H.R. 2213 (119th)Bill Overview

Medical Supply Chain Resiliency Act

Foreign Trade and International Finance|Foreign Trade and International Finance
Cosponsors
Support
Bipartisan
Introduced
Mar 18, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the Committee on Ways and Means, and in addition to the Committee on Rules, for a period to be subsequently determined by the Speaker, in each case for consideration o…

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief

The bill authorizes the President to negotiate and enter into “trusted trade partner” agreements that reciprocally reduce or eliminate duties and import restrictions on medical goods to strengthen U.S. medical supply chain resilience.

It specifies criteria for selecting partners (rule of law, IP protection, commitment to open trade in emergencies) and permits provisions on regulatory harmonization, procurement access, and IP protection.

The bill requires advance notice to Congress, periodic reports, consultation with committees and agencies, a timed congressional review and disapproval mechanism, and monitoring and enforcement authority for the Trade Representative and President.

Passage45/100

Technocratic and limited scope help, but trade/IP/procurement implications and need for bipartisan consensus on negotiation authority create moderate barriers.

CredibilityPartially aligned

Relative to its intended legislative type, this bill establishes a substantive new authority for the executive branch to negotiate and implement trade agreements focused on medical goods and provides a detailed procedural framework (partner criteria, consultation, reporting, congressional review, and enforcement mechanisms).

Contention55/100

Progressive worries IP protections will limit generic access

02 · What it does

Who stands to gain, and who may push back.

Who this appears to help vs burden50% / 50%
Targeted stakeholdersManufacturers
Likely helped
  • Targeted stakeholdersCould reduce import costs and lower prices for medical goods through reciprocal tariff elimination.
  • Targeted stakeholdersMay diversify supplier networks, reducing supply disruptions during pandemics and other emergencies.
  • Targeted stakeholdersLikely promotes regulatory harmonization, speeding cross-border approvals and movement of medical products.
Likely burdened
  • ManufacturersReciprocal duty elimination could disadvantage domestic manufacturers competing with lower-cost imported medical goods.
  • Targeted stakeholdersBinding commitments may limit U.S. flexibility to impose emergency export or import restrictions.
  • Targeted stakeholdersEnhanced IP protections could raise prices or delay generic competition for pharmaceutical goods.
03 · Why people split

Why the argument around this bill splits.

Progressive worries IP protections will limit generic access
Progressive65%

Generally supportive of measures to diversify and secure medical supply chains but wary of strong IP and market-access provisions.

Sees benefits for pandemic preparedness and regulatory cooperation, but concerned that broad IP protections and duty eliminations could limit affordable generic access and domestic production.

Would favor added safeguards for public health access, labor, and environmental standards.

Split reaction
Centrist75%

Pragmatic approval of a framework that improves preparedness while keeping congressional oversight and executive flexibility.

Values the bill's reporting, consultation, and disapproval mechanisms that provide checks on presidential negotiations.

Sees trade-based tools as efficient complements to domestic capacity-building, but seeks clear metrics and evidence requirements.

Leans supportive
Conservative40%

Cautious to skeptical: supports strengthening supply chains and strong IP protections, but worries about ceding tariff tools and expanding federal commitments.

Concerned agreements might constrain emergency powers, disadvantage U.S. manufacturers, or increase regulatory entanglement.

Prefers narrow agreements with strong national-security safeguards and preservation of sovereign emergency authorities.

Split reaction
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood45/100

Technocratic and limited scope help, but trade/IP/procurement implications and need for bipartisan consensus on negotiation authority create moderate barriers.

Scope and complexity
52%
Scopemoderate
52%
Complexitymedium
Why this could stall
  • No formal cost or tariff-revenue estimate in text
  • How industry and labor groups will react to tariff/IP terms
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Progressive worries IP protections will limit generic access

Technocratic and limited scope help, but trade/IP/procurement implications and need for bipartisan consensus on negotiation authority creat…

Unlocked analysis

Relative to its intended legislative type, this bill establishes a substantive new authority for the executive branch to negotiate and implement trade agreements focused on medical goods and provides a detailed procedur…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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