Domestic Manufacturing Revitalization Act of 2026

This bill would create a Medicare pilot program for hospitals that received above-average Medicare payments over the past five years, plus other hospitals that choose to join. Participating hospitals would have to buy at least 40 percent of their protective equipment and medical supplies from U.S.-made sources and would be reimbursed for those domestic purchases. Starting after the third year, hospitals that miss the target would see their Medicare payments cut by 2 to 8 percent, depending on how many years they missed it. The bill would also phase in a 300 percent tariff on certain imported medical supplies, with the money going to the program. It would also create tax credits for producing U.S.-made protective equipment and for investing in factories that make it.

Full text and official record on Congress.gov

Sponsors

• Bill Cassidy Republican sponsor
• 0 cosponsors