As Passed by the Senate                       1            

123rd General Assembly                                             4            

   Regular Session                             Sub. H. B. No. 381  5            

      1999-2000                                                    6            


    REPRESENTATIVES PERZ-GARDNER-FORD-OLMAN-BATEMAN-BRITTON-       8            

     CORBIN-FLANNERY-HOLLISTER-OPFER-PADGETT-TAYLOR-WINKLER-       10           

     YOUNG-D. MILLER-METTLER-BENDER-O'BRIEN-HARRIS-ROBERTS-                     

        JERSE-STEVENS-HOOPS-SENATORS MUMPER-WHITE-LATTA-           11           

                       WATTS-GARDNER-HAGAN                         12           


_________________________________________________________________   14           

                          A   B I L L                                           

             To amend section 4759.10 and to enact sections        16           

                3715.80, 3715.81, 3715.82, 3715.83, 3715.84,       17           

                3715.85, and 3715.86 of the Revised Code           18           

                regarding the regulation of dietary supplements.   19           




BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:        21           

      Section 1.  That section 4759.10 be amended and sections     23           

3715.80, 3715.81, 3715.82, 3715.83, 3715.84, 3715.85, and 3715.86  25           

of the Revised Code be enacted to read as follows:                 26           

      Sec. 3715.80.  AS USED IN SECTIONS 3715.80 TO 3715.86 OF     28           

THE REVISED CODE, "DIETARY SUPPLEMENT" HAS THE MEANING GIVEN IN    30           

THE FEDERAL "FOOD, DRUG, AND COSMETIC ACT," 108 STAT. 4327         32           

(1994), 21 U.S.C.A. 321(ff), AS AMENDED.                           34           

      Sec. 3715.81.  FOR PURPOSES OF THIS CHAPTER, A DIETARY       36           

SUPPLEMENT SHALL BE TREATED AS A FOOD.  THE DIRECTOR OF            37           

AGRICULTURE SHALL ADMINISTER AND ENFORCE SECTIONS 3715.80 TO       39           

3715.86 OF THE REVISED CODE AND ANY RULES ADOPTED UNDER THOSE      41           

SECTIONS IN ACCORDANCE WITH CHAPTER 3717. OF THE REVISED CODE.                  

      Sec. 3715.82.  THE DIRECTOR OF AGRICULTURE MAY ADOPT RULES,  44           

IN ACCORDANCE WITH CHAPTER 119. OF THE REVISED CODE, TO            45           

ADMINISTER AND ENFORCE SECTIONS 3715.80 TO 3715.86 OF THE REVISED  46           

CODE.  IF RULES ARE ADOPTED, THE RULES SHALL BE NO MORE            47           

RESTRICTIVE THAN THE REGULATIONS PROMULGATED UNDER THE FEDERAL     48           

                                                          2      


                                                                 
"FOOD, DRUG, AND COSMETIC ACT," 52 STAT. 1040 (1938), 21 U.S.C.A.  50           

301, ET SEQ., AS AMENDED.                                          51           

      Sec. 3715.83.  IN ADDITION TO THE CONDITIONS SPECIFIED IN    53           

SECTION 3715.59 OF THE REVISED CODE, A DIETARY SUPPLEMENT IS       54           

ADULTERATED IF IT PRESENTS A SIGNIFICANT OR UNREASONABLE RISK OF   55           

ILLNESS OR INJURY UNDER THE CONDITIONS OF USE RECOMMENDED OR       56           

SUGGESTED IN ITS LABELING OR, IF THERE ARE NO RECOMMENDED OR       57           

SUGGESTED CONDITIONS OF USE, UNDER THE ORDINARY CONDITIONS OF      58           

USE.                                                               59           

      IF THE DIRECTOR OF AGRICULTURE FINDS OR HAS CAUSE TO         61           

BELIEVE THAT A DIETARY SUPPLEMENT IS ADULTERATED UNDER THIS        62           

SECTION, THE DIRECTOR SHALL PROCEED UNDER THE PROVISIONS OF THIS   63           

CHAPTER APPLICABLE TO ADULTERATED FOOD.  IN ANY ACTION TAKEN       64           

UNDER THIS SECTION, THE BURDEN OF PROOF SHALL BE ON THE DIRECTOR.  65           

      Sec. 3715.84.  (A)  A DIETARY SUPPLEMENT IS NOT MISBRANDED   68           

UNDER SECTION 3715.60 OF THE REVISED CODE SOLELY BECAUSE THE       69           

LABEL OR LABELING CONTAINS A STATEMENT THAT CHARACTERIZES THE      70           

RELATIONSHIP OF A NUTRIENT OR DIETARY INGREDIENT TO A DISEASE OR   71           

HEALTH-RELATED CONDITION IF ALL OF THE FOLLOWING CONDITIONS ARE    72           

MET:                                                                            

      (1)  THE STATEMENT DOES ONE OF THE FOLLOWING:                74           

      (a)  CLAIMS A BENEFIT RELATED TO A CLASSICAL NUTRIENT        77           

DEFICIENCY DISEASE AND DISCLOSES THE PREVALENCE OF THE DISEASE IN  78           

THE UNITED STATES;                                                              

      (b)  DESCRIBES THE ROLE OF A NUTRIENT OR DIETARY INGREDIENT  81           

INTENDED TO AFFECT THE STRUCTURE OR FUNCTION OF THE HUMAN BODY;    82           

      (c)  CHARACTERIZES A DOCUMENTED MECHANISM BY WHICH A         85           

NUTRIENT OR DIETARY INGREDIENT ACTS TO MAINTAIN THE STRUCTURE OR   86           

FUNCTION OF THE HUMAN BODY;                                                     

      (d)  DESCRIBES GENERAL WELL-BEING FROM CONSUMPTION OF A      89           

NUTRIENT OR DIETARY INGREDIENT.                                                 

      (2)  THE MANUFACTURER OF THE DIETARY SUPPLEMENT HAS          91           

SUBSTANTIATION THAT THE STATEMENT IS NOT FALSE OR MISLEADING.      93           

      (3)  THE LABEL CONTAINS, PROMINENTLY DISPLAYED AND IN        95           

                                                          3      


                                                                 
BOLDFACE TYPE, ONE OF THE FOLLOWING STATEMENTS:                    96           

      (a)  IN THE CASE OF A PRODUCT MANUFACTURED OR SOLD IN OHIO   99           

AND IN OTHER STATES, "THIS STATEMENT HAS NOT BEEN EVALUATED BY     100          

THE UNITED STATES FOOD AND DRUG ADMINISTRATION.  THIS PRODUCT IS   102          

NOT INTENDED TO DIAGNOSE, TREAT, CURE, OR PREVENT ANY DISEASE."    103          

      (b)  IN THE CASE OF A PRODUCT MANUFACTURED AND SOLD ONLY     105          

WITHIN THE STATE OF OHIO, "THIS STATEMENT HAS NOT BEEN EVALUATED   106          

BY THE OHIO DEPARTMENT OF AGRICULTURE.  THIS PRODUCT IS NOT        107          

INTENDED TO DIAGNOSE, TREAT, CURE, OR PREVENT ANY DISEASE."        108          

      (4)  THE MANUFACTURER OF THE DIETARY SUPPLEMENT COMPLIES     110          

WITH THE REQUIREMENTS OF THE FEDERAL "FOOD, DRUG, AND COSMETIC     112          

ACT," 108 STAT. 4327 (1994), 21 U.S.C.A. 343(r)(6), AS AMENDED.    115          

      (B)  THE STATEMENT DESCRIBED IN DIVISION (A)(1) OF THIS      119          

SECTION SHALL NOT CLAIM THAT THE SUPPLEMENT IS TO BE USED TO                    

DIAGNOSE, MITIGATE, TREAT, CURE, OR PREVENT A SPECIFIC DISEASE OR  121          

CLASS OF DISEASES.                                                              

      (C)  IF THE DIRECTOR OF AGRICULTURE FINDS OR HAS CAUSE TO    124          

BELIEVE THAT A DIETARY SUPPLEMENT IS MISBRANDED UNDER THIS         125          

SECTION, THE DIRECTOR SHALL PROCEED UNDER THE PROVISIONS OF THIS   126          

CHAPTER APPLICABLE TO MISBRANDED FOOD.  IN ANY ACTION TAKEN UNDER  127          

THIS SECTION, THE BURDEN OF PROOF TO ESTABLISH MISBRANDING IS ON   128          

THE DIRECTOR.                                                                   

      (D)  A DIETARY SUPPLEMENT IS NOT A DRUG WITHIN THE MEANING   131          

OF SECTION 3715.01 OR 4729.01 OF THE REVISED CODE SOLELY BECAUSE   132          

THE LABEL OR LABELING CONTAINS A STATEMENT AUTHORIZED BY THIS      133          

SECTION OR BECAUSE A WARNING APPEARS ON THE SUPPLEMENT'S LABEL.    134          

      Sec. 3715.85.  (A)  AS USED IN THIS SECTION, "PUBLICATION"   137          

INCLUDES A BOOK CHAPTER, ARTICLE, OR OFFICIAL ABSTRACT OF A        138          

PEER-REVIEWED SCIENTIFIC ARTICLE PREPARED BY THE ARTICLE'S AUTHOR  139          

OR THE EDITORS OF THE PUBLICATION IN WHICH THE ARTICLE IS          140          

PUBLISHED.                                                                      

      (B)  A PUBLICATION USED IN CONNECTION WITH A SALE TO         143          

CONSUMERS OF A DIETARY SUPPLEMENT IS NOT CONSIDERED PART OF THE    144          

LABEL OF THE DIETARY SUPPLEMENT IF THE PUBLICATION MEETS ALL OF    145          

                                                          4      


                                                                 
THE FOLLOWING CRITERIA:                                                         

      (1)  THE PUBLICATION IS REPRINTED IN ITS ENTIRETY.           147          

      (2)  THE PUBLICATION IS NOT FALSE OR MISLEADING.             149          

      (3)  THE PUBLICATION DOES NOT PROMOTE A PARTICULAR           151          

MANUFACTURER OR BRAND OF DIETARY SUPPLEMENT.                       152          

      (4)  THE PUBLICATION IS DISPLAYED OR PRESENTED, ALONE OR     154          

WITH OTHER PUBLICATIONS ON THE SAME SUBJECT MATTER, SO AS TO       155          

PRESENT A BALANCED VIEW OF THE AVAILABLE SCIENTIFIC INFORMATION    156          

ON A DIETARY SUPPLEMENT.                                           157          

      (5)  IF THE PUBLICATION IS DISPLAYED IN A LOCATION WHERE     159          

DIETARY SUPPLEMENTS ARE OFFERED FOR SALE, THE PUBLICATION IS       160          

PHYSICALLY SEPARATE FROM THE DIETARY SUPPLEMENTS.                  161          

      (6)  THE PUBLICATION DOES NOT HAVE ANY OTHER INFORMATION     163          

AFFIXED TO IT.                                                                  

      (C)  DIVISION (B) OF THIS SECTION DOES NOT APPLY TO OR       167          

RESTRICT THE ACTIONS OF A PERSON WHO OFFERS DIETARY SUPPLEMENTS    168          

FOR SALE AT RETAIL OR WHOLESALE IN THE SALE OF BOOKS OR            169          

PUBLICATIONS AS PART OF THE PERSON'S BUSINESS.                     170          

      (D)  IF THE DIRECTOR OF AGRICULTURE FINDS OR HAS CAUSE TO    173          

BELIEVE THAT A PUBLICATION UNDER DIVISION (B) OF THIS SECTION IS   174          

A LABEL AND THAT LABEL IS FALSE OR MISLEADING UNDER DIVISION (B)   175          

OF THIS SECTION, THE DIRECTOR SHALL PROCEED UNDER THE PROVISIONS   176          

OF THIS CHAPTER APPLICABLE TO MISBRANDED FOOD.  IN ANY ACTION      177          

TAKEN UNDER THIS SECTION, THE BURDEN OF PROOF TO ESTABLISH         178          

MISBRANDING SHALL BE ON THE DIRECTOR.                              179          

      Sec. 3715.86.  A DIETARY SUPPLEMENT IS NOT CONSIDERED A      181          

"FOOD ADDITIVE" WITHIN THE MEANING GIVEN IN THE FEDERAL "FOOD,     183          

DRUG, AND COSMETIC ACT," 21 U.S.C.A. 321(s), AS AMENDED.           185          

      Sec. 4759.10.  Sections 4759.01 to 4759.09 of the Revised    194          

Code do not apply to any of the following:                         195          

      (A)  A person licensed under Chapters 4701. to 4755. of the  197          

Revised Code who is acting within the scope of his THE PERSON'S    198          

profession, provided that he THE PERSON complies with division     199          

(B) of section 4759.02 of the Revised Code;                        200          

                                                          5      


                                                                 
      (B)  A person who is a graduate of an associate degree       202          

program approved by the American dietetic association or the Ohio  203          

board of dietetics who is working as a dietetic technician under   204          

the supervision of a dietitian licensed under section 4759.06 of   205          

the Revised Code or registered by the commission on dietetic       206          

registration, except that the person is subject to division (B)    207          

of section 4759.02 of the Revised Code if he THE PERSON uses a     208          

title other than "dietetic technician";                            209          

      (C)  A person who practices dietetics related to employment  211          

in the armed forces, veteran's administration, or the public       212          

health service of the United States;                               213          

      (D)  Persons employed by a nonprofit agency approved by the  215          

board or by a federal, state, municipal or county government, or   216          

by any other political subdivision, elementary or secondary        217          

school, or an institution of higher education approved by the      218          

board or by a regional agency recognized by the council on         219          

postsecondary accreditation, who performs only nutritional         220          

education activities and such other nutritional activities as the  221          

board of dietetics, by rule, permits, provided the person does     222          

not violate division (B) of section 4759.02 of the Revised Code;   223          

      (E)  A person who has completed a program meeting the        225          

academic standards set by the American dietetic association for    226          

dietitians, received a baccalaureate or higher degree from a       227          

school, college, or university approved by a regional              228          

accreditation agency recognized by the council on postsecondary    229          

accreditation, works under the supervision of a licensed           230          

dietitian or registered dietitian, and does not violate division   231          

(B) of section 4759.02 of the Revised Code;                        232          

      (F)  A person when acting, under the direction and           234          

supervision of a person licensed under Chapters 4701. to 4755. of  235          

the Revised Code, in the execution of a plan of treatment          236          

authorized by the licensed person, provided the person complies    237          

with division (B) of section 4759.02 of the Revised Code;          238          

      (G)  The free dissemination of literature in the state;      240          

                                                          6      


                                                                 
      (H)  Provided that the persons involved in the sale,         242          

promotion, or explanation of the sale of food, food materials, or  243          

dietary supplements do not violate division (B) of section         244          

4759.02 of the Revised Code, the sale of food, food materials, or  245          

dietary supplements and the marketing and distribution of food,    246          

food materials, or dietary supplements and the promotion or        247          

explanation of the use of food, food materials, or dietary         248          

supplements provided that the promotion or explanation does not    249          

violate Chapter 1345. of the Revised Code;                         250          

      (I)  A PERSON WHO OFFERS DIETARY SUPPLEMENTS FOR SALE AND    253          

WHO MAKES THE FOLLOWING STATEMENTS ABOUT THE PRODUCT IF THE        254          

STATEMENTS ARE CONSISTENT WITH THE DIETARY SUPPLEMENT'S LABEL OR   255          

LABELING:                                                                       

      (1)  CLAIM A BENEFIT RELATED TO A CLASSICAL NUTRIENT         257          

DEFICIENCY DISEASE AND DISCLOSE THE PREVALENCE OF THE DISEASE IN   258          

THE UNITED STATES;                                                              

      (2)  DESCRIBE THE ROLE OF A NUTRIENT OR DIETARY INGREDIENT   260          

INTENDED TO AFFECT THE STRUCTURE OR FUNCTION OF THE HUMAN BODY;    262          

      (3)  CHARACTERIZE THE DOCUMENTED MECHANISM BY WHICH A        264          

NUTRIENT OR DIETARY INGREDIENT ACTS TO MAINTAIN THE STRUCTURE OR   265          

FUNCTION OF THE HUMAN BODY;                                        266          

      (4)  DESCRIBE GENERAL WELL-BEING FROM THE CONSUMPTION OF A   268          

NUTRIENT OR DIETARY INGREDIENT.                                    269          

      (J)  Provided that the persons involved in presenting a      271          

general program of instruction for weight control do not violate   272          

division (B) of section 4759.02 of the Revised Code, a general     273          

program of instruction for weight control approved in writing by   274          

a licensed dietitian, a physician licensed under Chapter 4731. of  275          

the Revised Code to practice medicine or surgery or osteopathic    276          

medicine or surgery, a person licensed in another state that the   277          

board considers to have substantially equivalent licensure         278          

requirements as this state, or a registered dietitian;             279          

      (J)(K)  The continued practice of dietetics at a hospital    281          

by a person employed at that same hospital to practice dietetics   282          

                                                          7      


                                                                 
for the twenty years immediately prior to July 1, 1987, so long    283          

as the person works under the supervision of a dietitian licensed  284          

under section 4759.06 of the Revised Code and does not violate     285          

division (B) of section 4759.02 of the Revised Code.  This         286          

division does not apply to any person who has held a license       287          

issued under this chapter to practice dietetics.  As used in this  288          

division, "hospital" has the same meaning as in section 3727.01    289          

of the Revised Code.                                               290          

      Section 2.  That existing section 4759.10 of the Revised     292          

Code is hereby repealed.                                           293          

      Section 3.  Sections 3715.80 to 3715.86 of the Revised       295          

Code, as enacted by this act, are intended to codify in Ohio law   296          

portions of the federal "Dietary Supplement Health and Education   297          

Act of 1994," 108 Stat. 4325 (1994), 21 U.S.C.A. 301, et seq., as  298          

amended.                                                           299