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LAST ACTION SEP 24, 2026  UPDATED OCT 2
S. 5513SENATE BILL · 119TH CONGRESS119TH

Domestic Manufacturing Revitalization Act of 2026

Creates a hospital purchasing pilot, raises duties on specified medical imports, and offers tax credits for U.S. protective-equipment production.

WHERE IT STANDS

In the Senate Finance Committee since Sept. 24, 2026, 11 days after it was introduced. Most bills never leave committee.

  1. INTRODUCEDINTROSEP 24, 2026
  2. COMMITTEECOMM.IN COMMITTEE
  3. SENATESENATE—
  4. HOUSEHOUSE—
  5. LAWLAW—
Read the text
WHAT IT DOES

What the bill would do, and why it matters

BASED ON THE TEXT AS INTRODUCED
tl;drWRITTEN OCT 4 FROM THE TEXT AS INTRODUCED

Hospitals need protective equipment and medical supplies, which can be made in the United States or imported. The bill would create a Medicare pilot that rewards certain hospitals for buying domestic products and reduces payments for repeated shortfalls. It would also raise duties on specified imports and offer tax credits for U.S. production and manufacturing investments.

  • INTRODUCED ONLY This bill has been introduced and possibly referred to a committee, but it has not passed any vote. Most introduced bills never become law — they die in committee without a hearing.
  • DATA NOTE No Congressional Research Service summary was available.
WHAT IT WOULD DO · 5 PROVISIONSINTRODUCED IN SENATE
  1. Reward hospitals for domestic purchases

    The pilot would cover hospitals the Secretary identifies based on their Medicare payments over the five years before enactment, as well as other hospitals that choose to join. Participating hospitals would need to buy at least 40% of their covered protective equipment and medical consumables as domestic products and report their purchases.

  2. Raise duties on covered medical imports

    The President would raise duties on specified medical products to rates equivalent to 300% of their value, phasing in the increase over five years. The Treasury would transfer the additional duty revenue to HHS at least annually.

  3. Offer credits for protective equipment production

    Manufacturers would receive a tax credit for qualifying U.S.-made equipment sold to unrelated buyers: $0.25 per N95 mask, $0.10 per surgical mask, $0.05 per medical glove, $0.50 per surgical gown, and $250 per ventilator or other equipment designated by HHS. Products must meet domestic-content and federal safety requirements.

  4. Credit protective-equipment manufacturing investments

    Businesses could claim a tax credit equal to 20% of qualifying investment in U.S. facilities that mainly produce qualifying protective equipment. A facility cannot also claim the production credit for equipment it makes there.

  5. Reduce payments for repeated hospital shortfalls

    Beginning after the pilot’s third year, hospitals that miss the domestic-purchase requirement would face payment reductions that grow from 2% after one year of failure to 8% after seven years. A reduction would continue after the pilot ends; the Secretary could adjust the purchase percentage during supply disruptions, disasters, or national emergencies.

THE CONTEXT

The bill would use hospital purchasing rules, import duties, and tax credits to encourage domestic production of protective equipment and medical supplies. It would also connect tariff revenue to reimbursements for hospitals buying domestic products.

The purchasing requirement could affect hospitals’ sourcing choices, while the higher duties could increase the cost of importing the covered products. The bill does not state an overall cost estimate for the tax credits, reimbursements, or duty changes.

Written from the bill text.

KEY DATES
WITHIN 2 YEARS AFTER ENACTMENT
Secretary establishes the hospital purchasing pilot
180 DAYS, 2, 4 AND 5 YEARS AFTER ENACTMENT
Duty increases phase in to the full amount
9 YEARS AFTER IMPLEMENTATION
Hospital purchasing pilot ends
AFTER DEC. 31, 2035
Production and investment tax credits end
MONEY
$0.25 per N95 mask; $0.10 per surgical mask; $0.05 per medical glove; $0.50 per surgical gown; $250 per ventilator or designated major equipment
authorized for tax credit for production of qualified personal protective equipment, For qualifying equipment produced after Dec. 31, 2025, and not after Dec. 31, 2035
20% of qualified investment
authorized for tax credit for personal protective equipment manufacturing property, For qualifying property placed in service after Dec. 31, 2025, and not after Dec. 31, 2035
TEXT VERSIONS
  1. ISIntroduced in SenateSEP 24, 20262,683
THE JOURNEY

The path it took, step by step

FROM THE OFFICIAL ACTIONS ON CONGRESS.GOV
  1. IntroducedSEP 24, 2026
    SENATE
    SEP 24, 2026
    By Sen. Cassidy
    Referred to Finance
  2. SAME DAYNOW
    Senate committeeSEP 24, 2026
    FINANCE NOW
    SEP 24, 2026
    In committee for 11 days
    No hearing yet
  3. 11 DAYS SO FAR
    Passed the Senate—
    SENATE FLOOR
    —
    Not scheduled
  4. House committee—
    HOUSE
    —
  5. Passed the House—
    HOUSE FLOOR
    —
    Not scheduled
  6. Resolve differencesONLY IF NEEDED
    BOTH CHAMBERS
    ONLY IF NEEDED
    Skipped if the other chamber passes the same text
  7. Signed into law—
    PRESIDENT
    —
    10 days to sign or veto
KEY ACTIONS2 OF 2 · PROCEDURAL STEPS FOLDED
  1. SEP 242026SEP 24, 2026REFERREDRead twice and referred to the Committee on Finance.
  2. SEP 242026SEP 24, 2026INTRODUCEDSENATEIntroduced in Senate
HOW LONG LAWS TAKE118 LAWS THIS CONGRESS

At day 11, this bill is already older than 3% of the laws passed this Congress were when they were signed.

DAYS FROM INTRODUCTION TO SIGNING · ○ CEREMONIAL
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