BETA

Activities of Daniel DALTON related to 2018/0018(COD)

Shadow opinions (1)

OPINION on the proposal for a regulation of the European Parliament and of the Council on health technology assessment and amending Directive 2011/24/EU
2016/11/22
Committee: IMCO
Dossiers: 2018/0018(COD)
Documents: PDF(715 KB) DOC(180 KB)

Amendments (16)

Amendment 43 #
Proposal for a regulation
Recital 12
(12) In order to ensure a wide application of harmonised rules on clinical aspects of HTA and enable pooling of expertise and resources across HTA bodies, it is appropriate to require joint clinical assessments to be carried out for all medicinal products undergoing the central marketing authorisation procedure provided for under Regulation (EC) No 726/2004 of the European Parliament and of the Council,11 which incorporate a new active substance, and where those medicinal products are subsequently authorised for a new therapeutic indication. Joint clinical assessments should also be carried out on certain medical devices within the meaning of Regulation (EU) 2017/745 of the European Parliament and of the Council12 which are in the highest risk classes and for which the relevant expert panels have provided their opinions or views. A selection of medical devices for joint clinical assessment should be made based on specific criteria. _________________ 11 Regulation (EC) No 726/2004 of the European Parliament and of the Council of 31 March 2004 laying down Community procedures for the authorisation and supervision of medicinal products for human and veterinary use and establishing a European Medicines Agency (OJ L 136, 30.4.2004, p. 1). 12Regulation (EU) 2017/745 of the European Parliament and of the Council of 5 April 2017 on medical devices, amending Directive 2001/83/EC, Regulation (EC) No 178/2002 and Regulation (EC) No 1223/2009 and repealing Council Directives 90/385/EEC and 93/42/EEC (OJ L 117, 5.5.2017, p. 1).
2018/06/13
Committee: IMCO
Amendment 46 #
Proposal for a regulation
Recital 15
(15) In order to ensure a Member-State led approach to joint clinical assessments and scientific consultations, Member States should designate national HTA authorities and bodies which inform decision-making as members of the Coordination Group. The designated authorities and bodies should ensure an appropriately high level of representation in the Coordination Group and technical expertise in its sub- groups, taking into account the need to provide expertise on the HTA of medicinal products and medical devices.
2018/06/13
Committee: IMCO
Amendment 51 #
Proposal for a regulation
Recital 18
(18) The establishment of a time-frame for the joint clinical assessments for medical devices should take into account the highly decentralised market access pathway for medical devices and the availability of appropriate evidence data required to carry out a joint clinical assessment. As the required evidence may only become available after a medical device has been placed on the market and in order to allow for the selection of medical devices for joint clinical assessment at an appropriate time, it should be possible for assessments of such devices to take place following market launch of medical devices.deleted
2018/06/13
Committee: IMCO
Amendment 53 #
Proposal for a regulation
Recital 19
(19) In all cases the joint work carried out under this Regulation, in particular the joint clinical assessments, should produce high quality and timely results, and not delay or interfere with the CE marking of medical devices or market access of health technologies. This work should be separate and distinct from regulatory assessments of the safety, quality, efficacy or performance of health technologies carried out pursuant to other Union legislation and have no bearing on decisions taken in accordance with other Union legislation.
2018/06/13
Committee: IMCO
Amendment 62 #
Proposal for a regulation
Recital 25
(25) In order to ensure a uniform approach to the joint work provided for in this Regulation, implementing powers should be conferred on the Commission to establish a common procedural and methodological framework for clinical assessments, procedures for joint clinical assessments and procedures for joint scientific consultations. Where appropriate, distinct rules should be developed for medicinal products and medical devices. In the development of such rules, the Commission should take into account the results of the work already undertaken in the EUnetHTA Joint Actions. It should also take into account initiatives on HTA funded through the Horizon 2020 research programme, as well as regional initiatives on HTA such as the Beneluxa and Valletta Declaration initiatives. Those powers should be exercised in accordance with Regulation (EU) No 182/2011 of the European Parliament and of the Council.13 _________________ 13 Regulation (EU) No 182/2011 of the European Parliament and of the Council of 16 February 2011 laying down the rules and general principles concerning mechanisms for control by the Member States of the Commission's exercise of implementing powers (OJ L 55, 28.2.2011, p. 13).
2018/06/13
Committee: IMCO
Amendment 83 #
Proposal for a regulation
Article 5 – paragraph 1 – point b
(b) medical devices classified as class IIb and III pursuant to Article 51 of Regulation (EU) 2017/745 for which the relevant expert panels have provided a scientific opinion in the framework of the clinical evaluation consultation procedure pursuant to Article 54 of that Regulation;deleted
2018/06/13
Committee: IMCO
Amendment 85 #
Proposal for a regulation
Article 5 – paragraph 1 – point c
(c) in vitro diagnostic medical devices classified as class D pursuant to Article 47 of Regulation (EU) 2017/74617 for which the relevant expert panels have provided their views in the framework of the procedure pursuant to Article 48(6) of that Regulation. _________________ 17Regulation (EU) 2017/746 of the European Parliament and of the Council of 5 April 2017 on in vitro diagnostic medical devices and repealing Directive 98/79/EC and Commission Decision 2010/227/EU (OJ L 117, 5.5.2017, p. 176).deleted
2018/06/13
Committee: IMCO
Amendment 86 #
Proposal for a regulation
Article 5 – paragraph 2
2. The Coordination Group shall select the medical devices referred to in paragraph 1 points (b) and (c) for joint clinical assessment based on the following criteria: (a) unmet medical needs; (b) potential impact on patients, public health, or healthcare systems; (c) significant cross-border dimension; (d) major Union-wide added value; (e) the available resources.deleted
2018/06/13
Committee: IMCO
Amendment 112 #
Proposal for a regulation
Article 8 – paragraph 1 – introductory part
1. Member States shallmay decide to:
2018/06/13
Committee: IMCO
Amendment 122 #
Proposal for a regulation
Article 8 – paragraph 2
2. Member States shallmay notify the Commission of the outcome of a health technology assessment on a health technology which has been subject to a joint clinical assessment within 30 days from its completion. That notification shallmay be accompanied by information on how the conclusions of the joint clinical assessment report have been applied in the overall health technology assessment. The Commission shall facilitate the exchange of this information between Member States through the IT platform referred to in Article 27.
2018/06/13
Committee: IMCO
Amendment 131 #
Proposal for a regulation
Article 11 – paragraph 1 – point f
(f) cooperation with the notified bodies and expert panels on the preparation and update of joint clinical assessments of medical devices.deleted
2018/06/13
Committee: IMCO
Amendment 145 #
Proposal for a regulation
Article 16 – paragraph 1 – point f
(f) cooperation with the expert panels referred to in Article 106(1) of Regulation (EU) 2017/745 on the joint scientific consultations on medical devices.deleted
2018/06/13
Committee: IMCO
Amendment 151 #
Proposal for a regulation
Article 19 – paragraph 1 – point b
(b) collaborative assessments on medical devices;deleted
2018/06/13
Committee: IMCO
Amendment 152 #
Proposal for a regulation
Article 19 – paragraph 1 – point c
(c) health technology assessments on health technologies other than medicinal products or medical devices;
2018/06/13
Committee: IMCO
Amendment 167 #
Proposal for a regulation
Article 25 – paragraph 1 – point f
(f) facilitate cooperation with the relevant Union level bodies on the joint work on medical devices including the sharing of confidential information.deleted
2018/06/13
Committee: IMCO
Amendment 179 #
Proposal for a regulation
Article 32 – paragraph 2
2. When preparing those implementing and delegated acts, the Commission shall take into account the distinctive characteristics of the medicinal product and medical device sectors.
2018/06/13
Committee: IMCO