New ORI Misconduct Rule Offers ‘Thoughtful’ Revisions in Wake of Highly Criticized NPRM

Health Care Compliance Association (HCCA)
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Health Care Compliance Association (HCCA)

Report on Research Compliance 21, no. 10 (October, 2024)

Now that the HHS Office for Research Integrity (ORI) has published its final rule revising 2005 regulations governing misconduct, compliance officials could be engaging in three activities simultaneously: checking to see if ORI dropped sections of the October 2023 proposed rule they considered most onerous; reviewing new provisions that will affect how they function; and determining which, if any, they want to implement before the required date of Jan. 1, 2026.

Judging by recent questions posed during two webinars (one offered by ORI), they’re also extremely eager for ORI to make good on its promise of issuing, in ORI’s words, “checklists, self-assessments and flow charts,” as well as sample policies and procedures that comply with the new regulation. Published Sept. 17, the rule spells out requirements for how institutions investigate fabrication, falsification and plagiarism alleged to occur “in proposing, performing, or reviewing research, or in reporting research results” when there is Public Health Service support and that “does not include honest error or differences of opinion.”[1]

Barbara Bierer, whose titles include faculty director of the Multi-Regional Clinical Trials Center (MRCT) of Brigham and Women’s Hospital and Harvard, said ORI “appears to have listened very carefully, have thought very carefully about the revisions to the final rule.” Speaking during a Sept. 19 webinar hosted by the law firm Ropes & Gray, Bierer called the final rule a “credit” to both ORI and the “responsiveness of the regulated community” in offering detailed comments on the notice of proposed rulemaking (NPRM).

A day later, ORI Director Sheila Garrity—hosting a webinar she said had 1,000 attendees but which the agency said it had no plans to post online—also praised commenters. “Everyone here is part of this final rule, and you need to understand that this is rulemaking at its best. You commented, and we heard you,” she said.

Garrity became ORI director in March 2023, with the NPRM published seven months later, following a request for information (RFI) ORI issued in September 2022 to help understand areas of the nearly 20-year-old regulation that should be updated. The RFI elicited 31 comments—“not a lot,” according to Garrity, who suggested the RFI might have lacked “clarity.” ORI wrote the NPRM based on the RFI responses and its “experience since 2005 when the current regulation went into effect,” she said during the webinar.

In a separate interview with RRC, Garrity likened the agency’s approach to writing the NPRM as “let’s throw the kitchen sink and see what’s needed here.” She also highlighted significant changes from the 2005 rule, including what she termed during the webinar to be a “dramatic” change related to judicial review of ORI findings.[2]

The most common topics and major themes NPRM commenters addressed were increased administrative burdens; changes to confidentiality and whistleblower protections; new and/or revised definitions; provisions related to ORI publishing institutional findings; and requests for more time to implement the new rule, Garrity explained.

In fact, a number of commenters, including from the University of Pennsylvania, requested that ORI withdraw the NPRM entirely and start over.[3] Although agency officials didn’t do that, they removed seven proposed changes “after significant criticism” and revised four others; these 11 changes were highlighted in Ropes & Gray’s webinar.

As Ropes & Gray Counsel Minal Caron put it: “In almost all of those cases, they walked back or withdrew” the portions of the proposed rule that commenters found to be “just too burdensome, or too different, difficult or too cumbersome to implement.”

This article provides an overview of the final rule, with details on substantive changes from the proposed and 2005 rules. Future stories will delve into specific provisions, including changes to how “honest errors” are treated and address new definitions, among other topics.

During the webinar, Ropes & Gray partner and MRCT Co-director Mark Barnes noted that some of the changes are likely to be welcomed by accused scientists as well as by their institutions. “For example, having the [research integrity officer] be able to do the inquiry with expert assistance may speed the process, and that would be very good for many respondents,” Barnes said.

Yet, as Bierer pointed out, “for every decision, there’s unintended consequences that we’re going to have to work through.”

[View source.]

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