# 119-s-5265: USTRx Act

119-s-5265, USTRx Act, is a 119th Congress bill sponsored by Sen. Sheehy, Tim [R-MT] (R-MT); status introduced; PRIA reads it as touching household money (as of 2026-09-18).

- Canonical: https://policyrisk.com/legislation/119-s-5265
- As of: 2026-09-18
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-5265
- Congress: 119
- Title: USTRx Act
- Status: introduced
- Introduced: 2026-08-05
- Sponsor: Sen. Sheehy, Tim [R-MT] (R-MT)
- Cosponsors: 2
- Policy area: Foreign Trade and International Finance
- Touches household money: yes
- Last recorded action: 2026-09-18

## Summary

**Creates a Chief Pharmaceutical Trade Negotiator** to push back on high‑income countries' drug‑pricing and trade practices the bill says depress U.S. innovation. It would also require annual public reporting and force a 30‑day plan to respond to flagged practices that could include trade investigations. - U.S. pharmaceutical manufacturers would get a dedicated USTR advocate to conduct negotiations, enforce trade agreements, and pursue actions when high‑income countries' policies limit U.S. market access or harm incentives to innovate. - Patients and taxpayers would see annual, public reviews of World Bank‑defined high‑income countries that the bill says set non‑market prices, delay new medicines, or shift costs to the United States. - The USTR would publish a rolling list of high‑income countries and, within 30 days of finding harmful practices, must submit a response plan to Congress that may include initiating an investigation under Title III of the Trade Act of 1974.

## Cosponsors (2)

- Sen. McCormick, David [R-PA] (R-PA), 2026-08-05T00:00:00.000Z
- Sen. Budd, Ted [R-NC] (R-NC), 2026-08-05T00:00:00.000Z

## Provisions PRIA read

- New USTR drug trade office: mixed, medium. This bill would create a Chief Pharmaceutical Trade Negotiator inside USTR. That Chief would review medicine trade policies in every World Bank "high income" country each year. USTR would have to send each report to the House Ways and Means and Senate Finance Committees and publish it online. If a…

## Related bills

- 119-s-4744: Take Care of America’s Veterans Act
- 119-s-3923: Weather Research and Forecasting Innovation Reauthorization Act of 2026
- 119-s-3597: National Quantum Initiative Reauthorization Act of 2026
- 119-s-1462: Fix Our Forests Act
- 119-s-4952: Protecting American Taxpayers Act
- 119-s-4378: Protecting American Taxpayers Act

## Sources
- [119-s-5265 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/5265)

## Related
- [119-s-4744: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-s-4744)
- [119-s-3923: Weather Research and Forecasting Innovation Reauthorization Act of 2026](https://policyrisk.com/legislation/119-s-3923)
- [119-s-3597: National Quantum Initiative Reauthorization Act of 2026](https://policyrisk.com/legislation/119-s-3597)
- [119-s-1462: Fix Our Forests Act](https://policyrisk.com/legislation/119-s-1462)
- [119-s-4952: Protecting American Taxpayers Act](https://policyrisk.com/legislation/119-s-4952)
- [119-s-4378: Protecting American Taxpayers Act](https://policyrisk.com/legislation/119-s-4378)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-5265 (as of 2026-09-18).