Real bill currently in Congress  c/o  HR/119/8651

Advancing Safe Medications for Moms and Babies Act of 2026

Latest action (2026-05-04): Referred to the House Committee on Energy and Commerce.

The Framers

“Founders’ Verdict”

CONDITIONAL

Confidence 0.50

Synthesis

2-2 split: Hamilton and Marshall deem CONSTITUTIONAL under Commerce Clause (with concerns on intrastate limits); Madison and Jefferson deem UNCONSTITUTIONAL as reserved state police power.

Hamilton YES

The proposed legislation, by its title, aims to advance safe medications for mothers and infants, matters intrinsically involving articles of commerce produced, distributed, and consumed across state lines. Congress possesses the authority to regulate such commerce to prevent fraud, adulteration, and hazards that burden interstate trade and the general welfare. This power is essential to a vigorous federal government capable of securing the Union against disjointed state regulations that could paralyze national commerce in vital goods like medicines.

Article I, Section 8, Clause 3 Federalist No. 11
Jefferson NO

The title of this act indicates an intent to regulate or advance medications concerning maternal and infant health, matters of local police power involving the safety and welfare of citizens within each State. Such authority is not enumerated among the powers delegated to Congress in Article I, Section 8, which limits federal action to specific objects like commerce among the States, not intrastate health regulations. The Tenth Amendment expressly reserves all undelegated powers to the States or the people, preserving State sovereignty over domestic health concerns. The Ninth Amendment further…

Tenth Amendment Ninth Amendment Article I, Section 8, Clause 3
Madison NO

The proposed legislation, by its title, appears to direct federal attention to the safety of medications for mothers and infants, a matter implicating the internal regulation of health and medicines traditionally reserved to the states. The Constitution enumerates specific powers for Congress in Article I, Section 8, none of which expressly include the general police power over public health or pharmaceutical safety absent a clear connection to interstate commerce, foreign affairs, or other delegated objects. Such an act risks extending federal authority beyond its defined limits, as explained…

Article I, Section 8 Amendment X Federalist No. 45 Federalist No. 39
Marshall YES

The proposed legislation, by its title, appears to advance the regulation of medications concerning maternal and infant health, matters which fall within the power of Congress to regulate Commerce among the several States. Such commerce encompasses the production, distribution, and safety of medicinal articles traversing state lines, as established in foundational reasoning. Moreover, pursuant to the necessary and proper clause, Congress may enact laws conducive to executing its enumerated powers, including safeguards for public health in interstate transactions, without encroaching upon prohi…

Article I, Section 8, Clause 3 Gibbons v. Ogden (1824) Article I, Section 8, Clause 18 McCulloch v. Maryland (1819)

What should pass

“AI Consensus Solution”

No solution yet

Daily synthesis runs at 06:00 UTC. This bill's consensus draft will appear on the next pass.

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