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APPLICABLE LAWS, REGULATIONS,
GUIDELINES,
VA PUBLICATIONS, AND IRS RULINGS
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IDENTIFICATION OF
PARTIES & PREAMBLE
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OWNERSHIP OF PROPERTY
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USE OF NAMES AND LOGOS
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ORDER
OF PRECEDENCE
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LIABILITY FOR NEGLIGENCE
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SIGNIFICANT ADVERSE EVENTS
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CONFIDENTIALITY OF SPONSOR GENERATED INFORMATION [FOIA]
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ACCESS TO & CONFIDENTIALITY OF PATIENT/SUBJECT RECORDS [All
Confidentiality & Disclosure Laws Except FOIA]
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PUBLICATIONS
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COMPLIANCE WITH LAWS, REGULATIONS AND GUIDELINES
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DOCUMENT RETENTION
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TERMINATION
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LAWS GOVERNING INTERPRETATION AND ENFORCEMENT OF THE
AGREEMENT
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PI’S ROLE AND OBLIGATIONS – VA & PI ARE NOT PARTIES
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WEBSITES
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Research Corporations, 38 U.S.C. §§ 7361 –
7368.
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Research and Education Corporations. VHA
Handbook 1200.17 (December 17, 2001).
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Clinical testing of drugs purely for the
purpose of obtaining FDA approval is part of the commercial marketing
process and is not scientific research. IRS Revenue Ruling 68-373.
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If the results of commercially sponsored
projects are generally published in a form available to the interested
public, it constitutes scientific research in the public interest
within the meaning of section 501(c)(3). IRS Revenue Ruling 76-296
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Studies that “involve the search for new
or improved methods of treating human afflictions . . . are concerned
with new applications of products or drugs in order to improve the
ability to treat various diseases and conditions [and consequently are
scientific research]”. IRS Letter Ruling 7936006, May 23, 1979.
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For IRS definitions of “medical research
organization” and “medical research” see page 18 of IRS Form 1023.
2.1 Inventions [Patent Law]
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Patent Laws. 35 U.S.C. §§ 102, & 200 –
212.
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Inventions by Government employees.
Executive Order 10096, January 24, 1950.
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Executive Department-wide regulations on
Government employee inventions. 37 C.F.R. Part 501.
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VA regulations on VA employee inventions
(consistent with Part 501). 38 C.F.R. §§ 1.650 – 1.663.
2.2 Data [Copyright Law]
2.3 Equipment
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An NPC may accept gifts and grants to
support VA research. 38 U.S.C. § 7364 (a)(1).
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Residual funds {and by implication
equipment purchased therewith] will be used to support VA research.
VHA Handbook 1200.177j.
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Human Subjects Protocols must be approved
by IRB. 38 C.F.R. Part 16
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The R&D Committee is the local committee
charged with oversight of all R&D activities within a VA facility. VHA
Directive 1200. (It is this committee’s approval of an IRB-approved
research project that makes it “VA approved research”. However, the
R&D committee has no authority to approve a study if the IRB
disapproved it).
5.1 No Reciprocal Sponsor -
Institution Indemnity
5.3 FTCA Coverage in Lieu of
Insurance
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VA is an executive department of the
United States. 38 U.S.C. § 301 (a).
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The Federal Tort Claims Act governs how
negligence claims may be brought against the United States and its
agencies. 28 U.S.C. §§ 1346 (b) & 2671 – 2680.
5.4 Medical Malpractice Insurance
5.5 Providing Treatment for
Research-Related Injuries
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VA shall provide necessary medical
treatment to research subjects for injuries resulting from research
participation. 38 C.F.R. § 17.85.
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The Medical Care Recovery Act authorizes
VA to collect from negligent third parties the cost of VA care. 42
U.S.C. §§ 2651 – 2653.
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Access to Federal agency records(and
exceptions to that access) is governed by the Freedom of Information
Act (FOIA). 5 U.S.C. § 552. Note that FOIA does not apply to records
kept by an NPC.
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VA regulations relating to FOIA. 38 C.F.R.
§§ 1.550 – 1.559.
[All Confidentiality & Disclosure Laws
Except FOIA]
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VA claims are confidential (includes all
records on veterans and their dependants. 38 U.S.C. § 5701.
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VA regulations relating to the VA
confidentiality statute. 38 C.F.R. §§ 1.500 – 1.527.
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Privacy Act regulates the collection,
maintenance, use and dissemination of personal information by Federal
agencies. 5 U.S.C. § 552a.
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VA regulations relating to the Privacy
Act. 38 C.F.R. §§ 1.575 – 1.584.
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Additional protections are extended to
medical records dealing with drug abuse, alcoholism or alcohol abuse,
HIV infection, and sickle cell anemia. 38 U.S.C. § 7332.
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VA regulations relating to section 7332.
38 C.F.R. §§ 1.460 – 1.469.
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Health Insurance Portability and
Accountability Act of 1996 (HIPAA). Public Law 104 – 191 (August 21,
1996).
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The HIPAA Privacy Rule is a body of
regulations authorized by Pub. Law 104 – 191. They establish a
foundation of Federal protections for the privacy of protected health
information. The Rule does not replace Federal, State or other law
that grants individuals even greater privacy protection. 45 C.F.R.
Parts 160 & 164.
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If the results of commercially sponsored
projects are generally published in a form available to the interested
public, it constitutes scientific research in the public interest
within the meaning of section 501(c)(3). IRS Revenue Ruling 76-296.
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For work to be carried on in the public
interest, the results of the research must be made available to the
public on a nondiscriminatory basis, IRS Publication 557, Page 24,
Scientific Organizations.
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VA follows the Common Rule for the
protection of human subjects. 38 C.F.R. Part 16.
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VHA Manual M-3, Part I, Chapter 9 (October
30, 1992).
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Good
Clinical Practice: Consolidated Guideline, 62 FR 25692, May 9, 1997.
FDA’s position is that the ICH Good Clinical Practice (GCP)
guidelines are guidance and as such are not legal requirements subject
to enforcement by FDA or other U.S. authorities.
(This was reiterated in an April 15, 2003, letter from Richard M.
Campanelli, Director, Office of Civil Rights, Department of Health and
Human Services to Stan Crosley, Chair, International Pharmaceutical
Privacy Consortium.).
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VA System of Records 34 VA 12 “Veteran,
Patient, Employee and Volunteer Research and Development Project
Records”. 66 Federal Register 16705 – 16707, March 27, 2001.
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VA is an executive department of the
United States. 38 U.S.C. § 301 (a).
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The Secretary of Veterans Affairs has
authority to prescribe all rules and regulations to carry out laws he
administers. 38 U.S.C. § 501 (a).
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NPC may not enter into agreements that
purport to supercede or are contrary to Federal Law. VHA Handbook
1200.17 ¶ 6d.
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Authority and purpose of NPC to conduct
and facilitate approved research. 38 U.S.C. §§ 7361 & 7362.
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VA is an executive department of the
United States. 38 U.S.C. § 301 (a).
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NPC may not enter into agreements that
purport to supercede or are contrary to Federal Law. VHA Handbook
1200.17 ¶ 6d.
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