PolicyBrief
H.R. 4573
119th CongressJul 21st 2025
Innovate to Save Lives Act
IN COMMITTEE

The Innovate to Save Lives Act establishes a new 10% tax credit for small businesses conducting qualified research to mitigate threats from specified drugs like fentanyl and methamphetamine.

Joe Neguse
D

Joe Neguse

Representative

CO-2

LEGISLATION

Small Businesses Get 10% Tax Credit for Research Targeting Fentanyl and Methamphetamine Threats

The Innovate to Save Lives Act is a straightforward piece of legislation designed to put cash incentives behind the fight against the drug crisis. Specifically, it creates a new federal tax credit for small businesses that conduct research aimed at mitigating certain dangerous drug threats, like fentanyl and methamphetamine.

The 10% R&D Boost

Here’s the core of the bill: If you run a small business and spend money on research and development (R&D) that focuses on treating the effects of, or preventing the use of, a “specified drug,” you can now claim an extra 10 percent tax credit on those expenses. Think of it as the government chipping in an extra dime for every dollar a small business spends trying to find better ways to fight the opioid and meth epidemics. This new credit is layered on top of existing R&D credits, making the financial incentive to innovate in this space significantly stronger for smaller players.

Defining the Target

The bill is very clear about which drugs qualify for this special treatment. The term “specified drug” covers four main categories: fentanyl, any fentanyl-related substance (defined by a precise list of chemical structure modifications), methamphetamine, and any drug officially designated as an “emerging drug threat” by the Office of National Drug Control Policy. This definition ensures the tax break is hyper-focused on the most urgent crises facing public health today. For example, a small biotech firm developing a faster, more effective fentanyl reversal agent would see a direct reduction in its tax bill based on its research spending.

Guardrails for Clinical Trials

While the bill is designed to spur innovation, it also builds in a crucial quality control measure. Any research that involves human clinical trials must adhere to the guidelines set by the National Institutes of Health (NIH). This is a necessary safeguard: if a small company is testing new treatments on people, the research needs to meet rigorous, established standards, ensuring that this tax incentive doesn't lead to rushed or unsafe clinical work.

What It Means for the Real World

This legislation is essentially a signal boost for small businesses—the ones often agile enough to pivot quickly but sometimes lacking the deep pockets for high-risk research. By making this research cheaper to conduct, the Act lowers the financial barrier for startups and specialized labs working on solutions for addiction, overdose treatment, and prevention. This could accelerate the development of new treatments that eventually find their way into emergency rooms and addiction centers, ultimately benefiting communities grappling with these drug crises. Five years down the road, the Comptroller General (GAO) will report back to Congress on how much credit was claimed and what kind of research it funded, giving us a clear picture of whether this targeted tax policy worked as intended.