PolicyBrief
H.R. 2213
119th CongressMar 18th 2025
Medical Supply Chain Resiliency Act
IN COMMITTEE

This Act establishes the authority to create trusted trade agreements to diversify and strengthen the U.S. medical supply chain against future crises.

Nicole Malliotakis
R

Nicole Malliotakis

Representative

NY-11

LEGISLATION

New Act Grants President Power to Cut Trade Taxes on Medical Supplies, Prioritizing Pandemic Preparedness

The Medical Supply Chain Resiliency Act is Congress’s attempt to ensure that when the next health crisis hits, we aren’t scrambling for masks, gloves, or basic medicines. Basically, this bill authorizes the President to create special trade deals, called “trusted trade partner agreements,” specifically for medical goods. The core idea is to swap out our reliance on a few concentrated, potentially unstable foreign suppliers for a network of reliable partners. If the President determines that eliminating trade taxes (duties) or import limits with a country would help U.S. national security and public health, they can move forward with a deal to make it happen (SEC. 5).

The Problem: Too Many Eggs in Too Few Baskets

Congress is pretty clear about the motivation here: the pandemic exposed how fragile our global medical supply chain is. We learned that the U.S. relies heavily on imports for critical medical goods, with over half coming from just three countries: China, Mexico, and Malaysia (SEC. 2). The bill argues that this over-reliance is a national security risk, which is why the solution is to spread the risk around. For the average person, this is about avoiding those terrifying moments in 2020 where doctors and nurses lacked basic protective gear, or when common drugs were suddenly hard to find. The bill aims to make sure the supply lines for everything from pharmaceuticals to medical devices are robust enough to withstand the next global shock.

The Trusted Partner Checklist: What It Takes to Be Our Friend

Before the President can even start negotiating one of these trusted trade agreements, the potential partner country has to check a lot of boxes (SEC. 5). Think of it as a rigorous background check where the country must prove they are reliable. They must show they are willing to keep trade open during a public health emergency, align their regulatory practices with ours, and—this is key—have strong laws protecting intellectual property (IP). This IP requirement is important for pharmaceutical companies and device makers, as it means their patented products won't be immediately copied. For you, this means the drugs and devices you rely on should be made under consistent, high-quality standards, regardless of where they are manufactured.

The Real-World Impact: Lower Duties, Faster Access

If a country signs up as a trusted partner, the benefit is often reduced or eliminated duties on medical goods. Imagine you run a small medical clinic: if the cost of imported surgical supplies or specific generic drug ingredients drops because of these agreements, those savings could potentially translate into lower operating costs. The deals also aim to speed up the movement of goods by aligning regulatory standards and inspections across borders (SEC. 5). This means less red tape, which should, in theory, translate into quicker availability of new or critical medicines when they are needed most.

The Catch: Significant Power and Strict Oversight

While the goal of supply chain security is great, the bill grants significant trade negotiation authority to the Executive Branch. Anytime the President gets the power to eliminate trade taxes, Congress wants to watch closely. The bill mandates a lengthy, multi-step Congressional review process before any agreement can take effect. The President must send a detailed report to Congress at least 60 days before signing a deal, explaining how it meets the goals of the Act (SEC. 6). Furthermore, if a trusted partner stops following the rules—say, they suddenly restrict exports during a local outbreak—the President has the power to suspend the agreement or demand trade compensation within 15 days of confirming the violation (SEC. 7). This creates a powerful enforcement mechanism, ensuring partners stay accountable, but it also concentrates a lot of power in the hands of the Trade Representative and the President.