Presidential Document2026-06956

Adjusting Imports of Pharmaceuticals and Pharmaceutical Ingredients Into the United States

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Published
April 9, 2026
Signed
April 2, 2026

Issuing agencies

Executive Office of the President

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<title>Federal Register, Volume 91 Issue 68 (Thursday, April 9, 2026)</title>
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[Federal Register Volume 91, Number 68 (Thursday, April 9, 2026)]
[Presidential Documents]
[Pages 18183-18200]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-06956]



[[Page 18181]]

Vol. 91

Thursday,

No. 68

April 9, 2026

Part V





The President





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Proclamation 11020--Adjusting Imports of Pharmaceuticals and 
Pharmaceutical Ingredients Into the United States



Proclamation 11021--Strengthening Actions Taken To Adjust Imports of 
Aluminum, Steel, and Copper Into the United States



Executive Order 14400--Urgent National Action To Save College Sports



Order of April 3, 2026--Sequestration Order for Fiscal Year 2027 
Pursuant to Section 251A of the Balanced Budget and Emergency Deficit 
Control Act, as Amended


                        Presidential Documents 



Federal Register / Vol. 91 , No. 68 / Thursday, April 9, 2026 / 
Presidential Documents

___________________________________________________________________

Title 3--
The President

[[Page 18183]]

                Proclamation 11020 of April 2, 2026

                
Adjusting Imports of Pharmaceuticals and 
                Pharmaceutical Ingredients Into the United States

                By the President of the United States of America

                A Proclamation

                1. The Secretary of Commerce (Secretary) recently 
                transmitted to me a report on his investigation into 
                the effects of imports of pharmaceuticals and 
                pharmaceutical ingredients on the national security of 
                the United States under section 232 of the Trade 
                Expansion Act of 1962, as amended, 19 U.S.C. 1862 
                (section 232). Based on the facts considered in that 
                investigation, and taking into account the close 
                relation of the economic welfare of the Nation to our 
                national security and other relevant factors, see 19 
                U.S.C. 1862(d), the Secretary found and advised me of 
                his opinion that pharmaceuticals and associated active 
                pharmaceutical ingredients (APIs), including key 
                starting materials, are being imported into the United 
                States in such quantities and under such circumstances 
                as to threaten to impair the national security of the 
                United States.

                2. The Secretary found that the present quantities and 
                circumstances of imports of pharmaceuticals and 
                pharmaceutical ingredients threaten to impair the 
                national security and economy. Despite being the world 
                leader in research and development (R&D) for most 
                innovative pharmaceuticals (those that are typically 
                patented and branded, as compared to generic 
                pharmaceuticals or pharmaceuticals approved pursuant to 
                section 505(j) of the Federal Food, Drug, and Cosmetic 
                Act, 21 U.S.C. 355(j)), the United States is heavily 
                reliant on imports, threatening to limit United States 
                access to life-saving medications in the event of 
                global supply chain disruption due to geopolitical or 
                economic disruption. According to the Food and Drug 
                Administration, as of 2025, approximately 53 percent of 
                patented pharmaceutical products distributed 
                domestically are produced outside the country. The 
                degree of import reliance is significant at the API 
                level with only 15 percent of patented APIs by volume 
                domestically produced for the United States market.

                3. The Secretary found that patented pharmaceuticals 
                and associated pharmaceutical ingredients are essential 
                to the United States' military and civilian healthcare. 
                A self-sufficient domestic manufacturing and industrial 
                base for pharmaceutical products is vital for the 
                ability to support national defense requirements and 
                maintain public health security during a national 
                emergency or wartime. Patented pharmaceuticals are 
                pivotal for treating cancer, rare diseases, autoimmune 
                disorders, infectious diseases, and other critical 
                health challenges. The Secretary further found that 
                foreign government intervention has undermined the 
                competitiveness of the United States patented 
                pharmaceutical industry. This intervention has led to 
                further dependence on foreign production of patented 
                pharmaceuticals that have fragile supply chains.

                4. In light of these findings, the Secretary 
                recommended actions to adjust imports of patented 
                pharmaceuticals and associated pharmaceutical 
                ingredients, including continuing to negotiate 
                onshoring agreements related to Most-Favored-Nation 
                (MFN) pharmaceutical pricing agreements; imposing 
                significant tariffs on pharmaceuticals and 
                pharmaceutical ingredients, so that such imports will 
                not threaten to impair the national security of the 
                United

[[Page 18184]]

                States; and granting preferential treatment to those 
                companies that commit to onshore production of 
                pharmaceuticals and pharmaceutical ingredients.

                5. After considering the Secretary's report, the 
                factors in section 232(d) (19 U.S.C. 1862(d)), and 
                other relevant factors and information, among other 
                things, I concur with the Secretary's finding that 
                pharmaceuticals and associated pharmaceutical 
                ingredients are being imported into the United States 
                in such quantities and under such circumstances as to 
                threaten to impair the national security of the United 
                States. In my judgment, and in light of the Secretary's 
                report, the factors in section 232(d) (19 U.S.C. 
                1862(d)), and other relevant factors and information, I 
                have also determined that it is necessary and 
                appropriate to adopt a plan of action, as described 
                below, to adjust such imports of pharmaceuticals and 
                associated pharmaceutical ingredients so that such 
                imports will not threaten to impair the national 
                security of the United States.

                6. I have decided to direct the Secretary and the 
                Secretary of Health and Human Services to pursue 
                negotiations of agreements or continue any current 
                negotiations of agreements, such as agreements 
                contemplated in section 232(c)(3)(A)(i) (19 U.S.C. 
                1862(c)(3)(A)(i)), to address the threatened impairment 
                of the national security with respect to imported 
                patented pharmaceuticals and associated pharmaceutical 
                ingredients, with any party the Secretary and the 
                Secretary of Health and Human Services deem 
                appropriate, and to update me on the progress of such 
                negotiations within 90 days of the date of this 
                proclamation. Under current circumstances and in light 
                of future requirements of the United States, this 
                action is necessary and appropriate to address the 
                threatened impairment of the national security.

                7. I have determined that it is necessary and 
                appropriate to impose a 100 percent ad valorem duty 
                rate on the import of patented pharmaceuticals and 
                associated pharmaceutical ingredients, as identified in 
                Annex I to this proclamation, and except as otherwise 
                provided in this proclamation. Pharmaceutical products 
                and ingredients that are subject to the section 232 
                zero tariff at this time are listed in Annex IV to this 
                proclamation.

                8. I have determined that it is necessary and 
                appropriate that the ad valorem duty rate be 20 percent 
                on imports of patented pharmaceuticals and associated 
                pharmaceutical ingredients produced by companies that 
                have plans, approved by the Secretary, to onshore 
                production of such pharmaceuticals and pharmaceutical 
                ingredients. The aforementioned 20 percent rate shall 
                increase to 100 percent 4 years after the date of this 
                proclamation.

                9. I have further determined that it is necessary to 
                implement pharmaceutical-related commitments in 
                existing trade deals with the European Union, Japan, 
                the Republic of Korea, and Switzerland and 
                Liechtenstein jointly, as well as a future 
                pharmaceutical-related deal with the United Kingdom (on 
                which the United States and the United Kingdom have 
                reached an agreement in principle as of December 1, 
                2025). These deals further United States economic and 
                national security interests.

                10. I further find that it is necessary and appropriate 
                to impose no tariffs on imports of patented 
                pharmaceuticals and associated pharmaceutical 
                ingredients produced by companies that have fully 
                executed agreements or are negotiating agreements with 
                the Secretary and the Secretary of Health and Human 
                Services regarding MFN pricing and onshoring of 
                production and R&D of patented pharmaceuticals and 
                pharmaceutical ingredients. Such agreements further 
                United States economic and national security interests 
                by making pharmaceuticals more accessible and 
                affordable in the United States and by strengthening 
                the domestic manufacturing base.

                11. I have further determined not to adjust imports of 
                generic pharmaceuticals and their associated 
                ingredients, including biosimilar products, at this 
                time. This determination includes purchases of generic 
                pharmaceuticals and ingredients for the Strategic API 
                Reserve. I find that such products should not be 
                subject to section 232 tariffs at this time.

[[Page 18185]]

                12. In my judgment, based on current circumstances as 
                well as the future needs of the United States, the 
                actions in this proclamation are necessary and 
                appropriate to address the threatened impairment of the 
                national security posed by imports of pharmaceuticals 
                and pharmaceutical ingredients.

                13. Section 232 authorizes the President to take action 
                to adjust the imports of an article and its derivatives 
                that are being imported into the United States in such 
                quantities or under such circumstances as to threaten 
                to impair the national security. Section 232 includes 
                the authority to adopt and carry out a plan of action, 
                with adjustments over time, to address the national 
                security threat. This plan of action may include 
                negotiations of agreements along with other actions to 
                adjust imports to address the national security threat, 
                including tariffs. If action under section 232 includes 
                the negotiation of an agreement, such as one 
                contemplated in section 232(c)(3)(A)(i) (19 U.S.C. 
                1862(c)(3)(A)(i)), the President may also take other 
                actions he deems necessary to adjust imports to 
                eliminate the threat that the imported article poses to 
                the national security, including if such an agreement 
                is not entered into within 180 days of the date of this 
                proclamation, is not being carried out, or is 
                ineffective. See 19 U.S.C. 1862(c)(3)(A).

                14. Section 604 of the Trade Act of 1974, as amended 
                (19 U.S.C. 2483) (section 604), authorizes the 
                President to embody in the Harmonized Tariff Schedule 
                of the United States (HTSUS) the substance of statutes 
                affecting import treatment, and actions thereunder, 
                including the removal, modification, continuance, or 
                imposition of any rate of duty or other import 
                restriction.

                NOW, THEREFORE, I, DONALD J. TRUMP, President of the 
                United States of America, by the authority vested in me 
                by the Constitution and the laws of the United States, 
                including section 232, 19 U.S.C. 1862; section 604, 19 
                U.S.C. 2483; and section 301 of title 3, United States 
                Code, do hereby proclaim as follows:

                    (1) The Secretary and the Secretary of Health and 
                Human Services, and any senior official they deem 
                appropriate, shall pursue or continue pursuing 
                negotiations of agreements, as contemplated in section 
                232(c)(3)(A)(i) (19 U.S.C. 1862(c)(3)(A)(i)), to 
                address the threatened impairment of the national 
                security with respect to imported pharmaceuticals and 
                pharmaceutical ingredients.
                    (2) I hereby ratify, and delegate to the Secretary 
                the authority necessary to enter into, the company-
                specific tariff agreements listed in Annex II to this 
                proclamation that the Secretary entered into prior to 
                this proclamation. I also hereby delegate to the 
                Secretary the authority to enter into and implement 
                similar agreements in the future, as referenced in 
                clause (1) of this proclamation. The Secretary is 
                authorized to monitor and enforce these agreements as 
                he deems appropriate, consistent with clause (6) of 
                this proclamation and applicable law.
                    (3)(a) Imports of patented pharmaceuticals and 
                associated pharmaceutical ingredients, as listed in 
                Annex I to this proclamation, will be subject to a 100 
                percent ad valorem duty rate.

(b) The ad valorem duty rate for patented pharmaceuticals and associated 
pharmaceutical ingredients, as listed in Annex I to this proclamation, 
shall be 20 percent for products of companies that have, or that the 
Secretary assesses are likely soon to have (e.g., based on agreements in 
principle), onshoring plans approved by the Secretary. The aforementioned 
20 percent rate shall increase to 100 percent on April 2, 2030.

(c) The ad valorem duty rate for patented pharmaceuticals and associated 
pharmaceutical ingredients, as listed in Annex I to this proclamation, 
shall be 15 percent for products of Japan, the European Union, the Republic 
of Korea, and Switzerland and Liechtenstein jointly, unless a lower rate 
applies under clause (3) of this proclamation. The tariff rate on patented 
pharmaceuticals and associated pharmaceutical ingredients for products of 
the United Kingdom shall be 10 percent and then reduce to zero to the 
extent required by any future agreement between the United States

[[Page 18186]]

and the United Kingdom on pharmaceutical pricing. The Secretary shall 
publish a Federal Register notice should the rate for the United Kingdom be 
reduced to zero.

(d) The ad valorem tariff rate shall be zero for drugs and associated 
ingredients, where all approved indications are designated as orphan 
pursuant to the Orphan Drug Act, 21 U.S.C. 360aa et seq., and its 
implementing regulations; nuclear medicines; plasma derived therapies; 
fertility treatments; cell and gene therapies; antibody drug conjugates; 
medical countermeasures related to chemical, biological, radiological, and 
nuclear threats; or other specialty pharmaceutical products to be 
identified by the Secretary, as well as pharmaceutical products for animal 
health, provided that the Secretary, in consultation with the United States 
Trade Representative (Trade Representative) and the Secretary of Health and 
Human Services, determines that: (1) they are products of a jurisdiction 
that has a current or forthcoming trade and security framework agreement as 
referenced in Executive Order 14346 of September 5, 2025 (Modifying the 
Scope of Reciprocal Tariffs and Establishing Procedures for Implementing 
Trade and Security Agreements), or (2) they meet an urgent United States 
health need. The Secretary shall publish a Federal Register notice whenever 
he makes such a determination.

(e) For companies that are eligible for the tariff treatment outlined in 
clause (3)(b) of this proclamation, and that have entered into MFN 
pharmaceutical pricing agreements with the Secretary of Health and Human 
Services, the applicable ad valorem tariff rate for pharmaceuticals and 
associated pharmaceutical ingredients shall be zero until January 20, 2029. 
The Secretary shall apply this zero tariff rate to companies that he 
determines are likely to be eligible soon (e.g., because they have 
agreements in principle with the Secretary and the Secretary of Health and 
Human Services). For avoidance of doubt, this zero tariff rate shall also 
apply per the terms of the agreements listed in Annex II to this 
proclamation.

(f) The Secretary may increase the tariff rates referenced in clause (2) of 
this proclamation, and in clauses (3)(b) and (3)(e) of this proclamation, 
to address companies' failure to fulfill commitments under the relevant 
plans and agreements. The Secretary, in consultation with the Trade 
Representative, may increase the tariff rates referenced in clause (3)(c) 
of this proclamation to address foreign jurisdictions' failure to fulfill 
commitments under agreements with the United States. The Secretary shall 
publish a Federal Register notice when tariff rates are increased.

                    (4) The tariffs and tariff treatment imposed by 
                this proclamation shall be effective with respect to 
                goods entered for consumption, or withdrawn from 
                warehouse for consumption, on or after 12:01 a.m. 
                eastern daylight time on July 31, 2026, for the 
                companies listed in Annex III to this proclamation and 
                September 29, 2026, for other companies and shall 
                continue in effect, unless such actions are expressly 
                reduced, modified, or terminated.
                    (5) Generic pharmaceuticals and their associated 
                ingredients shall not be subject to tariffs pursuant to 
                section 232 at this time. Within 1 year of the date of 
                this proclamation, the Secretary shall, in consultation 
                with any senior executive branch officials the 
                Secretary deems appropriate, inform the President of 
                any circumstances that, in the Secretary's opinion, 
                might indicate the need to take action to adjust the 
                imports of generic pharmaceuticals and their associated 
                ingredients.
                    (6) The Secretary, in consultation with the 
                Secretary of Health and Human Services, shall establish 
                criteria for onshoring plans referenced in clause 
                (3)(b) of this proclamation, to be published in the 
                Federal Register. All onshoring plans shall be subject 
                to approval, monitoring, and enforcement by the 
                Secretary. The Secretary shall require companies with 
                qualifying onshoring plans to submit periodic reports 
                to the Secretary regarding progress towards fulfilling 
                onshoring milestones. The Secretary may require that 
                such reports be audited by an external auditing firm. 
                In cases where the executive branch assesses that a 
                company engaged in fraud or deliberately misled

[[Page 18187]]

                the United States Government with respect to onshoring 
                commitments, the Secretary may reimpose tariffs 
                discussed in this proclamation both prospectively and 
                retroactively on imports from relevant companies, and 
                he may impose other tariffs and penalties to the extent 
                consistent with applicable law.
                    (7) If a product is subject to tariffs under this 
                proclamation and Column 1 of the HTSUS (Column 1 Duty 
                Rate), then the sum of the additional section 232 
                tariff imposed pursuant to this proclamation and the 
                applicable Column 1 Duty Rate shall be equal to the 
                applicable rate listed in clause (3) of this 
                proclamation, unless the Column 1 Duty Rate is greater 
                than the applicable rate listed in clause (3) of this 
                proclamation, in which case only the Column 1 Duty Rate 
                shall apply. This clause does not apply to the tariff 
                treatment for products of the United Kingdom described 
                in clause (3)(c) of this proclamation.
                    (8) If a product is subject to more than one rate 
                of duty under this proclamation, then the lowest 
                applicable rate shall apply.
                    (9) The Secretary, in consultation with the Chair 
                of the United States International Trade Commission and 
                the Commissioner of U.S. Customs and Border Protection 
                (CBP), shall determine whether any modifications to the 
                HTSUS or other administrative measures are necessary to 
                effectuate or implement this proclamation or any 
                actions taken pursuant to this proclamation. Any 
                changes shall be published in a notice in the Federal 
                Register.
                    (10) Drawback shall be available with respect to 
                the duties imposed pursuant to this proclamation.
                    (11) Imports of United States-origin pharmaceutical 
                products shall not be subject to the tariffs imposed by 
                this proclamation at this time.
                    (12) To the extent permitted by applicable law, CBP 
                may take any necessary or appropriate measure to 
                administer the tariffs imposed or altered by this 
                proclamation. Importers shall provide to CBP 
                information necessary to carry out this proclamation.
                    (13) Any product described in clause (4) of this 
                proclamation, except those eligible for admission as 
                ``domestic status'' as described in 19 CFR 146.43, that 
                is subject to a duty imposed by this proclamation and 
                that is admitted into a United States foreign trade 
                zone on or after the effective date of this 
                proclamation, must be admitted as ``privileged foreign 
                status'' as described in 19 CFR 146.41 and will be 
                subject upon entry for consumption to any ad valorem 
                rates of duty related to the classification under the 
                applicable HTSUS subheading.
                    (14) The Secretary shall continue to monitor 
                imports of patented and generic pharmaceuticals and 
                pharmaceutical ingredients. The Secretary also shall, 
                from time to time, in consultation with any senior 
                executive branch officials the Secretary deems 
                appropriate, review the status of such imports with 
                respect to the national security. The Secretary shall 
                inform me of any circumstances that, in the Secretary's 
                opinion, might indicate the need for further action by 
                the President under section 232. The Secretary shall 
                also inform me of any circumstance that, in the 
                Secretary's opinion, might indicate that the tariff 
                imposed in this proclamation is no longer necessary.
                    (15) To the extent consistent with applicable law 
                and the purpose of this proclamation, the Secretary, 
                the Secretary of Health and Human Services, and the 
                Secretary of Homeland Security are directed and 
                authorized to take all actions that are appropriate to 
                implement and effectuate this proclamation and any 
                actions contemplated by this proclamation, including, 
                consistent with applicable law, the issuance of 
                regulations, rules, guidance, and procedures and the 
                temporary suspension or amendment of regulations, 
                within their respective jurisdictions, and to employ 
                all powers granted to me under section 232.
                    (16) The Secretary, the Trade Representative, and 
                the Secretary of Homeland Security may, consistent with 
                applicable law, including section 301

[[Page 18188]]

                of title 3, United States Code, redelegate any of these 
                functions within their respective executive departments 
                or agencies.
                    (17) Any provision of previous proclamations and 
                Executive Orders that is inconsistent with this 
                proclamation is superseded to the extent of such 
                inconsistency. If any provision of this proclamation or 
                the application of any provision of this proclamation 
                to any individual or circumstance is held to be 
                invalid, the remainder of this proclamation and the 
                application of its provisions to any other individual 
                or circumstance shall not be affected.

                IN WITNESS WHEREOF, I have hereunto set my hand this 
                second day of April, in the year of our Lord two 
                thousand twenty-six, and of the Independence of the 
                United States of America the two hundred and fiftieth.
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[FR Doc. 2026-06956
Filed 4-8-26; 11:15 am]
Billing code 7020-02-C


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Indexed from Federal Register on April 9, 2026.

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