96-5011. Food Labeling: Health Claims and Label Statements; Folate and Neural Tube Defects; Revocation  

  • [Federal Register Volume 61, Number 44 (Tuesday, March 5, 1996)]
    [Proposed Rules]
    [Pages 8750-8751]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 96-5011]
    
    
    
    
    [[Page 8749]]
    
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    Part III
    
    
    
    
    
    Department of Health and Human Services
    
    
    
    
    
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    Food and Drug Administration
    
    
    
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    21 CFR Part 101
    
    
    
    Food Labeling: Health Claims and Label Statements; Folate and Neural 
    Tube Defects; Proposed Rule and Final Rule
    
    21 CFR Part 136, 137, and 139
    
    
    
    Food Standards: Amendment of Standards of Identity for Enriched Grain 
    Products To Require Addition of Folic Acid; Final Rule
    
    21 CFR Part 172
    
    
    
    Food Additives Permitted for Direct Addition to Food for Human 
    Consumption; Folic Acid (Folacin); Final Rule
    
    Federal Register / Vol. 61, No. 44 / Tuesday, March 5, 1996 / 
    Proposed Rules
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    [[Page 8750]]
    
    
    DEPARTMENT OF HEALTH AND HUMAN SERVICES
    
    Food and Drug Administration
    
    21 CFR Part 101
    
    [Docket No. 93N-0481]
    RIN 0910-AA23
    
    
    Food Labeling: Health Claims and Label Statements; Folate and 
    Neural Tube Defects; Revocation
    
    AGENCY: Food and Drug Administration, HHS.
    
    ACTION: Proposed rule.
    
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    SUMMARY: The Food and Drug Administration (FDA) is proposing to revoke 
    a regulation authorizing a health claim on the relationship between 
    folic acid and neural tube defects (NTD's) on the labels and in the 
    labeling of dietary supplements that became final by operation of law. 
    The agency intends to replace this revoked regulation with one that is 
    published elsewhere in this issue of the Federal Register. This action 
    is being taken to ensure that the regulation that authorizes claims on 
    this nutrient disease relationship is fully responsive to the public 
    comments that FDA has received on this matter.
    
    DATES: Written comments by April 4, 1996. The agency is proposing that 
    any final rule that may issue based on this proposal become effective 
    on the date of publication of the final rule in the Federal Register.
    
    ADDRESSES: Submit written comments to the Dockets Management Branch 
    (HFA-305), Food and Drug Administration, 12420 Parklawn Dr., rm. 1-23, 
    Rockville, MD 20857.
    
    FOR FURTHER INFORMATION CONTACT: Jeanne I. Rader, Center for Food 
    Safety and Applied Nutrition (HFS-175), Food and Drug Administration, 
    200 C St. SW., Washington, DC 20204, 202-205-5375.
    
    SUPPLEMENTARY INFORMATION:
    
    I.- Background
    
        The Nutrition Labeling and Education Act of 1990 (the 1990 
    amendments) (Pub. L. 101-535) amended the Food, Drug, and Cosmetic Act 
    (the act) to give the Secretary of the Department of Health and Human 
    Services (the Secretary), and by delegation FDA, the authority to issue 
    regulations authorizing health claims on the labels and in the labeling 
    of foods. Section 403(r)(1)(B) of the act (21 U.S.C. 343(r)(1)(B)) 
    provides that a product is misbranded if it bears a claim that 
    characterizes the relationship of a nutrient to a disease or health-
    related condition, unless the claim is made in accordance with 
    procedures and standards established under section 403(r)(3) and 
    (r)(5)(D) of the act.
        The 1990 amendments also directed the Secretary to determine 
    through rulemaking whether claims regarding 10 nutrient-disease 
    relationships met the requirements of the act. The relationship of 
    folic acid and NTD's was among those 10 topics (section 3(b)(1)(A)(x) 
    of the 1990 amendments).
    
    A.- The 1991 Proposed Rule
    
        In the Federal Register of November 27, 1991 (56 FR 60537), FDA 
    proposed to not authorize a health claim on folic acid and NTD's. The 
    agency tentatively concluded that the available evidence did not 
    establish that the standard that FDA had proposed for health claims for 
    dietary supplements under section 403(r)(5)(D) of the act was met; that 
    is, that there was not significant scientific agreement, based on the 
    totality of publicly available scientific evidence, that the claim is 
    valid.
    
    B. The Public Health Service Recommendations
    
        In September 1992, following the availability of significant new 
    data, the Public Health Service (PHS) issued a recommendation that all 
    women of childbearing age in the United States who are capable of 
    becoming pregnant should consume 0.4 milligram (mg) of folic acid per 
    day for the purpose of reducing their risk of having a pregnancy 
    affected with spina bifida or other NTD's. The recommendation was based 
    on data suggesting that folic acid, when given at a high dose (4 mg), 
    can reduce the risk of recurrence of NTD's and on studies that used 
    multivitamins containing folic acid at dose levels from 0 to 1,000 
    micrograms per day. The PHS recommendation identified approaches and 
    identified outstanding issues, including the recommended intake of 
    folate, the potential role of other nutrients in reduction of risk of 
    NTD's, safety concerns, and the ``folate-preventable'' fraction of 
    NTD's.
    
    C.- The Dietary Supplement Act of 1992
    
        In October 1992, the Dietary Supplement Act of 1992 (the DS act) 
    was enacted. This statute imposed a moratorium on FDA's implementation 
    of the 1990 amendments with respect to dietary supplements until 
    December 15, 1993. The DS act directed FDA to issue proposed rules to 
    implement the 1990 amendments with respect to dietary supplements by 
    June 15, 1993, and to issue final rules based on these proposals by 
    December 31, 1993. The DS act also amended the so-called ``hammer'' 
    provision of the 1990 amendments, section 3(b)(2) of the 1990 
    amendments, to provide that if the agency did not meet the established 
    December 31, 1993, timeframe for issuance of final rules, the proposed 
    regulations would be considered final regulations.
    
    D.- The 1993 Final Rules for Health Claims for Food in Conventional 
    Food Form
    
        In the Federal Register of January 6, 1993 (58 FR 2606), FDA 
    published a final rule to not authorize a health claim for folic acid 
    and NTD's. However, the agency reaffirmed its support of the PHS 
    recommendation that all women of childbearing age in the United States 
    who are capable of becoming pregnant should consume 0.4 mg of folic 
    acid daily to reduce their risk of having a pregnancy affected with 
    spina bifida or other NTD's. The agency noted, however, that unresolved 
    questions about the safe use of folate remained. The agency concluded 
    that it could not authorize a health claim until these questions were 
    resolved. Because of the DS act, FDA took no final action with respect 
    to the use of a health claim on folic acid and NTD's on dietary 
    supplements.
    
    E. The 1993 Proposal to Authorize a Health Claim on Folic Acid and 
    NTD's
    
        In the Federal Register of October 14, 1993 (58 FR 53254), FDA 
    published a proposed rule to authorize the use of a health claim about 
    the relationship of folate and NTD's on the labels of foods in 
    conventional food form and dietary supplements. FDA tentatively 
    concluded, based on its discussions with an advisory committee, that it 
    could ensure the safe use of folate. FDA provided 60 days for comment 
    on this proposed action. The comment period closed on December 13, 
    1993.
    
    F. -The 1994 Final Rule
    
        Section 3(b)(2) of the 1990 amendments, as amended by section 
    202(a)(2)(B)(ii) of the DS act, provides that if the Secretary does not 
    promulgate final regulations on any of the health claims applicable to 
    dietary supplements in a timely manner, the proposed regulations shall 
    be considered final regulations but not until December 31, 1993. 
    Because FDA was unable to publish a final rule by December 31, 1993, in 
    the proceeding instituted in October of 1993, FDA published a notice in 
    the Federal Register of January 4, 1994 (59 FR 433), announcing that 
    the regulation that it had proposed in the October 1993 folate/NTD 
    proposal was considered to be a final regulation for dietary 
    
    [[Page 8751]]
    supplements by operation of law, effective July 1, 1994.
        This document did not conclude the rulemaking begun in October of 
    1993, however. Rather, the January 4, 1994, document was part of a 
    separate proceeding that is compelled under section 3(b)(2) of the 1990 
    amendments (see H. Rept. 101-538, 101st Cong., 2d Sess. 18 and 136 
    Congressional Record 5842 on the effect of this ``hammer'' provision).
        In the January 4, 1994 document, FDA stated that the rulemaking 
    that it instituted in October of 1993 was ongoing, and that it intended 
    to issue a final rule that would resolve the issues in that ongoing 
    proceeding. Elsewhere in this issue of the Federal Register, FDA is 
    issuing a final rule to conclude that proceeding. Given that FDA has 
    now issued that final rule, the regulation that resulted must to 
    supersede the regulation that became final by operation of law. The 
    agency is now instituting this rulemaking to bring about this 
    supersession.
    
    II.  The Proposal
    
        FDA is proposing to withdraw the regulation that became final by 
    operation of law on January 4, 1994 (the January 4, 1994, regulation). 
    FDA tentatively finds that this action is in the best interests of 
    consumers, manufacturers, and regulatory officials for several reasons.
        The January 4, 1994, regulation did not have the benefit of public 
    comment. It reflects FDA's initial views on the folic acid/NTD health 
    claim and what it should say. From the comments received in response to 
    the folic acid/NTD health claim proposal, it is clear that the January 
    4, 1994, regulation does not adequately address several issues related 
    to this health claim. Because the regulation included in the final rule 
    published elsewhere in this issue of the Federal Register addresses the 
    comments that the agency received and includes changes that the agency 
    has made in response to those comments, FDA tentatively finds that that 
    regulation is better able to implement the act than the January 4, 
    1994, regulation, and that it provides for a more useable and 
    scientifically valid health claim.
        FDA tentatively finds that replacing the January 4, 1994, 
    regulation with the regulation included in the final rule will not 
    result in any hardship to manufacturers who have relied on the January 
    4, 1994, regulation. The regulation in the final rule in most respects 
    is consistent with the January 4, 1994, regulation. The only 
    differences are those modifications that have been made to shorten the 
    claim and to provide more flexibility to those who decide to use it on 
    their labels or in their labeling. Thus, replacing the January 4, 1994, 
    regulation with the final regulation published elsewhere in this issue 
    of the Federal Register will not present manufacturers with a situation 
    in which they must adjust to a dramatic shift in the standard that they 
    must meet.
        FDA is also proposing to limit the comment period to 30 days, and 
    to make any final rule that issues in this proceeding effective on the 
    date of publication. FDA is proposing both of these actions for the 
    same reason. FDA believes that, if the regulation in the final rule is 
    to supersede the January 4, 1994, regulation, this action should 
    proceed as expeditiously as possible. Expeditious action will minimize 
    the possibility for confusion and ambiguity created by this action. FDA 
    tentatively finds that the proposed steps are necessary to facilitate 
    expeditious action, and thus that there is good cause for both of these 
    proposed actions.
    
    III.- Environmental Impact
    
        The agency has determined under 21 CFR 25.24(a)(11) that this 
    action is of a type that does not individually or cumulatively have a 
    significant effect on the human environment. Therefore, neither an 
    environmental assessment nor an environmental statement is required.
    
    IV.  Analysis of Impacts
    
        FDA has examined the impacts of the proposed rule under Executive 
    Order 12866 and the Regulatory Flexibility Act (Pub. L. 96-354). 
    Executive Order 12866 directs agencies to assess all costs and benefits 
    of available regulatory alternatives and, when regulation is necessary, 
    to select regulatory approaches that maximize net benefits (including 
    potential economic, environmental, public health and safety, and other 
    advantages; distributive impacts; and equity). The agency believes that 
    this proposed rule is consistent with the regulatory philosophy and 
    principles identified in the Executive Order.
        The Regulatory Flexibility Act requires agencies to analyze 
    regulatory options that would minimize any significant impact of a rule 
    on small entities. Because FDA has fully assessed the economic impact 
    of replacing the January 4, 1994, regulation with the regulation 
    contained in the final rule and has determined this proposal will 
    impose no costs, the agency certifies that the proposed rule will not 
    have a significant economic impact on a substantial number of small 
    entities. Therefore, under the Regulatory Flexibility Act, no further 
    analysis is required.
    
    V.  Comments
    
        Interested persons may, on or before April 4, 1996, submit to the 
    Dockets Management Branch (address above) written comments regarding 
    this proposal. Two copies of any comments are to be submitted, except 
    that individuals may submit one copy. Comments are to be identified 
    with the docket number found in brackets in the heading of this 
    document. Received comments may be seen in the office above between 9 
    a.m. and 4 p.m., Monday through Friday.
    
    List of Subjects in 21 CFR Part 101
    
        Food labeling, Nutrition, Reporting and recordkeeping requirements.
        Therefore, under the Federal Food, Drug, and Cosmetic Act and under 
    authority delegated to the Commissioner of Food and Drugs, it is 
    proposed that 21 CFR part 101 be amended as follows:
    
    PART 101--FOOD LABELING
    
        1.-The authority citation for 21 CFR part 101 continues to read as 
    follows:
    
        Authority: Secs. 4, 5, 6 of the Fair Packaging and Labeling Act 
    (15 U.S.C. 1453, 1454, 1455); secs. 201, 301, 402, 403, 409, 701 of 
    the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 321, 331, 342, 
    343, 348, 371).
    
    Sec. 101.79  [Removed]
    
        2. -Section 101.79 Health claims: folate and neural tube defects is 
    removed.
    
        Dated: February 26, 1996.
    David A. Kessler,
    Commissioner of Food and Drugs.
    Donna E. Shalala,
    Secretary of Health and Human Services.
    [FR Doc. 96-5011 Filed 2-20-96; 12:01pm]
    BILLING CODE 4160-01-F
    
    

Document Information

Published:
03/05/1996
Department:
Food and Drug Administration
Entry Type:
Proposed Rule
Action:
Proposed rule.
Document Number:
96-5011
Dates:
Written comments by April 4, 1996. The agency is proposing that any final rule that may issue based on this proposal become effective on the date of publication of the final rule in the Federal Register.
Pages:
8750-8751 (2 pages)
Docket Numbers:
Docket No. 93N-0481
RINs:
0910-AA23: Dietary Supplement Label Review
RIN Links:
https://www.federalregister.gov/regulations/0910-AA23/dietary-supplement-label-review
PDF File:
96-5011.pdf
CFR: (1)
21 CFR 101.79