skip to main content

S. 1176: Onshoring Essential Antibiotics Act

The text of the bill below is as of Apr 15, 2021 (Introduced).



1st Session

S. 1176


April 15, 2021

(for herself and Mr. Cassidy) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions


To establish a grant program to support the manufacture and stockpiling of essential generic antibiotic drugs.


Short title

This Act may be cited as the Onshoring Essential Antibiotics Act.


Essential generic antibiotic program


Grant program



Not later than 60 days after the date of enactment of this Act, the Secretary shall establish a program to provide grants to manufacturers of essential generic antibiotic drugs, or the active pharmaceutical ingredient or key starting material of an essential generic antibiotic drug, to support activities described in paragraph (3).


Eligible entities

The Secretary shall award grants under this subsection to not more than 3 manufacturers of an essential generic antibiotic drug. Each such recipient shall be a manufacturer that—


has implemented and maintains an effective quality management system, under parts 210 and 211 of title 21, Code of Federal Regulations (or any successor regulations);


has a strong record of compliance with the requirements of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 301 et seq.);


uses complex pharmaceutical manufacturing to produce a finished drug product or active pharmaceutical ingredient pursuant to an application approved under section subsection (c) or (j) of section 505 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355);


commits to using advanced manufacturing in its manufacturing operations; and


has existing manufacturing facilities and operations in the United States.


Use of funds

A recipient of a grant under this subsection may use such grant funds to—


with respect to manufacturing an essential generic antibiotic drug—


expand, upgrade, or recommission an existing manufacturing facility located in the United States; or


construct a new manufacturing facility in the United States; and


manufacture essential generic antibiotic drugs.


Use of funds To purchase essential generic antibiotic drugs for stockpiling

The Secretary may use amounts appropriated under this section to purchase, store, stockpile, or disposition essential generic antibiotic drugs manufactured in the United States.



For purposes of this section:


Active pharmaceutical ingredient

The term active pharmaceutical ingredient has the meaning given such term in section 744A of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379j–41).


Essential generic antibiotic drug

The term essential generic antibiotic drug means an antibacterial or antifungal drug approved by the Food and Drug Administration under section 505(j) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355(j)) that the Secretary determines to be medically necessary to have available at all times in an amount adequate to serve patient needs, including beta-lactams (including penicillin and cephalosporin derivatives) and non-beta lactams (including tetracycline and aminoglycoside derivatives).


Key starting material

The term key starting material means any component of a drug that the Secretary determines to be critical to the safety and effectiveness of the drug.



The term Secretary means the Secretary of Health and Human Services.


United States

The term United States means the 50 States, the District of Columbia, territories, and Tribal lands.



For purposes of carrying out this section, there is appropriated, out of amounts in the Treasury not otherwise appropriated, $500,000,000 for fiscal year 2021, to remain available through September 30, 2023.


Study and report


In general

The Secretary of Health and Human Services (referred to in this section as the Secretary) shall enter into a contract with an entity under which such entity carries out a study on the manufacture of essential generic antibiotic drugs and issues a report that includes—


recommendations about which antibiotics the Secretary should prioritize for purposes of the program under section 2, based on factors that include necessity of use, vulnerability to foreign supply chain disruptions, and availability of alternatives; and


the expected effect of increased domestic manufacturing of drugs on drug costs to consumers.



To carry out this section, there is authorized to be appropriated $2,000,000 for fiscal year 2021, to remain available until September 30, 2022.