WASHINGTON When President Bush proposed a $6 billion program to
spur development of new vaccines and treatments to counter
bioterrorism, he was widely applauded by lawmakers, the drug
industry and terrorism experts.
But now, four months later, Congress is wrestling with the
details of "Project BioShield." Some lawmakers are balking at the
open-ended funding commitment sought by the Bush administration,
while drugmakers are lobbying for liability protections and trying
to make other parts of the proposal more to their liking.
No one is suggesting that the program is in jeopardy. But the
maneuvering on Capitol Hill illustrates the complexity and
difficulty of devising a dramatic expansion of the federal
government's role in key areas of drug development and homeland
security.
"Project BioShield is not business as usual," said Vijay Samant,
president and chief executive officer of Vical, a San Diego-based
vaccine developer.
The program could be a boon to biotechnology companies like
Vical. The company makes experimental DNA vaccines for diseases
including anthrax and Ebola, a virus that causes deadly
hemorrhaging.
BioShield is meant to encourage the development of new drugs to
combat such biological threats, as well as chemical and radiological
terrorism, by creating a guaranteed funding source and buyer the
U.S. government for cutting-edge products that may have little
commercial value. Vaccines and treatments for smallpox, anthrax,
plague, Ebola and botulism are among the priorities.
"These companies clearly need some assurances that there will
ultimately be a return for their investment. Without such
assurances, they will simply pursue the development of other
products," said Dr. Anthony Fauci, director of the National
Institute of Allergy and Infectious Diseases.
The program also promises to speed government grants and
contracts for research and development of new therapies and to
expedite peer review procedures. Some unapproved drugs could be used
on an emergency basis in the event of an attack, if alternative
treatments were not available.
A centerpiece of BioShield is the Bush administration's desire
for "permanent indefinite funding authority," which would insulate
the program from the political vagaries of annual congressional
budget making.
Fauci has repeatedly told lawmakers that many vaccine developers
"do not want to be vulnerable to the (uncertainty) of the cyclical
appropriations process."
Joe Panetta, president and CEO of Biocom, a San Diego-based trade
association for biotech companies, called the federal funding
commitment crucial.
"Too often what the companies have been up against under the
traditional process is they'll get funding for a short period of
time and, as their product moves through the development process,
there will no longer be funding there," he said.
But many in Congress are reluctant to surrender their hold on the
federal purse and the ability it gives them to keep a check on
programs. While the Senate Health Committee approved legislation in
March authorizing "such sums as may be necessary" for BioShield,
Sen. Robert Byrd, D-W.Va., objected to the open-ended funding and
has blocked a vote by the full Senate.
Last week, the House Energy and Commerce Committee agreed to $5.6
billion for the program over 10 years, about what the president
wanted, but balked at making the spending mandatory. The committee
also limited the total amount that could be spent through fiscal
year 2008 to $3.4 billion, starting with $890 million in 2004.
"I find mandatory appropriations eliminate responsibility,
oversight and the opportunity to see to it that the legislation
works," said Rep. John Dingell, D-Mich. "Clearly, people in the
administration have the idea... that they should be able to function
above law and without supervision."
The administration had a low-key response, but did not endorse
the committee's approach.
"The amount of money is about the same. So hopefully the
differences can be worked out," Fauci said in an interview.
Another thorny issue confronting lawmakers and the Bush
administration is the drug industry's desire for liability
protection in case a vaccine or treatment proves harmful, especially
if it is used on an emergency basis before Food and Drug
Administration approval.
"We obviously would prefer to have some liability protection in
there" beyond the usual federal contracting guidelines the
legislation contains, said Eric Loumeau, vice president and counsel
for Hollis-Eden Pharmaceuticals of San Diego.
House Energy and Commerce Committee Chairman Billy Tauzin, R-La.,
said it "was my preference to add such provisions," but he feared it
would require difficult negotiations that would halt progress on the
bill.
Rep. Henry Waxman, D-Calif., has suggested that patients also
deserve some protection.
"I understand why we'd want to give liability protection to the
manufacturers of these products," he said during a House Government
Reform Committee hearing on the BioShield. "But on the other hand,
if we're going to indemnify the companies... some of these products
still may harm consumers. If the administration can guarantee
liability protection to manufacturers, should it also compensate
those who are injured by the products?"
Some observers believe the matter eventually will be settled
behind closed doors, when House and Senate negotiators meet to
resolve differences over their legislation.
"They may not want to deal with this issue publicly. It's
touchy," said one industry lobbyist.
Pharmaceutical companies also have some concerns about a
requirement that drugs be produced and delivered within five years.
The Senate legislation allows a contract to be terminated within
three years "for failure to deliver a reasonable number... of units
of the product," with no compensation for the manufacturer.
"Some technologies, five years you're pushing it," said Samant,
the Vical executive, noting that drugs can take more than a decade
to develop.
But Fauci said a contract for a vaccine or treatment would in
most cases start toward the end of a drug's development cycle.
"The reason for that is to get away from stretching out the
research part of it," he said. "The bill is about procurement of
product."