S. 5265 explained  ·  119th Congress  ·  Pending in Congress

USTRx Act

Create a free account or sign in to follow S. 5265 and get alerts. Policy area: Foreign Trade and International Finance Create a free account or sign in to follow the Foreign Trade and International Finance policy area and get alerts. ▲ 75 days since action Sponsor: Tim Sheehy, MT-Senate, R → Congress.gov

Cosponsors: 2 (0 D, 2 R) · per Congress.gov, 2026-10-14

Introduced: 2026-08-05

Latest action (2026-08-05): Read twice and referred to the Committee on Finance.

What S. 5265 does, in plain terms

Use Sovereignty To reduce Rx Act or the USTRx Act This bill establishes the role of Chief Pharmaceutical Trade Negotiator within the Office of the U.S. Trade Representative (USTR). The negotiator must conduct trade negotiations, enforce trade agreements relating to U.S. pharmaceutical products, and address acts, policies, or practices of high-income countries that adversely impact the market access of U.S. pharmaceutical manufacturers. The USTR must annually compile a list of high-income countries based on official statistics of the International Bank for Reconstruction and Development of the World Bank. Based on that list, the negotiator must submit a report describing (1) such countries' actions and impacts relating to the pharmaceutical trade, and (2) the current status of any responsive actions taken by the United States. The bill also requires the USTR to submit to Congress a plan to respond to certain adverse acts, policies, or practices of high-income countries that are related to the trade of pharmaceutical products.

Official summary by the Congressional Research Service, via Congress.gov.

Constitution Index

“VFA Constitution grade”

Not graded yet

S. 5265 has not been graded yet. New measures with an official summary are graded daily under the published rubric.

The Framers

“Founders’ Verdict”

CONDITIONAL

Confidence 0.50

Archived SI output (machine-generated)

No editorial review recorded. This historical SI verdict was machine-generated by software and predates the review desk; check it against the official bill text.

Synthesis

The bill is constitutional only if it includes explicit, objective criteria for identifying unfair trade practices, limits executive discretion, and provides for judicial review to prevent arbitrary enforcement and protect against faction-driven measures.

Hamilton YES

The power to regulate commerce with foreign nations is vested in Congress by the Constitution, and this bill properly exercises that authority to address unfair trade practices that undermine American innovation. The identification and counteraction of such practices are essential to the security and prosperity of the Union, as they protect the fruits of domestic industry and ensure that the national economy is not exploited by foreign states deviating from sound market principles. This measure aligns with the constitutional design to provide for the common defense and general welfare, and it …

Article I, Section 8, Clause 3 Article I, Section 8, Clause 18 Federalist No. 11 Federalist No. 22
Jefferson CONDITIONAL

This bill grants broad authority to identify and act against foreign trade practices deemed 'unfair' without precise definitions or judicial oversight. While the Constitution vests Congress with power to regulate commerce with foreign nations (Article I, Section 8, Clause 3), such power must be exercised with strict adherence to enumerated ends and procedural safeguards. The vague language risks enabling arbitrary executive action that could infringe upon the liberty of American citizens and states, contrary to the spirit of the Ninth and Tenth Amendments, which reserve undelegated powers to t…

Article I, Section 8, Clause 3 Amendment IX Amendment X
Madison CONDITIONAL

The Constitution vests in Congress the power to regulate commerce with foreign nations (Article I, Section 8, Clause 3). A bill targeting unfair international trade practices falls within this enumerated power. However, the bill's reliance on identifying 'high income countries' and 'deviations from market-based policies' introduces a risk of arbitrary or faction-driven enforcement. As argued in Federalist No. 10, the regulation of commerce must guard against factions that might seek to impose burdens on foreign nations for the benefit of particular domestic interests, rather than the general w…

Article I, Section 8, Clause 3 Federalist No. 10 Federalist No. 47
Marshall YES

This bill falls squarely within the power of Congress to regulate commerce with foreign nations, as vested by Article I, Section 8, Clause 3 of the Constitution. The Commerce Clause grants Congress authority over all external commerce, and the measure's aim to address trade practices that unfairly exploit United States innovation is a legitimate object of that power. Moreover, under the reasoning of McCulloch v. Maryland (1819), Congress may employ means that are appropriate and plainly adapted to a legitimate end, so long as they are not prohibited by the Constitution and are consistent with …

Article I, Section 8, Clause 3 (Commerce Clause) McCulloch v. Maryland (1819)
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