Stop Pills That Kill Act

A new Section 2 adds regulation of tableting machines, encapsulating machines, and their critical parts (upper punch, lower punch, die) under the Controlled Substances Act, requiring serial numbers, transaction records, and reporting to the Attorney General for all regulated transactions involving these machines.

A new Section 3 grants extraterritorial jurisdiction over persons who manufacture or distribute tableting/encapsulating machines abroad with intent that they be used to illicitly manufacture controlled substances and unlawfully imported into the United States.

New criminal prohibitions were added: removing, altering, or obliterate a machine's serial number is now illegal, as is transporting or possessing a machine with a removed/altered serial number. Violations carry penalties under the Controlled Substances Act.

New sentencing provisions set maximum prison terms: up to 20 years for violations involving List I chemicals, up to 10 years for machine-related violations, up to 8 years for certain offenses, and up to 15 years for large-scale operations (over 1,000 kg of chemical or over 100 machines).

The definition of the targeted substance was broadened from 'counterfeit fentanyl or methamphetamine substance' to 'counterfeit pill containing an illicit synthetic substance,' which now also covers fentanyl-related substances, illicit depressants, stimulants, narcotics, and synthetic opioids.

The annual report to Congress requirement now has a sunset date (through fiscal year 2031) and adds new content requirements including a description of pharmaceutical markings on counterfeit pills compared to FDA-approved labeling, and geographic origin data for seized pills.

The Attorney General must promulgate regulations within 180 days of enactment covering serial number requirements, including for machines manufactured before the effective date. The Sentencing Commission is directed to review and amend federal sentencing guidelines to align with the new provisions.