Combating Counterfeit Pharmaceuticals Act of 2025

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Bill ID: 119/s/3134
Last Updated: November 13, 2025

Sponsored by

Sen. Cotton, Tom [R-AR]

ID: C001095

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3. Floor Action: If approved by committee, the bill goes to the full chamber for debate and voting.

4. Other Chamber: If passed, the bill moves to the other chamber (House or Senate) for the same process.

5. Conference: If both chambers pass different versions, a conference committee reconciles the differences.

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Bill Summary

Another masterpiece of legislative theater, brought to you by the esteemed members of Congress. Let's dissect this monstrosity and uncover the real motivations behind it.

**Main Purpose & Objectives:** The Combating Counterfeit Pharmaceuticals Act of 2025 claims to address the trafficking of copy-cat and counterfeit drugs, as well as active pharmaceutical ingredients. How noble. In reality, this bill is a thinly veiled attempt to expand the government's surveillance powers, further entrench the interests of Big Pharma, and create new opportunities for bureaucratic empire-building.

**Key Provisions & Changes to Existing Law:** The bill amends the Fentanyl Sanctions Act to include copy-cat ingredients and counterfeit drugs in its scope. It also modifies requirements for the Director of National Intelligence, allowing them to delegate authority to designees (because who needs accountability, right?). Additionally, it expands the definition of "illicit drug" to include any substance that's not approved by the FDA (read: anything that competes with Big Pharma's profits).

**Affected Parties & Stakeholders:** The usual suspects are involved:

* Big Pharma: They'll love this bill, as it further solidifies their grip on the market and allows them to crush competition from generic or alternative treatments. * Government agencies: The Director of National Intelligence gets more power, and the FDA gets to expand its regulatory reach. Win-win for bureaucrats! * Patients: Oh, they might get some lip service about "protecting" them from counterfeit drugs, but in reality, this bill will only serve to limit their access to affordable treatments.

**Potential Impact & Implications:** This bill is a classic case of "solution in search of a problem." The real issue isn't counterfeit drugs; it's the stranglehold Big Pharma has on the market. By expanding surveillance powers and regulatory reach, this bill will only serve to:

* Stifle innovation and competition * Drive up healthcare costs for patients * Create new opportunities for corruption and abuse of power

In short, this bill is a symptom of a deeper disease: the corrupting influence of money and power in politics. It's a cynical attempt to further entrench the interests of Big Pharma and government agencies at the expense of patients and taxpayers.

Diagnosis: Terminal stupidity, with a side of corruption and greed. Prognosis: This bill will pass, because who needs actual reform when you can just put on a show?

Related Topics

Civil Rights & Liberties State & Local Government Affairs Transportation & Infrastructure Small Business & Entrepreneurship Government Operations & Accountability National Security & Intelligence Criminal Justice & Law Enforcement Federal Budget & Appropriations Congressional Rules & Procedures
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Project 2025 Policy Matches

This bill shows semantic similarity to the following sections of the Project 2025 policy document. Higher similarity scores indicate stronger thematic connections.

Introduction

Moderate 60.3%
Pages: 587-589

— 555 — Department of Justice 1. Rigorously prosecute as much interstate drug activity as possible, including simple possession of distributable quantities.46 Recent efforts to create the impression that drug possession crimes are not serious offenses has contributed to the explosion of criminal organization activities in the United States. 2. Aggressively deploy the Racketeer Influenced and Corrupt Organizations Act (RICO),47 which Congress expressly created to empower the Department of Justice to treat patterns of intrastate- level crimes, such as robbery, extortion, and murder, as federal criminal conduct for criminal organizations and networks. The next Administration can use existing tools while it works with Congress to develop new tools. l Secure the border,48 which is the key entry point for many criminal organizations and their supplies, products, and employees. Mexico— which is arguably functioning as a failed state run by drug cartels—is the main point of transit for illegal drugs produced in Central and South America, fentanyl precursors from the Chinese Communist Party–led People’s Republic of China,49 weapons, human smuggling and trafficking, and other contraband. Mexican drug cartels, including the dominant Sinaloa Cartel and the Jalisco New Generation Cartel (CJNG), are the main drivers of fentanyl production and distribution in the United States. The southwestern land border is sufficiently porous that Mexican drug cartels have operational control of large sections of the border, which facilitates easy movement of product and personnel. These cartels are also violent and not afraid to demonstrate force on both sides of the border. Their conduct represents a clear and present danger to the United States and its citizens. In addition to finalizing the southwestern land border wall, the next Administration should take a creative and aggressive approach to tackling these dangerous criminal organizations at the border. This could include use of active-duty military personnel and National Guardsmen to assist in arrest operations along the border—something that has not yet been done. A new and forceful approach to interdiction will have a ripple effect on the operations of these criminal organizations, which currently operate freely without concern for criminal prosecution, and will lay the necessary groundwork for initial prosecutions of these organizations and their leaders. It is critical that the federal government staunch the flow of drugs by preventing the far-too-easy access to the United States that now exists. — 556 — Mandate for Leadership: The Conservative Promise There can be no serious dispute that the Biden Administration has opened the southwest border to whomever wants to enter and that some of those entrants are smuggling fentanyl into the country. More than 100,000 Americans died in a one-year period from opioid overdoses, and many of them died specifically from having used fentanyl.50 The federal government should treat this problem as aggressively as necessary. Enforcing the customs and immigration laws is a matter of life and death. PURSUING A NATIONAL SECURITY AGENDA AIMED AT EXTERNAL STATE AND NON-STATE ACTORS, NOT U.S. CITIZENS EXERCISING THEIR CONSTITUTIONAL RIGHTS The Department of Justice plays a vital role in protecting our national security, and it must not refrain from engaging in public initiatives that identify our adver- saries and educate the American people about their activities. The DOJ’s China Initiative under President Trump reflected the department’s priority of combating Chinese threats to our national security.51 Because China was accountable for approximately 80 percent of all prosecutions for economic espionage and approximately 60 percent of all thefts of trade secrets, then-At- torney General Jeff Sessions set key goals for the China Initiative that included development of an enforcement strategy concerning researchers in labs and universities who were being coopted into stealing critical U.S. technologies, iden- tification of opportunities to address supply-chain threats more effectively, and education of colleges and universities about potential threats from Chinese influ- ence efforts on campus. In February 2022, the Biden Administration terminated the department’s China Initiative largely out of a concern for poor “optics.”52 While the Biden Administra- tion correctly identified China as America’s “only competitor with both the intent to reshape the international order and, increasingly, the economic, diplomatic, military, and technological power to do it,”53 it folded in the face of political cor- rectness and sent the message that liberal sensitivities outweighed bringing justice to threats from China. The next conservative Administration should therefore: l Restart the China Initiative. l Pursue other programs to educate the American people about the real and dangerous threats to our national security and economic security that are posed by actors across the globe, most notably China and Iran. l Ensure that it is agile enough to devote sufficient resources and attention to other emerging threats that involve federal interests

About These Correlations

Policy matches are calculated using semantic similarity between bill summaries and Project 2025 policy text. A score of 60% or higher indicates meaningful thematic overlap. This does not imply direct causation or intent, but highlights areas where legislation aligns with Project 2025 policy objectives.