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119th Congress · S. 4472 · Passed Origin

Accelerating Access to Critical Therapies for ALS Reauthorization Act of 2026

This bill reauthorizes through FY2031 and revises programs that support research and development of drugs and other therapies to address amyotrophic lateral sclerosis (also known as ALS or Lou Gehrig's disease) and other neurodegenerative diseases. The bill reauthorizes grants from the National Institutes of Health (NIH) for scientific research on investigational drugs to prevent or treat ALS for individuals not otherwise eligible for clinical trials, grants from the Food and Drug Administration (FDA) for research and development of therapies to prevent and treat ALS and other neurodegenerative diseases, and a Public-Private Partnership including the FDA and NIH that supports development and regulatory review of treatments for neurodegenerative diseases. Also, the bill revises the NIH grants to require (1) the NIH, in considering grant renewal, to assess available information on the safety and efficacy of the investigational drugs; (2) grantees to promptly report available safety data from ongoing clinical trials; and (3) the NIH to determine the timeframe for enrollment in clinical trials for the investigational drugs. Additionally, every five years, the FDA must publish a plan describing actions it will take over a five-year period to foster development of safe and effective drugs, and facilitate access to investigational drugs, for ALS and other rare neurodegenerative diseases. Each plan must include the FDA's previous actions and recommendations for improvements. Finally, the Government Accountability Office and the Department of Health and Human Services must report on the impacts of these grants.

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SubjectsDepartment of Health and Human ServicesDrug therapyFood and Drug Administration (FDA)Government information and archivesHealth programs administration and fundingInternet, web applications, social mediaMedical researchNational Institutes of Health (NIH)Neurological disordersPublic-private cooperationResearch administration and funding
Sponsor
Lisa A. Murkowski, R-AK
5 terms · @LisaMurkowski
522 Hart Senate Office Building Washington DC 20510 · 202-224-6665
Cosponsors (15)
  • Christopher A. Coons, D-DEOriginal cosponsor
    Co-sponsored Apr 30, 2026 · 3 terms · @ChrisCoons
  • Susan M. Collins, R-ME
    Co-sponsored Jun 15, 2026 · 5 terms · @SenatorCollins
  • Amy J. Klobuchar, D-MN
    Co-sponsored Jun 15, 2026 · 4 terms · @SenAmyKlobuchar
  • Alejandro Padilla, D-CA
    Co-sponsored Jun 15, 2026 · 3 terms · @SenAlexPadilla
  • Shelley M. Capito, R-WV
    Co-sponsored Jun 15, 2026 · 9 terms · @SenCapito
  • John R. Curtis, R-UT
    Co-sponsored Jun 16, 2026 · 5 terms · @RepJohnCurtis
  • Kirsten E. Gillibrand, D-NY
    Co-sponsored Jun 16, 2026 · 6 terms · @GillibrandNY
  • Margaret W. Hassan, D-NH
    Co-sponsored Jun 16, 2026 · 2 terms · @SenatorHassan
  • Jim Banks, R-IN
    Co-sponsored Jun 16, 2026 · 5 terms · @RepJimBanks
  • Edward J. Markey, D-MA
    Co-sponsored Jun 24, 2026 · 23 terms · @SenMarkey
  • Steve Daines, R-MT
    Co-sponsored Jun 24, 2026 · 3 terms · @SteveDaines
  • Jeff Merkley, D-OR
    Co-sponsored Jul 21, 2026 · 3 terms · @SenJeffMerkley
  • Dave H. McCormick, R-PA
    Co-sponsored Jul 21, 2026 · 1 term
  • Sheldon Whitehouse, D-RI
    Co-sponsored Jul 23, 2026 · 4 terms · @SenWhitehouse
  • John A. Barrasso, R-WY
    Co-sponsored Jul 23, 2026 · 4 terms · @SenJohnBarrasso
Committees (1)
  • Health, Education, Labor, and Pensions Committee
    Senate Standing · Activity Jul 16, 2026
Actions (11)
  1. Aug 10, 2026 · via House floor actions
    Held at the desk.
  2. Aug 10, 2026 · via House floor actions
    Received in the House.
  3. Aug 10, 2026 · via Senate
    Message on Senate action sent to the House.
  4. Aug 4, 2026 · via Senate
    Passed Senate with an amendment by Voice Vote. (consideration: CR S4425-4426; text: CR S4425-4426)
  5. Aug 4, 2026 · via Library of Congress
    Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.
  6. Jul 16, 2026 · via Senate
    Placed on Senate Legislative Calendar under General Orders. Calendar No. 461.
  7. Jul 16, 2026 · via Senate
    Committee on Health, Education, Labor, and Pensions. Reported by Senator Cassidy with an amendment in the nature of a substitute. Without written report.
  8. Jul 16, 2026 · via Library of Congress
    Committee on Health, Education, Labor, and Pensions. Reported by Senator Cassidy with an amendment in the nature of a substitute. Without written report.
  9. Jun 17, 2026 · via Senate
    Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.
  10. Apr 30, 2026 · via Senate
    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
  11. Apr 30, 2026 · via Library of Congress
    Introduced in Senate
IntroducedApr 30, 2026
Policy areaHealth
RelatedH.R. 8205
⎔ Pre-anchorPermanent record — anchoring ships soonEpoch 2026-Q4