1. Short title This Act may be cited as the Pharmaceutical Independence Long-Term Readiness Reform Act . 2. United States medicine supply chain (a) National defense strategy The Secretary of Defense shall include, in each national defense strategy under section 113(g) of title 10, United States Code, steps to be taken to assure the provision of medicines to enable combat readiness and force health protection. (b) Report to Congress Not later than one year after the date of the enactment of this Act, the Secretary of Defense, in consultation with the heads of other appropriate Federal departments and agencies, shall submit to Congress a report on vulnerabilities to the United States medicine supply chain. Such report shall include— (1) an identification of any finished drugs and their essential components including raw materials, chemical components and active ingredients necessary for the manufacture of medicines whose supply is at risk of disruption during a time of war or national emergency; (2) an identification of shortages of finished drugs essential for combat readiness and force protection; (3) an identification of the defense and geopolitical contingencies that are sufficiently likely to arise that may disrupt, strain, compromise, or eliminate supply chains of medicines and their essential components and recommendations for reasonable preparation for the occurrence of such contingencies; (4) an assessment of the resilience and capacity of the current supply chain and industrial base to support national defense upon the occurrence of the contingencies identified in paragraph (3), including with respect to— (A) the manufacturing capacity of the United States; (B) gaps in domestic manufacturing capabilities including non-existent, extinct, threatened, and single-point-of-failure capabilities; and (C) supply chains with single points of failure and limited resiliency; (5) legislative, regulatory, and policy changes necessary to avoid, or prepare for, contingencies identified in the report