to include importing and conveying for sale.
Is Health Prior
to the creation of the NHPD universities did not get Health It has
also been the case that some clinical trial businesses did not feel they
needed Health The new
Act adds a definition of “clinical trial” as well as a prohibition on
conducting a clinical trial for a therapeutic product without Health As I
read the new provisions, I think that a study of limes for scurvy would
now require Health I would
like input as to whether the current regime needs to be widened?
The need for pre-market
approval becomes part of the Act as opposed to part of the Regulations –
And the Criteria Changes. The new
section 12 provides:
12(1) No person shall advertise, sell or import for sale a therapeutic
product that does not have a market authorization or is not a designated
therapeutic product. The Act
does not currently require Health This
change will mean that there is a blanket need for pre-approval and any
exception needs to be added to the Regulations.
What
has changed is that the Act will now presume that all “therapeutic
products” are dangerous and need pre-approval unless specifically
exempted. Again
part of the general tightening in Bill C-51.
Concerning the criteria
change: section
18.7 will only enable Health
This criteria change is
legislating an efficacy requirement.
The NHPD will have to have evidence of efficacy before they can
determine that the benefits outweigh any risks. This
balancing is appropriate for chemical drugs that carry a high risk
profile. The industry will
have to discuss whether it is appropriate for the NHP industry which has
never caused a single death in Canadian history.
In any event, if Bill C-51 passes, the goal posts for the NHP industry
will change which should require re-licensing of NHPs.
After the Act is changed to
require NHPs to demonstrate their benefits outweigh their risks, NHPs
can only be exempted from this requirement if the federal cabinet is
satisfied that their nature is such that a risk assessment is not
necessary I have
just discussed how the Act will now require proof of efficacy before a
product can be licensed unless it is specifically exempted.
It needs to be appreciated, however, that there are limits on
exempting products from this requirement.
The new subsection 30(1.1) contains this limit as follows:
30 (1.1) a regulation may be made under paragraph (1)(d) [the section
governing the designation of therapeutic products]
only if the Governor in Council is satisfied that the therapeutic
product is one that by its nature does not need to be the subject of an
assessment of its benefits and risks. This
means that the federal cabinet could only exempt NHPs or a class of NHPs
from the new proof of efficacy requirement “if” they are satisfied that
“by its nature” it does not need to be subject to a benefit and risk
analysis. This is very vague
and there is no mechanism in place for making submissions to the
cabinet.
If Bill C-51 passes, those
in the industry such as our advisory board who would like to see NHPs to
be presumed safe until proven to be dangerous will be disappointed.
It would require a change to the new Act as opposed to a change
to the regulations.
“Import for sale” is added
to the old drug provisions. The old
drug provisions of the Act which are now the “therapeutic product”
provisions now include a prohibition for importing for sale although
this addition is not highlighted in the proposed Bill as other changes
are.
A Prohibition against
selling prescription “therapeutic products” without a prescription is
added to the Act. The
Regulations currently provide that prescription drugs (that is those
listed in Schedule F of the Regulations) are only available by those
authorized to write prescriptions.
This is now being put as part of the Act as opposed to the
Regulations. There
are other changes and it is not clear to me yet whether or not it will
now be Health Why the
prescription drug issue is important to the NHP industry is that Health
Canada currently has a policy that if you can extract a prescription
drug substance from a plant or animal, then that plant or animal can
only be sold by prescription.
So for example, green and black tea contain a prescription
substance but Health Again
part of the general tightening in Bill C-51.
Inspection and Seizure
Powers are Increased The
inspection and seizure powers found in s. 23 of the Act are increased
to:
·
give inspectors authority to
enter private property to prevent non-compliance with the Act or
Regulations;
·
enter conveyances for the
purposes of inspections;
·
enter places where even a
document relating to the Act and Regulations may be located.
Currently inspectors are restricted to places where articles to
which the Act or regulations apply are manufactured, prepared,
preserved, packaged or stored.
Note that document is defined in Bill C-51 to include information
that can be read by a computer or device so if your blackberry is in
your car the car can be searched;
·
take samples free of charge.
This is interesting for two reasons.
First, there is no limit to the value of the samples.
Second, although the current wording of the section does not
state that Health Canada should pay for samples they take, it was
clearly the intention of the government that they do pay for them.
Prior to the current wording the Act specifically set out that
Health Canada had to pay fair value for samples they took.
When the new wording was introduced the Minister made it clear
that although the wording changed that the samples were to be paid for.
This can be found in the Hansard for April 21, 1953 where the
Minister is asked:
Q.
In the matter of taking
samples, the section says that the inspector may take samples and
examine them. No provision
is made in section 21 for leaving the sample.
Later on in the bill we are going to come to the point of a court
case on the analysis of a sample.
A.
When an inspector takes the
sample he pays for it, of course.
There is a general principle that the government cannot take property
without compensating the owner.
Is it necessary to abandon that principle in this case?
·
seize and detain
for any time anything
connected to the Act and Regulations, such as your products and
equipment. This is a
significant change.
Currently, an inspector can only seize if he/she “believes on reasonable
grounds” the article is connected to a violation of the Act or
Regulations.
Now an inspector can seize all of
your property without the pre-condition that he/she believes it is
connected to a violation of the Act.
The addition of “for any time” is also a change.
Previously articles could only be held for such time “as may be
necessary” and in connection with a violation.
So for example, if your property was seized for a labelling
problem and you printed correct labels, the property should be released.
Now the property can be held for any time and for any reason.
This raises a question as to
why such new broad and sweeping
seizure powers are necessary?
Keep in mind that Health Canada always has access to the search warrant
provisions found in the Criminal Code.
These provisions have been used by Health
·
enter on and pass through or
over private property without any liability and without the owner of the
property having the right to object;
·
charge the owner for storage
of seized property.
Now not only can Health
·
if inspectors believe on
reasonable grounds the seized property could be injurious to human
health they can dispose of it at
the expense of the owner or direct the owner to dispose of it.
Currently inspectors have to either obtain the owner’s
consent or apply to a Court to have product destroyed.
This protects the property owner by ensuring that an impartial
Judge will make the decision.
It is difficult to understand why it is in anyone’s interest to
take away the current safeguards;
·
property is immediately
forfeited after 60 days unless an owner is identified.
No application to a Court is necessary.
I find this interesting as I was involved in a case in which
product was seized but for prosecution purposes Health
Inspectors are given
apparently unlimited powers to direct your actions and do “anything” for
even the slightest suspected violation of the Act or Regulations The new
section 23.8 gives inspectors extremely broad powers.
If the inspector believes on reasonable grounds there is a
contravention of the Act or Regulations they can direct you to:
a)
stop doing something that is
in contravention of the Act or the regulations or cause it to be
stopped; or
b)
take a measure that is
necessary to identify or respond to a risk of injury to health that is
related to the activity that is the subject of the contravention. This
means that if an inspector who does not understand the NHP industry, and
who is not qualified to make health decisions tells a manufacturer to
stop selling an essential product, or tells a natural health
practitioner not to provide a product their patients rely upon, that the
manufacturer or natural health practitioner is committing an offence if
they do not comply. The new
section 24 also gives Health I am of
the opinion that the recall provision is directed at the NHP industry.
As discussed above, I do not think there is a problem with the
chemical pharmaceutical industry recalling when Health There
are problems in the NHP industry with companies refusing to recall.
This is because often it is dangerous for a NHP company to issue
a recall. The most obvious
example is that of Truehope Nutritional Support.
The Alberta Court found that Truehope would have caused suicides
and hospitalizations if they had listened to Health When a
NHP manufacturer asks me whether they should follow a Health Canada
demand for a recall, I have to first get information from them as to
whether or not any Canadians rely upon the product for their health.
If they do then I have to advise them about the Criminal Code
criminal negligence provisions which would make them liable to criminal
prosecution if they removed a product from the market that people relied
upon, and for which there were not obvious alternatives. When
Health Bill
C-51 adds the right to apply to a Court for an injunction.
This right already exists under the Federal Court Act and so this
is not a significant change except that it may enable provincial
superior courts to consider injunction applications.
You are now told where to
keep your documents, which includes computer records The new
section 25 and 26 require you to keep your documents “in Again
part of the general tightening in Bill C-51.
Expanded powers to make
regulations For the
purpose of this discussion paper I am not going to go into the specifics
of the expanded powers except to comment that the Minister’s powers to
make regulations is expanded.
The new offence of not
listening to an inspector Section
31 is amended to make it an offence not to do something that the
Minister or an inspector directs you to do.
Similarly it is an offence to do something the Minister or an
inspector tells you not to do.
As
discussed above, this is particularly problematic for natural health
practitioners who would be violating the new Act if they failed to take
health decision advice from an inspector.
An incredible increase in
penalties for violating the Act or Regulations along with New Offences. There
are two types of offences under the Act:
indictable offences and summary conviction offences.
Indictable offences are considered more serious than summary
conviction offences. The
current penalties are:
·
for summary conviction
offences a fine of up to $500 and/or imprisonment of up to 3 months for
a first offence, and a fine of up to $1,000 and/or up to 6 months
incarceration for subsequent offences, and
·
for indictable offences a
fine of up to $5,000 and/or imprisonment for up to 3 years.
The new
penalties are:
·
for summary conviction
offences a fine of up to $250,000 and/or imprisonment of up to 6 months
for a first offence, and a
fine of up to $500,000 and/or up to 18 months of incarceration for
subsequent offences, and
·
For indictable offences a
fine of up to $5,000,000 and/or imprisonment of up to 2 years. This is
not a doubling or tripling of fines.
In the case of indictable offences the fine is increased by a
multiple of 1000 times. In
the case of summary conviction offences the fine is increased by a
multiple of 500 times.
This raises the question as
to why it is necessary to raise the primary penalty by multiples of 500
and 1000. This is probably
unprecedented in Canadian history.
Again,
we need to ask who the changes are directed towards and whether they
will be beneficial for the industry. There
are also new offences for wilfully or recklessly violating the Act or
Regulations or not listening to the Minister or an inspector.
The penalties for these new wilful or reckless offences are
higher. They are:
·
For summary conviction
offences a fine of up to $500,000 and/or imprisonment for up to 18
months for a first offence, and a fine of up to $1,000,000 and/or
imprisonment of up to two years for subsequent offences, and
·
for indictable offences “a
fine the amount of which is at the discretion of the court or to
imprisonment for a term of not more than five years or to both”.
Please note that in all of
my years defending companies in Court, I have never seen Health These
are penalties that few manufacturers or natural health practitioners
could survive.
Small and medium manufacturers along with natural health practitioners
now face bankruptcy for violations of the Act or Regulations.
Directors and officers of
corporations are now also personally responsible for violations of the
Act and Regulations and so are also facing personal bankruptcy if there
is any violation of the Act or Regulations.
Need for input This
draft document is admittedly only a cursory consideration of Bill C-51.
However, because the Bill presents significant changes that may
be extremely damaging to the NHP industry, we felt that it was necessary
to prepare an initial discussion document to get the various
stakeholders aware of the issues presented by the Bill.
It is
essential that stakeholders and stakeholder groups take the time to
examine Bill C-51 and to draw their own conclusions. We will
be inviting the various stakeholder groups to discuss the issues to see
if there is consensus on how the industry should proceed and how they
can take a leadership role in protecting the industry. I
anticipate that my very quick analysis will contain errors and that some
of you will correct them. I
thank you in advance for your input.
I am also looking forward to issues that I missed or avoided
being brought forward. For
those of you who would like to send their comments by email, probably
the best email address to use is
shawn@buckleyandcompany.net.
Please restrict your use
of this email address to your comments on this Discussion Paper.
Shawn
Buckley
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