S. 2665 (119th)Bill Overview

Drug Shortage Prevention Act of 2025

Health|Health
Cosponsors
Support
Lean Democratic
Introduced
Aug 1, 2025
Discussions
Bill Text
Current stageCommittee

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

The Drug Shortage Prevention Act of 2025 amends the Federal Food, Drug, and Cosmetic Act to expand and clarify manufacturer notification requirements when production of certain critical ("covered") drugs or their active pharmaceutical ingredients (APIs) is discontinued, interrupted, or otherwise threatened (including increased demand or export restrictions). Notifications must state reasons, API sources and alternatives (if relevant), device issues, expected interruption duration, and other information the Secretary may require.

Why people may split

Transparency vs. commercial confidentiality: liberals and centrists favor supply-chain visibility while conservatives emphasize trade-secret risks.

Watch point

Relative to its intended legislative type, this bill makes targeted, concrete amendments to the FD&C Act that impose new notification and reporting obligations with reasonably specific data and timing requirements and revises definitions to broaden coverage.

The Drug Shortage Prevention Act of 2025 amends the Federal Food, Drug, and Cosmetic Act to expand and clarify manufacturer notification requirements when production of certain critical ("covered") drugs or their active pharmaceutical ingredients (APIs) is discontinued, interrupted, or otherwise threatened (including increased demand or export restrictions).

Notifications must state reasons, API sources and alternatives (if relevant), device issues, expected interruption duration, and other information the Secretary may require.

Timing rules require notice at least 6 months before planned discontinuances or interruptions, and as soon as practicable (no later than 10 business days) after the onset of circumstances like increased demand; the Secretary must distribute shortage information to relevant organizations.

Passage55/100

On content alone, the bill is a narrowly tailored, technical reform with low ideological salience and a plausible bipartisan appeal. Those features increase its feasibility compared with sweeping or controversial measures. Countervailing factors include added regulatory burden on manufacturers, absence of funding or enforcement clarity in the text, and possible industry resistance or negotiation requests that could delay or alter the bill before enactment. Inclusion in a larger must-pass or health-related legislative vehicle would materially increase the chance of enactment.

CredibilityPartially aligned

Relative to its intended legislative type, this bill makes targeted, concrete amendments to the FD&C Act that impose new notification and reporting obligations with reasonably specific data and timing requirements and revises definitions to broaden coverage. It leaves several implementation and accountability elements to the Secretary and omits fiscal and enforcement detail.

Contention58/100

Transparency vs. commercial confidentiality: liberals and centrists favor supply-chain visibility while conservatives emphasize trade-secret risks.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Likely helpedManufacturers

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Potential benefitImproved early warning and situational awareness for HHS and health systems, enabling earlier mitigation actions (e.g.,…
  • Potential benefitGreater supply‑chain transparency on API and intermediate sources, which can support policies to diversify sourcing, in…
  • Potential benefitPotential reduction in patient care disruptions and associated downstream costs (e.g., avoided delays, substitutions, a…
Likely burdened
  • ManufacturersIncreased compliance and administrative costs for manufacturers, including more frequent supplier and sourcing disclosu…
  • Potential burdenDisclosure of supplier identities, quantities, and sourcing could raise proprietary and competitive concerns, potential…
  • ManufacturersMandated advance notice (e.g., 6 months) and rapid reporting for demand spikes (10 business days) may be impractical fo…
03 · Why people split

Why the argument around this bill splits.

Transparency vs. commercial confidentiality: liberals and centrists favor supply-chain visibility while conservatives emphasize trade-secret risks.
Progressive85%

A mainstream progressive would generally view this bill favorably as a practical step to reduce harmful drug shortages and increase transparency about supply chains.

They would see quicker reporting for demand spikes and mandatory supplier information as tools to protect patients and public health.

They would be attentive to whether the bill provides enough protections for disclosure of proprietary information, whether it includes biologics and other critical therapies, and whether the Secretary and FDA receive resources to act on the information.

Leans supportive
Centrist70%

A pragmatic moderate would see this bill as a targeted, sensible reform to improve early warning about drug shortages while preserving most existing regulatory frameworks.

They would appreciate the clear timelines and twice-yearly reporting but want assurance the FDA will have the resources to manage the information and that reporting requirements are not unduly burdensome for smaller manufacturers.

They would weigh costs and benefits, likely supporting the concept if accompanied by funding, clarity on trade-secret handling, and reasonable compliance rules.

Leans supportive
Conservative30%

A mainstream conservative would acknowledge the goal of preventing drug shortages but be concerned about expanded regulatory obligations, data collection on supply chains, and potential negative impacts on competitiveness and cost.

They would worry that mandated disclosure of supplier names, intermediates, and amounts could be commercially sensitive and that the reporting cadence and rapid-notice rules create compliance risks and bureaucracy.

Without strong limits on scope and protections for proprietary information — and without demonstrated cost-benefit evidence — they would be skeptical and lean toward opposition or insist on significant modifications.

Likely resistant
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 likelihood55/100

On content alone, the bill is a narrowly tailored, technical reform with low ideological salience and a plausible bipartisan appeal. Those features increase its feasibility compared with sweeping or controversial measures. Countervailing factors include added regulatory burden on manufacturers, absence of funding or enforcement clarity in the text, and possible industry resistance or negotiation requests that could delay or alter the bill before enactment. Inclusion in a larger must-pass or health-related legislative vehicle would materially increase the chance of enactment.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No cost estimate or appropriation language is included; the administrative burden on FDA and compliance costs for manufacturers are unknown.
  • The bill does not specify enforcement mechanisms, penalties, or confidentiality protections for commercially sensitive supplier information, which could prompt substantive amendments or industry objections.
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

Transparency vs. commercial confidentiality: liberals and centrists favor supply-chain visibility while conservatives emphasize trade-secre…

On content alone, the bill is a narrowly tailored, technical reform with low ideological salience and a plausible bipartisan appeal. Those…

Unlocked analysis

Relative to its intended legislative type, this bill makes targeted, concrete amendments to the FD&C Act that impose new notification and reporting obligations with reasonably specific data and timing requirements and r…

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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